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Biomedical subjects

K R Kaufman

Publications and source records attributed to K R Kaufman.

At least 55 records · Page 3Linked to original sources

Physiological prediction of muscle forces--I. Theoretical formulation.

A physiological model for predicting muscle forces is described. Rigid-body mechanics and musculoskeletal physiology are used to describe the dynamics of the segment model and muscle model. Unknown muscle and joint contact forces outnumber the equilibrium equations resulting in an indeterminate problem. Mathematical optimization is utilized to resolve the indeterminacy. The modeling procedure relies entirely on established physiological principles. Data describing the muscle anatomy and body structures are included. A model defining the force-length-velocity-activation relationship of a muscle is adopted. The force a muscle produces is assumed to be proportional to its maximum stress, physiological cross-sectional area, activation, and its functional configurations including the muscle architecture, muscle length, contracting velocity, and passive tension. These factors are incorporated into inequality equations which limit the force for each muscle. Minimal muscular activation is forwarded as the optimization criterion for muscle force determination.

Biomechanical Phenomena↗

Physiological prediction of muscle forces--II. Application to isokinetic exercise.

The successful application of a physiological model of the musculoskeletal system capable of accounting for nonequilibrium dynamic loading and predicting individual muscle forces in the knee is presented. The model incorporates rigid-body mechanics and musculoskeletal physiology. Unknown muscle and joint contact forces outnumber the equilibrium equations resulting in an indeterminant problem. Mathematical optimization is utilized to resolve the indeterminacy. The model is used to estimate individual muscle forces during isokinetic exercise. Five subjects were tested at speeds of 60 degrees/s and 180 degrees/s. A newly proposed optimal criterion, minimizing muscular activation, results in muscle force predictions which have significantly higher correlations with myoelectric activity than other linear and nonlinear optimal criteria. The results demonstrate that properly constrained linear programming methods do not limit the number of active muscles and allow for uniform recruitment of the active muscles.

Adult↗

Incorporation of muscle architecture into the muscle length-tension relationship.

A mathematical model of the muscle active length-tension relationship has been developed. It integrates the functional basis of different muscle arrangements into a mathematical description of the contractile element. The model is complex enough to represent many of the mechanical and architectural properties of active muscle. Yet, it is simple enough that only two parameters (muscle fiber optimal length, muscle belly optimal length) are needed to scale the model to a specific actuator.

Elastic Tissue↗

Physiological considerations of muscle force through the elbow joint.

An analytical model for the determination of muscle forces across the elbow joint during isometric loading conditions has been developed. The model incorporates the muscle length-tension relationship, while considering the muscle architecture. Sensitivity analyses were performed to study the effects of the geometric and architectural factors of the muscles on the distribution of muscle forces.

Biomechanical Phenomena↗

Right to healthy birth: medico-legal issues in phencyclidine ingestion.

Child abuse is a multifaceted issue which requires a multidisciplinary approach. To date, child abuse has dealt only with the born child. With the panepidemic abuse of phencyclidine (PCP), and the knowledge that it will remain in the body greater than one year, the concept of child abuse in utero and preconception must be considered. This paper addresses this topic. Legal intervention concerning "wrongful birth and wrongful life" is raised. Legislative solutions permitting further research as well as assisting the healthy birth of viable fetuses on phencyclidine are also recommended.

Abortion, Induced↗

Epileptic morbidity: psychiatric sequelae in the family--a case study.

Psychiatric complications associated with the epileptic patient have often been referred to in the literature; however, psychiatric sequelae occurring in the family of an epileptic patient have received far less attention. In this case study, the author presents such an example and suggests that neuropsychiatrists treating the epileptic patient be aware that significant psychiatric sequelae may exist in the family.

Adaptation, Psychological↗

Lithium in pregnancy--avoidance of toxicity. A case report.

The authors present a case in which lithium toxicity in a pregnant patient was avoided. If salt restriction and/or diuretics are necessary during lithium therapy in pregnancy, the authors recommend the careful monitoring of lithium side effects, dosage, and serum levels. Further, lithium therapy should be discontinued twenty-four hours prior to delivery and only restarted after post-delivery levels have been carefully reevaluated.

Adult↗

Phencyclidine in umbilical cord blood: preliminary data.

The epidemic abuse of phencyclidine (PCP) has become a major psychiatric issue within the past decade. With the assistance of highly sensitive capillary gas chromatographic-nitrogen detector measurements, PCP's true pervasiveness is only now being appreciated. To further quantitate the severity of the problem, the authors analyzed samples of umbilical cord blood from 200 patients on the obstetrics service of a major university medical center. Preliminary results revealed that 24 (12%) of the samples were positive for PCP (.10-5.80 ng/ml). The authors discuss the significance of this finding with regard to psychiatry, obstetrics, pediatrics, and juvenile law.

Child Abuse↗

PCP in amniotic fluid and breast milk: case report.

The presence of phencyclidine (PCP) in breast milk and amniotic fluid of a young drug abuser is described. Implications drawn from these data include the possible use of amniocentesis in women with well-documented histories of drug abuse who have low levels of PCP in urine, and the restriction of breast feeding in women who have abused PCP.

Adult↗

Modernization of a mental health act II: outcome effects.

The authors studied the effect of Pennsylvania's 1976 Mental Health Procedures Act on the hospital course of involuntarily detained patients. They found that more court hearings to extend commitment were requested, held and approved under the modern law. There was a decrease in the number of schizophrenic patients who signed in voluntarily. They found no change in the mean length of hospitalization under the new law whether patients were voluntary or involuntary. They found that patients did not often sign in voluntarily or go to court within the legally prescribed periods.

Commitment of Persons with Psychiatric Disorders↗