Congenital talipes equinovarus (CTEV), also known as clubfoot, is common congenital orthopedic foot deformity in children characterized by four components of foot deformities: hindfoot equinus, ...hindfoot varus, midfoot cavus, and forefoot adduction. Although a number of conservative and surgical methods have been proposed to correct the clubfoot deformity, the relapses of the clubfoot are not uncommon. Several previous literatures discussed about the technical details of Ponseti method, adherence of Ponseti protocol among walking age or older children. However there is a necessity to investigate the relapse pattern, compliance of bracing, number of casts used in treatment and the percentages of surgical referral under two years of age for clear understanding and better practice to achieve successful outcome without or reduce relapse. Therefore this study aims to review the current evidence of Ponseti method (manipulation, casting, percutaneous Achilles tenotomy, and bracing) in the management of clubfoot under two years of age.
Articles were searched from 2000 to 2015, in the following databases to identify the effectiveness of Ponseti method treatment for clubfoot: Medline, Cumulative Index to Nursing and Allied Health Literature (CINHAL), PubMed, and Scopus. The database searches were limited to articles published in English, and articles were focused on the effectiveness of Ponseti method on children with less than 2 years of age.
Of the outcome of 1095 articles from four electronic databases, twelve articles were included in the review. Pirani scoring system, Dimeglio scoring system, measuring the range of motion and rate of relapses were used as outcome measures.
In conclusion, all reviewed, 12 articles reported that Ponseti method is a very effective method to correct the clubfoot deformities. However, we noticed that relapses occur in nine studies, which is due to the non-adherence of bracing regime and other factors such as low income and social economic status.
Social robots serve as autonomous systems for performing social behaviors and assuming social roles. However, there is a lack of research focusing on the specific measurement of facial ...trustworthiness toward anthropomorphic robots, particularly during initial interactions. To address this research gap, a hybrid deep convolution approach was employed in this study, involving a crowdsourcing platform for data collection and deep convolution and factor analysis for data processing. The goal was to develop a scale, called Facial Anthropomorphic Trustworthiness towards Social Robots (FATSR-17), to measure the trustworthiness of a robot’s facial appearance. The final measurement scale comprised four dimensions, “ethics concern”, “capability”, “positive affect”, and “anthropomorphism”, consisting of 17 items. An iterative examination and a refinement process were conducted to ensure the scale’s reliability and validity. The study contributes to the field of robot design by providing designers with a structured toolkit to create robots that appear trustworthy to users.
In the dynamic world of fashion, high-heeled footwear is revered as a symbol of style, luxury and sophistication. Yet, beneath the facade of elegance of classy footwear lies the harsh reality of ...discomfort and pain. Thus, this study aims to investigate the influence of wearing high-heeled shoes on the sensation of pain across different body regions over a period of 6 h. It involved fifty female participants, all habitual wearers of high-heeled shoes, aged between 20 and 30 years. Each participant kept a record of their perceptions of pain and discomfort every hour for a total of 6 h using a 0-10 pain scale with 0 indicating no pain and 10 indicating severe pain. The findings reveal a progressive rise in pain throughout wear, with the most intense pain reported in the back, calcaneus, and metatarsals. The analysis shows that after approximately 3.5 h, participants experience significant increases in pain levels. However, the relationship between heel height and pain is not linear. It appears that a heel height of 7.5 cm is the threshold where overall body pain becomes significant. The study suggests that a duration of 3.5 h of wear and a heel height of 7.5 cm serve as critical points to decrease overall body pain. Moreover, beyond this heel height, knee pain diminishes compared to other body areas possibly due to the shift towards a more neutral posture. The study findings, coupled with the recommendations, can assist footwear designers in crafting not only stylish but also comfortable shoes.
Designing products and services to fit human needs, wants and lifestyle require meaningful data. With Industry 4.0 and the internet of things, we have many ways to capture data using sensors and ...other means. InfraRed (IR) cameras are quite ubiquitous, especially for screening illness and wellness. They can provide a wealth of data on different objects and even people. However, their use has been limited due to processing complexities. With reducing cost and increasing accuracy of IR cameras, access to thermal data is becoming quite widespread, especially in medicine and people-related applications. These cameras have software to help process the data, with a focus on qualitative analyses and rather primitive quantitative analyses. In ergonomics, data from multiple users are essential to make reasonable predictions for a given population. In this study, using 4 simple experiments, several quantitative analysis techniques such as simple statistics, multivariate statistics, geometric modeling, and Fourier series modeling are applied to IR images and videos to extract essential user and population data. Results show that IR data can be useful to provide user and population data that are important for design. More research in modeling IR data and application software is needed for the increased application of IR information in ergonomics applications.
The synthesis and application of layered double hydroxide (LDH) is gaining impetus for developing nano-hybrids with desired functionality. They are environmentally benign and of potential use in ...biotechnology, pharmaceuticals, drug design, flame retardancy, separation and membrane technology, filtration, scavenging and controlled release of anions, electro-active and photoactive materials. However, there has been a limited research in wearable textile applications. In this study, magnesium–aluminium LDH nano-particles were synthesized and applied to cotton fabric to enhance mechanical, ultraviolet protection and flame retardancy properties. In addition, their cytotoxicity tests were investigated to ensure safe wearable applications. It was found that the application of this Mg–Al nano-LDH (1.5%) with reactive remazol dye (98.5%) at 2% shade improved the UV protection (UV protection factor: 20.184), enhanced flame-suppressing capacity (limiting oxygen index from 16.5 to 20.8) with significantly increased tensile strength (76.85%) of cotton.
Flip-flops may change walking gait pattern, increase muscle activity and joint loading, and predispose wearers to foot problems, despite that quantitative evidence is scarce. The purpose of this ...study was to examine the lower limb muscle co-contraction and joint contact force in flip-flops gait, and compare with those of barefoot and sports shoes walking. Ten healthy males were instructed to perform over-ground walking at self-selected speed under three footwear conditions: 1) barefoot, 2) sports shoes, and 3) thong-type flip-flops. Kinematic, kinetic and EMG data were collected and input to a musculoskeletal model to estimate muscle force and joint force. One-way repeated measures ANOVA was conducted to compare footwear conditions. It was hypothesized that flip-flops would induce muscle co-contraction and produce different gait kinematics and kinetics. Our results demonstrated that the musculoskeletal model estimation had a good temporal consistency with the measured EMG. Flip-flops produced significantly lower walking speed, higher ankle and subtalar joint range of motion, and higher shear ankle joint contact force than sports shoes (p < 0.05). There were no significant differences between flip-flops and barefoot conditions in terms of muscle co-contraction index, joint kinematics, and joint loading of the knee and ankle complex (p > 0.05). The variance in walking speed and footwear design may be the two major factors that resulted in the comparable joint biomechanics in flip-flops and barefoot walking. From this point of view, whether flip-flops gait is potentially harmful to foot health remains unclear. Given that shod walking is more common than barefoot walking on a daily basis, sports shoes with close-toe design may be a better footwear option than flip-flops for injury prevention due to its constraint on joint motion and loading.
Research on traffic accidents have acknowledged that human error is the leading cause of road accidents around the world. In the UAE, those aged between 18 and 30 years are involved in the most ...accidents. As a result, this study examines the perception, attitude and driving behavior of young adults in the UAE. Virtual Reality (VR) was used to examine driving behavior because it offers alternatives to assess driving behavior with a high degree of immersive experience in a safe and replicable environment. Participants drove through a virtual environment that resembled the urban environment of Abu Dhabi in the UAE, which included six traffic events. A sample of 12 females and 27 males also completed a pre and post-simulation questionnaire to report and evaluate their personal driving experience in Abu Dhabi. The volunteer group represented young drivers with limited driving experience and diverse cultural backgrounds. Results indicated that male drivers were less adhering to safe driving behavior compared to females. Even though both males and females exceeded the designated speed limit, males traveled longer distances over the limit. Additionally, it was found that young drivers tend to overestimate their skills with factors like gender, cultural background, and driving experience being key contributors. The results indicate that traffic authorities should take into consideration different approaches in the formulation of policies related to young drivers with periodic reassessment of skills and training to enhance the safety of driving in the UAE and the region.
As the nature of human-robot relationships have become increasingly bound to shift from supervisor–machine to friend–companion, people have exhibited an increasing interest in making social judgments ...toward such anthropomorphic objects, such as trustworthiness. However, the facial features of social robots and their potential effect on anthropomorphic trustworthiness are seldom analyzed and discussed comprehensively. This study examined whether the trustworthiness perception toward a social robot shared similarity with baby schema features on the human face. It also explored the effects of different combinations of baby schema facial features, especially the positions and sizes of the eyes and mouth, on facial anthropomorphic trustworthiness. A 5-way mixed experiment (N = 270) was conducted accordingly. The results indicated that people would experience a high level of facial anthropomorphic trustworthiness toward robots with baby schema features (i.e., large eyes, with medium vertical and horizontal positions of the eyes and mouth). This paper contributes to the literature on facial anthropomorphic trustworthiness in human-robot interaction and provides suggestions for social robot design.
•Facial anthropomorphic trustworthiness is important for human-robot interaction.•Baby schema could increase facial anthropomorphic trustworthiness for social robot.•Big eyes significantly increase perceived trustworthiness.•Medium vertical and horizontal position of eyes increase perceived trustworthiness.•Medium horizontal position of mouth increase perceived trustworthiness.
Congenital talipes equinovarus (CTEV) or clubfoot is a common pediatric congenital foot deformity that occurs 1 in 1,000 live births. Clubfoot is characterized by four types of foot deformities: ...hindfoot equinus; midfoot cavus; forefoot adductus; and hindfoot varus. A structured assessment method for clubfoot is essential for quantifying the initial severity of clubfoot deformity and recording the progress of clubfoot intervention.
This study aims to develop a three-dimensional (3D) assessment method to evaluate the initial severity of the clubfoot and monitor the structural changes of the clubfoot after each casting intervention. In addition, this study explores the relationship between the thermophysiological changes in the clubfoot at each stage of the casting intervention and in the normal foot.
In this study, a total of 10 clubfoot children who are <2 years old will be recruited. Also, the data of the unaffected feet of a total of 10 children with unilateral clubfoot will be obtained as a reference for normal feet. A Kinect 3D scanner will be used to collect the 3D images of the clubfoot and normal foot, and an Infrared thermography camera (IRT camera) will be used to collect the thermal images of the clubfoot. Three-dimensional scanning and IR imaging will be performed on the foot once a week before casting. In total, 6-8 scanning sessions will be performed for each child participant. The following parameters will be calculated as outcome measures to predict, monitor, and quantify the severity of the clubfoot: Angles cross section parameters, such as length, width, and the radial distance; distance between selected anatomical landmarks, and skin temperature of the clubfoot and normal foot. The skin temperature will be collected on selected areas (forefoot, mid foot, and hindfoot) to find out the relationship between the thermophysiological changes in the clubfoot at each stage of the casting treatment and in the normal foot.
The study has been reviewed and approved on 17 August 2016 by the Sydney Children's Hospitals Network Human Research Ethics Committee (SCHN HREC), Sydney, Australia. The Human Research Ethics Committee (HREC) registration number for this study is: HREC/16/SCHN/163.