1.Real-time Gait Training System with Embedded Functional Electrical Stimulation.
Linyan GU ; Zhaomin RUAN ; Guifeng JIA ; Jing XLA ; Lijian QIU ; Changwang WU ; Xiaoqing JIN ; Gangmin NING
Chinese Journal of Medical Instrumentation 2015;39(4):253-256
To solve the problem that mostly gait analysis is independent from the treatment, this work proposes a system that integrates the functions of gait training and assessment for foot drop treatment. The system uses a set of sensors to collect gait parameters and designes multi-mode functional electrical stimulators as actuator. Body area network technology is introduced to coordinate the data communication and execution of the sensors and stimulators, synchronize the gait analysis and foot drop treatment. Bluetooth 4.0 is applied to low the power consumption of the system. The system realizes the synchronization of treatment and gait analysis. It is able to acquire and analyze the dynamic parameters of ankle, knee and hip in real-time, and treat patients by guiding functional electrical stimulation delivery to the specific body locations of patients.
Electric Stimulation
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Electric Stimulation Therapy
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Exercise Therapy
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Gait
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Humans
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Wireless Technology
2.Efficacy and safety of cryoablation combined with Camrelizumab monoclonal antibody in treatment of hepatocellular carcinoma
Changwang ZHANG ; Ninghan WU ; Cong WANG ; Zheng ZHENG ; Siming GAO ; Changpeng ZOU ; Sujing ZHANG ; Na LI
Journal of Clinical Hepatology 2024;40(6):1169-1174
ObjectiveTo investigate the efficacy and safety of cryoablation combined with Camrelizumab monoclonal antibody in the treatment of hepatocellular carcinoma (HCC). MethodsA total of 103 HCC patients who were admitted to our hospital from June 2020 to June 2023 were enrolled and randomly divided into combined treatment group with 53 patients and control group with 50 patients. The patients in the control group received percutaneous argon-helium cryoablation, and those in the combined treatment group received percutaneous argon-helium cryoablation combined with Camrelizumab monoclonal antibody. The two groups were compared in terms of short-term response, changes in T lymphocyte subsets after treatment, changes in liver function and alpha-fetoprotein (AFP) after treatment, and progression-free survival and overall survival during follow-up. The t-test was used for comparison of normally distributed continuous data between groups, and the chi-square test was used for comparison of categorical data between groups. The Kaplan-Meier method was used to plot survival curves, and the log-rank test was used for comparison of survival time between the two groups. ResultsThe combined treatment group had significantly higher overall response rate and disease control rate than the control group (χ2=4.156 and 4.348, P=0.042 and 0.037). After treatment, the combined treatment group had significant increases in the percentages of CD3+ and CD4+ T lymphocytes and CD4+/CD8+ ratio (P<0.05) and a significant reduction in the percentage of CD8+ T lymphocytes (P<0.05), while the control group had no significant changes in T lymphocyte subsets after treatment (P>0.05), and compared with the control group after treatment, the combined treatment group had significantly higher percentages of CD3+ and CD4+ T lymphocytes and CD4+/CD8+ ratio (all P<0.05) and a significantly lower percentage of CD8+ T lymphocytes (P<0.05). After treatment, both groups had significant reductions in the levels of alanine aminotransferase (ALT), aspartate aminotransferase (AST), and AFP (all P<0.05) and a significant increase in the level of albumin (Alb) (P>0.05), and compared with the control group after treatment, the combined treatment group had significantly lower levels of ALT, AST, and AFP (all P<0.05) and a significantly higher level of Alb (P<0.05). There were no significant differences in the incidence rates of grade Ⅲ—Ⅳ (moderate to severe) adverse reactions between the two groups (P>0.05). Compared with the control group, the combined treatment group had significantly better median progression-free survival (21.32 months vs 15.31 months, χ2=4.689, P=0.030) and median overall survival (28.36 months vs 20.75 months, χ2=5.030, P=0.025). ConclusionArgon-helium cryoablation combined with Camrelizumab monoclonal antibody can effectively improve short-term response, enhance immune function, and prolong survival time, with a favorable safety profile.