scholarly journals sEMG: A Window Into Muscle Work, but Not Easy to Teach and Delicate to Practice—A Perspective on the Difficult Path to a Clinical Tool

2021 ◽  
Vol 11 ◽  
Author(s):  
Bernard J. Martin ◽  
Yadrianna Acosta-Sojo

Surface electromyography (sEMG) may not be a simple 1,2,3 (muscle, electrodes, signal)-step operation. Lists of sEMG characteristics and applications have been extensively published. All point out the noise mimicking perniciousness of the sEMG signal. This has resulted in ever more complex manipulations to interpret muscle functioning and sometimes gobbledygook. Hence, as for all delicate but powerful tools, sEMG presents challenges in terms of precision, knowledge, and training. The theory is usually reviewed in courses concerning sensorimotor systems, motor control, biomechanics, ergonomics, etc., but application requires creativity, training, and practice. Software has been developed to navigate the essence extraction (step 4); however, each software requires some parametrization, which returns back to the theory of sEMG and signal processing. Students majoring in Ergonomics or Biomedical Engineering briefly learn about the sEMG method but may not necessarily receive extensive training in the laboratory. Ergonomics applications range from a simple estimation of the muscle load to understanding the sense of effort and sensorimotor asymmetries. In other words, it requires time and the basics of multiple disciplines to acquire the necessary knowledge and skills to perform these studies. As an example, sEMG measurements of left/right limb asymmetries in muscle responses to vibration-induced activity of proprioceptive receptors, which vary with gender, provide insight into the functioning of sensorimotor systems. Beyond its potential clinical benefits, this example also shows that lack of testing time and lack of practitioner's sufficient knowledge are barriers to the utilization of sEMG as a clinical tool.

2021 ◽  
pp. 103985622110373
Author(s):  
Brooke Short ◽  
Luke Giles ◽  
Aspasia Karageorge ◽  
Lyndon Bauer

Objective: The aims of this study were to explore the knowledge, attitudes, confidence and practices of Australian psychiatrists and psychiatry registrars with regard to smoking cessation with their patients and to promote clinical practice reflection and re-framing. Methods: A mixed-methods questionnaire was developed. Interviews were conducted via telephone or face-to-face utilising participatory action research principles. Qualitative data were de-identified and analysed following a reflexive thematic approach. Results: The questionnaire was completed with 15 participants. The majority worked in the public health sector and agreed that smoking cessation could be used as a clinical tool across mental health services. However, nearly all of the participants reported being unfamiliar with the latest literature. Only one-third of participants reported having had received formal training in smoking cessation. Overwhelmingly, more training was reported as necessary and welcomed by participants. Conclusion: Our study has identified gaps in psychiatrists’ and psychiatry registrars’ knowledge and confidence regarding the promotion, initiation and oversight of smoking cessation strategies for patients. It’s important that psychiatrists lead the way in re-framing and engaging with this issue, and consider smoking cessation as a tool that can improve mental health outcomes. A review of existing Australian policies, guidelines and training is recommended.


2020 ◽  
Vol 29 (5) ◽  
pp. 640-649 ◽  
Author(s):  
Amy Barrette ◽  
Katherine Harman

Context: Pain in sport has been normalized to the point where athletes are expected to ignore pain and remain in the game despite the possible detrimental consequences associated with playing through pain. While rehabilitation specialists may not have an influence on an athlete’s competitive nature or the culture of risk they operate in, understanding the consequences of those factors on an athlete’s physical well-being is definitely in their area of responsibility. Objective: To explore the factors associated with the experiences of subelite athletes who play through pain in gymnastics, rowing, and speed skating. Design: The authors conducted semistructured interviews with subelite athletes, coaches, and rehabilitation specialists. They recruited coach participants through their provincial sport organization. Athletes of the recruited coaches who were recovering from a musculoskeletal injury and training for a major competition were then recruited. They also recruited rehabilitation specialists who were known to treat subelite athletes independently by e-mail. Setting: An observation session was conducted at the athlete’s training facility. Interviews were then conducted either in a room at the university or at a preferred sound-attenuated location suggested by the participant. Participants: The authors studied 5 coaches, 4 subelite athletes, and 3 rehabilitation specialists. Interventions: The authors photographed athletes during a practice shortly before an important competition, and we interviewed all the participants after that competition. Our photographs were used during the interview to stimulate discussion. Results: The participant interviews revealed 3 main themes related to playing through pain. They are: Listening to your body, Decision making, and Who decides. Conclusion: When subelite athletes, striving to be the best in their sport continue to train with the pain of an injury, performance is affected in the short-term and long-term consequences are also possible. Our study provides some insight into the contrasting forces that athletes balance as they decide to continue or to stop.


Author(s):  
Julieta Kartikasari ◽  
Kirana Anugerah Putri ◽  
Radicha Arnanda Putri Indrawati ◽  
Veren Audia Nurmansya ◽  
Wulandari Prima Devi ◽  
...  

IPE  63  Community  Service  Activities  (KKN)  Group  179  Airlangga  University in  Kare Coffee Tourism, Kare Village, Kare District, Madiun City, with the theme of ecotourism which was held on19 January 2021 to 13 February 2021 aimed at developing curry coffee tourism areas, increasing public  awareness of health  and  providing  health  facilities in  accordance with  health  protocols, attracting tourists through promotions on various social media, adding insight into how to utilize coffee processing waste so that it can be of economic value. as well as coffee cultivation techniques and ways to increase coffee production for coffee entrepreneurs and producers in Kare village. As for the design of activities carried out in the form of procurement of complete tourist facilities and procurement of complete protocol facilities that are not yet available in Kare Coffee tours and their availability is needed,  by purchasing  goods online and sending items that have been purchased directly to Kare Village. Promotion of curry coffee tourism, by utilizing existing social media such as Instagram and YouTube by uploading a coffee tour profile video so that it can be known to the wider community and can attract both local and international tourists. The use of coffee waste, by providing education and training to the community in Kare Village, is carried out online as well as uploading  the video  of the seminar results to  YouTube regarding the utilization of coffee waste carried  out  online  and  uploading  the  seminar  results  video  to  YouTube.  And  webinars  on ecotourism,  CHSE protocols, coffee cultivation techniques, and increased coffee production were conducted online on the same day then uploaded the webinar results to Youtube. AbstrakKegiatan Kuliah Kerja Nyata (KKN) IPE 63 Kelompok 179 Universitas Airlangga di Wisata Kopi Kare, Desa Kare, Kecamatan Kare, Kota Madiun, dengan tema ekowisata yang dilaksanakan pada tanggal 19 Januari 2021 hingga 13 Februari 2021 bertujuan untuk mengembangkan kawasan wisata kopi kare, meningkatkan kesadaran masyarakat akan kesehatan dan memberikan fasilitas kesehatan yang  sesuai dengan  protokol kesehatan,  menarik  minat  wisatawan  melalui promosi di berbagai media sosial, menambah wawasan tentang cara memanfaatkan limbah pengolahan kopi agar dapat bernilai  ekonomis.  serta  teknik  budidaya  kopi  dan  cara  meningkatkan  produksi   kopi kepada pengusaha dan produsen kopi di desa Kare. Adapun rancangan kegiatan yang dilakukan berupa pengadaan  kelengkapan  fasilitas  wisata  dan  pengadaan  kelengkapan  fasilitas  protokol  yang sekiranya belum tersedia di wisata Kopi Kare dan dibutuhkan ketersediaannya, dengan cara melakukan  pembelian  barang- barang  secara online dan  mengirimkan  barang  yang  sudah dibeli langsung ke Desa Kare.   Promosi wisata kopi kare, dengan memanfaatkan media sosial yang ada seperti Instagram dan  youtube dengan  mengunggah  video  profil wisata Kopi Kare agar dapat dikenal   masyarakat   luas  serta  dapat   menarik   wisatawan   baik   lokal  maupun   internasional. Pemanfaatan limbah kopi, dengan memberikan edukasi serta pelatihan kepada masyarakat di Desa Kare dilakukan secara daring serta mengupload video hasil seminar ke youtube terkait pemanfaatan limbah  kopi    dilakukan  secara  daring  serta mengupload  video  hasil seminar ke youtube.  Dan webinar mengenai ekowisata, protokol CHSE, teknik budidaya kopi, dan peningkatan produksi kopi yang  dilakukan  secara  daring  pada  hari  yang  sama  kemudian  mengunggah  hasil  webinar  ke Youtube.


Author(s):  
Josep M. Basart

Engineering students are introduced to their profession's ethical and social responsibilities along with their education and training at university. This might be the only time and place where public welfare engagement may be promoted by the institution and acknowledged by students. Their future behavior as engineers heavily depends on the understanding and commitment they may develop during this process. The purpose of this chapter is to discuss the main points related to the teaching and learning of Engineering Ethics at universities. In order to gain insight into this complex educational scene, a set of questions are formulated and explored. The discussion of these questions amounts to explain what Engineering Education consists of, how to integrate Engineering Ethics courses into the curriculum and develop instructional designs for classroom teaching, who should assume teaching responsibilities, and finally, what Engineering Ethics goals should be. For each query, the primal issues, controversies, and alternatives are discussed.


2019 ◽  
Vol 27 (3) ◽  
pp. 393-410 ◽  
Author(s):  
Maria Bada ◽  
Jason R.C. Nurse

PurposeThe purpose of this study is to focus on organisation’s cybersecurity strategy and propose a high-level programme for cybersecurity education and awareness to be used when targeting small- and medium-sized enterprises/businesses (SMEs/SMBs) at a city-level. An essential component of an organisation’s cybersecurity strategy is building awareness and education of online threats and how to protect corporate data and services. This programme is based on existing research and provides a unique insight into an ongoing city-based project with similar aims.Design/methodology/approachTo structure this work, a scoping review was conducted of the literature in cybersecurity education and awareness, particularly for SMEs/SMBs. This theoretical analysis was complemented using a case study and reflecting on an ongoing, innovative programme that seeks to work with these businesses to significantly enhance their security posture. From these analyses, best practices and important lessons/recommendations to produce a high-level programme for cybersecurity education and awareness were recommended.FindingsWhile the literature can be informative at guiding education and awareness programmes, it may not always reach real-world programmes. However, existing programmes, such as the one explored in this study, have great potential, but there can be room for improvement. Knowledge from each of these areas can, and should, be combined to the benefit of the academic and practitioner communities.Originality/valueThe study contributes to current research through the outline of a high-level programme for cybersecurity education and awareness targeting SMEs/SMBs. Through this research, literature in this space was examined and insights into the advances and challenges faced by an on-going programme were presented. These analyses allow us to craft a proposal for a core programme that can assist in improving the security education, awareness and training that targets SMEs/SMBs.


2016 ◽  
Vol 55 (8-9) ◽  
pp. 1172-1202 ◽  
Author(s):  
Stacey A. Havlik ◽  
Kara Schultheis ◽  
Kaitlyn Schneider ◽  
Erin Neason

Through engaging in interviews with 10 local educational agency liaisons, this study provides insight into their roles, challenges, and training in serving children and youth experiencing homelessness. Using thematic analysis to analyze transcripts, common themes were uncovered. The findings highlight the liaisons’ challenges related to identification and academic barriers, as well as provide deeper insight into their preparation. Furthermore, the results suggest that liaisons are dedicated to their roles and are committed to building partnerships to serve students.


2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Satoru Kuriyama ◽  
Yukio Maruyama ◽  
Hirokazu Honda

AbstractThe long-term clinical experiences with recombinant human erythropoietin (rHuEPO) and its analog derivatives have clearly proven that correction of anemia with erythropoiesis stimulating agent (ESA) not only reduces blood transfusion and improves patients’ QOL but has multiple benefits for the concurrent complications of CKD such as Cardio-Renal–Anemia (CRA) syndrome and/or malnutrition-inflammation-atherosclerosis (MIA) syndrome.Unlike ESA, the newly available agent, hypoxia-inducible factor (HIF) stabilizer, stimulates endogenous erythropoietin (EPO) by mimicking hypoxia with HIF prolyl hydroxylase domain enzyme (HIF-PHD) inhibition. The phase 2 and 3 clinical studies have shown that HIF stabilizers are as efficacious as ESA in ameliorating renal anemia. Whether the same clinical benefits on CRA and MIA syndrome hold true in patients given HIF stabilizers is a matter for future debate. Given that HIF stabilizers act on the multiple target genes, the use of this novel agent may lead to unwanted adverse events.Launching HIF stabilizers into the treatment of renal anemia provokes a concern about how this alternative treatment will be taken up in the daily clinical practice. However, guideline-oriented strategies on how to use HIF stabilizer is not available at this limited point due to scant clinical information. Nevertheless, this opinion-based review provides a future insight into the management of renal anemia with HIF stabilizer by reference to the past experiences with ESA. HIF stabilizers can preferably be indicated for CRA syndrome at pre-dialysis stage, ESA resistant anemia at advanced CKD stage, and perhaps for dysregulated iron metabolism akin to MIA syndrome in patients on dialysis.


2018 ◽  
Vol 17 (1) ◽  
pp. 1-10 ◽  
Author(s):  
Michelle Jolley

Purpose Tackling high reoffending rates in England and Wales is of significant political interest, with education and training being viewed as an important mechanism to achieve change. The purpose of this paper is to present the findings of a small empirical study examining a life skills programme delivered in a Category C prison in the West Midlands. Design/methodology/approach The study used a multi-method approach incorporating observations of two modules, four focus groups with prisoners enrolled on the programme, questionnaires with programme completers, and semi-structured interviews with staff. Findings The findings indicate that life skills are an important component in rehabilitation. More specifically, developing the necessary tools to assist prisoners in everyday life, such as recognition, interpretation, reflection, response, and planning is fundamental to rehabilitation. Research limitations/implications A limitation of this study was that only prisoners currently at this Category C prison were included. This could be complemented by the inclusion of more participants who had completed the programme; however, access and data protection considerations limited the study to one location. Practical implications The key message of this study is that without addressing basic life skills, education and vocational rehabilitation is severely limited. Social implications To reduce reoffending rates, it is important to conceive rehabilitation in broader terms, not simply in relation to education and vocational training. Originality/value This paper offers insight into an unreported area of good practice in prison rehabilitation provision.


2015 ◽  
Vol 137 (6) ◽  
Author(s):  
Jennifer S. Wayne ◽  
Afsarul Q. Mir

A three-dimensional (3D) computational model of the wrist examined the biomechanical effects of the proximal row carpectomy (PRC), a surgical treatment of certain wrist degenerative conditions but with functional consequences. Model simulations, replicating the 3D bony anatomy, soft tissue restraints, muscle loading, and applied perturbations, demonstrated quantitatively accurate responses for the decreased motions subsequent to the surgical procedure. It also yielded some knowledge of alterations in radiocarpal contact force which likely increase contact pressure as well as additional insight into the importance of the triangular fibrocartilage complex and retinacular/capsular structures for stabilizing the deficient wrist. As better understanding of the wrist joint is achieved, this model could serve as a useful clinical tool.


2002 ◽  
Vol 94 (3) ◽  
pp. 834-840 ◽  
Author(s):  
Gary P. Austin ◽  
Gladys E. Garrett ◽  
David Tiberio

Although hopping is considered a children's activity, it can be used to provide insight into the neuromuscular and biomechanical performance of adults. This study investigated whether mass added during unipedal hopping altered the vertical stiffness, hopping period, and angular kinematics of the lower extremity of adults. Measures of two-dimensional kinematics and vertical force were made from 10 healthy men during hopping at a preferred period under three conditions: Body Mass, Body Mass + 10%, and Body Mass + 20%. Adding mass significantly increased hopping period and hip flexion without significantly affecting vertical stiffness, ankle dorsiflexion, or knee flexion. Overall, the findings agreed with predictions based on a simple-mass spring model. The results indicate unique kinetic and kinematic responses to increased mass during hopping may have potential application in neuromuscular assessment and training for the lower extremities.


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