This study was undertaken to clarify the influence of respiratory blood pressure variability upon the relationship between respiratory period and respiratory cardiac cycle variability. In 4 healthy male university students respiratory period was varied over the range of 6-20 sec while tidal volume was maintained constant (21) and in 5 other male students tidal volume was varied over the range of 1.0-2.5l while respiratory period was maintained constant (6 sec) . For cardiac cycle (RR) and systolic and diastolic blood pressure (SBP and DBP), amplitude of respiratory variability and phase difference between respiratory variability and respiration were measured.
1. Patterns of change of amplitude of RR and of SBP were similar when respiratory period was changed.
2. When respiratory period was short (6sec), RR was nearly in phase with SBP. However, as respiratory period increased, the phases of RR and SBP had a tendency to proceed, with the tendency being more pronounced in the latter. Thus, when respiratory period was prolonged (20 sec), SBP led RR.
3. Phase relationship between respiratory SBP variability and respiration did not change when tidal volume was changed.
4. Respiratory DBP variability became more marked as respiratory period increased, and showed more marked phase shift than did respiratory SBP variability. Therefore, of those parameters DBP occurred earlier.
Based on these results, it is concluded that respiratory RR variability is closely related to respiratory SBP variability when respiratory period is changed, but that the phase difference between RR and SBP reflects the effect of pulmonary stretch reflex which is dependent on respiratory period.

To date a uniform set of standards for the kinesiology and measurement of the degree of flexibility of the human body are not available in Japan. In the methods of measurement of the suppleness of the human body, various distances and angles have been used separately as frames of reference. In the selection of angles for lateral observation on the human body, some investigators have set the standard point of reference at the major trochanter, while others have taken the anterior superior iliac spine as their standard point of reference.
In the present study, the lateral angle of the human body was measured using the anterior superior iliac spine and the major trochanter as the standard points. The values from the measurement of these two points were comparatively studied around the rotation of the pelvis. In 4 male and 4 female university students without joint abnormalities, measurement was carried out in 5 postures (1) normal (2) lordosis (3) flat back (4) flexion of the trunk (5) hyperextension of the trunk.
As the standard points for angle analysis, 4 points, the acromion, anterior superior iliac spine, the major trochanter, and the lateral malleolus were selected. As the angle to express each posture, the anterior angle of the acromion-anterior superior iliac spine-lateral malleolus and anterior angle of the acromion-major trochanter-lateral malleolus were measured.
For the observation of pelvic inclination, the internal angle of the anterior superior iliac spine-major trochanter and the lateral malleolus was measured. In order to analyze this, the range of fluctuation of the postural angle against pelvic inclination around the major trochanter and anterior superior iliac spine was calculated.
As a results, a small variance in the fluctuation of the values of measurement in each test subject would express a change of posture due to pelvic rotation. In each case, the use of the major trochanter gave a small unbiased variance.
In our experience, palpation of the major trochanter or anterior superior iliac spine especially in females revealed less resistance by the former. Consequently, based on these results, the use of the tip of the major trochanter appears to be more reasonable than the anterior superior iliac spine as a reference point for the observation of the human body from the lateral aspect.
It is proposed that the standard point should be placed on the center of the major movable joint to express the posture and other movement, in addition to the anterior superior iliac spine.

Methods: Nineteen volunteers (16 men, three women) lifted a 60-kg doll from a seated position to a standing position. The first transfer was performed without the HAL for Care Support, and the second was performed with the HAL for Care Support assistive robot. We evaluated transfer performance, the visual analog scale (VAS) score for lumbar fatigue, and electromyogram analyses of the trunk and hip. Results: Four participants (two men, two women) succeeded with the HAL for Care Support even though they were unable to perform the task without it. The mean lumbar fatigue VAS score for all participants without the HAL for Care Support was 62 mm, while that with it was 43 mm. With lumbar assistance from the HAL for Care Support, subjective lumbar fatigue during the transfer decreased significantly. A power analysis indicated adequate statistical power to detect a difference in the VAS score for lumbar fatigue (0.99). The activity of the left gluteus maximus alone increased significantly during transfers with the HAL for Care Support. No adverse events occurred during use of the HAL for Care Support for transfers. Conclusions The HAL for Care Support was able to reduce lumbar load in a simulated patient transfer.

Methods: We enrolled 20 patients (13 men and seven women) who underwent DB-ACLR between October 2017 and March 2019. The mean patient age was 28.5 years. The ipsilateral ST tendon was measured using ultrasonography before surgery. Measurements included the diameter and breadth of the short-axis image. The cross-sectional area (CSA) was calculated from these measurements. During surgery, when two grafts with diameters of ≥ 5.0 mm could not be made, the G tendon was also harvested. Patients were categorized into two groups: the ST group where only the ST tendon was harvested, and the semitendinosus gracilis tendon (STG) group where the ST and G tendons were both harvested. The CSA value was compared between the two groups, and the cutoff value was calculated. Results: In the ST group (n = 8), the mean diameter and breadth of the semitendinosus tendon were 4.21 and 2.34 mm, respectively. In the STG group (n = 12), the mean diameter and breadth of the ST tendon were 3.39 and 1.78 mm, respectively.The CSAs calculated for the ST group and the STG group were 7.74 mm 2 and 4.79 mm 2, respectively. A cutoff value of 7.0 mm 2was found to correspond to a specificity and sensitivity to harvest the G tendon of 87.5% and 75.0%, respectively. Conclusions The preoperative CSA of the ST tendon determined using ultrasonography can, therefore, be informative for deciding whether to harvest the G tendon for DB-ACLR. The results of this study provide valuable information for graft selection in anterior cruciate ligament reconstruction.Level of Evidence: IV (Retrospective case series design).