BACKGROUND Carpal tunnel syndrome(CTS)has been associated with gout and type 2 diabetes mellitus(T2DM).However,due to insufficient clinical understanding of goutrelated CTS and reliance on the diagnostic importance of...BACKGROUND Carpal tunnel syndrome(CTS)has been associated with gout and type 2 diabetes mellitus(T2DM).However,due to insufficient clinical understanding of goutrelated CTS and reliance on the diagnostic importance of elevated serum uric acid levels,such cases are prone to missed diagnosis,misdiagnosis,and delayed treatment.In addition,the effect of T2DM on gout-induced carpal tunnel syndrome has not been reported.CASE SUMMARY Herein,we present an unusual case of CTS and motor dysfunction caused by miliary tophaceous gout and T2DM.The patient presented to the hand and foot clinic with paresthesia of the fingers of both hands,especially at night.The patient was diagnosed with type 2 diabetes a month ago.Ultrasonography revealed bilateral transverse carpal ligament thickening with median nerve compression during hospitalization.The patient was successfully treated with carpal tunnel decompression and tendon release.The postoperative pathological examination revealed typical gout nodules.This case suggests that the presence of T2DM could accelerate tophi formation and worsen CTS symptoms,although no definitive proof in this regard has been described previously.CONCLUSION Tophi formation may most likely cause the co-occurrence of CTS and flexor dysfunction in gout and incipient diabetes patients.展开更多
This paper describes the conductor eddy current loss that occurs in a permanent magnet type synchronous motor with a distributed winding stator using a rectangular copper wire designed for mild hybrid system applicati...This paper describes the conductor eddy current loss that occurs in a permanent magnet type synchronous motor with a distributed winding stator using a rectangular copper wire designed for mild hybrid system applications for small vehicles.Compared with the conventional round wire inserter method,the space factor can be improved and the coil-end length can be shortened by applying a so-called hairpin windings using a pre-formed into hairpin shape of bar conductor,and as a result,DC current resistance of the armature winding can be reduced.However,since the conductor cross-sectional area tends to increases,the conductor eddy current loss generated by the space harmonics linkage becomes too large to ignore.In order to study the reduction of the conductor eddy current loss,it is important to visualize the spatial leakage flux distribution which causes loss and finely analyze how the magnetic path is formed.Therefore,analysis of the conductor eddy current loss distribution generated in the bar-wound conductor is performed using the CAE model that faithfully reproduces the coil-end shape of the actual machine.Furthermore,it was qualitatively clarified what ratio of conductor eddy current loss at various driving points.Finally,the results of preliminary study on reduction of conductor eddy current loss are reported.展开更多
BACKGROUND: Botulinum toxin type A (BTX-A) is mostly to be used to treat various diseases of motor disorders, whereas its effect on muscle spasm after stroke and brain injury needs further observation. OBJECTIVE: To o...BACKGROUND: Botulinum toxin type A (BTX-A) is mostly to be used to treat various diseases of motor disorders, whereas its effect on muscle spasm after stroke and brain injury needs further observation. OBJECTIVE: To observe the effect of BTX-A plus rehabilitative training on treating muscle spasm after stroke and brain injury. DESIGN: A randomized controlled observation. SETTINGS: Department of Rehabilitation, Department of Neurology and Department of Neurosurgery, the Second Hospital of Hebei Medical University. PARTICIPANTS: Sixty inpatients with brain injury and stroke were selected from the Department of Rehabilitation, Department of Neurology and Department of Neurosurgery, the Second Hospital of Hebei Medical University from January 2001 to August 2006. They were all confirmed by CT and MRI, and had obvious increase of spastic muscle strength in upper limbs, their Ashworth grades were grade 2 or above. The patients were randomly divided into treatment group (n =30) and control group (n =30). METHODS: ① Patients in the treatment group undertook comprehensive rehabilitative trainings, and they were administrated with domestic BTX-A, which was provided by Lanzhou Institute of Biological Products, Ministry of Health (S10970037), and the muscles of flexion spasm were selected for upper limbs, 20-25 IU for each site. ② Patients in the treatment group were assessed before injection and at 1 and 2 weeks, 1 and 3 months after injection respectively, and those in the control group were assessed at corresponding time points. The recovery of muscle spasm was assessed by modified Ashworth scale (MAS, grade 0-Ⅳ; Grade 0 for without increase of muscle strength; Grade Ⅳ for rigidity at passive flexion and extension); The recovery of motor function of the upper limbs was evaluated with Fugl-Meyer Assessment (FMA, total score was 226 points, including 100 for exercise, 14 for balance, 24 for sense, 44 for joint motion, 44 for pain and 66 for upper limb); The ADL were evaluated with Barthel index, the total score was 100 points, 60 for mild dysfunction, 60-41 for moderate dysfunction, < 40 for severe dysfunction). MAIN OUTCOME MEASURES: Changes of MAS grade, FMA scores and Barthel index before and after BTX-A injection. RESULTS: All the 60 patients with brain injury and stroke were involved in the analysis of results. ① FMA scores of upper limbs: The FMA score in the treatment group at 2 weeks after treatment was higher than that before treatment [(14.98±10.14), (13.10±9.28) points, P < 0.05], whereas there was no significant difference at corresponding time point in the control group. The FMA scores at 1 and 3 months in the treatment group [(23.36±10.69), (35.36±11.36) points] were higher than those in the control group [(20.55±10.22), (30.33±10.96) points, P < 0.01]. ② MAS grades of upper limbs: There were obviously fewer cases of grade Ⅲ in MAS at 2 weeks after treatment than before treatment in the treatment group (0, 9 cases, P < 0.05), whereas there was no obvious difference in the control group. There were obviously fewer cases of grade Ⅲ in MAS at 2 weeks and 1 month after treatment in the treatment group (0, 0 case) than the control group (5, 2 cases, P < 0.01). ③ Barthel index of upper limbs: The Barthel index at 2 weeks after treatment was higher than that before treatment in the treatment group [(30.36±22.25), (28.22±26.21) points, P < 0.05], whereas there was no significant difference in the control group. The Barthel indexes at 1 and 3 months after treatment in the treatment group were obviously higher than those in the control group [(20.55±10.22), (30.33±10.96) points, P < 0.01]. CONCLUSION: BTX-A has obvious efficacy on decreasing muscle tension after stroke and brain injury, and relieving muscle spasm; Meanwhile, the combination with rehabilitative training can effectively ameliorate the motor function of upper limbs and ADL of the patients.展开更多
Structure of the octagon-type ultrasonic motor was proposed and designed so as to allow the motor to drive small actuator. The stator of the motor consisted of the octagon shape elastic body and four rectangular plate...Structure of the octagon-type ultrasonic motor was proposed and designed so as to allow the motor to drive small actuator. The stator of the motor consisted of the octagon shape elastic body and four rectangular plate ceramics. The four ceramics were attached to outer surfaces of the octagon elastic body. The same phase voltages were applied to the ceramics on horizontal surfaces, and 90° phase difference voltages were applied to the ceramics on vertical surfaces. When the AC voltage with 90° phase difference was applied in ceramics, the elliptical displacement of unimorph bars was generated by generating bending vibration. To find the maximum displacement model that generates elliptical displacement at the centers of the inner surfaces, the finite element analysis program ATILA was used. The analyzed results were compared to the experimental results. As a result, the speed and torque are increased linearly by increasing the input voltage and the speed of motors can be controlled by changing the applied voltages.展开更多
Rotation resistance coefficient is an important operating parameter for vehicle bogies, which influences the dynamic behavior of vehicles directly. A research on the rotation resistance coefficient of type A vehicle m...Rotation resistance coefficient is an important operating parameter for vehicle bogies, which influences the dynamic behavior of vehicles directly. A research on the rotation resistance coefficient of type A vehicle motor bogies was conducted by means of theoretical calculation, dynamic simulation, test certification, and so on. Result of the simulation analysis shows that the rotation resistance coefficient relates to air springs stiffness and negotiated curve radii, and it varies proportionally with the change of air springs horizontal stiffness. The greater the rotation angle is, the greater the factor becomes. The certifications made under the operating conditions(e.g., different air spring status, different rotation speeds) indicate that the rotation resistance coefficient increases with the increase of the rotation speed. The anti-yaw dampers can contribute to the rotation resistance torque acted on bogie, and the greater the rotation speeds are, the greater the torque generated by the anti-yaw dampers is. The results suggest that the theoretical analysis and dynamics simulation are in accordance with the results from the bogie bench tests, which meet the requirements in EN14363 and the indicators in vehicles safe operation.展开更多
The disadvantages of classic ring type ultrasonic motor were analyzed.To obtain large mechanical output power,a ring type standing wave ultrasonic motor using cantilever type longitudinal transducers was proposed.Ther...The disadvantages of classic ring type ultrasonic motor were analyzed.To obtain large mechanical output power,a ring type standing wave ultrasonic motor using cantilever type longitudinal transducers was proposed.There are four pairs of cantilevers on one side of the ring,and four PZT ceramics are set between each pair of cantilevers.A screw fastened the PZT ceramics and cantilevers together to form a longitudinal transducer.The bending vibration mode of the ring is excited by the stretching vibration of the PZT ceramics.Thus,linear simple harmonic motions are achieved at the particle on the teeth.And the driving force is the frictional force between rotor and stator.The working principle of the proposed motor was analyzed.The ring and the longitudinal transducer were designed with FEM.The sensitive parameters of resonant frequency of the transducer and ring could be gained with modal analysis.The longitudinal vibration modal of transducer and bending vibration modal of ring were degenerated,and the motion trajectories of nodes on the teeth were analyzed.The results of this paper could guide the development of this new type of motor.展开更多
This study is to explore a composite type piezoelectric motor. Its main structures include the piezoelectric stator, rotor, the preload adjusting module and shaft. Wherein the piezoelectric stator is made base, the co...This study is to explore a composite type piezoelectric motor. Its main structures include the piezoelectric stator, rotor, the preload adjusting module and shaft. Wherein the piezoelectric stator is made base, the composite type actuating element and stator formed. As the composite type actuating element is set by the axial vibration type actuating element, horizontal bending vibration type actuating element and vertical bending vibration type actuating element formed. The stator is an empty cylinder with a waist and tapered hole. In addition, the rotor is a kind of a hollow cone. It can be through the preload adjusting module to withstand the stator. As the preload adjusting module is set by the limit element, spring, washer and nut formed. While the shaft is a kind of cylinder with screw thread and stopper, it can pass through the piezoelectric stator, rotor and the preload adjusting module, making it a composite type piezoelectric motor. When we provide appropriate driving voltage, frequency, loading and phase angle to the piezoelectric stator, we can let the piezoelectric motor produces rapid rotation. Of course, we can also change through the driving phase angle, to change the direction of rotation of the piezoelectric motor. According to the experimental results, we found that its maximum speed and loading are 480 rpm and 2305 gw under conditions of 180 Vp-p, 35 kHz and 00 driving phase angle. Most importantly, we also found that the composite type piezoelectric motor has a very good conversion efficiency of the driving phase angle.展开更多
基金Supported by Science and Technology Bureau of Jining,No.2021YXNS115.
文摘BACKGROUND Carpal tunnel syndrome(CTS)has been associated with gout and type 2 diabetes mellitus(T2DM).However,due to insufficient clinical understanding of goutrelated CTS and reliance on the diagnostic importance of elevated serum uric acid levels,such cases are prone to missed diagnosis,misdiagnosis,and delayed treatment.In addition,the effect of T2DM on gout-induced carpal tunnel syndrome has not been reported.CASE SUMMARY Herein,we present an unusual case of CTS and motor dysfunction caused by miliary tophaceous gout and T2DM.The patient presented to the hand and foot clinic with paresthesia of the fingers of both hands,especially at night.The patient was diagnosed with type 2 diabetes a month ago.Ultrasonography revealed bilateral transverse carpal ligament thickening with median nerve compression during hospitalization.The patient was successfully treated with carpal tunnel decompression and tendon release.The postoperative pathological examination revealed typical gout nodules.This case suggests that the presence of T2DM could accelerate tophi formation and worsen CTS symptoms,although no definitive proof in this regard has been described previously.CONCLUSION Tophi formation may most likely cause the co-occurrence of CTS and flexor dysfunction in gout and incipient diabetes patients.
文摘This paper describes the conductor eddy current loss that occurs in a permanent magnet type synchronous motor with a distributed winding stator using a rectangular copper wire designed for mild hybrid system applications for small vehicles.Compared with the conventional round wire inserter method,the space factor can be improved and the coil-end length can be shortened by applying a so-called hairpin windings using a pre-formed into hairpin shape of bar conductor,and as a result,DC current resistance of the armature winding can be reduced.However,since the conductor cross-sectional area tends to increases,the conductor eddy current loss generated by the space harmonics linkage becomes too large to ignore.In order to study the reduction of the conductor eddy current loss,it is important to visualize the spatial leakage flux distribution which causes loss and finely analyze how the magnetic path is formed.Therefore,analysis of the conductor eddy current loss distribution generated in the bar-wound conductor is performed using the CAE model that faithfully reproduces the coil-end shape of the actual machine.Furthermore,it was qualitatively clarified what ratio of conductor eddy current loss at various driving points.Finally,the results of preliminary study on reduction of conductor eddy current loss are reported.
基金a grant from the Tackle Key Problem and Planning Projectin Science and Technology of Hebei Province,No.052761224
文摘BACKGROUND: Botulinum toxin type A (BTX-A) is mostly to be used to treat various diseases of motor disorders, whereas its effect on muscle spasm after stroke and brain injury needs further observation. OBJECTIVE: To observe the effect of BTX-A plus rehabilitative training on treating muscle spasm after stroke and brain injury. DESIGN: A randomized controlled observation. SETTINGS: Department of Rehabilitation, Department of Neurology and Department of Neurosurgery, the Second Hospital of Hebei Medical University. PARTICIPANTS: Sixty inpatients with brain injury and stroke were selected from the Department of Rehabilitation, Department of Neurology and Department of Neurosurgery, the Second Hospital of Hebei Medical University from January 2001 to August 2006. They were all confirmed by CT and MRI, and had obvious increase of spastic muscle strength in upper limbs, their Ashworth grades were grade 2 or above. The patients were randomly divided into treatment group (n =30) and control group (n =30). METHODS: ① Patients in the treatment group undertook comprehensive rehabilitative trainings, and they were administrated with domestic BTX-A, which was provided by Lanzhou Institute of Biological Products, Ministry of Health (S10970037), and the muscles of flexion spasm were selected for upper limbs, 20-25 IU for each site. ② Patients in the treatment group were assessed before injection and at 1 and 2 weeks, 1 and 3 months after injection respectively, and those in the control group were assessed at corresponding time points. The recovery of muscle spasm was assessed by modified Ashworth scale (MAS, grade 0-Ⅳ; Grade 0 for without increase of muscle strength; Grade Ⅳ for rigidity at passive flexion and extension); The recovery of motor function of the upper limbs was evaluated with Fugl-Meyer Assessment (FMA, total score was 226 points, including 100 for exercise, 14 for balance, 24 for sense, 44 for joint motion, 44 for pain and 66 for upper limb); The ADL were evaluated with Barthel index, the total score was 100 points, 60 for mild dysfunction, 60-41 for moderate dysfunction, < 40 for severe dysfunction). MAIN OUTCOME MEASURES: Changes of MAS grade, FMA scores and Barthel index before and after BTX-A injection. RESULTS: All the 60 patients with brain injury and stroke were involved in the analysis of results. ① FMA scores of upper limbs: The FMA score in the treatment group at 2 weeks after treatment was higher than that before treatment [(14.98±10.14), (13.10±9.28) points, P < 0.05], whereas there was no significant difference at corresponding time point in the control group. The FMA scores at 1 and 3 months in the treatment group [(23.36±10.69), (35.36±11.36) points] were higher than those in the control group [(20.55±10.22), (30.33±10.96) points, P < 0.01]. ② MAS grades of upper limbs: There were obviously fewer cases of grade Ⅲ in MAS at 2 weeks after treatment than before treatment in the treatment group (0, 9 cases, P < 0.05), whereas there was no obvious difference in the control group. There were obviously fewer cases of grade Ⅲ in MAS at 2 weeks and 1 month after treatment in the treatment group (0, 0 case) than the control group (5, 2 cases, P < 0.01). ③ Barthel index of upper limbs: The Barthel index at 2 weeks after treatment was higher than that before treatment in the treatment group [(30.36±22.25), (28.22±26.21) points, P < 0.05], whereas there was no significant difference in the control group. The Barthel indexes at 1 and 3 months after treatment in the treatment group were obviously higher than those in the control group [(20.55±10.22), (30.33±10.96) points, P < 0.01]. CONCLUSION: BTX-A has obvious efficacy on decreasing muscle tension after stroke and brain injury, and relieving muscle spasm; Meanwhile, the combination with rehabilitative training can effectively ameliorate the motor function of upper limbs and ADL of the patients.
基金Project supported by the Second Stage of Brain Korea 21 Projectssupported by the National Research Foundation of Korea (NRF) Grant funded by the Korea government (MEST) [No.2011-0030806]
文摘Structure of the octagon-type ultrasonic motor was proposed and designed so as to allow the motor to drive small actuator. The stator of the motor consisted of the octagon shape elastic body and four rectangular plate ceramics. The four ceramics were attached to outer surfaces of the octagon elastic body. The same phase voltages were applied to the ceramics on horizontal surfaces, and 90° phase difference voltages were applied to the ceramics on vertical surfaces. When the AC voltage with 90° phase difference was applied in ceramics, the elliptical displacement of unimorph bars was generated by generating bending vibration. To find the maximum displacement model that generates elliptical displacement at the centers of the inner surfaces, the finite element analysis program ATILA was used. The analyzed results were compared to the experimental results. As a result, the speed and torque are increased linearly by increasing the input voltage and the speed of motors can be controlled by changing the applied voltages.
基金Sponsored by the Study on Rotation Resistance Coefficient of Motor Bogie for Type A Railway Vehicle CRRC Changchun Railway Vehicles Co.,Ltd.,China
文摘Rotation resistance coefficient is an important operating parameter for vehicle bogies, which influences the dynamic behavior of vehicles directly. A research on the rotation resistance coefficient of type A vehicle motor bogies was conducted by means of theoretical calculation, dynamic simulation, test certification, and so on. Result of the simulation analysis shows that the rotation resistance coefficient relates to air springs stiffness and negotiated curve radii, and it varies proportionally with the change of air springs horizontal stiffness. The greater the rotation angle is, the greater the factor becomes. The certifications made under the operating conditions(e.g., different air spring status, different rotation speeds) indicate that the rotation resistance coefficient increases with the increase of the rotation speed. The anti-yaw dampers can contribute to the rotation resistance torque acted on bogie, and the greater the rotation speeds are, the greater the torque generated by the anti-yaw dampers is. The results suggest that the theoretical analysis and dynamics simulation are in accordance with the results from the bogie bench tests, which meet the requirements in EN14363 and the indicators in vehicles safe operation.
基金Sponsored by the National Natural Science Foundation of China (Grant No.50875057)the State Key Laboratory of Robotics and Systems (HIT No.SKLRS200901A04)
文摘The disadvantages of classic ring type ultrasonic motor were analyzed.To obtain large mechanical output power,a ring type standing wave ultrasonic motor using cantilever type longitudinal transducers was proposed.There are four pairs of cantilevers on one side of the ring,and four PZT ceramics are set between each pair of cantilevers.A screw fastened the PZT ceramics and cantilevers together to form a longitudinal transducer.The bending vibration mode of the ring is excited by the stretching vibration of the PZT ceramics.Thus,linear simple harmonic motions are achieved at the particle on the teeth.And the driving force is the frictional force between rotor and stator.The working principle of the proposed motor was analyzed.The ring and the longitudinal transducer were designed with FEM.The sensitive parameters of resonant frequency of the transducer and ring could be gained with modal analysis.The longitudinal vibration modal of transducer and bending vibration modal of ring were degenerated,and the motion trajectories of nodes on the teeth were analyzed.The results of this paper could guide the development of this new type of motor.
文摘This study is to explore a composite type piezoelectric motor. Its main structures include the piezoelectric stator, rotor, the preload adjusting module and shaft. Wherein the piezoelectric stator is made base, the composite type actuating element and stator formed. As the composite type actuating element is set by the axial vibration type actuating element, horizontal bending vibration type actuating element and vertical bending vibration type actuating element formed. The stator is an empty cylinder with a waist and tapered hole. In addition, the rotor is a kind of a hollow cone. It can be through the preload adjusting module to withstand the stator. As the preload adjusting module is set by the limit element, spring, washer and nut formed. While the shaft is a kind of cylinder with screw thread and stopper, it can pass through the piezoelectric stator, rotor and the preload adjusting module, making it a composite type piezoelectric motor. When we provide appropriate driving voltage, frequency, loading and phase angle to the piezoelectric stator, we can let the piezoelectric motor produces rapid rotation. Of course, we can also change through the driving phase angle, to change the direction of rotation of the piezoelectric motor. According to the experimental results, we found that its maximum speed and loading are 480 rpm and 2305 gw under conditions of 180 Vp-p, 35 kHz and 00 driving phase angle. Most importantly, we also found that the composite type piezoelectric motor has a very good conversion efficiency of the driving phase angle.
