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Ai Nakamura,Zhou Peichen,Yoshifumi Morita,Hirofumi Tanabe 제어로봇시스템학회 2021 제어로봇시스템학회 국제학술대회 논문집 Vol.2021 No.10
Applying an external force to a person’s hyperextended fingertip produces electrical activity of the extensor digitorum muscle even when the hand is not opened by the person. Based on this, a finger extensor facilitation technique has been developed for hemiplegic patients who cannot open the paralyzed hand by themselves. In this study, we developed a finger extensor facilitation training device named “iPARKO” that imitates this technique. We examined the factors that promote activities in the extensor digitorum muscle by conducting active training using iPARKO. Experiments were conducted on a healthy person and a hemiplegic person. It was found that active training using iPARKO leads to activities in the extensor digitorum muscle even in a hemiplegic person who cannot open their hand. In addition, it was found that a hemiplegic person can increase muscle activity by pressing their hand movement and utilizing electromyography biofeedback. The hand movement was clarified as follows: the hemiplegic person pressed the hand against the moving part of the device and pushed the fingertip further into it as a voluntary movement to increase the amount of muscle activity.
Hiroki Sato,Yusuke Fujiyoshi,Hirofumi Abe,Hironari Shiwaku,Junya Shiota,Chiaki Sato,Hiroyuki Sakae,Masaki Ominami,Yoshitaka Hata,Hisashi Fukuda,Ryo Ogawa,Jun Nakamura,Tetsuya Tatsuta,Yuichiro Ikebuchi 대한소화기 기능성질환∙운동학회 2022 Journal of Neurogastroenterology and Motility (JNM Vol.28 No.2
Background/AimsPatients with achalasia-related esophageal motility disorders (AEMDs) frequently present with dilated and sigmoid esophagus, and develop esophageal diverticulum (ED), although the prevalence and patients characteristics require further elucidation. MethodsWe conducted a multicenter cohort study of 3707 patients with AEMDs from 14 facilities in Japan. Esophagography on 3682 patients were analyzed. ResultsStraight (n = 2798), sigmoid (n = 684), and advanced sigmoid esophagus (n = 200) were diagnosed. Multivariate analysis revealed that long disease duration, advanced age, obesity, and type I achalasia correlate positively, whereas severe symptoms and integrated relaxation pressure correlate negatively with development of sigmoid esophagus. In contrast, Grade II dilation (3.5-6.0 cm) was the most common (52.9%), while grade III dilation (≥ 6 cm) was rare (5.0%). We found early onset, male, obesity, and type I achalasia correlated positively, while advanced age correlated negatively with esophageal dilation. Dilated and sigmoid esophagus were found mostly in types I and II achalasia, but typically not found in spastic disorders. The prevalence of ED was low (n = 63, 1.7%), and non-dilated esophagus and advanced age correlated with ED development. Patients with right-sided ED (n = 35) had a long disease duration (P = 0.005) with low integrated relaxation pressure values (P = 0.008) compared with patients with left-sided ED (n = 22). Patients with multiple EDs (n = 6) had lower symptom severity than patients with a single ED (P = 0.022). ConclusionsThe etiologies of dilated esophagus, sigmoid esophagus, and ED are considered multifactorial and different. Early diagnosis and optimal treatment of AEMDs are necessary to prevent these conditions.
Yuhei Okazaki,Wataru Kawamura,Makoto Hagiwara,Hirofumi Akagi,Takashi Ishida,Masahiko Tsukakoshi,Ritaka Nakamura 전력전자학회 2015 ICPE(ISPE)논문집 Vol.2015 No.6
This paper provides theoretical, numerical, and experimental comparisons in electrical-drive performance between a double-star chopper-cells (DSCC) inverter and a triplestar bridge-cells (TSBC) converter. The inverter and converter are two of the most promising members of the modular multilevel cascade converter (MMCC) family. Two sets of downscaled electrical drives using the DSCC inverter and the TSBC converter are designed, constructed, and tested, along with the common three-phase four-pole induction motor rated at 380 V, 15 kW, and 50 Hz. This paper presents experimental waveforms of the electrical drives loaded with a quadratic torque-to-speed profile and at the rated torque.
Tetsuya Tatsuta,Hiroki Sato,Yusuke Fujiyoshi,Hirofumi Abe,Akio Shiwaku,Junya Shiota,Chiaki Sato,Masaki Ominami,Yoshitaka Hata,Hisashi Fukuda,Ryo Ogawa,Jun Nakamura,Yuichiro Ikebuchi,Hiroshi Yokomichi 대한소화기 기능성질환∙운동학회 2022 Journal of Neurogastroenterology and Motility (JNM Vol.28 No.4
Background/Aims ManoScan and Sandhill high-resolution manometry (HRM) systems are used worldwide; however, the diagnosis of achalasia on the Starlet HRM system is not fully characterized. Furthermore, the impact of calcium channel blockers and nitrites in treating achalasia has not been investigated using HRM. Management of recurrent cases is a priority issue, although few studies have examined patient characteristics. Methods We conducted a multicenter, large-scale database analysis. First, the diagnosis of treatment-naive achalasia in each HRM system was investigated. Next, patient characteristics were compared between type I-III achalasia, and the impact of patient characteristics, including calcium channel blocker and nitrite use for integrated relaxation pressure (IRP) values, were analyzed. Finally, patient characteristics with recurrent achalasia were elucidated. Results The frequency of type I achalasia with Starlet was significantly higher than that with ManoScan and Sandhill HRM systems. In achalasia, multivariate analysis identified male sex, advanced age, long disease duration, obesity, type I achalasia, and sigmoid type as risk factors related to normal IRP values (< 26 mmHg). Calcium channel blockers and nitrites use had no significant impact on the IRP values, although achalasia symptoms were indicated to be alleviated. In recurrent cases, the IRP value was significantly lower, and advanced age, long disease duration, and sigmoid type were more common than in treatment-naive patients. Conclusions We should cautiously interpret the type of achalasia and IRP values in the Starlet HRM system. Symptoms of recurrent cases are related to disease progression rather than IRP values, which should be considered in decision making.