Search Results (367)

Robotic assembly of electrical connectors enables the automation of high-efficiency production of electronic products. A rigid gripper is adopted as the end-effector by the majority of existing works with a force–torque sensor installed at the wrist, which suffers from very limited perception capability of the manipulated objects. Moreover, the grasping and movement actions, as well as the inconsistency between the robot base and the end-effector frame, tend to result in angular misalignment, usually leading to assembly failure. Bio-inspired by the human finger, we designed a tactile finger in this paper with three characteristics: (1) Compliance: A soft ‘skin’ layer provides passive compliance for plenty of manipulation actions, thus increasing the tolerance for alignment errors. (2) Tactile Perception: Two types of sensing elements are embedded into the soft skin to tactilely sense the involved contact status. (3) Enhanced manipulation force: A rigid fingernail is designed to enhance the manipulation force and enable potential delicate operations. Moreover, a tactile-based alignment algorithm is proposed to search for the optimal orientation angle about the z axis. In the application of U-disk insertion, the three characteristics are validated and a success rate of 100% is achieved, whose generalization capability is also validated through the assembly of three types of electrical connectors. Full article

Background: Very preterm infants are at increased risk of impairment. The objective was to explore the effect of immediate parent–infant skin-to-skin contact at very preterm birth on cognition, motor, social, and language development during the two first years. Methods: The Immediate Parent-Infant Skin-To-Skin Study (IPISTOSS) was a clinical trial with inclusions between April 2018 to June 2021, in three Scandinavian neonatal intensive care units. Infants were randomised at gestational age 28 + 0 to 32 + 6 weeks plus days, to immediate and continuous skin-to-skin contact at birth or conventional care, during the first six hours of life. Results: At three months, 42 infants underwent a General Movement Assessment. At four and 12 months, 69 and 62 infants, respectively, were assessed with the Alberta Motor Infant Scale. At 24 months, language and cognition were tested in 62 infants with the Bayley Scales of Infant and Toddler Development, third edition. Parents completed the Modified Checklist for Autism in Toddlers for 57 infants. There were no significant differences in motor development, cognition, or autism spectrum disorders. A significant difference in language scores in favour of immediate skin-to-skin contact, was found, when adjusted for fathers’ education, mothers’ education, and infants’ sex, Beta (95% CI): 32.00 (7.57, 56.43) p = 0.01, 11.51 (8.94, 55.06) p = 0.007, and 32.00 (7.85, 56.15) p = 0.01, respectively. Conclusions: Skin-to-skin contact immediately at birth did not enhance cognition, motor, or social development during the first two years of life but may have been important for language skills. Our findings support the World Health Organisation guidelines recommending iSSC for preterm born infants in all settings. Full article

The research presented in this paper focuses on the utilization of 3D printing technology in the design and manufacture of a prosthetic hand, equipped with a digit replicator. The subject of this study was a young man who had undergone the amputation of two fingers on his right hand. The electronic control of the movement of the finger copy was developed using Arduino language. A concept and outline drawings were developed in ProCreate. Three-dimensional scan of the hand and forearm was made using an EinScan PRO HD SHINING 3D scanner. Using CAD software—Autodesk Inventor and Autodesk Meshmixer, the prosthesis was designed. Printing was carried out on a 3D printer of the i3 MK3 and MK3+ series using a PLA (polylactic acid) filament. It was determined that PLA is an optimal material for printing, as it is considered to be safe for future patients’ skin. Work on the electronic circuitry started in Autodesk TinkerCad simulation software, allowing the code to be verified and ensuring the safety of the control system. The prosthesis’s design demonstrates the potential to reach as many people in need as possible by using readily available, low-cost, and easy-to-use components. Full article

Eczema, or atopic dermatitis (AD), is a chronic inflammatory skin condition characterized by persistent itching and scratching, significantly impacting patients’ quality of life. Effective monitoring of scratching behaviour is crucial for assessing disease severity, treatment efficacy, and understanding the relationship between itch and sleep disturbances. This review explores current technological approaches for detecting and monitoring scratching and itching in AD patients, categorising them into contact-based and non-contact-based methods. Contact-based methods primarily involve wearable sensors, such as accelerometers, electromyography (EMG), and piezoelectric sensors, which track limb movements and muscle activity associated with scratching. Non-contact methods include video-based motion tracking, thermal imaging, and acoustic analysis, commonly employed in sleep clinics and controlled environments to assess nocturnal scratching. Furthermore, emerging artificial intelligence (AI)-driven approaches leveraging machine learning for automated scratch detection are discussed. The advantages, limitations, and validation challenges of these technologies, including accuracy, user comfort, data privacy, and real-world applicability, are critically analysed. Finally, we outline future research directions, emphasizing the integration of multimodal monitoring, real-time data analysis, and patient-centric wearable solutions to improve disease management. This review serves as a comprehensive resource for clinicians, researchers, and technology developers seeking to advance objective itch and scratch monitoring in AD patients. Full article

Background/Objectives: The male prepuce that covers the glans penis is richly innervated by low-threshold mechanoreceptors, which form cutaneous end-organ complexes (Meissner, Pacinian and Ruffini corpuscles) and mucous end-organ complexes (especially Krause-like corpuscles). The mechanosensory inputs from these formations are the beginning for spinal reflexes that regulate movements of intercourse and erection and, therefore, are required for sexual function. The study was aimed at analyzing the age-dependent changes in prepuce innervation. Methods: Here we used immunohistochemistry to investigate whether the innervation of the male prepuce undergoes age-dependent changes, analyzing subjects aged 4 months to 61 years. Results: Abundant Meissner corpuscles and Krause-like corpuscles were regularly found whose morphology, size, and topography were variable and were not correlated with age; however, Ruffini’s and Pacinian corpuscles were scarcely observed. The earliest evidence of Meissner corpuscles was observed at 4 months, and thereafter they undergo significant age-dependent variations in density. Until the age of 20 years increases progressively, remains stable until 40 years, and then the density decreases. Meissner’s corpuscle index paralleled that of density. Regarding Kause-like corpuscles already resemble the skin of 4-month-old subjects and from the age of 3 years they can be identified at all ages. Its density significantly increased until 10 years and then remained stable. Conclusions: Present results state that the mechanosensory innervation of the human foreskin reaches its maximum value around the age of 20, remains stable during adulthood and decreases with maturity. These findings contribute to a more complete understanding of foreskin innervation and add to the scientific knowledge base surrounding the potential harm of removing a richly innervated structure. Full article

Background: Transcutaneous Randomized Pulsed Radiofrequency (TCPRF-STP) is a non-invasive therapeutic approach increasingly explored for managing spine-related pain, particularly in cases involving disc herniations and degenerative spine conditions. Objectives: To evaluate the use of transcutaneous PRF-STP in the treatment of spine pathologies and its evolution in short-term follow-up. Methods: This case series examines the outcomes of three patients treated with TCPRF-STP for varying spine pathologies, including lumbar and cervical disc herniations, lumbar stenosis, and radiculopathy. All patients had previously undergone conventional conservative therapies without a satisfactory improvement and were unwilling or unable to undergo invasive procedures. The treatment involved the application of electromagnetic fields through adhesive skin patches at targeted sites. Patients underwent three sessions of TCPRF-STP, with follow-up assessments evaluating pain and MRI. Results: Transcutaneous PRF-STP showed notable reductions in pain (VAS 0 in most cases), improvements in movement, and the restoration of normal daily activities. Follow-up MRI scans demonstrated positive structural changes in the treated discs. Although long-term recurrence occurred in one case, the patient remained active without functional limitations. Conclusions: Transcutaneous PRF-STP offers a promising, minimally invasive alternative for patients seeking to avoid surgery, though further studies with larger cohorts and longer follow-up periods are necessary to establish more robust evidence of its efficacy. This technique could become an important adjunct in managing chronic spinal pain conditions, offering patients an option with minimal risk and hospital demands. Full article

Background/Objectives: Quantitative assessments of facial muscle function and cognitive responses can enhance the clinic evaluations in neuromuscular disorders such as Bell’s palsy and psychiatric conditions including anxiety and depression. This study explored the application of Digital Image Speckle Correlation (DISC) in detecting enervation of facial musculature and assessing reaction times in response to visual stimuli. Methods: A consistent video recording setup was used to capture facial movements of human subjects in response to visual stimuli from a calibrated database. The DISC method utilizes the displacement of naturally occurring skin pores to map the specific locus of underlying muscular movement. The technique was applied to two distinct case studies: Patient 1 had unilateral Bell’s palsy and was monitored for 1 month of recovery. Patient 2 had a comorbidity of refractory depression and anxiety disorders with ketamine treatment and was assessed over 3 consecutive weekly visits. For patient 1, facial asymmetry was calculated by comparing left-to-right displacement signals. For patient 2, visual reaction time was measured, and facial motion intensity and response rate were compared with self-reported depression and anxiety scales. Results: DISC effectively mapped biomechanical properties of facial motions, providing detailed spatial and temporal resolution of muscle activity. In a control cohort of 10 subjects, when executing a facial expression, the degree of left/right facial asymmetry was determined to be 13.2 (8)%. And showed a robust response in an average of 275 (81) milliseconds to five out of the five images shown. For patient 1, obtained an initial asymmetry of nearly 100%, which decreased steadily to 20% in one month, demonstrating a progressive recovery. Patient 2 exhibited a prolonged reaction time of 518 (93) milliseconds and reduced response rates compared with controls of 275 (81) milliseconds and a decrease in the overall rate of response relative to the control group. The data obtained before treatment in three visits correlated strongly with selected depression and anxiety scores. Conclusions: These findings highlight the utility of DISC in enhancing clinical monitoring, complementing traditional examinations and self-reported measures. Full article

Monitoring posture and movement accurately and efficiently is essential for both physical therapy and athletic training evaluation and interventions. Motion Tape (MT), a self-adhesive wearable skin-strain sensor made of piezoresistive graphene nanosheets (GNS), has demonstrated promise in capturing low back posture and movements. However, to address some of its limitations, this work explores alternative materials by replacing GNS with multi-walled carbon nanotubes (MWCNT). This study aimed to characterize the electromechanical properties of MWCNT-based MT. Cyclic load tests for different peak tensile strains ranging from 1% to 10% were performed on MWCNT-MT made with an aqueous ink of 2% MWCNT. Additional tests to examine load rate sensitivity and fatigue were also conducted. After characterizing the properties of MWCNT-MT, a human subject study with 10 participants was designed to test its ability to capture different postures and movements. Sets of six sensors were made from each material (GNS and MWCNT) and applied in pairs at three levels along each side of the lumbar spine. To record movement of the lower back, all participants performed forward flexion, left and right bending, and left and right rotation movements. The results showed that MWCNT-MT exceeded GNS-MT with respect to consistency of signal stability even when strain limits were surpassed. In addition, both types of MT could assess lower back movements. Full article

Touch is a crucial sense for advanced organisms, particularly humans, as it provides essential information about the shape, size, and texture of contacting objects. In robotics and automation, the integration of tactile sensors has become increasingly relevant, enabling devices to properly interact with their environment. This study aimed to develop a biomimetic, skin-inspired tactile sensor device capable of sensing applied force, characterizing it in three dimensions, and determining the point of application. The device was designed as a 4 × 4 matrix of tunneling magnetoresistive sensors, which provide a higher sensitivity in comparison to the ones based on the Hall effect, the current standard in tactile sensors. These detect magnetic field changes along a single axis, wire-bonded to a PCB and encapsulated in epoxy. This sensing array detects the magnetic field from an overlayed magnetorheological elastomer composed of Ecoflex and 5 µm neodymium–iron–boron ferromagnetic particles. Structural integrity tests showed that the device could withstand forces above 100 N, with an epoxy coverage of 0.12 mL per sensor chip. A 3D movement stage equipped with an indenting tip and force sensor was used to collect device data, which was then used to train neural network models to predict the contact location and 3D magnitude of the applied force. The magnitude-sensing model was trained on 31,260 data points, being able to accurately characterize force with a mean absolute error ranging between 0.07 and 0.17 N. The spatial sensitivity model was trained on 171,008 points and achieved a mean absolute error of 0.26 mm when predicting the location of applied force within a sensitive area of 25.5 mm × 25.5 mm using sensors spaced 4.5 mm apart. For points outside the testing range, the mean absolute error was 0.63 mm. Full article

The presence of dichotomizing neurons in the dorsal root ganglia (DRG) of cattle, innervating both the reticulum and the withers, may indicate a pre-spinal convergence of visceral and cutaneous sensory information, i.e., that the DRG primary sensory neurons may elaborate the sensory information coming from two different anatomical areas before reaching the secondary sensory neurons within the spinal cord. This anatomical feature could be the underlying basis for the cutaneous allodynia observed in traumatic reticuloperitonitis, also known as the “Kalchschmidt pain test”. The aim of the study was to identify the DRG primary sensory neurons innervating the reticulum and the withers by using two different retrograde fluorescent tracers, Fast Blue (FB, affinity for cytoplasm) and Diamidino Yellow (DY, affinity for nucleus). In two anesthetized calves, FB and DY were injected into the reticulum and skin of the withers, respectively. At the end of the experimental period, the calves were deeply anesthetized and then euthanatized. The thoracic (T1–T8) DRG were collected and processed to obtain cryosections which were examined on a fluorescent microscope. A large number of neurons localized, especially in the T7 DRG, presented nuclei labeled with DY. On the contrary, only a few neurons localized exclusively in T6 and T7 DRG presented the cytoplasm labeled with FB. No neurons displayed FB and DY simultaneously within the cytoplasm and nucleus, respectively. The absence of double-labeled DRG neurons suggests that the convergence of visceral and somatic sensory inputs underlying the Kalchschmidt pain response likely does not occur at the level of individual DRG neurons. Rather, it may involve higher-order integrative centers, possibly including vagal pathways and brainstem nuclei which integrate the afferent information to coordinate respiratory movements of the diaphragm, intercostal muscles, and larynx. Although limited by the sample size, this case study provides a neuroanatomical basis for further investigation into central mechanisms of referred visceral pain in cattle. Full article

The rapid pace of modern life has contributed to a significant decline in sleep quality, which has become an urgent global public health issue. Melatonin, an endogenous hormone that regulates circadian rhythms, is vital in maintaining normal sleep cycles. While oral melatonin supplementation is widely used, transdermal delivery systems present advantages that include the avoidance of first-pass metabolism effects and enhanced bioavailability. In this study, a novel melatonin transdermal delivery system was successfully developed using a thermosensitive poly(N-vinylcaprolactam) [p(NVCL)]-based carrier. The p(NVCL) polymer was synthesized through free radical polymerization and characterized for its structural properties and phase transition temperature, in alignment with skin surface conditions. Orthogonal optimization experiments identified 3% azone, 3% menthol, and 4% borneol as the optimal enhancer combination for enhanced transdermal absorption. The formulation demonstrated exceptional melatonin loading characteristics with high encapsulation efficiency and stable physicochemical properties, including an appropriate pH and optimal moisture content. Comprehensive in vivo evaluation using normal mouse models revealed significant sleep quality improvements, specifically a shortened sleep latency and extended non-rapid eye movement sleep duration, with elevated serum melatonin and serotonin levels. Safety assessments including histopathological examination, biochemical analysis, and 28-day continuous administration studies confirmed excellent biocompatibility with no adverse reactions or systemic toxicity. Near-infrared fluorescence imaging provided direct evidence of enhanced transdermal absorption and superior biodistribution compared to oral administration. These findings indicate that the p(NVCL)-based melatonin transdermal gel system offers a safe, effective and convenient non-prescription option for sleep regulation, with promising potential for clinical translation as a consumer sleep aid. Full article

Developing flexible sensors that combine high sensitivity, a wide detection range, and comfortable wearability remains a key challenge in the development of electronic skin. This study presents a breathable, highly sensitive, and wearable piezoresistive sensor based on the preparation of hierarchical microporous PU@MXene + CNT films and single-sided electrodes using a simple and effective method. Distilled water was used as a non-solvent to induce the separation of polyurethane films (PU) with different mass fractions, forming a gradient porous structure with inconsistent pore morphologies in the upper and lower layers. Three-dimensional structure analysis of the hierarchical porous films with varying gradients, conducted using computed tomography, revealed that the porous structures formed after phase separation of PU solutions with different mass fractions exhibited different morphologies. As the mass fraction increased, the pore size, pore volume, and porosity gradually decreased while the surface area gradually increased. The greater the gradient of the constructed porous film, the more significant the difference between the upper- and lower-layer structures. A flexible sensor prepared using the PU@MXene + CNT porous film with the largest gradient exhibited excellent sensitivity in a wide detection range from 0.7 to 20 kPa, which was higher than that of porous films with other gradients, demonstrating high stability (>8000 cycles). The air permeability and moisture permeability of PU@MXene + CNT with the largest gradient were 0.9922 L/m²/s and 1123.6 g/m²/day, respectively, and these values were 1.35 and 4.40 times those of the non-porous film. Therefore, the constructed flexible piezoresistive sensor with a gradient porous structure had both high sensitivity and wide detection range, as well as good air and moisture permeability. Finally, the sensor successfully monitored human movements, including throat activity, finger motions, and arm bending, demonstrating its potential for wearable electronic applications. Full article

A 40-year-old woman with a known diagnosis of Ehlers–Danlos syndrome (EDS) began experiencing progressive shortness of breath and reduced exercise tolerance following her second pregnancy. The patient underwent an unenhanced computed tomography (CT) scan that showed a marked elevation of the left diaphragm. Suspecting diaphragm dysfunction, the patient underwent Dynamic Digital Radiography (DDR) that confirmed a reduction in left diaphragm motility, indicative of impaired diaphragm function. Based on the DDR findings, which demonstrated reduced but preserved diaphragmatic motion without paradoxical movement or complete immobility, the thoracic surgeon decided that surgical intervention, such as plication, was not necessary. Instead, rehabilitation exercises, including breathing techniques and diaphragm strengthening, were recommended. EDS includes connective tissue disorders that vary in severity but are typically characterized by hypermobility of the joints, skin hyper-elasticity, and a predisposition to vascular fragility. One of the complications of EDS is weakened connective tissues, which can affect the diaphragm, impairing the contractility of the muscle and leading to impaired mobility and respiratory symptoms such as shortness of breath. Diaphragm dysfunction can manifest as reduced movement, potentially related to the underlying connective tissue weakness. This case highlights the clinical value of DDR as a non-invasive, low-dose, and dynamic imaging modality in the diagnosis of diaphragmatic dysfunction in EDS patients, enabling individualized treatment planning and potentially avoiding unnecessary surgical interventions. Full article

Recently, technologies monitoring users’ physiological signals in consumer electronics such as smartphones or kiosks with cameras and displays are gaining attention for their potential role in diverse services. While many of these technologies focus on photoplethysmography for the measurement of blood flow changes, respiratory measurement is also essential for assessing an individual’s health status. Previous studies have proposed thermal camera-based and body movement-based respiratory measurement methods. In this paper, we adopt an approach to extract respiratory signals from RGB face videos using photoplethysmography. Prior research shows that photoplethysmography can measure respiratory signals, due to its correlation with cardiac activity, by setting arterial vessel regions as areas of interest for respiratory measurement. However, this correlation does not directly reflect real-time respiratory components in photoplethysmography. Our new approach measures the respiratory rate by capturing changes in skin brightness from motion artifacts. We utilize these brightness factors, including facial movement, for respiratory signal measurement. We applied the wavelet transform and smoothing filters to remove other unrelated motion artifacts. In order to validate our method, we built a dataset of respiratory rate measurements from 20 individuals using an RGB camera in a facial movement-aware environment. Our approach demonstrated a similar performance level to the reference signal obtained with a contact-based respiratory belt, with a correlation above 0.9 and an MAE within 1 bpm. Moreover, our approach offers advantages for real-time measurements, excluding complex computational processes for measuring optical flow caused by the movement of the chest due to respiration. Full article

Ataxia-telangiectasia is a rare autosomal recessive disorder that is difficult to diagnose due to its unpredictable presentation. It is characterized by cerebellar degeneration, telangiectasias, immunodeficiency, frequent pulmonary infections, and tumors. Immune system abnormalities manifest as disruptions in both cellular and humoral immunity. The most common findings include decreased levels of immunoglobulin classes (IgA, IgM, IgG, and IgG subclasses) and a reduced number of T and B lymphocytes. A four-year-old girl was initially evaluated and treated for skin lesions that presented as crusts spreading across her body. She was monitored by a pulmonologist due to frequent bronchial obstructions. Over time, she developed bilateral scleral telangiectasia, saccadic eye movements, and impaired convergence. Her gait was wide-based and unstable, with truncal ataxia and a positive Romberg sign. Laboratory tests revealed decreased immunoglobulin G levels, subclass IgG4 levels, elevated alpha-fetoprotein, and a reduced number of T and B lymphocytes. Brain magnetic resonance imaging showed cerebellar atrophy. Whole-exome sequencing identified heterozygous variants c.1564-165del, p.(Glu5221lefsTer43), and c.7630-2A>C in the serine/threonine-protein kinase ATM (ataxia-telangiectasia mutated) gene, confirming the diagnosis of ataxia-telangiectasia. Following diagnosis, treatment with intravenous immunoglobulin replacement was initiated along with infection prevention and management. The goal of this case report is to raise awareness of the atypical initial presentation that may lead to a diagnostic delay. We emphasize the importance of considering ataxia-telangiectasia in the differential diagnosis, even when classical neurological signs are not yet evident. Full article