The effect of work related mechanical stress on the peripheral temperature of the hand

The evolution and developments in modern industry have resulted a wide range of occupational activities, some of which can lead to industrial injuries. Due to the activities of occupational medicine, much progress has been made in transforming the way that operatives perform their tasks. However there are still many occupations where manual tasks have become more repetitive, contributing to the development of conditions that affect the upper limbs. Repetitive Strain Injury is one classification of those conditions which is related to overuse of repetitive movement. Hand Arm Vibration Syndrome is a subtype of this classification directly related to the operation of instruments and machinery which involves vibration. These conditions affect a large number of individuals, and are costly in terms of work absence, loss of income and compensation. While such conditions can be difficult to avoid, they can be monitored and controlled, with prevention usually the least expensive solution. In medico-legal situations it may be difficult to determine the location or the degree of injury, and therefore determining the relevant compensation due is complicated by the absence of objective and quantifiable methods. This research is an investigation into the development of an objective, quantitative and reproducible diagnostic procedure for work related upper limb disorders. A set of objective mechanical provocation tests for the hands have been developed that are associated with vascular challenge. Infrared thermal imaging was used to monitor the temperature changes using a well defined capture protocol. Normal reference values have been measured and a computational tool used to facilitate the process and standardise image processing. These objective tests have demonstrated good discrimination between groups of healthy controls and subjects with work related injuries but not individuals, p<0.05, and are reproducible. A maximum value for thermal symmetry of 0.5±0.3ºC for the whole upper limbs has been established for use as a reference. The tests can be used to monitor occupations at risk, aiming to reduce the impact of these conditions, reducing work related injury costs, and providing early detection. In a medico-legal setting this can also provide important objective information in proof of injury and ultimately in objectively establishing whether or not there is a case for compensation

Handbook of Vascular Biometrics

This open access handbook provides the first comprehensive overview of biometrics exploiting the shape of human blood vessels for biometric recognition, i.e. vascular biometrics, including finger vein recognition, hand/palm vein recognition, retina recognition, and sclera recognition. After an introductory chapter summarizing the state of the art in and availability of commercial systems and open datasets/open source software, individual chapters focus on specific aspects of one of the biometric modalities, including questions of usability, security, and privacy. The book features contributions from both academia and major industrial manufacturers

Liver Biopsy

Liver biopsy is recommended as the gold standard method to determine diagnosis, fibrosis staging, prognosis and therapeutic indications in patients with chronic liver disease. However, liver biopsy is an invasive procedure with a risk of complications which can be serious. This book provides the management of the complications in liver biopsy. Additionally, this book provides also the references for the new technology of liver biopsy including the non-invasive elastography, imaging methods and blood panels which could be the alternatives to liver biopsy. The non-invasive methods, especially the elastography, which is the new procedure in hot topics, which were frequently reported in these years. In this book, the professionals of elastography show the mechanism, availability and how to use this technology in a clinical field of elastography. The comprehension of elastography could be a great help for better dealing and for understanding of liver biopsy

Echocardiography

The book "Echocardiography - New Techniques" brings worldwide contributions from highly acclaimed clinical and imaging science investigators, and representatives from academic medical centers. Each chapter is designed and written to be accessible to those with a basic knowledge of echocardiography. Additionally, the chapters are meant to be stimulating and educational to the experts and investigators in the field of echocardiography. This book is aimed primarily at cardiology fellows on their basic echocardiography rotation, fellows in general internal medicine, radiology and emergency medicine, and experts in the arena of echocardiography. Over the last few decades, the rate of technological advancements has developed dramatically, resulting in new techniques and improved echocardiographic imaging. The authors of this book focused on presenting the most advanced techniques useful in today's research and in daily clinical practice. These advanced techniques are utilized in the detection of different cardiac pathologies in patients, in contributing to their clinical decision, as well as follow-up and outcome predictions. In addition to the advanced techniques covered, this book expounds upon several special pathologies with respect to the functions of echocardiography

Cognitive and anatomical correlates of neglect for peripersonal and extrapersonal space

Spatial neglect is a neurological disorder where patients typically fail to orient or respond to events on their left side. Moreover, recent studies suggest that the severity of neglect may depend specifically on whether stimuli are presented within or beyond arm's reach. However, the evidence for such a general functional dissociation between near and far space processing in the brain remains conflicting: The majority of research has been focussed on line bisection errors which reflect only one small aspect of neglect behaviour. In addition, some behavioural findings suggest a functional dissociation only if a motor response is required. Finally, to date, the critical areas involved in distance related space processing have not been identified.Thus, it remains not only unclear whether neglect in near and far space is a task- and response independent phenomenon but also which damaged brain areas impair distance related space processing. In order to answer these questions the present study compared line bisection and visual search performance and its anatomical correlates in near and far space by using a combined single case- and group study approach.The results showed that neglect restricted to near or far space can vary not only depending on the type of task but also on the type of response required. Visual search tasks were particularly sensitive in detecting the dissociation between those two space sectors. Anatomically, neglect for near space was mainly associated with occipito-parietal lesions and medio-temporal structures, including the posterior cingulate. Neglect for far space was found to result from focal damage of medial, ventro-temporal structures and the prefrontal cortex. In conclusion, neglect for near and far space does not seem to result from a general impairment in distance related processing but from a combination of factors related to specific task demands as well as the location and extent of the brain damage

The neural architecture of emotional intelligence.

Emotional Intelligence (EI) is a nebulous concept that permeates daily interpersonal communication. Despite prolific research into its benefits, EI subjective measurement is difficult, contributing to an enigmatic definition of its core constructs. However, neuroimaging research probing socioaffective brain mechanisms underlying putative EI constructs can add an objective perspective to existing models, thereby illuminating the nature of EI. Therefore, the primary aim of this dissertation is to identify brain networks underlying EI and examine how EI arises from the brain’s functional and structural neuroarchitecture. EI is first defined according to behavioral data, which suggests EI is made up of two core constructs: Empathy and Emotion Regulation (ER). The interaction of brain networks underlying Empathy and ER is then investigated using a novel neuroimaging analysis method: dynamic functional connectivity (dynFC). The results suggest efficient communication and (re)configuration between the CEN, DMN, SN underlie both ER and RME task dynamics, and that these temporal patterns relate to trait empathy and ER tendency. Given the demonstrated behavioral and neurobiological relationship between empathy and ER, our second aim is to examine each of these constructs individually through detailed experiments using a variety of neuroimaging methodologies. The dissertation concludes by proposing EI is an ability that arises from the effective, yet flexible communication between brain networks underlying Empathy and ER. The dissertation is divided into five chapters. Chapter I describes the foundational concept of EI as originally described by a variety of psychological figures and the lacuna that exists in terms of its neural correlates. Chapter II presents behavioral data that proposes EI is best predicted by Empathy and ER. Chapter III explores the dynamic relationship between brain networks underlying Empathy and ER, with the aim of elucidating their neurobiological associations, and investigate how such associations may combine to create EI. Chapter IV examines Empathy closely, by probing its neurobiological relationship to interoception and anxiety. Chapter V examines ER closely, by investigating whether gender plays a role in ER, and its neurobiological relationship to hormones. Chapter VI links the general findings from Chapters III, IV and V, and proposes an integrative neurocognitive EI model. The dissertation concludes by providing clinical and non-clinical applications for the model

Aerospace medicine and biology: A continuing bibliography with indexes (supplement 299)

This bibliography lists 96 reports, articles, and other documents introduced into the NASA scientific and technical information system in June, 1987