Detection of a brain aneurysm and a way to search for a brain aneurysm aimed at the development of a system to simulate an operation

In this article, a system is proposed for a simulated operation which would help a trainee surgeon to perform a medical operation to ensure that a cerebral aneurysm does not burst. The physician will have acquired empirical medical technologies from operations in traditional clinical teaching. However, there is a problem with safety and the burden to the patient. Therefore, recently a new training approach for a simulated medical operation using virtual reality has been explored. With the aim of developing a simulated system for a medical operation for a cerebral aneurysm, we considered the necessary functions such as detecting the brain aneurysm that is the target of the operation, and searching for a suitable blood vessel to make a plan for the operation.     

Construction of a robot control system which understands a voice and pointing actions

This research was aimed at making a robot that can go and get an object designated by the user. We produced a robot control system that uses pointing and voice control. This control system is composed of two systems. One system is the object instruction system that uses pointing, and the other is the object instruction system that uses voice. The approximate position of a designated object is recognized by the object instruction system that uses pointing, and information about the object and instructions about the operation are conveyed by the object instruction system that uses voice. This time, the object instruction system that uses pointing has been designed and verified as the first step. A calculation resource to calculate the approximate position of the designated object is obtained when the user points directly at the object. A robot can be moved around a designated object by using this system. The object instruction system that uses voice will be constructed in future work.     

Success rates in a multimodal command language for home robot users

This article considers the success rates in a multimodal command language for home robot users. In the command language, the user specifies action types and action parameter values to direct robots in multiple modes such as speech, touch, and gesture. The success rates of commands in the language can be estimated by user evaluations in several ways. This article presents some user evaluation methods, as well as results from recent studies on command success rates. The results show that the language enables users without much training to command home robots at success rates as high as 88%–100%. It is also shown that multimodal commands combining speech and button-press actions included fewer words and were significantly more successful than single-modal spoken commands.     

Revolving Vernier Mechanism Controls Size of Linear Homomultimer

A new kind of the Vernier mechanism that is able to control the size of linear assembly of DNA origami nanostructures is proposed. The mechanism is realized by mechanical design of DNA origami, which consists of a hollow cylinder and a rotatable shaft in it connected through the same scaffold. This nanostructure stacks with each other by the shape complementarity at its top and bottom surfaces of the cylinder, while the number of stacking is limited by twisting angle of the shaft. Experiments have shown that the size distribution of multimeric assembly of the origami depends on the twisting angle of the shaft; the average lengths of the multimer are decamer, hexamer, and tetramer for 0°, 10°, and 20° twist, respectively. In summary, it is possible to affect the number of polymerization by adjusting the precise shape and movability of a molecular structure.     

A 63-year-old man with progressive cauda equina/conus medullaris syndrome

BACKGROUND: This article presents results of the acute treatment phase of a 2-site study comparing cognitive behavioral group therapy (CBGT) and treatment with the monoamine oxidase inhibitor phenelzine sulfate for social phobia. METHODS: One hundred thirty-three patients from 2 sites received 12 weeks of CBGT, phenelzine therapy, pill placebo administration, or educational-supportive group therapy (an attention-placebo treatment of equal credibility to CBGT). The "allegiance effect," ie, the tendency for treatments to seem most efficacious in settings of similar theoretical orientation and less efficacious in theoretically divergent settings, was also examined by comparing responses to the treatment conditions at both sites: 1 known for pharmacological treatment of anxiety disorders and the other for cognitive behavioral treatment. RESULTs: After 12 weeks, phenelzine therapy and CBGT led to superior response rates and greater change on dimensional measures than did either control condition. However, response to phenelzine therapy was more evident after 6 weeks, and phenelzine therapy was also superior to CBGT after 12 weeks on some measures. There were few differences between sites, suggesting that these treatments can be efficacious at facilities with differing theoretical allegiances. CONCLUSIONS: After 12 weeks, both phenelzine therapy and CBGT were associated with marked positive response. Although phenelzine therapy was superior to CBGT on some measures, both were more efficacious than the control conditions. More extended cognitive behavioral treatment and the combination of modalities may enhance treatment effect.     

Clinical experience of functional electrical stimulation in complete paraplegia

In the Riordan (bridle) transfer, the posterior tibialis muscle as motor is routed through the interosseous membrane and anastomosed into a "bridle" formed by the distal tibialis anterior and peroneus longus muscles. In theory, the bridle provides inversion/eversion balance even if the transfer effects only tenodesis. However, the procedure has been criticized because its insertion is not into bone. This review analyzes the use of bridle transfer in flaccid paresis involving musculature innervated by the peroneal nerve. Surgery was performed 1 to 3 years after injury for patients with traumatic etiology. Ten patients are reviewed at 61 months' mean follow-up. Eight patients had traumatic peroneal nerve loss. Two had neuromuscular etiology. Evaluation included review of records, telephone interviews, and physical examinations. Data on functional status included walking barefoot running, need for bracing, return to duty, and patient satisfaction. Physical examination recorded ankle position and motions, gait findings, and results of static electromyograms. All patients were able to walk barefoot, but 6 of 10 had a mild to moderate limp. Five patients returned to running initially; only two were able to keep running. Nine patients were brace-free initially (polio sequela required bracing initially), and four others returned to bracing. Of these, two experienced an acute "tearing" and dorsiflexion loss, one sustained a prolonged gradual loss of dorsiflexion, and one sustained a contralateral cerebrovascular accident. Only three of seven patients returned to active duty, and one is on jump status. All patients were satisfied with their initial result. Only two patients had no detectable swing phase problems (both returned to active duty). Five patients had peroneal nerve exploration with repair or neurolysis; two of them sustained complete transections. Postoperative electromyograms showed insignificant, if any, nerve return. The Riordan transfer works well for neuromuscular flaccid paresis and in patients with peroneal nerve injuries with low demands. It may stretch out over time to the point of acute failure in patients with high demands. Concurrent peroneal nerve exploration and repair did not seem to be beneficial in this small study.     

Renal glomerular fibrosis in a cat

Renal glomerular fibrosis was observed in a 1-year-old spayed female Japanese domestic cat that showed clinically advanced renal failure. In the glomeruli, increased homogeneous materials were stained strongly with aniline blue by Masson's trichrome and positive for anti-type III collagen antibody by immunohistochemical staining, causing mesangial sclerosis and capillary collapse. By electron microscopy, randomly arranged fibrils were observed in the expanded subendothelial and mesangial areas, and the fibrils showed periodicity characteristic of collagen fibers in longitudinal sections. These findings of glomerular lesions closely resemble those of human "collagenofibrotic glomerulonephropathy," which has recently been described as a new type of glomerulonephropathy.     

The motion capturing of female divers under water and the trial production of motion viewers for developing a virtual diving experience learning system

The virtual diving experience learning system of “Ama”, Japanese traditional female divers, has been developed to simulate how divers move in a virtual space using the diving interface and utilizing an accelerometer and a gyroscope. This interface not only detects the diving motion but also outputs the movement. Diving motion is shown in the ways of hand motion while standing. Although this makes it possible for a learner to understand the divers’ actions more clearly, this system’s difficulty is in visualizing a divers’ actions including their hands or bodies. Therefore, our study focuses on developing the operation system to reproduce actual ways of Amas’ diving with a virtual human body in a virtual space. First, the motion capture was done in an underwater condition. In the next process, the virtual human body was created. Finally, with the motion viewer, the more vivid actions of the Ama were successfully reproduced much more than in previous attempts. Using this system, the effectiveness of the Amas’ movement learning was confirmed, because a learner practices Amas’ movement.     

Preconditioned iterative solver on the coarsest level of a multi-grid method for high frequency time harmonic electromagnetic field analyses

A multi-grid method is one of the most powerful linear solvers for finite element electromagnetic field analysis. However, as the discretized model has recently been enlarged, a solution process for a linear system arising on the coarsest level tends to be problematic in a complete multi-grid solution process. Whereas a linear system on the coarsest level is generally solved by a direct solver, we solve it here by means of an iterative solver to reduce the memory requirements. Since a conventional preconditioning technique is not effective for such a linear system, we introduce preconditioning techniques based on Arnold, Falk, and Winther’s and on Hiptmair’s smoothers. Numerical tests show that the newly installed preconditioning technique greatly improves the convergence rate.     

Sparse least squares support vector training in the reduced empirical feature space

In this paper we discuss sparse least squares support vector machines (sparse LS SVMs) trained in the empirical feature space, which is spanned by the mapped training data. First, we show that the kernel associated with the empirical feature space gives the same value with that of the kernel associated with the feature space if one of the arguments of the kernels is mapped into the empirical feature space by the mapping function associated with the feature space. Using this fact, we show that training and testing of kernel-based methods can be done in the empirical feature space and that training of LS SVMs in the empirical feature space results in solving a set of linear equations. We then derive the sparse LS SVMs restricting the linearly independent training data in the empirical feature space by the Cholesky factorization. Support vectors correspond to the selected training data and they do not change even if the value of the margin parameter is changed. Thus for linear kernels, the number of support vectors is the number of input variables at most. By computer experiments we show that we can reduce the number of support vectors without deteriorating the generalization ability.