Aim: The Scratch programming language allows learner developers to write games. The Kinect2Scratch extension makes Scratch games with bodily motion control possible by connecting to Microsoft's Kinect sensor. This study examined the feasibility and possible efficacy of a suite of motion-controlled games designed for upper extremity (UE) training in children with cerebral palsy (CP) using Kinect2Scratch.Materials and Methods: This is a proof-of-concept study. We developed three games, requiring three UE movement patterns (shoulder holding, reaching, and handclap), for use in children with CP. The primary outcome was feasibility, addressed by adherence, engagement, satisfaction, and safety. The secondary outcome was efficacy, which was evaluated by Quality of Upper Extremities Skills Test (QUEST), Box and Block Test (BBT), Melbourne Assessment 2 (MA2) test, and ABILHAND-kids score.Results: Thirteen children with CP (mean age 6.9 years) received 24 sessions of training (30 minutes per session). The adherence rate was 100%. During the first 2 weeks of training, children had a significantly higher level of participation in Kinect2Scratch training than in conventional rehabilitation [Pittsburgh Participation Scale, median (interquartile range [IQR]), 6 (3–6) vs. 4 (3–6) P = 0.04]. However, during the last 2 weeks of training, there was no significant difference in participation between the Kinect2Scratch and conventional training [Pittsburgh Rehabilitation Participation Scale, median (IQR), 4 (3–5) vs. 4 (3–6) P = 0.55]. Most children enjoyed playing the games. The mean score of enjoyment was 4.54 ± 0.66. There were no adverse events during the training periods. The children had significant improvement in total score of QUEST and MA2. There were no significant improvements in BBT and ABILHAND-kids score.Conclusion: Using Kinect2Scratch games for UE training is a feasible adjunctive program for children with CP.
This study is the first to employ combinatorial hydrothermal synthesis and facile spin-coating technology to fabricate TiO-reduced graphene oxide (rGO) nanorod composition spreads. The features of this study are (1) the development of a self-designed spin-coating wedge, (2) the systemic investigation of the structure-property relationship of the system, (3) the high-throughput screening of the optimal ratio from a wide range of compositions for photocatalytic and photoelectrochemical (PEC) applications, and (4) the effective coupling between the density gradient TiO nanorod array and the thickness gradient rGO. The formation of rGO in the fabricated TiO-rGO sample was monitored through Fourier transform infrared spectrometry. Transmission electron microscopy images also suggested that the TiO nanorod surfaces were covered with a thin layer of amorphous rGO. The rutile TiO plane evolution along the composition variation was verified through X-ray diffraction. 7% TiO-93% rGO on the nanorod composition spread exhibited the most promising photocatalytic ability; the corresponding photodegradation kinetics, denoted by the photodegradation rate constant (k), was determined to be approximately 12.7 × 10 min. The excellent performance was attributed to the effective coupling between the TiO and rGO, which improved the charge carrier transport, thus inhibiting electron-hole pair recombination. A cycling test implied that 7% TiO-93% rGO is a reliable photocatalyst. A photoluminescence spectroscopy study also supported the superior photocatalytic ability of the sample, which was attributed to its markedly poorer recombination behavior. In addition, without further treatment, the sample exhibited excellent PEC stability; the photocurrent density was more than three times higher than that exhibited by the density gradient TiO nanorods.
Facile polymerized complex reactions together with a hydrothermal reaction were implemented to make single crystalline TiO2 nanorods for the first time. Chromium (Cr) and nitrogen (N2) co-doping was performed to tailor the physical properties. Transmission electron microscopy and x-ray diffraction study illustrated that highly reactive facets of (101), (111), and (001) dominated rutile TiO2 nanorods. A growth model, based on formation of complex species, was proposed to elucidate effectiveness of the soft solution processing in making TiO2 nanorods. X-ray photoelectron spectroscopy analysis and consideration of fundamentals of charge neutrality showed N2 doping could inhibit formation of Cr6+ and oxygen vacancies (VO2+). An investigation of the photocatalytic properties exhibited high efficiency of photodegradation of methylene blue in 15 min under pH = 10, using a nanocomposite of (7% Cr, 0.0021% N) codoped and 3% Cr doped TiO2 nanorods.
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