496 research outputs found

    Can interface conditions be modified by support surfaces to minimise the risk of pressure ulcer development?

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    PhDThe characteristics of a patient support interface can influence the susceptibility of subjects, particularly there who are immobilised and insensate, to pressure ulcer development. Accordingly, externally powered alternating pressure air mattresses (APAM) are utilised to produce intermittent pressure relief and control of the interface microclimate. These conditions will permit adequate blood and lymph flow within the soft tissues and favourable conditions at the loaded skin surface and thus minimise the risk of ulcer formation. Two sets of measurements were performed. Tissue viability was estimated, from a measure of transcutaneous gas tensions and sweat content, from healthy volunteers subjected to various alternating pressure regimens. The latter was achieved by two different strategies a) a custom–made controller which imposes the pressure profile on the subject and b) a prototype APAMs incorporating a novel sensor, which adjusts the profile according to individual subject characteristics. The latter prototype was placed on an articulated hospital bed, with an adjustable Head of Bed (HOB) angle. The second set of measurements involved monitoring the microclimate, namely temperature and humidity, at the interface loaded with a human analogue model supported on an APAM system. The interface was saturated with moisture to simulate sweating. The human studies, involving healthy subjects with BMI values ranging from 18.9 to 42.5 kg/m2, revealed significant differences in soft tissue response under various support surface profile by both strategies. In many cases, the TcPO2 levels either remained fairly stable during the loaded period or fluctuated at a periodicity equivalent to the cycle period of the APAM system, with the corresponding TcPCO2 levels remaining within the normal basal range. These findings were associated with II maximum interface pressures generally not exceeding 50 mmHg (6.67 kPa). By contrast in some cases, there was a significant compromise to the TcPO2 levels during the loaded period, which was often associated with an increase in TcPCO2 levels. These cases generally corresponded with the internal pressures in the mattress prescribed at a maximum amplitude of 100 / 0 mmHg or when the Head of Bed angle was raised to 45º or above. Changes in prototype covering sheet and air flow rates of the APAM system were found to influence both interface temperature and humidity. These results revealed enhanced levels of humidity often reaching 100% RH at the high simulated sweat rates. By contrast, at the lower sweat rate of 1.5 ml/min, the nature of the prototype covering sheets had an effect on the interface humidity profile, with values considerably reduced in the latter stages of the monitoring period. These results were compared with a compartmental model, which predicted the transport of moisture and heat using various mattress support systems. The results offer the potential for the development of intelligent APAM systems, whose characteristics can be adjusted to an individual morphology. These systems will need to be designed to ensure adequate tissue viability and maintain appropriate microclimate at the loaded interface. Such an approach will be directed at those subjects considered to be at high/medium risk of developing pressure ulcers

    Analysis of Venous Blood Flow and Deformation in the Calf under External Compression

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    Deep vein thrombosis (DVT) is a common post-operative complication, and a serious threat to the patient’s general recovery. In recent years, there has been increasing awareness of the risk of DVT in healthy individuals after prolonged immobility, such as people taking long-period flights or sitting at a computer. Mechanical methods of DVT prophylaxis, such as compression stockings, have gained widespread acceptance, but the haemodynamic mechanism of their action is still not well understood. In this study, computational modelling approaches based on magnetic resonance (MR) images are used to (i) predict the deformation of calf and deep veins under external compression, (ii) determine blood flow and wall shear stress in the deep veins of the calf, and (iii) quantify the effect of external compression on flow and wall shear stress in the deep veins. As a first step, MR images of the calf obtained with and without external compression were analysed, which indicated different levels of compressibility for different calf muscle compartments. A 2D finite element model (FEM) with specifically tailored boundary conditions for different muscle components was developed to simulate the deformation of the calf under compression. The calf tissues were described by a linear elastic model. The simulation results showed a good qualitative agreement with the measurements in terms of deep vein deformation, but the area reduction predicted by the FEM was much larger than that obtained from the MR images. In an attempt to improve the 2D FEM, a hyperelastic material model was employed and a finite element based non-rigid registration algorithm was developed to calculate the bulk modulus of the calf tissues. Using subject-specific bulk modulus derived with this method together with a hyperelastic material model, the numerical results showed better quantitative agreement with MR measured deformations of deep veins and calf tissues. In order to understand the effect of external compression on flow in the deep veins, MR imaging and real-time flow mapping were performed on 10 healthy volunteers before and after compression. Computational fluid dynamics was then employed to calculate the haemodynamic wall shear stress (WSS), based on the measured changes in vessel geometry and flow waveforms. The overall results indicated that application of the compression stocking led to a reduction in both blood flow rate and cross sectional area of the peroneal veins in the calf, which resulted in an increase in WSS, but the individual effects were highly variable. Finally, a 3D fluid-structure interactions (FSI) model was developed for a segment of the calf with realistic geometry for the calf muscle and bones but idealised geometry for the deep vein. The hyperelastic material properties evaluated previously were employed to describe the solid behaviours. Some predictive ability of the FSI model was demonstrated, but further improvement and validation are still needed

    STABILIZATION OF EXTENDED DIFFUSE OPTICAL SPECTROSCOPY MEASUREMENTS ON IN VIVO HUMAN SKELETAL MUSCLE DURING DYNAMIC EXERCISE

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    This research investigates various applications of diffuse correlation spectroscopy (DCS) on in-vivo human muscle tissue, both at rest and during dynamic exercise. Previously suspected muscle tissue relative blood flow (rBF) baseline shift during extended measurement with DCS and DCS-Near infrared spectroscopy (NIRS) hybrid optical systems are verified, quantified, and resolved by redesign of optical probe and alteration in optical probe attachment methodology during 40 minute supine bed rest baseline measurements. We then translate previously developed occlusion techniques, whereby rBF and relative oxygen consumption rV̇O2 are calibrated to initial resting absolute values by use of a venous occlusion (VO) and arterial occlusion (AO) protocol, respectively, to the lower leg (gastrocnemius) and these blood flows are cross validated at rest by strain gauge venous plethysmography (SGVP). Methods used to continuously observe 0.5Hz, 30% maximum voluntary isometric contraction (MVIC) plantar flexion exercise via dynamometer are adapted for our hybrid DCS-Imagent diffuse optical flow-oximeter in the medial gastrocnemius. We obtain healthy control muscle tissue hemodynamic profiles for key parameters BF, V̇O2, oxygen saturation (StO2), deoxyhemoglobin, oxyhemoglobin, and total hemoglobin concentrations ([Hb], [HbO2], and THC respectively), as well as systemic mean arterial pressure (MAP) and pulse rate (PR), at rest, during VO/AO, during dynamic exercise and during 15 minute recovery periods. Next, we began investigation of muscle tissue hemodynamic disease states by performing a feasibility pilot study using limited numbers of controls and peripheral arterial disease (PAD) patients using the translated methods/techniques to determine the ability of our technology to assess differences in these populations

    Utilisation of Cryotherapy in Sport: Understanding the Multifaceted Response

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    Cryotherapy is commonly used in sport for injury, rehabilitation, and recovery in readiness to perform. The principal aim of this thesis was to examine the effects of cryotherapy on several responses that underpin the optimisation of its application in sport. A substantial evidence base investigates the effects of various modes of cryotherapy across different populations and protocols, yet no body of literature examines multiple responses across several domains (biomechanical, biochemical, physiological, psychological) with an emphasis on contemporary in-field applied practices of cryotherapy in sport. This approach defines the originality of the thesis. Fifteen peer reviewed publications represent the body of work, structured by five themes: Theme 1: KINEMATIC RESPONSES TO CRYOTHERAPY Theme 2: MUSCLE STRENGTH RESPONSES TO CRYOTHERAPY Theme 3: THERMOGRAPHY AND SKIN SURFACE RESPONSES TO CRYOTHERAPY Theme 4: CONTEMPORARY CRYOTHERAPY APPLICATIONS AND RESPONSES Theme 5: MULTIFACETED RESPONSES TO CRYOTHERAPY AS A RECOVERY STRATEGY IN ELITE SPORT The studies representing several underpinning concepts from which key research questions evolved, adopted several methodologies and styles, presented in a conceptual arrangement within the five themes as opposed to chronological order. The purpose being to demonstrate synergy between concepts that might be considered important for the development of optimal cryotherapeutic applications in sport. This is an expression of the author’s interest in and evolution of research over several years working in sport rather than a pre-determined plan of studies which allowed adaptability to contemporary issues in practice as they emerged. Populations ranged from amateur to elite professional athletes, with data collection protocols developed from laboratory-based to high-performance sports environments within mid-competitive seasons. Key findings note the ability to reduce skin surface temperature for optimising intended physiological response differs between dose, modality type, compression adjunct and physical positional characteristics in team sport. Further, consensus on optimal protocols for cryo-compression is lacking, despite compression being known to increase the magnitude of cooling. Sports practitioners should appreciate the potentially detrimental biomechanical responses to local cooling at the lower limb when considering the multidirectional demands of sport. Consequently, several variables can influence the optimisation of cryotherapeutic protocols seen in biomechanical and perceptual responses over rewarming periods. Further, where cold-water immersion may be useful to ameliorate potential deficits in eccentric hamstring strength, differences in neuromuscular performance suggest periodisation and individualisation of cryotherapy protocols in these environments is important to negate responses that may be inhibiting readiness to perform. The progression of advantageous cooling protocols in sport are inherent to the understanding of the response and relationship between key variables that underpin the effected output and response in the working context of the cryotherapeutic application. Considerations for applied practitioners to optimise cryotherapy protocols are illustrated (Table 10. pg. 227) and an infographic (Figure 23. pg. 231) to provide recommendations for future applied research demonstrates the originality of the work

    Modular soft pneumatic actuator system design for compliance matching

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    The future of robotics is personal. Never before has technology been as pervasive as it is today, with advanced mobile electronics hardware and multi-level network connectivity pushing âsmartâ devices deeper into our daily lives through home automation systems, virtual assistants, and wearable activity monitoring. As the suite of personal technology around us continues to grow in this way, augmenting and offloading the burden of routine activities of daily living, the notion that this trend will extend to robotics seems inevitable. Transitioning robots from their current principal domain of industrial factory settings to domestic, workplace, or public environments is not simply a matter of relocation or reprogramming, however. The key differences between âtraditionalâ types of robots and those which would best serve personal, proximal, human interactive applications demand a new approach to their design. Chief among these are requirements for safety, adaptability, reliability, reconfigurability, and to a more practical extent, usability. These properties frame the context and objectives of my thesis work, which seeks to provide solutions and answers to not only how these features might be achieved in personal robotic systems, but as well what benefits they can afford. I approach the investigation of these questions from a perspective of compliance matching of hardware systems to their applications, by providing methods to achieve mechanical attributes complimentary to their environment and end-use. These features are fundamental to the burgeoning field of Soft Robotics, wherein flexible, compliant materials are used as the basis for the structure, actuation, sensing, and control of complete robotic systems. Combined with pressurized air as a power source, soft pneumatic actuator (SPA) based systems offers new and novel methods of exploiting the intrinsic compliance of soft material components in robotic systems. While this strategy seems to answer many of the needs for human-safe robotic applications, it also brings new questions and challenges: What are the needs and applications personal robots may best serve? Are soft pneumatic actuators capable of these tasks, or âusefulâ work output and performance? How can SPA based systems be applied to provide complex functionality needed for operation in diverse, real-world environments? What are the theoretical and practical challenges in implementing scalable, multiple degrees of freedom systems, and how can they be overcome? I present solutions to these problems in my thesis work, elucidated through scientific design, testing and evaluation of robotic prototypes which leverage and demonstrate three key features: 1) Intrinsic compliance: provided by passive elastic and flexible component material properties, 2) Extrinsic compliance: rendered through high number of independent, controllable degrees of freedom, and 3) Complementary design: exhibited by modular, plug and play architectures which combine both attributes to achieve compliant systems. Through these core projects and others listed below I have been engaged in soft robotic technology, its application, and solutions to the challenges which are critical to providing a path forward within the soft robotics field, as well as for the future of personal robotics as a whole toward creating a better society

    Plant embolism : new techniques of measurements and the relationship with the xylem lignification

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    Orientador: Paulo MazzaferaTese (doutorado) - Universidade Estadual de Campinas, Instituto de BiologiaResumo: A formação de bolhas - embolia - nos conduítes do xilema tem ganho crescente interesse científico, considerando sua importância nas estratégias de plantas na resistência à seca. No entanto, continua a ser desconhecida a forma como os componentes químicos das paredes dos conduítes estão relacionados com a resistência à embolia. A lignina, o segundo composto mais abundante nas plantas depois da celulose, é essencial para o transporte de água e deve ter algum papel na resistência à embolia. A essência do presente trabalho foi criar condições (estabelecer métodos) e apontar evidências de que o conteúdo e/ou tipos de lignina estão relacionados com a resistência à embolia. A estimativa correta da embolia tem sido um desafio, principalmente devido à alta tensão nos conduítes e às estruturas microscópicas ou nanoscópicas do sistema de transporte de água, além dos artefatos em que os métodos disponíveis estão propensos. Assim, nos capítulos 1 e 2 são apresentados novos métodos e aparatos para se estudar o sistema hidráulico de plantas, procurando principalmente eliminar os artefatos que os métodos disponíveis possuem. No capítulo 1: "A low cost apparatus for measuring the xylem hydraulic conductance in plants", publicado em Bragantia, foi descrita a montagem de um aparato e a sua calibração, bem como adaptações de baixo custo que tornam o equipamento acessível. O aparato permite medir a condutância em partes de raízes ou ramos, ou em todo o sistema, no caso de pequenas plantas ou mudas. O aparato também pode ser utilizado para se estimar embolia. No capítulo 2: "Plant pneumatics: stem air flow is related to embolism ¿ new perspectives on methods in plant hydraulics", publicado em New Phytologist, nós descrevemos um novo método para se estimar embolia, baseado em medições de fluxo de ar de ramos inteiros. Para calcular a quantidade de ar que flui para fora do ramo, um vácuo é aplicado aos ramos cortados, que são submetidos à diferentes potenciais hídricos. Propusemos um novo método para se estimar embolia, que é simples, eficaz, rápido e barato e permite várias medições no mesmo ramo, abrindo novas possibilidades para se estudar hidráulica de plantas. No capítulo 3: "Is embolism resistance in plant xylem associated with quantity and characteristics of lignin?", nós sugerimos que há relação entre conteúdo de lignina na madeira e resistência ao embolismo. Para chegar a isto, reunimos dados de conteúdo total de lignina na madeira e potencial de água em que 50% da condutividade no xilema de 99 espécies. Essas análises indicam uma relação limítrofe entre a resistência à embolia e o conteúdo de lignina. Nossas conclusões são que espécies com baixo conteúdo de lignina parecem ser mais vulneráveis à embolia, ao passo que espécies com maior conteúdo demonstram grande variabilidade de resistência. A lignina pode desempenhar algum papel indireto na resistência à embolia, uma vez que o maior conteúdo total de lignina está relacionado com paredes celulares mais espessas. Discutimos também neste capítulo, funções de diferentes tipos de lignina, diferenciando gimnospermas e angiospermas, e o desempenho de plantas transgênicas (com teor de lignina modificado) e sua relação com a vulnerabilidade à embolia. Os aparatos e os métodos aqui descritos, além das análises dos dados de literatura, permitirão futuros estudos experimentais para confirmar os modelos sobre lignina e embolia aqui propostosAbstract: Embolism formation in the xylem conduits has gained increased interest, considering its importance on the strategies of drought resistance in plants. However, remains unknown how the chemical components of conduits wall are related to embolism resistance. The lignin, the second most abundant compound of the plants, is essential to water transport and must have some role in the embolism resistance. The main objective of the present work was to evaluate whether content and/or types of lignin are related to embolism resistance. However, the correct estimative o embolism has been a challenge, mainly due to the high tension in xylem conduits and the microscopic or nanoscopic structures of water transport system, and the available methods are prone to several artifacts. Thus, in the chapter 1 and 2 we developed apparatus and methods as alternatives to study plant hydraulics. In the chapter 1: "A low cost apparatus for measuring the xylem hydraulic conductance in plants" we described the assembling of an apparatus and its calibration, as well as low cost adaptations that make the equipment accessible. The apparatus allows measuring the conductance in parts of roots or shoots, or in the whole system, in the case of small plants or seedlings. The apparatus can also be used to estimate embolism formation. In the chapter 2: "Plant pneumatics: stem air flow is related to embolism ¿ new perspectives on methods in plant hydraulics", we describe a new method for estimating estimate embolisms that is based on air flow measurements of entire branches. To calculate the amount of air flowing out of the branch, a vacuum was applied to the cut bases of branches under different water potentials. We proposed a new embolism-measurement method that is simple, effective, rapid, and inexpensive and allows several measurements on the same branch, opening new possibilities to study plant hydraulic. In the chapter 3: "Is embolism resistance in plant xylem associated with more, less, or different types of lignin?", we suggest, based on data available for lignin content and ?50 (the water potential when 50% of conductivity in the xylem is lost), a boundary relationship between embolism resistance and lignin content across various groups of seed plants. Species with low lignin content seem to be more vulnerable to embolism, whereas species with higher content show wide variability in embolism resistance. Lignin content may play some indirect role in the embolism resistance, since higher total lignin content is related to thicker cell walls. We also discuss several possible functions of lignin with different composition between gymnosperms and angiosperms and the performance of transgenic plants with modified lignin content and composition regarding vulnerability to embolism. The apparatus and methods here described and the analysis from literature data will allow further experimental studies to confirm the models of lignin and embolism here proposedDoutoradoBiologia VegetalDoutor em Biologia Vegeta

    Aerospace Medicine and Biology: A cumulative index to the 1974 issues of a continuing bibliography

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    This publication is a cumulative index to the abstracts contained in supplements 125 through 136 of Aerospace Medicine and Biology: A Continuing Bibliography. It includes three indexes--subject, personal author, and corporate source
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