Subjective Comfort Scores Research Articles

Early oral hydration on demand in postanesthesia care unit effectively relieves postoperative thirst in patients after gynecological laparoscopy: a prospective randomized controlled trial

BackgroundPostoperative thirst is one of the most intense, common and easily ignored subjective discomforts in patients after gynecological surgery. This study aimed to investigate whether early oral hydration on demand in the postanesthesia care unit (PACU) after gynecological laparoscopy under general anesthesia can appease postoperative thirst and increase patient comfort.MethodsParticipants were randomized into the intervention and control groups. Patients in the intervention group were allowed to achieve early oral hydration on demand in the PACU if they were evaluated as fully conscious, with stable vital signs, grade 5 muscle strength, and well-recovered cough and swallowing reflex. However, the total amount of water intake throughout the entire study should not exceed 0.5mL/kg. During the study, the frequency of water intake, the total amount of water intake and adverse events were accurately recorded. The control group was managed according to the routine procedures and began to drink water 2 h after anesthesia. The intensity of thirst and subjective comfort in patients were assessed using the visual analog scale (VAS) when they entered and left the PACU.ResultsNo statistically significant differences were identified in age, height, weight, body mass index, pre-operative fasting time, duration of surgery, intraoperative fluid intake, intraoperative blood loss, intraoperative urine volume, and thirst intensity and subjective comfort scores between the groups before intervention (P > 0.05). After intervention, the VAS score for thirst intensity in the intervention group significantly decreased (P < 0.05), and the VAS score for subjective comfort in the intervention group significantly increased (P < 0.05). No adverse events were detected in both groups during the entire study.ConclusionEarly oral hydration on demand in the PACU can safely and effectively relieve postoperative thirst in patients, and improve patient comfort after gynecological laparoscopy.Trial registrationThis single-center, prospective, randomized controlled trial was registered at the Chinese Clinical Trial Center on April 27, 2023. The registration number of this study is ChiCTR2300070985.

Effect of preoperative oral carbohydrates on insulin resistance in patients undergoing laparoscopic cholecystectomy: a randomized controlled trial

PurposeThe present research seeks to clarify the consequences of two specific preoperative oral carbohydrate (POC) amounts on insulin resistance (IR) and stomach evacuation in laparoscopic cholecystectomy (LC) patients.MethodsA total of 129 patients set for elective LC procedures were randomly assigned to a control group (C, n = 45), a 200 mL POC group (P1, n = 42), and a 400 mL POC group (P2, n = 42). The C group was fasted from midnight until surgery, whereas the P1 and P2 groups received their respective carbohydrate volumes 2–4 h before anesthesia. Fasting blood glucose, insulin, and glucagon concentrations were measured at three junctures. IR metrics were derived by employing the homeostasis model assessment. Gastric volume was measured before anesthesia using gastric ultrasound. Inter-group comparisons included IR indicators, subjective comfort scores, and hemodynamic data.ResultsAt T2, the C group exhibited reduced glucose concentrations compared to the P2 group (4.73 ± 0.64 vs. 5.26 ± 1.02 mmol/L, p < 0.05). The Perlas grading indicated that grade 1 was more prevalent in the P2 group than in the P1 and C groups (18 [42.9%] vs. 6 [14.3%] and 1 [2.2%], p < 0.05). Additionally, thirst and hunger metrics for the P2 group were notably reduced compared to the C group at both T2 and T3.ConclusionAdministering either 200 mL or 400 mL of carbohydrates 2–4 h pre-surgery had no detectable impact on IR or gastric volume in LC patients.Trial registrationChiCTR, ChiCTR2200065648. Registered January 13, 2023, http://www.chictr.org.cn.

Influences of cushion contour on passenger comfort and interface pressure in high-speed train.

In this paper, eight different contoured cushions (S1-S8) in two categories (flat and wrapped) were designed to study the influence of different contoured cushions on passenger comfort in high-speed trains. Meanwhile, subjective data investigation by the comfort Likert Scale questionnaire and objective physical variables collection by the body-cushion contact pressure test was carried out. In addition, one-way ANOVA and Pearson correlation analysis were performed on the subjective survey and objective test data. The results show that the cushion contours had a significant effect on the subjective evaluation of the overall comfort of the participants, in which the overall comfort below the waist of the separated wrapped cushion S8 has the highest subjective comfort score. The overall comfort of the flat-front bulge type cushion S4 and the local comfort of the thighs and the root of the thighs were rated higher than other flat types. Under the flat cushion, the effect of stature characteristics (mainly weight and hip-width) on the overall comfort subjective ratings was insignificant, and the effect on the contact pressure distribution variables was significant, but the contact pressure distribution variables were not correlated with the comfort ratings. Under the wrapped cushion, the effect of stature characteristics on the overall comfort subjective ratings and contact pressure distribution variables was significant. There were positive and negative correlations between the average peak contact pressure and average contact pressure and comfort ratings, respectively.

An earphone fit deviation analysis algorithm

This study provides an accurate method for evaluating the fit of earphones, which could be used for establishing a linkage between interference/gap values with human perception. Seven commercial CAD software tools stood out and were explored for the analysis of the deviation between earphone and ear. However, the current deviation analysis method remains to be improved for earphone fit evaluation due to excessive points in the calculation (Geomagic Wrap and Siemens NX), lack of value on interference (Geomagic Control X), computation boundary required (Rapidform XOR/Redesign), repetitive computation with same points and inclined calculation line segment or even invalid calculation (Solidworks, Creo). Therefore, an accurate deviation analysis algorithm was promoted, which calculated the deviation between earphone and ear exactly and classified the interference set and gap set precisely. There are five main procedures of this algorithm, which are point cloud model pre-processing, the generation of distance vectors, the discrimination of interference set and gap set, the discrimination of validity, and statistical analysis and visualization. Furthermore, the usability and validity of the deviation analysis algorithm were verified through statistical analysis and comparing visual effects based on the earphone-wearing experiment. It is certified that the deviation analysis algorithm is appropriate for earphone fit evaluation and the eight indexes of this algorithm were proved to be related to subjective comfort scores. It is meaningful for ear-worn product fit analysis, design, and development phases.

Effect of mattress bedding layer structure on pressure relief performance and subjective lying comfort

Mattresses' pressure relief performance and comfort largely affect sleep quality. Mattress filling materials have been proven to affect the interface pressure distribution and comfort, but the effect of mattress structure is unclear. In this paper, the interface pressure distribution and subjective comfort of 10 subjects were assessed in the different bedding layer structures of mattresses, after mattress support performance was tested. The results show that the mattresses with bedding material hardness gradually increasing from the top layer to the bottom layer (BMH-ITTB) structure have a softer surface layer, a better support core layer, and higher fitness. This enables the mattress to achieve a better decompression effect. The low-pressure area (PAI≤0.67kPa) increased, while the high-pressure area (PAI≥2.67kPa and PAI≥4.00kPa), maximum pressure (P95), average pressure (P50), and pressure index (PI) decreased. This also enables the mattress to achieve higher subjective comfort scores.

Analysis of brain signal change response in amygdala evoked by skin pressure stimulus.

It was well known that the human body would produce an uncomfortable sensation when the fabric exerted a certain amount of pressure irritation on the skin. The amygdala had long been thought to be the source of negative emotion perception. However, up to now, the brain signal changes in the amygdala evoked by skin exposure pressure had not been known. In this work, a series of gradually increasing contact pressure stimulus from boneless corsets was repeatedly applied to the body's waist and abdomen, and the technology of functional magnetic resonance imaging (fMRI) was adopted to detect the brain response synchronously. The results shown that both subjective comfort score and percent signal changes (PSCs) of amygdala decreased with the increase of skin contact pressure. When the skin pressure applied to the waist and abdomen of the human body exceeded about 1kPa, blood oxygen level dependent signal in the amygdala was negatively activated. Besides, the degree of response of PSCs was intense than subjective evaluation, and the standard deviations of PSCs between individuals were much smaller than subjective evaluations. It was suggested that skin contact pressure stimulus caused the attention of the amygdala brain area. The greater the stimulus, the higher the attention, but such attention was caused by negative activation of the amygdala induced by skin discomfort. In addition, skin comfort representation based on brain perception was superior to subjective representation due to its higher response sensitivity and antipsychological interference ability.

Real-time regulation of room temperature based on individual thermal sensation using an online brain-computer interface.

Regulation of indoor temperature based on neurophysiological and psychological signals is one of the most promising technologies for intelligent buildings. In this study, we developed a system for closed-loop control of indoor temperature based on brain-computer interface (BCI) technology for the first time. Electroencephalogram (EEG) signals were collected from subjects for two room temperature categories (cool comfortable and hot uncomfortable) and used to build a thermal-sensation discrimination model (TSDM) with an ensemble learning method. Then, an online BCI system was developed based on the TSDM. In the online room temperature control experiment, when the TSDM detected that the subjects felt hot and uncomfortable, BCI would automatically turn on the air conditioner, and when the TSDM detected that the subjects felt cool and comfortable, BCI would automatically turn off the air conditioner. The results of online experiments in a hot environment showed that a BCI could significantly improve the thermal comfort of subjects (the subjective thermal comfort score decreased from 2.45 (hot uncomfortable) to 0.55 (cool comfortable), p < 0.001). A parallel experiment further showed that if the subjects wore thicker clothes during the experiment, the BCI would turn on the air conditioner for a longer time to ensure the thermal comfort of the subjects. This has further confirmed the effectiveness of TSDM model in evaluating thermal sensation under the dynamic change of room temperature and showed the model's good robustness. This study proposed a new paradigm of human-building interaction, which is expected to play a promising role in the development of human-centered intelligent buildings.

Efficacy of the Oral Administration of Maltodextrin Fructose Before Major Abdominal Surgery: A Prospective, Multicenter Clinical Study

BackgroundTo study the efficacy of the oral administration of maltodextrin and fructose before major abdominal surgery (MAS).MethodsThis prospective, multicenter, parallel-controlled, double-blind study included patients aged 45–70 years who underwent elective gastrectomy, colorectal resection, or duodenopancreatectomy. The intervention group (IG) was given 800 mL and 400 mL of a maltodextrin and fructose beverage at 10 h and 2 h before MAS, respectively, and the control group (CG) received water under the same experimental conditions. The primary endpoint was insulin resistance index (IRI), and the secondary endpoints were fasting blood glucose, fasting insulin, insulin secretion index, insulin sensitivity index, intraoperative blood glucose, subjective comfort score, and clinical outcome indicators.ResultsA total of 240 cases were screened, of which 231 cases were randomly divided into two groups: 114 in the IG and 117 in the CG. No time-treatment effect was detected for any endpoint. The IRI and fasting insulin were significantly lower in the IG than CG after MAS (p = 0.02 & P = 0.03). The scores for anxiety, appetite, and nausea were significantly lower in the IG than CG at 1 h before MAS. Compared with baseline, the scores for appetite and nausea decreased in the IG but increased in the CG.ConclusionThe oral administration of maltodextrin and fructose before MAS can improve preoperative subjective well-being and reduce postoperative insulin resistance without increasing the risk of gastrointestinal discomfort.

Oxygen efficient respiratory Aid (OxEraTM) device: A safety study.

Severe Coronavirus Disease 2019 (COVID-19) can develop pneumonia with severe complications. The Oxygen Efficient Respiratory Aid (OxEraTM) device has been granted SAPHRA approval for emergency COVID-19 pandemic use. The device has the potential to be used widely in the healthcare sector due to its efficient oxygen supply and adjustable wall positive expiratory pressure (PEP). We assessed whether the OxEraTM device was safe to use in a healthy adult volunteer population. Our primary objective was to ensure there was no asphyxiation, as assessed by changes observed from baseline End Tidal Carbon Dioxide (ETCO2) exceeding 6.3mmHg and above the 45mmHg threshold. We also monitored changes in vital organ signs and assessed the pain and comfort of the participant at various intervals with changes in PEPs. This was an experimental safety study of the OxEraTM Device on 30 healthy participants at the ICU training centre of Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa. Each participant had basic vital-signs, ETCO2, and Oxygen saturation percentages (SpO2%) taken at baseline until the end of 2h. In the first 20min, the PEP was increased by 5cmH20 until 20min, then continued for the rest of the time on a PEP of 5cmH20. At each interval, vital signs, subjective comfort, pain, and visual scores were measured. Thirty healthy participants were enrolled. There was no significant difference in ETCO2 from baseline until 2h. No participant experienced an increase in measured ETCO2 greater than 45mmHg and no increase in ETCO2 from baseline was greater than 6.3mmHg. The median increase in ETCO2 over the study period was 2mmHg. There were no significant changes in respiratory rate and blood pressure. The heart rate decreased significantly (73-68bpm). The VAS and comfort score had a significant increase over the 2h from baseline of 0-2 at maximum; however, the PAS scores showed no significant increase. Overall the OxEraTM device achieved the safety endpoints set out. There was no sign of asphyxiation and there were appropriate physiological responses to changes in PEP once applied. The comfort of the mask did worsen over the 2h; however, the scores were minimally worse on PEP application but improved once-off PEP. No adverse event was recorded at all.

Topical 0.1% Nepafenac versus 0.09% Bromfenac Eye Drops for Inflammation after Laser Peripheral Iridotomy: A Randomized Controlled Trial

To assess the safety and efficacy of 0.1% nepafenac versus 0.09% bromfenac eye drops in controlling inflammation after neodymium yttrium-aluminum-garnet (YAG) laser peripheral iridotomy (LPI). Single-masked, single-center, randomized controlled trial. One hundred and sixty eyes of patients with primary angle-closure suspect (PACS) and primary angle closure (PAC) undergoing bilateral LPI. Patients were randomized in a 1:1 ratio to receive 0.1% nepafenac thrice daily or 0.09% bromfenac eye drops twice daily for 2 weeks after neodymium YAG LPI. Assessment was performed by masked investigators at 2 weeks after LPI. A Glaucoma Symptom Scale (GSS) questionnaire was administered both at baseline and 2 weeks after LPI. Subjective comfort scores to the study medications were assessed on the basis of a Likert scale at 2 weeks after LPI. In patients with bilateral PACS or PAC, the right eye was analyzed, and in asymmetrical disease (i.e., when one eye had PACS and the other eye had PAC), the eye with PAC was analyzed. The primary outcome (end point) was uncontrolled inflammation, defined as symptomatic inflammation within 1 week after LPI, the presence of anterior chamber cells at 2 weeks, or rebound inflammation after medication discontinuation. The secondary outcome was patient-reported comfort levels with study medications based on the GSS and Likert scale. At 2 weeks after LPI, 7 patients (6 with PACS and 1 with PAC) in the nepafenac group and 2 patients with PACS in the bromfenac group achieved the primary end point, without a difference between the medication groups (P= 0.09). Post-LPI burning, smarting, and stinging was more common in the bromfenac group (P= 0.01), which also had a higher comfort score on the Likert scale (P= 0.004). The need for repeat LPI was comparable (10.0% in the nepafenac group vs. 15.4% in the bromfenac group; P= 0.22). A multivariate analysis revealed that a greater number of laser shots was associated with the need for repeat LPI (odds ratio, 1.05; 95% confidence interval, 1.00-1.10; P= 0.04). Topical 0.09% bromfenac is noninferior to 0.1% nepafenac in controlling inflammation after LPI in eyes with PACS and PAC. Nepafenac may be associated with higher patient-reported comfort.

Improved contact lens fitting after corneal cross-linking in eyes with progressive keratoconus

ObjectivesThe study aimed to assess the possible effects of corneal cross-linking (CXL) on contact lens (CL) fitting in patients with progressive keratoconus who initially had CL intolerance. MethodsA retrospective review was performed of the medical records of patients who had stopped CL wear due to discomfort prior to CXL and who were fitted with CLs after CXL. All eyes were evaluated pre- and 1, 6, 12, 24 months postoperatively. Data collected included pre- and post-CXL refraction, corneal topographic data, uncorrected visual acuity, and best-corrected visual acuity (BCVA). CL comfort was evaluatedusing theLikert scale post-CXL. ResultsA total of 20 eyes from 14 patients were included in the study. Preoperative Kmax values significantly decreased by 2.8 D at 6 months and by 4.1 D at 12 months after CXL (p < 0.001 for both). CLs were prescribed on average 12 ± 2.5 months after CXL. The mean duration of successful CL wear was 10.4 ± 2.8 months during the follow-up period. Subjective CL comfort scores were satisfactory post-CXL. ConclusionCXL not only halts the progression of keratoconus but may also improve CL tolerance by providing a more regular shaped cornea in these patients. Ongoing corneal topographic changes in the late postoperative period after CXL may have a positive effect on CL fitting.

Research on seat perceived comfort evaluation based on factor analysis

Car seat is one of the most important parts of the direct contact with consumers, consumers' subjective perception of seat comfort depends on the choice of car, and the automobile industry in the perception of car seat comfort evaluation and research work, is still in its infancy, convened by the project through to the six major cities, 900 consumers respectively for 18 to subjective comfort evaluation of standard models, this article selects three same level models of standard models, for example, through the factor analysis method to calculate the subjective comfort ratings, and use the objective measurement data of subjective rating transverse comparison test. The results show that the subjective comfort score can reflect the comfort degree of the seat.

A multifactorial approach to specify comfortable rail seats.

A robust rail seat comfort assessment can inform the GB rail industry when procuring new seats and identify areas for comfort improvement in the refurbishment of existing seats, improving the customer experience. To take a multifactorial approach to measuring comfort and to create a robust seat comfort assessment method for the GB rail industry. Seat comfort assessment scores were developed by identifying seat dimensions (e.g. Seat height, seat width, seat depth), seat pad thickness and hardness requirements, seat accessories and seat attractiveness components. Scores for each seat feature were verified by conducting a fitting trial and asking 7 participants to rank dimensions through a range of adjustment. The combined scoring of features was verified by asking 14 participants to rank seats in three configurations (<minimum comfort; minimum comfort;>minimum comfort). The seat comfort dimensions scores were then validated by ranking seven existing rail seats using the assessment method and comparing the ranks with subjective comfort ranks of 12 participants. The validation testing resulted in a moderate positive correlation, indicating an alignment between the seat comfort assessment method and subjective comfort scores. A multifactorial seat comfort assessment has been shown to be a good indicator of passenger seat comfort.

A Radial Zoom Motion-Based Paradigm for Steady State Motion Visual Evoked Potentials.

Background: In steady state visual evoked potential (SSVEP)-based brain-computer interfaces, prolonged repeated flicker stimulation would reduce the system performance. To reduce the visual discomfort and fatigue, while ensuring recognition accuracy, and information transmission rate (ITR), a novel motion paradigm based on the steady-state motion visual evoked potentials (SSMVEPs) is proposed.Methods: The novel SSMVEP paradigm of the radial zoom motion was realized using the sinusoidal form to modulate the size of the stimuli. The radial zoom motion-based SSMVEP paradigm was compared with the flicker-based SSVEP paradigm and the SSMVEP paradigm based on Newton's ring motion. The canonical correlation analysis was used to identify the frequency of the eight targets, the recognition accuracy of different paradigms with different stimulation frequencies, and the ITR under different stimulation durations were calculated. The subjective comfort scores and fatigue scores, and decrease in the accuracy due to fatigue was evaluated.Results: The average recognition accuracy of the novel radial zoom motion-based SSMVEP paradigm was 93.4%, and its ITR reached 42.5 bit/min, which was greater than the average recognition accuracy of the SSMVEP paradigm based on Newton's ring motion. The comfort score of the novel paradigm was greater than both the flicker-based SSVEP paradigm and SSMVEP paradigm based on Newton's ring motion. The decrease in the recognition accuracy due to fatigue was less than that of the SSSMVEP paradigm based on Newton's ring motion.Conclusion: The SSMVEP paradigm based on radial zoom motion has high recognition accuracy and ITR with low visual discomfort and fatigue scores. The method has potential advantages in overcoming the performance decline caused by fatigue.

Direct and Indirect Methods of High-frequency Ultrasound in Imaging Distal Biceps Brachii Tendon

Objective To explore convenient and effective ultrasound scanning methods and skills for imaging the distal biceps tendon.Methods Totally 80 distal biceps tendons of 40 healthy volunteers were scanned and evaluated with high-frequency ultrasound using the direct and the indirect methods. The scanning time and the subjective comfort scores of each subject were recorded. The imaging clarity of the tendon and its insertion onto the radial tuberosity was evaluated.Results The scanning time of the indirect method was shorter than that of the direct method in all volunteers,male volunteers,and female volunteers,although the differences were not statistically significant(all P> 0.05). The mean scanning time was longer on the left side than on the right side regardless of the scanning method (all P> 0.05). The scanning time in women was significantly shorter than in men when the scan was performed by using indirect method on the left side (t=-2.33,P=0.025),direct method on the right side (t=-3.35,P=0.002),or indirect method on the right side (t=-2.67,P=0.011). However,the scanning time was not significantly different between women and men when using the direct method on the left side (t=-1.27,P=0.213). The subjective comfort score was not significantly different between direct and indirect methods in each group (all P>0.05). However,the subjective comfort score was higher on the right side than on the left side regardless of the methods used. In particular,the subjective comfort scores showed significant difference when using the direct method in all subjects (t=2.32,P=0.026),the indirect method in all subjects (t=3.08,P=0.004),and indirect method in females (t=2.52,P=0.021). The overall subjective comfort score of females was higher than that of males,and the difference was statistically significant when the direct method was used on the right side (t=2.33,P=0.025),although no significant difference was observed for the indirect method on the right side (t=2.00,P=0.053),direct method on the left side (t=0.34,P=0.739),and indirect method on the left side (t=-0.15,P=0.884). The clarity rates of the indirect method for the insertions were 100.0% and 95.0%,which were significantly higher than those of the direct method(right side:100.0% vs. 85.0%,P=0.026;left side:95.0% vs.60.0%,P=0.000). The clarity rates of the main trunk of the tendon showed no significant difference between direct and indirect methods on both sides (right side:100.0% vs.95.0%,P=0.494;left side:92.5% vs.87.5%,P=0.712).Conclusions When high-frequency ultrasound is applied for scanning the distal biceps tendon,the scanning time and the subjective comfort are similar when either the direct method or the indirect method is used. The indirect method has higher clarity in imaging the insertion and may be used as the preferred scanning method,whereas the direct method may serve as a supplementary method.

Mutual interaction effects between discomfort and cognitive task performance in clothing systems

The focus of this study was to establish a relationship between physical discomfort and performance. Eleven healthy male subjects participated in this pilot study. The subjects performed a 2-h protocol without and with significant thermal and mechanical discomfort. Various cognitive tasks were executed repeatedly during the protocol to evaluate cognitive performance on memory, tracking, and vigilance tasks. Prior and after each task, subjective comfort scores were asked and objective task performance was measured. Mechanical and/or thermal discomfort only minimally influenced the overall scores for comfort. The only significant change in objective performance was a 2% increase in percentage missed stimuli during thermal discomfort. The type of task did influence the change in comfort scores, increasing the scores during the attention and memory task and decreasing during the vigilance and tracking task and fine motor tasks. Surprisingly, not discomfort, but the type of task mainly influenced the changes in comfort, discomfort became worse (increased) during easy, less challenging tasks.

A Comparative Study Between an Oil-in-Water Emulsion and Nonlipid Eye Drops Used for Rewetting Contact Lenses

The purpose of this study was to determine the clinical impact of using SYSTANE BALANCE Lubricant Eye Drops (Alcon, Fort Worth, TX), an oil-in-water emulsion, as a rewetting eye drop in symptomatic contact lens wearers. Subjects who had previously experienced contact lens discomfort (CLD), with a mean lens wearing history of 18.6±12.8 years, were randomly assigned to use a Test (SYSTANE BALANCE Lubricant Eye Drops; n=76) or control (habitual nonlipid contact lens rewetting eye drop; n=30) drop over their contact lenses within 5 min of lens insertion and then subsequently at 2 hr intervals up to a maximum of 4 drops per eye daily for a 1-month period. Assessments of subjective comfort, comfortable wearing time, lid wiper epitheliopathy (LWE), and corneal staining were conducted at baseline and after 1 month, after 6 hr of lens wear. Comfort, wearing time, LWE, and corneal staining all showed statistically significant improvements in the test group using SYSTANE BALANCE Lubricant Eye Drops at the 1-month visit compared with baseline data (all P<0.01) and compared with the control group at the 1-month visit (P<0.01, P=0.01, P<0.01, and P=0.03, respectively). The use of SYSTANE BALANCE Lubricant Eye Drops as a rewetting drop in a group of wearers who experienced symptoms of CLD improved subjective comfort scores, increased comfortable wearing time, and reduced signs of LWE and corneal staining, when compared with the use of non-lipid-containing contact lens rewetting eye drops.

Human-Friendly Design of Virtual System “female Body-dress”

Abstract Recently, the development efforts focused on the computer simulation of garments, which depend on the material's physico-mechanical properties. It intends to achieve the best possible and realistic simulations of garments, which are available for pressure prediction. In this manner, 3D garment virtual technology improvements allow the visualization of pressure areas with values where the fabric might be too tight against the body. Although the purposes of simulation graphics were acceptable, the accuracy for apparel shaping is not enough to meet the needs of Virtual Prototyping and CAD utilization especially while the fabric properties system design was inadequate. Moreover, the existing pressure simulation is intended to simply predict the pressure index or how the textile deformation extend, which are deficient in real human's perception. In this research, the 3D shapes belonging to typical female bodies and dresses made of different fabrics were obtained by 3D body scanners (ScanWorX and TELMAT). Through reconstruction for the 3D torso shapes, the volumetric eases between body and dress were calculated by means of a software Rhinoceros. A new approach for the selection of textile properties based on the Kawabata Evaluation System (KES) was proposed to investigate its relations with dress shaping and pressure comfort. Finally, fabric properties tested by the KES-F system were compared with volumetric eases, objective pressure indexes and subjective comfort scores to reveal the relations how the fabric properties have impacts on dress outside shaping and inside pressure comfort of a female body. In this manner, the human-friendly CAD instead of mechanical approach existing before has been presented as a new approach to promote the construction of a realistic system for the 3D simulation optimization.

Effect of corneal contact lens wear on healing time and comfort post LGK for treatment of SCCEDs in boxers.

To determine whether dogs with spontaneous chronic corneal epithelial defects (SCCEDs) would heal faster and with an improved comfort score following linear grid keratotomy (LGK) combined with corneal contact lens (Acrivet(™) ) wear when compared to dogs having the LGK procedure alone. Prospective study. Twenty-seven boxer dogs (27 eyes) diagnosed with a SCCEDs were enrolled in the study. A LGK was performed on all dogs under dexmedetomidine and butorphanol sedation. Fourteen eyes were randomly assigned to receive a corneal contact lens. The dogs were evaluated typically at 7, 10, and 14 days or until the ulceration was healed. Client surveys were completed by the owners to subjectively assess comfort level and contact lens retention. Statistical analyses were performed utilizing generalized linear models and survival analysis with the Wilcoxon-Gehan test to evaluate group differences. All ulcers healed after the LGK procedure. Dogs with bandage contact lenses had a statistically significant (P = 0.035) decrease in median healing time (7 days (95% CI [7,9]) compared to those without contact lenses (10 days (95% CI [7,12])). There was no difference in subjective comfort score between treatment groups. Early contact loss occurred in 28.6% (95% CI [8.4%, 58.1%]) of dogs. All of the Acrivet(™) ruler corneal measurements agreed to within 1 mm (95% CI [87.2%, 100%]) of the Jameson caliper measurements of horizontal corneal diameter. The use of corneal bandage contact lenses significantly decreased median healing time although there was no effect on subjective comfort score. The Acrivet(™) ruler measurements were accurate in determining corneal diameter and therefore contact lens size.

Evaluation of the Functional and Non-functional Seat Sponge Effect in Sitting Chairs

Objective: The purpose of this study was to evaluate comfort levels of functional and non-functional chairs using subjective comfort rating, interface pressure measurement, muscle activity measurement, and skin temperature measurement.<BR><BR> Background: Chairs are used for a prolonged period of time for sitting in many places such as the office, at university, at school, in industry, and so on. Almost all people use chairs in their everyday life. The functional properties of the chair are associated with comfort.<BR><BR> Method: The subjective evaluation contains questions regarding chair comfort which can be rated with five point scale. The body-seat interface pressure was measured using a pressure mat system. The symmetry of sitting was measured using electromyography. The change in body part (thigh and buttock) temperature before and after sitting on a chair was measured with an infrared camera.<BR><BR> Results: Participants rated significantly (p < 0.05) higher comfort scores for the functional chair in relation to the buttock and thigh region. Also, the participants felt a better cushion effect in the functional chair. When using the functional chair, lower interface pressure, better thermal comfort, and better symmetry of erector spinae muscle activity were observed.<BR><BR> Conclusion: Overall, interface pressure measurement, muscle activity measurement, thermal imaging and subjective comfort score results showed that the functional chair was more comfortable than the non-functional chair.<BR><BR> Application: The adopted methodologies could be used to measure the seating comfort of train seats.