• Title/Summary/Keyword: Intensive FES

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Fat Embolism Syndrome - Three Case Reports and Review of the Literature

  • Grigorakos, Leonidas;Nikolopoulos, Ioannis;Stratouli, Stamatina;Alexopoulou, Anastasia;Nikolaidis, Eleftherios;Fotiou, Eleftherios;Lazarescu, Daria;Alamanos, Ioannis
    • Journal of Trauma and Injury
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    • v.30 no.3
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    • pp.107-111
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    • 2017
  • The fat embolism syndrome (FES) represents a condition, usually with traumatic etiology, which may pose challenges to diagnosis while its treatment usually requires supportive measures in the intensive care units (ICUs). The clinical criteria, including respiratory and cerebral dysfunction and a petechial rash, along with imaging studies help in diagnosis. Here we present three case reports of young male who developed FES and were admitted to our ICUs after long bones fractures emerging after vehicle crashes and we briefly review FES literature. All patients' treatment was directed towards: 1) the restoration of circulating volume with fresh blood and/or plasma; 2) the correction of acidosis; and 3) immobilization of the affected part. All patients recovered and were released to the orthopedic wards. The incidence of cases of patients with FES admitted in our ICUs records a significant decrease. This may be explained in terms effective infrastructure reforms in Greece which brought about significant improvement in early prevention and management.

The Effect of Intensive Functional Electrical Stimulation on the Gait in Chronic Hemiplegic Patients (집중적 전기 자극치료가 만성 뇌졸중 환자의 보행에 미치는 효과)

  • Park, Hea-Woon;Lee, Zee-Ihn;Lee, Yang-Soo
    • Annals of Clinical Neurophysiology
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    • v.7 no.1
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    • pp.13-16
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    • 2005
  • Background: The purpose of this study is to investigate the effect of the intensive functional electrical stimulation(FES) on the improvement of the gait pattern of the chronic hemiplegic patients. Method: Six hemiplegic patients, who could walk independently but have equinovarus deformity during the gait cycle, participated in this study. The affected peroneus longus and tibialis anterior muscles of all subjects were stimulated for 2 weeks period (20 minutes duration, 6 times/day). We measured the activities (mean voltage) of those muscles during the walking, using dynamic EMG. Results: After treatment, there were significant improvements in the strength of peroneus longus and tibialis anterior muscles and the gait speed, but there was no interval change of the spasticity of plantar flexor. The mean voltages of two muscles are significantly increased in all the patients (p<0.05). Conclusion: The results showed that the intensive FES on affected peroneus longus and tibialis anterior muscles in chronic hemiplegic patients could be useful for the improvement of functional gait.

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Separating VNF and Network Control for Hardware-Acceleration of SDN/NFV Architecture

  • Duan, Tong;Lan, Julong;Hu, Yuxiang;Sun, Penghao
    • ETRI Journal
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    • v.39 no.4
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    • pp.525-534
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    • 2017
  • A hardware-acceleration architecture that separates virtual network functions (VNFs) and network control (called HSN) is proposed to solve the mismatch between the simple flow steering requirements and strong packet processing abilities of software-defined networking (SDN) forwarding elements (FEs) in SDN/network function virtualization (NFV) architecture, while improving the efficiency of NFV infrastructure and the performance of network-intensive functions. HSN makes full use of FEs and accelerates VNFs through two mechanisms: (1) separation of traffic steering and packet processing in the FEs; (2) separation of SDN and NFV control in the FEs. Our HSN prototype, built on NetFPGA-10G, demonstrates that the processing performance can be greatly improved with only a small modification of the traditional SDN/NFV architecture.

The Effect of EMG-stim on Upper Limb Function in Chronic Stroke Patients (근전도 유발 신경근 전기자극치료가 뇌졸중 환자의 상지기능에 미치는 효과)

  • Cho, In-Sul;Chang, Jong-Sung;Kim, Kyoung;Kim, Wook-Ro;Park, Rae-Joon
    • The Journal of Korean Physical Therapy
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    • v.21 no.2
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    • pp.1-8
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    • 2009
  • Purpose: This study examined the effect of EMG-stim related to the functional recovery of the upper extremity in chronic stroke patients with an intensive massed practice protocol. Methods: The subjects were assigned randomly to either the EMG-stim group (n=10) or sham treatment group (n=10). Both groups received conventional physical therapy, occupational therapy and FES, five times per week over a four week period. In the EMG-stim group, EMG-stim was applied to the hemiplegic wrist and finger extensors for 2 sessions for 30 minutes per day, 5 times per week over a 4 week period. As the pre- and the post-test, the following four motor tests were assessed as the function of the upper extremity clinical functional test: extensor digitorum strength test, Box and Block test, Fugl-Mayer Assessment, and Jebson-Taylor Hand Function Test. Results: In the Box and Block test and Fugl-Mayer Assessment, there were statistically significant differences between both groups as well as between pre- and post-test. The extensor digitorum and wrist extensor strength were similar in both groups. In the Jebson-Taylor Hand Function Test, there was a significant difference in simulated page turning but not in the other subtests. Conclusion: Intensive massed practice with EMG-stim intervention applied to the hemiplegic upper extremity is an effective therapeutic method for chronic stroke patients. However, a variety of intervention methods designed for stroke patients in clinical settings are needed.

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