RESUMO
INTRODUCTION: The study aimed to compare the conventional method of electrode marking with a new system, EPlacement, to improve accuracy and reduce the time burden on health care professionals. METHODS: Ten health care professionals marked mannequin heads and adult volunteers using both methods. Time, accuracy, and usability of each method were analyzed. Three neurophysiological diagnostic tests were performed on mannequin heads: reversal pattern visual evoked potential (three electrodes required); somatosensory evoked potentials from the upper and lower extremities (five electrodes required); and standard intraoperative neurophysiological monitoring for spine surgery (nine electrodes required). Precision scanning of the mannequins with structured light and a printed hull were used to determine the actual locations of the electrodes of the 10/20 system. RESULTS: The new method based on the EPlacement device represents an improvement on conventional tape measure (TM) marking and may be considered within the group of advanced methods such as navigation systems since it leads to improvements of 34% (1.7 mm) for electrode positions in the Nasion-Inion and Left tragus-Right tragus lines and 77% (12.5 mm) for electrode positions using the approximate method. It reduces the time spent per test by an average of 1 min compared to the TM method. Health care staff survey results show a positive feedback regarding usability of the new method. CONCLUSIONS: The study showed that the EPlacement device improves accuracy, reduces time, and is easy to use compared to the conventional method of electrode marking. The EPlacement method can facilitate the complex task of electrode marking and ultimately contribute to improved patient outcomes. It has the potential to be widely accepted and implemented in clinical practice.
RESUMO
Versatile acrylate-epoxy hybrid formulations are becoming widespread in photo/thermal dual-processing scenarios, especially in 3D printing applications. Usually, parts are printed in a stereolithography or digital light processing (DLP) 3D printer, after which a thermal treatment would bestow the final material with superior mechanical properties. We report the successful formulation of such a hybrid system, consisting of a commercial 3D printing acrylate resin modified by an epoxy-anhydride mixture. In the final polymeric network, we observed segregation of an epoxy-rich phase as nano-domains, similar to what was observed in a previous work. However, in the current work, we show the effectiveness of a coupling agent added to the formulation to mitigate this segregation for when such phase separation is undesired. The hybrid materials showed significant improvement of Young's modulus over the neat acrylate. Once the flexible, partially-cured material was printed with a minimal number of layers, it could be molded into a complex form and thermally cured. Temporary shapes were readily programmable on this final material, with easy shape recovery under mild temperatures. Inspired by repairable 3D printed materials described recently, we manufactured a large object by printing its two halves, and then joined them covalently at the thermal cure stage with an apparently seamless union.
