Objective: To determine if the provision of visual biofeedback using real-time rehabilitative ultrasound imaging (RUSI) enhances the acquisition and retention of diaphragm muscle recruitment during exercise. Design: Two group pretest posttest design. Methods: Thirty healthy subjects were randomly assigned to the verbal feedback group (VG, n=15) or the visual and verbal feedback group (VVG, n=15). The VG performed breathing exercises 10 times with verbal feedback, and the VVG also performed breathing exercises 10 times with verbal feedback and visual feedback with the use of RUSI to measure changes in diaphragm thickness (DT). For DT, the mid-axillary lines between ribs 8 and 9 on both sides were measured in standing, and then the chest wall was perpendicularly illuminated using a linear transducer with the patients in supine to observe the region between rib 8 and 9 and to obtain 2-dimensional images. DT was measured as the distance between the two parallel lines that appeared bright in the middle of the pleura and the peritoneum. After one week, three repetitions (follow-up session) were performed to confirm retention effects. Intra- and between- group percent changes in diaphragm muscle thickness were assessed. Results: In the VVG, the intervention value had a medium effect size compared to the baseline value, but the follow-up value decreased to a small effect size. In the between-group comparisons, during the intervention session, the VVG showed no significant effect on percent change of DT but had a medium effect size compared to the VG (p=0.050, Cohen's d=0.764). During the follow-up session, retention effect did not persist (p=0.311, Cohen's d=0.381). Conclusions: RUSI can be used to provide visual biofeedback and improve performance and retention in the ability to activate the diaphragm muscle in healthy subjects. Future research needs to establish a protocol for respiratory intervention to maintain the effect of diaphragmatic breathing training using RUSI with visual feedback.
A simple procedure, readily available at low cost with a sensitivity sufficient to determine trace levels of iron in seawater is proposed, which utilizes adsorptive accumulation of the iron/catechol complex on the mercury drop electrode in a borate medium of pH 8.0. Optimal conditions include a solution concentration of 2 mM catechol, 2.5 mM borate and a pH of 8.0, an accumulation potential of - 0.25 V is applied for 1∼3 min, and the potential scan is in the differential pulse mode. The limit of detection is 1.5 nM Fe using a preconcentration time of 3 min. The interference from copper can be eliminated and baseline slope is greatly improved, because its peak is well separated from that of iron in the proposed medium.
This study tried to develop a basis for quantitative index of working postures associated with WMSDs(Work-related Musculoskeletal Disorders) that could overcome realistic restriction during application of typical checklists for WMSDs evaluation. The baseline data for this study was obtained from automobile manufacturing company(A total of 603 jobs were observed). Specifically, data for shoulder postures was analyzed to have a better and more objective method in terms of job relevance than typical methods such as OWAS, RULA, and REBA. Major statistical tools were Clustering, Logistic regression and so on. The main results in this study could be summarized as follows; 1) The relationships between working postures and WMSDs symptoms at shoulder were statistically significant based on the results from logistic regression. 2) Based on clustering analysis, three levels for WMSDs risk at shoulder were produced for both flexion and abduction were statistically significant. Specific results were as follows; Shoulder flexion: low risk(< $37.7^{\circ}$), medium risk($37.7^{\circ}{\sim}70.0^{\circ}$), high risk(> $70.0^{\circ}$) Shoulder abduction: low risk(< $26.5^{\circ}$), medium risk($26.5^{\circ}{\sim}56.8^{\circ}$), high risk(> $56.8^{\circ}$). 3) The sensitivities on risk levels of shoulder flexion and abduction were 64.0% and 20.6% respectively while the specificities on risk levels of shoulder flexion and abduction were 99.1% and 99.3% respectively. The results showed that the data associated with shoulder postures in this study could provide a good basis for job evaluation of WMSDs at shoulder. Specifically, this evaluation methodology was different from the methods usually used at WMSDs study since it tried to be based on direct job relevance from real working situation. Further evaluation for other body parts as well as shoulder would provide more stability and reliability in WMSDs evaluation study.
Sigit, Diana Vivanti;Azrai, Eka Putri;Suryanda, Ade;Epriani, Melisa;Ichsan, Ilmi Zajuli;Rahman, Md. Mehadi;Rogayan, Danilo V. Jr.
Journal of People, Plants, and Environment
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v.24
no.5
/
pp.509-517
/
2021
Background and objective: Problems currently occurred in the environment are caused by a lack of environmental awareness of the community. Biology students learn the environment in ecological learning. Students must explore environmental knowledge (EK) and are expected to have high environmental awareness (EA) and then apply their knowledge in daily life with pro-environmental behavior (PEB). There is a need for designing climate-change book serials for university students (CCBS-US) towards contextualized learning. This study aimed to determine the relationship between EK and EA and the PEB of biology students as a baseline for designing CCBS-US. Methods: The study used a quantitative descriptive method with a correlational design. Total 136 biology students from a state university in Jakarta, Indonesia served as samples of the study. Results: Research results revealed a positive relationship between EK and PEB of biology students. There was a positive relationship between EA and PEB of biology students and between EK and EA and PEB of Biology students. Moreover, 77% of students reported their EK is very high, 55% of students reported their EA is medium, and 46% of students reported their PEB is medium. Ecological learning has a vital role in shaping the EK, EA, and PEB, thus CCBS-US needs to be developed. Conclusion: The study concluded that there was a relationship between EK, EA, and PEB. The study recommends the development of CCBS-US based on the survey results.
Douglas Augusto Roderjan;Rodrigo Stanislawczuk;Diana Gabriela Soares;Carlos Alberto de Souza Costa;Michael Willian Favoreto;Alessandra Reis;Alessandro D. Loguercio
Restorative Dentistry and Endodontics
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v.48
no.2
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pp.12.1-12.11
/
2023
Objectives: The present study evaluated the pulp response of human mandibular incisors subjected to in-office dental bleaching using gels with medium or high concentrations of hydrogen peroxide (HP). Materials and Methods: The following groups were compared: 35% HP (HP35; n = 5) or 20% HP (HP20; n = 4). In the control group (CONT; n = 2), no dental bleaching was performed. The color change (CC) was registered at baseline and after 2 days using the Vita Classical shade guide. Tooth sensitivity (TS) was also recorded for 2 days post-bleaching. The teeth were extracted 2 days after the clinical procedure and subjected to histological analysis. The CC and overall scores for histological evaluation were evaluated by the Kruskal-Wallis and Mann-Whitney tests. The percentage of patients with TS was evaluated by the Fisher exact test (α = 0.05). Results: The CC and TS of the HP35 group were significantly higher than those of the CONT group (p < 0.05) and the HP20 group showed an intermediate response, without significant differences from either the HP35 or CONT group (p > 0.05). In both experimental groups, the coronal pulp tissue exhibited partial necrosis associated with tertiary dentin deposition. Overall, the subjacent pulp tissue exhibited a mild inflammatory response. Conclusions: In-office bleaching therapies using bleaching gels with 20% or 35% HP caused similar pulp damage to the mandibular incisors, characterized by partial necrosis, tertiary dentin deposition, and mild inflammation.
The study was descriptive survey research for establishment of patient safety culture in small and medium-sized hospitals as providing baseline data of educational program regarding safe medication and prevention of near miss on medication, checking influencing factors of nurses near miss experience on medication in small and medium-sized hospital. The collected data was analyzed by SPSS/WIN 20.0 program to obtain mean, frequency, x2-test, independent t-test, one-way ANOVA, logistic regression. The influencing factors of near miss experience on medication was working department and patient safety culture among general characteristic. The nurses who were working in general ward had lesser chance to experience near miss rather than nurses working in special department (Odds ratio:2.23, 95%, Confidence Interval: 1.07~4.67, p=.032). The 1 point higher in patient safety culture, the lesser chance to experience in near miss (Odds ratio: 2.24, 95% Confidence Interval: 1.02~4.95, p=.045). To sum up the result of this study, nurses working in special department had higher chance to experience near miss rather than nurses working in general wards. The higher patient safety culture awareness was the lower near miss was experienced. Thus, miss surveillance system for improvement of nurses' patient safety culture awareness should be developed. Moreover, educational program for medication considering nurses' career and department' character should be requested with simulation training considering and theory education.
Alfouzan, Afnan Fouzan;Alotiabi, Hadeel Minife;Labban, Nawaf;Al-Otaibi, Hanan Nejer;Taweel, Sara Mohammad Al;AlShehri, Huda Ahmed
The Journal of Advanced Prosthodontics
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v.13
no.3
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pp.160-171
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2021
Purpose. This in-vitro study evaluated and compared the color stability of 3D-printed and conventional heat-polymerized acrylic resins following aging, mechanical brushing, and immersion in staining medium. Materials and methods. Forty disc-shaped specimens (10 mm in diameter and 3 mm thick) were prepared from two 3D-printed [DentaBASE (DB) and Denture 3D+ (D3D)] and one conventional polymethylmethacrylate (PMMA) denture materials. The specimens were thermo-cycled, subjected to mechanical brushing, and were immersed in either coffee, lemon juice, coke, or artificial saliva (AS) to simulate one and two years of oral use. Color measurements of the specimens were recorded by a spectrophotometer at baseline (T0), and after one (T1) and two years (T2) of simulation. The color changes (ΔE) were determined and also quantified according to the National Bureau of Standards (NBS) units. Descriptive statistics, followed by factorial ANOVA and Bonferroni post-hoc test (α=.05), were applied for data analysis. Results. The independent factors, namely material, staining medium, and immersion time, and interaction among these factors significantly influenced ΔE (P<.009). Irrespective of the materials, treatments, and time, the highest and the lowest mean ΔEs were observed for PMMA in lemon juice (4.58 ± 1.30) and DB in AS (0.41 ± 0.18), respectively. Regarding the material type, PMMA demonstrated the highest mean ΔE (2.31 ± 1.37), followed by D3D (1.67 ± 0.66), and DB (0.85 ± 0.52), and the difference in ΔE between the materials were statistically significant (P<.001). All the specimens demonstrated a decreased color changes at T2 compared to T1, and this difference in mean ΔE was statistically significant (P<.001). Conclusion. The color changes of 3D-printed denture resins were low compared to conventional heat polymerized PMMA. All the tested materials, irrespective of the staining medium used, demonstrated a significant decrease in ΔE values over time.
Migenes, Victor;Slysh, V.I.;Velasco, A.E.Ruis;Villalpando, S.
Journal of The Korean Astronomical Society
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v.40
no.4
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pp.131-132
/
2007
The research of OH maser emission sources with high angular resolution is complicated by the effects of interstellar scattering: more over, most of the OH maser sources are located in the galactic plane where the scattering is largest. However, the data available from pulsar studies on the spatial distribution of the amount of scattering indicate that there is a strong non-uniformity in the distribution of the amount of scattering material. There are directions in the galactic plane where the scattering is an order of magnitude higher than the average, as well as directions where the scattering is much lower. The latter provide an opportunity to investigate OH masers with the full angular resolution offered by very long baseline interferometry instruments, like the VLBA, and measure their true angular size, shape and brightness temperature. We have observed approximately 100 OH maser sources, distributed all over the northern hemisphere, with the VLBA in order to study the scattering properties of the interstellar medium.
Non-monolithic concrete structural connections are commonly used both in new constructions and retrofitted structures where anchors are used for connections. Often, flaws are present in anchor system due to poor workmanship and deterioration; and methods available to check the quality of the composite system afterward are very limited. In case of presence of flaw, load transfer mechanism inside the anchor system is severely disturbed, and the load carrying capacity drops drastically. This raises the question of safety of the entire structural system. The present study proposes a wave propagation technique to assess the integrity of the anchor system. A chemical anchor (embedded in concrete) composite system comprising of three materials viz., steel (anchor), polymer (adhesive) and concrete (base) is considered for carrying out the wave propagation studies. Piezoelectric transducers (PZTs) affixed to the anchor head is used for actuation and the PZTs affixed to the surrounding concrete surface of the concrete-anchor system are used for sensing the propagated wave through the anchor interface to concrete. Experimentally validated finite element model is used to investigate three types of composite chemical anchor systems. Studies on the influence of geometry, material properties of the medium and their distribution, and the flaw types on the wave signals are carried out. Temporal energy of through time domain differentiation is found as a promising technique for identifying the flaws in the multi-layered composite system. The present study shows a unique procedure for monitoring of inaccessible but crucial locations of structures by using wave signals without baseline information.
The purpose of this study was to examine the qualitative variation of human fetal-cord sera (HCS) and to accept the sera in human lVF-ET program. One hundred and sixteenth RCS were tested with 1772 2-cell embryos of F1 (C57BL x CBA) virgin mice, Ten to sixteenth embryos were cultured in m-KRB medium with a aliquot of each serum (10%, v/v) or with bovine serum albumin(O.4%, w/v) as a control medium. Embryonic development were recorded at every 24hr for 4 days by such events as cellular compaction, cavitation, and hatching. In the control groups of eight assays, 98.1%(106/ 108) of 2-ce1l embryos developed above expanded blastocyst and the embryonic development was unified through the tests. But the developmental pattern in medium with each serum was various. Namely, the sera that supported development of 100% 2-cell embryos to above morula, early blastocyst, expanded blastocyst and hatching blastocyst was 45,7%(53/116) , 35.3%(41/116), 15.5%08/116.) and 6.9-%(8/116), respectively. And the sera that supported development of above 80% 2-cell embryos to the each embryonic stage was 92.2% (107/116), 83.6%(97/116), 63.8%(74/116) and 36.2%(42/116), respectively. Meanwhile two kinds of toxic pattern to the embryonic development were observed in some sera. The first pattern is that some sera arrested development of most embryos in pre- or post-stage of morula or blastocyst. The second pattern is that some sera promoted or arrested a part of embryos in the same dish. The ability of serum was depended on the batch of serum. Finally we could accept 69%(80/116) of the tested sera for human IVF-ET program. The base line for acceptance was the ability that supported above 80% 2-ce1l embryos to blastocyst. But some deterious sera were contained in this range. We cut off about 10% of the sera (83.6% , 97/116) that passed the baseline. This final percent of sera was similar to that of grade N of this study.
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