SUMMARY1. Intracellular records were obtained from motoneurones innervating muscles of the baboon's forearm and hand. Monosynaptic excitatory postsynaptic potentials (EPSPs) were elicited by stimulation of motor cortex (CM EPSPs) and peripheral nerves (Ia EPSPs).2. CM EPSPs were larger on average in motoneurones innervating intrinsic hand muscles and extensor digitorum communis (EDC) than in neurones of other forearm muscles.3. Among motoneurones of the median nerve, the CM EPSP tended to be larger for cells with more rapidly conducting axons than for those with more slowly conducting axons. Among motoneurones of EDC the opposite tendency was found.4. The afferent fibres responsible for the Ia EPSP nearly always had a lower stimulus threshold than that of motor axons in the same nerve. Some observations were made concerning the distribution of heteronymous Ia EPSPs.5. Among motoneurones of a given nerve, those with large Ia EPSPs tended to receive larger CM EPSPs than did cells in which the I a EPSP was small.6. The results are discussed in relation to problems concerning the pyramidal control of hand and finger movement.
Background The global burden of injury is receiving recognition as a major public health problem but inadequate information delays many proposed solutions. Many attempts to collect reliable data on orthopaedic trauma have been unsuccessful. The Surgical Implant Generation Network (SIGN) database is one of the largest collections of fracture cases from lower and middle income countries. Questions/purposes We describe the information in the SIGN database then address two questions: In the context of the design and implementation of a global trauma database, what lessons does the SIGN database teach? Does the SIGN program have a role in the evolution of a wider global system? Methods The SIGN database is Internet based. After treating a patient with a SIGN nail surgeons enter radiographs and details of the case.
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