While numerous physical skin models have been reported, most developments are research field-specific and based on trial-and-error methods. As the complexity of advanced measurement techniques increases, new interdisciplinary approaches are needed in future to achieve refined models which realistically simulate multiple properties of human skin.

Standardized test methods are available for measuring the thermal protective as well as thermo-physiological comfort Performance of fabrics used in firefighters' clothing. However, these tests are usually fabric destructive in nature, time consuming, and/or expensive to carry out on a regular basis. Hence, the availability of empirical models could be useful for conveniently predicting the thermal protective and thermo-physiological comfort performances from the fabric properties. The aim of this study is to develop individual models for predicting thermal protective and thermo-physiological comfort performances of fabrics. For this, different single- and multi-layered fabrics that are commercially used to manufacture firefighters' protective clothing were selected, and the fundamental properties of these fabrics (weight, thickness, thermal resistance, air-permeability, evaporative resistance, and water spreading speed) were measured using the standard test methods developed by the International Organization for Standardization (ISO) or the American Association of Textile Chemists and Colorists. The thermal protective performance of these fabrics was measured by the ISO 9151:2016 test method under 80 kW/m2 flame exposure. The thermo-physiological comfort performance of fabrics was determined by the ISO 18640-1:2018 test method and a statistical model. Thereafter, the key fabric properties affecting the thermal protective and thermo-physiological comfort performances of fabrics were determined statistically. It has been found that thermal and evaporative resistances are the key fabric properties to affect the thermal protective performance, whereas the fabric weight, evaporative resistance, and water spreading speed are the key properties to affect the thermo-physiological comfort performance. By employing these key fabric properties, Multiple Linear Regression and Artificial Neural Network (ANN) models were developed for predicting the thermal protective and thermo-physiological comfort performances. Through a comparison of the predicting performance parameters of these models, it has been found that ANN models can more accurately predict the performances of fabrics. These models can be implemented in the textile industry and academia for effectively and conveniently predicting the thermal protective and thermo-physiological comfort performances only by utilizing the key fabric properties.

Parkinson’s disease (PD) is characterized by a highly individual disease-profile as well as fluctuating symptoms. Consequently, 24-h home monitoring in a real-world environment would be an ideal solution for precise symptom diagnostics. In recent years, small lightweight sensors which have assisted in objective, reliable analysis of motor symptoms have attracted a lot of attention. While technical advances are important, patient acceptance of such new systems is just as crucial to increase long-term adherence. So far, there has been a lack of long-term evaluations of PD-patient sensor adherence and acceptance. In a pilot study of PD patients (N = 4), adherence (wearing time) and acceptance (questionnaires) of a multi-part sensor set was evaluated over a 4-week timespan. The evaluated sensor set consisted of 3 body-worn sensors and 7 at-home installed ambient sensors. After one month of continuous monitoring, the overall system usability scale (SUS)-questionnaire score was 71.5%, with an average acceptance score of 87% for the body-worn sensors and 100% for the ambient sensors. On average, sensors were worn 15 h and 4 min per day. All patients reported strong preferences of the sensor set over manual self-reporting methods. Our results coincide with measured high adherence and acceptance rate of similar short-term studies and extend them to long-term monitoring.

Many current light diffusers for photodynamic therapy are inflexible, and the applied light dose is difficult to adjust during treatment, especially on complex body surfaces. A thin and flexible luminous textile is developed using plastic optical fibers as a light distributor. The textile diffuser is evaluated for flexibility, irradiance, brightness distribution, and temperature rise with a 652-nm laser set to 100 mW. The bending force of the textile diffuser resembles a defined optical film. On the textile surface, an average output power of 3.6+/-0.6 mWcm(2) is measured, corresponding to a transmission rate of 40+/-3.8% on an area of 11 cm(2). Aluminum backing enhances the irradiance to the face (treatment side). The measured brightness distribution seems to lie within a range similar to other photodynamic therapy (PDT) devices. A power setting of 100 mW increases the temperature of the textile diffuser surface of up to 27 degrees C, and 1 W raises the temperature above 40 degrees C. Results confirm that the flexible textile diffuser supplies suitable radiation for low fluence rate photodynamic therapy on an area of several cm(2).

SUMMARYThe overall performance of a firefighter turnout suit can only be evaluated using both bench-scale tests and an assessment based on an instrumented manikin under defined, close to real-life conditions in a laboratory. Using manikins in rating protective clothing has already a long history which will be reflected in this paper. Efforts all over the world to reproduce a flame engulfment situation in a laboratory are currently being combined in a new draft international standard (ISO/DIS 13506.3). A round robin test showed an acceptable reproducibility for this method based on a manikin test and a gas burner system. An overview of existing measurement systems and the results of this round robin are discussed and possible improvements for the standard flame engulfment test method are proposed.

Introduction Tremor is the most common movement disorder, affecting 5.6% of the population with Parkinson’s disease or essential tremor over the age of 65. Conventionally, tremor diseases like Parkinson’s are treated with medication. An alternative non-invasive symptom treatment is the mechanical suppression of the oscillation movement. The purpose of this review is to identify the weaknesses of past wearable tremor-suppression orthoses for the upper limb and identify the need for further research and developments. Method A systematic literature search was conducted by performing a keyword combination search of the title, abstract and keyword sections in the four databases Web of Science, MedLine, Scopus, and ProQuest. Initially, the retrieved articles were selected by title and abstract using selection criteria. The same criteria were then applied to the full publication text. After the selection process, relevant information on the retrieved orthoses was isolated, sorted and analysed systematically. Results Forty-six papers, representing 21 orthoses, were identified and analysed according to the mechanical and ergonomic properties. The identified orthoses can be divided into 5 concepts and 16 functional prototypes, then subdivided further based upon their use of passive, semi-active, or active suppression mechanisms. Most of the orthoses concentrate on the wrist and elbow flexion and extension. They mainly rely on rigid structures and actuators while having tremor-suppression efficacies for tremorous subjects from 30 to 98% using power spectral density or other methods. Conclusion The comparison of tremor-suppression orthoses considered and mapped their various mechanical and ergonomic properties, including the degrees of freedom, weight, suppression characteristics, and efficacies. This review shows that most of the orthoses are bulky and heavy, with a non-adapted human-machine interface which can cause rejection by the user. The main challenge of the design of an effective, minimally intrusive and portable tremor-suppressing orthosis is the integration of compact, powerful, lightweight, and non-cumbersome suppression mechanisms. None of the existing prototypes combine all the desired characteristics. Future research should focus on novel suppression orthoses and mechanisms with compact dimensions and light weight in order to be less cumbersome while giving a good tremor-suppression performance.

The flame engulfment test according to ISO 13506 assesses the protective performance of ready-made heat and flame protective clothing when exposed to a flash fire condition using an instrumented manikin. It uses a thermal model of the human skin to predict the risk of skin burns. This evaluation method is based on a pass/fail criterion, as either a burn is predicted or not. Therefore, it provides only limited information about the transfer of heat through the protective clothing. In this study, we investigated the use of the total transferred energy as an improved characterization method of the performance of the garments. We defined an energy transmission factor as the quotient between the transferred energy on the clothed manikin divided by the transferred energy registered by the nude manikin during calibration. We analyzed the performance of seven garments and show that the energy transmission factors can be assessed with very high repeatability. When comparing the results of the right and left arms and legs, we found very high correlation coefficients of 0.96 and 0.98, respectively, showing that the thermal insulation of the garments tested was very symmetrical. This new assessment method will be proposed for the revision of ISO 13506.

During firefighting, thermoregulation is challenged due to a combination of harsh environmental conditions, high metabolic rates and personal protective clothing (PPC). Consequently, investigations of thermoregulation in firefighters should not only consider climate and exercise intensity, but technical properties of textiles too. Therefore, laboratory textile performance simulations may provide additional insights into textile-dependent thermoregulatory responses to exercise. In order to investigate the thermo-physiological relevance of textile properties and to test how different garments affect thermoregulation at different exercise intensities, we analyzed the results of a standard laboratory test and human subject trials by relating functional properties of textiles to thermo-physiological responses. Ten professional, healthy, male firefighters (age: 43 ± 6 y, weight: 84.3 ± 10.3kg, height: 1.79 ± 0.05m) performed low and moderate intensity exercise wearing garments previously evaluated with a sweating torso system to characterize thermal and evaporative properties. Functional properties of PPC and the control garment differed markedly. Consequently, skin temperature was higher using PPC at both exercise intensities (low: 36.27 ± 0.32 versus 36.75 ± 0.15℃, P < 0.05; moderate: 36.53 ± 0.34 versus 37.18 ± 0.23℃, P < 0.001), while core body temperature was only higher for PPC at moderate (37.54 ± 0.24 versus 37.83 ± 0.27℃, P < 0.05), but not low-intensity exercise (37.26 ± 0.21 versus 37.21 ± 0.19, P = 0.685). Differences in thermal and evaporative properties between textiles are reflected in thermo-physiological responses during human subject trials. However, an appropriate exercise intensity has to be chosen in order to challenge textile performance during exercise tests.