Experimental observations on the optimal layout of orientation blocks for safe road crossing by the visually impaired

For people with visual impairments who face difficulties when crossing the road, in urban areas of Japan the infrastructure designed to provide an indication of crossing direction and the curbstones at sidewalk-roadway boundaries often varies in reliability from one crossing to another. If anything, this promotes stress for users and is an issue for which improvement is urgently needed. The authors have proposed new orientation blocks to be installed at crosswalk entrances as a means of more accurately indicating to people with visual impairments the trajectory to follow when crossing the road, and in prior research have derived desirable specifications for the profile of these blocks and their position relative to tactile walking surface indicators (TWSI). For this paper, in order to examine in greater detail the desirable position of orientation blocks relative to TWSI, the authors conducted an experiment using totally blind subjects to evaluate conditions on a 10 m walk that simulated an actual crossing. The results, based on observations of the trajectories walked by participants in the experiment and interviews eliciting their subjective evaluations, showed that separating orientation blocks and blister tactile blocks by about 8–12 cm is effective in constraining lateral deviation at a point 5 m from the start of crossing and that an 8 cm separation was desirable in order to maintain an effective reduction of mental stress while crossing

Synthesis and physical properties of Ca1-xRExFeAs2 with RE = La ~ Gd

Synthesis of a series of layered iron arsenides Ca1-xRExFeAs2 (112) was attempted by heating at 1000 C under a high-pressure of 2 GPa. The 112 phase successfully forms with RE = La, Ce, Nd, Sm, Eu and Gd, while Tb, Dy and Ho substituted and RE free samples does not contain the 112 phase. The Ce, Nd, Sm, Eu and Gd doped Ca1-xRExFeAs2 are new compounds. All of them exhibit superconducting transition except for the Ce doped sample. The behaviour of the critical temperature, with the RE ionic radii have been investigated

Biomechanical Analysis of Serious Neck Injuries Resulting from Judo.

To establish a basis for initial diagnosis and for proposing preventive measures for the serious neck injuries occasionally experienced by judo practitioners, the biomechanical mechanisms of these injuries were analyzed. Two male judo experts repeatedly threw an anthropomorphic test device (POLAR dummy) using three throwing techniques (Seoi-nage, Osoto-gari, and Ouchi-gari). The dummy\u27s kinematic data were captured using a high-speed digital camera, and the load and moment of the neck were measured with load cells. The neck injury criterion (Nij) and beam criterion were also calculated. In Seoi-nage, the anterior and parietal regions of the dummy\u27s head contacted the tatami (judo mat). Subsequently, most of the body weight was applied, with the neck experiencing the highest compression. However, in Osoto-gari and Ouchi-gari, the occipital region of the dummy\u27s head contacted the tatami. Significantly higher values of both Nij (median 0.68) and beam criterion (median 0.90) corresponding to a 34.7% to 37.1% risk of neck injury with an abbreviated injury scale score ≥2 were shown in Seoi-nage than in either Ouchi-gari or Osoto-gari. In judo, when thrown by the Seoi-nage technique, serious neck injuries can occur as a result of neck compression that occurs when the head contacts the ground

Hyperoxemia and excess oxygen use in early acute respiratory distress syndrome : Insights from the LUNG SAFE study

Publisher Copyright: © 2020 The Author(s). Copyright: Copyright 2020 Elsevier B.V., All rights reserved.Background: Concerns exist regarding the prevalence and impact of unnecessary oxygen use in patients with acute respiratory distress syndrome (ARDS). We examined this issue in patients with ARDS enrolled in the Large observational study to UNderstand the Global impact of Severe Acute respiratory FailurE (LUNG SAFE) study. Methods: In this secondary analysis of the LUNG SAFE study, we wished to determine the prevalence and the outcomes associated with hyperoxemia on day 1, sustained hyperoxemia, and excessive oxygen use in patients with early ARDS. Patients who fulfilled criteria of ARDS on day 1 and day 2 of acute hypoxemic respiratory failure were categorized based on the presence of hyperoxemia (PaO2 > 100 mmHg) on day 1, sustained (i.e., present on day 1 and day 2) hyperoxemia, or excessive oxygen use (FIO2 ≥ 0.60 during hyperoxemia). Results: Of 2005 patients that met the inclusion criteria, 131 (6.5%) were hypoxemic (PaO2 < 55 mmHg), 607 (30%) had hyperoxemia on day 1, and 250 (12%) had sustained hyperoxemia. Excess FIO2 use occurred in 400 (66%) out of 607 patients with hyperoxemia. Excess FIO2 use decreased from day 1 to day 2 of ARDS, with most hyperoxemic patients on day 2 receiving relatively low FIO2. Multivariate analyses found no independent relationship between day 1 hyperoxemia, sustained hyperoxemia, or excess FIO2 use and adverse clinical outcomes. Mortality was 42% in patients with excess FIO2 use, compared to 39% in a propensity-matched sample of normoxemic (PaO2 55-100 mmHg) patients (P = 0.47). Conclusions: Hyperoxemia and excess oxygen use are both prevalent in early ARDS but are most often non-sustained. No relationship was found between hyperoxemia or excessive oxygen use and patient outcome in this cohort. Trial registration: LUNG-SAFE is registered with ClinicalTrials.gov, NCT02010073publishersversionPeer reviewe