Sharif Digital Repository

Treatment of cancer involves many invasive procedures that could be a source of distress in kids suffering from cancer. Distress itself can be an important obstacle in patients' acceptance of treatment and their adaptation to it, consequently reducing its efficiency. Distress symptoms, in a spectrum from mild to critical, are shown to be widespread in children struggling with cancer. In recent years to alleviate this psychological condition, researchers have proposed and examined several methods such as relaxation, hypnosis, desensitization, and distraction. This study presents a new approach to explore the impact of utilizing a humanoid robot as a therapy-assistant in dealing with patients'... 

Treating cancer encompasses many invasive procedures that can be a source of distress in oncology patients. Distress itself can be a major obstruction in the path of acceptance of treatment and the patient's adaptation to it, thereby reducing its efficiency. These distress symptoms have been found to be prevalent in children suffering from cancer, in a spectrum from mild to critical. In the past years in response to this psychological suffering, researchers have proposed and tested several methods such as relaxation, hypnosis, desensitization, and distraction. This paper propounds a new approach by exploring the effect of utilizing a humanoid robot as a therapy-assistive tool in dealing with... 

The coronavirus disease (COVID-19) pandemic, which has spread around the world, caused the death of many affected patients, partly because of the lack of oxygen arising from impaired respiration or blood circulation. Thus, maintaining an appropriate level of oxygen in the patients' blood by devising alternatives to ventilator systems is a top priority goal for clinicians. The present review highlights the ever-increasing application of nanobubbles (NBs), miniature gaseous vesicles, for the oxygenation of hypoxic patients. Oxygen-containing NBs can exert a range of beneficial physiologic and pharmacologic effects that include tissue oxygenation, as well as tissue repair mechanisms,... 

The coronavirus disease (COVID-19) pandemic, which has spread around the world, caused the death of many affected patients, partly because of the lack of oxygen arising from impaired respiration or blood circulation. Thus, maintaining an appropriate level of oxygen in the patients' blood by devising alternatives to ventilator systems is a top priority goal for clinicians. The present review highlights the ever-increasing application of nanobubbles (NBs), miniature gaseous vesicles, for the oxygenation of hypoxic patients. Oxygen-containing NBs can exert a range of beneficial physiologic and pharmacologic effects that include tissue oxygenation, as well as tissue repair mechanisms,... 

A robust motion controller based on backstepping technique for a robotic nurse unit to assist paraplegic patients is addressed in this paper. A backstepping controller is proposed for tracking a desired trajectory in hospital environment. Simulation results are provided to validate the proposed controller. The results show satisfactory performance of the designed controller in tracking problem. Copyright © 2005 by ASME  

The main goal of this study is to investigate the role of vascular graft thickness in wall stress gradient in anastomosis region. Atherosclerosis is a common heart disease causes high mortality rates every year. The gold standard treatment of atherosclerosis is replacing with autologous vein extracted from patient's body. Since proper autologous vein is limited, researchers have made efforts to achieve compliance engineered blood vessels. Mechanical stress has great effect on both smooth muscle cells and endothelial cells and it is considered as a stimulus in plaque formation. In this study, we evaluate the role of thickness in wall stress of anastomosis region. For this purpose, two... 

The most prevalent musculoskeletal condition and one of the most disabilities are caused by low back pain. In the low back pain, a large variety of evaluation tools is presented to assess the results of the treatment; therefore, it is important to measure the trunk angle in order to determine the progress during patient's treatment. In this project, we developed a low cost prototype system for flexion-extension movement to measure the angle of the trunk in sagital plane. The system consists of clothing that is stretchable; a Rubbery Ruler sensor (RRs) attached on clothing, data acquisition system. Inertial Magnetic Unit (IMU) sensor installed on spine is used to calibrate the orientation for... 

The main goal of this study is to investigate the role of vascular graft thickness in wall stress gradient in anastomosis region. Atherosclerosis is a common heart disease causes high mortality rates every year. The gold standard treatment of atherosclerosis is replacing with autologous vein extracted from patient's body. Since proper autologous vein is limited, researchers have made efforts to achieve compliance engineered blood vessels. Mechanical stress has great effect on both smooth muscle cells and endothelial cells and it is considered as a stimulus in plaque formation. In this study, we evaluate the role of thickness in wall stress of anastomosis region. For this purpose, two... 

Resection of the epilepsy foci is the best treatment for more than 15% of epileptic patients or 50% of patients who are refractory to all forms of medical treatment. Accurate mapping of the locations of epileptic neuronal networks can result in the complete resection of epileptic foci. Even though currently electroencephalography is the best technique for mapping the epileptic focus, it cannot define the boundary of epilepsy that accurately. Herein we put forward a new accurate brain mapping technique using superparamagnetic nanoparticles (SPMNs). The main hypothesis in this new approach is the creation of super-paramagnetic aggregates in the epileptic foci due to high electrical and... 

A nonlinear model reference adaptive bilateral impedance controller is proposed that can accommodate various cooperative tele-rehabilitation modes for patient–therapist interaction using a multi-DOF tele-robotic system. In this controller, two reference impedance models are implemented for the master and slave robots using new model reference adaptive control laws for the nonlinear bilateral teleoperation system. “Hand-over-hand” and “adjustable-flexibility” are two modes of patient–therapist cooperation that are realized using the proposed strategy. The Lyapunov-based stability proof guarantees the patient's and the therapist's safety during the cooperation and interaction with robots, even... 

In recent years, robotic rehabilitation has been utilized in treatment and recovery of patients with disabilities. In this paper, a novel design and kinematic analysis of a 4-DOF robot for upper-limb rehabilitation are proposed. The main novelty of this design is its mechanism for wrist and fingers motions which is added to the shoulder and elbow mechanism without any noticeable weight increase in the moving parts of the robot. For this purpose, a cable driven mechanism is implemented at the robot end-effector to move the wrist and fingers parts, and the corresponding actuators are placed at the base of the robot. © 2018 IEEE  

The objective of this paper is to apply computational fluid dynamic (CFD) as a complementary tool for clinical tests to not only predict the present and future status of left coronary artery stenosis but also to evaluate some clinical hypotheses. In order to assess the present status of the coronary artery stenosis severity, and thereby selecting the most appropriate type of treatment for each patient, fractional flow reserve (FFR), instantaneous wave free-ratio (iFR), and coronary flow reserve (CFR) are calculated. To examine FFR, iFR, and CFR results, the effect of geometric features of stenoses, including diameter reduction (%), lesion length (LL), and minimum lumen diameter (MLD), is... 

The central nervous system (CNS) dynamically employs a sophisticated weighting strategy of sensory input, including vision, vestibular and proprioception signals, towards attaining optimal postural control during different conditions. Non-specific low back pain (NSLBP) patients frequently demonstrate postural control deficiencies which are generally attributed to challenges in proprioceptive reweighting, where they often rely on an ankle strategy regardless of postural conditions. Such impairment could lead to potential loss of balance, increased risk of falling, and Low back pain recurrence. In this study, linear and non-linear indicators were extracted from center-of-pressure (COP) and... 

In the adolescent idiopathic scoliosis (AIS) treatment, a brace is prescribed to the patients who have 20 to 45° curves on their spines to prevent the disorder's advancement. For the analysis of Milwaukee brace effects during time, finite element models (FEMs) of the spine (the thoracolumbar region) and the ribcage (contained 10 pairs of the ribs and the sternum) were prepared for two patients. For modeling the spine part, a new element was used in which a disc (as viscoelastic 3D beam) and a vertebra (as rigid link) were modeled as an element and the ribs and the sternum modeled by 3D elastic beams. The gravity, Milwaukee brace constraints and the forces of the brace's different regions... 

Simulation is the gold standard for training in aviation and trauma medicine. Now it is available for diseases diagnosis and treatment. With simulation, clinicians can practice their art in a realistic, consequence free environment, combining both theory and practice in a comprehensive program. Method and materials - In the virtual clinical environment of "VPsoft mentor" software, the practitioner reviews a patient's history, orders laboratory tests and procedures, interprets findings, renders diagnoses, and prescribes medication. Every diagnostic or treatment decision the clinician makes for the patient is analyzed by E-mentor, providing instant feedback.Results - This software have been... 

This article, introduces a new haptic robot, wrist-RoboHab, for upper limb rehabilitation of post stroke, orthopedic and Parkinson patients., The robot is designed for hand movement therapy and could be used for both treatment and evaluation purposes in three operational states; forearm supination/pronation, wrist flexion/extension and ulnar/radial deviation. At first the mechanical design and control system are described. Then the results of a case study are demonstrated. Clinical results, showed an improvement in Fugle-Meyer, AROM, power and the biomechanical assessment of the spasticity in a chronic patient. Furthermore, it was approved that the robot can have a good interaction with... 

Studies have shown that balance and mobility in people with Parkinson's disease (PD) can improve through rehabilitation interventions. However, until now no quantitative method investigated how these patients improve their balance control. In this study, a single inverted pendulum model with PID controller was used to describe the improvement of forty PD patients after a 12-session therapy program, and to compare their balance with twenty healthy subjects. The Center of Pressure (COP) data were recorded in seven sensory conditions - on rigid and foam surface, each with eyes open and closed, and with visual disturbance; and stance on rigid surface with attached vibrator to the Achilles... 

Exercise therapy is considered as one of the main rehabilitation treatments for post-stroke patients, especially by utilizing modern technologies, such as virtual and/or augmented reality. However, in order to design an appropriate exercise program, which prolongs the exercise duration and maximize the patient's improvement, the fatigue status needs to be detected and used for the program adjustment. In the previous fatigue recognition works, only exercises for healthy and athlete subjects have been taken into account. In this paper, fatigue status classification has been accomplished in a rehabilitation exercise for poststroke patients. To do so, the reaching task, as a basic rehabilitation... 

Background: The advent of high throughput sequencing has enabled researchers to systematically evaluate the genetic variations in cancer, identifying many cancer-associated genes. Although cancers in the same tissue are widely categorized in the same group, they demonstrate many differences concerning their mutational profiles. Hence, there is no definitive treatment for most cancer types. This reveals the importance of developing new pipelines to identify cancer-associated genes accurately and re-classify patients with similar mutational profiles. Classification of cancer patients with similar mutational profiles may help discover subtypes of cancer patients who might benefit from specific... 

Nanotechnology has begun to play a remarkable role in various fields of science and technology. In biomedical applications, nanoparticles have opened new horizons, especially for biosensing, targeted delivery of therapeutics, and so forth. Among drug delivery systems (DDSs), smart nanocarriers that respond to specific stimuli in their environment represent a growing field. Nanoplatforms that can be activated by an external application of light can be used for a wide variety of photoactivated therapies, especially light-triggered DDSs, relying on photoisomerization, photo-cross-linking/un-cross-linking, photoreduction, and so forth. In addition, light activation has potential in photodynamic...