Evaluation of near-infrared spectroscopy as a contactless method for health monitoring of resin-based coating materials applied to concrete surfaces.

The surfaces of concrete structures are often coated with protective materials to minimize corrosion and weathering-based deterioration. Therefore, it is important to monitor the aging of the coating materials and their overall condition to extend the service lifetime of the structure effectively. Near-infrared spectroscopy (NIRS) is a contactless, nondestructive, rapid, and convenient method for material characterization; therefore, it is useful for onsite inspection of coating materials. Hence, in this study, we attempt to determine whether NIRS can be used for simple inspection for health monitoring of organic resin-based coating materials. In addition to identifying different severities of peeling damage, we characterize the ultraviolet-induced deterioration of coating materials with different thicknesses using diffuse reflection spectra acquired in the near-infrared wavelength region. For independent comparison with the NIR spectra, the state of the coating materials on the mortar specimens was analyzed using a combination of Fourier-transform infrared spectroscopy and scanning electron microscopy, while the state of the underlying mortar specimens was analyzed using permeability and salt-water immersion tests. The results confirm that the NIRS could detect the degradation of coating materials at early stages of deterioration before their permeability had been affected. NIRS offers the possibility of intermittent monitoring of coating deterioration. In addition, because the NIR spectrometer is portable, it can help in inspecting high-rise areas and areas that are difficult to reach. Therefore, we believe that NIRS is a simple, safe, and inexpensive method for inspection of surface coating materials.

Nerves in the Areas Posterior to the Prostate Base Contribute to Erectile Function: An Intraoperative Electrical Stimulation Assessment.

OBJECTIVE: To confirm the distribution of functional nerves involved in erectile function at the posterior of the prostate base, intraoperative nerve stimulation was performed during robot-assisted radical prostatectomy (RARP) METHODS: Several points at the posterior of the prostate and the posterolateral typical neurovascular bundle (NVB) were electrically stimulated at the level of the prostate base during RARP in patients with clinically localized prostate cancer. The prostate pedicle (PP), medial side of the PP (MPP), Denonvilliers' fascia (DF), and typical NVB were stimulated using bipolar electrodes. The changes in pressure at the middle of the urethra were measured using an inserted balloon-catheter to detect the increase in cavernosal pressure. RESULTS: Although the study included only 12 patients, each stimulation of the PP, MPP, and NVB induced evident urethral pressure responses in all patients. The median amplitude of the pressure responses was 5.49 (IQR 3.11-8.42), 6.00 (IQR 3.70-8.30), and 3.22 (IQR 2.48-7.19) cm H2O at the PP, MPP, and NVB, respectively. The amplitude of responses at the PP and MPP was not small compared with the responses at the typical NVB. Stimulations at the DF induced unstable weak urethral response alone or no response in all patients. CONCLUSION: We showed that electrostimulation of the PP and MPP increases the cavernosal pressure similar to the typical NVB stimulation. These findings indicate that maximal preservation of the tissues at the posterior area of the prostate base can contribute to optimal recovery of postoperative erectile function after nerve-sparing RARP.

Asymptomatic recurrence detection and cost-effectiveness in urothelial carcinoma.

For the management of muscle-invasive bladder cancer or upper tract urothelial carcinoma, the set guidelines recommend regular surveillance after radical cystectomy or radical nephroureterectomy. However, the prognostic benefit of regular oncological surveillance remains controversial in the absence of prospective studies although several retrospective studies with relatively large sample sizes have demonstrated the association between asymptomatic recurrence and better oncological outcomes. Seven out of eight studies reported that patients diagnosed with symptomatic recurrence showed significantly poorer prognosis in comparison to those diagnosed with asymptomatic recurrence. However, potential lead-time and length-time biases prevent the determination of any benefit of regular surveillance. In addition, an optimal surveillance protocol has yet to be established because conventional pathology-based protocols cannot identify the heterogenetic tumor biology of urothelial carcinoma, such as rapid- or slow-growing form of the disease. Several studies suggest that conventional pathology-based surveillance resulted in reduced cost-effectiveness. Recurrence risk-score stratified surveillance protocol including clinical and pathological factors may improve cost-effectiveness. The establishment of optimal risk stratification and surveillance strategies are required to improve the efficacy of regular oncological surveillance. Well-planned prospective studies are necessary to address the prognostic benefit of regular oncological surveillance and shared decision making.

Blood circulation in the fingers is aggravated after creating a vascular access for dialysis: assessment using skin perfusion pressure.

Internal vascular shunts for haemodialysis can cause different complications. One of the most serious complications is steal syndrome, which can result in disturbed peripheral circulation causing finger necrosis and lead to amputation. Thus, prevention of these complications is important. Measurement of skin perfusion pressure (SPP) has been used in various clinical settings, including wound-healing management, and its usefulness has been increasingly unveiled. The present study was undertaken to evaluate changes in haemodynamics after internal shunt creation by measuring SPP of the thumb and the little finger before and after surgery in five patients undergoing shunt surgery using the radial artery and the cephalic vein. The study revealed average changes of -22.8 mmHg in thumb SPP. The change in the thumb was statistically significant (p < 0.05). If the effect of surgery and the threshold for wound healing are taken into account, the present results indicate the necessity to pay extra attention to fingers with extremely low preoperative SPP values. For the prevention of serious disturbances of peripheral circulation (e.g. steal syndrome), routine preoperative SPP measurement seems effective for screening of high-risk patients.

Exploring the possibility of risk assessment of Japanese sexual offenders using Static-99.

BACKGROUND: The number of sexual offences reported in Japan doubled between 1992 and 2002. This has prompted attention to assessment of risk of recidivism. AIMS: To explore whether an actuarial assessment of risk widely used in the West can be meaningfully applied to Japanese men serving a prison sentence for sexual offences. METHOD: All sex offenders incarcerated in Kitakyushu Medical Prison in Fukuoka at any time in a period of one year (1 July 2002-30 June 2003) were identified. Demographic data, characteristics of offences and the Static-99 were rated from records. RESULTS: Following a slightly modified application of coding rules, all items of the Static-99 were rateable. Nine offenders of 45 whose Static-99 score was over 6 were thus identified as high-risk offenders. The items distinguishing apparently high-risk men were history of institutionalization as a delinquent and mental retardation. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: The Static-99 may be a useful tool in assessing sex offenders in Japan. With apparently increasing recognition of sex crimes here, it seems timely to be developing a systematic approach to assessment. Further work is required to test its value in practice as a predictor of recidivism.

Extraction of motor primitive in consideration of arm posture, movement direction and velocity using Hidden Markov Model.

In this paper, we propose a method to extract motor primitives from electromyography(EMG) signals on reaching movements of human arm. EMG signals reflect the motor commands from the central nervous system(CNS). Especially, we extract the motor primitives in consideration of arm posture, movement direction and velocity using only EMG signals. As an experimental task, we performed two kinds of experiments on a horizontal plane, measured ten EMG signals and the hand trajectories during movement. Specially, we extracted motor primitive from the EMG signals during movement by using Hidden Markov Model. Finally, in order to verify how accurately our proposed method divides the motor primitives, we compared the boundary points between the extracted two motor primitives with Via-Points that were estimated by using forward and inverse dynamics models.

Assessment of epidermal barrier function by photoacoustic spectrometry in relation to its importance in the pathogenesis of atopic dermatitis.

With the use of the photoacoustic spectrometry system, in which a mixture of lipid- and water-soluble dyes is applied to the skin and then irradiated with light from a xenon lamp (425 nm and 550 nm), we measured photoacoustic signals of both dyes within the stratum corneum and their disappearance rate through the stratum corneum. The signal intensity was higher and dyes penetrated faster in clinically normal skin of patients with atopic dermatitis (AD) compared with healthy subjects, indicating an impairment of the in vivo cutaneous permeability barrier function against both lipophilic and hydrophilic chemicals. Furthermore, penetration rates of the hydrophilic dyes tended to increase in proportion to the severity of AD and significantly correlated with serum IgE levels in the severe AD group. Thus, abnormal barrier functions of clinically normal skin in AD may predispose inflammatory processes evoked by irritants and allergens, especially their water-soluble elements.