Cortical activation change induced by neuromuscular electrical stimulation during hand movements: a functional NIRS study.

OBJECTIVES: Neuromuscular electrical stimulation (NMES) has been used in the field of rehabilitation for a long time. Previous studies on NMES have focused on the peripheral effect, in contrast, relatively little is known about the effect on the cerebral cortex. In the current study, we attempted to investigate the change of cortical activation pattern induced by NMES during execution of hand movements in normal subjects, using functional near infrared spectroscopy (fNIRS). METHODS: Twelve healthy normal subjects were randomly assigned to the NMES group (six subjects) and the sham group (six subjects). We measured oxy-hemoglobin (HbO) in six regions of interest (ROI) during pre-NMES and post-NMES motor phase; the left dorsolateral and ventrolateral prefrontal cortex, premotor cortex, primary sensory-motor cortex (SM1), hand somatotopic area of SM1, and posterior parietal cortex. Between the pre-NMES and the post-NMES motor phases, real or sham NMES was applied on finger and wrist extensors of all subjects during a period of 5 minutes. RESULTS: In all groups, during the pre-NMES motor phase, the HbO value in the hand somatotopic area of the left SM1 was higher than those of other ROIs. In the NMES group, during the post-NMES motor phase, HbO value variation in the hand somatotopic area of the left SM1 showed a significant decrease, compared with that of sham group (p < 0.05). However, in the sham group, similar aspect of results in HbO values of all ROIs was observed between pre-NMES and post-NMES motor phases (p > 0.05). CONCLUSIONS: Results of this study showed that NMES induced a decrease of cortical activation during execution of hand movements. This finding appears to indicate that application of NMES can increase the efficiency of the cerebral cortex during execution of motor tasks.

Synthesis and Characterization of the Donor-Acceptor Conjugated Polymer PBDB-T Implementing Group IV Element Germanium.

Here, we synthesized and characterized a novel two-dimensional (2D) conjugated electron donor-acceptor (D-A) copolymer (PBDB-T-Ge), wherein the substituent of triethyl germanium was added to the electron donor unit of the polymer. The Turbo-Grignard reaction was used to implement the group IV element into the polymer, resulting in a yield of 86%. This corresponding polymer, PBDB-T-Ge, exhibited a down-shift in the highest occupied molecular orbital (HOMO) level to -5.45 eV while the lowest unoccupied molecular orbital (LUMO) level was -3.64 eV. The peaks in UV-Vis absorption and the PL emission of PBDB-T-Ge were observed at 484 nm and 615 nm, respectively.

Usability study of a smart transfer-assistive robot with dual arms for care workers.

PURPOSE: The predicted global labor shortages and health problems for long-term care workers can be addressed by care robots. We have developed a smart transfer-assistive robot with dual arms to assist in patient transfers. This study aims to evaluate the effectiveness and usability of a transfer-assistive robot with dual arms for long-term care workers in the Living Lab of Kyung Hee University. METHODS: Long-term care workers (N = 15) transferred healthy adults using the transfer-assistive robot and subsequently reported the workload differences of manual care and the transfer-assistive robot, as measured by the Borg rating of the perceived exertion scale (RPE) and the NASA Task Load Index (NASA-TLX). They also completed questionnaires on the usability of transfer-assistive robots and open-ended interviews. The RPE and NASA-TLX values for each task were compared using the Wilcoxon signed-rank test, and descriptive statistics were used to calculate demographics and usability. RESULTS: The RPE scale indicated that the perceived physical burden was significantly reduced when using the transfer-assistive robot compared with the manual method. The robot-aided transfer method significantly reduced the physical demand in the NASA-TLX subscales. In the usability test, the averages for safety, operability, and satisfaction were all three points or higher, indicating a positive result. CONCLUSION: This study demonstrates that a transfer-assistive robot has the potential to reduce physical stress and the risk of work-related musculoskeletal disorders in long-term care workers. This study shows that the robot is effective for long-term care workers suffering from the burden of the transferring/lifting action, emphasizing the need to introduce a transfer-assistive robot into the care field in South Korea.

Transfer-assistive robots are expected to alleviate the burden of transferring and lifting actions for long-term care workers.These results emphasize the need to introduce transfer-assistive robots in the care field.Ongoing attention to the usability study of transfer-assistive robots may be valuable in improving the work environment of long-term care workers and the quality of care services provided to care receivers.

Development of a soft x-ray (SXR) array diagnostic system on versatile experiment spherical torus (VEST).

A new soft x-ray (SXR) array diagnostic system has been developed on versatile experiment spherical torus (VEST) for measurements of 2D SXR emissivity profile and identification of poloidal mode structure. Through tomographic inversion techniques, 2D SXR emissivity profile can be acquired from the line-integrated SXR data, which enables the visualization of mode structure of plasma instability, such as the magnetohydrodynamics mode. The SXR array diagnostic system consists of two 20-channel arrays positioned at the middle and the top on the same poloidal plane for horizontal and vertical lines of sight, respectively. Each array of the diagnostic system uses absolute extreme ultraviolet photodiode array as the detector. To apply appropriate filters (up to four) for different energy regimes without breaking the vacuum, a filter wheel and its rotatable vacuum feed-through are installed behind the pinhole. SXR data are acquired with a digitizer at the sampling rate of up to 125 MHz. Finally, we discuss initial measurement data obtained from Ohmic plasma in VEST.

Secondary Dopants of Electrically Conducting Polyanilines.

Secondary dopants and the doping methods were identified for increasing the electrical conductivity of a highly processable and a primarily doped polyaniline dinonylnaphthalene sulfonic acid (PANI-DNNSA). The secondary doping was carried out using film, solution, and vapor doping methods. The doping methods and functional groups of secondary dopants were observed to play a critical role for inducing electrical characteristics of polyaniline. When secondary film doping method and p-toluenesulfonic acid were used, the electrical conductivity of the secondary doped polyaniline was measured to be increased from 0.16 to 334 S/cm. A novel vapor annealing doping method was developed to incorporate secondary dopants into solution cast polyaniline films.

Radial profile measurement with an improved 1 kHz Thomson scattering system on Versatile Experiment Spherical Torus.

A Thomson scattering (TS) system has been utilized to measure the electron temperature and density of the core region of Versatile Experiment Spherical Torus (VEST). Recently, the laser injection system is successfully upgraded adopting the burst laser with the repetition rate of 1 kHz and the energy of 2 J. Furthermore, improved collection optics with additional polychromators and a 32-channel fast digitizer are prepared to observe the fast time evolution of radial profiles. This improvement is essential to study fast phenomena such as internal reconnection event (IRE). We increase the TS signal and reduce the stray light by introducing new filters having better optical properties such as high optical density at 1064 nm, transmission, and reflectance. Moreover, the optimum reverse bias voltages are newly set to make the system operational independent of the background radiation. As a result, 1 kHz radial profiles of the core electron temperature and density are measured for the first time, showing characteristics of IREs in VEST.

Evidence of a turbulent ExB mixing avalanche mechanism of gas breakdown in strongly magnetized systems.

Although gas breakdown phenomena have been intensively studied over 100 years, the breakdown mechanism in a strongly magnetized system, such as tokamak, has been still obscured due to complex electromagnetic topologies. There has been a widespread misconception that the conventional breakdown model of the unmagnetized system can be directly applied to the strongly magnetized system. However, we found clear evidence that existing theories cannot explain the experimental results. Here, we demonstrate the underlying mechanism of gas breakdown in tokamaks, a turbulent ExB mixing avalanche, which systematically considers multi-dimensional plasma dynamics in the complex electromagnetic topology. This mechanism clearly elucidates the experiments by identifying crucial roles of self-electric fields produced by space-charge that decrease the plasma density growth rate and cause a dominant transport via ExB drifts. A comprehensive understanding of plasma dynamics in complex electromagnetic topology provides general design strategy for robust breakdown scenarios in a tokamak fusion reactor.

Platinum-acetylide polymer based solar cells: involvement of the triplet state for energy conversion.

Relatively efficient photovoltaic devices were fabricated using blends of a phosphorescent platinum-acetylide polymer and a fullerene (PCBM); involvement of the triplet excited state of the platinum-acetylide polymer in photoinduced charge transfer is believed to contribute to the device efficiency.

Electron density profile measurements from hydrogen line intensity ratio method in Versatile Experiment Spherical Torus.

Electron density profiles of versatile experiment spherical torus plasmas are measured by using a hydrogen line intensity ratio method. A fast-frame visible camera with appropriate bandpass filters is used to detect images of Balmer line intensities. The unique optical system makes it possible to take images of Hα and Hß radiation simultaneously, with only one camera. The frame rate is 1000 fps and the spatial resolution of the system is about 0.5 cm. One-dimensional local emissivity profiles have been obtained from the toroidal line of sight with viewing dumps. An initial result for the electron density profile is presented and is in reasonable agreement with values measured by a triple Langmuir probe.

Lichen planus showing columnar epidermal necrosis.

We describe a 9-year-old boy who presented with very itchy papules and plaques on both knees. Histologically, focal columnar epidermal necrosis was seen associated with features of classic lichen planus. A literature search using PubMed revealed that only two cases of transfusion-associated lichenoid graft-versus-host reaction showing columnar epidermal necrosis have been previously reported. Our case is the first of lichen planus showing columnar epidermal necrosis. In that lichenoid graft-versus-host reaction is a special form of lichen planus, it is possible to speculate that columnar epidermal necrosis may be a unique feature of lichen planus.

Low-band-gap platinum acetylide polymers as active materials for organic solar cells.

We report on two pairs of platinum acetylide based polymers and model oligomers utilizing a 2,1,3-benzothiadiazole (BTD) acceptor moiety flanked on either side by either 2,5-thienyl donor units (Pt2BTD-Th and p-PtBTD-Th) or (3,4-ethylenedioxy)-2,5-thienyl donors (Pt2BTD-EDOT and p-PtBTD-EDOT). Both oligomer/polymer pairs absorb strongly throughout the visible region; however, because the (ethylenedioxy)thiophene moiety is a stronger donor than thiophene, the latter oligomer/polymer pair has a correspondingly lower band gap and, therefore, harvests light more efficiently at longer wavelengths. p-PtBTD-Th exhibits a relatively narrow molecular weight distribution with a number-average molecular weight (Mn) of 22 kDa, while p-PtBTD-EDOT exhibits a comparable Mn of 33 kDa but has a high polydispersity index likely due to aggregation. We provide a complete report of the photophysical and electrochemical characterization of the two oligomer/polymer pairs. The photophysical studies reveal that the materials undergo relatively efficient intersystem crossing. In a discussion of the energetics of photoinduced electron transfer from the platinum polymers to [6,6]-phenyl C61 butyric acid methyl ester (PCBM), it is noted that while the singlet state is quenched efficiently, the triplet state is not quenched, indicating that charge generation in the photovoltaic materials must ensue from the singlet manifold. Finally, organic photovoltaic devices based on blends of p-PtBDT-Th or p-PtBDT-EDOT with PCBM were characterized under monochromatic and simulated solar (AM1.5) illumination. Optimized devices exhibit an open-circuit voltage (Voc) of approximately 0.5 V, a short-circuit current density (Isc) of approximately 7.2 mA cm(-2), and a fill factor of approximately 35%, which yields overall power conversion efficiencies of 1.1-1.4%.

A fulleropyrrolidine end-capped platinum-acetylide triad: the mechanism of photoinduced charge transfer in organometallic photovoltaic cells.

The fullerene end-capped platinum acetylide donor-acceptor triad Pt(2)ThC(60) was synthesized and characterized by using photophysical methods and photovoltaic device testing. The triad consists of the platinum acetylide oligomer Ph-[triple bond, length as m-dash]-Pt(PBu3)2-[triple bond, length as m-dash]-Th-[triple bond, length as m-dash]-Pt(PBu3)2-[triple bond, length as m-dash]-Ph (Ph=phenyl and Th=2,5-thienyl, stereochemistry at both Pt centers is trans) that contains fulleropyrrolidine moieties on each of the terminal phenylene units. Electrochemistry of the triad reveals relatively low potential oxidation and reduction waves corresponding, respectively, to oxidation of the platinum acetylide and reduction of the fulleropyrrolidine units. Photoluminescence spectroscopy shows that the singlet and triplet states of the platinum acetylide chromophore are strongly quenched in the triad assembly, both in solution at ambient temperature as well as in a low-temperature solvent glass. The excited state quenching arises due to intramolecular photoinduced electron transfer to produce a charge separated state based on charge transfer from the platinum acetylide (donor) to the fulleropyrrolidine (acceptor). Picosecond time resolved absorption spectroscopy confirms that the charge transfer state is produced within 1 ps of photoexcitation, and it decays by charge recombination within 400 ps. Organic photovoltaic devices fabricated using spin-coated films of Pt2ThC60 as the active material operate with modest efficiency, exhibiting a short circuit photocurrent of 0.51 mA cm(-2) and an open circuit voltage of 0.41 V under 100 mW cm(-2)/AM1.5 illumination. The results are discussed in terms of the relationship between the mechanism of photoinduced electron transfer in the triad and the comparatively efficient photovoltaic response exhibited by the material.

Soluble narrow band gap and blue propylenedioxythiophene-cyanovinylene polymers as multifunctional materials for photovoltaic and electrochromic applications.

A family of soluble narrow band gap donor-acceptor conjugated polymers based on dioxythiophenes and cyanovinylenes is reported. The polymers were synthesized using Knoevenagel polycondensation or Yamamoto coupling polymerizations to yield polymers with molecular weights on the order of 10 000-20 000 g/mol, which possess solubility in common organic solvents. Thin film optical measurements revealed narrow band gaps of 1.5-1.8 eV, which gives the polymers a strong overlap of the solar spectrum. The energetic positions of the band edges were determined by cyclic voltammetry and differential pulse voltammetry and demonstrate that the polymers are both air stable and show a strong propensity for photoinduced charge transfer to fullerene acceptors. Such measurements also suggest that the polymers can be both p- and n-type doped, which is supported by spectroelectrochemical results. These polymers have been investigated as electron donors in photovoltaic devices in combination with PCBM ([6,6]-phenyl C(61)-butyric acid methyl ester) as an electron acceptor based on the near ideal band structures designed into the polymers. Efficiencies as high as 0.2% (AM1.5) with short circuit current densities as high as 1.2-1.3 mA/cm(2) have been observed in polymer/PCBM (1:4 by weight) devices and external quantum efficiencies of more than 10% have been observed at wavelengths longer than 600 nm. The electrochromic properties of the narrow band gap polymers are also of interest as the polymers show three accessible color states changing from an absorptive blue or purple in the neutral state to a transmissive sky-blue or gray in the oxidized and reduced forms. The wide electrochemical range of electrochromic activity coupled with the strong observed changes in transmissivity between oxidation states makes these materials potentially interesting for application to electrochromic displays.

In vitro efficacy of the combination of ciprofloxacin and cefotaxime against Vibrio vulnificus.

We performed time-kill studies of antimicrobial combinations that included minocycline, cefotaxime, and ciprofloxacin with Vibrio vulnificus ATCC 27562. Cefotaxime-plus-ciprofloxacin combinations acted synergistically against V. vulnificus in vitro, and this combination regimen can be a good choice as the empirical treatment for suspected necrotizing fasciitis due to V. vulnificus.