scholarly journals Su1644 – Interobserver Analysis Trial on Colonic Motor Pattern Recognition for High-Resolution Colonic Manometry

2019 ◽  
Vol 156 (6) ◽  
pp. S-595
Author(s):  
Jasper Pannemans ◽  
Tim Vanuytsel ◽  
Ans Pauwels ◽  
Nathalie Rommel ◽  
Heiko U. De Schepper ◽  
...  
Keyword(s):  
Pattern Recognition ◽  
High Resolution ◽  
Motor Pattern ◽  
Colonic Manometry ◽  
Colonic Motor

S1262 High-Resolution Colonic Manometry: Have We Been Incorrectly Labeling Colonic Motor Patterns?

2009 ◽  
Vol 136 (5) ◽  
pp. A-224 ◽  
Author(s):  
Philip G. Dinning ◽  
John W. Arkwright ◽  
Michal M. Szczesniak ◽  
Sergio E. Fuentealba ◽  
Neil Blenman ◽  
...  
Keyword(s):  
High Resolution ◽  
Motor Patterns ◽  
Colonic Manometry ◽  
Colonic Motor

scholarly journals A35 ASSOCIATIONS BETWEEN AUTONOMIC DYSFUNCTION, COLONIC DYSMOTILITY AND ABSENT DEFECATION REFLEXES IN PATIENTS WITH CHRONIC REFRACTORY CONSTIPATION

2021 ◽  
Vol 4 (Supplement_1) ◽  
pp. 276-278
Author(s):  
L Liu ◽  
N Milkova ◽  
M Ali ◽  
K Sharma ◽  
J D Huizinga ◽  
...  
Keyword(s):  
Nervous System ◽  
Autonomic Nervous System ◽  
High Resolution ◽  
Autonomic Dysfunction ◽  
Sympathetic Tone ◽  
Stress Index ◽  
Autonomic Reactivity ◽  
Autonomic Tone ◽  
Autonomic Nervous ◽  
Colonic Manometry

Abstract Background A defecation reflex involves sensory information from the colon sent to the central nervous system which results in propulsive motor patterns in the colon through programmed neural activity from the autonomic nervous system. Neurological causes of constipation are recognized but specific neurological pathways that contribute to pathophysiology of the disease is underexplored. Diagnosis and treatment usually do not involve the autonomic nervous system. Aims Our objective was to assess autonomic dysfunction and abnormal defecation reflexes as a possible cause of chronic constipation. Methods Defecation reflexes were assessed by high-resolution colonic manometry through balloon distention, meal intake, and rectal bisacodyl. Specific heart rate variability (HRV) parameters were used to assess general orthostatic autonomic reactivity, and autonomic functioning during high resolution colonic manometry, in 14 patients with chronic refractory constipation considered for surgery. Results All patients had a unique combination of motility, reflex ability and HRV profiles. Patients overall did not generate HAPWs or had lower HAPW amplitude and lower propulsive activity compared to healthy individuals. Half of the 14 patients were tested to have high sympathetic tone based on Baevsky’s stress index prior to HRCM, and 11 of the patients had sympathetic hyper-reactivity and/or low parasympathetic reactivity to at least one type of colonic stimulation during HRCM. Abnormal autonomic tone or autonomic reactivity to colonic stimulation was present in all four patients with absence of the vagosacral defecation reflex. Five of the seven patients with absence of the sacral defecation reflex showed high sympathetic tone or high sympathetic reactivity to stimulation. Only two patients had abnormality in coloanal coordination and this was associated with low parasympathetic reactivity to stimulation in both patients. Conclusions The assumption that colonic resection was needed to remove an inert colon was wrong in most patients, but most patients had some form of reflex abnormality. Sympathetic dominance far outweighed parasympathetic dysfunction. Incorporation of assessments of defecation reflexes and autonomic nervous system activity into diagnosis of chronic refractory constipation provides a comprehensive pathophysiological understanding of specific defective neurological pathways contributing to dysmotility. This forms the basis for our individualized treatment efforts through sacral neuromodulation. Funding Agencies CIHR

Photogrammetric Investigation of the Flying Shape of Spinnakers in a Twisted Flow Wind Tunnel

2009 ◽  
Author(s):  
Kai Graf ◽  
Olaf Müller
Keyword(s):  
Image Processing ◽  
Pattern Recognition ◽  
High Resolution ◽  
Wind Tunnel ◽  
Wind Velocity ◽  
Digital Cameras ◽  
Pattern Recognition Methods ◽  
Twisted Flow ◽  
High Resolution Images ◽  
The Impact

This paper describes a method for the acquisition of the flying shape of spinnakers in a twisted flow wind tunnel. The method is based on photogrammetry. A set of digital cameras is used to obtain high resolution images of the spinnaker from different viewing angles. The images are post-processed using image-processing tools, pattern recognition methods and finally the photogrammetry algorithm. Results are shown comparing design versus flying shape of the spinnaker and the impact of wind velocity and wind twist on the flying shape. Finally some common rules for optimum spinnaker trimming are investigated and examined.

scholarly journals The Defecation Reflex Assessed by High-Resolution Colonic Manometry

2020 ◽  
Author(s):  
Ji-Hong Chen ◽  
Natalija Milkova ◽  
Lijun Liu ◽  
Jan D Huizinga
Keyword(s):  
High Resolution ◽  
Colonic Manometry
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