著者
Motoshi SAWADA Makoto IWAMURA Toshifumi HIRATA Noboru SAKAI
出版者
The Japan Neurosurgical Society
雑誌
Neurologia medico-chirurgica (ISSN:04708105)
巻号頁・発行日
vol.36, no.1, pp.40-44, 1996 (Released:2006-04-10)
参考文献数
21
被引用文献数
9 10

A 53-year-old male developed fever, nuchalgia, shoulder pain, and sore throat after a partial sigmoidectomy. He suffered sudden onset of quadriplegia about 5 days later. Magnetic resonance (MR) imaging indicated the characteristic appearance of C5-6 intervertebral disc herniation. However, anterior discectomy showed that he had cervical discitis associated with spinal epidural abscess. Continuous pus drainage from the abscess and vigorous antibiotic therapy were undertaken after surgery. He improved and could walk with assistance. MR imaging with gadolinium can be useful in diagnosing pyogenic spinal infection (epidural abscess, osteomyelitis, and discitis), but care should be taken in MR image interpretation since spinal epidural abscess associated with discitis may mimic disc herniation. Axial MR images are important to distinguish this rare disease from other cervical disorders.
著者
Makoto IWAMURA Yoshiko YAMAGUCHI Ittou TANAKA Hiroyuki FUJISHIMA
出版者
一般社団法人日本機械学会
雑誌
Mechanical Engineering Journal (ISSN:21879745)
巻号頁・発行日
vol.4, no.4, pp.17-00028-17-00028, 2017 (Released:2017-08-15)
参考文献数
8
被引用文献数
1

Recently, several types of nursing care equipment to aid the lifting and transfer of aged persons have been developed. Especially, rotational boom-type care lifts are used widely because of their simplicity and usefulness. However, such lifts sometimes provide a feeling of uneasiness because during lift-up, the center of the human body moves backward relative to the position of the heel. Hence, in this paper, we first propose a telescopic boom-type care lift to approximate the trajectory of the lift-up motion of a human standing up naturally. By using a multibody dynamics approach, we show that the proposed mechanism can achieve nearly natural standing-up motion and requires a smaller force for lift-up than that required by the conventional-type lift. Next, we develop a prototype telescopic boom-type care lift and verify experimentally that the proposed lift can reduce mental and physical burden compared with the conventional lift. To compare mental burden, we conduct a sensory evaluation by administering a questionnaire. To compare physical burden, we estimate muscle activation based on users' electromyographic signals. These results show the effectiveness of the proposed telescopic boom-type lift. Finally, we consider the optimal design of the proposed care lift structure. We propose an algorithm to seek optimal design parameters that minimize the error between the tip trajectory of the lift and the human chest trajectory measured using a motion capture system.