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      • Readiness Estimation for a Take-Over Request in Automated Driving on an Expressway

        Ryohei Suzuki,Hirokazu Madokoro,Stephanie Nix,Kazuki Saruta,Takashi K. Saito,Kazuhito Sato 제어로봇시스템학회 2022 제어로봇시스템학회 국제학술대회 논문집 Vol.2022 No.11

        Automated driving is attracting attention as a solution to road traffic problems. At Level 3, a take-over request (TOR) is issued to transfer driving operations from the system to a driver when it is unable to continue. In such cases, the driver must be monitored to ensure a proper takeover of the driving operations. This study aims to measure drivers’ brain activity before and after the TOR by analyzing time-series signals of brain activity with machine learning algorithms. We developed driving scenarios with a TOR trigger on a rainy expressway at night. We used a portable functional near-infrared spectroscopy (fNIRS) device to measure cerebral blood oxygenation changes (ΔHbO) at the frontal pole. We used a long short-term memory (LSTM) network on this data for time-series learning and prediction after multivariate and multilayering modifications to improve accuracy. We conducted driving questionnaires beforehand and used two classification methods to categorize subjects into several groups with similar driving characteristics. Experimental results of a ΔHbO drop revealed that brain activity tended to decrease during automated driving. Moreover, success in obstacle avoidance and mean squared error (MSE) for each driver group demonstrated that the behavior toward an obstacle after the TOR trigger influenced changes in brain activity.

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        Sarcopenic Dysphagia and Simplified Rehabilitation Nutrition Care Process: An Update

        Kakehi Shingo,Isono Eri,Wakabayashi Hidetaka,Shioya Moeka,Ninomiya Junki,Aoyama Yohei,Murai Ryoko,Sato Yuka,Takemura Ryohei,Mori Amami,Masumura Kei,Suzuki Bunta 대한재활의학회 2023 Annals of Rehabilitation Medicine Vol.47 No.5

        Sarcopenic dysphagia is characterized by weakness of swallowing-related muscles associated with whole-body sarcopenia. As the number of patients with sarcopenia increases with the aging of the world, the number of patients with sarcopenic dysphagia is also increasing. The prevalence of sarcopenic dysphagia is high in the institutionalized older people and in patients hospitalized for pneumonia with dysphagia in acute care hospitals. Prevention, early detection and intervention of sarcopenic dysphagia with rehabilitation nutrition are essential. The diagnosis of sarcopenic dysphagia is based on skeletal and swallowing muscle strength and muscle mass. A reliable and validated diagnostic algorithm for sarcopenic dysphagia is used. Sarcopenic dysphagia is associated with malnutrition, which leads to mortality and Activities of Daily Living (ADL) decline. The rehabilitation nutrition approach improves swallowing function, nutrition status, and ADL. A combination of aggressive nutrition therapy to improve nutrition status, dysphagia rehabilitation, physical therapy, and other interventions can be effective for sarcopenic dysphagia. The rehabilitation nutrition care process is used to assess and problem solve the patient’s pathology, sarcopenia, and nutrition status. The simplified rehabilitation nutrition care process consists of a nutrition cycle and a rehabilitation cycle, each with five steps: assessment, diagnosis, goal setting, intervention, and monitoring. Nutrition professionals and teams implement the nutrition cycle. Rehabilitation professionals and teams implement the rehabilitation cycle. Both cycles should be done simultaneously. The nutrition diagnosis of undernutrition, overnutrition/obesity, sarcopenia, and goal setting of rehabilitation and body weight are implemented collaboratively.

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