The purpose is to evaluate the performance of current intraoral digital detectors in detail using a precise phantom and new method. Two aluminum step wedges in 0.5 mm steps were exposed by two photostimulable phosphor plate (PSP) systems—one with automatic exposure compensation (AEC) and the other without AEC—and a CCD sensor. Images were obtained with 3 doses at 60 kV. The effect of metallic material also was evaluated. The contrast-to-noise ratio (CNR) for thinner steps and the low contrast value (LCV) for thicker steps were obtained. The CCD system was the best under all conditions (P < 0.001), although the Gray value was sensitive to the dose, and the Gray value-dose relation varied greatly. The PSP system with AEC was superior to that without AEC for the LCV (P < 0.001) but was inferior to it regarding the CNR (P < 0.001). CNR and LCV in the PSP system without AEC were not affected by the metallic plate. Intraoral digital imaging systems should be chosen according to their diagnostic purpose. PSP system with AEC may be the best for detecting molar proximal caries, whereas the PSP system without AEC may be better for evaluating small bone regeneration in periodontal disease. The CCD system provided the best performance.
Crystallization behavior of water in a concentrated aqueous solution of poly(ethylene glycol) (PEG) with a water content of 37.5 wt % was investigated by temperature variable mid-infrared (mid-IR) spectroscopy in a temperature range of 298-170 K. The mid-IR spectrum of water at 298 K showed that a large water cluster was not formed and that most of the water molecules were associated with the PEG chain. Ice formation, however, occurred as found in previous studies by differential scanning calorimetory. Ice formations were grouped into three types: crystallization at 231 K during cooling, that at 198 K during heating, and that at 210 K during heating. The latter two were just recrystallization. These ice formations were the direct transition from hydration species to ice without condensation regardless of crystallization or recrystallization. This means that the recrystallized water in the present system was not generated from low-density amorphous solid water. At a low cooling rate, nearly complete crystallization at 231 K during cooling and no recrystallization were observed. At a high cooling rate, no crystallization and two-step recrystallization at 198 and 210 K were observed. The former and latter recrystallizations were found to be generated from water associated with the PEG chains with ttg (the sequence -O-CH(2)-CH(2)-O- having a trans (t) conformation about the -C-O- bond and a gauche (g) conformation about the -C-C- bond) and random conformations, respectively. These results indicate that recrystallizable water does not have a single specific water structure.
The laparoscopic stapler is a surgical instrument that automatically creates visceral anastomosis. Although the laparoscopic stapler is widely used, objective ergonomic assessments are lacking. The purpose of this study was to quantitatively assess the force and muscle activities involved during the use of a laparoscopic stapler. The mechanical force needed to create anastomosis in a cattle colon was measured using a tensile tester. Three different loads (150 N, 200 N, and 250 N) were applied individually to compare the anastomosis conditions. The force and muscle activities of the operators of the laparoscopic stapler were also examined. Eleven healthy female subjects (age, 27.4±10.7 years) participated in the study. Force and surface electromyography (EMG) of the flexor digitorum superficialis and flexor digitorum profundus muscles during the use of the laparoscopic stapler were measured and compared to each subjectʼ s maximum grip strength. Approximately 250 N was necessary to operate the laparoscopic stapler appropriately. Although the mean grip strength of the subjects was 27.1±6.8 kg, the mean force applied when they gripped the laparoscopic stapler was 15.1±4.1 kg. Integrated EMG showed no differences between operating the laparoscopic stapler and gripping the hand dynamometer. This study demonstrated that the current design of laparoscopic stapler requires too much force to operate for individuals with small hands and/or low grip strength. In addition, the EMG results indicated that the enormous upper extremity muscular effort is not transmitted efficiently into power to operate the laparoscopic stapler, because of its handle design. Therefore, reconsidering the mechanism of the laparoscopic stapler is crucial to improve the usability of the laparoscopic stapler.
[Purpose] The Hybrid Assistive Limb® (HAL®) robot suit is a powered exoskeleton that can assist a user’s lower limb movement. The purpose of this study was to assess the effectiveness of HAL® in stroke rehabilitation, focusing on the change of the sit-to-stand (STS) movement pattern and standing posture. [Subjects and Methods] Five stroke patients participated in this study. Single leg HAL® was attached to each subject’s paretic lower limb. The subjects performed STS three times both with and without HAL® use. A tri-axial accelerometer was used to assess the STS movement pattern. Forward-tilt angle (FTA) and the time required for STS were measured with and without HAL® use. Surface electromyography (EMG) of STS and standing were recorded to assess the vastus medialis muscle activities of the paretic limb. [Results] The average FTA without HAL® use was 35° and it improved to 43° with HAL® use. The time required for STS was longer for all subjects with HAL® use (without HAL® use: 3.42 s, with HAL® use: 5.11 s). The integrated EMGs of HAL® use compared to those without HAL®, were 83.6% and 66.3% for STS and standing, respectively. [Conclusion] HAL® may be effective in improving STS and standing patterns of stroke patients.
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