UNASSIGNED: The use of eye care services varies among different population groups.
UNASSIGNED: This study aimed to assess self-reported eye care use (ECU) and associated demographic factors among Malawian adults.
UNASSIGNED: This study used secondary data from the Malawi Fifth Integrated Household Survey 2019-2020, a nationally representative survey. The study included 12,288 households and 27,336 individuals 15 years and older. We entered age, sex, level of education, residency (urban/rural), and chronic disease into a logistic regression model, and used a confusion matrix to predict the model\'s accuracy. A P value <.05 was considered statistically significant.
UNASSIGNED: About 60.6% (95% CI 60.0%-61.2%) of those with eye problems accessed formal care 2 weeks before the survey date. A logistic regression model showed that ECU was positively associated with education compared to none (odds ratio [OR] 6.6, 95% CI 5.927-7.366; P<.001), males compared to females (OR 1.2, 95% CI 1.104-1.290; P<.001), and urban residence compared to rural (OR 1.2, 95% CI 1.118-1.375; P<.001). ECU was negatively associated with age (OR 7, 95% CI 6.782-8.476; P<.001) and having chronic diseases (OR 0.6, 95% CI 0.547-0.708; P<.001).
UNASSIGNED: Social support, women empowerment, education, and mobile clinics are key strategic areas that would increase access to eye care in Malawi. Further studies can investigate ECU among the pediatric population.

This study assessed the lead and trail arm peak and average extensor carpi ulnaris (ECU) muscle activity in association with tri-planar angular velocities of the lead and trail wrists during the golf swing. Fifteen sub-elite, male right-handed golfers (Mage = 34.7 years ±13.3, Mhandicap = 1.5 ± 2.2) were recruited to execute five shots each with their pitching wedge, 7-iron and driver clubs in an indoor golf simulator. Surface electromyography (EMG) sensors were placed over the ECU muscle belly and inertial measurement unit sensors were placed bi-laterally on the distal forearm and dorsum of the hand. There was a statistically greater recruitment of the trail ECU muscle during the downswing (p < 0.001) for all clubs. The lead ECU muscle was recruited more during the backswing (p < 0.001) and follow through (p < 0.024) phases. There were statistically different tri-planar movement patterns between the lead and trail wrist throughout all three phases of the golf swing. No significant relationships were found between downswing EMG data and clubhead kinematics at impact. In conclusion, differing wrist kinematics and associated muscle activity may contribute to the asymmetrical injury pattern seen clinically.

Background  Subluxation of the extensor carpi ulnaris (ECU) tendon can be a challenging problem to the surgeon, with no options described for failure following autologous reconstruction. It is our intention to provide guidance on technique by describing our experience in a 20-year-old male with Ehlers-Danlos syndrome. Case Description  The patient presented with pain and snapping of the ECU tendon, and failed both immobilization and ECU reconstruction with autologous extensor retinaculum. A gracilis tendon allograft was used to reconstruct the ECU sheath, in addition to ulnar groove deepening. At 1-year follow-up, the patient had no pain and the ECU was stable without recurrent subluxation. Literature Review  To the authors\' knowledge, the use of tendon allograft for stabilization of recurrent ECU subluxation following surgical repair or reconstruction has not been previously described in the medical literature. Clinical Relevance  Utilization of tendon allograft is a viable technique to stabilize the ECU tendon while minimizing the risk in relying on compromised autologous tissue. This report represents the first account of successful reconstruction following failed autologous reconstruction.

In-vehicle electronic control unit (ECU) communications generally count on private protocols (defined by the manufacturers) under controller area network (CAN) specifications. Parsing the private protocols for a particular vehicle model would be of great significance in testing the vehicle\'s resistance to various attacks, as well as in designing efficient intrusion detection and prevention systems (IDPS) for the vehicle. This paper proposes a suite of methods for parsing ECU private protocols on in-vehicle CAN network. These methods include an algorithm for parsing discrete variables (encoded in a discrete manner, e.g., gear state), an algorithm for parsing continuous variables (encoded in a continuous manner, e.g., vehicle speed), and a parsing method based on upper-layer protocols (e.g., OBD and UDS). Extensive verifications have been performed on five different brands of automobiles (including an electric vehicle) to demonstrate the universality and the correctness of these parsing algorithms. Some parsing tips and experiences are also presented. Our continuous-variables parsing algorithm could run in a semi-automatic manner and the parsing algorithm from upper-layer protocols could execute in a completely automatic manner. One might view the results obtained by our parsing algorithms as an important indicator of penetration testing on in-vehicle CAN network.

This article reviews the pertinent history and physical examination maneuvers necessary to arrive at the proper diagnosis of patients with ulnar-sided wrist pain. Surface anatomy is stressed along with provocative maneuvers for maximal efficacy.

Background: Since the Sauvé-Kapandji procedure was introduced in 1936, many modifications were created using dynamic stabilizer, such as the ECU (extensor carpi ulnaris), the FCU (flexor carpi ulnaris), pronator teres to solve proximal ulnar stump pain. We believe that this modification is also another option for distal ulnar stump instability. Methods: From January 1998 to February 2017, there were 13 patients received the Sauvé-Kapandji (S-K) procedure with tenodesis of the ECU to the carpus and interosseous membrane. The average age at operation was 52 years (range, 28 to 63 years). Four had traumatic arthritis (two from distal radial fracture malunion, two had instability of distal radioulnar joint from Essex-Lopresti injury), four had primary osteoarthritis of the distal radio-ulnar joint, two had rheumatoid arthritis, one had gouty arthritis, two had madelung deformity. The average follow-up was 30 months (range, 15 to 72 months). Results: Postoperative pronation/supination of the forearm had significantly improved with the exception of the wrist flexion/extension. After surgery, the mean radioulnar distance was narrowed from 11 mm to 9 mm, but no significant difference in 12 patients. All patients had improved in wrist pain, 10 patients had no pain and 3 patients with mild pain over the distal ulnar stump. The mean grip strength had significantly improved from 51% of the contralateral side to 75%. The lateral and stress X-ray films showed no instability of the distal ulnar stump after surgery. Conclusions: In conclusion, the modified S-K procedure using the tenodesis of ECU provides a multi-directional stability and is a reliable surgical procedure for distal radioulnar disorders.

According to the basic structure and working principle of the excitation signal sensors of a diesel engine electronic control unit (ECU), a segmentation model of an ECU excitation signal based on characteristic parameters (ESCP-SM) is proposed. In the ESCP-SM, the ECU excitation signal is divided into several parts, and each part has its characteristic parameters model. By using the same global parameters and strictly controlling each part\'s proportional parameters, the ESCP-SM can achieve signal alignment and dynamic frequency modulation. Based on the simulation experiment, spectrum analysis proves that this modeling method ensures that the original signal\'s effective information is not lost. Pearson similarity analysis shows that the similarity between the simulation signal and practical signal reaches 74%, exhibiting strong correlation. In addition, we set up a physical testing environment. ESCP-SM is realized based on virtual instrument technology, and provides excitation signals for a Komatsu 8 ECU. By modifying the parameter configuration, the ECU can drive the injector to work correctly.

OBJECTIVE: There are several potential donor muscle-tendon units for a thumb opposition transfer. The extensor carpi ulnaris (ECU) is useful when the more usual donor units are not available. The technique and results of a simplified ECU opposition transfer elongated with a free tendon graft are described.
METHODS: Ten ECU opposition transfers were performed using this modification of Henderson technique in 5 adults after complex trauma, 3 adults with median and ulnar nerve palsies, and 2 children with congenital hand differences.
RESULTS: Seven patients achieved a Kapandji opposition score of 6 to the distal phalanx of the small finger, and 3 patients achieved a Kapandji score of 5 to the distal phalanx of the ring finger. None of the patients required a secondary tenolysis or developed a radial deviation imbalance of their wrist.
CONCLUSIONS: This modification of the Henderson technique using ECU elongated with a free tendon graft and inserted directly and only into the abductor pollicis brevis tendon is an effective method of restoring opposition to the thumb, especially when other conventional donor muscle-tendon units are not available.
METHODS: Therapeutic V.

We demonstrated in this work a filterless, multi-point and temperature-independent FBG (fiber Bragg grating) dynamical demodulator using pulse-width-modulation (PWM). In this approach, the FBG interrogation system is composed of a tunable laser and a demodulator that is designed to detect the wavelength shift of the FBG sensor without any optical filter making it very suitable to be used in harsh environments. In this work, we applied the proposed method that uses the PWM technique for FBG sensors placed in high pressure and high-temperature environments. The proposed method was characterized in the laboratory using an FBG sensor modulated in a frequency of 6 Hz, with a 1 kHz sweeping frequency in the wavelength range from 1527 to 1534 nm. Also, the method was evaluated in a field test in an engine of a thermoelectric power plant.

BACKGROUND: Static muscular activity of muscles activated in the use of the conventional PC mouse is believed to represent a higher risk for the musculoskeletal health of the user than dynamic muscular activity.
OBJECTIVE: This paper presents a compounded muscular activity dynamics indicator (akin to percent relative range), enabling comparison between computer handheld pointing devices.
METHODS: This muscular dynamism approach considers baseline muscular activity (APL, ECR, ECU and ED) relative to the Maximum Voluntary Contraction as well as the dynamics of muscular activation. The latter is computed as the ratio of the difference between APDF90 and APDF10 divided by APDF50 (APDF-Amplitude Probability Distribution Function for the 90th, 50th and 10th percentiles). The paper demonstrates the approach with results of comparative evaluation of a horizontal, a slanted and a vertical PC mouse, through surface EMG monitoring of 20 participants performing standardized graphical task with the devices.
RESULTS: Hand size impacts muscular activity dynamics in these four muscles, which supersedes differences in device geometry, across the range of devices tested.
CONCLUSIONS: Smaller devices relative to hand size foster more dynamic muscular activity.