Abstract-This work is focused on obtaining efficient human hand models that are suitable for manipulation tasks. A 24 DoF kinematic model of the human hand is defined to realistic movements. This model is based on the human skeleton. Dynamic and Static constraints have been included in order to improve the movement realism. Two simplified hand models with 9 and 6 DoF have been developed according to the constraints predefined. These simplified models involve some errors in reconstructing the hand posture. These errors are calculated with respect to the 24 DoF model and evaluated according to the hand gestures. Finally, some criteria are defined to select the hand description best suited to the features of the manipulation task.

Since 1975, Lyme disease has become the most common vectorborne inflammatory disease in the United States.

The purpose of this study was to estimate the health burden imposed by Lyme disease (LD) in Maryland during 1992 and 1993. A cross-sectional 1-in-15 survey of physicians (total, 1200) in Maryland was conducted to estimate the incidence of diagnosed LD, presumptive cases of LD, patients with tick bites, and diagnostic tests ordered for LD. Results show that LD is underreported by 10- to 12-fold in Maryland, that 80% of cases are managed by primary care physicians, and that there is discordance between the actual clinical treatment of patients and the recommended approach. In addition, the much greater numbers of patients treated for presumptive LD, seen and given prophylaxis for tick bites, and having diagnostic tests indicate that real and perceived LD is a far greater public health problem and uses more medical resources than official surveillance data suggest.

To support diagnostic and preventive decision making, we analyzed incidence of Lyme disease in Maryland on the zip code level. Areas of high incidence were identified on the Upper Eastern Shore of the Chesapeake Bay and in counties north and east of Baltimore City. These latter foci, especially, are not visible when mapping Lyme disease on the county level.”