Volume 56, Issue 5

For many decades the measurement of body core temperature has been ubiquitously established in medical and non-medical applications, e.g., in hospitals, occupational medicine, sports medicine, military and other settings. However, there are still numerous challenges, such as the precise definition of the body core temperature, establishing the clinical importance of the measured temperature and the lack of a reliable, non-invasive and fast measurement method for body core temperature. After an introduction to the topic, the medical aspects from a user point of view are presented, i.e., the needs for temperature measurements, as well as possible measurement sites and clinical specifications and needs are highlighted. Subsequently, technical methods are presented which are used for temperature measurement. The analysis of the technical methods is divided into two sections: the first deals with the standard methods, which are currently used and the second describes methods, which are currently under development. Although temperature measurement appears very easy and is very common in daily use, it has many constraints, which are considered later. The need for further research is deduced from the above-mentioned sections and is finally followed by the conclusions section.

Human mesenchymal stem cells (hMSCs) are capable of self-renewal and differentiation into various cell lineages. Mechanical stimuli have been shown to regulate function of stem cells through alteration in morphology and structure. The aim of this study was to evaluate and compare effects of uniaxial static stretch and combined static-dynamic stretch on the orientation, regulation and cytoskeletal structure of hMSCs. Mean values of topological were calculated before and after loadings. Moreover, fractal dimension (FD) was employed to quantify alterations in shape complexity of the cells. Internal cytoskeletal structure of cells was observed by actin filament staining. Results demonstrated a statistically significant change in cell topology and FD due to 10% static-dynamic stretch after 24 h. Static stretch was not as influential as dynamic loading. Whereas for combined static-dynamic stretch systemic alignment of cells was detected, in the static test group local alignment of actin fibers was observed, although the entire cell network was not totally aligned in a specific direction. It was concluded that dynamic stretch leads to cytoskeletal alignment and repolarization of hMSCs, whereas static stretch does not. Under static stretch hMSCs proliferated more than under dynamic stretch. Results can be applied in tissue engineering when functionalization of stem cells is required.

Even though periprosthetic bone loss is common after total hip arthroplasty, there is no scientific evidence whether it compromises the survival of the prosthesis. Using quantitative computed tomography-assisted osteodensitometry, we determined the pattern of periacetabular bone density (BD) changes of two different press-fit cups (54 hips) 10 days, 1 year and 3 years post-operatively. We measured cortical and cancellous BD at three points of time and evaluated the effects of patient-specific characteristics [age, gender, body mass index (BMI)], clinical function, and BD at index operation. Cancellous BD decreased in all periacetabular regions by up to -52% (p≤0.001). In contrast, cortical BD above the dome of the cup remained constant while at the level of the cup it decreased by up to -17% (p≤0.001). Older patients had significantly lower cortical (ventral and dorsal) and cancellous (cranial) BD values, obese patients had a higher cortical BD ventral, and patients with excellent clinical results had a higher cancellous BD ventral and dorsal to the cup. Changes in BD suggest high stress shielding of retroacetabular cancellous bone, while load is transmitted to cortical bone above the dome of the cup. Patient-specific characteristics were shown to affect BD, but long-term analysis is needed to show whether these effects are of clinical importance.

Recent clinical studies indicate that stimulation of the retina with tiny amounts of current can have a therapeutic effect on retinal diseases such as retinitis pigmentosa. We have therefore developed a preventive treatment system which stimulates the eye with a thread electrode; among other objectives, the aim is that even blind patients can administer the therapy themselves under physician's supervision.

Observations indicate that different information is contained in electrocardiograms and magnetocardiograms in both patients and healthy volunteers. Closed loop currents could explain this phenomenon. We hypothesized that open loops, such as the spirally shaped currents in the heart, also contribute to these differences. We modeled two types of open spiral-shaped loops, based on the heart geometry, using 12 artificial current dipoles in a physical torso phantom. The electric potentials and magnetic fields were measured simultaneously with increasing numbers of active dipoles in the spiral source geometries. We found a continuous increase in the measured amplitudes of the magnetic fields, up to a plateau value when 10 active dipoles were enabled. For the electric potentials, we found that the amplitudes increased when up to six or eight active dipoles had been enabled, and then decreased thereafter. We conclude that open loop currents also contribute to the experimentally observed differences in magnetocardiograms and electrocardiograms in both patients and healthy volunteers. Combined bioelectric and biomagnetic measurements should provide greater insight into heart activity than do single modality measurements.

We benefited from the flexibility provided by virtual reality to enhance a classical paradigm on array and self mental rotations and related questions on a set of items. We used this paradigm to investigate how the Level of Schizotypy in nonclinical subjects might influence their behavior in egocentric and allocentric mental transformations. Three elements of novelty were introduced: (i) we separated the phases of mental transformation (Imagined Rotation Phase) and task performance (Task Phase), (ii) we measured the time required for Imagined Rotation Phase and Task Phase separately, and (iii) we cued self-rotations with a virtual human being (self-avatar) or an inanimate object (self-chair). Twenty-four nonclinical participants were categorized in low- and high-schizotypal subjects (Low-S, High-S). A mixed-design analysis of variance showed that High-S were significantly faster than Low-S during the Imagined Rotation Phase (array and self-chair rotations) and during the Task Phase (self-chair). High-S were also faster in the self-chair than in the self-avatar rotation, supporting the existence of a dissociation between perspective changing and perspective taking in High-S. In line with the literature, we found that participant performances decreased with increasing angular difference between the initial and the imagined perspective.