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Background:
Stroke as a cause of disability in adulthood causes an increasing demand for therapy and care services, including telecare and teletherapy.
Objectives: Aim of the study is to analyse the acceptance of telepresence robotics and digital therapy applications. Methods: Longitudinal study with a before and after survey of patients, relatives and care and therapy staff.
Results: Acceptance of the technology analysed is high in all three groups. Although acceptance among patients declined in parts of the cases in the second survey after having used telerobotics, all in all approval ratings remained high. With regard to patients no significant correlation was found between the general technology acceptance and the acceptance of use of telerobotics.
Conclusion:
Accepted new telecare and teletherapies can be offered with the help of telepresence robotics. This requires knowledge of and experience with the technology.
Background:
With the prevalence of burnout among surgeons posing a significant threat to healthcare outcomes, the mental toughness of medical professionals has come to the fore. Mental toughness is pivotal for surgical performance and patient safety, yet research into its dynamics within a global and multi-specialty context remains scarce. This study aims to elucidate the factors contributing to mental toughness among surgeons and to understand how it correlates with surgical outcomes and personal well-being.
Methods:
Utilizing a cross-sectional design, this study surveyed 104 surgeons from English and German-speaking countries using the Mental Toughness Questionnaire (MTQ-18) along with additional queries about their surgical practice and general life satisfaction. Descriptive and inferential statistical analyses were applied to investigate the variations in mental toughness across different surgical domains and its correlation with professional and personal factors.
Results:
The study found a statistically significant higher level of mental toughness in micro-surgeons compared to macro-surgeons and a positive correlation between mental toughness and surgeons' intent to continue their careers. A strong association was also observed between general life satisfaction and mental toughness. No significant correlations were found between the application of psychological skills and mental toughness.
Conclusion:
Mental toughness varies significantly among surgeons from different specialties and is influenced by professional dedication and personal life satisfaction. These findings suggest the need for targeted interventions to foster mental toughness in the surgical community, potentially enhancing surgical performance and reducing burnout. Future research should continue to explore these correlations, with an emphasis on longitudinal data and the development of resilience-building programs.
In fatigue strength assessment, the methods based on ideal elastic stresses according to Basquin and the less established method based on elastic-plastic stress quantities according to Manson, Coffin and Morrow are applied. The former calculates loads using linear-elastic stresses, the latter requires elasticplastic evaluation parameters, such as stresses and strains. These can be determined by finite element analysis (FEA) with a linear-elastic constitutive law, and subsequent conversion to elastic-plastic loads, using the macro support formula by Neuber. In this contribution, an alternative approach to approximate elastic-plastic parameters proposed by Glinka is compared to the the strain-life method using Neuber's formula, as well as the stress-life method of Basquin. Several component tests on 42CrMoS4-QT specimens are investigated. To determine the input data for the fatigue strength evaluations, the entire test setup is computed by FEA. The nodal displacements from these validated full-model simulations are used as boundary conditions for a submodel simulation of a notch, whose results serve as input for the fatigue strength assessments. It is shown that all approaches provide a reliable assessment of components. Our key result is that the strain-life method using the concept by Glinka for notch stress computation, yields improved results in fatigue strength assessments.
Commercially available contact angle (CA) measuring devices usually do not allow for the application of magnetic fields to the sample under test. A setup for measuring the CA of liquids on magnetosensitive surfaces has been developed specifically for investigating the surfaces of magnetoactive elastomers (MAEs). The addition of a programmable linear stage, which moves a permanent magnet, allows for fine control of the magnetic field applied to the MAE without the need for large and power-consuming electromagnets. Paired with a custom control and evaluation software, this measurement setup operates semiautomatically, limiting operator error and increasing precision, speed, as well as repeatability of static and dynamic CA measurements for different magnetoactive materials. The software is equipped with robust droplet fitting algorithms to avoid experimental challenges arising with soft magnetoactive materials, such as the curling of sample edges or diffuse non-reflective surfaces. Several application examples on MAE surfaces, both processed and unprocessed, are presented.
BACKGROUND:
Tracheobronchial mucus plays a crucial role in pulmonary function by providing protection against inhaled pathogens. Due to its composition of water, mucins, and other biomolecules, it has a complex viscoelastic rheological behavior. This interplay of both viscous and elastic properties has not been fully described yet. In this study, we characterize the rheology of human mucus using oscillatory and transient tests. Based on the transient tests, we describe the material behavior of mucus under stress and strain loading by mathematical models.
METHODS:
Mucus samples were collected from clinically used endotracheal tubes. For rheological characterization, oscillatory amplitude-sweep and frequency-sweep tests, and transient creep-recovery and stress-relaxation tests were performed. The results of the transient test were approximated using the Burgers model, the Weibull distribution, and the six-element Maxwell model. The three-dimensional microstructure of the tracheobronchial mucus was visualized using scanning electron microscope imaging.
RESULTS:
Amplitude-sweep tests showed storage moduli ranging from 0.1 Pa to 10000 Pa and a median critical strain of 4 %. In frequency-sweep tests, storage and loss moduli increased with frequency, with the median of the storage modulus ranging from 10 Pa to 30 Pa, and the median of the loss modulus from 5 Pa to 14 Pa. The Burgers model approximates the viscoelastic behavior of tracheobronchial mucus during a constant load of stress appropriately (R2 of 0.99), and the Weibull distribution is suitable to predict the recovery of the sample after the removal of this stress (R2 of 0.99). The approximation of the stress-relaxation test data by a six-element Maxwell model shows a larger fit error (R2 of 0.91).
CONCLUSIONS:
This study provides a detailed description of all process steps of characterizing the rheology of tracheobronchial mucus, including sample collection, microstructure visualization, and rheological investigation. Based on this characterization, we provide mathematical models of the rheological behavior of tracheobronchial mucus. These can now be used to simulate mucus flow in the respiratory system through numerical approaches.
The third-order nonlinear susceptibility of silica glass is measured via self-phase modulation in standard single mode fibers at a wavelength of 1550 nm. To minimize the influence of polarization state changes along the propagation only meter-long fibers were investigated. With pulse durations of picoseconds a quasi-instantaneous nonlinearity with ultrafast electronic and fast nuclear-vibration contributions produces under conditions of negligible dispersion a classic and clean nonlinear phase shift following exactly the shape of the pulse power. The complex pulse envelope was retrieved from frequency optical gating spectrograms. The nonlinear fiber parameter γ could be determined with an accuracy of 3.7 percent. Considering the mode field structure and the doping influence the nonlinear refractive index of silica glass as the fiber base material was found to be n2 = 2.22 · 10−16 cm2
W ± 6.0 % for picosecond-long pulses. Comparing nonlinear phase shifts from linear and circular polarized light a nuclear-vibration contribution to the cubic fiber nonlinearity of 25 percent was estimated.
Friction has long been an important issue in multibody dynamics. Static friction models apply appropriate regularization techniques to convert the stick inequality and the non-smooth stick–slip transition of Coulomb’s approach into a continuous and smooth function of the sliding velocity. However, a regularized friction force is not able to maintain long-term stick. That is why dynamic friction models were developed in recent decades. The friction force depends herein not only on the sliding velocity but also on internal states. The probably best-known representative, the LuGre friction model, is based on a fictitious bristle but realizes a too-simple approximation. The recently published second-order dynamic friction model describes the dynamics of a fictitious bristle more accurately. It is based on a regularized friction force characteristic, which is continuous and smooth but can maintain long-term stick due to an appropriate shift in the regularization. Its performance is compared here to stick–slip friction models, developed and launched not long ago by commercial multibody software packages. The results obtained by a virtual friction test-bench and by a more practical festoon cable system are very promising. Thus, the second-order dynamic friction model may serve not only as an alternative to the LuGre model but also to commercial stick–slip models.
Hydrogen storage based on the repeated reduction and oxidation (redox) reactions of iron oxide/iron composites represents a promising technology. This work is dedicated to studying the influence of the amount of water added during the pelletizing process on the cycle stability and structure of iron oxide pellets. The storage composites were prepared from iron oxide (Fe2O3) and 10 wt.-% support material (cement) with different amounts of water (18 and 33 wt.-%) in a laboratory-scale pelletizing disk. To evaluate the cycle stability of the composites, the kinetics of the redox reactions were experimentally measured at 800 ∘
C in an atmosphere of 50% N2 and 50% H2 (reduction) or 50% steam (oxidation), respectively. Moreover, the structure of the pellets was analyzed by micro-computed tomography scans. It turned out that pellets with higher water contents attained faster kinetics and a higher cycle stability. The sample with the least water content (18 wt.-%) needed about 26 min and 19 min to reach a conversion rate of 80% during the reduction and oxidation reactions of the sixth redox cycle, respectively. In contrast, the sample with the highest water content (33 wt.-%) could achieve the same conversion rate after 18 min (reduction) and 13 min (oxidation) during the ninth redox cycle.
The third-order nonlinear susceptibility of silica glass is measured via self-phase modulation in standard single mode fibers at a wavelength of 1550 nm. To minimize the influence of polarization state changes along the propagation only meter-long fibers were investigated. With pulse durations of picoseconds a quasi-instantaneous nonlinearity with ultrafast electronic and fast nuclear-vibration contributions produces under conditions of negligible dispersion a classic and clean nonlinear phase shift following exactly the shape of the pulse power. The complex pulse envelope was retrieved from frequency optical gating spectrograms. The nonlinear fiber parameter γ could be determined with an accuracy of 3.7 percent. Considering the mode field structure and the doping influence the nonlinear refractive index of silica glass as the fiber base material was found to be n 2 =2.22⋅10 −16 cm 2 W±6.0% for picosecond-long pulses. Comparing nonlinear phase shifts from linear and circular polarized light a nuclear-vibration contribution to the cubic fiber nonlinearity of 25 percent was estimated.