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Sample records for da vinci ema

  1. Da Vinci-assisted abdominal cerclage.

    Science.gov (United States)

    Barmat, Larry; Glaser, Gretchen; Davis, George; Craparo, Frank

    2007-11-01

    To report the first placement of an abdominal cervicoisthmic cerclage using the da Vinci robot. Case report. Tertiary-care hospital. A 39-year-old female with a history of cervical insufficiency who required a cerclage and was not a candidate for transvaginal cerclage placement. Abdominal cervicoisthmic cerclage placement using the da Vinci robot. Ability to safely and successfully place an abdominal cerclage using the da Vinci robot. Abdominal cerclage was successfully placed using the da Vinci robot. The patient had minimal blood loss and was discharged to home on the same day as surgery. Da Vinci robot-assisted abdominal cerclage placement is an innovative application of robotic surgery and may alter the standard of care for women who require this surgery.

  2. da Vinci decoded: does da Vinci stereopsis rely on disparity?

    Science.gov (United States)

    Tsirlin, Inna; Wilcox, Laurie M; Allison, Robert S

    2012-11-01

    In conventional stereopsis, the depth between two objects is computed based on the retinal disparity in the position of matching points in the two eyes. When an object is occluded by another object in the scene, so that it is visible only in one eye, its retinal disparity cannot be computed. Nakayama and Shimojo (1990) found that a precept of quantitative depth between the two objects could still be established for such stimuli and proposed that this precept is based on the constraints imposed by occlusion geometry. They named this and other occlusion-based depth phenomena "da Vinci stereopsis." Subsequent research found quantitative depth based on occlusion geometry in several other classes of stimuli grouped under the term da Vinci stereopsis. However, Nakayama and Shimojo's findings were later brought into question by Gillam, Cook, and Blackburn (2003), who suggested that quantitative depth in their stimuli was perceived based on conventional disparity. In order to understand whether da Vinci stereopsis relies on one type of mechanism or whether its function is stimulus dependent we examine the nature and source of depth in the class of stimuli used by Nakayama and Shimojo (1990). We use three different psychophysical and computational methods to show that the most likely source for depth in these stimuli is occlusion geometry. Based on these experiments and previous data we discuss the potential mechanisms responsible for processing depth from monocular features in da Vinci stereopsis.

  3. Da Vinci Linjen

    DEFF Research Database (Denmark)

    Nissen, Poul

    Afsluttende evalueringsrapport fra følgeforskningen gennem tre år i forbindelse med dety pædagogiske arbejde på Blåbjerggårdskolens Da Vinci Linje for skolemotiverede og underpræsterende elever på 7. til 9. klassetrin.......Afsluttende evalueringsrapport fra følgeforskningen gennem tre år i forbindelse med dety pædagogiske arbejde på Blåbjerggårdskolens Da Vinci Linje for skolemotiverede og underpræsterende elever på 7. til 9. klassetrin....

  4. Leonardo da Vinci and the Downburst.

    Science.gov (United States)

    Gedzelman, Stanley David

    1990-05-01

    Evidence from the drawings, experiments, and writings of Leonardo da Vinci are presented to demonstrate that da Vinci recognized and, possibly, discovered the downburst and understood its associated airflow. Other early references to vortex flows resembling downbursts are mentioned.

  5. Raven surgical robot training in preparation for da vinci.

    Science.gov (United States)

    Glassman, Deanna; White, Lee; Lewis, Andrew; King, Hawkeye; Clarke, Alicia; Glassman, Thomas; Comstock, Bryan; Hannaford, Blake; Lendvay, Thomas S

    2014-01-01

    The rapid adoption of robotic assisted surgery challenges the pace at which adequate robotic training can occur due to access limitations to the da Vinci robot. Thirty medical students completed a randomized controlled trial evaluating whether the Raven robot could be used as an alternative training tool for the Fundamentals of Laparoscopic Surgery (FLS) block transfer task on the da Vinci robot. Two groups, one trained on the da Vinci and one trained on the Raven, were tested on a criterion FLS block transfer task on the da Vinci. After robotic FLS block transfer proficiency training there was no statistically significant difference between path length (p=0.39) and economy of motion scores (p=0.06) between the two groups, but those trained on the da Vinci did have faster task times (p=0.01). These results provide evidence for the value of using the Raven robot for training prior to using the da Vinci surgical system for similar tasks.

  6. [Clinical application of Da Vinci surgical system in China].

    Science.gov (United States)

    Jin, Zhenyu

    2014-01-01

    Da Vinci robotic surgical system leads the development of minimally invasive surgical techniques. By using Da Vinci surgical robot for minimally invasive surgery, it brings a lot of advantages to the surgeons. Since 2008, Da Vinci surgeries have been performed in 14 hospitals in domestic cities such as Beijing and Shanghai. Until the end of 2012, 3 551 cases of Da Vinci robotic surgery have been performed, covering various procedures of various surgical departments including the department of general surgery, urology, cardiovascular surgery, thoracic surgery, gynecology, and etc. Robotic surgical technique has made remarkable achievements.

  7. Eestisse jõuab Leonardo da Vinci arvatav autoportree

    Index Scriptorium Estoniae

    2010-01-01

    Kadrioru Kunstimuuseumis eksponeeritakse 5.-12. veebruarini Leonardo da Vinci arvatavat autoportreed. Toimub maali pidulik avamine ja maali analüüse tutvustav rahvusvaheline konverents "Da Vinci kood" Tallinna Ülikoolis

  8. [da Vinci surgical system].

    Science.gov (United States)

    Watanabe, Gou; Ishikawa, Norihiro

    2014-07-01

    The da Vinci surgical system was developed by Intuitive Surgical Inc. in the United States as an endoscopic surgical device to assist remote control surgeries. In 1998, the Da Vinci system was first used for cardiothoracic procedures. Currently a combination of robot-assisted internal thoracic artery harvest together with coronary artery bypass grafting (CABG) through a mini-incision (ThoraCAB) or totally endoscopic procedures including anastomoses under robotic assistance (TECAB) are being conducted for the treatment of coronary artery diseases. With the recent advances in catheter interventions, hybrid procedures combining catheter intervention with ThoraCAB or TECAB are anticipated in the future.On the other hand, with the decrease in number of coronary artery bypass surgeries, the share of valvular surgeries is expected to increase in the future. Among them, mitral valvuloplasty for mitral regurgitation is anticipated to be conducted mainly by low-invasive procedures, represented by minimally invasive cardiac surgery( MICS) and robot-assisted surgery. Apart from the intrinsic good surgical view, robotic-assisted systems offer additional advantages of the availability of an amplified view and the easy to observe the mitral valve in the physiological position. Thus, robotic surgical surgeries that make complicated procedures easier are expected to accomplish further developments in the future. Furthermore, while the number of surgeries for atrial septal defects has decreased dramatically following the widespread use of Amplatzer septal occluder, robotic surgery may become a good indication for cases in which the Amplatzer device is not indicated. In Japan, clinical trial of the da Vinci robotic system for heart surgeries has been completed. Statutory approval of the da Vinci system for mitral regurgitation and atrial septal defects is anticipated in the next few years.

  9. Tree Branching: Leonardo da Vinci's Rule versus Biomechanical Models

    Science.gov (United States)

    Minamino, Ryoko; Tateno, Masaki

    2014-01-01

    This study examined Leonardo da Vinci's rule (i.e., the sum of the cross-sectional area of all tree branches above a branching point at any height is equal to the cross-sectional area of the trunk or the branch immediately below the branching point) using simulations based on two biomechanical models: the uniform stress and elastic similarity models. Model calculations of the daughter/mother ratio (i.e., the ratio of the total cross-sectional area of the daughter branches to the cross-sectional area of the mother branch at the branching point) showed that both biomechanical models agreed with da Vinci's rule when the branching angles of daughter branches and the weights of lateral daughter branches were small; however, the models deviated from da Vinci's rule as the weights and/or the branching angles of lateral daughter branches increased. The calculated values of the two models were largely similar but differed in some ways. Field measurements of Fagus crenata and Abies homolepis also fit this trend, wherein models deviated from da Vinci's rule with increasing relative weights of lateral daughter branches. However, this deviation was small for a branching pattern in nature, where empirical measurements were taken under realistic measurement conditions; thus, da Vinci's rule did not critically contradict the biomechanical models in the case of real branching patterns, though the model calculations described the contradiction between da Vinci's rule and the biomechanical models. The field data for Fagus crenata fit the uniform stress model best, indicating that stress uniformity is the key constraint of branch morphology in Fagus crenata rather than elastic similarity or da Vinci's rule. On the other hand, mechanical constraints are not necessarily significant in the morphology of Abies homolepis branches, depending on the number of daughter branches. Rather, these branches were often in agreement with da Vinci's rule. PMID:24714065

  10. Tree branching: Leonardo da Vinci's rule versus biomechanical models.

    Science.gov (United States)

    Minamino, Ryoko; Tateno, Masaki

    2014-01-01

    This study examined Leonardo da Vinci's rule (i.e., the sum of the cross-sectional area of all tree branches above a branching point at any height is equal to the cross-sectional area of the trunk or the branch immediately below the branching point) using simulations based on two biomechanical models: the uniform stress and elastic similarity models. Model calculations of the daughter/mother ratio (i.e., the ratio of the total cross-sectional area of the daughter branches to the cross-sectional area of the mother branch at the branching point) showed that both biomechanical models agreed with da Vinci's rule when the branching angles of daughter branches and the weights of lateral daughter branches were small; however, the models deviated from da Vinci's rule as the weights and/or the branching angles of lateral daughter branches increased. The calculated values of the two models were largely similar but differed in some ways. Field measurements of Fagus crenata and Abies homolepis also fit this trend, wherein models deviated from da Vinci's rule with increasing relative weights of lateral daughter branches. However, this deviation was small for a branching pattern in nature, where empirical measurements were taken under realistic measurement conditions; thus, da Vinci's rule did not critically contradict the biomechanical models in the case of real branching patterns, though the model calculations described the contradiction between da Vinci's rule and the biomechanical models. The field data for Fagus crenata fit the uniform stress model best, indicating that stress uniformity is the key constraint of branch morphology in Fagus crenata rather than elastic similarity or da Vinci's rule. On the other hand, mechanical constraints are not necessarily significant in the morphology of Abies homolepis branches, depending on the number of daughter branches. Rather, these branches were often in agreement with da Vinci's rule.

  11. The role of transparency in da Vinci stereopsis.

    Science.gov (United States)

    Zannoli, Marina; Mamassian, Pascal

    2011-10-15

    The majority of natural scenes contains zones that are visible to one eye only. Past studies have shown that these monocular regions can be seen at a precise depth even though there are no binocular disparities that uniquely constrain their locations in depth. In the so-called da Vinci stereopsis configuration, the monocular region is a vertical line placed next to a binocular rectangular occluder. The opacity of the occluder has been mentioned to be a necessary condition to obtain da Vinci stereopsis. However, this opacity constraint has never been empirically tested. In the present study, we tested whether da Vinci stereopsis and perceptual transparency can interact using a classical da Vinci configuration in which the opacity of the occluder varied. We used two different monocular objects: a line and a disk. We found no effect of the opacity of the occluder on the perceived depth of the monocular object. A careful analysis of the distribution of perceived depth revealed that the monocular object was perceived at a depth that increased with the distance between the object and the occluder. The analysis of the skewness of the distributions was not consistent with a double fusion explanation, favoring an implication of occlusion geometry in da Vinci stereopsis. A simple model that includes the geometry of the scene could account for the results. In summary, the mechanism responsible to locate monocular regions in depth is not sensitive to the material properties of objects, suggesting that da Vinci stereopsis is solved at relatively early stages of disparity processing. Copyright © 2011 Elsevier Ltd. All rights reserved.

  12. Application of da Vinci surgical robotic system in hepatobiliary surgery

    Directory of Open Access Journals (Sweden)

    Chen Jiahai

    2018-01-01

    Full Text Available The development of minimally invasive surgery has brought a revolutionary change to surgery techniques, and endoscopic surgical robots, especially Da Vinci robotic surgical system, has further broaden the scope of minimally invasive surgery, which has been applied in a variety of surgical fields including hepatobiliary surgery. Today, the application of Da Vinci surgical robot can cover most of the operations in hepatobiliary surgery which has proved to be safe and practical. What’s more, many clinical studies in recent years have showed that Da Vinci surgical system is superior to traditional laparoscopy. This paper summarize the advantage and disadvantage of Da Vinci surgical system, and outlines the current status of and future perspectives on the robot-assisted hepatobiliary surgery based on the cases reports in recent years of the application of Da Vinci surgical robot.

  13. "Da Vinci kood" ja Eesti / Reet Rast

    Index Scriptorium Estoniae

    Rast, Reet, 1964-

    2010-01-01

    Möödunud kuu kunstisündmuseks oli "Da Vinci koodi avamine" Kadrioru Kunstimuuseumis ja Tallinna Ülikoolis. 5.-12. veebruarini eksponeeriti Kadrioru kunstimuuseumis Leonardo da Vinci arvatavat autoportreed. Lõuna-Itaalia erakogust leitud maali analüüsimisega tegelesid Tallinna Ülikooli maali ja maalitehnoloogia õppejõud Orest Kormašov, kes valmistas klassikalise portreeskulptuuri, arvutisimulatsiooni teostas Eesti Kunstiakadeemia graafilise disaini tudeng Helen Kokk

  14. Technical review of the da Vinci surgical telemanipulator.

    Science.gov (United States)

    Freschi, C; Ferrari, V; Melfi, F; Ferrari, M; Mosca, F; Cuschieri, A

    2013-12-01

    The da Vinci robotic surgical telemanipulator has been utilized in several surgical specialties for varied procedures, and the users' experiences have been widely published. To date, no detailed system technical analyses have been performed. A detailed review was performed of all publications and patents about the technical aspects of the da Vinci robotic system. Published technical literature on the da Vinci system highlight strengths and weaknesses of the robot design. While the system facilitates complex surgical operations and has a low malfunction rate, the lack of haptic (especially tactile) feedback and collisions between the robotic arms remain the major limitations of the system. Accurate, preplanned positioning of access ports is essential. Knowledge of the technical aspects of the da Vinci robot is important for optimal use. We confirmed the excellent system functionality and ease of use for surgeons without an engineering background. Research and development of the surgical robot has been predominant in the literature. Future trends address robot miniaturization and intelligent control design. Copyright © 2012 John Wiley & Sons, Ltd.

  15. The Case: Bunche-Da Vinci Learning Partnership Academy

    Science.gov (United States)

    Eisenberg, Nicole; Winters, Lynn; Alkin, Marvin C.

    2005-01-01

    The Bunche-Da Vinci case described in this article presents a situation at Bunche Elementary School that four theorists were asked to address in their evaluation designs (see EJ791771, EJ719772, EJ791773, and EJ792694). The Bunche-Da Vinci Learning Partnership Academy, an elementary school located between an urban port city and a historically…

  16. Da Vinci robot-assisted system for thymectomy: experience of 55 patients in China.

    Science.gov (United States)

    Jun, Yi; Hao, Li; Demin, Li; Guohua, Dong; Hua, Jing; Yi, Shen

    2014-09-01

    Da Vinci robot-assisted thymectomy has been used in the past several years in China, however, practical experience in performing this approach in China remains limited. Thus, the study aimed to evaluate the experience of da Vinci robot-assisted thymectomy in China. From June 2010 to December 2012, 55 patients with diseases of the thymus underwent thymectomy using the da Vinci surgical HD robotic system. The clinical data of the da Vinci robot-assisted thymectomies were compared with the data of video-assisted thoracoscopic thymectomies in the same period. All da Vinci robot operations were successful. This is a retrospective analysis which demonstrated that compared with video-assisted thoracoscopic thymectomy in the same period, the clinical outcomes of da Vinci robot-assisted thymectomy were not significantly different. The da Vinci robot-assisted thymectomy is a safe, minimally invasive, and convenient operation, and shows promise for general thoracic surgery in China. Copyright © 2014 John Wiley & Sons, Ltd.

  17. Performances on simulator and da Vinci robot on subjects with and without surgical background.

    Science.gov (United States)

    Moglia, Andrea; Ferrari, Vincenzo; Melfi, Franca; Ferrari, Mauro; Mosca, Franco; Cuschieri, Alfred; Morelli, Luca

    2017-08-17

    To assess whether previous training in surgery influences performance on da Vinci Skills Simulator and da Vinci robot. In this prospective study, thirty-seven participants (11 medical students, 17 residents, and 9 attending surgeons) without previous experience in laparoscopy and robotic surgery performed 26 exercises at da Vinci Skills Simulator. Thirty-five then executed a suture using a da Vinci robot. The overall scores on the exercises at the da Vinci Skills Simulator show a similar performance among the groups with no statistically significant pair-wise differences (p poor for the untrained groups (5 (3.5, 9)), without statistically significant difference (p < .05). This study showed, for subjects new to laparoscopy and robotic surgery, insignificant differences in the scores at the da Vinci Skills Simulator and at the da Vinci robot on inanimate models.

  18. Use of the new da Vinci Xi® during robotic rectal resection for cancer: a pilot matched-case comparison with the da Vinci Si®.

    Science.gov (United States)

    Morelli, Luca; Guadagni, Simone; Di Franco, Gregorio; Palmeri, Matteo; Caprili, Giovanni; D'Isidoro, Cristiano; Cobuccio, Luigi; Marciano, Emanuele; Di Candio, Giulio; Mosca, Franco

    2017-03-01

    The aim of this study was to compare the short-term outcomes of robotic rectal resection with total mesorectal excision (TME) for rectal cancer, with the use of the new da Vinci Xi® (Xi-RobTME group) and the da Vinci Si® (Si-RobTME group). Ten patients with histologically confirmed rectal cancer underwent robot-assisted TME with the use of the new da Vinci Xi. The outcomes of Xi-RobTME group were compared with a Si-RobTME group selected using a case-matched methodology. Overall operative times and mean hospital stays were shorter in the Xi-RobTME group. Surgeries were fully robotic with a complete take-down of the splenic flexure in all Xi-RobTME cases, while only four cases of the Si-RobTME group were fully robotic, with two cases of complete take-down of the splenic flexure. The new da Vinci Xi could offer some advantages with respect to the da Vinci Si in rectal resection for cancer. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  19. Virtual reality training improves da Vinci performance: a prospective trial.

    Science.gov (United States)

    Cho, Jae Sung; Hahn, Koo Yong; Kwak, Jung Myun; Kim, Jin; Baek, Se Jin; Shin, Jae Won; Kim, Seon Hahn

    2013-12-01

    The DV-Trainer™ (a virtual reality [VR] simulator) (Mimic Technologies, Inc., Seattle, WA) is one of several different robotic surgical training methods. We designed a prospective study to determine whether VR training could improve da Vinci(®) Surgical System (Intuitive Surgical, Inc., Sunnyvale, CA) performance. Surgeons (n=12) were enrolled using a randomized protocol. Groups 1 (VR training) and 2 (control) participated in VR and da Vinci exercises. Participants' time and moving distance were combined to determine a composite score: VR index=1000/(time×moving distance). The da Vinci exercises included needle control and suturing. Procedure time and error were measured. A composite index (DV index) was computed and used to measure da Vinci competency. After the initial trial with both the VR and da Vinci exercises, only Group 1 was trained with the VR simulator following our institutional curriculum for 3 weeks. All members of both groups then participated in the second trial of the VR and da Vinci exercises and were scored in the same way as in the initial trial. In the initial trial, there was no difference in the VR index (Group 1 versus Group 2, 8.9 ± 3.3 versus 9.4 ± 3.7; P=.832) and the DV index (Group 1 versus Group 2, 3.85 ± 0.73 versus 3.66 ± 0.65; P=.584) scores between the two groups. At the second time point, Group 1 showed increased VR index scores in comparison with Group 2 (19.3 ± 4.5 versus 9.7 ± 4.1, respectively; P=.001) and improved da Vinci performance skills as measured by the DV index (5.80 ± 1.13 versus 4.05 ± 1.03, respectively; P=.028) and by suturing time (7.1 ± 1.54 minutes versus 10.55 ± 1.93 minutes, respectively; P=.018). We found that VR simulator training can improve da Vinci performance. VR practice can result in an early plateau in the learning curve for robotic practice under controlled circumstances.

  20. Multiquadrant robotic colorectal surgery: the da Vinci Xi vs Si comparison.

    Science.gov (United States)

    Protyniak, Bogdan; Jorden, Jeffrey; Farmer, Russell

    2018-03-01

    The newly introduced da Vinci Xi Surgical System hopes to address the shortcomings of its predecessor, specifically robotic arm restrictions and difficulty working in multiple quadrants. We compare the two robot platforms in multiquadrant surgery at a major colorectal referral center. Forty-four patients in the da Vinci Si group and 26 patients in the Xi group underwent sigmoidectomy or low anterior resection between 2014 and 2016. Patient demographics, operative variables, and postoperative outcomes were compared using descriptive statistics. Both groups were similar in age, sex, BMI, pelvic surgeries, and ASA class. Splenic flexure was mobilized in more (p = 0.045) da Vinci Xi cases compared to da Vinci Si both for sigmoidectomy (50 vs 15.4%) and low anterior resection (60 vs 29%). There was no significant difference in operative time (219.9 vs 224.7 min; p = 0.640), blood loss (170.0 vs 188.1 mL; p = 0.289), length of stay (5.7 vs 6 days; p = 0.851), or overall complications (26.9 vs 22.7%; p = 0.692) between the da Vinci Xi and Si groups, respectively. Single-dock multiquadrant robotic surgery, measured by splenic flexure mobilization with concomitant pelvic dissection, was more frequently performed using the da Vinci Xi platform with no increase in operative time, bleeding, or postoperative complications. The new platform provides surgeons an easier alternative to the da Vinci Si dual docking or combined robotic/laparoscopic multiquadrant surgery.

  1. Load evaluation of the da Vinci surgical system for transoral robotic surgery.

    Science.gov (United States)

    Fujiwara, Kazunori; Fukuhara, Takahiro; Niimi, Koji; Sato, Takahiro; Kitano, Hiroya

    2015-12-01

    Transoral robotic surgery, performed with the da Vinci surgical system (da Vinci), is a surgical approach for benign and malignant lesions of the oral cavity and laryngopharynx. It provides several unique advantages, which include a 3-dimensional magnified view and ability to see and work around curves or angles. However, the current da Vinci surgical system does not provide haptic feedback. This is problematic because the potential risks specific to the transoral use of the da Vinci include tooth injury, mucosal laceration, ocular injury and mandibular fracture. To assess the potential for intraoperative injuries, we measured the load of the endoscope and the instrument of the da Vinci Si surgical system. We pressed the endoscope and instrument of the da Vinci Si against Load cell six times each and measured the dynamic load and the time-to-maximum load. We also struck the da Vinci Si endoscope and instrument against the Load cell six times each and measured the impact load. The maximum dynamic load was 7.27 ± 1.31 kg for the endoscope and 1.90 ± 0.72 for the instrument. The corresponding time-to-maximum loads were 1.72 ± 0.22 and 1.29 ± 0.34 s, but the impact loads were significantly lower than the dynamic load. It remains possible that a major load is exerted on adjacent structures by continuous contact with the endoscope and instrument of da Vinci Si. However, there is a minor delay in reaching the maximum load. Careful monitoring by an on-site assistant may, therefore, help prevent contiguous injury.

  2. Output control of da Vinci surgical system's surgical graspers.

    Science.gov (United States)

    Johnson, Paul J; Schmidt, David E; Duvvuri, Umamaheswar

    2014-01-01

    The number of robot-assisted surgeries performed with the da Vinci surgical system has increased significantly over the past decade. The articulating movements of the robotic surgical grasper are controlled by grip controls at the master console. The user interface has been implicated as one contributing factor in surgical grasping errors. The goal of our study was to characterize and evaluate the user interface of the da Vinci surgical system in controlling surgical graspers. An angular manipulator with force sensors was used to increment the grip control angle as grasper output angles were measured. Input force at the grip control was simultaneously measured throughout the range of motion. Pressure film was used to assess the maximum grasping force achievable with the endoscopic grasping tool. The da Vinci robot's grip control angular input has a nonproportional relationship with the grasper instrument output. The grip control mechanism presents an intrinsic resistant force to the surgeon's fingertips and provides no haptic feedback. The da Vinci Maryland graspers are capable of applying up to 5.1 MPa of local pressure. The angular and force input at the grip control of the da Vinci robot's surgical graspers is nonproportional to the grasper instrument's output. Understanding the true relationship of the grip control input to grasper instrument output may help surgeons understand how to better control the surgical graspers and promote fewer grasping errors. Copyright © 2014 Elsevier Inc. All rights reserved.

  3. Da Vinci Xi Robot-Assisted Penetrating Keratoplasty.

    Science.gov (United States)

    Chammas, Jimmy; Sauer, Arnaud; Pizzuto, Joëlle; Pouthier, Fabienne; Gaucher, David; Marescaux, Jacques; Mutter, Didier; Bourcier, Tristan

    2017-06-01

    This study aims (1) to investigate the feasibility of robot-assisted penetrating keratoplasty (PK) using the new Da Vinci Xi Surgical System and (2) to report what we believe to be the first use of this system in experimental eye surgery. Robot-assisted PK procedures were performed on human corneal transplants using the Da Vinci Xi Surgical System. After an 8-mm corneal trephination, four interrupted sutures and one 10.0 monofilament running suture were made. For each procedure, duration and successful completion of the surgery as well as any unexpected events were assessed. The depth of the corneal sutures was checked postoperatively using spectral-domain optical coherence tomography (SD-OCT). Robot-assisted PK was successfully performed on 12 corneas. The Da Vinci Xi Surgical System provided the necessary dexterity to perform the different steps of surgery. The mean duration of the procedures was 43.4 ± 8.9 minutes (range: 28.5-61.1 minutes). There were no unexpected intraoperative events. SD-OCT confirmed that the sutures were placed at the appropriate depth. We confirm the feasibility of robot-assisted PK with the new Da Vinci Surgical System and report the first use of the Xi model in experimental eye surgery. Operative time of robot-assisted PK surgery is now close to that of conventional manual surgery due to both improvement of the optical system and the presence of microsurgical instruments. Experimentations will allow the advantages of robot-assisted microsurgery to be identified while underlining the improvements and innovations necessary for clinical use.

  4. Da Vinci Xi Robot–Assisted Penetrating Keratoplasty

    Science.gov (United States)

    Chammas, Jimmy; Sauer, Arnaud; Pizzuto, Joëlle; Pouthier, Fabienne; Gaucher, David; Marescaux, Jacques; Mutter, Didier; Bourcier, Tristan

    2017-01-01

    Purpose This study aims (1) to investigate the feasibility of robot-assisted penetrating keratoplasty (PK) using the new Da Vinci Xi Surgical System and (2) to report what we believe to be the first use of this system in experimental eye surgery. Methods Robot-assisted PK procedures were performed on human corneal transplants using the Da Vinci Xi Surgical System. After an 8-mm corneal trephination, four interrupted sutures and one 10.0 monofilament running suture were made. For each procedure, duration and successful completion of the surgery as well as any unexpected events were assessed. The depth of the corneal sutures was checked postoperatively using spectral-domain optical coherence tomography (SD-OCT). Results Robot-assisted PK was successfully performed on 12 corneas. The Da Vinci Xi Surgical System provided the necessary dexterity to perform the different steps of surgery. The mean duration of the procedures was 43.4 ± 8.9 minutes (range: 28.5–61.1 minutes). There were no unexpected intraoperative events. SD-OCT confirmed that the sutures were placed at the appropriate depth. Conclusions We confirm the feasibility of robot-assisted PK with the new Da Vinci Surgical System and report the first use of the Xi model in experimental eye surgery. Operative time of robot-assisted PK surgery is now close to that of conventional manual surgery due to both improvement of the optical system and the presence of microsurgical instruments. Translational Relevance Experimentations will allow the advantages of robot-assisted microsurgery to be identified while underlining the improvements and innovations necessary for clinical use. PMID:28660096

  5. [RESEARCH PROGRESS OF PERIPHERAL NERVE SURGERY ASSISTED BY Da Vinci ROBOTIC SYSTEM].

    Science.gov (United States)

    Shen, Jie; Song, Diyu; Wang, Xiaoyu; Wang, Changjiang; Zhang, Shuming

    2016-02-01

    To summarize the research progress of peripheral nerve surgery assisted by Da Vinci robotic system. The recent domestic and international articles about peripheral nerve surgery assisted by Da Vinci robotic system were reviewed and summarized. Compared with conventional microsurgery, peripheral nerve surgery assisted by Da Vinci robotic system has distinctive advantages, such as elimination of physiological tremors and three-dimensional high-resolution vision. It is possible to perform robot assisted limb nerve surgery using either the traditional brachial plexus approach or the mini-invasive approach. The development of Da Vinci robotic system has revealed new perspectives in peripheral nerve surgery. But it has still been at the initial stage, more basic and clinical researches are still needed.

  6. Thinking like Leonardo da Vinci and its implications for the modern doctor.

    Science.gov (United States)

    Baum, Neil

    2013-01-01

    Most people when asked to name the most creative, innovative, and multidimensional people in history would agree that Leonardo da Vinci is either at the top or very close to the number one position on that list. Wouldn't it be nice to think like da Vinci? This article shares the seven unique principles of thinking that da Vinci used that enabled him to be the greatest painter, sculptor, architect, musician, mathematician, engineer, inventor, anatomist, geologist, cartographer, botanist, and writer of his (if not of all) time. This article will take you deep into the notebooks and codices of da Vinci, and suggest ways his ideas can be used by anyone in the healthcare profession to make them a better healthcare provider.

  7. Early clinical experience with the da Vinci Xi Surgical System in general surgery.

    Science.gov (United States)

    Hagen, Monika E; Jung, Minoa K; Ris, Frederic; Fakhro, Jassim; Buchs, Nicolas C; Buehler, Leo; Morel, Philippe

    2017-09-01

    The da Vinci Xi Surgical System (Intuitive Surgical Inc., Sunnyvale, CA, USA) has been released in 2014 to facilitate minimally invasive surgery. Novel features are targeted towards facilitating complex multi-quadrant procedures, but data is scarce so far. Perioperative data of patients who underwent robotic general surgery with the da Vinci Xi system within the first 6 month after installation were collected and analyzed. The gastric bypass procedures performed with the da Vinci Xi Surgical System were compared to an equal amount of the last procedures with the da Vinci Si Surgical System. Thirty-one foregut (28 Roux-en-Y gastric bypasses), 6 colorectal procedures and 1 revisional biliary procedure were performed. The mean operating room (OR) time was 221.8 (±69.0) minutes for gastric bypasses and 306.5 (±48.8) for colorectal procedures with mean docking time of 9.4 (±3.8) minutes. The gastric bypass procedure was transitioned from a hybrid to a fully robotic approach. In comparison to the last 28 gastric bypass procedures performed with the da Vinci Si Surgical System, the OR time was comparable (226.9 versus 230.6 min, p = 0.8094), but the docking time significantly longer with the da Vinci Xi Surgical System (8.5 versus 6.1 min, p = 0.0415). All colorectal procedures were performed with a single robotic docking. No intraoperative and two postoperative complications occurred. The da Vinci Xi might facilitate single-setups of totally robotic gastric bypass and colorectal surgeries. However, further comparable research is needed to clearly determine the significance of this latest version of the da Vinci Surgical System.

  8. Leonardo da Vinci's studies of the heart.

    Science.gov (United States)

    Shoja, Mohammadali M; Agutter, Paul S; Loukas, Marios; Benninger, Brion; Shokouhi, Ghaffar; Namdar, Husain; Ghabili, Kamyar; Khalili, Majid; Tubbs, R Shane

    2013-08-20

    Leonardo da Vinci's detailed drawings are justly celebrated; however, less well known are his accounts of the structures and functions of the organs. In this paper, we focus on his illustrations of the heart, his conjectures about heart and blood vessel function, his experiments on model systems to test those conjectures, and his unprecedented conclusions about the way in which the cardiovascular system operates. In particular, da Vinci seems to have been the first to recognize that the heart is a muscle and that systole is the active phase of the pump. He also seems to have understood the functions of the auricles and pulmonary veins, identified the relationship between the cardiac cycle and the pulse, and explained the hemodynamic mechanism of valve opening and closure. He also described anatomical variations and changes in structure and function that occurred with age. We outline da Vinci's varied career and suggest ways in which his personality, experience, skills and intellectual heritage contributed to these advances in understanding. We also consider his influence on later studies in anatomy and physiology. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  9. The real code of leonardo da vinci.

    Science.gov (United States)

    Ose, Leiv

    2008-02-01

    Leonardo da Vinci was born in Italy. Among the researchers and scientists, he is favourably known for his remarkable efforts in scientific work. His investigations of atherosclerosis judiciously combine three separate fields of research. In 1506, he finished his masterpiece, painting of Mona Lisa. A careful clinical examination of the famous painting reveals a yellow irregular leather-like spot at the inner end of the left upper eyelid and a soft bumpy well-defined swelling of the dorsum of the right hand beneath the index finger about 3 cm long. This is probably the first case of familial hypercholesterolemia (FH). The FH code of Leonardo da Vinci was given immense consideration by scientists like Carl Muller, who described the xanthomas tuberosum and angina pectoris. On the contrary, Akira Endo searched for microbial metabolites that would inhibit HMG-CoA reductase, the rate-limiting enzyme in the synthesis of cholesterol and finally, Michael Brown and Joseph Goldstein published a remarkable series of elegant and insightful papers in the 70s and 80s. They established that the cellular uptake of low-density lipoprotein (LDL) essentially requires the LDL receptor. this was the real Code of Leonardo da Vinci.

  10. Leonardo da Vinci's foot: historical evidence of concept.

    Science.gov (United States)

    Jastifer, James R; Toledo-Pereyra, Luis H

    2012-10-01

    Leonardo da Vinci (1452-1519), world-renowned Italian renaissance master, is known for his contributions to, and broad interests in science and art. The objective of this work is to demonstrate the extent of his science by applying the use of his concepts to current models of foot and ankle mechanics. The art and science of Leonardo Da Vinci were extensively analyzed by reviewing his original drawings and hand written notebooks as well as their English translation. Current medical journals including the topics of foot, ankle, and biomechanics were reviewed for modern evidence and application of his concepts. The library of Michigan State University and the electronic library of the Royal Library at Windsor Castle were extensively utilized. From the depths of Santa Maria Nuova Hospital in Florence and Santo Spirito Hospital in Rome, through his commentary and anatomical drawings of around 30 cadaver dissections he performed, Leonardo da Vinci expressed his concept of foot and ankle anatomy and mechanics. He laid forth concepts, which vary little from current theories including those of proportion, statics and joint stability, sesamoid biomechanics, and structural support of the foot. Leonardo da Vinci, by combining an interest in anatomy and a gift of genius and artistic ability laid a foundation of foot and ankle anatomy and mechanics that have been applied in modern clinical sciences. Leonardo in this way made important contributions to the practice of foot and ankle orthopedics.

  11. Leonardo Da Vinci and stroke - vegetarian diet as a possible cause.

    Science.gov (United States)

    Oztürk, Serefnur; Altieri, Marta; Troisi, Pina

    2010-01-01

    Leonardo da Vinci (April 15, 1452 to May 2, 1519) was an Italian Renaissance architect, musician, anatomist, inventor, engineer, sculptor, geometer, and painter. It has been gleaned from the many available historical documents that da Vinci was a vegetarian who respected and loved animals, and that he suffered from right hemiparesis in the last 5 years of his life. A vegetarian diet has both positive and negative influences on the cerebrovascular system. In this report, a possible relation between a vegetarian diet and stroke is discussed from various perspectives as related to Leonardo da Vinci's stroke. Copyright (c) 2010 S. Karger AG, Basel.

  12. Leonardo da Vinci (1452-1519) and his depictions of the human spine.

    Science.gov (United States)

    Bowen, Garvin; Gonzales, Jocelyn; Iwanaga, Joe; Fisahn, Christian; Loukas, Marios; Oskouian, Rod J; Tubbs, R Shane

    2017-12-01

    Few individuals in history have exerted so great an influence and made such extensive contributions to so many disciplines as Leonardo da Vinci. Da Vinci's inquisitive, experimental mentality led him to many discoveries, such as spinal cord function and the proper anatomy of several organ systems. Respected not only as an artist but also as an anatomist, he made many significant contributions to the field. This article explores da Vinci's drawings, in relation to the anatomy of the human spine.

  13. [Anesthesia experiences on laparoscopic nephrectomy with da Vinci S robotics].

    Science.gov (United States)

    Mou, Ling; Lan, Zhixun

    2015-09-01

    To summarize the clinical anesthesia experiences in 20 patients who underwent laparoscopic nephrectomy with da Vinci S robotics.
 Anesthesia data of 20 patients from Sichuan Provincial People's Hospital, who underwent laparoscopic nephrectomy with da Vinci S robotics from August 2014 to November 2014, were analyzed and summarized. The anesthesia time, operation time, CO(2) pneumoperitoneum time, PaCO(2) and PETCO(2) were recorded.
 All patients were anesthetized and underwent surgery with da Vinci S robotics. The anesthesia time was (220±14) min, the operation time was (187±11) min, and the CO(2) pneumoperitoneum time was (180±13) min. The PaCO(2) and PETCO(2) were significantly elevated at 1.5 h after operation compared with those at the baseline (before pneumoperitoneum) (Pda vinci S robotics. However, the duration of CO(2) pneumoperitoneum is significantly increased compared to that of other surgical procedures, resulting in high airway resistance and acid-base disturbance.

  14. Early experience using the da Vinci Surgical System for the treatment of mediastinal tumors.

    Science.gov (United States)

    Kajiwara, Naohiro; Taira, Masahiro; Yoshida, Koichi; Hagiwara, Masaru; Kakihana, Masatoshi; Usuda, Jitsuo; Uchida, Osamu; Ohira, Tatsuo; Kawate, Norihiko; Ikeda, Norihiko

    2011-10-01

    The da Vinci Surgical System has been used in only a few cases for treating mediastinal tumors in Japan. Recently, we used the da Vinci Surgical System for various types of anterior and middle mediastinal tumors in clinical practice. We report our early experience using the da Vinci Surgical System. Seven patients gave written informed consent to undergo robotic surgery for mediastinal tumor dissection using the da Vinci Surgical System. We evaluated the safety and feasibility of this system for the surgical treatment of mediastinal tumors. Two specialists in thoracic surgery who are certified to use the da Vinci S Surgical System and another specialist acted as an assistant performed the tumor dissection. We were able to access difficult-to-reach areas, such as the mediastinum, safely. All the resected tumors were classified as benign tumors histologically. The average da Vinci setting time was 14.0 min, the average working time was 55.7 min, and the average overall operating time was 125.9 min. The learning curve for the da Vinci setup and manipulation time was short. Robotic surgery enables mediastinal tumor dissection in certain cases more safely and easily than conventional video-assisted thoracoscopic surgery and less invasively than open thoracotomy.

  15. Kas tõesti Leonardo da Vinci? / Orest Kormašov

    Index Scriptorium Estoniae

    Kormašov, Orest, 1964-

    2010-01-01

    Kadrioru Kunstimuuseumis eksponeeritakse 5.-12. veebruarini 2010 Leonardo da Vinci arvatavat autoportreed ning 6. veebruaril toimub Tallinna Ülikoolis rahvusvaheline konverents "Võti Leonardo juurde" ("A Key to Leonardo"). Maalist, mille itaalia kunstiajaloolane Nicola Barbatelli leidis 2008. a. ühest erakogust Lõuna-Itaalias. Maali uuringutest, milles osalevad Orest Kormašov ja Helen Kokk, kes on loonud Leonardo da Vinci peast kolmedimensioonilise mudeli

  16. Is da Vinci Xi Better than da Vinci Si in Robotic Rectal Cancer Surgery? Comparison of the 2 Generations of da Vinci Systems.

    Science.gov (United States)

    Ozben, Volkan; Cengiz, Turgut B; Atasoy, Deniz; Bayraktar, Onur; Aghayeva, Afag; Erguner, Ilknur; Baca, Bilgi; Hamzaoglu, Ismail; Karahasanoglu, Tayfun

    2016-10-01

    We aimed to compare perioperative outcomes for procedures using the latest generation of da Vinci robot versus its previous version in rectal cancer surgery. Fifty-three patients undergoing robotic rectal cancer surgery between January 2010 and March 2015 were included. Patients were classified into 2 groups (Xi, n=28 vs. Si, n=25) and perioperative outcomes were analyzed. The groups had significant differences including operative procedure, hybrid technique and redocking (P>0.05). In univariate analysis, the Xi group had shorter console times (265.7 vs. 317.1 min, P=0.006) and total operative times (321.6 vs. 360.4 min, P=0.04) and higher number of lymph nodes harvested (27.5 vs. 17.0, P=0.008). In multivariate analysis, Xi robot was associated with a shorter console time (odds ratio: 0.09, P=0.004) with no significant differences regarding other outcomes. Both generations of da Vinci robot led to similar short-term outcomes in rectal cancer surgery, but the Xi robot allowed shorter console times.

  17. [The rational application of Da Vinci surgical system in thyroidectomy].

    Science.gov (United States)

    He, Q Q

    2017-08-01

    Da Vinci surgical system is the most advanced minimally invasive surgical platform in the world, and this system has been widely used in cardiac surgery, urology surgery, gynecologic surgery and general surgery. Although the application of this system was relatively late in thyroid surgery, the number of thyroidectomy with Da Vinci surgical system is increasing quickly. Having reviewed recent studies and summarized clinical experience, compared with traditional open operation, the robotic thyroidectomy has the same surgical safety and effectiveness in selective patients with thyroid cancer. In this paper, several aspects on this novel operation were demonstrated, including surgical indications and contraindications, the approaches, surgical procedures and postoperative complications, in order to promote the rational application of Da Vinci surgical system in thyroidectomy.

  18. The Real Code of Leonardo da Vinci

    Science.gov (United States)

    Ose, Leiv

    2008-01-01

    Leonardo da Vinci was born in Italy. Among the researchers and scientists, he is favourably known for his remarkable efforts in scientific work. His investigations of atherosclerosis judiciously combine three separate fields of research. In 1506, he finished his masterpiece, painting of Mona Lisa. A careful clinical examination of the famous painting reveals a yellow irregular leather-like spot at the inner end of the left upper eyelid and a soft bumpy well-defined swelling of the dorsum of the right hand beneath the index finger about 3 cm long. This is probably the first case of familial hypercholesterolemia (FH). The FH code of Leonardo da Vinci was given immense consideration by scientists like Carl Muller, who described the xanthomas tuberosum and angina pectoris. On the contrary, Akira Endo searched for microbial metabolites that would inhibit HMG-CoA reductase, the rate-limiting enzyme in the synthesis of cholesterol and finally, Michael Brown and Joseph Goldstein published a remarkable series of elegant and insightful papers in the 70s and 80s. They established that the cellular uptake of low-density lipoprotein (LDL) essentially requires the LDL receptor. In conclusion: this was the real Code of Leonardo da Vinci. PMID:19924278

  19. Eestisse jõuab arvatav Leonardo da Vinci autoportree / Maiki Voore

    Index Scriptorium Estoniae

    Voore, Maiki, 1983-

    2010-01-01

    5.-12. veebruarini eksponeeritakse Kadrioru kunstimuuseumis Leonardo da Vinci arvatavat autoportreed. 5. veebruaril on kunstimuuseumis maali pidulik esitlus, 6. veebruaril avatakse Tallinna ülikoolis maali analüüse tutvustav rahvusvaheline konverents "Da Vinci kood". Lõuna-Itaalia erakogust leitud maali analüüsimisega tegelesid Tallinna Ülikooli maali ja maalitehnoloogia õppejõud Orest Kormašov, kes valmistas klassikalise portreeskulptuuri, arvutisimulatsiooni teostas Eesti Kunstiakadeemia graafilise disaini tudeng Helen Kokk

  20. Color constrains depth in da Vinci stereopsis for camouflage but not occlusion.

    Science.gov (United States)

    Wardle, Susan G; Gillam, Barbara J

    2013-12-01

    Monocular regions that occur with binocular viewing of natural scenes can produce a strong perception of depth--"da Vinci stereopsis." They occur either when part of the background is occluded in one eye, or when a nearer object is camouflaged against a background surface in one eye's view. There has been some controversy over whether da Vinci depth is constrained by geometric or ecological factors. Here we show that the color of the monocular region constrains the depth perceived from camouflage, but not occlusion, as predicted by ecological considerations. Quantitative depth was found in both cases, but for camouflage only when the color of the monocular region matched the binocular background. Unlike previous reports, depth failed even when nonmatching colors satisfied conditions for perceptual transparency. We show that placing a colored line at the boundary between the binocular and monocular regions is sufficient to eliminate depth from camouflage. When both the background and the monocular region contained vertical contours that could be fused, some observers appeared to use fusion, and others da Vinci constraints, supporting the existence of a separate da Vinci mechanism. The results show that da Vinci stereopsis incorporates color constraints and is more complex than previously assumed.

  1. Leonardo da Vinci on alati moes / Linda Järve

    Index Scriptorium Estoniae

    Järve, Linda, 1946-

    2004-01-01

    Tallinna Energiakeskuses avati Leonardo da Vinci lennumasin, mille aluseks on Milanos Biblioteca Ambrosiana raamatukogus säilitatavad joonised. Artikli autor külastas Itaalias Leonardo da Vinciga seotud paiku

  2. "Da Vinci kood" endiselt lahti muukimata / Riho Laurisaar, Eda Post

    Index Scriptorium Estoniae

    Laurisaar, Riho

    2006-01-01

    Dan Browni samanimelise menuromaani järgi valminud põnevusfilm "Da Vinci kood" (režissöör Ron Howard, produtsent Brian Greiser) on tekitanud aktiivset vastukaja kristlaste ringkondades. Lisatud : "Kirjanik. Dan Brown : usklikust koolipoisist sai väidetav usurüvetaja", "Raamat. Raamatut müüakse endiselt miljonites", "Vastasseis. Usklikud ühinevad "Da Vinci koodi vastu", "Kirjastus. Kohus vabastas Dan Browni plagiaadisüüdistusest", "Reisid. Turismifirmad võtavad graalihulluselt matti"

  3. [First experience in the thyroid and parathyroid surgery using the da Vinci® system].

    Science.gov (United States)

    Al Kadah, B; Siemer, S; Schick, B

    2014-01-01

    Endoscopic surgery for the treatment of thyroid and parathyroid pathologies is gaining increasing attention. The da Vinci® system has been already widely used in different fields of medicine including recently thyroid and parathyroid surgery. Herein we report our first experiences in endoscopic surgery of thyroid and parathyroid pathologies using the da Vinci® system. 8 patients presenting with struma nodosa in 6 cases and parathyroid adenomas in 2 cases have been treated using the da Vinci® system at the ENT department of Homburg/Saar University. The skin incision to introduce the instruments with the da Vinci® system were axilar or at the lateral segment of the clavicle. The neurovascular structures like inferior laryngeal nerve as well as the pathologies were clearly 3-dimensional visualized in all 8 cases. No paralysis of the vocal cord was observed. All patients had in histological examination a benign pathology. The endoscopic surgery of the thyroid and parathyroid gland can be performed using the da Vinci® system and offers an excellent, intraoperative, 3-dimensional visualization of the neurovascular structures. Additionally the da Vinci® system enables skin incisions within considerable distance from the thyroid and parathyroid gland. © Georg Thieme Verlag KG Stuttgart · New York.

  4. A Creative Approach to the Common Core Standards: The Da Vinci Curriculum

    Science.gov (United States)

    Chaucer, Harry

    2012-01-01

    "A Creative Approach to the Common Core Standards: The Da Vinci Curriculum" challenges educators to design programs that boldly embrace the Common Core State Standards by imaginatively drawing from the genius of great men and women such as Leonardo da Vinci. A central figure in the High Renaissance, Leonardo made extraordinary contributions as a…

  5. A Value-Engaged Approach for Evaluating the Bunche-Da Vinci Learning Academy

    Science.gov (United States)

    Greene, Jennifer C.

    2005-01-01

    In 2001, the Bunche Academy was chosen by its district to join in partnership with the Da Vinci Learning Corporation to embark on an ambitious whole-school reform initiative, especially designed by the corporation for low-performing schools. In this chapter, the author describes how, as illustrated in the Bunche-Da Vinci Learning Academy context,…

  6. The da Vinci robotic surgical assisted anterior lumbar interbody fusion: technical development and case report.

    Science.gov (United States)

    Beutler, William J; Peppelman, Walter C; DiMarco, Luciano A

    2013-02-15

    Technique development to use the da Vince Robotic Surgical System for anterior lumbar interbody fusion at L5-S1 is detailed. A case report is also presented. To evaluate and develop the da Vinci robotic assisted laparoscopic anterior lumbar stand-alone interbody fusion procedure. Anterior lumbar interbody fusion is a common procedure associated with potential morbidity related to the surgical approach. The da Vinci robot provides intra-abdominal dissection and visualization advantages compared with the traditional open and laparoscopic approach. The surgical techniques for approach to the anterior lumbar spine using the da Vinci robot were developed and modified progressively beginning with operative models followed by placement of an interbody fusion cage in the living porcine model. Development continued to progress with placement of fusion cage in a human cadaver, completed first in the laboratory setting and then in the operating room. Finally, the first patient with fusion completed using the da Vinci robot-assisted approach is presented. The anterior transperitoneal approach to the lumbar spine is accomplished with enhanced visualization and dissection capability, with maintenance of pneumoperitoneum using the da Vinci robot. Blood loss is minimal. The visualization inside the disc space and surrounding structures was considered better than current open and laparoscopic techniques. The da Vinci robot Surgical System technique continues to develop and is now described for the transperitoneal approach to the anterior lumbar spine. 4.

  7. "Da Vinci kood" tuleb Eestisse / Urve Eslas

    Index Scriptorium Estoniae

    Eslas, Urve, 1972-

    2006-01-01

    17. mail esilinastus Cannes'i filmifestivalil Dan Browni samanimelise menuromaani järgi valminud põnevusfilm "Da Vinci kood" : stsenarist Akiva Goldsman : režissöör Ron Howard : osades Tom Hanks, Audrey Tautou, Jean Reno : Ameerika Ühendriigid 2006

  8. Katoliiklased nõuavad "Da Vinci koodi" muutmist

    Index Scriptorium Estoniae

    2006-01-01

    Dan Browni samanimelise menuromaani järgi valminud põnevusfilm "Da Vinci kood" (režissöör Ron Howard, produtsent Brian Greiser, näitlejad Tom Hanks, Audrey Tautou, Jean Reno) on langenud usuorganisatsiooni Opus Dei kriitika alla

  9. SAGES TAVAC safety and effectiveness analysis: da Vinci ® Surgical System (Intuitive Surgical, Sunnyvale, CA).

    Science.gov (United States)

    Tsuda, Shawn; Oleynikov, Dmitry; Gould, Jon; Azagury, Dan; Sandler, Bryan; Hutter, Matthew; Ross, Sharona; Haas, Eric; Brody, Fred; Satava, Richard

    2015-10-01

    The da Vinci(®) Surgical System (Intuitive Surgical, Sunnyvale, CA, USA) is a computer-assisted (robotic) surgical system designed to enable and enhance minimally invasive surgery. The Food and Drug Administration (FDA) has cleared computer-assisted surgical systems for use by trained physicians in an operating room environment for laparoscopic surgical procedures in general, cardiac, colorectal, gynecologic, head and neck, thoracic and urologic surgical procedures. There are substantial numbers of peer-reviewed papers regarding the da Vinci(®) Surgical System, and a thoughtful assessment of evidence framed by clinical opinion is warranted. The SAGES da Vinci(®) TAVAC sub-committee performed a literature review of the da Vinci(®) Surgical System regarding gastrointestinal surgery. Conclusions by the sub-committee were vetted by the SAGES TAVAC Committee and SAGES Executive Board. Following revisions, the document was evaluated by the TAVAC Committee and Executive Board again for final approval. Several conclusions were drawn based on expert opinion organized by safety, efficacy, and cost for robotic foregut, bariatric, hepatobiliary/pancreatic, colorectal surgery, and single-incision cholecystectomy. Gastrointestinal surgery with the da Vinci(®) Surgical System is safe and comparable, but not superior to standard laparoscopic approaches. Although clinically acceptable, its use may be costly for select gastrointestinal procedures. Current data are limited to the da Vinci(®) Surgical System; further analyses are needed.

  10. Solving da Vinci stereopsis with depth-edge-selective V2 cells

    Science.gov (United States)

    Assee, Andrew; Qian, Ning

    2007-01-01

    We propose a new model for da Vinci stereopsis based on a coarse-to-fine disparity-energy computation in V1 and disparity-boundary-selective units in V2. Unlike previous work, our model contains only binocular cells, relies on distributed representations of disparity, and has a simple V1-to-V2 feedforward structure. We demonstrate with random dot stereograms that the V2 stage of our model is able to determine the location and the eye-of-origin of monocularly occluded regions and improve disparity map computation. We also examine a few related issues. First, we argue that since monocular regions are binocularly defined, they cannot generally be detected by monocular cells. Second, we show that our coarse-to-fine V1 model for conventional stereopsis explains double matching in Panum’s limiting case. This provides computational support to the notion that the perceived depth of a monocular bar next to a binocular rectangle may not be da Vinci stereopsis per se (Gillam et al., 2003). Third, we demonstrate that some stimuli previously deemed invalid have simple, valid geometric interpretations. Our work suggests that studies of da Vinci stereopsis should focus on stimuli more general than the bar-and-rectangle type and that disparity-boundary-selective V2 cells may provide a simple physiological mechanism for da Vinci stereopsis. PMID:17698163

  11. Leonardo da Vinci õpiränne

    Index Scriptorium Estoniae

    2009-01-01

    Leonardo da Vinci programmi raames viibisid välispraktikal Hollandis 2008. a. sügisel Kuressaare ametikooli 4. kursuse paadiehituse õpilased Keiti Kangur ja Kaspar Nõgu ning 2009. a. kevadel 3. kursuse paadiehituse õpilased Kaspar Kõiv, Karl Truutsi ja Martin Müürisepp. 2009 a. kevadel sooritasid praktika Küprosel toitlustusteeninduse eriala õpilased: Heldur Hillak, Rain Rohumägi ja Karel Raudsepp

  12. Eestlased muugivad da Vinci koodi / Mart Zirnask

    Index Scriptorium Estoniae

    Zirnask, Mart

    2009-01-01

    Itaalia kunstiajaloolane Nicola Barbatelli leidis tuttava kunstikogu korrastades Leonardo da Vinci arvatava autoportree. Tallinna Ülikooli maaliosakonna juhataja Orest Kormašov voolis maali järgi skulptuuri, et pilti võrrelda Leonardo õpilase Francesco Melzi tööga. Graafiline disainer Helen Kokk modelleeris arvutil maalist kolmedimensioonilise mudeli

  13. Left lower lobe sleeve lobectomy for lung cancer using the Da Vinci surgical system.

    Science.gov (United States)

    Zhao, Yandong; Jiao, Wenjie; Ren, Xiaoyang; Zhang, Liangdong; Qiu, Tong; Fu, Bo; Wang, Lei

    2016-04-12

    Despite the robotic surgery is widely applied, sleeve lobectomy for lung cancer using the Da Vinci surgical system is still less performed. We described a sleeve lobectomy for adenocarcinoma located at the left lower lobe using the Da Vinci surgical system. A case of 57-year old female referred to our hospital. Computed tomography scan showed an occupation located at the left lower lobe and adenocarcinoma project from the lobe bronchus was diagnosed by bronchoscope examination. A sleeve lobectomy was performed using the Da Vinci surgical system and the postoperative recovery was uneventful. Robotic thoracic surgery is feasible to perform sleeve lobectomy inspite of inadequate experience.

  14. The da Vinci telerobotic surgical system: the virtual operative field and telepresence surgery.

    Science.gov (United States)

    Ballantyne, Garth H; Moll, Fred

    2003-12-01

    The United States Department of Defense developed the telepresence surgery concept to meet battlefield demands. The da Vinci telerobotic surgery system evolved from these efforts. In this article, the authors describe the components of the da Vinci system and explain how the surgeon sits at a computer console, views a three-dimensional virtual operative field, and performs the operation by controlling robotic arms that hold the stereoscopic video telescope and surgical instruments that simulate hand motions with seven degrees of freedom. The three-dimensional imaging and handlike motions of the system facilitate advanced minimally invasive thoracic, cardiac, and abdominal procedures. da Vinci has recently released a second generation of telerobots with four arms and will continue to meet the evolving challenges of surgery.

  15. Does transition from the da Vinci Si to Xi robotic platform impact single-docking technique for robot-assisted laparoscopic nephroureterectomy?

    Science.gov (United States)

    Patel, Manish N; Aboumohamed, Ahmed; Hemal, Ashok

    2015-12-01

    To describe our robot-assisted nephroureterectomy (RNU) technique for benign indications and RNU with en bloc excision of bladder cuff (BCE) and lymphadenectomy (LND) for malignant indications using the da Vinci Si and da Vinci Xi robotic platform, with its pros and cons. The port placement described for Si can be used for standard and S robotic systems. This is the first report in the literature on the use of the da Vinci Xi robotic platform for RNU. After a substantial experience of RNU using different da Vinci robots from the standard to the Si platform in a single-docking fashion for benign and malignant conditions, we started using the newly released da Vinci Xi robot since 2014. The most important differences are in port placement and effective use of the features of da Vinci Xi robot while performing simultaneous upper and lower tract surgery. Patient positioning, port placement, step-by-step technique of single docking RNU-LND-BCE using the da Vinci Si and da Vinci Xi robot are shown in an accompanying video with the goal that centres using either robotic system benefit from the hints and tips. The first segment of video describes RNU-LND-BCE using the da Vinci Si followed by the da Vinci Xi to highlight differences. There was no need for patient repositioning or robot re-docking with the new da Vinci Xi robotic platform. We have experience of using different robotic systems for single docking RNU in 70 cases for benign (15) and malignant (55) conditions. The da Vinci Xi robotic platform helps operating room personnel in its easy movement, allows easier patient side-docking with the help of its boom feature, in addition to easy and swift movements of the robotic arms. The patient clearance feature can be used to avoid collision with the robotic arms or the patient's body. In patients with challenging body habitus and in situations where bladder cuff management is difficult, modifications can be made through reassigning the camera to a different port with

  16. Hidden sketches by Leonardo da Vinci revealed

    Science.gov (United States)

    Dumé, Belle

    2009-02-01

    Three drawings on the back of Leonardo da Vinci's The Virgin and Child with St Anne (circa 1508) have been discovered by researchers led by Michel Menu from the Centre de Recherche et de Restauration des Musées de France (C2RMF) and the Louvre Museum in Paris.

  17. Aerodynamic design of the Cal Poly Da Vinci Human-Powered Helicopter

    Science.gov (United States)

    Larwood, Scott; Saiki, Neal

    1990-01-01

    This paper will discuss the methodology used in designing the rotor and drive propellers for the third generation Cal Poly Da Vinci Human-Powered Helicopter. The rotor was designed using a lifting surface, uniform inflow hover analysis code and the propeller was designed using a minimum induced-loss method. Construction, geometry, and operating considerations are discussed as they impact the designs. Optimization of the design performance is also explained. The propellers were tested in a wind tunnel and results are compared with theoretical data. Successful flight tests of the Da Vinci III are discussed.

  18. [Leonardo da Vinci--a dyslectic genius?].

    Science.gov (United States)

    Røsstad, Anna

    2002-12-10

    Leonardo da Vinci's texts consist almost exclusively of scientific notes. Working on a book on Leonardo's art, I studied all Leonardo's published texts carefully for any new information. In some prefaces I came to suspect that Leonardo might have suffered from dyslexia. This article considers the question of whether it is possible to find indications of dyslexia in Leonardo's texts and in the accounts of his life.

  19. A Proposal to Build Evaluation Capacity at the Bunche-Da Vinci Learning Partnership Academy

    Science.gov (United States)

    King, Jean A.

    2005-01-01

    The author describes potential evaluation capacity-building activities in contrast to the specifics of an evaluation design. Her response to the case of the Bunche-Da Vinci Learning Partnership Academy is developed in three parts: (1) an initial framing of the Bunche-Da Vinci situation; (2) what should be done before signing a contract; and (3)…

  20. Robotic resections in hepatobiliary oncology - initial experience with Xi da Vinci system in India.

    Science.gov (United States)

    Chandarana, M; Patkar, S; Tamhankar, A; Garg, S; Bhandare, M; Goel, M

    2017-01-01

    Minimal invasive surgery has proven its advantages over open surgeries in the perioperative period. Food and Drug Administration approved da Vinci robot in 2000. The latest version, da Vinci Xi system has a mobile tower-based robot with several modifications to improve the functionality, versatility, and operative ease. None of the centers have reported exclusively on hepatobiliary oncology using the da Vinci Xi system. We report our initial experience. To study the feasibility, advantages, and discuss the operative technique of da Vinci Xi system in hepatobiliary oncology. Data were analyzed retrospectively from a prospectively maintained database from June 2015 to October 2016. Twenty-five patients with suspected or proven hepatobiliary malignancies were operated. Total robotic technique using da Vinci Xi system was used. Demographic details and perioperative outcomes were noted. Of the 25 surgeries, 14 patients had a suspected gallbladder malignancy, 11 patients had primary or metastatic liver tumor. Median age was 53 years. The average duration of surgery was 225 min with a median blood loss 150 ml. The median postoperative stay was 4 days. The median nodal yield for radical cholecystectomy was seven. Five patients required conversion. Two of these developed postoperative morbidity. Robotic surgery for hepatobiliary oncology is feasible and can be performed safely in experienced hands. Increasing experience in this field may equal or even prove advantageous over conventional or laparoscopic approach in future. A cautious approach with judicious patient selection is the key to establishing robotic surgery as a standard surgical approach.

  1. Battle of the bots: a comparison of the standard da Vinci and the da Vinci Surgical Skills Simulator in surgical skills acquisition.

    Science.gov (United States)

    Brown, Kevin; Mosley, Natalie; Tierney, James

    2017-06-01

    Virtual reality simulators are increasingly used to gain robotic surgical skills. This study compared use of the da Vinci Surgical Skills Simulator (dVSSS) to the standard da Vinci (SdV) robot for skills acquisition in a prospective randomized study. Residents from urology, gynecology, and general surgery programs performed three virtual reality tasks (thread the ring, ring rail, and tubes) on the dvSSS. Participants were then randomized to one of the two study groups (dVSSS and SdV). Each participant then practiced on either the dVSSS or the SdV (depending on randomization) for 30 min per week over a 4-week time period. The dVSSS arm was not permitted to practice ring rail (due to no similar practice scenario available for the SdV group). Following 4 weeks of practice, participants performed the same three virtual reality tasks and the results were recorded and compared to baseline. Overall and percent improvement were recorded for all participants from pre-test to post-test. Two-way ANOVA analyses were used to compare the dVSSS and SdV groups and three tasks. Initially, 30 participants were identified and enrolled in the study. Randomization resulted in 15 participants in each arm. During the course of the study, four participants were unable to complete all tasks and practice sessions and were, therefore, excluded. This resulted in a total of 26 participants (15 in the dVSSS group and 11 in the SdV group) who completed the study. Overall total improvement score was found to be 23.23 and 23.48 for the SdV and dVSSS groups, respectively (p = 0.9245). The percent improvement was 60 and 47 % for the SdV and dVSSS groups respectively, which was a statistically significant difference between the two groups and three tasks. Practicing on the standard da Vinci is comparable to practicing on the da Vinci simulator for acquiring robotic surgical skills. In spite of several potential advantages, the dVSSS arm performed no better than the SdV arm in the final

  2. Modifications of transaxillary approach in endoscopic da Vinci-assisted thyroid and parathyroid gland surgery.

    Science.gov (United States)

    Al Kadah, Basel; Piccoli, Micaela; Mullineris, Barbara; Colli, Giovanni; Janssen, Martin; Siemer, Stephan; Schick, Bernhard

    2015-03-01

    Endoscopic surgery for treatment of thyroid and parathyroid pathologies is increasingly gaining attention. The da Vinci system has already been widely used in different fields of medicine and quite recently in thyroid and parathyroid surgery. Herein, we report about modifications of the transaxillary approach in endoscopic surgery of thyroid and parathyroid gland pathologies using the da Vinci system. 16 patients suffering from struma nodosa in 14 cases and parathyroid adenomas in two cases were treated using the da Vinci system at the ENT Department of Homburg/Saar University and in cooperation with the Department of General Surgery in New Sant'Agostino Hospital, Modena/Italy. Two different retractors, endoscopic preparation of the access and three different incision modalities were used. The endoscopic preparation of the access allowed us to have a better view during preparation and reduced surgical time compared to the use of a headlamp. To introduce the da Vinci instruments at the end of the access preparation, the skin incisions were over the axilla with one incision in eight patients, two incisions in four patients and three incisions in a further four patients. The two and three skin incisions modality allowed introduction of the da Vinci instruments without arm conflicts. The use of a new retractor (Modena retractor) compared to a self-developed retractor made it easier during the endoscopic preparation of the access and the reposition of the retractor. The scar was hidden in the axilla and independent of the incisions selected, the cosmetic findings were judged by the patients to be excellent. The neurovascular structures such as inferior laryngeal nerve, superior laryngeal nerve and vessels, as well as the different pathologies, were clearly 3D visualized in all 16 cases. No paralysis of the vocal cord was observed. All patients had a benign pathology in their histological examination. The endoscopic surgery of the thyroid and parathyroid gland can be

  3. How to Think Like Leonardo da Vinci

    Science.gov (United States)

    Caouette, Ralph

    2008-01-01

    To be effective and relevant in twenty-first-century learning, art needs to be more inclusive. In this article, the author discusses how teachers can find a good example in Leonardo da Vinci for building an art program. His art, design, and curiosity are the perfect foundation for any art program, at any level. (Contains 3 resources and 3 online…

  4. Complete daVinci versus laparoscopic pyeloplasty: cost analysis.

    Science.gov (United States)

    Bhayani, Sam B; Link, Richard E; Varkarakis, John M; Kavoussi, Louis R

    2005-04-01

    Computer-assisted pyeloplasty with the daVinci system is an emerging technique to treat ureteropelvic junction (UPJ) obstruction. A relative cost analysis was performed assessing this technology in comparison with purely laparoscopic pyeloplasty. Eight patients underwent computer-assisted (daVinci) dismembered pyeloplasty (CP) via a transperitoneal four-port approach. They were compared with 13 patients who underwent purely laparoscopic pyeloplasty (LP). All patients had a primary UPJ obstruction and were matched for age, sex, and body mass index. The cost of equipment and capital depreciation for both procedures, as well as assessment of room set-up time, takedown time, and personnel were analyzed. Surgeons and nursing staff for both groups were experienced in both laparoscopy and daVinci procedures. One- and two-way financial analysis was performed to assess relative costs. The mean set-up and takedown time was 71 minutes for CP and 49 minutes for LP. The mean length of stay was 2.3 days for CP and 2.5 days for LP. The mean operating room (OR) times for CP and LP were 176 and 210 minutes, respectively. There were no complications in either group. One-way cost analysis with an economic model showed that LP is more cost effective than CP at our hospital if LP OR time is cost effective as LP. Two-way sensitivity analysis shows that in-room time must still be 500 to obtain cost equivalence for CP. Perioperative parameters for CP are encouraging. However, the costs are a clear disadvantage. In our hospital, it is more cost effective to teach and perform LP than to perform CP.

  5. The influence of ancient Greek thought on fifteenth century anatomy: Galenic influence and Leonardo da Vinci.

    Science.gov (United States)

    Tubbs, Richard Isaiah; Gonzales, Jocelyn; Iwanaga, Joe; Loukas, Marios; Oskouian, Rod J; Tubbs, R Shane

    2018-06-01

    Leonardo da Vinci (1452-1519) can be called one of the earliest contributors to the history of anatomy and, by extension, the study of medicine. He may have even overshadowed Andreas Vesalius (1514-1564), the so-called founder of human anatomy, if his works had been published within his lifetime. While some of the best illustrations of their time, with our modern knowledge of anatomy, it is clear that many of da Vinci's depictions of human anatomy are inaccurate. However, he also made significant discoveries in anatomy and remarkable predictions of facts he could not yet discover with the technology available to him. Additionally, da Vinci was largely influenced by Greek anatomists, as indicated from his ideas about anatomical structure. In this historical review, we describe da Vinci's history, influences, and discoveries in anatomical research and his depictions and errors with regards to the musculoskeletal system, cardiovascular system, nervous system, and other organs.

  6. Thorascopic resection of an apical paraspinal schwannoma using the da Vinci surgical system.

    Science.gov (United States)

    Finley, David; Sherman, Jonathan H; Avila, Edward; Bilsky, Mark

    2014-01-01

    Posterior mediastinal neurogenic tumors have traditionally been resected via an open posterolateral thoracotomy. Video-assisted thorascopic surgery has emerged as an alternative technique allowing for improved morbidity with decreased blood loss, less postoperative pain, and a shorter recovery period, among others. The da Vinci surgical system, as first described for urologic procedures, has recently been reported for lung lobectomy. This technique provides the advantages of instrumentation with 6 degrees of freedom, stable operating arms, and improved visualization with the three-dimensional high-definition camera. We describe the technique for thorascopic resection of an apical paraspinal schwannoma of the T1 nerve root with the da Vinci surgical system. This technique used a specialized intraoperative neuromonitoring probe for free-running electromyography (EMG) and triggered EMG. We demonstrate successful resection of a posterior paraspinal schwannoma with the da Vinci surgical system while preserving neurologic function. The patient displayed stable intraoperative monitoring of the T1 nerve root and full intrinsic hand strength postoperatively. The technique described in this article introduces robotic system accuracy and precludes the need for an open thoracotomy. In addition, this approach demonstrates the ability of the da Vinci surgical system to safely dissect tumors from their neural attachments and is applicable to other such lesions of similar size and location. Georg Thieme Verlag KG Stuttgart · New York.

  7. Da Vinci robot-assisted anatomic left hemihepatectomy and biliary reconstruction.

    Science.gov (United States)

    Wang, Zhifei; Liu, Quanda; Chen, Junzhou; Duan, Weihong; Zhou, Ningxin

    2013-06-01

    Since the introduction of Da Vinci robotic surgery, more and more complicated surgeries can now be performed robotically, yet there have been very few on robotic hepatectomy, especially when billiary reconstruction is involved. The video shows our initial experience with an anatomic hepatectomy using Da Vinci surgical robot. In this case, we also conducted billiary reconstruction due to the anatomic abnormality of bile duct, while applying the choledochoscopy. The preoperative diagnosis is primary liver carcinoma, tumor thrombi in bile duct, and hepatitis B. First, the gallbladder was resected, and cystic artery and duct were identified. After opening of the common bile duct above the junction, the choledochoscopy was performed. Tumor thrombi were found in common bile duct and left hepatic duct, and they were all removed. Left branches hepatic artery and portal vein were dissected, ligated, and divided. Thrombi in the left hepatic duct were removed also. After marking the cutting line along the ischemic boarder, liver parenchyma was transected using robotic harmonic scalpel. Branches of ducts were encountered and managed by either direct coagulating or dividing after clipping. The left hepatic vein was visualized, exposed, and divided during hepatectomy. Two T tubes were placed into common hepatic duct and the proximal cutting end of right anterior bile duct which was found to join the left hepatic duct, respectively. The operation went on successfully. The operation time was 410 minutes, the blood loss was 200 mL. The pathologic diagnosis was introductal papillary adenocarcinoma of left hepatic duct. The patient went on well postoperatively and was followed up for 22 months till now. Postoperative computed tomography examination showed no recurrence. Da Vinci-assisted robotic hepatectomy can be performed safely in the hands of experienced hepatobilliary surgeons, and choledochoscopy can be combined for bile duct exploration. With the advantages of Da Vinci robot

  8. The Settings, Pros and Cons of the New Surgical Robot da Vinci Xi System for Transoral Robotic Surgery (TORS): A Comparison With the Popular da Vinci Si System.

    Science.gov (United States)

    Kim, Da Hee; Kim, Hwan; Kwak, Sanghyun; Baek, Kwangha; Na, Gina; Kim, Ji Hoon; Kim, Se Heon

    2016-10-01

    The da Vinci system (da Vinci Surgical System; Intuitive Surgical Inc.) has rapidly developed in several years from the S system to the Si system and now the Xi System. To investigate the surgical feasibility and to provide workflow guidance for the newly released system, we used the new da Vinci Xi system for transoral robotic surgery (TORS) on a cadaveric specimen. Bilateral supraglottic partial laryngectomy, hypopharyngectomy, lateral oropharyngectomy, and base of the tongue resection were serially performed in search of the optimal procedures with the new system. The new surgical robotic system has been upgraded in all respects. The telescope and camera were incorporated into one system, with a digital end-mounted camera. Overhead boom rotation allows multiquadrant access without axis limitation, the arms are now thinner and longer with grabbing movements for easy adjustments. The patient clearance button dramatically reduces external collisions. The new surgical robotic system has been optimized for improved anatomic access, with better-equipped appurtenances. This cadaveric study of TORS offers guidance on the best protocol for surgical workflow with the new Xi system leading to improvements in the functional results of TORS.

  9. Operative technique and early experience for robotic-assisted laparoscopic nephroureterectomy (RALNU) using da Vinci Xi.

    Science.gov (United States)

    Darwiche, Fadi; Swain, Sanjaya; Kallingal, George; Punnen, Sanoj; Manoharan, Murugesan; Parekh, Dipen J; Gonzalgo, Mark L

    2015-01-01

    Robotic-assisted laparoscopic nephroureterectomy (RALNU) has been previously utilized for management of upper tract urothelial carcinoma. The da Vinci Xi surgical system was released in April of 2014. We describe our operative technique and early experience for RALNU using the da Vinci Xi system highlighting unique features of this surgical platform. A total of 10 patients with a diagnosis of upper tract urothelial carcinoma underwent RALNU using the da Vinci Xi system between April and November of 2014. A novel, oblique "in line" robotic trocar configuration was utilized to access the upper abdomen (nephrectomy portion) and pelvis (bladder cuff excision) without undocking. The port hopping feature of da Vinci Xi was utilized to facilitate optimal, multi-quadrant visualization during RALNU. Robotic-assisted laparoscopic nephroureterectomy was successfully completed without open conversion in all 10 patients. Mean operative time was 184 min (range 140-300 min), mean estimated blood loss was 121 cc (range 60-300 cc), and mean hospital stay was 2.4 days. Final pathology demonstrated high grade urothelial carcinoma in all patients. Surgical margins were negative in all patients. No intra-operative complications were encountered. One patient developed a pulmonary embolus after being discharged. No patients required a blood transfusion. Mean patient follow-up was 130 days (range 15-210 days). The use of da Vinci Xi with a novel, oblique "in line" port configuration and camera port hopping technique allows for an efficient and reproducible method for RALNU without the need for repositioning the patient or the robot during surgery.

  10. The Potential da Vinci in All of Us

    Science.gov (United States)

    Petto, Sarah; Petto, Andrew

    2009-01-01

    The study of the human form is fundamental to both science and art curricula. For vertebrates, perhaps no feature is more important than the skeleton to determine observable form and function. As Leonard da Vinci's famous Proportions of the Human Figure (Virtruvian Man) illustrates, the size, shape, and proportions of the human body are defined by…

  11. Transoral robotic surgery for the base of tongue squamous cell carcinoma: a preliminary comparison between da Vinci Xi and Si.

    Science.gov (United States)

    Alessandrini, Marco; Pavone, Isabella; Micarelli, Alessandro; Caporale, Claudio

    2017-09-13

    Considering the emerging advantages related to da Vinci Xi robotic platform, the aim of this study is to compare for the first time the operative outcomes of this tool to the previous da Vinci Si during transoral robotic surgery (TORS), both performed for squamous cell carcinomas (SCC) of the base of tongue (BOT). Intra- and peri-operative outcomes of eight patients with early stage (T1-T2) of the BOT carcinoma and undergoing TORS by means of the da Vinci Xi robotic platform (Xi-TORS) are compared with the da Vinci Si group ones (Si-TORS). With respect to Si-TORS group, Xi-TORS group demonstrated a significantly shorter overall operative time, console time, and intraoperative blood loss, as well as peri-operative pain intensity and length of mean hospital stays and nasogastric tube positioning. Considering recent advantages offered by surgical robotic techniques, the da Vinci Xi Surgical System preliminary outcomes could suggest its possible future routine implementation in BOT squamous cell carcinoma procedures.

  12. Automatic localization of the da Vinci surgical instrument tips in 3-D transrectal ultrasound.

    Science.gov (United States)

    Mohareri, Omid; Ramezani, Mahdi; Adebar, Troy K; Abolmaesumi, Purang; Salcudean, Septimiu E

    2013-09-01

    Robot-assisted laparoscopic radical prostatectomy (RALRP) using the da Vinci surgical system is the current state-of-the-art treatment option for clinically confined prostate cancer. Given the limited field of view of the surgical site in RALRP, several groups have proposed the integration of transrectal ultrasound (TRUS) imaging in the surgical workflow to assist with accurate resection of the prostate and the sparing of the neurovascular bundles (NVBs). We previously introduced a robotic TRUS manipulator and a method for automatically tracking da Vinci surgical instruments with the TRUS imaging plane, in order to facilitate the integration of intraoperative TRUS in RALRP. Rapid and automatic registration of the kinematic frames of the da Vinci surgical system and the robotic TRUS probe manipulator is a critical component of the instrument tracking system. In this paper, we propose a fully automatic registration technique based on automatic 3-D TRUS localization of robot instrument tips pressed against the air-tissue boundary anterior to the prostate. The detection approach uses a multiscale filtering technique to identify and localize surgical instrument tips in the TRUS volume, and could also be used to detect other surface fiducials in 3-D ultrasound. Experiments have been performed using a tissue phantom and two ex vivo tissue samples to show the feasibility of the proposed methods. Also, an initial in vivo evaluation of the system has been carried out on a live anaesthetized dog with a da Vinci Si surgical system and a target registration error (defined as the root mean square distance of corresponding points after registration) of 2.68 mm has been achieved. Results show this method's accuracy and consistency for automatic registration of TRUS images to the da Vinci surgical system.

  13. Training and Health. Leonardo da Vinci Series: Good Practices.

    Science.gov (United States)

    Commission of the European Communities, Brussels (Belgium). Directorate-General for Education and Culture.

    This document profiles programs in the fields of health and medicine that are offered through the European Commission's Leonardo da Vinci program. The following programs are profiled: (1) CYTOTRAIN (a transnational vocational training program in cervical cancer screening); (2) Apollo (a program of open and distance learning for paramedical…

  14. Robotic right colectomy using the Da Vinci Single-Site® platform: case report.

    Science.gov (United States)

    Morelli, Luca; Guadagni, Simone; Caprili, Giovanni; Di Candio, Giulio; Boggi, Ugo; Mosca, Franco

    2013-09-01

    While single-port laparoscopy for abdominal surgery is technically challenging, the Da Vinci Single-Site® robotic surgery platform may help to overcome some of the difficulties of this rapidly evolving technique. The authors of this article present a case of single-incision, robotic right colectomy using this device. A 74-year-old female with malignant polyp of caecum was operated on with a single-site approach using the Da Vinci Single-Site® robotic surgery device. Resection and anastomosis were performed extra-corporeally after undocking the robot. The procedure was successfully completed in 200 min. No surgical complications occurred during the intervention and the post-operative stay and no conversion to laparotomy or additional trocars were required. To the best of our knowledge, this is the first case of right colectomy using the Da Vinci Single-Site® robotic surgery platform to be reported. The procedure is feasible and safe and its main advantages are restoration of triangulation and reduced instrument clashes. Copyright © 2013 John Wiley & Sons, Ltd.

  15. On the Da Vinci size effect in tensile strengths of nanowires: A molecular dynamics study

    Science.gov (United States)

    Zhao, Ziyu; Liu, Jinxing; Soh, Ai Kah

    2018-01-01

    In recent decades, size effects caused by grain size, strain gradient, typical defects etc., have been widely investigated. Nevertheless, the dependence of tensile strength on the specimen length, addressed by Da Vinci around 500 hundred years ago, has received rather limited attention, even though it is one unavoidable question to answer if people attempt to bring materials' amazing nano-scale strengths up to macro-level. Therefore, we make efforts to study tensile behaviors of copper nanowires with a common cross-section and various lengths by employing the molecular dynamics simulations. Surprisingly, a strong size effect of Da Vinci type indeed arises. We have shown the influences of lattice orientation, temperature and prescribed notch on such a Da Vinci size effect. Two different theoretical explanations are briefly proposed for a qualitative understanding. Finally, a simple scaling rule is summarized to cover the tendencies observed.

  16. On the Da Vinci size effect in tensile strengths of nanowires: A molecular dynamics study

    Directory of Open Access Journals (Sweden)

    Ziyu Zhao

    2018-01-01

    Full Text Available In recent decades, size effects caused by grain size, strain gradient, typical defects etc., have been widely investigated. Nevertheless, the dependence of tensile strength on the specimen length, addressed by Da Vinci around 500 hundred years ago, has received rather limited attention, even though it is one unavoidable question to answer if people attempt to bring materials’ amazing nano-scale strengths up to macro-level. Therefore, we make efforts to study tensile behaviors of copper nanowires with a common cross-section and various lengths by employing the molecular dynamics simulations. Surprisingly, a strong size effect of Da Vinci type indeed arises. We have shown the influences of lattice orientation, temperature and prescribed notch on such a Da Vinci size effect. Two different theoretical explanations are briefly proposed for a qualitative understanding. Finally, a simple scaling rule is summarized to cover the tendencies observed.

  17. [Short-term efficacy of da Vinci robotic surgical system on rectal cancer in 101 patients].

    Science.gov (United States)

    Zeng, Dong-Zhu; Shi, Yan; Lei, Xiao; Tang, Bo; Hao, Ying-Xue; Luo, Hua-Xing; Lan, Yuan-Zhi; Yu, Pei-Wu

    2013-05-01

    To investigate the feasibility and safety of da Vinci robotic surgical system in rectal cancer radical operation, and to summarize its short-term efficacy and clinical experience. Data of 101 cases undergoing da Vinci robotic surgical system for rectal cancer radical operation from March 2010 to September 2012 were retrospectively analyzed. Evaluation was focused on operative procedure, complication, recovery and pathology. All the 101 cases underwent operation successfully and safely without conversion to open procedure. Rectal cancer radical operation with da Vinci robotic surgical system included 73 low anterior resections and 28 abdominoperineal resections. The average operative time was (210.3±47.2) min. The average blood lose was (60.5±28.7) ml without transfusion. Lymphadenectomy harvest was 17.3±5.4. Passage of first flatus was (2.7±0.7) d. Distal margin was (5.3±2.3) cm without residual cancer cells. The complication rate was 6.9%, including anastomotic leakage(n=2), perineum incision infection(n=2), pulmonary infection (n=2), urinary retention (n=1). There was no postoperative death. The mean follow-up time was(12.9±8.0) months. No local recurrence was found except 2 cases with distant metastasis. Application of da Vinci robotic surgical system in rectal cancer radical operation is safe and patients recover quickly The short-term efficacy is satisfactory.

  18. da Vinci robot-assisted keyhole neurosurgery: a cadaver study on feasibility and safety.

    Science.gov (United States)

    Marcus, Hani J; Hughes-Hallett, Archie; Cundy, Thomas P; Yang, Guang-Zhong; Darzi, Ara; Nandi, Dipankar

    2015-04-01

    The goal of this cadaver study was to evaluate the feasibility and safety of da Vinci robot-assisted keyhole neurosurgery. Several keyhole craniotomies were fashioned including supraorbital subfrontal, retrosigmoid and supracerebellar infratentorial. In each case, a simple durotomy was performed, and the flap was retracted. The da Vinci surgical system was then used to perform arachnoid dissection towards the deep-seated intracranial cisterns. It was not possible to simultaneously pass the 12-mm endoscope and instruments through the keyhole craniotomy in any of the approaches performed, limiting visualization. The articulated instruments provided greater dexterity than existing tools, but the instrument arms could not be placed in parallel through the keyhole craniotomy and, therefore, could not be advanced to the deep cisterns without significant clashing. The da Vinci console offered considerable ergonomic advantages over the existing operating room arrangement, allowing the operating surgeon to remain non-sterile and seated comfortably throughout the procedure. However, the lack of haptic feedback was a notable limitation. In conclusion, while robotic platforms have the potential to greatly enhance the performance of transcranial approaches, there is strong justification for research into next-generation robots, better suited to keyhole neurosurgery.

  19. Women and Technical Professions. Leonardo da Vinci Series: Good Practices.

    Science.gov (United States)

    Commission of the European Communities, Brussels (Belgium). Directorate-General for Education and Culture.

    This document profiles programs for women in technical professions that are offered through the European Commission's Leonardo da Vinci program. The following programs are profiled: (1) Artemis and Diana (vocational guidance programs to help direct girls toward technology-related careers); (2) CEEWIT (an Internet-based information and…

  20. Comparison of standard laparoscopic distal pancreatectomy with minimally invasive distal pancreatectomy using the da Vinci S system.

    Science.gov (United States)

    Ito, Masahiro; Asano, Yukio; Shimizu, Tomohiro; Uyama, Ichiro; Horiguchi, Akihiko

    2014-01-01

    Minimally invasive procedures for pancreatic pathologies are increasingly being used, including distal pancreatectomy. This study aimed to assess the indications for and outcomes of the da Vinci distal pancreatectomy procedure. We reviewed the medical records of patients who underwent pancreatic head resection from April 2009 to September 2013. Four patients (mean age, 52.7 years) underwent da Vinci distal pancreatectomy and 10 (mean age, 68.0 +/- 12.1 years) underwent laparoscopic distal pancreatectomy. The mean surgical duration was 292 +/- 153 min and 306 +/- 29 min, the mean blood loss was 153 +/- 71 mL and 61.7 +/- 72 mL, and the mean postoperative length of stay was 24 +/- 11 days and 14 +/- 3 days in the da Vinci distal pancreatectomy and laparoscopic distal pancreatectomy groups, respectively. One patient who underwent da Vinci distal pancreatectomy developed a pancreatic fistula, while 2 patients in the laparoscopic distal pancreatectomy group developed splenic ischemia and gastric torsion, respectively. Laparoscopic and robotic pancreatic resection were both safe and feasible in selected patients with distal pancreatic pathologies. Further studies are necessary to clarify the role of robotic surgery in the advanced laparoscopic era.

  1. "Leonardo da Vinci" projekt kutsehariduses / Piret Kärtner

    Index Scriptorium Estoniae

    Kärtner, Piret

    2001-01-01

    14.-25. mainì2001 viibisid seitse Eesti kutsekoolide inglise keele õpetajat ja kaks Riikliku Eksami- ja Kvalifikatsioonikeskuse esindajat Leonardo da Vinci projekti raames Rootsis Malmös, et tutvuda rootslaste ja hollandlaste koostöös välja töötatud programmi TENTEC - Teaching English for Technical Purposes rakendusvõimalustega, innovatiivsete võõrkeeleõppemeetoditega, eriala- ja keeleõppe integreeritud õpetusega, õppematerjalidega, mis põhinevad IT võimalustel

  2. Visual degradation in Leonardo da Vinci's iconic self-portrait: A nanoscale study

    Science.gov (United States)

    Conte, A. Mosca; Pulci, O.; Misiti, M. C.; Lojewska, J.; Teodonio, L.; Violante, C.; Missori, M.

    2014-06-01

    The discoloration of ancient paper, due to the development of oxidized groups acting as chromophores in its chief component, cellulose, is responsible for severe visual degradation in ancient artifacts. By adopting a non-destructive approach based on the combination of optical reflectance measurements and time-dependent density functional theory ab-initio calculations, we describe and quantify the chromophores affecting Leonardo da Vinci's iconic self-portrait. Their relative concentrations are very similar to those measured in modern and ancient samples aged in humid environments. This analysis quantifies the present level of optical degradation of the Leonardo da Vinci's self-portrait which, compared with future measurements, will assess its degradation rate. This is a fundamental information in order to plan appropriate conservation strategies.

  3. Face, content, and construct validity of four, inanimate training exercises using the da Vinci ® Si surgical system configured with Single-Site ™ instrumentation.

    Science.gov (United States)

    Jarc, Anthony M; Curet, Myriam

    2015-08-01

    Validated training exercises are essential tools for surgeons as they develop technical skills to use robot-assisted minimally invasive surgical systems. The purpose of this study was to show face, content, and construct validity of four, inanimate training exercises using the da Vinci (®) Si surgical system configured with Single-Site (™) instrumentation. New (N = 21) and experienced (N = 6) surgeons participated in the study. New surgeons (11 Gynecology [GYN] and 10 General Surgery [GEN]) had not completed any da Vinci Single-Site cases but may have completed multiport cases using the da Vinci system. They participated in this study prior to attending a certification course focused on da Vinci Single-Site instrumentation. Experienced surgeons (5 GYN and 1 GEN) had completed at least 25 da Vinci Single-Site cases. The surgeons completed four inanimate training exercises and then rated them with a questionnaire. Raw metrics and overall normalized scores were computed using both video recordings and kinematic data collected from the surgical system. The experienced surgeons significantly outperformed new surgeons for many raw metrics and the overall normalized scores derived from video review (p da Vinci Single-Site surgery and actually testing the technical skills used during da Vinci Single-Site surgery. In summary, the four training exercises showed face, content, and construct validity. Improved overall scores could be developed using additional metrics not included in this study. The results suggest that the training exercises could be used in an overall training curriculum aimed at developing proficiency in technical skills for surgeons new to da Vinci Single-Site instrumentation.

  4. Precision in robotic rectal surgery using the da Vinci Xi system and integrated table motion, a technical note.

    Science.gov (United States)

    Panteleimonitis, Sofoklis; Harper, Mick; Hall, Stuart; Figueiredo, Nuno; Qureshi, Tahseen; Parvaiz, Amjad

    2017-09-15

    Robotic rectal surgery is becoming increasingly more popular among colorectal surgeons. However, time spent on robotic platform docking, arm clashing and undocking of the platform during the procedure are factors that surgeons often find cumbersome and time consuming. The newest surgical platform, the da Vinci Xi, coupled with integrated table motion can help to overcome these problems. This technical note aims to describe a standardised operative technique of single docking robotic rectal surgery using the da Vinci Xi system and integrated table motion. A stepwise approach of the da Vinci docking process and surgical technique is described accompanied by an intra-operative video that demonstrates this technique. We also present data collected from a prospectively maintained database. 33 consecutive rectal cancer patients (24 male, 9 female) received robotic rectal surgery with the da Vinci Xi during the preparation of this technical note. 29 (88%) patients had anterior resections, and four (12%) had abdominoperineal excisions. There were no conversions, no anastomotic leaks and no mortality. Median operation time was 331 (249-372) min, blood loss 20 (20-45) mls and length of stay 6.5 (4-8) days. 30-day readmission rate and re-operation rates were 3% (n = 1). This standardised technique of single docking robotic rectal surgery with the da Vinci Xi is safe, feasible and reproducible. The technological advances of the new robotic system facilitate the totally robotic single docking approach.

  5. Studying and Working Abroad. Leonardo da Vinci Series: Good Practices.

    Science.gov (United States)

    Commission of the European Communities, Brussels (Belgium). Directorate-General for Education and Culture.

    This document profiles recent successful examples of students studying and working abroad as part of the European Commission's Leonardo da Vinci program, which is designed to give students across the European Union the opportunity to experience vocational training in a foreign country. The following examples are presented: (1) 3 Finnish students…

  6. The First Korean Experience of Telemanipulative Robot-Assisted Laparoscopic Cholecystectomy Using the da Vinci System

    Science.gov (United States)

    Kang, Chang Moo; Chi, Hoon Sang; Hyeung, Woo Jin; Kim, Kyung Sik; Choi, Jin Sub; Kim, Byong Ro

    2007-01-01

    With the advancement of laparoscopic instruments and computer sciences, complex surgical procedures are expected to be safely performed by robot assisted telemanipulative laparoscopic surgery. The da Vinci system (Intuitive Surgical, Mountain View, CA, USA) became available at the many surgical fields. The wrist like movements of the instrument's tip, as well as 3-dimensional vision, could be expected to facilitate more complex laparoscopic procedure. Here, we present the first Korean experience of da Vinci robotic assisted laparoscopic cholecystectomy and discuss the introduction and perspectives of this robotic system. PMID:17594166

  7. Leonardo da Vinci and Kethem-Kiveris vena.

    Science.gov (United States)

    Dolezal, Antonín; Skorepova-Honzlova, Zita; Jelen, Karel

    2012-01-01

    In the drawing of coitus by Leonardo da Vinci are pictured the contemporary hypotheses regarding this act. The authors analyze the mamillaruteral connection depicted by the artist and grow up to believe that this is a hypothetical kiveris vena, female vein described by Anatomist Master Nicolai Physicus from the Salerno School. The Hebrew roots were found in the name. The connection is described also by Mondino in The Anathomia. The same connection can be found in the picture of the pregnant woman in Fasciculus Medicinæ by Johannes De Ketham.

  8. Leonardo da Vinci's "A Skull Sectioned" : Skull and dental formula revisited

    NARCIS (Netherlands)

    Gerrits, Peter O.; Veening, Jan G.

    What can be learned from historical anatomical drawings and how to incorporate these drawings into anatomical teaching? The drawing A skull sectioned (RL 19058v) by Leonardo da Vinci (14521519), hides more detailed information than reported earlier. A well-chosen section cut explores sectioned

  9. Leonardo da Vinci's "A Skull Sectioned": Skull and dental formula revisited

    NARCIS (Netherlands)

    Gerrits, P.O.; Veening, J.G.

    2013-01-01

    What can be learned from historical anatomical drawings and how to incorporate these drawings into anatomical teaching? The drawing "A skull sectioned" (RL 19058v) by Leonardo da Vinci (1452-1519), hides more detailed information than reported earlier. A well-chosen section cut explores sectioned

  10. Insight into the da Vinci® Xi - technical notes for single-docking left-sided colorectal procedures.

    Science.gov (United States)

    Ngu, James Chi-Yong; Sim, Sarah; Yusof, Sulaiman; Ng, Chee-Yung; Wong, Andrew Siang-Yih

    2017-12-01

    The adoption of robot-assisted laparoscopic colorectal surgery has been hampered by issues with docking, operative duration, technical difficulties in multi-quadrant access, and cost. The da Vinci® Xi has been designed to overcome some of these limitations. We describe our experience with the system and offer technical insights to its application in left-sided colorectal procedures. Our initial series of left-sided robotic colorectal procedures was evaluated. Patient demographics and operative outcomes were recorded prospectively using a predefined database. Between March 2015 and April 2016, 54 cases of robot-assisted laparoscopic left-sided colorectal procedures were successfully completed with no cases of conversion. The majority were low anterior resections for colorectal malignancies. Using the da Vinci® Xi Surgical System, multi-quadrant surgery involving dissection from the splenic flexure to the pelvis was possible without redocking. The da Vinci® Xi simplifies the docking procedure and makes single-docking feasible for multi-quadrant left-sided colorectal procedures. Copyright © 2016 John Wiley & Sons, Ltd.

  11. Visual Da Vinci extension for real robot control

    OpenAIRE

    Champredonde, Raúl; De Giusti, Armando Eduardo; Romero, Fernando

    1998-01-01

    Visual DaVinci is a visual programming language whose purpose is programming learning. The development environment allows the implementation, execution and debugging of the algorithms specified with the mentioned language. The implementation of an algorithm may be carried out in a conventional way, that is, by writing each of its instructions, or by means of a visual diagram, which can in turn be used as a designing tool. Both implementations may be indistinctly used at any moment of...

  12. Transoral robotic thyroidectomy: a preclinical feasibility study using the da Vinci Xi platform.

    Science.gov (United States)

    Russell, Jonathon O; Noureldine, Salem I; Al Khadem, Mai G; Chaudhary, Hamad A; Day, Andrew T; Kim, Hoon Yub; Tufano, Ralph P; Richmon, Jeremy D

    2017-09-01

    Transoral thyroid surgery allows the surgeon to conceal incisions within the oral cavity without significantly increasing the amount of required dissection. TORT provides an ideal scarless, midline access to the thyroid gland and bilateral central neck compartments. This approach, however, presents multiple technical challenges. Herein, we present our experience using the latest generation robotic surgical system to accomplish transoral robotic thyroidectomy (TORT). In two human cadavers, the da Vinci Xi surgical system (Intuitive Surgical, Sunnyvale, CA, USA) was used to complete TORT. Total thyroidectomy and bilateral central neck dissection was successfully completed in both cadavers. The da Vinci Xi platform offered several technologic advantages over previous robotic generations including overhead docking, narrower arms, and improved range of motion allowing for improved execution of previously described TORT techniques.

  13. Cadaveric feasibility study of da Vinci Si-assisted cochlear implant with augmented visual navigation for otologic surgery.

    Science.gov (United States)

    Liu, Wen P; Azizian, Mahdi; Sorger, Jonathan; Taylor, Russell H; Reilly, Brian K; Cleary, Kevin; Preciado, Diego

    2014-03-01

    To our knowledge, this is the first reported cadaveric feasibility study of a master-slave-assisted cochlear implant procedure in the otolaryngology-head and neck surgery field using the da Vinci Si system (da Vinci Surgical System; Intuitive Surgical, Inc). We describe the surgical workflow adaptations using a minimally invasive system and image guidance integrating intraoperative cone beam computed tomography through augmented reality. To test the feasibility of da Vinci Si-assisted cochlear implant surgery with augmented reality, with visualization of critical structures and facilitation with precise cochleostomy for electrode insertion. Cadaveric case study of bilateral cochlear implant approaches conducted at Intuitive Surgical Inc, Sunnyvale, California. Bilateral cadaveric mastoidectomies, posterior tympanostomies, and cochleostomies were performed using the da Vinci Si system on a single adult human donor cadaveric specimen. Radiographic confirmation of successful cochleostomies, placement of a phantom cochlear implant wire, and visual confirmation of critical anatomic structures (facial nerve, cochlea, and round window) in augmented stereoendoscopy. With a surgical mean time of 160 minutes per side, complete bilateral cochlear implant procedures were successfully performed with no violation of critical structures, notably the facial nerve, chorda tympani, sigmoid sinus, dura, or ossicles. Augmented reality image overlay of the facial nerve, round window position, and basal turn of the cochlea was precise. Postoperative cone beam computed tomography scans confirmed successful placement of the phantom implant electrode array into the basal turn of the cochlea. To our knowledge, this is the first study in the otolaryngology-head and neck surgery literature examining the use of master-slave-assisted cochleostomy with augmented reality for cochlear implants using the da Vinci Si system. The described system for cochleostomy has the potential to improve the

  14. Da Vinci Xi and Si platforms have equivalent perioperative outcomes during robot-assisted partial nephrectomy: preliminary experience.

    Science.gov (United States)

    Abdel Raheem, Ali; Sheikh, Abulhasan; Kim, Dae Keun; Alatawi, Atalla; Alabdulaali, Ibrahim; Han, Woong Kyu; Choi, Young Deuk; Rha, Koon Ho

    2017-03-01

    The aims of this study were to compare the perioperative outcomes of da Vinci Xi to Si during robotic-assisted partial nephrectomy (RAPN) and to discuss the feasibility of our novel port placement scheme for the da Vinci Xi platform, to overcome the existing kinetic and technical difficulties we faced with the linear port placement in patients with a small body habitus. A retrospective data analysis of patients who underwent RPN using da Vinci Xi (n = 18) was carried out. The outcomes of the Xi group were compared with the Si group (n = 18) selected using a case-matched methodology. For da Vinci Xi, we applied the universal linear port placement in 12 patients and our modified port placement in the remaining 6 patients. The Xi group had a shorter mean docking time of 17.8 ± 2.6 min compared to the Si group of 20.5 ± 2.1 min (p = 0.002); otherwise, no significant difference was present with regard to the remaining perioperative variables (p > 0.05). The modified Xi port placement had a shorter mean console time of 70.8 ± 9.7 min compared to the universal linear port placement of 89.3 ± 17.2 min (p = 0.03). Moreover, it provided a broader field of vision with excellent robotic arms movement, minimizing collisions and allowing an easier and comfortable surgical assist. Da Vinci Xi appears to be feasible and safe during RPN with similar outcomes to Si. The novel Xi port placement makes surgery easier in patients with low BMI.

  15. The Da Vinci European BioBank: A Metabolomics-Driven Infrastructure

    Science.gov (United States)

    Carotenuto, Dario; Luchinat, Claudio; Marcon, Giordana; Rosato, Antonio; Turano, Paola

    2015-01-01

    We present here the organization of the recently-constituted da Vinci European BioBank (daVEB, https://www.davincieuropeanbiobank.org/it). The biobank was created as an infrastructure to support the activities of the Fiorgen Foundation (http://www.fiorgen.net/), a nonprofit organization that promotes research in the field of pharmacogenomics and personalized medicine. The way operating procedures concerning samples and data have been developed at daVEB largely stems from the strong metabolomics connotation of Fiorgen and from the involvement of the scientific collaborators of the foundation in international/European projects aimed to tackle the standardization of pre-analytical procedures and the promotion of data standards in metabolomics. PMID:25913579

  16. Robotic-assisted single-port donor nephrectomy using the da Vinci single-site platform.

    Science.gov (United States)

    LaMattina, John C; Alvarez-Casas, Josue; Lu, Irene; Powell, Jessica M; Sultan, Samuel; Phelan, Michael W; Barth, Rolf N

    2018-02-01

    Although single-port donor nephrectomy offers improved cosmetic outcomes, technical challenges have limited its application to selected centers. Our center has performed over 400 single-port donor nephrectomies. The da Vinci single-site robotic platform was utilized in an effort to overcome the steric, visualization, ergonomic, and other technical limitations associated with the single-port approach. Food and Drug Administration device exemption was obtained. Selection criteria for kidney donation included body mass index da Vinci single-site platform. Our experience supported the safety of this approach but found that the technology added cost and complexity without tangible benefit. Development of articulating instruments, energy, and stapling devices will be necessary for increased application of robotic single-site surgery for donor nephrectomy. Copyright © 2017 Elsevier Inc. All rights reserved.

  17. Opportunity cost in the economic evaluation of da Vinci robotic assisted surgery.

    Science.gov (United States)

    Fuertes-Guiró, Fernando; Girabent-Farrés, Montserrat; Viteri-Velasco, Eduardo

    2016-04-01

    This study aims to demonstrate the importance of the opportunity cost in using da Vinci robotic surgery, assisted by a comprehensive review of the literature to determine the differences in the total cost of surgery and operative time in traditional laparoscopic surgery and da Vinci robotic surgery. We identified the studies comparing the use of traditional laparoscopic surgery with robotics during the period 2002-2012 in the electronic economic evaluation databases, and another electronic search was performed for publications by Spanish hospitals in the same period to calculate the opportunity cost. A meta-analysis of response variables considering the total cost of the intervention and surgical time was completed using the items selected in the first revision, and their differences were analyzed. We then calculated the opportunity cost represented by these time differences using the data obtained from the studies in the second review of the literature. Nine items were selected in the first review and three in the second. Traditional laparoscopic surgery has a lower cost than the da Vinci (p < 0.00001). Robotic surgery takes longer (8.0-65.5 min) than traditional surgery (p < 0.00001), and this difference represents an average opportunity cost for robot use of € 489.98, with a unit cost factor/time which varies according to the pathology dealt with, from € 8.2 to 18.7/min. The opportunity cost is a quantity that must be included in the total cost of using a surgical technology within an economic cost analysis in the context of an economic evaluation.

  18. Comparing the da Vinci si single console and dual console in teaching novice surgeons suturing techniques.

    Science.gov (United States)

    Crusco, Salvatore; Jackson, Tiffany; Advincula, Arnold

    2014-01-01

    Robot-assisted laparoscopic surgery is often taught with the surgical mentor at the surgeon console and the trainee at the patient's bedside. The da Vinci dual console (Intuitive Surgical, Sunnyvale, California) allows a surgical mentor to teach with both the mentor and the trainee working at a surgeon console simultaneously. The purpose of this study is to evaluate the effectiveness of the dual console versus the single console for teaching medical students robotic tasks. Forty novice medical students were randomized to either the da Vinci single-console or dual-console group and were taught 4 knot-tying techniques by a surgical mentor. The students were timed while performing the tasks. No statistically significant differences in mean task times were observed between the single- and dual-console groups: interrupted stitch with a 2-handed knot (300 seconds for single vs 294 seconds for dual, P=.59), interrupted stitch with a 1-handed knot (198 seconds for single vs 212 seconds for dual, P=.88), figure-of-8 stitch with a 2-handed knot (261 seconds for single vs 219 seconds for dual, P=.20), and figure-of-8 stitch with a 1-handed knot (200 seconds for single vs 199 seconds for dual, P=.53). No significant difference was observed in performance time when teaching knot-tying techniques to medical students using the da Vinci dual console compared with the single console. More research needs to be performed on the utility of the da Vinci dual console in surgical training.

  19. The Da Vinci European BioBank: A Metabolomics-Driven Infrastructure

    Directory of Open Access Journals (Sweden)

    Dario Carotenuto

    2015-04-01

    Full Text Available We present here the organization of the recently-constituted da Vinci European BioBank (daVEB, https://www.davincieuropeanbiobank.org/it. The biobank was created as an infrastructure to support the activities of the Fiorgen Foundation (http://www.fiorgen.net/, a nonprofit organization that promotes research in the field of pharmacogenomics and personalized medicine. The way operating procedures concerning samples and data have been developed at daVEB largely stems from the strong metabolomics connotation of Fiorgen and from the involvement of the scientific collaborators of the foundation in international/European projects aimed to tackle the standardization of pre-analytical procedures and the promotion of data standards in metabolomics.

  20. Photoacoustic-based approach to surgical guidance performed with and without a da Vinci robot

    Science.gov (United States)

    Gandhi, Neeraj; Allard, Margaret; Kim, Sungmin; Kazanzides, Peter; Lediju Bell, Muyinatu A.

    2017-12-01

    Death and paralysis are significant risks of modern surgeries, caused by injury to blood vessels and nerves hidden by bone and other tissue. We propose an approach to surgical guidance that relies on photoacoustic (PA) imaging to determine the separation between these critical anatomical features and to assess the extent of safety zones during surgical procedures. Images were acquired as an optical fiber was swept across vessel-mimicking targets, in the absence and presence of teleoperation with a research da Vinci Surgical System. Vessel separation distances were measured directly from PA images. Vessel positions were additionally recorded based on the fiber position (calculated from the da Vinci robot kinematics) that corresponded to an observed PA signal, and these recordings were used to indirectly measure vessel separation distances. Amplitude- and coherence-based beamforming were used to estimate vessel separations, resulting in 0.52- to 0.56-mm mean absolute errors, 0.66- to 0.71-mm root-mean-square errors, and 65% to 68% more accuracy compared to fiber position measurements obtained through the da Vinci robot kinematics. Similar accuracy was achieved in the presence of up to 4.5-mm-thick ex vivo tissue. Results indicate that PA image-based measurements of the separation among anatomical landmarks could be a viable method for real-time path planning in multiple interventional PA applications.

  1. Filmi "Da Vinci kood" tõeline peategelane on kõigest raamat / Andris Feldmanis

    Index Scriptorium Estoniae

    Feldmanis, Andris, 1982-

    2006-01-01

    17. mail esilinastus Cannes'i filmifestivalil Dan Browni samanimelise menuromaani järgi valminud põnevusfilm "Da Vinci kood" : stsenarist Akiva Goldsman : režissöör Ron Howard : osades Tom Hanks, Audrey Tautou, Jean Reno : Ameerika Ühendriigid 2006

  2. [Applicability of the da Vinci robotic system in the skull base surgical approach. Preclinical investigation].

    Science.gov (United States)

    Fernandez-Nogueras Jimenez, Francisco J; Segura Fernandez-Nogueras, Miguel; Jouma Katati, Majed; Arraez Sanchez, Miguel Ángel; Roda Murillo, Olga; Sánchez Montesinos, Indalecio

    2015-01-01

    The role of robotic surgery is well established in various specialties such as urology and general surgery, but not in others such as neurosurgery and otolaryngology. In the case of surgery of the skull base, it has just emerged from an experimental phase. To investigate possible applications of the da Vinci surgical robot in transoral skull base surgery, comparing it with the authors' experience using conventional endoscopic transnasal surgery in the same region. A transoral transpalatal approach to the nasopharynx and medial skull base was performed on 4 cryopreserved cadaver heads. We used the da Vinci robot, a 30° standard endoscope 12mm thick, dual camera and dual illumination, Maryland forceps on the left terminal and curved scissors on the right, both 8mm thick. Bone drilling was performed manually. For the anatomical study of this region, we used 0.5cm axial slices from a plastinated cadaver head. Various skull base structures at different depths were reached with relative ease with the robot terminals Transoral robotic surgery with the da Vinci system provides potential advantages over conventional endoscopic transnasal surgery in the surgical approach to this region. Copyright © 2014 Sociedad Española de Neurocirugía. Published by Elsevier España. All rights reserved.

  3. Eestlanna püüab murda da Vinci koodi / Sash Uusjärv

    Index Scriptorium Estoniae

    Uusjärv, Sash

    2010-01-01

    Kadrioru Kunstimuuseumis eksponeeri 5.-12. veebruarini 2010. a. Leonardo da Vinci arvatavat autoportreed. Portree leiti 2008. aastal ühest Lõuna-Itaalia erakogust ja graafiline disainer Helen Kokk valmistas maali järgi arvutimudeli. Disainer Helen Kokka mõtteid tööprotsessitst

  4. Transparency of Vocational Qualifications: The Leonardo da Vinci Approach. CEDEFOP Panorama Series.

    Science.gov (United States)

    Bjornavold, Jens; Pettersson, Sten

    This report gives an overview of the situation of transparency of vocational qualifications by presenting measures introduced at the European Community level and by drawing attention to projects within the Leonardo da Vinci Program dealing with the issue. A 16-page executive summary appears first. Chapter 1 provides general background and aims.…

  5. Da Vinci© Skills Simulator™: is an early selection of talented console surgeons possible?

    Science.gov (United States)

    Meier, Mark; Horton, Kevin; John, Hubert

    2016-12-01

    To investigate whether the learning curve of robotic surgery simulator training depends on the probands' characteristics, such as age and prior experience, we conducted a study of six distinct proband groups, using the da Vinci Skills Simulator: experienced urological robotic surgeons, surgeons with experience as da Vinci tableside assistants, urological surgeons with laparoscopic experience, urological surgeons without laparoscopic experience, and complete novices aged 25 and younger and 40 and older. The results showed that all experienced robotic surgeons reached expert level (>90 %, as defined previously in the literature) within the first three repetitions and remained on a high level of performance. All other groups performed worse. Tableside assistants, laparoscopically experienced surgeons, and younger novices showed a better performance in all exercises than surgeons without laparoscopic experience and older novices. A linear mixed-effects model analysis demonstrated no significant difference in learning curves between proband groups in all exercises except the RW1 exercise for the younger proband group. In summary, we found that performance in robotic surgery, measured by performance scores in three virtual simulator modules using the EndoWrist techniques, was dependent on age and prior experience with robotic and laparoscopic surgery. However, and most importantly, the learning curve was not significantly affected by these factors. This suggests that the da Vinci Skills Simulator™ is a useful practice tool for everyone learning or performing robotic surgery, and that early selection of talented surgeons is neither possible nor necessary.

  6. Evaluation of robotic-assisted platysmaplasty procedures in a cadaveric model using the da Vinci Surgical System.

    Science.gov (United States)

    Taghizadeh, Farhan; Reiley, Carol; Mohr, Catherine; Paul, Malcolm

    2014-03-01

    We are evaluating the technical feasibility of robotic-assisted laparoscopic vertical-intermediate platysmaplasty in conjunction with an open rhytidectomy. In a cadaveric study, the da Vinci Surgical System was used to access certain angles in the lower neck that are difficult for traditional short incision, short flap procedures. Ergonomics, approach, and technical challenges were noted. To date, there are no published reports of robotic-assisted neck lifts, motivating us to assess its potential in this field of plastic surgery. Standard open technique short flap rhytidectomies with concurrent experimental robotic-assisted platysmaplasties (neck lifts) were performed on six cadavers with the da Vinci Si Surgical System(®) (Intuitive Surgical, Sunnyvale, CA, USA). The surgical procedures were performed on a diverse cadaver population from June 2011 to January 2012. The procedures included (1) submental incision and laser-assisted liposuction, (2) open rhytidectomy, and (3) robotic-assisted platysmaplasty using knot-free sutures. A variety of sutures and fat extraction techniques, coupled with 0° and 30° three-dimensional endoscopes, were utilized to optimize visualization of the platysma. An unaltered da Vinci Si Surgical System with currently available instruments was easily adaptable to neck lift surgery. Mid-neck platysma exposure was excellent, tissue handling was delicate and precise, and suturing was easily performed. Robotic-assisted surgery has the potential to improve outcomes in neck lifts by offering the ability to manipulate instruments with increased freedom of movement, scaled motion, tremor reduction, and stereoscopic three-dimensional visualization in the deep neck. Future clinical studies on live human patients can better assess subject and surgeon benefits arising from the use of the da Vinci system for neck lifts. Evidence obtained from multiple time series with or without the intervention, such as case studies. Dramatic results in

  7. The uncatchable smile in Leonardo da Vinci's La Bella Principessa portrait.

    Science.gov (United States)

    Soranzo, Alessandro; Newberry, Michelle

    2015-08-01

    A portrait of uncertain origin recently came to light which, after extensive research and examination, was shown to be that rarest of things: a newly discovered Leonardo da Vinci painting entitled La Bella Principessa. This research presents a new illusion which is similar to that identified in the Mona Lisa; La Bella Principessa's mouth appears to change slant depending on both the Viewing Distance and the Level of Blur applied to a digital version of the portrait. Through a series of psychophysics experiments, it was found that a perceived change in the slant of the La Bella Principessa's mouth influences her expression of contentment thus generating an illusion that we have coined the "uncatchable smile". The elusive quality of the Mona Lisa's smile has been previously reported (Science, 290 (2000) 1299) and so the existence of a similar illusion in a portrait painted prior to the Mona Lisa becomes more interesting. The question remains whether Leonardo da Vinci intended this illusion. In any case, it can be argued that the ambiguity created adds to the portrait's allure. Copyright © 2015 Elsevier Ltd. All rights reserved.

  8. [The Vitruvian Man: an anatomical drawing for proportions by Leonardo Da Vinci].

    Science.gov (United States)

    Le Floch-Prigent, P

    2008-12-01

    The aim of the study was to find out and to analyse the text by Vitruvius which inspired the famous drawing by Leonardo da Vinci (circa 1490) kept in the Galleria dell'Accademia, in Venezia, Italy: the man inscribed in one circle and in one square. The book "de Architectura" by Vitruvius Marcus Pollio was printed several times since the Renaissance when both the roman architecture of antiquity and this text became very popular. From a French translation by Claude Perrault in 1864, it became easy to find a French translation with the original text in Latin (Paris, 2003, Les Belles Lettres, French text by Pierre Gros). The drawing by Leonardo da Vinci illustrates with great accuracy and fidelity the quotation of Vitruvius (with the exception of two of the 12 main relationships). The genius of Leonardo da Vinci was to keep only one trunk, head and neck for two pairs of limbs: scapular and pelvic; to make the circle tangent to the lower edge of the square; to adjust a few features of the quotation for the equilibrium of the whole figure; and of course to bring his incredible skill as a drawer (one of the best of his century). The drawing was made on a sheet of paper 344x245mm, in black ink which became dark brown with time; several lines complete the figure above and below; a short caption and a horizontal scale appear just under the drawing. The celebrity of the drawing, a symbol of the Renaissance, of the equilibrium of man and mankind, of the universality of the artists and intellectuals of the time (Humanism) made it iconic and it has been constantly reproduced and adapted especially for advertisement and logos, not only in the medical field.

  9. Initial experience with the new da Vinci single-port robot-assisted platform.

    Science.gov (United States)

    Ballestero Diego, R; Zubillaga Guerrero, S; Truan Cacho, D; Carrion Ballardo, C; Velilla Diez, G; Calleja Hermosa, P; Gutiérrez Baños, J L

    2017-06-01

    To describe our experience in the first cases of urological surgeries performed with the da Vinci single-port robot-assisted platform. We performed 5 single-port robot-assisted surgeries (R-LESS) between May and October 2014. We performed 3 ureteral reimplant surgeries, one ureteropyeloplasty in an inverted kidney and 1 partial nephrectomy. The perioperative and postoperative results were collected, as well as a report of the complications according to the Clavien classification system. Of the 5 procedures, 4 were performed completely by LESS, while 1 procedure was reconverted to multiport robot-assisted surgery. There were no intraoperative complications. We observed perioperative complications in 4 patients, all of which were grade 1 or 2. The mean surgical time was 262minutes (range, 230-300). In our initial experience with the da Vinci device, R-LESS surgery was feasible and safe. There are still a number of limitations in its use, which require new and improved R-LESS platforms. Copyright © 2016 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

  10. Kristlased üle maailma sõdivad filmi "Da Vinci kood" vastu / Erkki Bahovski

    Index Scriptorium Estoniae

    Bahovski, Erkki, 1970-

    2006-01-01

    17. mail esilinastub Cannes'i filmifestivalil Dan Browni samanimelise menuromaani järgi valminud põnevusfilm "Da Vinci kood" (režissöör Ron Howard, produtsent Brian Greiser). Film on langenud usuorganisatsiooni Opus Dei ägeda kriitika alla. Katoliiklikud ringkonnad on üles kutsunud filmi boikoteerima

  11. Leonardo da Vinci y la nutrición humana

    OpenAIRE

    Mª Begoña Carretero Gómez

    2011-01-01

    En esta experiencia trabajamos el tema la nutrición humana con una perspectiva diferente. Para ello hemos utilizado el libro de cocina "Notas de cocina de Leonardo da Vinci" de Shelagh and Routh, como texto base del que hemos extraído diferentes fragmentos, recetas y variada información de cómo era la forma de alimentarse y nutrirse en el Renacimiento. Se han realizado comparaciones entre la época actual y la de Leonardo. Para redondear la experiencia hemos cocinado algunas recetas extraídas ...

  12. Leonardo da Vinci y la nutrición humana

    Directory of Open Access Journals (Sweden)

    Mª Begoña Carretero Gómez

    2011-01-01

    Full Text Available En esta experiencia trabajamos el tema la nutrición humana con una perspectiva diferente. Para ello hemos utilizado el libro de cocina "Notas de cocina de Leonardo da Vinci" de Shelagh and Routh, como texto base del que hemos extraído diferentes fragmentos, recetas y variada información de cómo era la forma de alimentarse y nutrirse en el Renacimiento. Se han realizado comparaciones entre la época actual y la de Leonardo. Para redondear la experiencia hemos cocinado algunas recetas extraídas del libro.

  13. Robot-assisted total mesorectal excision for rectal cancer: case-matched comparison of short-term surgical and functional outcomes between the da Vinci Xi and Si.

    Science.gov (United States)

    Morelli, Luca; Di Franco, Gregorio; Guadagni, Simone; Rossi, Leonardo; Palmeri, Matteo; Furbetta, Niccolò; Gianardi, Desirée; Bianchini, Matteo; Caprili, Giovanni; D'Isidoro, Cristiano; Mosca, Franco; Moglia, Andrea; Cuschieri, Alfred

    2018-02-01

    Robotic rectal resection with da Vinci Si has some technical limitations, which could be overcome by the new da Vinci Xi. We compare short-term surgical and functional outcomes following robotic rectal resection with total mesorectal excision for cancer, with the da Vinci Xi (Xi-RobTME group) and the da Vinci Si (Si-RobTME group). The first consecutive 30 Xi-RobTME were compared with a Si-RobTME control group of 30 patients, selected using a one-to-one case-matched methodology from our prospectively collected Institutional database, comprising all cases performed between April 2010 and September 2016 by a single surgeon. Perioperative outcomes were compared. The impact of minimally invasive TME on autonomic function and quality of life was analyzed with specific questionnaires. The docking and overall operative time were shorter in the Xi-RobTME group (p  25 kg/m 2 was necessary in ten patients (45 vs. 0%, p da Vinci Xi seem to be mainly associated with a shorter docking and operative time and with superior ability to perform a fully-robotic approach. Clinical and functional outcomes seem not to be improved, with the introduction of the new Xi platform.

  14. LEONARDO DA VINCI AND THE ORIGIN OF SEMEN.

    Science.gov (United States)

    Noble, Denis; DiFrancesco, Dario; Zancani, Diego

    2014-12-20

    It is well known that Leonardo da Vinci made several drawings of the human male anatomy. The early drawings (before 1500) were incorrect in identifying the origin of semen, where he followed accepted teaching of his time. It is widely thought that he did not correct this mistake, a view that is reflected in several biographies. In fact, he made a later drawing (after 1500) in which the description of the anatomy is remarkably accurate and must have been based on careful dissection. In addition to highlighting this fact, acknowledged previously in only one other source, this article reviews the background to Leonardo's knowledge of the relevant anatomy.

  15. Marketing plan of the enterprise "Domótica DaVinci"

    OpenAIRE

    Ugarte Longás, Ana

    2014-01-01

    ¿Can you imagine living in an apartment or house that improves your quality of life? The company Domótica DaVinci is recognized by its experience offering home automation products and services assuring comfort at home and at work. It is recognized for its projects, products and services in terms of quality, innovation, sustainability and adaptation to the needs of today's society. One of the great advantages they have is their international expansion. After doing a good analysis of the com...

  16. Preliminary experience in laparoscopic resection of hepatic hydatidectocyst with the Da Vinci Surgical System (DVSS): a case report.

    Science.gov (United States)

    Zou, Haibo; Luo, Lanyun; Xue, Hua; Wang, Guan; Wang, Xiankui; Luo, Le; Yao, Yutong; Xiang, Guangming; Huang, Xiaolun

    2017-09-11

    At present, Da Vinci robotic assisted hepatectomy has been routinely carried out in conditional units. But there is no report concerning the use of Da Vinci robots for hepatic hydatid cystectomy and experience on this aspect is seldom mentioned before. This study was to summarize the preliminary experience in laparoscopic resection of hepatic hydatidectocyst with the Da Vinci Surgical System (DVSS). A 29-year-old female diagnosed as hepatic hydatid in the right anterior lobe of liver was treated with laparoscopic resection by the DVSS under general anesthesia. Appropriate disposal of tumor cell in vascular system and disinfection of surgical field with hypertonic saline were conducted. The hepatic hydatidectocyst was resected completely with an operation time of 130 min, an intraoperative blood loss of 200 ml and a length of hospital stay for five days. The vital signs of patient were stable and no cyst fluid allergy occurred after operation. Our result showed that laparoscopic resection of hepatic hydatidectocyst by using the DVSS is safe and feasible on the basis of hospitals have rich experience in treatment of cystic echinococcosisliver, resection with DVSS and laparoscopic excision.

  17. Robotic Colorectal Resection With and Without the Use of the New Da Vinci Table Motion: A Case-Matched Study.

    Science.gov (United States)

    Palmeri, Matteo; Gianardi, Desirée; Guadagni, Simone; Di Franco, Gregorio; Bastiani, Luca; Furbetta, Niccolò; Simoncini, Tommaso; Zirafa, Cristina; Melfi, Franca; Buccianti, Piero; Moglia, Andrea; Cuschieri, Alfred; Mosca, Franco; Morelli, Luca

    2018-06-01

    The da Vinci Table Motion (dVTM) is a new device that enables patients to be repositioned with instruments in place within the abdomen, and without undocking the robot. The present study was designed to compare operative and short-term outcomes of patients undergoing colorectal cancer surgery with the da Vinci Xi system, with or without use of the dVTM. Ten patients underwent robotic colorectal resection for cancer with the use of dVTM (Xi-dVTM group) between May 2015 and October 2015 at our center. The intraoperative and short-term clinical outcome were compared, using a case-control methodology (propensity scores approach to create 1:2 matched pairs), with a similar group of patients who underwent robotic colorectal surgery for cancer without the use of the dVTM device (Xi-only group). Overall robotic operative time was shorter in the Xi-dVTM group ( P = .04). Operations were executed fully robotic in all Xi-dVTM cases, while 2 cases of the Xi-only group required conversion to open surgery because of bulky tumors and difficult exposure. Postoperative medical complications were higher in the Xi-only group ( P = .024). In this preliminary experience, the use of the new dVTM with the da Vinci Xi in colorectal surgery, by overcoming the limitations of the fixed positions of the patient, enhanced the workflow and resulted in improved exposure of the operative field. Further studies with a greater number of patients are needed to confirm these benefits of the dVTM-da Vinci Xi robotically assisted colorectal surgery.

  18. Magnetisches Tracking für die Navigation mit dem da Vinci® Surgical System

    Science.gov (United States)

    Nickel, Felix; Wegner, Ingmar; Kenngott, Hannes; Neuhaus, Jochen; Müller-Stich, Beat P.; Meinzer, Hans-Peter; Gutt, Carsten N.

    In dieser Studie wurde untersucht ob in einem typischen OP-Aufbau mit dem da Vinci® Telemanipulator elektromagnetisches Tracking für die Realisation eines Navigationssystems eingesetzt werden kann. Hierfür wurde in einem realen OP-Aufbau untersucht, wie stark metallische und ferromagnetisch wirksame Objekte wie Operationstisch und Telemanipulator das elektromagnetische Feld des Trackingsystems beeinflussen. Die Ergebnisse zeigen, dass der Telemanipulator nur unwesentlich die Störung des Magnetfeldes durch den OP-Tisch verstärkt. Insbesondere die Bewegung der Instrumente im Trackingvolumen verursachte keine zusätzliche relevante Störung des Magnetfeldes. Bei Begrenzung des Trackingvolumens auf eine Länge von 190 mm, Höhe von 200mm und Breite von 400 mm war der maximale Fehler in diesem Bereich an allen Messpunkten kleiner 10 mm. Der Einsatz von elektromagnetischem Tracking für die Navigation mit dem da Vinci® Surgical System ist somit in einem begrenzten Arbeitsvolumen mit hinreichender Genauigkeit möglich.

  19. Visual tracking of da Vinci instruments for laparoscopic surgery

    Science.gov (United States)

    Speidel, S.; Kuhn, E.; Bodenstedt, S.; Röhl, S.; Kenngott, H.; Müller-Stich, B.; Dillmann, R.

    2014-03-01

    Intraoperative tracking of laparoscopic instruments is a prerequisite to realize further assistance functions. Since endoscopic images are always available, this sensor input can be used to localize the instruments without special devices or robot kinematics. In this paper, we present an image-based markerless 3D tracking of different da Vinci instruments in near real-time without an explicit model. The method is based on different visual cues to segment the instrument tip, calculates a tip point and uses a multiple object particle filter for tracking. The accuracy and robustness is evaluated with in vivo data.

  20. Da Vinci single site© surgical platform in clinical practice: a systematic review.

    Science.gov (United States)

    Morelli, Luca; Guadagni, Simone; Di Franco, Gregorio; Palmeri, Matteo; Di Candio, Giulio; Mosca, Franco

    2016-12-01

    The Da Vinci single-site© surgical platform (DVSSP) is a set of single-site instruments and accessories specifically dedicated to robot-assisted single-site surgery. The PubMed database from inception to June 2015 was searched for English literature on the clinical use of DVSSP in general surgery, urology and gynecology. Twenty-nine articles involving the clinical application of DVSSP were identified; 15 articles on general surgery (561 procedures), four articles on urology (48 procedures) and 10 articles on gynecology (212 procedures). All studies have proven the safety and feasibility of the use of DVSSP. The principal reported advantage is the restoration of intra-abdominal triangulation, while the main reported limitation is the lack of the endowrist. Da Vinci systems have proven to be valuable assets in single-site surgery, owing to the combination of robot use with the dedicated single-incision platform. However, case-control or prospective trials are warranted to draw more definitive conc lusions. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.

  1. Leonardo da Vinci jõudis Tallinna / Orest Kormašov, Helen Kokk ; intervjueerinud Ants Juske

    Index Scriptorium Estoniae

    Kormašov, Orest, 1964-

    2010-01-01

    Kadrioru Kunstimuuseumis eksponeeritakse 5.-12. veebruarini 2010. a. Leonardo da Vinci arvatavat autoportreed. Itaalia kunstiajaloolased kaasasid autoportree uurimisse Tallinna Ülikooli maaliosakonna juhataja Orest Kormašovi, kes teostas klassikalise portreeskulptuuri, ja Eesti Kunstiakadeemia graafilise disaini tudengi Helen Koka, kes valmistas arvutiimitatsiooni

  2. Leonardo da Vinci, One Year on...a Different Look at Vocational Training in Europe.

    Science.gov (United States)

    Le Magazine, 1996

    1996-01-01

    Discusses the success of the Leonardo da Vinci program, a European laboratory of innovation in vocational training, a priority focus of investment in human resources and intelligence, and a way to mobilize innovative forces beyond national boundaries. Trends identified by the program focus on new information and communication technologies. (JOW)

  3. Early assessment of feasibility and technical specificities of transoral robotic surgery using the da Vinci Xi.

    Science.gov (United States)

    Gorphe, Philippe; Von Tan, Jean; El Bedoui, Sophie; Hartl, Dana M; Auperin, Anne; Qassemyar, Quentin; Moya-Plana, Antoine; Janot, François; Julieron, Morbize; Temam, Stephane

    2017-12-01

    The latest generation Da Vinci ® Xi™ Surgical System Robot released has not been evaluated to date in transoral surgery for head and neck cancers. We report here the 1-year results of a non-randomized phase II multicentric prospective trial aimed at assessing its feasibility and technical specificities. Our primary objective was to evaluate the feasibility of transoral robotic surgery using the da Vinci ® Xi™ Surgical System Robot. The secondary objective was to assess peroperative outcomes. Twenty-seven patients, mean age 62.7 years, were included between May 2015 and June 2016 with tumors affecting the following sites: oropharynx (n = 21), larynx (n = 4), hypopharynx (n = 1), parapharyngeal space (n = 1). Eighteen patients were included for primary treatment, three for a local recurrence, and six for cancer in a previously irradiated field. Three were reconstructed with a FAMM flap and 6 with a free ALT flap. The mean docking time was 12 min. "Chopsticking" of surgical instruments was very rare. During hospitalization following surgery, 3 patients experienced significant bleeding between day 8 and 9 that required surgical transoral hemostasis (n = 1) or endovascular embolization (n = 2). Transoral robotic surgery using the da Vinci ® Xi™ Surgical System Robot proved feasible with technological improvements compared to previous generation surgical system robots and with a similar postoperative course. Further technological progress is expected to be of significant benefit to the patients.

  4. Gastrointestinal stromal tumours of stomach: Robot-assisted excision with the da Vinci Surgical System regardless of size and location site.

    Science.gov (United States)

    Furbetta, Niccolo; Palmeri, Matteo; Guadagni, Simone; Di Franco, Gregorio; Gianardi, Desirée; Latteri, Saverio; Marciano, Emanuele; Moglia, Andrea; Cuschieri, Alfred; Di Candio, Giulio; Mosca, Franco; Morelli, Luca

    2018-03-23

    The role of minimally invasive surgery of gastrointestinal stromal tumours (GISTs) of the stomach remains uncertain especially for large and/or difficult located tumours. We are hereby presenting a single-centre series of robot-assisted resections using the da Vinci Surgical System (Si or Xi). Data of patients undergoing robot-assisted treatment of gastric GIST were retrieved from the prospectively collected institutional database and a retrospective analysis was performed. Patients were stratified according to size and location of the tumour. Difficult cases (DCs) were considered for size if tumour was> 50 mm and/or for location if the tumour was Type II, III or IV sec. Privette/Al-Thani classification. Between May 2010 and February 2017, 12 consecutive patients underwent robot-assisted treatment of GIST at our institution. DCs were 10/12 cases (83.3%), of which 6/10 (50%) for location, 2/10 (25%) for size and 2/10 (25%) for both. The da Vinci Si was used in 8 patients, of which 6 (75%) were DC, and the da Vinci Xi in 4, all of which (100%) were DC. In all patients, excision was by wedge resection. All lesions had microscopically negative resection margins. There was no conversion to open surgery, no tumour ruptures or spillage and no intraoperative complications. Our experience suggests a positive role of the robot da Vinci in getting gastric GIST removal with a conservative approach, regardless of size and location site. Comparative studies with a greater number of patients are necessary for a more robust assessment.

  5. The Handedness of Leonardo da Vinci: A Tale of the Complexities of Lateralisation

    Science.gov (United States)

    McManus, I. C.; Drury, Helena

    2004-01-01

    The handedness of Leonardo da Vinci is controversial. Although there is little doubt that many of his well-attributed drawings were drawn with the left hand, the hatch marks of the shading going downwards from left to right, it is not clear that he was a natural left-hander, there being some suggestion that he may have become left-handed as the…

  6. Robotic single-access splenectomy using the Da Vinci Single-Site® platform: a case report.

    Science.gov (United States)

    Corcione, Francesco; Bracale, Umberto; Pirozzi, Felice; Cuccurullo, Diego; Angelini, Pier Luigi

    2014-03-01

    Single-access laparoscopic splenectomy can offer patients some advantages. It has many difficulties, such as instrument clashing, lack of triangulation, odd angles and lack of space. The Da Vinci Single-Site® robotic surgery platform could decrease these difficulties. We present a case of single-access robotic splenectomy using this device. A 37 year-old female with idiopathic thrombocytopenic purpura was operated on with a single-site approach, using the Da Vinci Single-Site robotic surgery device. The procedure was successfully completed in 140 min. No intraoperative and postoperative complications occurred. The patient was discharged from hospital on day 3. Single-access robotic splenectomy seems to be feasible and safe using the new robotic single-access platform, which seems to overcome certain limits of previous robotic or conventional single-access laparoscopy. We think that additional studies should also be performed to explore the real cost-effectiveness of the platform. Copyright © 2013 John Wiley & Sons, Ltd.

  7. Design, Modelling and Teleoperation of a 2 mm Diameter Compliant Instrument for the da Vinci Platform.

    Science.gov (United States)

    Francis, P; Eastwood, K W; Bodani, V; Looi, T; Drake, J M

    2018-05-07

    This work explores the feasibility of creating and accurately controlling an instrument for robotic surgery with a 2 mm diameter and a three degree-of-freedom (DoF) wrist which is compatible with the da Vinci platform. The instrument's wrist is composed of a two DoF bending notched-nitinol tube pattern, for which a kinematic model has been developed. A base mechanism for controlling the wrist is designed for integration with the da Vinci Research Kit. A basic teleoperation task is successfully performed using two of the miniature instruments. The performance and accuracy of the instrument suggest that creating and accurately controlling a 2 mm diameter instrument is feasible and the design and modelling proposed in this work provide a basis for future miniature instrument development.

  8. Preclinical cadaveric study of transanal endoscopic da Vinci® surgery.

    Science.gov (United States)

    Hompes, R; Rauh, S M; Hagen, M E; Mortensen, N J

    2012-08-01

    Single-port platforms are increasingly being used for transanal surgery and may be associated with a shorter learning curve than transanal endoscopic microsurgery. However, these procedures remain technically challenging, and robotic technology could overcome some of the limitations and increase intraluminal manoeuvrability. An initial experimental experience with transanal endoscopic da Vinci(®) surgery (TEdS) using a glove port on human cadavers is reported. After initial dry laboratory experiments, the feasibility of TEdS and ideal set-up were further evaluated in human cadavers. For transanal access a glove port was constructed on-table by using a circular anal dilator, a standard wound retractor and a surgical glove. A da Vinci(®) Si HD system was used in combination with the glove port for transanal endoscopic resections. It was possible to perform all necessary tasks to complete a full-thickness excision and closure of the rectal wall, with cadavers in both prone and supine positions. The stable magnified view, combined with the EndoWrist(®) technology of the robotic instruments, made every task straightforward. Intraluminal manoeuvrability could be improved further by intersecting the robotic instruments. The glove port proved to be very reliable and the inherent flexibility of the glove facilitated docking of the robotic arms in a narrow confined space. Using a reliable and universally available glove port, TEdS was feasible and a preferred set-up was determined. Further clinical trials will be necessary to assess the safety and efficacy of this technique. Copyright © 2012 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.

  9. Total robotic radical rectal resection with da Vinci Xi system: single docking, single phase technique.

    Science.gov (United States)

    Tamhankar, Anup Sunil; Jatal, Sudhir; Saklani, Avanish

    2016-12-01

    This study aims to assess the advantages of Da Vinci Xi system in rectal cancer surgery. It also assesses the initial oncological outcomes after rectal resection with this system from a tertiary cancer center in India. Robotic rectal surgery has distinct advantages over laparoscopy. Total robotic resection is increasing following the evolution of hybrid technology. The latest Da Vinci Xi system (Intuitive Surgical, Sunnyvale, USA) is enabled with newer features to make total robotic resection possible with single docking and single phase. Thirty-six patients underwent total robotic resection in a single phase and single docking. We used newer port positions in a straight line. Median distance from the anal verge was 4.5 cm. Median robotic docking time and robotic procedure time were 9 and 280 min, respectively. Median blood loss was 100 mL. One patient needed conversion to an open approach due to advanced disease. Circumferential resection margin and longitudinal resection margins were uninvolved in all other patients. Median lymph node yield was 10. Median post-operative stay was 7 days. There were no intra-operative adverse events. The latest Da Vinci Xi system has made total robotic rectal surgery feasible in single docking and single phase. With the new system, four arm total robotic rectal surgery may replace the hybrid technique of laparoscopic and robotic surgery for rectal malignancies. The learning curve for the new system appears to be shorter than anticipated. Early perioperative and oncological outcomes of total robotic rectal surgery with the new system are promising. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  10. The SEP "Robot": A Valid Virtual Reality Robotic Simulator for the Da Vinci Surgical System?

    NARCIS (Netherlands)

    van der Meijden, O. A. J.; Broeders, I. A. M. J.; Schijven, M. P.

    2010-01-01

    The aim of the study was to determine if the concept of face and construct validity may apply to the SurgicalSim Educational Platform (SEP) "robot" simulator. The SEP robot simulator is a virtual reality (VR) simulator aiming to train users on the Da Vinci Surgical System. To determine the SEP's

  11. Full Robotic Colorectal Resections for Cancer Combined With Other Major Surgical Procedures: Early Experience With the da Vinci Xi.

    Science.gov (United States)

    Morelli, Luca; Di Franco, Gregorio; Guadagni, Simone; Palmeri, Matteo; Gianardi, Desirée; Bianchini, Matteo; Moglia, Andrea; Ferrari, Vincenzo; Caprili, Giovanni; D'Isidoro, Cristiano; Melfi, Franca; Di Candio, Giulio; Mosca, Franco

    2017-08-01

    The da Vinci Xi has been developed to overcome some of the limitations of the previous platform, thereby increasing the acceptance of its use in robotic multiorgan surgery. Between January 2015 and October 2015, 10 patients with synchronous tumors of the colorectum and others abdominal organs underwent robotic combined resections with the da Vinci Xi. Trocar positions respected the Universal Port Placement Guidelines provided by Intuitive Surgical for "left lower quadrant," with trocars centered on the umbilical area, or shifted 2 to 3 cm to the right or to the left, depending on the type of combined surgical procedure. All procedures were completed with the full robotic technique. Simultaneous procedures in same quadrant or left quadrant and pelvis, or left/right and upper, were performed with a single docking/single targeting approach; in cases of left/right quadrant or right quadrant/pelvis, we performed a dual-targeting operation. No external collisions or problems related to trocar positions were noted. No patient experienced postoperative surgical complications and the mean hospital stay was 6 days. The high success rate of full robotic colorectal resection combined with other surgical interventions for synchronous tumors, suggest the efficacy of the da Vinci Xi in this setting.

  12. The SEP "robot": a valid virtual reality robotic simulator for the Da Vinci Surgical System?

    Science.gov (United States)

    van der Meijden, O A J; Broeders, I A M J; Schijven, M P

    2010-04-01

    The aim of the study was to determine if the concept of face and construct validity may apply to the SurgicalSim Educational Platform (SEP) "robot" simulator. The SEP robot simulator is a virtual reality (VR) simulator aiming to train users on the Da Vinci Surgical System. To determine the SEP's face validity, two questionnaires were constructed. First, a questionnaire was sent to users of the Da Vinci system (reference group) to determine a focused user-group opinion and their recommendations concerning VR-based training applications for robotic surgery. Next, clinical specialists were requested to complete a pre-tested face validity questionnaire after performing a suturing task on the SEP robot simulator. To determine the SEP's construct validity, outcome parameters of the suturing task were compared, for example, relative to participants' endoscopic experience. Correlations between endoscopic experience and outcome parameters of the performed suturing task were tested for significance. On an ordinal five-point, scale the average score for the quality of the simulator software was 3.4; for its hardware, 3.0. Over 80% agreed that it is important to train surgeons and surgical trainees to use the Da Vinci. There was a significant but marginal difference in tool tip trajectory (p = 0.050) and a nonsignificant difference in total procedure time (p = 0.138) in favor of the experienced group. In conclusion, the results of this study reflect a uniform positive opinion using VR training in robotic surgery. Concepts of face and construct validity of the SEP robotic simulator are present; however, these are not strong and need to be improved before implementation of the SEP robotic simulator in its present state for a validated training curriculum to be successful .

  13. The LEONARDO-DA-VINCI pilot project "e-learning-assistant" - Situation-based learning in nursing education.

    Science.gov (United States)

    Pfefferle, Petra Ina; Van den Stock, Etienne; Nauerth, Annette

    2010-07-01

    E-learning will play an important role in the training portfolio of students in higher and vocational education. Within the LEONARDO-DA-VINCI action programme transnational pilot projects were funded by the European Union, which aimed to improve the usage and quality of e-learning tools in education and professional training. The overall aim of the LEONARDO-DA-VINCI pilot project "e-learning-assistant" was to create new didactical and technical e-learning tools for Europe-wide use in nursing education. Based on a new situation-oriented learning approach, nursing teachers enrolled in the project were instructed to adapt, develop and implement e- and blended learning units. According to the training contents nursing modules were developed by teachers from partner institutions, implemented in the project centers and evaluated by students. The user-package "e-learning-assistant" as a product of the project includes two teacher training units, the authoring tool "synapse" to create situation-based e-learning units, a student's learning platform containing blended learning modules in nursing and an open sourced web-based communication centre. Copyright 2009 Elsevier Ltd. All rights reserved.

  14. Accuracy of a novel photoacoustic-based approach to surgical guidance performed with and without a da Vinci robot

    Science.gov (United States)

    Gandhi, Neeraj; Kim, Sungmin; Kazanzides, Peter; Lediju Bell, Muyinatu A.

    2017-03-01

    Minimally invasive surgery carries the deadly risk of rupturing major blood vessels, such as the internal carotid arteries hidden by bone in endonasal transsphenoidal surgery. We propose a novel approach to surgical guidance that relies on photoacoustic-based vessel separation measurements to assess the extent of safety zones during these type of surgical procedures. This approach can be implemented with or without a robot or navigation system. To determine the accuracy of this approach, a custom phantom was designed and manufactured for modular placement of two 3.18-mm diameter vessel-mimicking targets separated by 10-20 mm. Photoacoustic images were acquired as the optical fiber was swept across the vessels in the absence and presence of teleoperation with a research da Vinci Surgical System. When the da Vinci was used, vessel positions were recorded based on the fiber position (calculated from the robot kinematics) that corresponded to an observed photoacoustic signal. In all cases, compounded photoacoustic data from a single sweep displayed the four vessel boundaries in one image. Amplitude- and coherence-based photoacoustic images were used to estimate vessel separations, resulting in 0.52-0.56 mm mean absolute errors, 0.66-0.71 mm root mean square errors, and 65-68% more accuracy compared to fiber position measurements obtained through the da Vinci robot kinematics. Results indicate that with further development, photoacoustic image-based measurements of anatomical landmarks could be a viable method for real-time path planning in multiple interventional photoacoustic applications.

  15. DOMESTICATION IN THE TRANSLATION OF D. BROWN’S "THE DA VINCI CODE"

    Directory of Open Access Journals (Sweden)

    Gintarė Aleknavičiūtė

    2013-10-01

    Full Text Available Literary translation is one of the most widely discussed topics in Translation Studies. There are different opinions and approaches to literary translation. On the one hand, some theorists and translators suggest that linguistic aspects such as syntax, lexis, etc., are of great importance to literary translation; one must keep to the rules of the target language without digression from the original meaning, after all. On the other hand, some scholars believe these factors are insignificant, because turning translation into a linguistic exercise undermines the more important textual, cultural, and situational factors (Leonardi 2000. However, the application of Grice’s Cooperative Principle to literary translation allows the mixture of both the linguistic aspects and all that is left beyond the meaning. The study was inspired by Kirsten Malmkjaer, Gideon Toury and Kristina Shaffner’s debate on Norms, Maxims and Conventions in Translation Studies and Pragmatics (Shaffner 1999. The aim of the article is to analyse the Lithuanian translation of D. Brown’s "The Da Vinci Code" within the framework of Grice’s Cooperative Principle and the strategy of domestication by reviewing domestication and foreignization and introducing Grice’s Cooperative Principle. The research proves that even though it is virtually impossible for a translator to convey the meaning of the source text exactly as it is given, the insufficient use of domestication in the Lithuanian translation of "The Da Vinci Code" emphasises the presence of the translator and disrupts the ease of reading.

  16. Development of a Classification Scheme for Examining Adverse Events Associated with Medical Devices, Specifically the DaVinci Surgical System as Reported in the FDA MAUDE Database.

    Science.gov (United States)

    Gupta, Priyanka; Schomburg, John; Krishna, Suprita; Adejoro, Oluwakayode; Wang, Qi; Marsh, Benjamin; Nguyen, Andrew; Genere, Juan Reyes; Self, Patrick; Lund, Erik; Konety, Badrinath R

    2017-01-01

    To examine the Manufacturer and User Facility Device Experience Database (MAUDE) database to capture adverse events experienced with the Da Vinci Surgical System. In addition, to design a standardized classification system to categorize the complications and machine failures associated with the device. Overall, 1,057,000 DaVinci procedures were performed in the United States between 2009 and 2012. Currently, no system exists for classifying and comparing device-related errors and complications with which to evaluate adverse events associated with the Da Vinci Surgical System. The MAUDE database was queried for events reports related to the DaVinci Surgical System between the years 2009 and 2012. A classification system was developed and tested among 14 robotic surgeons to associate a level of severity with each event and its relationship to the DaVinci Surgical System. Events were then classified according to this system and examined by using Chi-square analysis. Two thousand eight hundred thirty-seven events were identified, of which 34% were obstetrics and gynecology (Ob/Gyn); 19%, urology; 11%, other; and 36%, not specified. Our classification system had moderate agreement with a Kappa score of 0.52. Using our classification system, we identified 75% of the events as mild, 18% as moderate, 4% as severe, and 3% as life threatening or resulting in death. Seventy-seven percent were classified as definitely related to the device, 15% as possibly related, and 8% as not related. Urology procedures compared with Ob/Gyn were associated with more severe events (38% vs 26%, p tool with moderate inter-rater agreement that can be used to better understand device-related adverse events. The majority of robotic related events were mild but associated with the device.

  17. [Usefullness of the Da Vinci robot in urologic surgery].

    Science.gov (United States)

    Iselin, C; Fateri, F; Caviezel, A; Schwartz, J; Hauser, J

    2007-12-05

    A telemanipulator for laparoscopic instruments is now available in the world of surgical robotics. This device has three distincts advantages over traditional laparoscopic surgery: it improves precision because of the many degrees of freedom of its instruments, and it offers 3-D vision so as better ergonomics for the surgeon. These characteristics are most useful for procedures that require delicate suturing in a focused operative field which may be difficult to reach. The Da Vinci robot has found its place in 2 domains of laparoscopic urologic surgery: radical prostatectomy and ureteral surgery. The cost of the robot, so as the price of its maintenance and instruments is high. This increases healthcare costs in comparison to open surgery, however not dramatically since patients stay less time in hospital and go back to work earlier.

  18. The Da Vinci Xi and robotic radical prostatectomy-an evolution in learning and technique.

    Science.gov (United States)

    Goonewardene, S S; Cahill, D

    2017-06-01

    The da Vinci Xi robot has been introduced as the successor to the Si platform. The promise of the Xi is to open the door to new surgical procedures. For robotic-assisted radical prostatectomy (RARP)/pelvic surgery, the potential is better vision and longer instruments. How has the Xi impacted on operative and pathological parameters as indicators of surgical performance? This is a comparison of an initial series of 42 RARPs with the Xi system in 2015 with a series using the Si system immediately before Xi uptake in the same calendar year, and an Si series by the same surgeon synchronously as the Xi series using operative time, blood loss, and positive margins as surrogates of surgical performance. Subjectively and objectively, there is a learning curve to Xi uptake in longer operative times but no impact on T2 positive margins which are the most reflective single measure of RARP outcomes. Subjectively, the vision of the Xi is inferior to the Si system, and the integrated diathermy system and automated setup are quirky. All require experience to overcome. There is a learning curve to progress from the Si to Xi da Vinci surgical platforms, but this does not negatively impact the outcome.

  19. Leonardo da Vinci and Andreas Vesalius; the shoulder girdle and the spine, a comparison.

    Science.gov (United States)

    Ganseman, Y; Broos, P

    2008-01-01

    Leonardo Da Vinci and Andreas Vesalius were two important renaissance persons; Vesalius was a surgeon-anatomist who delivered innovative work on the study of the human body, Leonardo da Vinci was an artist who delivered strikingly accurate and beautiful drawings on the human body. Below we compare both masters with regard to their knowledge of the working of the muscles, their method and system of dissection and their system and presentation of the drawings. The investigation consisted of a comparison between both anatomists, in particular concerning their study on the shoulder girdle and spine, by reviewing their original work as well as already existing literature on this subject. The investigation led to the conclusion that the drawings mentioned meant a change in history, and were of high quality, centuries ahead of their time. Both were anatomists, both were revolutionary, only one changed history at the moment itself, while the other changed history centuries later. Leonardo has made beautiful drawings that are at a match with the drawings of today or are even better. Vesalius set the start for medicine as a science as it is until this day. Their lives differed as strongly as their impact. In the light of their time, the achievement they made was extraordinary.

  20. Multi-year consumption analysis and innovative energy perspectives: The case study of Leonardo da Vinci International Airport of Rome

    International Nuclear Information System (INIS)

    Rubeis, Tullio de; Nardi, Iole; Paoletti, Domenica; Di Leonardo, Antonella; Ambrosini, Dario; Poli, Ruggero; Sfarra, Stefano

    2016-01-01

    Highlights: • A systematic approach for energy management of complex structures is proposed. • Technological systems of Leonardo da Vinci Airport of Rome are described. • A multi-year consumption analysis highlights the most energy-consuming sectors. • The “Smart Grid” prototype project inherent to T1 Terminal is presented. • Wind and photovoltaic plants are designed and discussed to test the smart storage. - Abstract: Because of the growing need for efficient energy production systems, energy policies promoted in recent years have also involved complex structures, like airports. This paper proposes the implementation of an energy management system for a very energy-consuming structure, composed of different power plants and many energy consumers: the Leonardo da Vinci International Airport of Rome. In this study, the examination of historical data related to airport electric power, thermal energy and fuel consumption is discussed, starting with the analysis of the production energy plants, mainly based on a combined heat and power system. Furthermore, pioneering solutions are proposed, not only to cover airport energy requirements, but also to test the safety and reliability of innovative load management systems. For this reason, the choice of the Leonardo da Vinci management company, oriented to install a smart storage in order to manage the bidirectional energy flows by consumers and producers, is justified. Such innovative energy procurement systems are examined, with the goal of achieving greater penetration of renewable sources: mini and micro wind power plants and high concentrator photovoltaic plants.

  1. The Comparison of the Baroque and Renaissance Aesthetics Paintings of “The Last Supper” by Caravaggio and Leonardo da Vinci

    Directory of Open Access Journals (Sweden)

    I Wayan Kun Adnyana

    2017-12-01

    Full Text Available The paintings of Caravaggio’s and Leonardo da Vinci’s The Last Supper are two iconic artworks from two maestros in a different era. Caravaggio is one of the fame Baroque’s artists and da Vinci is the most famous Renaissance man, who created the same theme of a painting, The Last Supper. The theme represents the story of Christ’s supper. Through an inductive view, this comparative study analyzes the aesthetic structures of both paintings, by using Feldman’s perspective in Art as Image and Idea (1967. The analysis includes visual structures, including line, form, darkness-lightness; elements of the organization, including unity, balance, rhythm, and proportion; and elements of perception and aesthetic, inclu- ding empathy and a psychic distance. The result of this research discovers two different perspectives of aesthetic characteristics of Baroque and Renaissance paintings.   Keywords: baroque, Caravaggio, Leonardo da Vinci, renaissance, the last supper

  2. Leonardo da Vinci (1452-1519)

    Science.gov (United States)

    Murdin, P.

    2000-11-01

    Painter, inventor and polymath, born in Vinci (near Empolia), Italy. Although astronomy does not figure large in Leonardo's works, he realized the possibility of constructing a telescope (`making glasses to see the Moon enlarged'). He suggested that `… in order to observe the nature of the planets, open the roof and bring the image of a single planet onto the base of a concave mirror. The image o...

  3. OCT structural examination of Madonna dei Fusi by Leonardo da Vinci

    Science.gov (United States)

    Targowski, Piotr; Iwanicka, Magdalena; Sylwestrzak, Marcin; Kaszewska, Ewa A.; Frosinini, Cecilia

    2013-05-01

    Madonna dei Fusi (`Madonna of the Yarnwider') is a spectacular example of Italian Renaissance painting, attributed to Leonardo da Vinci. The aim of this study is to give an account of past restoration procedures. The evidence of a former retouching campaign will be presented with cross-sectional images obtained non-invasively with Optical Coherence Tomography (OCT). Specifically, the locations of overpaintings/retouchings with respect to the original paint layer and secondary varnishes will be given. Additionally, the evidence of a former transfer of the pictorial layer to the new canvas support by detecting the presence of its structure incised into paint layer will be shown.

  4. Robotic da Vinci Xi-assisted nipple-sparing mastectomy: First clinical report.

    Science.gov (United States)

    Sarfati, Benjamin; Honart, Jean-Francois; Leymarie, Nicolas; Rimareix, Francoise; Al Khashnam, Heba; Kolb, Frederic

    2018-05-01

    Nipple-sparing mastectomy (NSM) is increasingly popular for the treatment of selected breast cancers and prophylactic mastectomy. Surgical scarring and esthetic outcomes are important patient-related cosmetic considerations. Today, the concept of minimally invasive surgery has become popular, especially using robotic surgery. The authors report the first case of NSM using the latest version of the da Vinci Xi surgical system (Xi). The final incision used to remove the entire mammary gland was located behind the axillary line. In this position, hidden by the arm of the patient, the incision was not visible and was compatible with immediate breast reconstruction. © 2017 Wiley Periodicals, Inc.

  5. Leonardo da Vinci: the search for the soul.

    Science.gov (United States)

    Del Maestro, R F

    1998-11-01

    The human race has always contemplated the question of the anatomical location of the soul. During the Renaissance the controversy crystallized into those individuals who supported the heart ("cardiocentric soul") and others who supported the brain ("cephalocentric soul") as the abode for this elusive entity. Leonardo da Vinci (1452-1519) joined a long list of other explorers in the "search for the soul." The method he used to resolve this anatomical problem involved the accumulation of information from ancient and contemporary sources, careful notetaking, discussions with acknowledged experts, and his own personal search for the truth. Leonardo used a myriad of innovative methods acquired from his knowledge of painting, sculpture, and architecture to define more clearly the site of the "senso comune"--the soul. In this review the author examines the sources of this ancient question, the knowledge base tapped by Leonardo for his personal search for the soul, and the views of key individuals who followed him.

  6. Structured training on the da Vinci Skills Simulator leads to improvement in technical performance of robotic novices.

    Science.gov (United States)

    Walliczek-Dworschak, U; Mandapathil, M; Förtsch, A; Teymoortash, A; Dworschak, P; Werner, J A; Güldner, C

    2017-02-01

    The increasing use of minimally invasive techniques such as robotic-assisted devices raises the question of how to acquire robotic surgery skills. The da Vinci Skills Simulator has been demonstrated to be an effective training tool in previous reports. To date, little data are available on how to acquire proficiency through simulator training. We investigated the outcome of a structured training programme for robotic surgical skills by robotic novices. This prospective study was conducted from January to December 2013 using the da Vinci Skills Simulator. Twenty participants, all robotic novices, were enrolled in a 4-week training curriculum. After a brief introduction to the simulator system, three consecutive repetitions of five selected exercises (Match Board 1, 2, 3 and Ring and Rail 1, 2) were performed in a defined order on days 1, 8, 15 and 22. On day 22, one repetition of a previously unpractised more advanced module (Needle Targeting) was also performed. After completion of each study day, the overall performance, time to completion, economy in motion, instrument collisions, excessive instrument force, instruments out of view, master workspace range and number of drops were analysed. Comparing the first and final repetition, overall score and time needed to complete all exercises, economy of motion and instrument collisions were significantly improved in nearly all exercises. Regarding the new exercise, a positive training effect could be demonstrated. While its overall entry score was significantly higher, the time to completion and economy of motion were significantly lower than the scores on the first repetition of the previous 5 exercises. It could be shown that training on the da Vinci Skills Simulator led to an improvement in technical performance of robotic novices. With regard to a new exercise, the training had a positive effect on the technical performance. © 2016 John Wiley & Sons Ltd.

  7. Plaadid / Priit Hõbemägi

    Index Scriptorium Estoniae

    Hõbemägi, Priit, 1957-

    2006-01-01

    Uutest heliplaatidest Gnaris Barkley "St. Elsewhwere", Winny Puhh "Täämba õdangu praadimi kunna", Feeder "The Singles", Diesler "Keepie Uppies", Kapusta Ja "Sisekosmosemasin", Suburban Tribe "Revolt Now", Christina Milian "So Amazin", Wind Project "Twilight Patterns", "Kui lähed, mine iseendasse", Hedvig Hanson "Ema laulud", Untsakad "Metsa läksid sa 2", Marie Serneholt "Enjoy The Ride", Cibelle "The Shine Of Dried Electric Leaves", The Da Vinci Project "Music Inspired By Da Vinci"

  8. [A comparative study of Da Vinci robot system with video-assisted thoracoscopy in the surgical treatment of mediastinal lesions].

    Science.gov (United States)

    Ding, Renquan; Tong, Xiangdong; Xu, Shiguang; Zhang, Dakun; Gao, Xin; Teng, Hong; Qu, Jiaqi; Wang, Shumin

    2014-07-20

    In recent years, Da Vinci robot system applied in the treatment of intrathoracic surgery mediastinal diseases become more mature. The aim of this study is to summarize the clinical data about mediastinal lesions of General Hospital of Shenyang Military Region in the past 4 years, then to analyze the treatment effect and promising applications of da Vinci robot system in the surgical treatment of mediastinal lesions. 203 cases of mediastinal lesions were collected from General Hospital of Shenyang Military Region between 2010 and 2013. These patients were divided into two groups da Vinci and video-assisted thoracoscopic surgery (VATS) according to the selection of the treatments. The time in surgery, intraoperative blood loss, postoperative drainage amount within three days after surgery, the period of bearing drainage tubes, hospital stays and hospitalization expense were then compared. All patients were successfully operated, the postoperative recovery is good and there is no perioperative death. The different of the time in surgery between two groups is Robots group 82 (20-320) min and thoracoscopic group 89 (35-360) min (P>0.05). The intraoperative blood loss between two groups is robot group 10 (1-100) mL and thoracoscopic group 50 (3-1,500) mL. The postoperative drainage amount within three days after surgery between two groups is robot group 215 (0-2,220) mL and thoracoscopic group 350 (50-1,810) mL. The period of bearing drainage tubes after surgery between two groups is robot group 3 (0-10) d and thoracoscopic group: 5 (1-18) d. The difference of hospital stays between two groups is robot group 7 (2-15) d and thoracoscopic group 9 (2-50) d. The hospitalization expense between two groups is robot group (18,983.6±4,461.2) RMB and thoracoscopic group (9,351.9±2,076.3) RMB (All Pda Vinci robot system is safe and efficient in the treatment of mediastinal lesions compared with video-assisted thoracoscopic approach, even though its expense is higher.

  9. Initial experience of Da Vinci robotic thoracic surgery at the First Affiliated Hospital of Zhejiang University

    Science.gov (United States)

    He, Zhehao; Zeng, Liping; Zhang, Chong; Wang, Luming; Wang, Zhitian; Rustam, Azmat; Du, Chengli; Lv, Wang

    2017-01-01

    Robot-assisted thoracic surgery (RATS) is a relatively new but rapidly adopted technique, pioneered by the urological and gynecological departments. The primary objective of this study is to present the current status, a series of improvement and innovation of Da Vinci robotic surgery in the Department of Thoracic Surgery at First Affiliated Hospital of Zhejiang University. In addition, we discuss the prospect of robotic surgical technology. PMID:29302429

  10. Educating in the Design and Construction of Built Environments Accessible to Disabled People: The Leonardo da Vinci AWARD Project

    Science.gov (United States)

    Frattari, Antonio; Dalpra, Michela; Bernardi, Fabio

    2013-01-01

    An interdisciplinary partnership within an European Leonardo da Vinci project has developed a new approach aimed at educating secondary school students in the creation of built environments accessible to disabled people and at sensitizing them towards the inclusion of people with disabilities in all realms of social life. The AWARD (Accessible…

  11. [The anatomy of a reduced skull model--visualisation of Leonardo da Vinci's anthropology].

    Science.gov (United States)

    Ahner, E

    2008-04-02

    The article focuses on a rare example of a miniature skull of unknown origin. The profoundness of the anatomical details, conjoint with outstanding virtuosity, reminds of Leonardo da Vinci's anatomical skull studies and asks for additional interpretation beside the emblematic "memento mori"-character. Following the miscellaneous topics of his skull studies an anatomical-anthropological interpretation is proposed. For such a project the mergence of anthropology, history of medicine and history of art was mandatory. Concerning some discrepancies within the anatomical realism, the depiction of a pathology is discussed and beyond the visualisation of a historic concept of brain function.

  12. Virtual Mobility in Reality: A Study of the Use of ICT in Finnish Leonardo da Vinci Mobility Projects.

    Science.gov (United States)

    Valjus, Sonja

    An e-mail survey and interviews collected data on use of information and communications technology (ICT) in Finnish Leonardo da Vinci mobility projects from 2000-02. Findings showed that the most common ICT tools used were e-mail, digital tools, and the World Wide Web; ICT was used during all project phases; the most common problems concerned…

  13. Urodynamics in the anatomical work of Leonardo da Vinci (1452-1519).

    Science.gov (United States)

    Schultheiss, D; Grünewald, V; Jonas, U

    1999-06-01

    Leonardo da Vinci (1452-1519) incorporates the symbiosis of art and medicine and can be addressed as the founder of medical illustration in the time of the Renaissance. His anatomy studies were not published in his time, which explains why Leonardo's outstanding knowledge of anatomy, physiology, and medicine had no impact on his scientific contemporaries and is therefore primarily of retrospective importance in the history of medicine. The collection of anatomical illustrations remained unknown until their rediscovery in the eighteenth century and their wide publication at the beginning of our century. This article systematically reviews Leonardo's genitourinary drawings with regard to urodynamic aspects of the upper and lower urinary tract, highlighting topics such as vesicoureteral reflux and urinary sphincter mechanisms.

  14. EMAS in Germany. Evaluation 2012; EMAS in Deutschland. Evaluierung 2012

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2013-03-15

    Since the 1990ies, the Eco-Management and Audit Scheme (EMAS) is established in the European Union. Arqum GmbH (Munich, Germany) and Infra dimap (Berlin, Germany) performed the survey ''EMAS in Germany - Evaluation 2012'' at 573 EMAS organizations in the period between March 2012 and July 2012 in order to gain insight into the current EMAS practice in German organizations and to identify potentials for the future development of the EMAS system. The survey covered the following topics: (1) Reasons for participation of the companies and organizations with the EMAS system; (2) Cost-effectiveness of EMAS at the site of the organization; (3) Experiences with the environmental statement; (4) Experiences after the last EMAS amendment (EMAS III); (5) Experience with the environmental verifier and the validation process; (6) Evaluation of the continuation of the EMAS system; (7) Requests to the environmental policy. The main results of this survey are presented in the contribution under consideration.

  15. First report on joint use of a Da Vinci® surgical system with transfer of surgical know-how between two public hospitals.

    Science.gov (United States)

    Mattei, Agostino; Thoms, Michael; Ferrari, Matteo; La Croce, Giovanni; Danuser, Hansjörg; Schmid, Hans-Peter; Engeler, Daniel

    2014-01-01

    The costs of a Da Vinci® device for robot- assisted surgery, in particular for robot-assisted radical prostatectomy (RARP), can be a considerable issue for hospitals with limited caseloads. Since January 2011 the cantonal hospitals of Lucerne and St. Gallen (Switzerland) have shared a four-arm Da Vinci® device, transferring the surgical know-how by a Lucerne teaching surgeon to a St. Gallen surgeon. Complete pre- and perioperative data, including 3-month surgical RARP outcomes, were prospectively documented. For statistical analysis, Wilcoxon, exact Poisson and χ(2) tests were used. During the first year, the two hospitals (61 RARP patients in Lucerne, 19 RARP patients in St. Gallen) did not differ significantly in preoperative, perioperative or oncological and functional results except for prostate volume (median 33 [interquartile range 24-40] vs. 40 [interquartile range 33-57] ml; p = 0.02), operation time (mean 252 ± 49 vs. 351 ± 50 min; p = 0.0001), number of lymph nodes removed (median 16 [interquartile range 13-21] vs. 15 [interquartile range 8-16] nodes; p = 0.02), biopsy (p = 0.04) and specimen Gleason scores (p = 0.03), and length of hospital stay (median 8 [interquartile range 7-14] vs. 9 [interquartile range 8-18] days; p < 0.01). Da Vinci® device sharing with transfer of surgical know-how can reduce the costs of RARP without compromising surgical outcomes, even at the beginning of the learning curve. © 2014 S. Karger AG, Basel.

  16. A arte de Leonardo da Vinci subsidiando a ciência e o ideal do cuidado de enfermagem

    OpenAIRE

    Nascimento, Maria Aparecida de Luca; Brito, Isabela Jorge de; Dehoul, Marcelo da Silva

    2003-01-01

    Reflexão teórico-filosófica que tem por objetivo demonstrar a arte que precisa ser contemplada durante a execução do procedimento técnico da transferência de soluções para o frasco do microgotas realizada pela equipe de enfermagem, à luz do referencial de Leonardo da Vinci, inspirado em sua obra "O homem vitruviano", para que a harmonia corporal seja mantida, Os autores enfatizaram a relação existente entre a assistência de enfermagem, entendendo-a no seu mais amplo sentido, e o seu próprio l...

  17. Error reporting from the da Vinci surgical system in robotic surgery: A Canadian multispecialty experience at a single academic centre.

    Science.gov (United States)

    Rajih, Emad; Tholomier, Côme; Cormier, Beatrice; Samouëlian, Vanessa; Warkus, Thomas; Liberman, Moishe; Widmer, Hugues; Lattouf, Jean-Baptiste; Alenizi, Abdullah M; Meskawi, Malek; Valdivieso, Roger; Hueber, Pierre-Alain; Karakewicz, Pierre I; El-Hakim, Assaad; Zorn, Kevin C

    2017-05-01

    The goal of the study is to evaluate and report on the third-generation da Vinci surgical (Si) system malfunctions. A total of 1228 robotic surgeries were performed between January 2012 and December 2015 at our academic centre. All cases were performed by using a single, dual console, four-arm, da Vinci Si robot system. The three specialties included urology, gynecology, and thoracic surgery. Studied outcomes included the robotic surgical error types, immediate consequences, and operative side effects. Error rate trend with time was also examined. Overall robotic malfunctions were documented on the da Vinci Si systems event log in 4.97% (61/1228) of the cases. The most common error was related to pressure sensors in the robotic arms indicating out of limit output. This recoverable fault was noted in 2.04% (25/1228) of cases. Other errors included unrecoverable electronic communication-related in 1.06% (13/1228) of cases, failed encoder error in 0.57% (7/1228), illuminator-related in 0.33% (4/1228), faulty switch in 0.24% (3/1228), battery-related failures in 0.24% (3/1228), and software/hardware error in 0.08% (1/1228) of cases. Surgical delay was reported only in one patient. No conversion to either open or laparoscopic occurred secondary to robotic malfunctions. In 2015, the incidence of robotic error rose to 1.71% (21/1228) from 0.81% (10/1228) in 2014. Robotic malfunction is not infrequent in the current era of robotic surgery in various surgical subspecialties, but rarely consequential. Their seldom occurrence does not seem to affect patient safety or surgical outcome.

  18. Performance of da Vinci Stapler during robotic-assisted right colectomy with intracorporeal anastomosis.

    Science.gov (United States)

    Johnson, Craig S; Kassir, Andrew; Marx, Daryl S; Soliman, Mark K

    2018-05-30

    Applications for surgical staplers continue to grow, due to the increase in minimally invasive surgical approaches, and range from vessel ligation to tissue transection and anastomoses. Complications associated with stapled tissue, such as bleeding or leaks, continue to be a concern for surgeons, as both can be associated with prolonged operative times and can contribute to postoperative morbidity and mortality. The goal of this retrospective study was to evaluate the performance of the da Vinci ® Xi EndoWrist ® Stapler 45 with SmartClamp™ technology during robotic-assisted right colectomy with intracorporeal anastomosis. We reviewed 113 consecutive cases from four medical centers. Preclinical diagnoses were inflammatory bowel disease (IBD) (n = 5), benign bowel disease (n = 77), and malignant bowel disease (n = 31). No anastomotic leaks occurred; one event of anastomotic bleeding (0.88%) resolved without surgical intervention. Overall, there were 643 clamp attempts (5.7 attempts per case), and 570 fires (5.0 fires per case). SmartClamp™ occurrences happened in approximately one out of three cases, with the highest proportion of occurrences in the IBD group (2.0 occurrences per case). The most commonly fired reload was blue (1.5 mm closed height) with 4.1 blue reloads fired per case overall. No incomplete fires occurred during the procedures. The study data demonstrate the performance of the da Vinci Xi EndoWrist ® Stapler 45 as used in right colon resection with intracorporeal anastomosis. The collection and analysis of these data provide surgeons with information related to stapler firings, which were not previously available; as such, this analysis may lead to deductions that are useful for intraoperative decision-making and clinical outcomes.

  19. From Leonardo to da Vinci: the history of robot-assisted surgery in urology.

    Science.gov (United States)

    Yates, David R; Vaessen, Christophe; Roupret, Morgan

    2011-12-01

    What's known on the subject? and What does the study add? Numerous urological procedures can now be performed with robotic assistance. Though not definitely proven to be superior to conventional laparoscopy or traditional open surgery in the setting of a randomised trial, in experienced centres robot-assisted surgery allows for excellent surgical outcomes and is a valuable tool to augment modern surgical practice. Our review highlights the depth of history that underpins the robotic surgical platform we utilise today, whilst also detailing the current place of robot-assisted surgery in urology in 2011. The evolution of robots in general and as platforms to augment surgical practice is an intriguing story that spans cultures, continents and centuries. A timeline from Yan Shi (1023-957 bc), Archytas of Tarentum (400 bc), Aristotle (322 bc), Heron of Alexandria (10-70 ad), Leonardo da Vinci (1495), the Industrial Revolution (1790), 'telepresence' (1950) and to the da Vinci(®) Surgical System (1999), shows the incredible depth of history and development that underpins the modern surgical robot we use to treat our patients. Robot-assisted surgery is now well-established in Urology and although not currently regarded as a 'gold standard' approach for any urological procedure, it is being increasingly used for index operations of the prostate, kidney and bladder. We perceive that robotic evolution will continue infinitely, securing the place of robots in the history of Urological surgery. Herein, we detail the history of robots in general, in surgery and in Urology, highlighting the current place of robot-assisted surgery in radical prostatectomy, partial nephrectomy, pyeloplasty and radical cystectomy. © 2011 THE AUTHORS. BJU INTERNATIONAL © 2011 BJU INTERNATIONAL.

  20. Use of Simulation in Nursing Education: Initial Experiences on a European Union Lifelong Learning Programme--Leonardo Da Vinci Project

    Science.gov (United States)

    Terzioglu, Fusun; Tuna, Zahide; Duygulu, Sergul; Boztepe, Handan; Kapucu, Sevgisun; Ozdemir, Leyla; Akdemir, Nuran; Kocoglu, Deniz; Alinier, Guillaume; Festini, Filippo

    2013-01-01

    Aim: The aim of this paper is to share the initial experiences on a European Union (EU) Lifelong Learning Programme Leonardo Da Vinci Transfer of Innovation Project related to the use of simulation-based learning with nursing students from Turkey. The project started at the end of the 2010 involving 7 partners from 3 different countries including…

  1. Nefrectomía simple por puerto único (LESS) asistida por robot (da Vinci)

    OpenAIRE

    CASTILLO C,OCTAVIO A; VIDAL M,IVAR; SEPÚLVEDA T,FRANCISCO

    2011-01-01

    Introducción: La cirugía mínimamente invasiva en urología avanza rápidamente y la cirugía laparo-endoscópica a través de puerto único (LESS) no es la excepción. Esta técnica por vía laparoscópica presenta mucha dificultad y requiere de un cirujano laparoscópico experimentado debido a la falta de triangulación y el cruce de los instrumentos. Los beneficios del sistema quirúrgico da Vinci® han sido introducidos recientemente en LESS. Presentamos dos casos de nefrectomía LESS asistida por robot....

  2. Sine ars scientia nihil est: Leonardo da Vinci and beyond.

    Science.gov (United States)

    Kickhöfel, Eduardo H P

    2009-01-01

    The aim of this article is to reflect on the relationship between art and science so far as it concerns a symposium on neurosciences. We undertake a historical overview of that relationship, paying particular attention to the sui generis case of Leonardo da Vinci, who very often is regarded as the man who worked on art and science with equal ease. We then explain why his idea of merging these two forms of knowledge failed, considering the clear-cut distinction between art and science in his time. With this clarification, we explore the matter today. We look at Raphael's The Transfiguration, in which the representation of the possessed boy is seen by neuroscientists as indicative of an epileptic seizure. We also look at the ideas of neuroscientists Semir Zeki and Vilayanur Ramachandran, who study particular aspects of brain function and suggest a new merging of art and science.

  3. [Regarding the Manuscript D " Dell' occhio " of Leonardo da Vinci].

    Science.gov (United States)

    Heitz, Robert F

    2009-01-01

    Leonardo da Vinci's Manuscript D consists of five double pages sheets, which, folded in two, comprise ten folios. This document, in the old Tuscan dialect and mirror writing, reveals the ideas of Leonardo on the anatomy of the eye in relation to the formation of images and visual perception. Leonardo explains in particular the behavior of the rays in the eye in terms of refraction and reflection, and is very mechanistic in his conception of the eye and of the visual process. The most significant innovations found in these folios are the concept of the eye as a camera obscura and the intersection of light rays in the interior of the eye. His texts nevertheless show hesitation, doubts and a troubled confusion, reflecting the ideas and uncertainties of his era. He did not share his results in his lifetime, despite both printing and etching being readily available to him.

  4. [Project Leonardo-da-Vinci for better nursing care].

    Science.gov (United States)

    Gábor, Katalin; Csanádi, Lajosné; Helembai, Kornélia; Szögi, Zoltánné; Tulkán, Ibolya; Unginé, Kántor Katalin

    2002-08-18

    The aim of the present paper is to inform physicians about the work completed by nurses and professors of baccalaureat nurses in the framework of Leonardo da Vinci project, organised and sponsored by the European Union. The goal of the project was to increase the effectiveness of chief nurses throughout their further training programme in the field of management. The team of Szeged chose the human resource management, since in this field is possible to achieve the greatest improvement with the smallest financial investment. We measured the fluctuations and the absentees of the nurses, the changes in the degree of education, the nurse' and patient' satisfaction at the beginning and at the end of the period studied. Except the patient's satisfaction all the other parameters improved by the end of tested period. The project provided a unique possibility to compare the state of the Hungarian nursing with that of the countries belonging to the European Union, to exchange the experience and to learn some new methods. In the framework of this project a book of two volumes was prepared containing the suggestions of EU. This book is widely available in English and in French.

  5. Robot-Assisted Laparoendoscopic Single-Site Partial Nephrectomy With the Novel Da Vinci Single-Site Platform: Initial Experience

    Science.gov (United States)

    Komninos, Christos; Tuliao, Patrick; Kim, Dae Keun; Choi, Young Deuk; Chung, Byung Ha

    2014-01-01

    Purpose To report our initial clinical cases of robotic laparoendoscopic single-site (R-LESS) partial nephrectomy (PN) performed with the use of the novel Da Vinci R-LESS platform. Materials and Methods Three patients underwent R-LESS PN from November 2013 through February 2014. Perioperative and postoperative outcomes were collected and intraoperative difficulties were noted. Results Operative time and estimated blood loss volume ranged between 100 and 110 minutes and between 50 and 500 mL, respectively. None of the patients was transfused. All cases were completed with the off-clamp technique, whereas one case required conversion to the conventional (multiport) approach because of difficulty in creating the appropriate scope for safe tumor resection. No major postoperative complications occurred, and all tumors were resected in safe margins. Length of hospital stay ranged between 3 and 7 days. The lack of EndoWrist movements, the external collisions, and the bed assistant's limited working space were noticed to be the main drawbacks of this surgical method. Conclusions Our initial experience with R-LESS PN with the novel Da Vinci platform shows that even though the procedure is feasible, it should be applied in only appropriately selected patients. However, further improvement is needed to overcome the existing limitations. PMID:24955221

  6. [A Paired Case Controlled Study Comparing the Short-term Outcomes of Da Vinci RATS and VATS Approach for Non-small Cell Lung Cancer].

    Science.gov (United States)

    Dai, Feng; Xu, Shiguang; Xu, Wei; Ding, Renquan; Liu, Bo; Meng, Hao; Kang, Yunteng; Meng, Xiangrui; Lin, Jie; Wang, Shumin

    2018-03-20

    Da Vinci Surgical System is one of the greatest inventions of the 20th century, which represents the development direction of the precise minimally invasive surgical techniques, the aim of this study was to comparing the short-term outcomes between da Vinci robot-assisted lobectomy and video-assisted thoracic surgery (VATS) lobectomy for non-small cell lung cancer. 45 pairs of non-small cell lung cancer patients underwent pulmonary lobectomy with da Vinci Robotic assisted thoracoscopic (RATS) and VATS approach during the same period from January 2014 to January 2017. The operative time, estimated blood loss (EBL), total number and total groups of dissected lymph nodes, postoperative duration of drainage, the first day volume of drainage, total volume of drainage were compared. No perioperative death and convertion to thoracotomy occured in both groups. There were significant difference between RATS group and VATS group in EBL [(50.30±32.33) mL vs (208.60±132.63) mL], the first day volume of drainage [(275.00±145.42) mL vs (347.60±125.80) mL], the dissected total number [(22.67±9.67) vs (15.51±5.41)] and total team [(6.31±1.43) vs (4.91±1.04)] of lymph node. There were no significant difference in other outcomes. RATS is safe and effective and took better short-outcomes than VATS in non-small cell lung cancer.

  7. Microbiological Analysis of Surfaces of Leonardo Da Vinci's Atlantic Codex: Biodeterioration Risk.

    Science.gov (United States)

    Tarsitani, Gianfranco; Moroni, Catia; Cappitelli, Francesca; Pasquariello, Giovanna; Maggi, Oriana

    2014-01-01

    Following the discovery of discoloration on some pages of the Atlantic Codex (AC) of Leonardo da Vinci kept in the Biblioteca Ambrosiana in Milan, some investigations have been carried out to verify the presence of microorganisms, such as bacteria and fungi. To verify the presence of microorganisms a noninvasive method of sampling has been used that was efficient and allowed us to highlight the microbial facies of the material that was examined using conventional microbiological techniques. The microclimatic conditions in the storage room as well as the water content of the volume were also assessed. The combined observations allowed the conclusion that the discoloration of suspected biological origin on some pages of AC is not related to the presence or current attack of microbial agents.

  8. Immunogenicity and antigenicity of the recombinant EMA-1 protein of Theileria equi expressed in the yeast Pichia pastoris Imunogenicidade e antigenicidade da proteína recombinante EMA-1 de Theileria equi expressa em Pichia pastoris

    Directory of Open Access Journals (Sweden)

    Leandro Q. Nizoli

    2009-06-01

    monoclonal e anticorpos policlonais obtidos de equinos naturalmente infectados com T. equi. A imunogenicidade da proteína rEMA-1 foi demonstrada por RIFI utilizando soro de camundongos imunizados com proteína recombinante usando hidróxido de alumínio como adjuvante. Todos os animais vacinados com rEMA-1 desenvolveram uma alta resposta específica de anticorpos. Esses resultados sugerem que rEMA-1 expressa em P. pastoris possa ser um candidato para ser usado como antígeno para diagnóstico imunológico bem como antígeno para vacinas.

  9. [The art of Leonardo Da Vinci as a resource to science and the ideal of nursing care].

    Science.gov (United States)

    Nascimento, Maria Aparecida de Luca; de Brito, Isabela Jorge; Dehoul, Marcelo da Silva

    2003-01-01

    Theoretical reflection whose goal is to demonstrate the art a nursing team is required to show in order to perform a technical procedure for transfer of solutions from a normal vial to a microdrops vial, based on Leonardo Da Vinci's theoretical referential, inspired by his work called "Vitruvian Man", so that body harmony is kept. The authors emphasize its relationship to nursing care, viewing it from its broadest sense, and its own motto--"Science, Art and Ideal".

  10. Het wezen van de schilderkunst volgens Leonardo da Vinci : over de verhouding tussen kunsttheorie en de praktijk van de schilder in de Renaissance

    NARCIS (Netherlands)

    Kwakkelstein, M.W.|info:eu-repo/dai/nl/74032615

    2011-01-01

    Op 19 oktober houdt prof. dr. Michael Kwakkelstein zijn oratie aan de Universiteit Utrecht over de verhouding tussen kunsttheorie en -praktijk bij Leonardo da Vinci. Kwakkelstein stelt dat Leonardo’s schilderkunst niet altijd beantwoordt aan de criteria voor goede schilderkunst die de grote

  11. Leonardo da Vinci maali näidatakse peagi Kadriorus / Gianni Glinni, Orest Kormašov ; intervjueerinud Mart Zirnask

    Index Scriptorium Estoniae

    Glinni, Gianni

    2009-01-01

    Kadrioru Kunstimuuseumis eksponeeritakse 5.-12. veebruarini 2010. a. Leonardo da Vinci arvatavat autoportreed ning 6. veebruaril toimub Tallinna Ülikoolis maali analüüse tutvustav konverents. Portree leiti 2008. aastal ühest Lõuna-Itaalia erakogust. TLÜ kunstiosakonna juhataja Orest Kormašov valmistas maali järgi skulptuuri ja EKA tudeng ja graafiline disainer Helen Kokk arvutimudeli. Intervjuus jagavad teemakohaseid selgitusi üks uuringute eestvedaja Gianni Glinni ja Orest Kormašov

  12. The Psychological Roots of Creativity in Messages Left by Leonardo da Vinci, Giorgio Vasari, and a Neanderthal Troglodyte

    OpenAIRE

    Antonio Cassella

    2016-01-01

    The perfect memory that informs our local autistic facet is insufficient to deal with the unforeseen change that challenges our nonlocal artistic facet. The loss of quantum nonlocality leads autistics to fail tests rooted in overcoming the less-than-perfect ambiguity that elicits our creativity. The psychological structure by which perfect memory and less-than-perfect creativity empower each other remains in darkness. This article broaches the hypothesis that Leonardo da Vinci envisioned the ...

  13. Leonardo da Vinci meets celiac disease.

    Science.gov (United States)

    Zanchi, Chiara; Ventura, Giovanna; Di Leo, Grazia; Orzes, Nicoletta; Ronfani, Luca; Not, Tarcisio; Ventura, Alessandro

    2013-02-01

    Leonardo da Vinci's face symmetry derives from 3 equal craniofacial segments: trichion-nasion (tn), which represents the superior third of the face, nasion-subnasal (ns) that is the medium third of the face, and subnasal-gnathion (sg) that is the length of the lower third of the face. It has been reported that adult subjects with celiac disease (CD) can be identified on the basis of a greater extension of the forehead in comparison to the medium third of the face, with a high tn/ns ratio. The aim of the present study was to investigate the correlation between facial asymmetry and CD in childhood and adulthood. We studied 126 biopsy-proven patients with CD (76 children and 50 adults) and 102 healthy controls (43 children and 59 adults). Their faces were photographed; the pictures were edited using a software program to calculate the facial segments. The tn length was significantly different between adult celiac and adult controls (7.43 ± 1.46 cm vs 6.38 ± 1.73 cm, P = 0.001). The cutoff of 6.5 cm tn, derived from receiver operating characteristic curve analysis, identified 43 of 50 patients (sensitivity 86%), but 34 of 59 controls were positive (specificity 54.2%). The positive predictive value was 56%; however, the tn/ns ratio was not significantly different between celiacs and controls. Neither the tn length nor the tn/ns ratio in celiacs correlated to the time of gluten exposure. Adults, but not children, with celiac disease show a forehead extension significantly greater than controls, but this test's specificity appears too low to be used in the screening of CD.

  14. Port positioning and docking for single-stage totally robotic dissection for rectal cancer surgery with the Si and Xi Da Vinci Surgical System.

    Science.gov (United States)

    Toh, James Wei Tatt; Kim, Seon-Hahn

    2017-11-04

    We have previously reported our technique of single-docking totally robotic dissection for rectal cancer surgery using the Da Vinci ® Si Surgical System in 2009. However, we have since optimised our port placement for the Si system and have developed a novel configuration of port placement and docking for the Da Vinci ® Xi Surgical System. We have performed over 700 cases using this technique with the Si system and have used our Xi technique since 2016 for totally robotic dissection for rectal cancer. We have kept the configuration of port placements for both the Xi and Si system as similar as possible, with the priorities to avoid arm collisions as well as to provide a workable port configuration of two left-handed instruments and one right-handed instrument. To date, there have had no major complications or arm collisions related to this technique of docking, port positioning and instrument placement.

  15. The experience of totally endoscopic coronary bypass grafting with the robotic system «Da Vinci» in Russia

    Science.gov (United States)

    Efendiev, V. U.; Alsov, S. A.; Ruzmatov, T. M.; Mikheenko, I. L.; Chernyavsky, A. M.; Malakhov, E. S.

    2015-11-01

    A new technology - a thoracoscopic coronary bypass grafting with the use of Da Vinci robotic system in Russia is represented by the experience of NRICP. The technology was introduced in Russia in 2011. Overall, one hundred endoscopic coronary artery bypass procedures were performed. We have compared and analyzed results of coronary artery stenting vs minimally invasive coronary artery bypass grafting. According to the results, totally endoscopic coronary artery bypass grafting has several advantages over alternative treatment strategies.

  16. Economically motivated adulteration (EMA) of food: common characteristics of EMA incidents.

    Science.gov (United States)

    Everstine, Karen; Spink, John; Kennedy, Shaun

    2013-04-01

    Economically motivated adulteration (EMA) of food, also known as food fraud, is the intentional adulteration of food for financial advantage. A common form of EMA, undeclared substitution with alternative ingredients, is usually a health concern because of allergen labeling requirements. As demonstrated by the nearly 300,000 illnesses in China from melamine adulteration of infant formula, EMA also has the potential to result in serious public health consequences. Furthermore, EMA incidents reveal gaps in quality assurance testing methodologies that could be exploited for intentional harm. In contrast to foodborne disease outbreaks, EMA incidents present a particular challenge to the food industry and regulators because they are deliberate acts that are intended to evade detection. Large-scale EMA incidents have been described in the scientific literature, but smaller incidents have been documented only in media sources. We reviewed journal articles and media reports of EMA since 1980. We identified 137 unique incidents in 11 food categories: fish and seafood (24 incidents), dairy products (15), fruit juices (12), oils and fats (12), grain products (11), honey and other natural sweeteners (10), spices and extracts (8), wine and other alcoholic beverages (7), infant formula (5), plant-based proteins (5), and other food products (28). We identified common characteristics among the incidents that may help us better evaluate and reduce the risk of EMA. These characteristics reflect the ways in which existing regulatory systems or testing methodologies were inadequate for detecting EMA and how novel detection methods and other deterrence strategies can be deployed. Prevention and detection of EMA cannot depend on traditional food safety strategies. Comprehensive food protection, as outlined by the Food Safety Modernization Act, will require innovative methods for detecting EMA and for targeting crucial resources toward the riskiest food products.

  17. Dan Brown, nuevos secretos En septiembre se editará "Ángeles y demonios", origen de "El código Dan Vinci"

    CERN Multimedia

    Barranco, Justo

    2004-01-01

    Da Vinci Code is back! A other book from Dan Brown "Angels and Demons" will be published soon; in fact, it's the origin of Da Vinci Code. This novel is a walk between Cern and the Vatican; as usual, the author chooses real ingredients to weave its histories (1 page)

  18. A laminar cortical model of stereopsis and 3D surface perception: closure and da Vinci stereopsis.

    Science.gov (United States)

    Cao, Yongqiang; Grossberg, Stephen

    2005-01-01

    A laminar cortical model of stereopsis and 3D surface perception is developed and simulated. The model describes how monocular and binocular oriented filtering interact with later stages of 3D boundary formation and surface filling-in in the LGN and cortical areas V1, V2, and V4. It proposes how interactions between layers 4, 3B, and 2/3 in V1 and V2 contribute to stereopsis, and how binocular and monocular information combine to form 3D boundary and surface representations. The model includes two main new developments: (1) It clarifies how surface-to-boundary feedback from V2 thin stripes to pale stripes helps to explain data about stereopsis. This feedback has previously been used to explain data about 3D figure-ground perception. (2) It proposes that the binocular false match problem is subsumed under the Gestalt grouping problem. In particular, the disparity filter, which helps to solve the correspondence problem by eliminating false matches, is realized using inhibitory interneurons as part of the perceptual grouping process by horizontal connections in layer 2/3 of cortical area V2. The enhanced model explains all the psychophysical data previously simulated by Grossberg and Howe (2003), such as contrast variations of dichoptic masking and the correspondence problem, the effect of interocular contrast differences on stereoacuity, Panum's limiting case, the Venetian blind illusion, stereopsis with polarity-reversed stereograms, and da Vinci stereopsis. It also explains psychophysical data about perceptual closure and variations of da Vinci stereopsis that previous models cannot yet explain.

  19. Leonardo da Vinci and His Contributions to Cartography

    Directory of Open Access Journals (Sweden)

    Branko Puceković

    2013-12-01

    Full Text Available The archetypal Renaissance figure Leonardo da Vinci was truly a universal man (Ital. – uomo universale. There is no area of human activity that failed to attract his attention, or that does not bear a trace of his deliberations. In the field of fine art, Leonardo is famous for his masterpieces: the Mona Lisa, the Last Supper, the Virgin of the Rocks, and other, unfinished works, for example, St. Jerome in the Wilderness, and the Adoration of the Magi. He did not leave any works of sculpture, though he did create sketches and drawings. His legacy includes approximately 13,000 sheets of notes and drawings of anatomy, architecture, war and flying machines, plants and animals, all annotated in a reversed mirror-script. In his works of art, he brought his compositions to perfection by using the principles of perspective and the techniques of chiaroscuro and sfumato. Leonardo designed war machines and produced several plans and topographical maps for the powerful men of his time, under whose patronage he worked, such as dukes, kings and popes. This article presents a brief account of his most famous cartographical works: the plan of Imola, three topographic maps of Tuscany, the Chiana valley, the Pontine Marshes and western Tuscany, and a world map (Mappa Mundi. Leonardo skilfully made use of his fascination with landscapes, incorporating them as backdrops in his masterpieces.

  20. Bell's palsy: the answer to the riddle of Leonardo da Vinci's 'Mona Lisa'.

    Science.gov (United States)

    Maloney, W J

    2011-05-01

    The smile of the famed portrait 'The Mona Lisa' has perplexed both art historians and researchers for the past 500 years. There has been a multitude of theories expounded to explain the nature of the model's enigmatic smile. The origin of the model's wry smile can be demonstrated through a careful analysis of both documented facts concerning the portrait--some gathered only recently through the use of modern technology--and a knowledge of the clinical presentation of Bell's palsy. Bell's palsy is more prevalent in women who are either pregnant or who have recently given birth. This paper postulates that the smile of the portrait's model was due to Leonardo da Vinci's anatomically precise representation of a new mother affected by Bell's palsy subsequent to her recent pregnancy.

  1. Media Images Abbott and Costello Meet the End of the World: Who Is the Enemy in "The Da Vinci Code" and "An Inconvenient Truth?"

    Science.gov (United States)

    Beck, Bernard

    2007-01-01

    Popular culture requires readily identifiable villains. Subcultural groups often serve this role, creating controversies. Controversies based on religion are especially bitter. As a rule, religion in the movies is inoffensively sentimental, but "The Da Vinci Code" is both popular and provocative, treading on the dangerous ground of Jesus's…

  2. Clinical Experience of the Treatment of Solitary Pulmonary Nodules with Da Vinci Surgical System

    Directory of Open Access Journals (Sweden)

    Xiangdong TONG

    2014-07-01

    Full Text Available Background and objective A solitary pulmonary nodule (SPN is defined as a round intraparenchimal lung lesion less than 3 cm in size, not associated with atelectasis or adenopathy. The aim of this study is to learn clinical experience of the treatment of SPN with Da Vinci Surgical System. Methods A total of 9 patients with solitary pulmonary nodules (SPN less than 3 cm in diameter was treated with Da Vinci Surgical System (Intuitive Surgical, California in thoracic surgery department from General Hospital of Shenyang Militrary Region from November 2011 to March 2014. This group of patients included 3 males and 6 females, and the mean age was 51±9.9 yr (range: 41-74 yr. Most of the patients were no obvious clinical symptoms (7 cases were found by physical examination, others were with cough and expectoration. Their median medical history was 12 mo (range: 4 d-3 yr. All the lesions of patients were peripheral pulmonary nodules and the mean diameter of those was (1.4±0.6 cm(range: 0.8-2.8 cm. Wedge-shaped resection or lobectomy was performed depending on the result of rapid pathology and systemic lymph node dissection was done for malignant leision. We used general anesthesis with double lumens trachea cannula. We set the patients in lateral decubitus position with jackknife. The patient cart enter from top of the patient. The position of trocars would be set according to the position of lesion. A 12 mm incision was positioned at the 8th intercostal space in the posterior axillary line as vision port, and two 8 mm incisions were positioned at the 5th intercostal space between the anterior axillary line and midclavicular line, and the 8th infrascapular line as robotic instrument ports about 10 cm apart from the vision port. One additional auxiliary small incision for instrument without retracting ribs was set at the 7th intercostal space in the middle axillary line. Results There were 4 benign leisions and 5 malignancies identified. Wedge

  3. Robotic-assisted laparoscopic radical nephrectomy using the Da Vinci Si system: how to improve surgeon autonomy. Our step-by-step technique.

    Science.gov (United States)

    Davila, Hugo H; Storey, Raul E; Rose, Marc C

    2016-09-01

    Herein, we describe several steps to improve surgeon autonomy during a Left Robotic-Assisted Laparoscopic Radical Nephrectomy (RALRN), using the Da Vinci Si system. Our kidney cancer program is based on 2 community hospitals. We use the Da Vinci Si system. Access is obtained with the following trocars: Two 8 mm robotic, one 8 mm robotic, bariatric length (arm 3), 15 mm for the assistant and 12 mm for the camera. We use curved monopolar scissors in robotic arm 1, Bipolar Maryland in arm 2, Prograsp Forceps in arm 3, and we alternate throughout the surgery with EndoWrist clip appliers and the vessel sealer. Here, we described three steps and the use of 3 robotic instruments to improve surgeon autonomy. Step 1: the lower pole of the kidney was dissected and this was retracted upwards and laterally. This maneuver was performed using the 3rd robotic arm with the Prograsp Forceps. Step 2: the monopolar scissors was replaced (robotic arm 1) with the robotic EndoWrist clip applier, 10 mm Hem-o-Lok. The renal artery and vein were controlled and transected by the main surgeon. Step 3: the superior, posterolateral dissection and all bleeders were carefully coagulated by the surgeon with the EndoWrist one vessel sealer. We have now performed 15 RALRN following these steps. Our results were: blood loss 300 cc, console time 140 min, operating room time 200 min, anesthesia time 180 min, hospital stay 2.5 days, 1 incisional hernia, pathology: (13) RCC clear cell, (1) chromophobe and (1) papillary type 1. Tumor Stage: (5) T1b, (8) T2a, (2) T2b. We provide a concise, step-by-step technique for radical nephrectomy (RN) using the Da Vinci Si robotic system that may provide more autonomy to the surgeon, while maintaining surgical outcome equivalent to standard laparoscopic RN.

  4. Placement of 125I implants with the da Vinci robotic system after video-assisted thoracoscopic wedge resection: A feasibility study

    International Nuclear Information System (INIS)

    Pisch, Julianna; Belsley, Scott J.; Ashton, Robert; Wang Lin; Woode, Rudolph; Connery, Cliff

    2004-01-01

    Purpose: To evaluate the feasibility of using the da Vinci robotic system for radioactive seed placement in the wedge resection margin of pigs' lungs. Methods and materials: Video-assisted thoracoscopic wedge resection was performed in the upper and lower lobes in pigs. Dummy 125 I seeds embedded in absorbable sutures were sewn into the resection margin with the aid of the da Vinci robotic system without complications. In the 'loop technique,' the seeds were placed in a cylindrical pattern; in the 'longitudinal,' they were above and lateral to the resection margin. Orthogonal radiographs were taken in the operating room. For dose calculation, Variseed 66.7 (Build 11312) software was used. Results: With looping seed placement, in the coronal view, the dose at 1 cm from the source was 97.0 Gy; in the lateral view it was 107.3 Gy. For longitudinal seed placement, the numbers were 89.5 Gy and 70.0 Gy, respectively. Conclusion: Robotic technology allows direct placement of radioactive seeds into the resection margin by endoscopic surgery. It overcomes the technical difficulties of manipulating in the narrow chest cavity. With the advent of robotic technology, new options in the treatment of lung cancer, as well as other malignant tumors, will become available

  5. Ema Fatima

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education. Ema Fatima. Articles written in Resonance – Journal of Science Education. Volume 18 Issue 3 March 2013 pp 287-288 Research News. Venom Evolution - Genetic and External Factors · Ema Fatima · More Details Fulltext PDF ...

  6. The Science Museum and the Leonardo da Vinci Quincentenary Exhibition of 1952

    Directory of Open Access Journals (Sweden)

    Professor Jim Bennett

    2015-11-01

    Full Text Available A large and successful exhibition to mark the 500th anniversary of the birth of Leonardo da Vinci was held at the Royal Academy, Burlington House, London, in 1952. It was an important event for the public appreciation of Leonardo’s genius. The proposal for the exhibition had come from the Science Museum, whose staff arranged a ‘scientific section’ of the exhibition, providing and displaying photographs and models. The story of these early models is particularly interesting in the light of the subsequent expansion in the use of mechanical models and animations to interpret and present Leonardo’s work. Questions that surrounded their introduction are accentuated by the ubiquity of models today. Some of the 1952 models will be displayed at the Science Museum in 2016, alongside an exhibition of a large group of ‘historical models’ first displayed in Milan in 1953. The occasion should provoke some thoughtful consideration of the current influence of this tool for research and display.

  7. A prospective, single-arm study on the use of the da Vinci® Table Motion with the Trumpf TS7000dV operating table.

    Science.gov (United States)

    Morelli, Luca; Palmeri, Matteo; Simoncini, Tommaso; Cela, Vito; Perutelli, Alessandra; Selli, Cesare; Buccianti, Piero; Francesca, Francesco; Cecchi, Massimo; Zirafa, Cristina; Bastiani, Luca; Cuschieri, Alfred; Melfi, Franca

    2018-03-30

    The da Vinci® Table Motion (dVTM) comprises a combination of a unique operating table (Trumpf Medical™ TruSystem® 7000dV) capable of isocenter motion connected wirelessly with the da Vinci Xi® robotic platform, thereby enabling patients to be repositioned without removal of instruments and or undocking the robot. Between May 2015 to October 2015, the first human use of dVTM was carried out in this prospective, single-arm, post-market study in the EU, for which 40 patients from general surgery (GS), urology (U), or gynecology (G) were enrolled prospectively. Primary endpoints of the study were dVTM feasibility, efficacy, and safety. Surgeons from the three specialties obtained targeting success and the required table positioning in all cases. Table movement/repositioning was necessary to gain exposure of the operating field in 106/116 table moves (91.3%), change target in 2/116 table moves (1.7%), achieve hemodynamic relief in 4/116 table moves (3.5%), and improve external access for tumor removal in 4/116 table moves (3.5%). There was a significantly higher use of tilt and tilt plus Trendelenburg in GS group (GS vs. U p = 0.055 and GS vs. G p = 0.054). There were no dVTM safety-related or adverse events. The dVTM with TruSystem 7000dV operating table in wireless communication with the da Vinci Xi is a perfectly safe and effective synergistic combination, which allows repositioning of the patient whenever needed without imposing any delay in the execution of the operation. Moreover, it is helpful in avoiding extreme positions and enables the anesthesiologist to provide immediate and effective hemodynamic relief to the patient when needed.

  8. Una consideración sobre el espacio en Leonardo da Vinci, desde la ciencia, el arte y la filosofía

    Directory of Open Access Journals (Sweden)

    Ana Cecilia Vallejo Clavijo

    2012-01-01

    Full Text Available La necesidad de captar, transmitir y comunicar la realidad a través del sen- tido de la vista, la experiencia vivida y la habilidad manual constituye uno de los propósitos más importantes en las obras de Leonardo da Vinci. S e aclar a, sin embargo, que al querer abordar el espacio en una pintura o en un dibujo, el proceso de elaboración de este debe inicialmente centrarse en operaciones mentales, dado que ellas mismas residen en el espíritu del pintor. Para Da Vinci, el espacio es concebido desde una peculiar visión de la matemática y la geometría, puesto que ellas mismas son conc ebidas desde una perspec tiva dinámica y visual. De la misma manera, el criter io adoptado par a analizar el desplazamiento del cuer po en el espacio es lo visual , lo cualitativo, acorde con el realismo aristotélico. El tránsit o de in tegración que presenta el artista entre la teoría y la práctica vendr á a c onstituirse en el eje fundamental de la ciencia moderna, en par ticular en la física newt oniana, dado su carácter operativo .

  9. Successful treatment of esophageal metastasis from hepatocellular carcinoma using the da Vinci robotic surgical system

    Science.gov (United States)

    Boonnuch, Wiroon; Akaraviputh, Thawatchai; Nino, Carnivale; Yiengpruksawan, Anusak; Christiano, Arthur Andrew

    2011-01-01

    A 59-year-old man with metastatic an esophageal tumor from hepatocellular carcinoma (HCC) presented with progressive dysphagia. He had undergone liver transplantation for HCC three and a half years prevously. At presentation, his radiological and endoscopic examinations suggested a submucosal tumor in the lower esophagus, causing a luminal stricture. We performed complete resection of the esophageal metastases and esophagogastrostomy reconstruction using the da Vinci robotic system. Recovery was uneventful and he was been doing well 2 mo after surgery. α-fetoprotein level decreased from 510 ng/mL to 30 ng/mL postoperatively. During the follow-up period, he developed a recurrent esophageal stricture at the anastomosis site and this was successfully treated by endoscopic esophageal dilatation. PMID:21765971

  10. Understanding the adoption dynamics of medical innovations: affordances of the da Vinci robot in the Netherlands.

    Science.gov (United States)

    Abrishami, Payam; Boer, Albert; Horstman, Klasien

    2014-09-01

    This study explored the rather rapid adoption of a new surgical device - the da Vinci robot - in the Netherlands despite the high costs and its controversial clinical benefits. We used the concept 'affordances' as a conceptual-analytic tool to refer to the perceived promises, symbolic meanings, and utility values of an innovation constructed in the wider social context of use. This concept helps us empirically understand robot adoption. Data from 28 in-depth interviews with diverse purposively-sampled stakeholders, and from medical literature, policy documents, Health Technology Assessment reports, congress websites and patients' weblogs/forums between April 2009 and February 2014 were systematically analysed from the perspective of affordances. We distinguished five interrelated affordances of the robot that accounted for shaping and fulfilling its rapid adoption: 'characteristics-related' affordances such as smart nomenclature and novelty, symbolising high-tech clinical excellence; 'research-related' affordances offering medical-technical scientific excellence; 'entrepreneurship-related' affordances for performing better-than-the-competition; 'policy-related' affordances indicating the robot's liberalised provision and its reduced financial risks; and 'communication-related' affordances of the robot in shaping patients' choices and the public's expectations by resonating promising discourses while pushing uncertainties into the background. These affordances make the take-up and use of the da Vinci robot sound perfectly rational and inevitable. This Dutch case study demonstrates the fruitfulness of the affordances approach to empirically capturing the contextual dynamics of technology adoption in health care: exploring in-depth actors' interaction with the technology while considering the interpretative spaces created in situations of use. This approach can best elicit real-life value of innovations, values as defined through the eyes of (potential) users

  11. Early experience with the da Vinci® surgical system robot in gynecological surgery at King Abdulaziz University Hospital

    Directory of Open Access Journals (Sweden)

    Sait KH

    2011-07-01

    Full Text Available Khalid H SaitObstetrics and Gynecology Department, Faculty of Medicine, Gynecology Oncology Unit, King Abdulaziz University Hospital, Jeddah, Saudi ArabiaBackground: The purpose of this study was to review our experience and the challenges of using the da Vinci® surgical system robot during gynecological surgery at King Abdulaziz University Hospital.Methods: A retrospective study was conducted to review all cases of robot-assisted gynecologic surgery performed at our institution between January 2008 and December 2010. The patients were reviewed for indications, complications, length of hospital stay, and conversion rate, as well as console and docking times.Results: Over the three-year period, we operated on 35 patients with benign or malignant conditions using the robot for a total of 62 surgical procedures. The docking times averaged seven minutes. The mean console times for simple hysterectomy, bilateral salpingo-oophorectomy, and bilateral pelvic lymphadenectomy were 125, 47, and 62 minutes, respectively. In four patients, laparoscopic procedures were converted to open procedures, giving a conversion rate of 6.5%. All of the conversions were among the first 15 procedures performed. The average hospital stay was 3 days. Complications occurred in five patients (14%, and none were directly related to the robotic system.Conclusion: Our early experience with the robot show that with proper training of the robotic team, technical difficulty with the robotic system is limited. There is definitely a learning curve that requires performance of gynecological surgical procedures using the robot.Keywords: da Vinci robot, gynecological surgery, laparoscopy

  12. Production of recombinant EMA-1 protein and its application for the diagnosis of Theileria equi using an enzyme immuno assay in horses from São Paulo State, Brazil Produção da proteína recombinante EMA-1 e sua aplicação para o diagnóstico baseadono imuno ensaio enzimático de Theileria equi em equinos do Estado de São Paulo, Brasil

    Directory of Open Access Journals (Sweden)

    Cristiane Divan Baldani

    2011-03-01

    Full Text Available The erythrocytic-stage surface protein, Equi Merozoite Antigen 1 (EMA-1, is a major candidate for the development of a diagnostic antigen for equine piroplasmosis. In order to establish an effective diagnostic method for practical use, the gene encoding the entire EMA-1 of Theileria equi Jaboticabal strain was cloned and expressed in Escherichia coli as a histidine-tagged protein (His6-EMA1. The expressed EMA-1 reacted with specific antibodies in Western blot and had an apparent molecular mass of 34 kDa which was largely consistent with its theoretical value. The nucleotide sequence of the EMA-1 gene of Jaboticabal strain was comparatively analyzed with other published sequences. The results indicated a high degree of homology with EMA-1 genes of all other strains isolated from various countries. The recombinant purified His6-EMA1 protein was tested in an enzyme-linked immunosorbent assay (ELISA for the detection of antibodies anti-T. equi in horses. The ELISA clearly differentiated T. equi-infected from Babesia caballi-infected horse sera or normal horse sera. Field serum samples collected from horses in the State of São Paulo, Southeastern Brazil, were examined for the diagnosis of T. equi infection by ELISA. Of 170 samples analyzed, 95.88% (163/170 were positive for T. equi infection. These results suggest that the His6-EMA1 protein expressed in E. coli could be a reliable immunodiagnostic antigen for ELISA test and that T. equi infection is a serious concern in the State of São Paulo, Brazil.A proteína de superfície eritrocitária, Antígeno 1 do Merozoíta de Theileria equi (EMA-1, é um potencial candidato para o desenvolvimento de antígenos de valor diagnóstico para a piroplasmose equina. Com o objetivo de estabelecer um método de diagnóstico efetivo e prático, o gene EMA-1 da amostra Jaboticabal - SP de T. equi foi clonado e expresso em Escherichia coli contendo uma cauda de poli-histidina (His6-EMA1. O EMA-1 expresso reagiu com

  13. [Leonardo da Vinci the first human body imaging specialist. A brief communication on the thorax oseum images].

    Science.gov (United States)

    Cicero, Raúl; Criales, José Luis; Cardoso, Manuel

    2009-01-01

    The impressive development of computed tomography (CT) techniques such as the three dimensional helical CT produces a spatial image of the thoracic skull. At the beginning of the 16th century Leonardo da Vinci drew with great precision the thorax oseum. These drawings show an outstanding similarity with the images obtained by three dimensional helical CT. The cumbersome task of the Renaissance genius is a prime example of the careful study of human anatomy. Modern imaging techniques require perfect anatomic knowledge of the human body in order to generate exact interpretations of images. Leonardo's example is alive for anybody devoted to modern imaging studies.

  14. Leonardo da Vinci: engineer, bioengineer, anatomist, and artist.

    Science.gov (United States)

    West, John B

    2017-03-01

    Leonardo da Vinci (1452-1519) enjoys a reputation as one of the most talented people of all time in the history of science and the arts. However, little attention has been given to his contributions to physiology. One of his main interests was engineering, and he was fascinated by structural problems and the flow patterns of liquids. He also produced a large number of ingenious designs for warfare and a variety of highly original flying machines. But of particular interest to us are his contributions to bioengineering and how he used his knowledge of basic physical principles to throw light on physiological function. For example, he produced new insights into the mechanics of breathing including the action of the ribs and diaphragm. He was the first person to understand the different roles of the internal and external intercostal muscles. He had novel ideas about the airways including the mode of airflow in them. He also worked on the cardiovascular system and had a special interest in the pulmonary circulation. But, interestingly, he was not able to completely divorce his views from those of Galen, in that although he could not see pores in the interventricular septum of the heart, one of his drawings included them. Leonardo was a talented anatomist who made many striking drawings of the human body. Finally, his reputation for many people is based on his paintings including the Mona Lisa that apparently attracts more viewers than any other painting in the world. Copyright © 2017 the American Physiological Society.

  15. EMAS statement: benign accountability or wishful thinking? Insights from the Greek EMAS registry.

    Science.gov (United States)

    Skouloudis, Antonis; Jones, Keith; Sfakianaki, Eleni; Lazoudi, Eugenia; Evangelinos, Konstantinos

    2013-10-15

    Do organizations certified under the Eco-Management and Audit Scheme (EMAS) effectively discharge their environmental accountability through their statements? Is the EMAS statement a step forward for the transparency of environmental management and the empowerment of organizational stakeholders' decision-making? Drawing from the Greek EMAS registry we apply an evaluation method for the completeness and materiality of environmental statements. While the latest version of the EMAS Regulation has introduced a set of forward-looking - yet challenging - improvements, the application of the standard should be closely examined. With this in mind, the key objective of this research note is to provide - from a descriptive standpoint - insights on the content of EMAS-based environmental accountability and a basis for future research as well as fruitful policy debate. Copyright © 2013 Elsevier Ltd. All rights reserved.

  16. EMAS at Doel NPP

    International Nuclear Information System (INIS)

    Nolan, Peter; Thoelen, Els

    1998-01-01

    In October 1995, Doel NPP of Electrabel, Belgium opted to seek registration under the EC Eco-management and Audit Scheme (EMAS). A comprehensive environmental management system (EMS) has been introduced and implemented, encompassing all four PWRs and the supporting departments. A critical step was to seek certification from an accredited environmental auditing body against the International Standard ISO 14001. This provided the foundation for the publicly available environmental statement required by EMAS. The complications of achieving EMAS at a time when national and international standards were being re-formulated were successfully overcome and Doel NPP passed its EMAS audit in June 1997. (author)

  17. First series of total robotic hysterectomy (TRH) using new integrated table motion for the da Vinci Xi: feasibility, safety and efficacy.

    Science.gov (United States)

    Giannini, Andrea; Russo, Eleonora; Mannella, Paolo; Palla, Giulia; Pisaneschi, Silvia; Cecchi, Elena; Maremmani, Michele; Morelli, Luca; Perutelli, Alessandra; Cela, Vito; Melfi, Franca; Simoncini, Tommaso

    2017-08-01

    To present the first case series of total robotic hysterectomy (TRH), using integrated table motion (ITM), which is a new feature comprising a unique operating table by Trumpf Medical that communicates wirelessly with the da Vinci Xi surgical system. ITM has been specifically developed to improve multiquadrant robotic surgery such as that conducted in colorectal surgery. Between May and October 2015, a prospective post-market study was conducted on ITM in the EU in 40 cases from different specialties. The gynecological study group comprised 12 patients. Primary endpoints were ITM feasibility, safety and efficacy. Ten patients underwent TRH. Mean number of ITM moves was three during TRH; there were 31 instances of table moves in the ten procedures. Twenty-eight of 31 ITM moves were made to gain internal exposure. The endoscope remained inserted during 29 of the 31 table movements (94%), while the instruments remained inserted during 27 of the 31 moves (87%). No external instrument collisions or other problems related to the operating table were noted. There were no ITM safety-related observations and no adverse events. This preliminary study demonstrated the feasibility, safety and efficacy of ITM for the da Vinci Xi surgical system in TRH. ITM was safe, with no adverse events related to its use. Further studies will be useful to define the real role and potential benefit of ITM in gynecological surgery.

  18. PlenadrEMA

    DEFF Research Database (Denmark)

    Boesen, Victor Brun; Christoffersen, Thea; Watt, Torquil

    2018-01-01

    , it is necessary to use repeated daily measurements, such as ecological momentary assessments (EMAs). This study aims to evaluate EMAs of fatigue as outcome in future large-scale randomised clinical trials. METHODS AND ANALYSIS: The PlenadrEMA trial is an investigator-initiated open-label switch pilot trial...... outcome for future randomised clinical trials, and in addition, estimate the variability and difference in fatigue between the two treatments to perform power calculations. ETHICS AND DISSEMINATION: The trial will be conducted in accordance with the Declaration of Helsinki and has been approved...... by the Regional Scientific Ethical Committee in Copenhagen (ID: H-1-2014-073). All patients will receive written and verbal information about the trial and will give informed consent before enrolment. Findings will be published in peer-reviewed journals and presented at international conferences. TRIAL...

  19. Application of da Vinci(®) Robot in simple or radical hysterectomy: Tips and tricks.

    Science.gov (United States)

    Iavazzo, Christos; Gkegkes, Ioannis D

    2016-01-01

    The first robotic simple hysterectomy was performed more than 10 years ago. These days, robotic-assisted hysterectomy is accepted as an alternative surgical approach and is applied both in benign and malignant surgical entities. The two important points that should be taken into account to optimize postoperative outcomes in the early period of a surgeon's training are how to achieve optimal oncological and functional results. Overcoming any technical challenge, as with any innovative surgical method, leads to an improved surgical operation timewise as well as for patients' safety. The standardization of the technique and recognition of critical anatomical landmarks are essential for optimal oncological and clinical outcomes on both simple and radical robotic-assisted hysterectomy. Based on our experience, our intention is to present user-friendly tips and tricks to optimize the application of a da Vinci® robot in simple or radical hysterectomies.

  20. Leonardo da Vinci and the first hemodynamic observations.

    Science.gov (United States)

    Martins e Silva, J

    2008-02-01

    Leonardo da Vinci was a genius whose accomplishments and ideas come down to us today, five centuries later, with the freshness of innovation and the fascination of discovery. This brief review begins with a summary of Leonardo's life and a description of the most important works of art that he bequeathed us, and then concentrates on his last great challenge. There was a point at which Leonardo's passion for art gave way to the study of human anatomy, not only to improve his drawing but to go beyond what had been simply a representation of form to understand the underlying functioning. Among his many interests, we focus on his study of the heart and blood vessels, which he observed carefully in animals and human autopsies, and reproduced in drawings of great quality with annotations of astonishing acuteness. The experience that he had acquired from observing the flow of water in currents and around obstacles, and the conclusions that he drew concerning hydrodynamics, were central to his interpretation of the mechanisms of the heart and of blood flow, to which he devoted much of his time between 1508 and 1513. From these studies, immortalized in drawings of great clarity, come what are acknowledged to be the first hemodynamic records, in which Leonardo demonstrates the characteristics of blood flow in the aorta and great vessels and the importance of blood reflux and the formation of eddies in the sinus in aortic valve his assiduous and careful observations, and his subsequent deductions, Leonardo put forward detailed findings on hemodynamic questions that advanced technology has only recently enabled us to confirm.

  1. [The history of prostate cancer from the beginning to DaVinci].

    Science.gov (United States)

    Hatzinger, M; Hubmann, R; Moll, F; Sohn, M

    2012-07-01

    For hardly any other organ can the development of medicine and technical advances in the last 150 years be so clearly illustrated as for the prostate. The history of radical prostatectomy was initially characterised by the problems in approaching this relatively difficulty accessible organ. In 1867, Theodor Billroth in Vienna performed the first partial prostatectomy via a perineal access. In 1904, Hugh Hampton Young and William Stewart Halsted at the Johns Hopkins Hospital in Baltimore / USA carried out the first successful extracapsular perineal prostatectomy and opened up a new era. In Germany, Prof. Friedrich Voelcker in Halle in 1924 developed the so-called ischiorectal prostatectomy. But it was left to Terence Millin to publish in 1945 the first series of retropubic prostatectomies. In 1952, the sacroperineal approach according to Thiermann and the sacral prostatectomy according to were introduced. Finally, in 1991 another new era in prostate surgery started with the first laparoscopic prostatectomy. This development peaked in 2011 with the presentation of the laparoscopic DaVinci prostatectomy by Binder. Originally a stepchild of urological surgery that was to be avoided whenever possible due to the fear of serious complications, the prostate has progressed in the course of time to an obscure object of lust. The stepchild has become the favorite child.

  2. Surgical outcomes of robot-assisted rectal cancer surgery using the da Vinci Surgical System: a multi-center pilot Phase II study.

    Science.gov (United States)

    Tsukamoto, Shunsuke; Nishizawa, Yuji; Ochiai, Hiroki; Tsukada, Yuichiro; Sasaki, Takeshi; Shida, Dai; Ito, Masaaki; Kanemitsu, Yukihide

    2017-12-01

    We conducted a multi-center pilot Phase II study to examine the safety of robotic rectal cancer surgery performed using the da Vinci Surgical System during the introduction period of robotic rectal surgery at two institutes based on surgical outcomes. This study was conducted with a prospective, multi-center, single-arm, open-label design to assess the safety and feasibility of robotic surgery for rectal cancer (da Vinci Surgical System). The primary endpoint was the rate of adverse events during and after robotic surgery. The secondary endpoint was the completion rate of robotic surgery. Between April 2014 and July 2016, 50 patients were enrolled in this study. Of these, 10 (20%) had rectosigmoid cancer, 17 (34%) had upper rectal cancer, and 23 (46%) had lower rectal cancer; six underwent high anterior resection, 32 underwent low anterior resection, 11 underwent intersphincteric resection, and one underwent abdominoperineal resection. Pathological stages were Stage 0 in 1 patient, Stage I in 28 patients, Stage II in 7 patients and Stage III in 14 patients. Pathologically complete resection was achieved in all patients. There was no intraoperative organ damage or postoperative mortality. Eight (16%) patients developed complications of all grades, of which 2 (4%) were Grade 3 or higher, including anastomotic leakage (2%) and conversion to open surgery (2%). The present study demonstrates the feasibility and safety of robotic rectal cancer surgery, as reflected by low morbidity and low conversion rates, during the introduction period. © The Author 2017. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

  3. Elastography Using Multi-Stream GPU: An Application to Online Tracked Ultrasound Elastography, In-Vivo and the da Vinci Surgical System

    Science.gov (United States)

    Deshmukh, Nishikant P.; Kang, Hyun Jae; Billings, Seth D.; Taylor, Russell H.; Hager, Gregory D.; Boctor, Emad M.

    2014-01-01

    A system for real-time ultrasound (US) elastography will advance interventions for the diagnosis and treatment of cancer by advancing methods such as thermal monitoring of tissue ablation. A multi-stream graphics processing unit (GPU) based accelerated normalized cross-correlation (NCC) elastography, with a maximum frame rate of 78 frames per second, is presented in this paper. A study of NCC window size is undertaken to determine the effect on frame rate and the quality of output elastography images. This paper also presents a novel system for Online Tracked Ultrasound Elastography (O-TRuE), which extends prior work on an offline method. By tracking the US probe with an electromagnetic (EM) tracker, the system selects in-plane radio frequency (RF) data frames for generating high quality elastograms. A novel method for evaluating the quality of an elastography output stream is presented, suggesting that O-TRuE generates more stable elastograms than generated by untracked, free-hand palpation. Since EM tracking cannot be used in all systems, an integration of real-time elastography and the da Vinci Surgical System is presented and evaluated for elastography stream quality based on our metric. The da Vinci surgical robot is outfitted with a laparoscopic US probe, and palpation motions are autonomously generated by customized software. It is found that a stable output stream can be achieved, which is affected by both the frequency and amplitude of palpation. The GPU framework is validated using data from in-vivo pig liver ablation; the generated elastography images identify the ablated region, outlined more clearly than in the corresponding B-mode US images. PMID:25541954

  4. Elastography using multi-stream GPU: an application to online tracked ultrasound elastography, in-vivo and the da Vinci Surgical System.

    Directory of Open Access Journals (Sweden)

    Nishikant P Deshmukh

    Full Text Available A system for real-time ultrasound (US elastography will advance interventions for the diagnosis and treatment of cancer by advancing methods such as thermal monitoring of tissue ablation. A multi-stream graphics processing unit (GPU based accelerated normalized cross-correlation (NCC elastography, with a maximum frame rate of 78 frames per second, is presented in this paper. A study of NCC window size is undertaken to determine the effect on frame rate and the quality of output elastography images. This paper also presents a novel system for Online Tracked Ultrasound Elastography (O-TRuE, which extends prior work on an offline method. By tracking the US probe with an electromagnetic (EM tracker, the system selects in-plane radio frequency (RF data frames for generating high quality elastograms. A novel method for evaluating the quality of an elastography output stream is presented, suggesting that O-TRuE generates more stable elastograms than generated by untracked, free-hand palpation. Since EM tracking cannot be used in all systems, an integration of real-time elastography and the da Vinci Surgical System is presented and evaluated for elastography stream quality based on our metric. The da Vinci surgical robot is outfitted with a laparoscopic US probe, and palpation motions are autonomously generated by customized software. It is found that a stable output stream can be achieved, which is affected by both the frequency and amplitude of palpation. The GPU framework is validated using data from in-vivo pig liver ablation; the generated elastography images identify the ablated region, outlined more clearly than in the corresponding B-mode US images.

  5. Elastography using multi-stream GPU: an application to online tracked ultrasound elastography, in-vivo and the da Vinci Surgical System.

    Science.gov (United States)

    Deshmukh, Nishikant P; Kang, Hyun Jae; Billings, Seth D; Taylor, Russell H; Hager, Gregory D; Boctor, Emad M

    2014-01-01

    A system for real-time ultrasound (US) elastography will advance interventions for the diagnosis and treatment of cancer by advancing methods such as thermal monitoring of tissue ablation. A multi-stream graphics processing unit (GPU) based accelerated normalized cross-correlation (NCC) elastography, with a maximum frame rate of 78 frames per second, is presented in this paper. A study of NCC window size is undertaken to determine the effect on frame rate and the quality of output elastography images. This paper also presents a novel system for Online Tracked Ultrasound Elastography (O-TRuE), which extends prior work on an offline method. By tracking the US probe with an electromagnetic (EM) tracker, the system selects in-plane radio frequency (RF) data frames for generating high quality elastograms. A novel method for evaluating the quality of an elastography output stream is presented, suggesting that O-TRuE generates more stable elastograms than generated by untracked, free-hand palpation. Since EM tracking cannot be used in all systems, an integration of real-time elastography and the da Vinci Surgical System is presented and evaluated for elastography stream quality based on our metric. The da Vinci surgical robot is outfitted with a laparoscopic US probe, and palpation motions are autonomously generated by customized software. It is found that a stable output stream can be achieved, which is affected by both the frequency and amplitude of palpation. The GPU framework is validated using data from in-vivo pig liver ablation; the generated elastography images identify the ablated region, outlined more clearly than in the corresponding B-mode US images.

  6. Effect of training frequency on the learning curve on the da Vinci Skills Simulator.

    Science.gov (United States)

    Walliczek, Ute; Förtsch, Arne; Dworschak, Philipp; Teymoortash, Afshin; Mandapathil, Magis; Werner, Jochen; Güldner, Christian

    2016-04-01

    The purpose of this study was to evaluate the effect of training on the performance outcome with the da Vinci Skills Simulator. Forty novices were enrolled in a prospective training curriculum. Participants were separated into 2 groups. Group 1 performed 4 training sessions and group 2 had 2 training sessions over a 4-week period. Five exercises were performed 3 times consecutively. On the last training day, a new exercise was added. A significant skills gain from the first to the final practice day in overall performance, time to complete, and economy of motion was seen for both groups. Group 1 had a significantly better outcome in overall performance, time to complete, and economy of motion in all exercises. There was no significant difference found regarding the new exercise in group 1 versus group 2 in nearly all parameters. Longer time distances between training sessions are assumed to play a secondary role, whereas total repetition frequency is crucial for improvement of technical performance. © 2015 Wiley Periodicals, Inc. Head Neck 38: E1762-E1769, 2016. © 2015 Wiley Periodicals, Inc.

  7. [Leonardo da Vinci and his studies on the human fetus and the placenta].

    Science.gov (United States)

    Cataldi, L; Fanos, V

    2000-01-01

    To review the accuracy of Leonardo's anatomical studies of the female external genitalia and the foetus, particularly those concerning the umbilical cord with its blood vessels. The anatomical drawings of Leonardo da Vinci which are now stored in the Windors Castle near London were reviewed and the accuracy of the details of the genital apparatus and foetus was evaluated. A written comment characterizes many of his drawings. He described accurately the position of the uterine blood vessels and the relationship between the pelvic organs. However his drawing and description of the female external genitalia and human placenta was incorrect because his understanding of it was inadequate. He believed that the human placenta had cotyledons like that of the ungulate uterus (drown side A of sheet 19). At the top of that sheet some Leonardo's details of the anatomic relationship are shown. In our opinion, Leonardo's misunderstanding is probably because he was only able to perform one anatomical dissection of a pregnant women and foetus and therefore his knowledge was limited. The resulting documentation of the pregnant women and foetus was therefore heavily supplemented with his enormous experience in animal anatomy.

  8. Leonardo da Vinci's drapery studies: characterization of lead white pigments by µ-XRD and 2D scanning XRF

    Science.gov (United States)

    Gonzalez, Victor; Calligaro, Thomas; Pichon, Laurent; Wallez, Gilles; Mottin, Bruno

    2015-11-01

    This work focuses on the composition and microstructure of the lead white pigment employed in a set of paintworks, using a combination of µ-XRD and 2D scanning XRF, directly applied on five drapery studies attributed to Leonardo da Vinci (1452-1519) and conserved in the Département des Arts Graphiques, Musée du Louvre and in the Musée des Beaux- Arts de Rennes. Trace elements present in the composition as well as in the lead white highlights were imaged by 2D scanning XRF. Mineral phases were determined in a fully noninvasive way using a special µ-XRD diffractometer. Phase proportions were estimated by Rietveld refinement. The analytical results obtained will contribute to differentiate lead white qualities and to highlight the artist's technique.

  9. Leonardo da Vinci's "A skull sectioned": skull and dental formula revisited.

    Science.gov (United States)

    Gerrits, Peter O; Veening, Jan G

    2013-05-01

    What can be learned from historical anatomical drawings and how to incorporate these drawings into anatomical teaching? The drawing "A skull sectioned" (RL 19058v) by Leonardo da Vinci (1452-1519), hides more detailed information than reported earlier. A well-chosen section cut explores sectioned paranasal sinuses and ductus nasolacrimalis. A dissected lateral wall of the maxilla is also present. Furthermore, at the level of the foramen mentale, the drawing displays compact and spongious bony components, together with a cross-section through the foramen mentale and its connection with the canalis mandibulae. Leonardo was the first to describe a correct dental formula (6424) and made efforts to place this formula above the related dental elements. However, taking into account, the morphological features of the individual elements of the maxilla, it can be suggested that Leonardo sketched a "peculiar dental element" on the position of the right maxillary premolar in the dental sketch. The fact that the author did not make any comment on that special element is remarkable. Leonardo could have had sufficient knowledge of the precise morphology of maxillary and mandibular premolars, since the author depicted these elements in the dissected skull. The fact that the author also had access to premolars in situ corroborates our suggestion that "something went wrong" in this part of the drawing. The present study shows that historical anatomical drawings are very useful for interactive learning of detailed anatomy for students in medicine and dentistry. Copyright © 2012 Wiley Periodicals, Inc.

  10. Realization and optimization of AES algorithm on the TMS320DM6446 based on DaVinci technology

    Science.gov (United States)

    Jia, Wen-bin; Xiao, Fu-hai

    2013-03-01

    The application of AES algorithm in the digital cinema system avoids video data to be illegal theft or malicious tampering, and solves its security problems. At the same time, in order to meet the requirements of the real-time, scene and transparent encryption of high-speed data streams of audio and video in the information security field, through the in-depth analysis of AES algorithm principle, based on the hardware platform of TMS320DM6446, with the software framework structure of DaVinci, this paper proposes the specific realization methods of AES algorithm in digital video system and its optimization solutions. The test results show digital movies encrypted by AES128 can not play normally, which ensures the security of digital movies. Through the comparison of the performance of AES128 algorithm before optimization and after, the correctness and validity of improved algorithm is verified.

  11. Development and evaluation of a training module for the clinical introduction of the da Vinci robotic system in visceral and vascular surgery.

    Science.gov (United States)

    Mehrabi, A; Yetimoglu, C L; Nickkholgh, A; Kashfi, A; Kienle, P; Konstantinides, L; Ahmadi, M R; Fonouni, H; Schemmer, P; Friess, H; Gebhard, M M; Büchler, M W; Schmidt, J; Gutt, C N

    2006-09-01

    With the increasing use of the surgical robotic system in the clinical arena, appropriate training programs and assessment systems need to be established for mastery of this new technology. The authors aimed to design and evaluate a clinic-like training program for the clinical introduction of the da Vinci robotic system in visceral and vascular surgery. Four trainees with different surgical levels of experience participated in this study using the da Vinci telemanipulator. Each participant started with an initial evaluation stage composed of standardized visceral and vascular operations (cholecystectomy, gastrotomy, anastomosis of the small intestine, and anastomosis of the aorta) in a porcine model. Then the participants went on to the training stage with the rat model, performing standardized visceral and vascular operations (gastrotomy, anastomosis of the large and small intestines, and anastomosis of the aorta) four times in four rats. The final evaluation stage was again identical to the initial stage. The operative times, the number of complications, and the performance quality of the participants were compared between the two evaluation stages to assess the impact of the training stage on the results. The operative times in the final evaluation stage were considerably shorter than in the initial evaluation stage and, except for cholecystectomies, all the differences reached statistical significance. Also, significantly fewer complications and improved quality for each operation in the final evaluation stage were documented, as compared with their counterparts in the initial evaluation stage. These improvements were recorded at each level of experience. The presented experimental small and large animal model is a standardized and reproducible training method for robotic surgery that allows evaluation of the surgical performance while shortening and optimizing the learning-curve.

  12. Sentinel Node Mapping Using Indocyanine Green and Near-infrared Fluorescence Imaging Technology for Uterine Malignancies: Preliminary Experience With the Da Vinci Xi System.

    Science.gov (United States)

    Siesto, Gabriele; Romano, Fabrizio; Fiamengo, Barbara; Vitobello, Domenico

    2016-01-01

    Sentinel lymph node (SLN) mapping has emerged as the new frontier for the surgical staging of apparently early-stage cervical and endometrial cancer. Different colorimetric and radioactive tracers, alone and in combination, have been proposed with encouraging results. Fluorometric mapping using indocyanine green (ICG) appears to be a suitable and attractive alternative to provide reliable staging [1-4]. In this video, we present the technique of SLN mapping in 2 cases (1 endometrial and 1 cervical cancer, respectively) using ICG and the near-infrared technology provided by the newest Da Vinci Xi robotic system (Intuitive Surgical Inc., Sunnyvale, CA). Together we report the results of our preliminary experience on the first 20 cases performed. The new robotic Da Vinci Xi system was available at our institution since May 2015. Upon institutional review board/ethical committee approval, all consecutive patients with early-stage endometrial and cervical cancer who were judged suitable for robotic surgery have been enrolled for SLN mapping with ICG. We adopted the Memorial Sloan Kettering Cancer Center SLN algorithm; the tracer was delivered into the cervix in all cases. Four milliliters (1.25 mg/mL) of ICG was injected divided into the 3- and 9-o'clock positions of the cervix alone, with 1 mL deep into the stroma and 1 mL submucosally at the skin incision. Sentinel lymph nodes were examined with a protocol including both ultrastaging with immunohistochemistry [3] and 1-step nucleic acid amplification assay [5,6] under a parallel protocol of study. During the study period, 20 cases were managed; 14 and 6 patients had endometrial and cervical cancer, respectively. SLN was detected in all cases (20/20, 100%). Bilateral SLNs were detected in 17 of 20 (85.0%) cases. Based on preoperative and intraoperative findings, 13 (65.0%) patients received systematic pelvic lymphadenectomy after SLN mapping. Three (15.0%) patients had microscopic nodal metastases on SLN. No

  13. Using Optical Coherence Tomography to Reveal the Hidden History of The Landsdowne Virgin of the Yarnwinder by Leonardo da Vinci and Studio.

    Science.gov (United States)

    Targowski, Piotr; Iwanicka, Magdalena; Sylwestrzak, Marcin; Frosinini, Cecilia; Striova, Jana; Fontana, Raffaella

    2018-03-07

    Optical coherence tomography (OCT) was used for non-invasive examination of a well-known, yet complex, painting from the studio of Leonardo da Vinci in combination with routine imaging in various bands of electromagnetic radiation. In contrast with these techniques, OCT provides depth-resolved information. Three post-processing modalities were explored: cross-sectional views, maps of scattering from given depths, and their 3D models. Some hidden alterations of the painting owing to past restorations were traced: retouching and overpainting with their positioning within varnish layers as well as indications of a former transfer to canvas. © 2018 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim.

  14. Leonardo da Vinci's drapery studies: characterization of lead white pigments by μ-XRD and 2D scanning XRF

    Energy Technology Data Exchange (ETDEWEB)

    Gonzalez, Victor; Calligaro, Thomas [Centre de Recherche et de Restauration des Musees de France, C2RMF, Paris (France); PSL Research University, Chimie ParisTech-CNRS, Institut de Recherche de Chimie Paris, UMR8247, Paris (France); Pichon, Laurent; Mottin, Bruno [Centre de Recherche et de Restauration des Musees de France, C2RMF, Paris (France); Wallez, Gilles [PSL Research University, Chimie ParisTech-CNRS, Institut de Recherche de Chimie Paris, UMR8247, Paris (France); Sorbonne University, UPMC Univ., Paris 06 (France)

    2015-11-15

    This work focuses on the composition and microstructure of the lead white pigment employed in a set of paintworks, using a combination of μ-XRD and 2D scanning XRF, directly applied on five drapery studies attributed to Leonardo da Vinci (1452-1519) and conserved in the Departement des Arts Graphiques, Musee du Louvre and in the Musee des Beaux-Arts de Rennes. Trace elements present in the composition as well as in the lead white highlights were imaged by 2D scanning XRF. Mineral phases were determined in a fully noninvasive way using a special μ-XRD diffractometer. Phase proportions were estimated by Rietveld refinement. The analytical results obtained will contribute to differentiate lead white qualities and to highlight the artist's technique. (orig.)

  15. Leonardo da Vinci's drapery studies: characterization of lead white pigments by μ-XRD and 2D scanning XRF

    International Nuclear Information System (INIS)

    Gonzalez, Victor; Calligaro, Thomas; Pichon, Laurent; Mottin, Bruno; Wallez, Gilles

    2015-01-01

    This work focuses on the composition and microstructure of the lead white pigment employed in a set of paintworks, using a combination of μ-XRD and 2D scanning XRF, directly applied on five drapery studies attributed to Leonardo da Vinci (1452-1519) and conserved in the Departement des Arts Graphiques, Musee du Louvre and in the Musee des Beaux-Arts de Rennes. Trace elements present in the composition as well as in the lead white highlights were imaged by 2D scanning XRF. Mineral phases were determined in a fully noninvasive way using a special μ-XRD diffractometer. Phase proportions were estimated by Rietveld refinement. The analytical results obtained will contribute to differentiate lead white qualities and to highlight the artist's technique. (orig.)

  16. Why the fuss over Brown’s The Da Vinci code? The dynamism of 'icons' and the in/stability of meaning

    Directory of Open Access Journals (Sweden)

    C. Lombaard

    2009-07-01

    Full Text Available Dan Brown’s book, “The Da Vinci code” (2003 and the sub-sequent motion picture by the same title (2006, have created a considerable stir within, but not limited to, Christian circles. The cause of the controversy is that, despite Brown’s overt pre-sentation of this work as fiction, it draws on figures, events and themes regarded in religious circles as sacred – most par-ticularly in Christian circles. Holy figures, events and themes are sensitive matters to believers: the meanings attached to them are regarded as essentially fixed, with connotations of perma-nence and eternity. Literature of many kinds, however, reinter-pret set meanings, loosening their perceived inflexibility, thus opening up a dynamism quite foreign to popular notions of definite meaning.

  17. Universal suprapubic approach for complete mesocolic excision and central vascular ligation using the da Vinci Xi® system: from cadaveric models to clinical cases.

    Science.gov (United States)

    Yeo, Shen Ann; Noh, Gyoung Tae; Han, Jeong Hee; Cheong, Chinock; Stein, Hubert; Kerdok, Amy; Min, Byung Soh

    2017-12-01

    There has been little enthusiasm for performing robotic colectomy for colon cancer in recent years due to multiple factors, one being that the previous robotic systems such as the da Vinci Si ® (dVSi) were poorly designed for multi-quadrant surgery. The new da Vinci Xi ® (dVXi) system enables colectomy with central mesocolic excision to be performed easily in a single docking procedure. We developed a universal port placement strategy to allow right and left hemicolectomies to be performed via a suprapubic approach and a Pfannensteil extraction site. This proof of concept paper describes the development and subsequent clinical application of this setup. After extensive training on the dVXi system concepts in collaboration with clinical development engineers, we developed a port placement strategy which was tested and adapted after performing experimental surgery in three cadaveric models. Subsequently our port placement was used for two clinical cases of suprapubic right and left hemicolectomy. With some modifications of port placements after the initial cadaveric colectomies, we have developed a potentially universal suprapubic port placement strategy for robotic colectomy with complete mesocolic excision and central vascular ligation using the dVXi robotic system. This port placement strategy was applied successfully in our first two clinical cases. Based on our cadaveric laboratory as well as our initial clinical application, the suprapubic port placement strategy for the dVXi system with its improved features over the dVSi can feasibly perform right and left hemicolectomy with complete mesocolic excision and central vascular ligation. Further studies will be required to establish efficacy as well as safety profile of these procedures.

  18. Sponsoring surgeons; an investigation on the influence of the da Vinci robot.

    Science.gov (United States)

    Criss, Cory N; Gadepalli, Samir K

    2017-08-26

    The integrity of the medical literature about robotic surgery remains unclear despite wide-spread adoption. We sought to determine if payment from Intuitive Surgical Incorporated (ISI) affected quality of the research produced by surgeons. Publicly available financial data from the CMS website regarding the top-20 earners from ISI for 2015 was gathered. Studies conducted by these surgeons were identified using PubMed. Inclusion criteria consisted of publications about the da Vinci ® robot on patient outcomes. The primary outcome of our study was if the study conclusion was positive/equivocal/negative towards the robot. Secondary outcomes included authorship, sponsorship, study controls, and disclosure. The top earners received $3,296,844 in 2015, with a median of $141,959. Sub-specialties included general surgery (55%), colorectal (20%), thoracic (15%), and obstetrics/gynecology (10%). Of the 37 studies, there was 1 RCT, with observational studies comprising the rest. The majority of the studies (n = 16, 43%) had no control population, with 11 (30%) comparing to same institution/surgeon, Though ISI sponsored only 6 (16%) studies, all with positive conclusions, 27 (73%) studies had positive conclusions for robot use, 9 (24%) equivocal, and only 1 (3%) negative. Overall, 13 earners had lead authorship and 11 senior. This initial pilot study highlights a potential bias as current literature published by benefactors demonstrates low quality and highly positive conclusions towards approval of the robot. This substantiates the need for a large, systematic review of the potential influence of sponsoring surgeons on medical literature. Copyright © 2017 Elsevier Inc. All rights reserved.

  19. Konsep Pemikiran Ekonomi Islam dalam Penambangan Emas Ilegal

    OpenAIRE

    Hikmawati, wahidin dan

    2015-01-01

    Pertambangan yang terletak di Kecamatan Kuantan Tengah ini berupa emas merupakan karunia dari tuhan yang harus dimanfaatkan bagi kemakmuran dan kesejahteraan masyarakat. Tetapi pada realita, USAha penambangan emas ini banyak menimbulkan dampak negatif dibandingkan dampak positif.Hal ini terkait dengan ekonomi masyarakat, lingkungan hidup dan kehidupan sosial. Penelitian ini bertujuan untuk mengetahui USAha penambangan emas di Kecamatan Kuantan Tengah, untuk mengetahui dampak kegiatan penamban...

  20. Kajian Produksi Bersih Proses Elektroplating Emas pada Perhiasan Imitasi

    Directory of Open Access Journals (Sweden)

    Surti Indriastuti

    2016-04-01

    Full Text Available Proses electroplating emas pada barang perhiasan imitasi adalah proses melpisi permukaan perhiasan imitasi yang berupa gelang tembaga dengan bahan pelapis emas, dengan bantuan arus litrik. Proses ini menggunakan media pelapisan larutan elaktrolit emas Kau(CN2. Tahapan proses electroplating meliputi: pencucian gelang tembaga, pembilasan awal, proses electroplating, pembilasan akhir, pengeringan.Kajian Produksi Bersih (PB yang dilakukan pada proses tersebut yaitu dengan mengganti  bahan masukan, memperpanjang umur larutan elektrolit emas dilakukan minimasi drag out, pengaturan proses dan peralatan. Mengganti bahan masukan meliputi: air alam diganti aquades, emas berkadar di bawah 24 karat diganti dengan emas berkadar 24 karat (murni, bahan pencuci HCl/H2SO4 diganti dengan asam jawa/lerak. Memperpanjang larutan elektrolit emas dengan jalan: penyaringan, penambahan unsur kimia, pengurangan drag in. Minimasi drag out dengan jalan: menampung drag out. Pengaturan proses dan peralatan meliputi penataan layout peralatan, pemisahan proses basah dan kering, pembuangan limbah langsung ke saluran pembuangan.Hasil kajian memberikan simpulan bahwa penerapan prouksi bersih pada proses electroplating barang perhiasan dapat meningkatkan efisiensi dan kualitas produk, mengurangi kuantitas dan meningkatkan kualitas limbah, menurunkan produk rejek dari 10% menjdai 5%. Kata kunci: electroplating, produksi bersih

  1. Energy Materials Coordinating Committee (EMaCC)

    Energy Technology Data Exchange (ETDEWEB)

    1991-05-31

    This report summarizes EMaCC activities for fiscal year 1990 and describes the materials research programs of various offices and divisions within the department. The DOE Energy Materials Coordinating Committee (EMaCC) serves primarily to enhance coordination among the Department's materials programs and to further the effective use of materials expertise within the department. (JL)

  2. The mother relationship and artistic inhibition in the lives of Leonardo da Vinci and Erik H. Erikson.

    Science.gov (United States)

    Capps, Donald

    2008-12-01

    In four earlier articles, I focused on the theme of the relationship of melancholia and the mother, and suggested that the melancholic self may experience humor (Capps, 2007a), play (Capps, 2007b), dreams (Capps, 2008a), and art (Capps, 2008b) as restorative resources. I argued that Erik H. Erikson found these resources to be valuable remedies for his own melancholic condition, which had its origins in the fact that he was illegitimate and was raised solely by his mother until he was three years old, when she remarried. In this article, I focus on two themes in Freud's Leonardo da Vinci and a memory of his childhood (1964): Leonardo's relationship with his mother in early childhood and his inhibitions as an artist. I relate these two themes to Erikson's own early childhood and his failure to achieve his goal as an aspiring artist in his early twenties. The article concludes with a discussion of Erikson's frustrated aspirations to become an artist and his emphasis, in his psychoanalytic work, on children's play.

  3. Using of daVinci Robot(R in U.S. and Worldwide

    Directory of Open Access Journals (Sweden)

    Shah G

    2006-01-01

    Full Text Available Die Roboterchirurgie hat die minimalinvasive Chirurgie in den letzten 6 Jahren stark beeinflußt. Die Anzahl der Institutionen, die einschlägige Programme lancierten und die chirurgischen Anwendungsbereiche, die sich der Robotertechnik bedienen, haben exponentiell zugenommen. Privatspitäler und akademische Zentren – Centers in den USA und in Europa – überall werden je eigene Wege und Verfahren beschritten. Materialien und Methoden: Die Daten, die von Intuitive Surgical, dem US-amerikanischen Urologenverband und vom Accreditation Council for Graduate Medical Education bereitgestellt und an jüngsten nationalen Konferenzen über Roboterchirurgie präsentiert wurden, wurden assimiliert und auf praktische Muster und Standards analysiert. Ergebnisse: Die rasche Verbreitung robotergestützter chirurgischer Eingriffe ist auf die vereinten Anstrengungen von Gesundheitseinrichtungen und Patientengruppen zur Förderung dieser Technik sowie auf die innovativen Werbemethoden von Intuitive(R Surgical zurückzuführen. Die bessere Visualisierung vitaler Strukturen, die einfachere und präzisere Gewebsmanipulation und die Verbesserung einiger kurzfristiger Parameter sind die Hauptpunkte der Unterstützungskampagne. Am Anfang der Initiative zum Start eines europäischen Roboterprogramms standen Versuche, die speziellen chirurgischen Verfahren zu modernisieren. In den Vereinigten Staaten spielen für die Entscheidung einer Institution, in das DaVinci Robot(R-System zu investieren, Marktkräfte eine bedeutende Rolle, die auf tatsächliche bzw. empfundene Unterschiede zwischen den Konsequenzen bei vorhandenem bzw. nichtvorhandenem Roboterprogramm zurückzuführen sind. In Asien ist die Kaufentscheidung vom Wunsch bestimmt, mit den Führenden "mitzuhalten". Schlußfolgerungen: Die Roboterchirurgie wird bleiben. Die aktuelle Technologie, wie wir sie kennen, ist im Hinblick auf die Anwendungspotenziale in der Zukunft erst die Spitze des Eisbergs.

  4. The proportion of the face in younger adults using the thumb rule of Leonardo da Vinci.

    Science.gov (United States)

    Oguz, O

    1996-01-01

    The present study was conducted to examine whether the thumb rule of Leonardo da Vinci could be an objective method in the determination of the natural and artistic proportions of human face. In this study, a sample of 400 subjects (200 male and 200 female, 22-25 years old) was used. Measurements were made of the length of thumb, the length of ear, the approximate distances between the hair line and the glabella or eyebrows, between the glabella or eyebrows and the tip of the nose and the distance between the nose and the chin, and the distance between the ear and the lateral aspect of the eye. The results obtained in the males and females showed significant (p thumb and the proportions of the face examined in the study. Additionally, the height of the face was found to be almost three times the length of the thumb. However, the measurements obtained from female subjects were on average smaller than those taken from males. The results obtained in this experiment could be of value in understanding of the evaluation of the face for the people working in plastic surgery or art.

  5. Energy Materials Coordinating Committee (EMaCC), Fiscal year 1990

    Energy Technology Data Exchange (ETDEWEB)

    None, None

    1991-05-31

    The DOE Energy Materials Coordinating Committee (EMaCC) serves primarily to enhance coordination among the Department's materials programs and to further the effective use of materials expertise within the Department. These functions are accomplished through the exchange of budgetary and planning information among program managers and through technical meetings/workshops on selected topics involving both DOE and major contractors. Four topical subcommittees are established and are continuing their own programs: Structural Ceramics, Electrochemical Technologies, Radioactive Waste Containment, and Superconductivity. In addition, the EMaCC aids in obtaining materialsrelated inputs for both intra- and inter-agency compilations. Membership in the EMaCC is open to any Department organizational unit; participants are appointed by Division or Office Directors. The current active membership is listed on the following four pages. The EMaCC reports to the Director of the Office of Energy Research in his capacity as overseer of the technical programs of the Department. This annual technical report is mandated by the EMaCC terms of reference. This report summarizes EMaCC activities for FY 1990 and describes the materials research programs of various offices and divisions within the Department. The Chairman of EMaCC for FY 1990 was Scott L. Richlen; the Executive Secretary was Dr. Jerry Smith.

  6. VINCI: the VLT Interferometer commissioning instrument

    Science.gov (United States)

    Kervella, Pierre; Coudé du Foresto, Vincent; Glindemann, Andreas; Hofmann, Reiner

    2000-07-01

    The Very Large Telescope Interferometer (VLTI) is a complex system, made of a large number of separated elements. To prepare an early successful operation, it will require a period of extensive testing and verification to ensure that the many devices involved work properly together, and can produce meaningful data. This paper describes the concept chosen for the VLTI commissioning instrument, LEONARDO da VINCI, and details its functionalities. It is a fiber based two-way beam combiner, associated with an artificial star and an alignment verification unit. The technical commissioning of the VLTI is foreseen as a stepwise process: fringes will first be obtained with the commissioning instrument in an autonomous mode (no other parts of the VLTI involved); then the VLTI telescopes and optical trains will be tested in autocollimation; finally fringes will be observed on the sky.

  7. Development of environmental management accounting and EMAS over time

    Directory of Open Access Journals (Sweden)

    Petra Ptáčková Mísařová

    2012-01-01

    Full Text Available Environmental management accounting (EMA is a system that collects, records, evaluates and transmits information about environmentally induced financial impacts and environmental impacts of the given system. In 2006 and 2010 there were two questionnaire surveys. The first survey was carried out under the resolution of grant, which was funded by the Internal Grant Agency of the Mendel University of Agriculture and Forestry in Brno, No. 68/2006, entitled “Development of the EMAS and environmental management accounting in the Czech Republic”. The second evaluated questionnaire survey was conducted in the study, which was made in connection with solution of the thesis of author‘s article. Group of 25 companies that had validated EMAS during the first questionnaire survey was subjected to a survey. The second questionnaire survey was carried out in the same companies in order to make evaluation of development over time. The aim of this paper is to create coherent conclusion about firms that had or have validated EMAS system and use a voluntary instrument EMA in its corporate practice. Partial aim is to evaluate the development of validated organizations and ‘sites’ with EMAS in time in EU countries. EMAS is a system of management of company and audits in terms of environmental protection. This system is applied within the European Union.

  8. KRITIK PENETAPAN HARGA IJARAH PADA GADAI EMAS (TINJAUAN FIKIH DAN ETIKA

    Directory of Open Access Journals (Sweden)

    Rinda Asytuti

    2013-04-01

    Full Text Available Pembiayaan gadai emas di bank syariah mencuat ketika harga emas dunia mengalami fluktuasi yang cukup tajam. Hal ini mendorong masyarakat beralih kepada investasi emas. Diawali oleh BRI syariah membuka layanan gadai emas yang diidasarkan pada akad rahn dan ijaroh, namun pada praktiknya membuka prosedur layanan beli gadai yang disinyalir rentan dengan spekulasi yang dilarang oleh agama islam. Produk beli gadai selanjutnya dikenal dengan berkebun emas ini dibatasi oleh Bank Indonesia guna membatasi gerak spekulasi nasabah atas emas. Akan tetapi beberapa bank syariah seperti BNI dan BSM yang juga membuka layanan gadai emas tidak melakukan transaksi beli gadai sebagaimana BRI syariah melainkan hanya melayani gadai emas sebagaimana dalam fatwa DSN MUI No 26/DSN-MUI/III/2002. Namun transaksi gadai emas yang berjalan bukan berarti tanpa masalah ditilik dari fikih dan etika salah satunya adalah penetapan harga ijaroh yang didasarkan pada metode tiring dan taksasi pembiayaan yang diterima. Penetapan harga ijaroh dan transaksi gadai emas  dirasakan telah menyalahi konsepsi Rahn yang seharusnya didudukkan pada akad keterdesakan yang beresensi ta’awun tolong menolong. Untuk itu tulisan ini  membahas tentang praktik gadai emas di bank syariah dan metode penetapan ujroh pada produk gadai emas. Penulis menyimpulkan bahwa penetapan tarif ijaroh yang saat ini ditetapkan oleh bank syariah rentan pada penggelinciran fungsi sesunguhnya yang kemudian jatuh pada konsepsi “hillah / Helah (al-hilah; al-tahayulyang termasuk upaya rasional yang manipulatif.  Di antara hillah tersebut adalah penggantian nama dan perubahan bentuk padahal substansinya sama. Yusuf al-Qardhawi berpendapat bahwa sebuah perubahan nama tidak diakui secara hukum apabila substansinya tetap, dan perubahan bentuk juga tidak diakui secara hukum apabila hakikatnya sama (la ‘ibrata bi taghayyur al-ism idza baqiya al- musamma, wa la bi taghayyur al-shurah idza baqiyat al-haqiqah

  9. The Psychological Roots of Creativity in Messages Left by Leonardo da Vinci, Giorgio Vasari, and a Neanderthal Troglodyte

    Directory of Open Access Journals (Sweden)

    Antonio Cassella

    2016-08-01

    Full Text Available The perfect memory that informs our local autistic facet is insufficient to deal with the unforeseen change that challenges our nonlocal artistic facet. The loss of quantum nonlocality leads autistics to fail tests rooted in overcoming the less-than-perfect ambiguity that elicits our creativity. The psychological structure by which perfect memory and less-than-perfect creativity empower each other remains in darkness. This article broaches the hypothesis that Leonardo da Vinci envisioned the union of local perfection and nonlocal less-than-perfection, and that he hid his insight in the Adoration of the Magi. Leonardo’s knowledge - expressed here as the logos heuristic—guides a psychological interpretation of the smile of Mona Lisa; of the four avatars of the Vitruvian Man; of the recognition and location of Leonardo’s unknown painting Natività; of the exact location of his lost work, Battaglia di Anghiari; and of a 39,000-year-old abstract engraving in Gorham’s cave at Gibraltar. Logos can be used to single out local, nonlocal computing, and their alliance in pursuing a humanistic path to progress.

  10. Evaluation studies of EMA implementation’s barriers in business practice

    Directory of Open Access Journals (Sweden)

    Petra Mísařová

    2010-01-01

    Full Text Available Environmental Management Accounting (EMA is a system, which collects, records, evaluates and disseminates information about environmentally induced financial impacts and environmental impacts of the system itself. EMA is an important source of information for decision-making processes such as management of an organization, for EMS or environmental reporting. Identified barriers were included in the study which was conducted in three phases – in organizations espousing to Responsible Care, in selected companies with ISO 14000 and in companies with environmental management systems, validated by European EMAS. In early 2010 research was completed in the field of environmental management accounting and barriers defending the implemention of EMA to organization’s information system and the subsequent use of EMA. Primary data obtained from this study were subjected to cluster analysis and the results are presented in this scientific thesis. In practise there are many obstacles to full-fledged EMA implementation process into practice organization and its functioning. Findings of the study give answers to the question: „What barriers act as obstacles to the implementation of EMA into the practise of the organization and its functioning?“

  11. [The Da Vinci Medical-mental motivation program for supporting lifestyle changes in patients with type 2 diabetes].

    Science.gov (United States)

    Kempf, K; Dirk, M; Kolb, H; Hebestreit, A; Bittner, G; Martin, S

    2012-02-01

    Healthy diet and physical activity can improve metabolic control in patients with type 2 diabetes mellitus. However, lifestyle change without external help is difficult: an alteration of mental attitude is necessary to achieve long-term success. A computer-based motivational program ("Da Vinci") has been developed to help patients to change their mental attitudes and beliefs. Patients with type 2 diabetes were supervised by psychological trainers in four sessions at ten study centers. The interactive computer program allowed for identification of motivation restraints and overcoming them. Parameters of carbohydrate metabolism were measured at the beginning and end of the three-months program as well as three and six months after end of program. All participants (n = 61) developed a positive attitude towards the range of their action and by themselves changed their lifestyle. After three months their weight (-4.6 kg; p motivational program, which is intended to alter mental attitude and beliefs, but not to teach knowledge about diabetes, participants were able to significantly improve their metabolic control. As these improvements were maintained long-term, this points to sustainable lifestyle change. © Georg Thieme Verlag KG Stuttgart · New York.

  12. 2D and 3D optical diagnostic techniques applied to Madonna dei Fusi by Leonardo da Vinci

    Science.gov (United States)

    Fontana, R.; Gambino, M. C.; Greco, M.; Marras, L.; Materazzi, M.; Pampaloni, E.; Pelagotti, A.; Pezzati, L.; Poggi, P.; Sanapo, C.

    2005-06-01

    3D measurement and modelling have been traditionally applied to statues, buildings, archeological sites or similar large structures, but rarely to paintings. Recently, however, 3D measurements have been performed successfully also on easel paintings, allowing to detect and document the painting's surface. We used 3D models to integrate the results of various 2D imaging techniques on a common reference frame. These applications show how the 3D shape information, complemented with 2D colour maps as well as with other types of sensory data, provide the most interesting information. The 3D data acquisition was carried out by means of two devices: a high-resolution laser micro-profilometer, composed of a commercial distance meter mounted on a scanning device, and a laser-line scanner. The 2D data acquisitions were carried out using a scanning device for simultaneous RGB colour imaging and IR reflectography, and a UV fluorescence multispectral image acquisition system. We present here the results of the techniques described, applied to the analysis of an important painting of the Italian Reinassance: `Madonna dei Fusi', attributed to Leonardo da Vinci.

  13. The oldest anatomical handmade skull of the world c. 1508: 'the ugliness of growing old' attributed to Leonardo da Vinci.

    Science.gov (United States)

    Missinne, Stefaan J

    2014-06-01

    The author discusses a previously unknown early sixteenth-century renaissance handmade anatomical miniature skull. The small, naturalistic skull made from an agate (calcedonia) stone mixture (mistioni) shows remarkable osteologic details. Dr. Saban was the first to link the skull to Leonardo. The three-dimensional perspective of and the search for the senso comune are discussed. Anatomical errors both in the drawings of Leonardo and this skull are presented. The article ends with the issue of physiognomy, his grotesque faces, the Perspective Communis and his experimenting c. 1508 with the stone mixture and the human skull. Evidence, including the Italian scale based on Crazie and Braccia, chemical analysis leading to a mine in Volterra and Leonardo's search for the soul in the skull are presented. Written references in the inventory of Salai (1524), the inventory of the Villa Riposo (Raffaello Borghini 1584) and Don Ambrogio Mazenta (1635) are reviewed. The author attributes the skull c. 1508 to Leonardo da Vinci.

  14. Práctica curricular Leonardo da Vinci como estrategia que favorece el desarrollo de la autonomía para reducción del abandono en la educación superior

    OpenAIRE

    Chica Cañas, Francisco Alonso

    2016-01-01

    La marca Leonardo Da Vinci concebida como una estrategia de formación para la autonomía a partir de las TIC fue incorporada dentro y fuera del aula de clase presencial para la reducción del abandono en el estudio, cuando el aprendiz desarrolla la creatividad y la imaginación con base en la observación de los postulados de las disciplinas con los anteojos del mundo virtual que conduce a un conocimiento experiencial y cognitivo para verificar los axiomas y taxonomías de los saberes, tomando com...

  15. Evaluation of different time schedules in training with the Da Vinci simulator.

    Science.gov (United States)

    Güldner, C; Orth, A; Dworschak, P; Diogo, I; Mandapathil, M; Teymoortash, A; Walliczek-Dworschak, U

    2017-10-01

    This prospective study analyzed the effect of different time schedules in training on the main performance outcomes: overall score, time to complete, and economy of motion. The study was performed on the da Vinci Skills Simulator from December 2014 to April 2016. Forty robotic novices were randomized into two groups of 20 participants, which trained in the same three exercises but with different intervals between their training sessions. Each group performed training in Peg Board 1 in their first week, Match Board 2 in their second week, and Ring and Rail 2 in their third week. On their last day, Needle Targeting and Energy Dissection 2, for which no previous training had been received, were performed. Regarding the different training intervals, group 1 trained each exercise six times in a row once a week. Group 2 performed their training once a day for 5 days. Technical performance parameters were recorded by the Mimics simulator software for further analysis. In addition, the participants were asked to fill out a questionnaire concerning the robotics training. Group 2 performed significantly better compared to group 1 in the main metrics in the more advanced exercises. For the easier exercises, the training frequency did not lead to significant differences in performance outcome. A significant skills gain was seen between the first and last training sessions for all exercises in both groups. Performance in the final exercise NT was significantly better in group 2 than group 1. Regarding ED 2, no difference was found between the two groups. As the training of group 2 led to significantly better outcomes, we suggest that, especially for advanced exercises, it seems to be more favorable to perform training every day for a short period than to train once a week six times in a row.

  16. Unfolding Leonardo DA Vinci's Globe (ad 1504) to Reveal its Historical World Map

    Science.gov (United States)

    Verhoeven, G. J.; Missinne, S. J.

    2017-08-01

    This paper reports in detail on the image-based modelling and unwrapping approach used to create a two-dimensional projected map of an astonishing ostrich egg globe from AD 1504. This miniature egg globe is not only the oldest extant engraved globe, but it is also the oldest post-Columbian globe of the world and the first ever to depict Newfoundland and many other territories. The intention of digitally recording the surface geometry and colour of this unique artefact was to portray the original layout of the world map used by the Florentine Renaissance artist to make this globe. In addition, it was expected to substantiate iconographical details, which are hard to study at its scale of 1:80,000,000. The ostrich egg globe is the prototype of the Lenox Globe kept at the New York Public Library. The latter is very beneficial to examine how the egg globe looked like before being glued together at its equator. On the other hand, unfolding the map engraved in the ostrich egg halves enables a more detailed study of the remarkable details visible on both globes, since the engravings on the quasi-white egg surface are much easier to discern than those of the highly reflective red copper Lenox Globe. Finally, a detailed study of the unwrapped 3D surface is essential to learn more about the world vision of its creator and the incredible efforts that went into making this globe. Thanks to some particular pictographic details as well as the way in which the engravings are applied (by a left-handed person), the globe artist can be identified as Leonardo da Vinci.

  17. Shahmatnõi sjurpriz da Vintshi / Christian Fraser

    Index Scriptorium Estoniae

    Fraser, Christian

    2008-01-01

    Põhja-Itaalias asuvast eraraamatukogust leiti itaalia matemaatiku ja frantsiskaani munga Luca Pacioli käsikiri maleülesandeid kujutavate joonistega, mille autoriks võib olla kunstnik Leonardo da Vinci

  18. A psychoanalytic understanding of the desire for knowledge as reflected in Freud's Leonardo da Vinci and a memory of his childhood.

    Science.gov (United States)

    Blass, Rachel B

    2006-10-01

    The author offers an understanding of the psychoanalytic notion of the desire for knowledge and the possibility of attaining it as it fi nds expression in Freud's Leonardo da Vinci and a memory of his childhood. This understanding has not been explicitly articulated by Freud but may be considered integral to psychoanalysis' Weltanschauung as shaped by Freud's legacy. It emerges through an attempt to explain basic shifts, contradictions, inconsistencies and tensions that become apparent from a close reading of the text of Leonardo. Articulating this implicit understanding of knowledge provides the grounds for a stance on epistemology that is integral to psychoanalysis and relevant to contemporary psychoanalytic concerns on this topic. This epistemology focuses on the necessary involvement of passion, rather than detachment, in the search for knowledge and views the psychoanalytic aim of self-knowledge as a derivative, and most immediate expression, of a broader and more basic human drive to know.

  19. Reforming Upper Secondary Education in Europe. The Leonardo da Vinci Project Post-16 Strategies. Surveys of Strategies for Post-16 Education To Improve the Parity of Esteem for Initial Vocational Education in Eight European Educational Systems. Theory into Practice 92. Institute for Educational Research Publication Series B.

    Science.gov (United States)

    Lasonen, Johanna, Ed.

    This book contains the following papers on the Leonardo da Vinci project: "Looking for Post-16 Education Strategies for Parity of Esteem in Europe" (Lasonen); "Improving Parity of Esteem as a Policy Goal" (Makinen, Volanen); "Alternative Strategies for Parity of Esteem between General/Academic and Vocational Education in…

  20. Aleksi II kritikujet "Kod da Vintshi"

    Index Scriptorium Estoniae

    2006-01-01

    Dan Browni samanimelise romaani järgi valminud põnevusfilm "Da Vinci kood" : režissöör Ron Howard : Ameerika Ühendriigid 2006. Venemaa patriarh Aleksius II nimetas filmi linastamist lugupidamatuseks moraalinormide vastu

  1. A review of training research and virtual reality simulators for the da Vinci surgical system.

    Science.gov (United States)

    Liu, May; Curet, Myriam

    2015-01-01

    PHENOMENON: Virtual reality simulators are the subject of several recent studies of skills training for robot-assisted surgery. Yet no consensus exists regarding what a core skill set comprises or how to measure skill performance. Defining a core skill set and relevant metrics would help surgical educators evaluate different simulators. This review draws from published research to propose a core technical skill set for using the da Vinci surgeon console. Publications on three commercial simulators were used to evaluate the simulators' content addressing these skills and associated metrics. An analysis of published research suggests that a core technical skill set for operating the surgeon console includes bimanual wristed manipulation, camera control, master clutching to manage hand position, use of third instrument arm, activating energy sources, appropriate depth perception, and awareness of forces applied by instruments. Validity studies of three commercial virtual reality simulators for robot-assisted surgery suggest that all three have comparable content and metrics. However, none have comprehensive content and metrics for all core skills. INSIGHTS: Virtual reality simulation remains a promising tool to support skill training for robot-assisted surgery, yet existing commercial simulator content is inadequate for performing and assessing a comprehensive basic skill set. The results of this evaluation help identify opportunities and challenges that exist for future developments in virtual reality simulation for robot-assisted surgery. Specifically, the inclusion of educational experts in the development cycle alongside clinical and technological experts is recommended.

  2. More efficient services with the new EMAS; Piu' possibilita' per i servizi con il nuovo EMAS

    Energy Technology Data Exchange (ETDEWEB)

    Luciani, R; Andriola, L [ENEA, Casaccia, RM (Italy). Dipt. Ambiente

    1999-12-01

    The article discusses the new EMAS regulations, which are also applicable in the service sector. It has been described the pilot projects launched by ENEA (National Agency for New Technology, Energy and the Environment) in collaboration with the Ministry of Industry, Federturismo, Ministry of Environmental and the municipality of Modena, in the hotel sector and in public administration. [Italian] L'articolo discute il nuovo regolamanto EMAS che estende l'applicazione della certificazione ambientale anche all'area dei servizi. Si descrivono i progetti che l'ENEA ha condotto in collaborazione con il Ministero dell'Industria, il Ministero dell'Ambiente, Federturismo e il comune di Modena nel settore alberghiero e nella pubblica amministrazione.

  3. Squamate reptiles from Parque Nacional das Emas and surroundings, Cerrado of Central Brazil

    OpenAIRE

    Valdujo, Paula; Nogueira, Cristiano; Baumgarten, Leandro; Rodrigues, Flavio; Brandão, Reuber; Eterovic, André; Ramos-Neto, Mário; Marques, Otavio

    2009-01-01

    We present a list of squamate reptiles from Parque Nacional da Emas (PNE), ten neighbor private properties and Parque Estadual Nascentes do Rio Taquari, states of Goiás, Mato Grosso, and Mato Grosso do Sul. The study area encompasses the headwaters of Araguaia and Taquari river basins and part of Paranaíba River Basin, resulting in significant habitat heterogeneity. Inside PNE, we recorded 74 squamate species: 47 snakes, 21 lizards and six amphisbaenians. If we consider also the neighboring a...

  4. Recuperar el afán de conocimientos de Leonardo da Vinci en la era de las nuevas tecnologías: arte, ciencia y vida cotidiana

    Directory of Open Access Journals (Sweden)

    Carretero Gómez, Mª.B.

    2007-09-01

    Full Text Available En este artículo describimos de forma resumida el trabajo interdisciplinar,que formando parte de un proyecto de innovación educativa,han llevado a cabo un grupo de profesores de enseñanza secundaria pertenecientes al I.E.S.Isabel la Católica.El eje central del mismo ha sido la figura de Leonardo da Vinci maestro en numerosasdisciplinas:pintor,escultor,cocinero,inventor etc.Con él hemos querido contagiar a nuestros alumnos de su incansable afán por conocer y aprender.Se han realizado numerosas actividades (talleres,proyección de películas,recetas de cocina etc.quedestacan por la interconexión entre distintas áreas del saber y por la participación mayoritaria tanto del profesorado como del alumnado del centro.

  5. Composição e caracterização da fauna de mamíferos do Parque Nacional das Emas, Goiás, Brasil Composition and characterization of the mammal fauna of Emas National Park, Goiás, Brasil

    Directory of Open Access Journals (Sweden)

    Flávio H.G. Rodrigues

    2002-06-01

    Full Text Available Emas National Park is a very importam Conservation Unit in the Cerrado Biome. Nevertheless the fauna of this region is still poorly known. In this study, a revised list of the mammal fauna of the Emas National Park with comments about the composition and the number of species surveyed is presented. Eighty six species of mammals were recorded in the Park and neighboring area, including several rare and threatened species, like the bush dog (Speothos venaticus (Lund, 1842, Marsh deer (Blastocerus dichotomus (Illiger, 1815 and others. The giant rat (Kunsia tomentosus (Lichtenstein, 1830 was recorded for the first time in a conservation unit. On the other hand, species usually very common in the Cerrado biome, don't occur in Emas National Park: the brazilian rabbit (Sylvilagus brasiliensis (Linnaeus, 1758, marmosets (Callithrix spp., and the punaré (Thrichomys apereoides (Lund, 1841.

  6. The European Regulation no. 761/2001 EMAS; Il Regolamento Europeo no.761/2001 EMAS: principi, obiettivi e principali esperenze in atto

    Energy Technology Data Exchange (ETDEWEB)

    Andriola, L; Battellini, S [ENEA, Centro Ricerche Casaccia, Rome (Italy). Unita tecnico scientifica Protezione e Sviluppo dell' Ambiente e del Territorio, Tecnologie Ambientali

    2005-08-15

    The Regulation 761/2001 EMAS (Environmental Management and Audit Scheme), introduced by the 1836/93 Community regulation, is one of the tools activated by the European Union in order to apply the 5. and 6. Community Environmental Programme, in the field of firm-environment interactions at first (overcoming the old Command and Control logic), then by extending its applicability to ali Organisations. EMAS is a voluntary tool that enables Organisations to evaluate their own interaction with the Environment, to plan and check the yearly improvement of their environmental performance, providing the public documented relevant information. The report illustrates the procedure far applying this regulation, its implementation and new application trends in Italy and the advantages far firms. [Italian] II Regolamento n.761/2001 EMAS (Environmental Management and Audit Scheme), introdotto con il Regolamento Comunitario 1836/93, e uno degli strumenti che l'Unione europea ha attivato per l'applicazione del quinto e sesto Programma di Politica e Azione per l'Ambiente, inizialmente con particolare riferimento alle interazioni impresa-ambiente (superando la vecchia logica del Command and Control), e successivamente estendendone la possibilita di impiego a tutte le Organizzazioni. Lo strumento EMAS e uno strumento volontario che consente alle organizzazioni di analizzare la propria posizione rispetto all' Ambiente, pianificando e monitorando di anno in anno il miglioramento della propria prestazione ambientale, comunicandone alcune pertinenti informazioni di sintesi al pubblico in forma documentata. II rapporto illustra il percorso per l'applicazione del Regolamento, il suo stato di attuazione e le ultime tendenze applicative in Italia, i vantaggi di EMAS per le Organizzazioni.

  7. The da vinci robot system eliminates multispecialty surgical trainees' hand dominance in open and robotic surgical settings.

    Science.gov (United States)

    Badalato, Gina M; Shapiro, Edan; Rothberg, Michael B; Bergman, Ari; RoyChoudhury, Arindam; Korets, Ruslan; Patel, Trushar; Badani, Ketan K

    2014-01-01

    Handedness, or the inherent dominance of one hand's dexterity over the other's, is a factor in open surgery but has an unknown importance in robot-assisted surgery. We sought to examine whether the robotic surgery platform could eliminate the effect of inherent hand preference. Residents from the Urology and Obstetrics/Gynecology departments were enrolled. Ambidextrous and left-handed subjects were excluded. After completing a questionnaire, subjects performed three tasks modified from the Fundamentals of Laparoscopic Surgery curriculum. Tasks were performed by hand and then with the da Vinci robotic surgical system (Intuitive Surgical, Sunnyvale, California). Participants were randomized to begin with using either the left or the right hand, and then switch. Left:right ratios were calculated from scores based on time to task completion. Linear regression analysis was used to determine the significance of the impact of surgical technique on hand dominance. Ten subjects were enrolled. The mean difference in raw score performance between the right and left hands was 12.5 seconds for open tasks and 8 seconds for robotic tasks (Probot tasks, respectively (Probotic and open approaches for raw time scores (Phand, prior robotic experience, and comfort level. These findings remain to be validated in larger cohorts. The robotic technique reduces hand dominance in surgical trainees across all task domains. This finding contributes to the known advantages of robotic surgery.

  8. The European Regulation no. 761/2001 EMAS; Il Regolamento Europeo no.761/2001 EMAS: principi, obiettivi e principali esperenze in atto

    Energy Technology Data Exchange (ETDEWEB)

    Andriola, L.; Battellini, S. [ENEA, Centro Ricerche Casaccia, Rome (Italy). Unita tecnico scientifica Protezione e Sviluppo dell' Ambiente e del Territorio, Tecnologie Ambientali

    2005-08-15

    The Regulation 761/2001 EMAS (Environmental Management and Audit Scheme), introduced by the 1836/93 Community regulation, is one of the tools activated by the European Union in order to apply the 5. and 6. Community Environmental Programme, in the field of firm-environment interactions at first (overcoming the old Command and Control logic), then by extending its applicability to ali Organisations. EMAS is a voluntary tool that enables Organisations to evaluate their own interaction with the Environment, to plan and check the yearly improvement of their environmental performance, providing the public documented relevant information. The report illustrates the procedure far applying this regulation, its implementation and new application trends in Italy and the advantages far firms. [Italian] II Regolamento n.761/2001 EMAS (Environmental Management and Audit Scheme), introdotto con il Regolamento Comunitario 1836/93, e uno degli strumenti che l'Unione europea ha attivato per l'applicazione del quinto e sesto Programma di Politica e Azione per l'Ambiente, inizialmente con particolare riferimento alle interazioni impresa-ambiente (superando la vecchia logica del Command and Control), e successivamente estendendone la possibilita di impiego a tutte le Organizzazioni. Lo strumento EMAS e uno strumento volontario che consente alle organizzazioni di analizzare la propria posizione rispetto all' Ambiente, pianificando e monitorando di anno in anno il miglioramento della propria prestazione ambientale, comunicandone alcune pertinenti informazioni di sintesi al pubblico in forma documentata. II rapporto illustra il percorso per l'applicazione del Regolamento, il suo stato di attuazione e le ultime tendenze applicative in Italia, i vantaggi di EMAS per le Organizzazioni.

  9. Energy Materials Coordinating Committee (EMaCC): Fiscal year 1996. Annual technical report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-08-01

    The DOE Energy Materials Coordinating Committee (EMaCC) serves primarily to enhance coordination among the Department`s materials programs and to further effective use of materials expertise within the Department. These functions are accomplished through the exchange of budgetary and planning information among program managers and through technical meetings/workshops on selected topics involving both DOE and major contractors. In addition, EMaCC assists in obtaining materials-related inputs for both intra- and interagency compilations. The EMaCC reports to the Director of the Office of Energy Research in his or her capacity as overseer of the technical programs of the Department. This annual technical report is mandated by the EMaCC terms of reference. This report summarizes EMaCC activities for FY 1996 and describes the materials research programs of various offices and divisions within the Department.

  10. Energy Materials Coordinating Committee (EMaCC): Fiscal year 1996. Annual technical report

    International Nuclear Information System (INIS)

    1997-08-01

    The DOE Energy Materials Coordinating Committee (EMaCC) serves primarily to enhance coordination among the Department's materials programs and to further effective use of materials expertise within the Department. These functions are accomplished through the exchange of budgetary and planning information among program managers and through technical meetings/workshops on selected topics involving both DOE and major contractors. In addition, EMaCC assists in obtaining materials-related inputs for both intra- and interagency compilations. The EMaCC reports to the Director of the Office of Energy Research in his or her capacity as overseer of the technical programs of the Department. This annual technical report is mandated by the EMaCC terms of reference. This report summarizes EMaCC activities for FY 1996 and describes the materials research programs of various offices and divisions within the Department

  11. EMAS and regulatory relief in Europe: lessons from national experience

    NARCIS (Netherlands)

    Lulofs, Kristiaan R.D.; Watzold, Frank; Bültman, Alexandra; Eames, Malcolm; Schucht, Simone

    2001-01-01

    Apart from in Germany and Austria, corporate participation in the European Eco-Management and Audit Scheme (EMAS) has remained sluggish and far behind involvement in ISO14001. Given the lack of response in most EU member states, the key issue for the current EMAS revision is to increase incentives

  12. Why Companies Do Not Renew Their EMAS Registration? An Exploratory Research

    Directory of Open Access Journals (Sweden)

    Michele Preziosi

    2016-02-01

    Full Text Available The Eco-Management and Audit Scheme (EMAS is the official Environmental Management System (EMS issued by the European Union (EU. Italy is the country where EMAS is most widespread, accounting for over 1000 registered organizations. Since entry into the force of the Regulation in 1997, the number of registrations has constantly grown until 2008, when the figures started to drop. The phenomena are due to both the decrease of the annual registration rate and the lack of renewals. According to the Italian Institute for Environmental Protection and Research (ISPRA, in recent years, an increasing number of organizations decided to withdraw from EMAS registration. The purpose of this paper is to analyze the reasons of this negative trend. The first step consisted of a literature review concerning the main barriers, difficulties, and costs incurred by EMAS-registered organizations. Subsequently, this information was integrated with data about the evolution of EMAS registrations and the results of a previous survey, which involved the entire population of registered firms. The present exploratory research highlighted economic and operational domains concerning the cancellation trends that deserve a deeper investigation, which will be conducted through a questionnaire addressed to Italian firms that did not renew the registration in the last lustrum. The intended output will allow us to identify stakeholders’ priority intervention areas in order to suggest an operative strategy to reduce EMAS cancellation rates, addressed to Member States (MS Competent Bodies.

  13. Kod Da Vintshi. Tserkov protiv / Maria Tsheskis

    Index Scriptorium Estoniae

    Tsheskis, Maria

    2006-01-01

    Esilinastus Dan Browni samanimelise menuromaani järgi valminud põnevusfilm "Da Vinci kood" : stsenarist Akiva Goldsman : režissöör Ron Howard : osades Tom Hanks, Audrey Tautou, Jean Reno : Ameerika Ühendriigid 2006. Vastukajad ja skandaalid, eelkõige religioossete ringkondade poolt

  14. Variações fenológicas das espécies do cerrado em Emas - Pirassununga, SP Phenological variations of the cerrado species in Emas (Pirassununga, SP

    Directory of Open Access Journals (Sweden)

    Marco Antonio Batalha

    1997-07-01

    Full Text Available Foi estudada a flora vascular de uma área de cerrado, situada no distrito de Emas, município de Pirassununga, Estado de São Paulo (aproximadamente, 22º02'S e 47º30'W. Entre abril de 1994 e abril de 1995, realizou-se um levantamento florístico, em que foram amostradas 358 espécies. A partir dos dados deste levantamento, estudaram-se as variações fenológicas das espécies, procurando analisá-las como estratégias adaptativas. Os componentes herbáceo-subarbustivo e arbustivoarbóreo comportaram-se de maneira distinta. As espécies arbustivo-arbóreas floresceram principalmente no início da estação chuvosa, enquanto que as herbáceo-subarbustivas produziram flores, de modo geral, apenas no final da estação úmida, após período de acúmulo de carboidratos. As espécies do componente herbáceo-subarbustivo tiveram pico de frutificação no final da estação chuvosa, qualquer que fosse a síndrome de dispersão de seus diásporos. Já as espécies do componente arbustivo-arbóreo apresentaram comportamentos distintos, conforme a síndrome de dispersão. As espécies zoocóricas frutificaram ao longo de toda estação úmida, enquanto que as anemocóricas e autocóricas produziram frutos, principalmente no início da estação seca.The vascular flora of the cerrado in Emas district, Pirassununga municipality, São Paulo State (approximately 22º02'S and 47º30'W was studied. Between April 1994 and April 1995 a floristic survey was carried out, when 358 species, representing 227 genera and 78 families, were found. During this survey, the phenologycal variations were observed and analysed as adaptive strategies. The woody and herbaceous components had distinct behaviours. The woody species flowered mainly at the beginning of the rainy season, while the herbaceous ones produced flowers generally at the end of that season, after a period of carbohydrate accumulation. The herbaceous species produced fruits specially at the end of the

  15. The European Regulation no. 761/2001 EMAS

    International Nuclear Information System (INIS)

    Andriola, L.; Battellini, S.

    2005-08-01

    The Regulation 761/2001 EMAS (Environmental Management and Audit Scheme), introduced by the 1836/93 Community regulation, is one of the tools activated by the European Union in order to apply the 5. and 6. Community Environmental Programme, in the field of firm-environment interactions at first (overcoming the old Command and Control logic), then by extending its applicability to ali Organisations. EMAS is a voluntary tool that enables Organisations to evaluate their own interaction with the Environment, to plan and check the yearly improvement of their environmental performance, providing the public documented relevant information. The report illustrates the procedure far applying this regulation, its implementation and new application trends in Italy and the advantages far firms [it

  16. EMAS declaration 2010 of the Federal Office for Environment Protection in Bad Elser and the updated EMAS declaration 2010 for the sites Dessau-Rosslau, Berlin-Bismarckplatz, Berlin-Marienfelde, Langen and the house 23 in Berlin-Dahlem; EMAS-Umwelterklaerung 2010 des Umweltbundesamtes in Bad Elster und aktualisierte EMAS-Umwelterklaerung 2010 fuer die UBA-Standorte Dessau-Rosslau, Berlin-Bismarckplatz, Berlin-Marienfelde, Langen und das Haus 23 in Berlin-Dahlem

    Energy Technology Data Exchange (ETDEWEB)

    Huckestein, Burkhard (comp.)

    2010-07-01

    Since the Federal Office for Environment Protection (Dessau-Rosslau, Federal Republic of Germany) introduced the EMAS regulation in 2001, the environmental management system continuously developed further. Since 2008, five locations fulfil the requirements of EMAS. The contribution under consideration combines the various activities according to the introduction of the EMAS regulation to Bad Elster (Federal Republic of Germany). The most important developments are described on the basis of key environmental indicators. The environmentally relevant goals and the planned measures are stated for this site. Besides this, this contribution contains the updated environmental explanation for the remaining five EMAS locations of the Federal Office for Environment Protection including the new developments of our environmental management system altogether as well as of updated environmental indicators.

  17. Exoskeletal meal assistance system (EMAS II) for progressive muscle dystrophy patient.

    Science.gov (United States)

    Hasegawa, Yasuhisa; Oura, Saori

    2011-01-01

    This paper introduces a 4-DOFs exoskeletal meal assistance system (EMAS II) for progressive muscle dystrophy patient. It is generally better for the patient to use his/her hands by himself in daily life because active works maintain level of residual functions, health and initiative of him/her. The EMAS II that has a new joystick-type user interface device and three-DOFs on a shoulder part is enhanced for an easier operation and more comfortable support on eating, as the succeeding model of the previous system that has two-DOFs on a shoulder. In order to control the 4-DOFs system by the simple user interface device, the EMAS II simulates upper limb motion patterns of a healthy person. The motion patterns are modeled by extracting correlations between the height of a user's wrist joint and that of the user's elbow joint at the table. Moreover, the EMAS II automatically brings user's hand up to his/her mouth or back to a table when he/she pushes a preset switch on the interface device. Therefore a user has only to control a position of his/her wrist to pick or scoop foods and then flip the switch to start automatic mode, while a height of the elbow joint is automatically controlled by the EMAS II itself. The results of experiments, where a healthy subject regarded as a muscle dystrophy patient eats a meal with EMAS II, show that the subject finished her meal in a natural way in 18 minutes 40 seconds which was within a recommended time of 30 minutes. © 2011 IEEE

  18. Validation of the da Vinci Surgical Skill Simulator across three surgical disciplines: A pilot study

    Science.gov (United States)

    Alzahrani, Tarek; Haddad, Richard; Alkhayal, Abdullah; Delisle, Josée; Drudi, Laura; Gotlieb, Walter; Fraser, Shannon; Bergman, Simon; Bladou, Frank; Andonian, Sero; Anidjar, Maurice

    2013-01-01

    Objective: In this paper, we evaluate face, content and construct validity of the da Vinci Surgical Skills Simulator (dVSSS) across 3 surgical disciplines. Methods: In total, 48 participants from urology, gynecology and general surgery participated in the study as novices (0 robotic cases performed), intermediates (1–74) or experts (≥75). Each participant completed 9 tasks (Peg board level 2, match board level 2, needle targeting, ring and rail level 2, dots and needles level 1, suture sponge level 2, energy dissection level 1, ring walk level 3 and tubes). The Mimic Technologies software scored each task from 0 (worst) to 100 (best) using several predetermined metrics. Face and content validity were evaluated by a questionnaire administered after task completion. Wilcoxon test was used to perform pair wise comparisons. Results: The expert group comprised of 6 attending surgeons. The intermediate group included 4 attending surgeons, 3 fellows and 5 residents. The novices included 1 attending surgeon, 1 fellow, 13 residents, 13 medical students and 2 research assistants. The median number of robotic cases performed by experts and intermediates were 250 and 9, respectively. The median overall realistic score (face validity) was 8/10. Experts rated the usefulness of the simulator as a training tool for residents (content validity) as 8.5/10. For construct validity, experts outperformed novices in all 9 tasks (p < 0.05). Intermediates outperformed novices in 7 of 9 tasks (p < 0.05); there were no significant differences in the energy dissection and ring walk tasks. Finally, experts scored significantly better than intermediates in only 3 of 9 tasks (matchboard, dots and needles and energy dissection) (p < 0.05). Conclusions: This study confirms the face, content and construct validities of the dVSSS across urology, gynecology and general surgery. Larger sample size and more complex tasks are needed to further differentiate intermediates from experts. PMID:23914275

  19. Energy materials coordinating committee (EMaCC). Annual technical report, fiscal year 2003

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2004-10-18

    The DOE Energy Materials Coordinating Committee (EMaCC) serves primarily to enhance coordination among the Department's materials programs and to further effective use of materials expertise within the Department. These functions are accomplished through the exchange of budgetary and planning information among program managers and through technical meetings/workshops on selected topics involving both DOE and major contractors. In addition, EMaCC assists in obtaining materials-related inputs for both intra- and interagency compilations. Topical subcommittees of the EMaCC are responsible for conducting seminars and otherwise facilitating information flow between DOE organizational units in materials areas of particular importance to the Department. The EMaCC Terms of Reference were recently modified and developed into a Charter that was approved on June 5, 2003. As a result of this reorganization, the existing subcommittees were disbanded and new subcommittees are being formed.

  20. Energy Materials Coordinating Committee (EMaCC): Annual technical report, Fiscal year 1987

    International Nuclear Information System (INIS)

    1988-09-01

    The DOE Energy Materials Coordinating Committee (EMaCC) serves primarily to enhance coordination among the Department's materials programs and to further the effective use of materials expertise within the Department. These functions are accomplished through the exchange of budgetary and planning information among program managers and through technical meetings/workshops on selected topics involving both DOE and major contractors. This annual technical report is mandated by the EMaCC terms of reference. This report summarizes EMaCC activities for FY 1987 and describes the materials research programs of various offices and divisions within the Department

  1. Testing EMA Indicator for the Currency Pair EUR / USD

    Directory of Open Access Journals (Sweden)

    Kolková Andrea

    2017-06-01

    Full Text Available The aim of this paper is to verify the effectiveness of EMA indicator according to selected time intervals. The underlying assumption is that, on longer timescales EMA is profitable and provides more relevant signals. The second objective of this paper is to test the signals of indicators in different months. It is believed that in September and January the number of trading signals on this indicator will increase. Testing will be done on the five-minute time frame. The test will be subjected to 65,000 rate values of the EUR / USD currency pair. Effectiveness of the analysis will be evaluated on the basis of digital (binary option. Business strategy is based on EMA crossover indicator of current exchange rate. By the contribution there were confirmed hypotheses about more profitable signals when selecting a greater timeframe breadth of moving average. There was also confirmed an increased amount of signals in September, but not in January.

  2. The effect of different training exercises on the performance outcome on the da Vinci Skills Simulator.

    Science.gov (United States)

    Walliczek-Dworschak, U; Schmitt, M; Dworschak, P; Diogo, I; Ecke, A; Mandapathil, M; Teymoortash, A; Güldner, C

    2017-06-01

    Increasing usage of robotic surgery presents surgeons with the question of how to acquire the special skills required. This study aimed to analyze the effect of different exercises on their performance outcomes. This prospective study was conducted on the da Vinci Skills Simulator from December 2014 till August 2015. Sixty robotic novices were included and randomized to three groups of 20 participants each. Each group performed three different exercises with comparable difficulty levels. The exercises were performed three times in a row within two training sessions, with an interval of 1 week in between. On the final training day, two new exercises were added and a questionnaire was completed. Technical metrics of performance (overall score, time to complete, economy of motion, instrument collisions, excessive instrument force, instruments out of view, master work space range, drops, missed targets, misapplied energy time, blood loss and broken vessels) were recorded by the simulator software for further analysis. Training with different exercises led to comparable results in performance metrics for the final exercises among the three groups. A significant skills gain was recorded between the first and last exercises, with improved performance in overall score, time to complete and economy of motion for all exercises in all three groups. As training with different exercises led to comparable results in robotic training, the type of exercise seems to play a minor role in the outcome. For a robotic training curriculum, it might be important to choose exercises with comparable difficulty levels. In addition, it seems to be advantageous to limit the duration of the training to maintain the concentration throughout the entire session.

  3. Peri-operative comparison between daVinci-assisted radical prostatectomy and open radical prostatectomy in obese patients

    Science.gov (United States)

    Le, Carter Q.; Ho, Khai-Linh V.; Slezak, Jeffrey M.; Blute, Michael L.; Gettman, Matthew T.

    2007-02-01

    Introduction: While the effects of increasing body mass index on prostate cancer epidemiology and surgical approach have recently been studied, its effects on surgical outcomes are less clear. We studied the perioperative outcomes of obese (BMI >= 30) men treated with daVinci-assisted laparoscopic radical prostatectomy (DLP) and compared them to those treated with open radical retropubic prostatectomy (RRP) in a contemporary time frame. Method: After Institutional Review Board approval, we used the Mayo Clinic Radical Prostatectomy database to identify patients who had undergone DLP by a single surgeon and those who had undergone open RRP by a single surgeon between December 2002 and March 2005. Baseline demographics, peri- and post-operative courses, and complications were collected by retrospective chart review, and variables from the two cohorts compared using chi-square method and least-squares method of linear regression where appropriate. Results: 59 patients who had DLP and 76 undergoing RRP were available for study. Baseline demographics were not statistically different between the two cohorts. Although DLP had a significantly lower clinical stage than RRP (p=0.02), pathological stage was not statistically different (p=0.10). Transfusion rates, hospital stay, overall complications, and pathological Gleason were also not significantly different, nor were PSA progression, positive margin rate, or continence at 1 year. After bilateral nerve-sparing, erections suitable for intercourse with or without therapy at 1 year was 88.5% (23/26) for DLP and 61.2% (30/49) for RRP (p=0.01). Follow-up time was similar. Conclusion: For obese patients, DLP appears to have similar perioperative, as well as short-term oncologic and functional outcomes when compared to open RRP.

  4. School, environment and sustainable development eco-management and audit scheme (EMAS) applied to schools; Scuola, ambiente e sviluppo sostenibile. L'adesione degli istituti di istruzione al regolamento (CE) N. 761/2001 EMAS

    Energy Technology Data Exchange (ETDEWEB)

    Andriola, L; Ceccacci, R [ENEA, Divisione Caratterizzazione dell' Ambiente e del Territorio, Centro Ricerche Casaccia, Rome (Italy)

    2001-07-01

    The topic discussed in this report can be inserted within the context of the activities carried out by ENEA - Environment and Territory Division - in the field of the EC Environmental Management and Audit Scheme (EMAS) promotion. EMAS, that is a voluntary environmental policy instrument, intend to replace the conflicting relationship between control authority and firm with a relationship focused on a conflicting relationship between control authority and firm with a relationship focused on a dialogue and action agreed upon by the parties, on the basis of impartial and reliable information. This report illustrates in a preliminary phase, contents and aims of the EDUCH-EMAS Pilot Project which could be used as a guideline for the application of Regulation n. 761/2000/EC to Schools in Italy. [Italian] L'argomento trattato nel presente lavoro e' stato sviluppato nell'ambito delle attivita' di promozione del Sistema comunitario di Ecogestione e Audit (EMAS), condotte dalla Divisione Caratterizzazione dell'Ambiente e del Territorio dell'ENEA. Lo strumento EMAS, che ha caratterre di volontarieta', intende sostituire un rapporto di tipo conflittuale tra autorita' di controllo ed impresa, con un rapporto centrato su un dialogo ed un'azione concentrata tra le parti, sulle basi di un'informativa obiettiva ed affidabile. Il presente rapporto, illustra in fase preliminare i contenuti e gli obiettivi del progetto Pilota EUDUCH EMAS, che si propone come sviluppo successivo di descrivere il percorso per l'applicazione del Regolamento CE N. 761/2000 (EMAS) alle strutture scolastiche italiane.

  5. Calibration of the simulation model of the VINCY cyclotron magnet

    Directory of Open Access Journals (Sweden)

    Ćirković Saša

    2002-01-01

    Full Text Available The MERMAID program will be used to isochronise the nominal magnetic field of the VINCY Cyclotron. This program simulates the response, i. e. calculates the magnetic field, of a previously defined model of a magnet. The accuracy of 3D field calculation depends on the density of the grid points in the simulation model grid. The size of the VINCY Cyclotron and the maximum number of grid points in the XY plane limited by MERMAID define the maximumobtainable accuracy of field calculations. Comparisons of the field simulated with maximum obtainable accuracy with the magnetic field measured in the first phase of the VINCY Cyclotron magnetic field measurements campaign has shown that the difference between these two fields is not as small as required. Further decrease of the difference between these fields is obtained by the simulation model calibration, i. e. by adjusting the current through the main coils in the simulation model.

  6. The Barriers for Voluntary Environmental Management Systems—The Case of EMAS in Hospitals

    Directory of Open Access Journals (Sweden)

    Christin Seifert

    2018-05-01

    Full Text Available The adoption of formal environmental management systems (EMS according to EMAS (Eco-Management and Audit Scheme represents a voluntary approach that aims to increase corporate environmental performance. Though EMAS can offer several advantages for organizations, registration numbers are falling. In the hospital sector, the dissemination of EMAS is low. The question arises as to what hinders hospitals when planning, implementing, and maintaining such voluntary environmental management initiatives. The results from interviews with environmental managers in EMAS registered hospitals reveal problems such as high initial effort for creation of the required documents, or lacking knowledge and staff awareness. The barriers are presented in a model synthesizing the problems chronologically on the organizational, group, and individual level. The challenges for the adoption of EMAS as a voluntary environmental management approach in hospitals are discussed. This paper contributes by creating an understanding of the barriers organizations might face when implementing an EMS. Thus, measures to actively manage and overcome barriers can be developed by organizations, consultants, reviewers, policy makers, and researchers.

  7. Energy Materials Coordinating Committee (EMaCC) Fiscal Year 1999 annual technical report

    Energy Technology Data Exchange (ETDEWEB)

    None

    2000-10-31

    The DOE Energy Materials Coordinating Committee (EMaCC) serves primarily to enhance coordination among the Department`s materials programs and to further effective use of materials expertise within the Department. These functions are accomplished through the exchange of budgetary and planning information among program managers and through technical meetings/workshops on selected topics involving both DOE and major contractors. In addition, EMaCC assists in obtaining materials-related inputs for both intra- and interagency compilations. This report summarizes EMaCC activities for FY 1999 and describes the materials research programs of various offices and divisions within the Department.

  8. Shirak rekomendoval aktrissu dlja "Koda da Vintshi" / Stefano Montefiori

    Index Scriptorium Estoniae

    Montefiori, Stefano

    2006-01-01

    Dan Browni samanimelise menuromaani järgi valmiva filmi "Da Vinci kood" võtteperioodile Prantsusmaal eelnes režissööri ja produtsendi külaskäik president J. Chiraci juurde. Režissöör Ron Howard, produtsent Brian Greiser

  9. MONA, LISA and VINCI Soon Ready to Travel to Paranal

    Science.gov (United States)

    2000-11-01

    First Instruments for the VLT Interferometer Summary A few months from now, light from celestial objects will be directed for the first time towards ESO's Very Large Telescope Interferometer (VLTI) at the Paranal Observatory (Chile). During this "First Light" event and the subsequent test phase, the light will be recorded with a special test instrument, VINCI (VLT INterferometer Commissioning Instrument). The main components of this high-tech instrument are aptly named MONA (a system that combines the light beams from several telescopes by means of optical fibers) and LISA (the infrared camera). VINCI was designed and constructed within a fruitful collaboration between ESO and several research institutes and industrial companies in France and Germany . It is now being assembled at the ESO Headquarters in Garching (Germany) and will soon be ready for installation at the telescope on Paranal. With the VLTI and VINCI, Europe's astronomers are now entering the first, crucial phase of an exciting scientific and technology venture that will ultimately put the world's most powerful optical/IR interferometric facility in their hands . PR Photo 31/00 : VINCI during tests at the ESO Headquarters in Garching. The VLT Interferometer (VLTI) ESO Press Photo 31/00 ESO Press Photo 31/00 [Preview; JPEG: 400 x 301; 43k] [Normal; JPEG: 800 x 602;208xk] [Full-Res; JPEG: 1923 x 1448; 2.2Mb] PR Photo 31/00 shows the various components of the complex VINCI instrument for the VLT Interferometer , during the current tests at the Optical Laboratory at the ESO Headquarters in Garching (Germany). It will later be installed in "clean-room" conditions within the Interferometric Laboratory at the Paranal Observatory. This electronic photo was obtained for documentary purposes. VINCI (VLT INterferometer Commissioning Instrument) is the "First Light" instrument for the Very Large Telescope Interferometer (VLTI) at the Paranal Observatory (Chile). Early in 2001, it will be used for the first tests

  10. [Application of Da Vinci surgical robot in the dissection of splenic hilar lymph nodes for gastric cancer patients with total gastrectomy].

    Science.gov (United States)

    Yang, Kun; Chen, Xinzu; Zhang, Weihan; Chen, Xiaolong; Hu, Jiankun

    2016-08-25

    To investigate the feasibility and safety of Da Vinci surgical robot in the dissection of splenic hilar lymph nodes for gastric cancer patients with total gastrectomy. Clinical data of two cases who underwent total gastrectomy for cardia cancer at our department in January 2016 were analyzed retrospectively. Two male patients were 62 and 55 years old respectively, with preoperative diagnosis as cT2-3N0M0 and cT1-2N0M0 gastric cancer by gastroscope and biopsy, and both received robotic total gastrectomy spleen-preserving splenic hilar lymph node dissection successfully. The operative time for splenic hilar lymph node dissection was 30 min and 25 min respectively. The intraoperative estimated blood loss was both 100 ml, while the number of total harvested lymph node was 38 and 33 respectively. One dissected splenic hilar lymph node and fatty tissues in two patients were proven by pathological examinations. There were no anastomotic leakage, pancreatic fistula, splenic infarction, intraluminal bleeding, digestive tract bleeding, aneurysm of splenic artery, and other operation-associated complications. Both patients suffered from postoperative pneumonia, and were cured by conservative therapy. The robotic spleen-preserving splenic hilar lymph node dissection is feasible and safe, but its superiority needs further evaluation.

  11. School, environment and sustainable development eco-management and audit scheme (EMAS) applied to schools; Scuola, ambiente e sviluppo sostenibile. L'adesione degli istituti di istruzione al regolamento (CE) N. 761/2001 EMAS

    Energy Technology Data Exchange (ETDEWEB)

    Andriola, L.; Ceccacci, R. [ENEA, Divisione Caratterizzazione dell' Ambiente e del Territorio, Centro Ricerche Casaccia, Rome (Italy)

    2001-07-01

    The topic discussed in this report can be inserted within the context of the activities carried out by ENEA - Environment and Territory Division - in the field of the EC Environmental Management and Audit Scheme (EMAS) promotion. EMAS, that is a voluntary environmental policy instrument, intend to replace the conflicting relationship between control authority and firm with a relationship focused on a conflicting relationship between control authority and firm with a relationship focused on a dialogue and action agreed upon by the parties, on the basis of impartial and reliable information. This report illustrates in a preliminary phase, contents and aims of the EDUCH-EMAS Pilot Project which could be used as a guideline for the application of Regulation n. 761/2000/EC to Schools in Italy. [Italian] L'argomento trattato nel presente lavoro e' stato sviluppato nell'ambito delle attivita' di promozione del Sistema comunitario di Ecogestione e Audit (EMAS), condotte dalla Divisione Caratterizzazione dell'Ambiente e del Territorio dell'ENEA. Lo strumento EMAS, che ha caratterre di volontarieta', intende sostituire un rapporto di tipo conflittuale tra autorita' di controllo ed impresa, con un rapporto centrato su un dialogo ed un'azione concentrata tra le parti, sulle basi di un'informativa obiettiva ed affidabile. Il presente rapporto, illustra in fase preliminare i contenuti e gli obiettivi del progetto Pilota EUDUCH EMAS, che si propone come sviluppo successivo di descrivere il percorso per l'applicazione del Regolamento CE N. 761/2000 (EMAS) alle strutture scolastiche italiane.

  12. Determination of mandibular border and functional movement protocols using an electromagnetic articulograph (EMA).

    Science.gov (United States)

    Fuentes, Ramon; Navarro, Pablo; Curiqueo, Aldo; Ottone, Nicolas E

    2015-01-01

    The electromagnetic articulograph (EMA) is a device that can collect movement data by positioning sensors at multiple points, measuring displacements of the structure in real time, as well as the acoustics and mechanics of speech using a microphone connected to the measurement system. The aim of this study is to describe protocols for the generation, measurement and visualization of mandibular border and functional movements in the three spatial planes (frontal, sagittal and horizontal) using the EMA. The EMA has transmitter coils that determine magnetic fields to collect information about movements from sensors located on different structures (tongue, palate, mouth, incisors, skin, etc.) and in every direction in an area of 300 mm. After measurement with the EMA, the information is transferred to a computer and read with the Visartico software to visualize the recording of the mandibular movements registered by the EMA. The sensors placed in the space between the three axes XYZ are observed, and then the plots created from the mandibular movements included in the corresponding protocol can be visualized, enabling interpretation of these data. Four protocols for the obtaining of images of the opening and closing mandibular movements were defined and developed, as well as border movements in the frontal, sagittal and horizontal planes, managing to accurately reproduce Posselt's diagram and Gothic arch on the latter two axes. Measurements with the EMA will allow more exact data to be collected in relation to the mandibular clinical physiology and morphology, which will permit more accurate diagnoses and application of more precise and adjusted treatments in the future.

  13. Determination of mandibular border and functional movement protocols using an electromagnetic articulograph (EMA)

    Science.gov (United States)

    Fuentes, Ramon; Navarro, Pablo; Curiqueo, Aldo; Ottone, Nicolas E

    2015-01-01

    The electromagnetic articulograph (EMA) is a device that can collect movement data by positioning sensors at multiple points, measuring displacements of the structure in real time, as well as the acoustics and mechanics of speech using a microphone connected to the measurement system. The aim of this study is to describe protocols for the generation, measurement and visualization of mandibular border and functional movements in the three spatial planes (frontal, sagittal and horizontal) using the EMA. The EMA has transmitter coils that determine magnetic fields to collect information about movements from sensors located on different structures (tongue, palate, mouth, incisors, skin, etc.) and in every direction in an area of 300 mm. After measurement with the EMA, the information is transferred to a computer and read with the Visartico software to visualize the recording of the mandibular movements registered by the EMA. The sensors placed in the space between the three axes XYZ are observed, and then the plots created from the mandibular movements included in the corresponding protocol can be visualized, enabling interpretation of these data. Four protocols for the obtaining of images of the opening and closing mandibular movements were defined and developed, as well as border movements in the frontal, sagittal and horizontal planes, managing to accurately reproduce Posselt’s diagram and Gothic arch on the latter two axes. Measurements with the EMA will allow more exact data to be collected in relation to the mandibular clinical physiology and morphology, which will permit more accurate diagnoses and application of more precise and adjusted treatments in the future. PMID:26884903

  14. Maximizing Use of Robot-Arm No. 3 in Da Vinci–Assisted Thoracic Surgery

    Science.gov (United States)

    Kajiwara, Naohiro; Maeda, Junichi; Yoshida, Koichi; Kato, Yasufumi; Hagiwara, Masaru; Kakihana, Masatoshi; Ohira, Tatsuo; Kawate, Norihiko; Ikeda, Norihiko

    2015-01-01

    We have previously reported on the importance of appropriate robot-arm settings and replacement of instrument ports in robot-assisted thoracic surgery, because the thoracic cavity requires a large space to access all lesions in various areas of the thoracic cavity from the apex to the diaphragm and mediastinum and the chest wall.1–3 Moreover, it can be difficult to manipulate the da Vinci Surgical System using only arms No. 1 and No. 2 depending on the tumor location. However, arm No. 3 is usually positioned on the same side as arm No. 2, and sometimes it is only used as an assisting-arm to avoid conflict with other arms (Fig. 1). In this report, we show how robot-arm No. 3 can be used with maximum effectiveness in da Vinci-assisted thoracic surgery. PMID:26011219

  15. [Flow cytometric test using eosin-5'-maleimide (EMA) labelling of red blood for diagnosis of hereditary spherocytosis].

    Science.gov (United States)

    Wang, Jiying; Zheng, Bin; Zhao, Yuping; Chen, Xuejing; Liu, Yan; Bo, Lijin; Zheng, Yizhou; Zhang, Fengkui; Ru, Kun; Wang, Huijun

    2015-07-01

    To investigate the sensitivity and specificity of eosin-5'-maleimide (EMA)assay for the diagnosis of hereditary spherocytosis (HS), and to verify the stability of reagent and samples. EMA flow cytometry test, NaCl-osmotic fragility test and acidified glycerol lysis test were performed using peripheral blood samples from 80 patients with HS and 44 patients with other blood diseases, the sensitivity and specificity of the three methods were compared, and the feasibility of EMA binding test was estimated. The stability of EMA reagent and HS samples stored at different temperatures were tested. Among the 124 tested samples, the sensitivity and specificity of EMA binding test was 0.925 and 0.954, that of NaCl-osmotic fragility test was 0.950 and 0.455, and that of acidified glycerol lysis test was 1.000 and 0.318, respectively. Although the sensitivity of NaCl-osmotic fragility test and acidified glycerol lysis test was a little higher than that of EMA binding test, the specificity of the former two methods was poor, they couldn't clearly distinguish whether spherocytosis is hereditary spherocytosis. The experiment results showed that EMA was sensitive to the temperature and should not be stored in a small aliquots at -80 ℃ over a period of 6 months. The stability of the HS sample was better, 6 days storage at 4 ℃ and 3 days storage at room temperature had no influence on the results. EMA binding test by flow cytometry showed good sensitivity and specificity for HS diagnosis. EMA reagent should be stored at-80 ℃ and the HS samples should be tested within 6 days storage at 4 ℃ and 3 days at room temperature.

  16. Uudised : Kõlas eesti koorilooming. Barokk-kontsert EMAs. Interpretatsioonipedagoogika konverents. 33. Balti muusikateaduse konverents / Reet Varblane

    Index Scriptorium Estoniae

    Varblane, Reet, 1952-

    1999-01-01

    18. nov. esitas inglise koor Bristolis kava eesti muusikast. 21. nov. toimuvast barokkmuusikakontserdist EMAs. 12.-13. nov. EMAs toimunud teaduslik-metoodilisest konverentsist "Interpretatsioonipedagoogika probleemid I". 26.-28. nov. toimuva 33. Balti muusikateaduse konverentsi kavast

  17. Energy materials coordinating committee (EMaCC). Annual technical report, fiscal year 2002

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2003-08-08

    The DOE Energy Materials Coordinating Committee (EMaCC) serves primarily to enhance coordination among the Department's materials programs and to further effective use of materials expertise within the Department. These functions are accomplished through the exchange of budgetary and planning information among program managers and through technical meetings/workshops on selected topics involving both DOE and major contractors. In addition, EMaCC assists in obtaining materials-related inputs for both intra- and interagency compilations. Topical subcommittees of the EMaCC are responsible for conducting seminars and otherwise facilitating information flow between DOE organizational units in materials areas of particular importance to the Department. The EMaCC Terms of Reference were recently modified and developed into a Charter that was approved on June 5, 2003. As a result of this reorganization, the existing subcommittees were disbanded and new subcommittees are being formed. The EMaCC Charter and the memorandum approving it are presented in the Appendix of this report. The FY 2002 budget summary for DOE Materials Activities is presented on page 8. The distribution of these funds between DOE laboratories, private industry, academia and other organizations is presented in tabular form on page 10. Following the budget summary is a set of detailed program descriptions for the FY 2002 DOE Materials activities. These descriptions are presented according to the organizational structure of the Department. A mission statement, a budget summary listing the project titles and FY 2002 funding, and detailed project summaries are presented for each Assistant Secretary office, the Office of Science, and the National Nuclear Security Administration. The project summaries also provide DOE, laboratory, academic and industrial contacts for each project, as appropriate.

  18. Energy Materials Coordinating Committee (EMaCC): Annual technical report, fiscal year 1993

    Energy Technology Data Exchange (ETDEWEB)

    1994-07-01

    The DOE Energy Materials Coordinating Committee (EMaCC) serves primarily to enhance coordination among the Department`s materials programs and to further effective use of materials expertise within the Department. These functions are accomplished through the exchange of budgetary and planning information among program managers and through technical meetings/workshops on selected topics involving both DOE and major contractors. In addition, EMaCC assists in obtaining materials-related inputs for both intra- and interagency compilations. This report summarizes EMaCC activities for FY 1993 and describes the materials research programs of various offices and divisions within the Department. The program descriptions consist of a funding summary for each Assistant Secretary office and the Office of Energy Research, and detailed project summaries with project goals and accomplishments. The FY 1993 budget summary table for DOE Materials Activities in each of the programs is presented.

  19. Development status of the ignition system for Vinci

    NARCIS (Netherlands)

    Frenken, G.; Vermeulen, E.; Bouquet, F.; Sanders, H.M.

    2002-01-01

    The development status of ignition system for the new cryogenic upper stage engine Vinci is presented. The concept differs from existing upper stage ignition systems as its functioning is engine independent. The system consists of a spark torch igniter, a highpressure igniter feed system and an

  20. How many EMA-workshops are needed to collect a representative sample of events in a hospital ward?

    DEFF Research Database (Denmark)

    Edwards, Kasper

    2017-01-01

    The effect modifier assessment (EMA) method (Edwards & Winkel, 2016) is a method for assessing the impact of an intervention and modifiers on a desired outcome e.g. improved work environment. The EMA-method captures events (a change in work) in a ward and for each event asses 1) impact on work...... and diverse tasks. This poses a problem when using the EMA-method and raises the research question of this abstract: How many EMA-workshops are needed to generate a representative collection of events in a ward? Methods Six EMA-workshops each with a full surgical team of six people was conducted in a heart...... on surgery. The ward was organized in three specialties: Heart surgery, Lung surgery and Child heart surgery. Events differed between specialties and therefor it was expected that saturation would be reached after minimum three workshops. The heart center is comparable to other surgical units...

  1. SISTEM INFORMASI PENJUALAN DAN PENGHITUNGAN KADAR PERHIASAN EMAS (STUDY KASUS DI TOKO PERHIASAN REJEKI DENPASAR - BALI

    Directory of Open Access Journals (Sweden)

    ali mahmudi

    2014-09-01

    Full Text Available Perhiasan emas dan perak, dari dulu sampai sekarang, sudah menjadi gaya hidup di masyarakat. Perhiasan dipakai sebagai penunjang penampilan maupun sebagai alat investasi. Dalam perkembanganya perhiasan dapat terbuat dari campuran bahan logam mulia seperti tembaga, perak dan emas. Sistem informasi ini dirancang untuk membantu proses penjualan di Toko Perhiasan Rejeki Denpasar-Bali. Applikasi ini dibuat dengan menggunakan Microsoft Visual Studio 2008, database MySql dan MySql konector 6.1.3 sebagai konektor. Sistem informasi ini dilengkapi dengan aplikasi untuk menghitung kadar perhiasan. Di samping itu, aplikasi ini juga dilengkapi denganalat hitung untuk menentukan campuran emas, perak dan tembaga untuk membuat emas dengan kadar tertentu. Metode gosok batu adalah metode tradisional untuk mengetahui kadar perhiasan. Metode ini dilakukan dengan cara menggosokan perhiasan ke batu dan kemudian ditambahkan cairan kimia. Metode ini kurang akurat untuk menentukan kadar perhiasan. Oleh sabab itu, dibangunlah sistem informasi penjualan dan penghitungan kadar perhiasan. Aplikasi ini diharapkan dapat mempermudah dalam pendataan penjualan dan pesanan perhiasan di Toko perhiasan Rejeki Denpasar-Bali. Kata Kunci: Sistem Informasi Penjualan, Emas, aplikasi hitung kadar, perhiasan.

  2. Squamate Reptiles from Parque Nacional das Emas and surroundings, Cerrado of Central Brazil

    Directory of Open Access Journals (Sweden)

    Valdujo, P. H.

    2009-01-01

    Full Text Available We present a list of squamate reptiles from Parque Nacional da Emas (PNE, ten neighbor private properties andParque Estadual Nascentes do Rio Taquari, states of Goiás, Mato Grosso, and Mato Grosso do Sul. The study areaencompasses the headwaters of Araguaia and Taquari river basins and part of Paranaíba River Basin, resulting insignificant habitat heterogeneity. Inside PNE, we recorded 74 squamate species: 47 snakes, 21 lizards and sixamphisbaenians. If we consider also the neighboring areas, richness value raises to 87 species: 54 snakes, 27 lizards andsix amphisbaenians. From these, 52 % of the lizards, 19 % of the snakes and 33 % of the amphisbaenians are Cerradoendemics. Forest-specialist species are more common outside than inside PNE. Additional species are expected to occurin the PNE region, in view of their known geographical ranges.

  3. Extended Monopole antenna Array with individual Shield (EMAS) coil: An improved monopole antenna design for brain imaging at 7 tesla MRI.

    Science.gov (United States)

    Woo, Myung-Kyun; Hong, Suk-Min; Lee, Jongho; Kang, Chang-Ki; Park, Sung-Yeon; Son, Young-Don; Kim, Young-Bo; Cho, Zang-Hee

    2016-06-01

    To propose a new Extended Monopole antenna Array with individual Shields (EMAS) coil that improves the B1 field coverage and uniformity along the z-direction. To increase the spatial coverage of Monopole antenna Array (MA) coil, each monopole antenna was shielded and extended in length. Performance of this new coil, which is referred to as EMAS coil, was compared with the original MA coil and an Extended Monopole antenna Array coil with no shield (EMA). For comparison, flip angle, signal-to-noise ratio (SNR), and receive sensitivity maps were measured at multiple regions of interest (ROIs) in the brain. The EMAS coil demonstrated substantially larger flip angle and receive sensitivity than the MA and EMA coils in the inferior aspect of the brain. In the brainstem ROI, for example, the flip angle in the EMAS coil was increased by 45.5% (or 60.0%) and the receive sensitivity was increased by 26.9% (or 14.9%), resulting in an SNR gain of 84.8% (or 76.3%) when compared with the MA coil (or EMA). The EMAS coil provided 25.7% (or 24.4%) more uniform B1+ field distribution compared with the MA (or EMA) coil in sagittal. The EMAS coil successfully extended the imaging volume in lower part of the brain. Magn Reson Med 75:2566-2572, 2016. © 2015 Wiley Periodicals, Inc. © 2015 Wiley Periodicals, Inc.

  4. Energy Materials Coordinating Committee (EMaCC). Annual technical report, Fiscal Year 2001

    Energy Technology Data Exchange (ETDEWEB)

    None, None

    2002-08-01

    The DOE Energy Materials Coordinating Committee (EMaCC) serves primarily to enhance coordination among the Department's materials programs and to further effective use of materials expertise within the Department. These functions are accomplished through the exchange of budgetary and planning information among program managers and through technical meetings/workshops on selected topics involving both DOE and major contractors. In addition, EMaCC assists in obtaining materials-related inputs for both intra- and interagency compilations.

  5. Design of power electronics for TVC EMA systems

    Science.gov (United States)

    Nelms, R. Mark

    1993-08-01

    The Composite Development Division of the Propulsion Laboratory at Marshall Space Flight Center (MSFC) is currently developing a class of electromechanical actuators (EMA's) for use in space transportation applications such as thrust vector control (TVC) and propellant control valves (PCV). These high power servomechanisms will require rugged, reliable, and compact power electronic modules capable of modulating several hundred amperes of current at up to 270 volts. MSFC has selected the brushless dc motor for implementation in EMA's. This report presents the results of an investigation into the applicability of two new technologies, MOS-controlled thyristors (MCT's) and pulse density modulation (PDM), to the control of brushless dc motors in EMA systems. MCT's are new power semiconductor devices, which combine the high voltage and current capabilities of conventional thyristors and the low gate drive requirements of metal oxide semiconductor field effect transistors (MOSFET's). The commanded signals in a PDM system are synthesized using a series of sinusoidal pulses instead of a series of square pulses as in a pulse width modulation (PWM) system. A resonant dc link inverter is employed to generate the sinusoidal pulses in the PDM system. This inverter permits zero-voltage switching of all semiconductors which reduces switching losses and switching stresses. The objectives of this project are to develop and validate an analytical model of the MCT device when used in high power motor control applications and to design, fabricate, and test a prototype electronic circuit employing both MCT and PDM technology for controlling a brushless dc motor.

  6. EUROPEAN DEVELOPMENT OF ECO‐MANAGEMENT AND AUDIT SCHEME (EMAS IN THE EUROPEAN UNION

    Directory of Open Access Journals (Sweden)

    Justyna SŁONIMIEC

    2013-10-01

    Full Text Available The paper presents the implementation of the Environmental Management and Audit Scheme System (EMAS in Poland and the European Union. It analyzes the existing rules on the implementation and the process of its implementation. It also defines the benefits and costs arising from the registration of organizations in the system. The paper presents the current status of implementation of EMAS in the European Union.

  7. Concept of safety subsystem for RF system for the VINCY Cyclotron; Koncept sigurnosnog podsistema radiofrekventnog sistema ciklotrona VINCY

    Energy Technology Data Exchange (ETDEWEB)

    Spasojevic, S; Djuric, D [Institute of Nuclear Sciences VINCA, Belgrade (Yugoslavia)

    1996-07-01

    The concept of the safety subsystem of the RF system of cyclotron VINCY is described. By applying the principle of separation of the control and safety functions and the fail-safe concept, an autonomous and reliable safety subsystem has been designed. A combination of the traditional relay technology, often applied in safety systems, and a modern, industrial PC based, acquisition system resulted into a solution meeting all design requirements. (author)

  8. Rezhissjor Ron Hauard : ja snimal "Kod da Vinsthi" ne dlja teh, kto tshital roman / Ron Howard ; interv. Stass Tõrkin

    Index Scriptorium Estoniae

    Howard, Ron

    2006-01-01

    6. mai ajalehes ilmunud intervjuu järg. Filmi "Da Vinci kood" võtetest Louvre'is, Lincolni katedraalis ja raamatu autori Dan Browni suhtumisest ekraniseeringusse. Ajakirjanikele näidatud filmikatked : "Kak rozhala Maria Magdalina"

  9. Energy Materials Coordinating Committee (EMaCC) annual technical report, fiscal year 1984 with fiscal year 1985 data

    Energy Technology Data Exchange (ETDEWEB)

    None

    1985-07-01

    The Department of Energy funded about 374 million dollars of materials science and technology activities in both fiscal years 1984 and 1985. These funds and the commensurate program management responsibilities resided in 21 DOE program offices, each of which has its own mission and responsibilities. The Energy Materials Coordinating Committee (EMaCC) provides a formal mechanism to insure coordinated planning and maximum programmatic effectiveness for the Department's 374 million dollar per year materials effort. The EMaCC reports to the Director of the Office of Energy Research who in turn has oversight responsibilities for proper coordination of the technical programs of the Department. In carrying out this responsibility, EMaCC hosts meetings, organizes working groups, and publishes an annual technical report. This report is mandated by the EMaCC Terms of Reference. Its purpose is to disseminate information on the DOE materials programs for more effective coordination. It describes the materials research programs of various offices and divisions within the Department for FY 1984, contains funding information for FYs 1984 and 1985, and summarizes EMaCC activities for FY 1985.

  10. Energy Materials Coordinating Committee (EMaCC) annual technical report, fiscal year 1984 with fiscal year 1985 data

    International Nuclear Information System (INIS)

    1985-07-01

    The Department of Energy funded about 374 million dollars of materials science and technology activities in both fiscal years 1984 and 1985. These funds and the commensurate program management responsibilities resided in 21 DOE program offices, each of which has its own mission and responsibilities. The Energy Materials Coordinating Committee (EMaCC) provides a formal mechanism to insure coordinated planning and maximum programmatic effectiveness for the Department's 374 million dollar per year materials effort. The EMaCC reports to the Director of the Office of Energy Research who in turn has oversight responsibilities for proper coordination of the technical programs of the Department. In carrying out this responsibility, EMaCC hosts meetings, organizes working groups, and publishes an annual technical report. This report is mandated by the EMaCC Terms of Reference. Its purpose is to disseminate information on the DOE materials programs for more effective coordination. It describes the materials research programs of various offices and divisions within the Department for FY 1984, contains funding information for FYs 1984 and 1985, and summarizes EMaCC activities for FY 1985

  11. Expression of nestin, mesothelin and epithelial membrane antigen (EMA) in developing and adult human meninges and meningiomas.

    Science.gov (United States)

    Petricevic, Josko; Forempoher, Gea; Ostojic, Ljerka; Mardesic-Brakus, Snjezana; Andjelinovic, Simun; Vukojevic, Katarina; Saraga-Babic, Mirna

    2011-11-01

    The spatial and temporal pattern of appearance of nestin, epithelial membrane antigen (EMA) and mesothelin proteins was immunohistochemically determined in the cells of normal developing and adult human meninges and meningiomas. Human meninges developed as two mesenchymal condensations in the head region. The simple squamous epithelium on the surface of leptomeninges developed during mesenchymal to epithelial transformation. Nestin appeared for the first time in week 7, EMA in week 8, while mesothelin appeared in week 22 of development. In the late fetal period and after birth, nestin expression decreased, whereas expression of EMA and mesothelin increased. EMA appeared in all surface epithelial cells and nodules, while mesothelin was found only in some of them. In adult meninges, all three proteins were predominantly localized in the surface epithelium and meningeal nodules. In meningothelial meningiomas (WHO grade I), EMA was detected in all tumor cells except in the endothelial cells, mesothelin characterized nests of tumor cells, while nestin was found predominantly in the walls of blood vessels. The distribution pattern of those proteins in normal meningeal and tumor cells indicates that nestin might characterize immature cells, while EMA and mesothelin appeared in maturing epithelial cells. Neoplastic transformation of these specific cell lineages contributes to the cell population in meningiomas. Copyright © 2010 Elsevier GmbH. All rights reserved.

  12. Motivação do aprendiz de medicina: uso da escala de motivação acadêmica

    Directory of Open Access Journals (Sweden)

    Sobral Dejano T.

    2003-01-01

    Full Text Available O propósito do estudo foi analisar características da motivação de estudantes de medicina e sua relação com fatores acadêmicos no início do curso, pondo à prova uma versão da Escala de Motivação Acadêmica (EMA. O instrumento foi aplicado a 269 sujeitos de ambos os sexos, sendo reaplicada em 25% após um ano. Foram obtidas medidas subjetivas e objetivas do aprendizado, representando fatores motivacionais. Procedimentos estatísticos foram efetuados para configurar a validade interna e externa, incluindo análises de correlação entre componentes da EMA e as medidas seletivas. Os achados revelaram níveis satisfatórios de consistência interna, estabilidade temporal moderada e matriz de correlação das subescalas geralmente consistente. O perfil de respostas mostrou predominância de motivação autônoma e variação sexual. As correlações entre componentes da EMA e antecedentes e conseqüências motivacionais revelaram espectro de motivação compatível com influências individuais e contextuais. Os resultados dão suporte à validade do instrumento e ao seu uso no estudo de motivação universitária.

  13. How did Leonardo perceive himself? Metric iconography of da Vinci's self-portraits

    Science.gov (United States)

    Tyler, Christopher W.

    2010-02-01

    Some eighteen portraits are now recognized of Leonardo in old age, consolidating the impression from his bestestablished self-portrait of an old man with long white hair and beard. However, his appearance when younger is generally regarded as unknown, although he was described as very beautiful as a youth. Application of the principles of metric iconography, the study of the quantitative analysis of the painted images, provides an avenue for the identification of other portraits that may be proposed as valid portraits of Leonardo during various stages of his life, by himself and by his contemporaries. Overall, this approach identifies portraits of Leonardo by Verrocchio, Raphael, Botticelli, and others. Beyond this physiognomic analysis, Leonardo's first known drawing provides further insight into his core motivations. Topographic considerations make clear that the drawing is of the hills behind Vinci with a view overlooking the rocky promontory of the town and the plain stretching out before it. The outcroppings in the foreground bear a striking resemblance to those of his unique composition, 'The Virgin of the Rocks', suggesting a deep childhood appreciation of this wild terrain. and an identification with that religious man of the mountains, John the Baptist, who was also the topic of Leonardo's last known painting. Following this trail leads to a line of possible selfportraits continuing the age-regression concept back to a self view at about two years of age.

  14. PERSEPSI JAJARAN KESEHATAN TENTANG DAMPAK KEGIATAN PENAMBANGAN EMAS DI KABUPATEN BURU PROVINSI MALUKU, TAHUN 2012

    Directory of Open Access Journals (Sweden)

    Muhammad Hasyimi

    2015-04-01

    Full Text Available Sejak bulan Oktober tahun 2011, di Kabupaten Buru, Maluku ada kegiatan penambangan emas di beberapa tempat yang mengakibatkan peningkatan mobilitas & migrasi penduduk yang bermakna. Sehingga berdampak pada perubahan tatanan sosial, ekonomi dan kesehatan lingkungan di masyarakat. Penelitian ini bertujuan untuk mengetahui sejauh mana kekhawatiran jajaran kesehatan tentang dampak penambangan emas terhadap kesehatan masyarakat dan lingkungan. Penelitian dilakukan dengan observasi, wawancara terbuka dan diskusi kelompok (FGD untuk menggali pendapat informan berkenaan dengan dampaknya pada kesehatan masyarakat dan lingkungan. Informan terdiri dari unsur Dinas Kesehatan, Kepala Puskesmas, Kader Posyandu dan unsur pemerintah daerah (Pemda. Hasil penelitian menunjukkan bahwa penambangan emas yang berjalan, berdampak negatif terhadap kesehatan masyarakat. Dampak negatif tersebut ditandai dengan munculnya penyakit yang tadinya belum pernah dilaporkan seperti demam berdarah dengue (DBD, kulit dan HIV /AIDS. Meningkatnya jumlah kasus penyakit tertentu, antara lain penderita malaria, diare dan infeksi saluran pernafasan akut (ISPA. Sebagian besar informan mengkhawatirkan menurunnya status kesehatan masyarakat kini dan mendatang karena merajalelanya penyakit menular dan pencemaran dari mercury (Hg dan cyanida, jika tidak ada intervensi pemerintah yang baik.   Kata kunci: Penambangan emas, jajaran kesehatan dan kekhawatiran

  15. Energy materials coordinating committee (EMaCC). Annual technical report, fiscal year 2005

    Energy Technology Data Exchange (ETDEWEB)

    None, None

    2006-09-29

    The DOE Energy Materials Coordinating Committee (EMaCC) serves primarily to enhance coordination among the Department's materials programs and to further effective use of materials expertise within the Department. These functions are accomplished through the exchange of budgetary and planning information among program managers and through technical meetings/workshops on selected topics involving both DOE and major contractors. In addition, EMaCC assists in obtaining materials-related inputs for both intra- and interagency compilations. Topical subcommittees of the EMaCC are responsible for conducting seminars and otherwise facilitating information flow between DOE organizational units in materials areas of particular importance to the Department. The EMaCC Terms of Reference were recently modified and developed into a Charter that was approved on June 5, 2003. As a result of this reorganization, the existing subcommittees were disbanded and new subcommittees are being formed. The FY 2004 budget summary for DOE Materials Activities is presented on page 8. The distribution of these funds between DOE laboratories, private industry, academia and other organizations is presented in tabular form on page 10. Following the budget summary is a set of detailed program descriptions for the FY 2004 DOE Materials activities. These descriptions are presented according to the organizational structure of the Department. A mission statement, a budget summary listing the project titles and FY 2004 funding, and detailed project summaries are presented for each Assistant Secretary office, the Office of Science, and the National Nuclear Security Administration. The project summaries also provide DOE, laboratory, academic and industrial contacts for each project, as appropriate.

  16. Energy materials coordinating committee (EMaCC). Annual technical report, fiscal year 2004

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2005-08-31

    The DOE Energy Materials Coordinating Committee (EMaCC) serves primarily to enhance coordination among the Department's materials programs and to further effective use of materials expertise within the Department. These functions are accomplished through the exchange of budgetary and planning information among program managers and through technical meetings/workshops on selected topics involving both DOE and major contractors. In addition, EMaCC assists in obtaining materials-related inputs for both intra- and interagency compilations. Topical subcommittees of the EMaCC are responsible for conducting seminars and otherwise facilitating information flow between DOE organizational units in materials areas of particular importance to the Department. The EMaCC Terms of Reference were recently modified and developed into a Charter that was approved on June 5, 2003. As a result of this reorganization, the existing subcommittees were disbanded and new subcommittees are being formed. The FY 2004 budget summary for DOE Materials Activities is presented on page 8. The distribution of these funds between DOE laboratories, private industry, academia and other organizations is presented in tabular form on page 10. Following the budget summary is a set of detailed program descriptions for the FY 2004 DOE Materials activities. These descriptions are presented according to the organizational structure of the Department. A mission statement, a budget summary listing the project titles and FY 2004 funding, and detailed project summaries are presented for each Assistant Secretary office, the Office of Science, and the National Nuclear Security Administration. The project summaries also provide DOE, laboratory, academic and industrial contacts for each project, as appropriate.

  17. A novel robotic right colectomy for colon cancer via the suprapubic approach using the da Vinci Xi system: initial clinical experience

    Science.gov (United States)

    Lee, Hee Jae; Park, Jun Seok; Park, Soo Yeun; Kim, Hye Jin; Woo, In Teak; Park, In Kyu

    2018-01-01

    Purpose We developed a technique of totally-robotic right colectomy with D3 lymphadenectomy and intracorporeal anastomosis via a suprapubic transverse linear port. This article aimed to introduce our novel robotic surgical technique and assess the short-term outcomes in a series of five patients. Methods All colectomies were performed using the da Vinci Xi system. Four robot trocars were placed transversely in the supra pubic area. Totally-robotic right colectomy was performed, including colonic mobilization, D3 lymphadenectomy, and intra corporeal stapled functional anastomosis. The 2 middle suprapubic trocar incisions were then extended to retrieve the specimen. Results Five robotic right colectomies via the suprapubic approach were performed between August 2015 and February 2016. The mean operation time was 183 ± 29.37 minutes, and the mean estimated blood loss was 27 ± 9.75 mL. The time to clear liquid intake was 3 days in all patients, and the mean length of stay after surgery was 6.2 ± 0.55 days. No patient required conversion to conventional laparoscopic surgery. There were no perioperative complications. According to the pathology report, the mean number of harvested lymph nodes was 36.6 ± 4.45. Four patients were stage III, and 1 patient was stage II according to the 7th edition of the American Joint Committee on Cancer system. Conclusion Totally-robotic right colectomy via the suprapubic approach can be performed successfully in selected patients. Further comparative studies are required to verify the clinical advantages of our technique over conventional robotic surgery. PMID:29441337

  18. Particle Size Control for PIV Seeding Using Dry Ice

    Science.gov (United States)

    2010-03-01

    in flight actually being carried out, the observations, drawings and notes of Leonardo da Vinci showed an analytical process to develop a way for...theoretical particle response: dvp dt = −C(vp − U) C = 18µ ρpd2p 86 87 Bibliography 1. Linscott, R. N. and Da Vinci , L., The Notebooks of Leonardo Da Vinci

  19. Energy Materials Coordinating Committee (EMaCC). Annual Technical Report, Fiscal Year 2000

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2001-07-31

    The Energy Materials Coordinating Committee Annual Report (attached, DOE/SC-0040) provides an annual summary of non-classified materials-related research programs supported by various elements within the Department of Energy. The EMaCC Annual Report is a useful working tool for project managers who want to know what is happening in other divisions, and it provides a guide for persons in industry and academia to the materials program within the Department. The major task of EMaCC this year was to make the Annual Report a more user-friendly document by removing redundant program information and shortening the project summaries.

  20. Biocatalytic Conversion of Avermectin to 4"-Oxo-Avermectin: Heterologous Expression of the ema1 Cytochrome P450 Monooxygenase

    Science.gov (United States)

    Molnár, István; Hill, D. Steven; Zirkle, Ross; Hammer, Philip E.; Gross, Frank; Buckel, Thomas G.; Jungmann, Volker; Pachlatko, Johannes Paul; Ligon, James M.

    2005-01-01

    The cytochrome P450 monooxygenase Ema1 from Streptomyces tubercidicus R-922 and its homologs from closely related Streptomyces strains are able to catalyze the regioselective oxidation of avermectin into 4"-oxo-avermectin, a key intermediate in the manufacture of the agriculturally important insecticide emamectin benzoate (V. Jungmann, I. Molnár, P. E. Hammer, D. S. Hill, R. Zirkle, T. G. Buckel, D. Buckel, J. M. Ligon, and J. P. Pachlatko, Appl. Environ. Microbiol. 71:6968-6976, 2005). The gene for Ema1 has been expressed in Streptomyces lividans, Streptomyces avermitilis, and solvent-tolerant Pseudomonas putida strains using different promoters and vectors to provide biocatalytically competent cells. Replacing the extremely rare TTA codon with the more frequent CTG codon to encode Leu4 in Ema1 increased the biocatalytic activities of S. lividans strains producing this enzyme. Ferredoxins and ferredoxin reductases were also cloned from Streptomyces coelicolor and biocatalytic Streptomyces strains and tested in ema1 coexpression systems to optimize the electron transport towards Ema1. PMID:16269733

  1. Persepsi Jajaran Kesehatan Tentang Dampak Kegiatan Penambangan Emas Di Kabupaten Buru Provinsi Maluku, Tahun 2012

    OpenAIRE

    Hasyimi, Muhammad; Rahim, Yulianis; Betryon, Betryon

    2014-01-01

    Sejak bulan Oktober tahun 2011, di Kabupaten Buru, Maluku ada kegiatan penambangan emas di beberapa tempat yang mengakibatkan peningkatan mobilitas & migrasi penduduk yang bermakna. Sehingga berdampak pada Perubahan tatanan sosial, ekonomi dan kesehatan lingkungan di masyarakat. Penelitian ini bertujuan untuk mengetahui sejauh mana kekhawatiran jajaran kesehatan tentang dampak penambangan emas terhadap kesehatan masyarakat dan lingkungan. Penelitian dilakukan dengan observasi, wawancara t...

  2. Sünnitades "Ema ja tütart" / Anna Hints

    Index Scriptorium Estoniae

    Hints, Anna, 1982-

    2010-01-01

    Tartu sünnitusmajale Toomemäel, naise eluringile ja põlvkondade järjepidevusele pühendatud "Ema ja tütar" kui koha, heli, foto ja rituaalse tegevuse koostoimel sündinud autori tajuvõrgustikku dekodeeriv pärimusliku ja isikliku taustaga kunstitöö

  3. Potensi Bencana Geologi Pada Penambangan Emas dan Lempung di Desa Cihonje Kecamatan Gumelar Kabupaten Banyumas

    Directory of Open Access Journals (Sweden)

    Asmoro Widagdo

    2015-04-01

    Full Text Available Desa Cihonje di Kecamatan Gumelar, Kabupaten Banyumas, memiliki sumber daya mineral seperti emas dan tanah liat kaolin. Kedua mineral ini telah dilakukaneksploitasi oleh masyarakat setempat. Pemanfaatan sumber daya ini telah memberikan kemakmuran bagi warga setempat. Namun, upaya pertambangan tidak dalam kondisi baik dan masih belum berlisensi. Penggalian emas dan tanah liat di sekitar area perumahan telah membawa dampak yang sangat mengkhawatirkan terhadap keselamatan para penambang dan lingkungan sekitarnya. Penelitian ini pada potensi bencana yang mungkin menjadi ancaman bagi masyarakat setempat dilakukan dengan pengamatan langsung. observasi lapangan ini dilakukan dengan memetakan lokasi operasi pertambangan, perubahan lingkungan dilakukan deskripsi, mengambil gambar dan wawancara dengan penduduk dan para penambang. pertambangan emas primer mengambil urat mineral dengan membuat sumur vertikal dan horizontal. sumur ini sangat dalam dan mencapai puluhan meter. Hal ini telah mengancam keselamatan para penambang, mengganggu penggunaan lahan sebagai daerah pertanian, yang mempengaruhi ketersediaan sumber air tanah, menyebabkan tanah longsor dan mencemari sumber air sungai. pertambangan emas sekunder pada deposito aluvial di tepi sungai telah menyebabkan kerusakan lahan pertanian, erosi sungai dan pencemaran air. Pertambangan tanah liat telah menyebabkan perubahan dalam pengaturan lingkungan dan potensi longsor.

  4. Performance Evaluation of Satellite Communication Systems Operating in the Q/V/W Bands

    Science.gov (United States)

    2013-06-30

    Lorenzo Luini and Prof. Carlo Capsoni Politecnico di Milano Dipartimento di Elettronica, Informazione e Biongegneria Piazza Leonardo Da Vinci 32...di Elettronica, Informazione e Biongegneria Piazza Leonardo Da Vinci 32 Milano, 20133 ITALY 8. PERFORMING ORGANIZATION REPORT NUMBER...Principal Investigator: Dr. Lorenzo Luini Authors: Dr. Lorenzo Luini and Prof. Carlo Capsoni 20133 Milano (Italy) Piazza Leonardo Da Vinci 32 Tel

  5. Promotion of environmental managements systems (EMAS, ISO 14.000) in the Italian small and medium industries. The applied experiences achieved by ENEA; Promozione dei sistemi di gestione ambientale (EMAS, ISO 14.000) nelle piccole e medie imprese italiane. Le esperienze applicative dell `ENEA

    Energy Technology Data Exchange (ETDEWEB)

    Andriola, Luca; Brunetti, Nicola; Caropreso, Gaetano; Luciani, Roberto [ENEA, Centro Ricerche Casaccia, Rome (Italy). Dipt. Ambiente

    1998-03-01

    EMAS (Environmental Management and Audit Scheme) introduced by the Regulation n. 1836/93, is one of the new tools activated by the European Community to overcome the old `Command and Control` philosophy and adopt an approaching policy in the `Moral suasion` logic. It is based on the sharing out of the responsibility, dialogue and action agreed upon by the concerned parties on the basis of impartial and reliable information. EMAS has voluntary character and presents many analogies with ISO 14.000 international system with which a deeper integration is being attempted for a revision of the Regulation. In the frame of present national and international situation, the report shows the recording path of an EMAS site and the experiences achieved up to now particularly by ENEA. [Italiano] L`EMAS (Environmental Management and Audit Scheme), introdotto con il Rergolamento n. 1836/93, rappresenta uno dei nuovi strumenti che la Comunita` Europea ha attivato per superare la vecchia logica del `Command and Control` (Imponi e Sorveglia) e passare ad una nuova filosofia di approccio nella logica della `Moral suasion` (persuasione morale) per un rapporto basato sulla ripartizione delle responsabilita` attraverso un dialogo e un`azione concertata tra le parti interessate sulla base di un`informazione obiettiva ed affidabile. Lo strumento EMAS ha carattere di volontarieta` e presenta profonde analogie con il sistema internazionale ISO 14.000 con il quale si sta tentando, a livello di revisione del Regolamento EMAS, una integrazione piu` profonda. Nel rapporto vengono illustrati, nel quadro dell`attuale situazione nazionale ed internazionale, il percorso di registrazione di un sito EMAS e le esperienza finora attuare con particolare riferimento a quelle dell`ENEA.

  6. The left ventricle as a mechanical engine: from Leonardo da Vinci to the echocardiographic assessment of peak power output-to-left ventricular mass.

    Science.gov (United States)

    Dini, Frank L; Guarini, Giacinta; Ballo, Piercarlo; Carluccio, Erberto; Maiello, Maria; Capozza, Paola; Innelli, Pasquale; Rosa, Gian M; Palmiero, Pasquale; Galderisi, Maurizio; Razzolini, Renato; Nodari, Savina

    2013-03-01

    The interpretation of the heart as a mechanical engine dates back to the teachings of Leonardo da Vinci, who was the first to apply the laws of mechanics to the function of the heart. Similar to any mechanical engine, whose performance is proportional to the power generated with respect to weight, the left ventricle can be viewed as a power generator whose performance can be related to left ventricular mass. Stress echocardiography may provide valuable information on the relationship between cardiac performance and recruited left ventricular mass that may be used in distinguishing between adaptive and maladaptive left ventricular remodeling. Peak power output-to-mass, obtained during exercise or pharmacological stress echocardiography, is a measure that reflects the number of watts that are developed by 100 g of left ventricular mass under maximal stimulation. Power output-to-mass may be calculated as left ventricular power output per 100 g of left ventricular mass: 100× left ventricular power output divided by left ventricular mass (W/100 g). A simplified formula to calculate power output-to-mass is as follows: 0.222 × cardiac output (l/min) × mean blood pressure (mmHg)/left ventricular mass (g). When the integrity of myocardial structure is compromised, a mismatch becomes apparent between maximal cardiac power output and left ventricular mass; when this occurs, a reduction of the peak power output-to-mass index is observed.

  7. MARIA, MODELO DE LIBERTAÇÃO DA MULHER?

    Directory of Open Access Journals (Sweden)

    Inger Hjuler Bergeon

    1986-01-01

    Full Text Available Para responder à questão de saber como uma mulher protestante, vivendo num país industrializado como a Dinamarca, vê a Teologia da Libertação da América Latina, basear-me-ei sobre experiências concretas da vida dos pobres e sobre estudos teóricos da Teologia da Libertação. Os dois modos de aproximação estão unidos de maneira indissolúvel. Desde 1976, trabalhei com os "trapeiros de Emaús" (movimento fundado por Abbé Pierre, na França e na Dinamarca. Foi o que me abriu os olhos, por um lado para a situação dos marginalizados nos países da Europa Ocidental, e por outro para as relações entre países ricos e países pobres.

  8. Economic valuation of the Emas waterfall, Mogi-Guaçu River, SP, Brazil

    Directory of Open Access Journals (Sweden)

    Janice Peixer

    2011-12-01

    Full Text Available The Emas waterfall in Mogi-Guaçu River is regionally recognized as an important fishing spot and touristic place. The first reports of the professional and sport fishing there date back from the 30's, which is the same period when the tourism took place. The present paper provides an environmental valuation of this place and an assessment of the differences among the major groups of people using the area. During 2006 we interviewed 33 professional fishers, 107 sport fishers, 45 tourists and 103 excursionists in order to estimate the Willingness to Pay (WTP for each category and to analyze the influence of socioeconomic factors by means of logistic regressions and ANCOVAs. The WTP of professional fisher was significantly influenced by age and education, and the WTP for the sport fishers was influenced by the family income. The variables that influenced the tourists' and excursionists' WTP were sex and education. The total annual aggregated value to maintain the waterfall in the current conditions was estimated in US$ 11.432.128, and US$ 55.424.283 to restore it.A Cachoeira de Emas, no Rio Mogi-Guaçu, é reconhecida regionalmente como um importante local para a pesca e o turismo. Os primeiros registros da pesca profissional e esportiva no local datam da década de 30, que é o mesmo período em que a atividade do turismo teve seu início. O presente artigo fornece uma valoração ambiental deste local e identifica as diferenças entre os principais grupos de pessoas que o frequentam. Durante o ano de 2006 nós entrevistamos 33 pescadores profissionais, 107 pescadores esportivos, 45 turistas e 103 excursionistas para estimar a Disposição a Pagar ( P de cada categoria e para analisar a influência de fatores socioeconômicos através de regressões logísticas e ANCOVAs. A DAP dos pescadores profissionais foi significativamente influenciada pela idade e escolaridade e a DAP dos pescadores esportivos foi significativamente influenciada pela renda

  9. Comparative analysis of short - term functional outcomes and quality of life in a prospective series of brachytherapy and Da Vinci robotic prostatectomy

    International Nuclear Information System (INIS)

    Garcia-Sanchez, Cristina; Roman Martin, Ana A.; Conde-Sanchez, J. Manuel; Congregado-Ruiz, C. Belen; Osman-Garcia, Ignacio; Medina-Lopez, Rafael A.

    2017-01-01

    Introduction: There is a growing interest in achieving higher survival rates with the lowest morbidity in localized prostate cancer (PC) treatment. Consequently, minimally invasive techniques such as low-dose rate brachytherapy (BT) and robotic-assisted prostatectomy (RALP) have been developed and improved. Comparative analysis of functional outcomes and quality of life in a prospective series of 51BT and 42Da Vinci prostatectomies DV. Materials and Methods: Comparative analysis of functional outcomes and quality of life in a prospective series of 93 patients with low-risk localized PC diagnosed in 2011. 51 patients underwent low-dose rate BT and the other 42 patients RALP. IIEF to assess erectile function, ICIQ to evaluate continence and SF36 test to quality of life wee employed. Results: ICIQ at the first revision shows significant differences which favour the BT group, 79% present with continence or mild incontinence, whereas in the DV group 45% show these positive results. Differences disappear after 6 months, with 45 patients (89%) presenting with continence or mild incontinence in the BT group vs. 30 (71%) in the DV group. 65% of patients are potent in the first revision following BT and 39% following DV. Such differences are not significant and cannot be observed after 6 months. No significant differences were found in the comparative analysis of quality of life. Conclusions: ICIQ after surgery shows significant differences in favour of BT, which disappear after 6 months. Both procedures have a serious impact on erectile function, being even greater in the DV group. Differences between groups disappear after 6 months. (author)

  10. Comparative analysis of short - term functional outcomes and quality of life in a prospective series of brachytherapy and Da Vinci robotic prostatectomy

    Energy Technology Data Exchange (ETDEWEB)

    Garcia-Sanchez, Cristina; Roman Martin, Ana A.; Conde-Sanchez, J. Manuel; Congregado-Ruiz, C. Belen; Osman-Garcia, Ignacio; Medina-Lopez, Rafael A. [Virgen del Rocio Universitary Hospital, Seville (Spain)

    2017-03-15

    Introduction: There is a growing interest in achieving higher survival rates with the lowest morbidity in localized prostate cancer (PC) treatment. Consequently, minimally invasive techniques such as low-dose rate brachytherapy (BT) and robotic-assisted prostatectomy (RALP) have been developed and improved. Comparative analysis of functional outcomes and quality of life in a prospective series of 51BT and 42Da Vinci prostatectomies DV. Materials and Methods: Comparative analysis of functional outcomes and quality of life in a prospective series of 93 patients with low-risk localized PC diagnosed in 2011. 51 patients underwent low-dose rate BT and the other 42 patients RALP. IIEF to assess erectile function, ICIQ to evaluate continence and SF36 test to quality of life wee employed. Results: ICIQ at the first revision shows significant differences which favour the BT group, 79% present with continence or mild incontinence, whereas in the DV group 45% show these positive results. Differences disappear after 6 months, with 45 patients (89%) presenting with continence or mild incontinence in the BT group vs. 30 (71%) in the DV group. 65% of patients are potent in the first revision following BT and 39% following DV. Such differences are not significant and cannot be observed after 6 months. No significant differences were found in the comparative analysis of quality of life. Conclusions: ICIQ after surgery shows significant differences in favour of BT, which disappear after 6 months. Both procedures have a serious impact on erectile function, being even greater in the DV group. Differences between groups disappear after 6 months. (author)

  11. BCL::EMAS — Enantioselective Molecular Asymmetry Descriptor for 3D-QSAR

    Directory of Open Access Journals (Sweden)

    Mariusz Butkiewicz

    2012-08-01

    Full Text Available Stereochemistry is an important determinant of a molecule’s biological activity. Stereoisomers can have different degrees of efficacy or even opposing effects when interacting with a target protein. Stereochemistry is a molecular property difficult to represent in 2D-QSAR as it is an inherently three-dimensional phenomenon. A major drawback of most proposed descriptors for 3D-QSAR that encode stereochemistry is that they require a heuristic for defining all stereocenters and rank-ordering its substituents. Here we propose a novel 3D-QSAR descriptor termed Enantioselective Molecular ASymmetry (EMAS that is capable of distinguishing between enantiomers in the absence of such heuristics. The descriptor aims to measure the deviation from an overall symmetric shape of the molecule. A radial-distribution function (RDF determines a signed volume of tetrahedrons of all triplets of atoms and the molecule center. The descriptor can be enriched with atom-centric properties such as partial charge. This descriptor showed good predictability when tested with a dataset of thirty-one steroids commonly used to benchmark stereochemistry descriptors (r2 = 0.89, q2 = 0.78. Additionally, EMAS improved enrichment of 4.38 versus 3.94 without EMAS in a simulated virtual high-throughput screening (vHTS for inhibitors and substrates of cytochrome P450 (PUBCHEM AID891.

  12. Analysis of the incentives and awards regulations for EMAS-organisations at European level and an assessment with respect to their feasibility at domestic level; Anreiz und Belohnungsregelungen fuer EMAS-Organisationen auf europaeischer Ebene und Bewertung hinsichtlich der nationalen Umsetzbarkeit

    Energy Technology Data Exchange (ETDEWEB)

    Behrens, C.; Heck, A.; Wirth, S.

    2003-10-01

    The research-and-development project aims at gathering, systemising and assessing the entirety as well as selected points concerning the promotion of participation to EMAS by the use of incentives and awards regulations as practised in the member states of the European Union. It intends, furthermore, to make proposals for measures and regulations to improve the situation. This research centres on the impact of environment-policy or environmental-law instruments as regulating incentives and awards. The survey involves three different, interlocking methodical approaches: the jurisprudential analysis and interpretation method, secondary analysis and empirical components in the form of polls. The concepts of 'incentive' and 'reward' are used as synonyms. Binding commitments, explicitly promising advantages to organisations applying EMAS are considered to be 'incentives and awards regulations'. Incentives and rewards regulations have - in part - already become an integral part of the EMAS Regulation in domestic Federal law, mainly in the shape of the EMAS-Privilege Regulation (EMAS-PrivilegV). The interpretation of the incentive and rewards regulations in the member states reveals striking similarities: there, one concentrates mainly on environmental information, reduction of fees as well as promotional programmes as instrument categories. Compared to this, the categories of environmental obligations and official handling still experienced a clear, though weaker, preference. Planning instruments, official handling, environmental agreements and most of economic instruments are either not used, marginally used, or little used. As it turns out, the exemplary registration of the public sector, in particular, strongly needs to be upgraded. The instrument of 'official handling' still contains valuable potential for the promotion of EMAS. There is still plenty of room for improvement in the use of the EMAS logo, in spite of the very

  13. Multimodal speech data acquisition with the use of EMA, fast-speed video cameras and a dedicated microphone array

    NARCIS (Netherlands)

    Swiecinski, R.J.

    2016-01-01

    Electromagnetic Articulography (EMA) is a technology created over two decades ago. EMA enables to acquire spatiotemporal data from sensors placed on the tongue in order to obtain information about the positioning of the tongue, its shape and dynamics during vocalizations of various sounds of human

  14. 3D computer model of the VINCY cyclotron magnet

    International Nuclear Information System (INIS)

    Vorozhtsov, S.B.

    1996-01-01

    The VINCY Cyclotron magnetic field simulation was performed with the help of the three-dimensional (3D) software. The following aspects of the system were considered: 3D calculation of the magnetic field in the median plane, 3D calculation of the magnetic field in the extraction region, 3D calculation of the stray magnetic field. 8 refs., 17 figs., 3 tabs

  15. Mean corpuscular volume of control red blood cells determines the interpretation of eosin-5'-maleimide (EMA) test result in infants aged less than 6 months.

    Science.gov (United States)

    Ciepiela, Olga; Adamowicz-Salach, Anna; Bystrzycka, Weronika; Łukasik, Jan; Kotuła, Iwona

    2015-08-01

    Eosin-5'-maleimide (EMA) binding test is a flow cytometric test used to detect hereditary spherocytosis (HS). To perform the test sample from patients, 5-6 reference samples of red blood are needed. Our aim was to investigate how the mean corpuscular volume (MCV) of red blood cells influences on the value of fluorescence of bounded EMA dye and how the choice of reference samples affects the test result. EMA test was performed in peripheral blood from 404 individuals, including 31 children suffering from HS. Mean fluorescence channel of EMA-RBCs was measured with Cytomics FC500 flow cytometer. Mean corpuscular volume of RBCs was assessed with LH750 Beckman Coulter. Statistical analysis was performed using Graph Pad Prism. The correlation Spearman coefficient between mean channel of fluorescence of EMA-RBCs and MCV was r = 0.39, p < 0.0001. Interpretation of EMA test depends on MCV of the reference samples. If reference blood samples have lower MCV than the patients MCV, EMA test result might be negative. Due to different MCV values of RBCs in infancy and ca. Three months later, EMA test in neonates might be interpreted falsely negative. Samples from children younger than 3 months old had EMA test result 86.1 ± 11.7 %, whereas same samples that analyzed 4.1 ± 2.1 later had results of 75.4 ± 4.5 %, p < 0.05. Mean fluorescence of EMA-bound RBC depends on RBC's volume. MCV of reference samples affects EMA test results; thus, we recommend selection of reference samples with MCV in range of ±2 fL compared to MCV of patient RBC's.

  16. De besluitvorming over werkzaamheid en veiligheid van rosiglitazon bij de FDA en de EMA. Wat zijn de lessen?

    NARCIS (Netherlands)

    Pouwels, Koen; Van Grootheest, Kees

    2013-01-01

    The rosiglitazone decision process at FDA and EMA. What should we learn? In September 2010 the EMA decided to suspend the market authorisation of rosiglitazone while the FDA decided to restrict its use. These actions were taken because rosiglitazone had been associated with an increased risk of

  17. Promoting Sustainability through EMS Application: A Survey Examining the Critical Factors about EMAS Registration in Italian Organizations

    Directory of Open Access Journals (Sweden)

    Roberto Merli

    2016-02-01

    Full Text Available One of the tools set by the European Community (EC to reduce the environmental impact of firms is EMAS Regulation (Regulation (EC No 1221/2009, setting up an Environmental Management System (EMS, which aims for a continuous improvement of environmental performances. Italy has the highest number of certified organization among all European Member States, accounting for over one thousand registrations. The paper presents the result of a survey conducted through a questionnaire about EMAS implementation and targeted to all Italian registered organizations. Of nearly 1000 organizations, over 500 answers were collected. The main goal is to understand how organizations experience the scheme, focusing on main drivers for its adoption, main difficulties encountered, and perceived benefits. In particular, survey results contribute to define a reflection on the difficulties regarding EMAS diffusion among European companies. Aspects identified as critical can lead to a contraction of registration requests, especially those formulated by SMEs, which constitute the majority of Italian companies. Moreover, perceived difficulties might affect the firms’ willingness to renew EMAS registration. Data provided by the Italian Institute for Environmental Protection and Research (ISPRA recently highlighted the increasing rate of firms who decide to withdraw from registration. This study offers interesting inputs related to main critical issues in EMAS implementation, which can be the baseline for future research on companies that abandon the certification scheme, in order to provide suggestions for the improvement of its effectiveness both for national and communitarian institutions.

  18. Sistema Comunitario de Gestión y Auditoría Medioambientales (EMAS aplicado a empresas del sector cerámico

    Directory of Open Access Journals (Sweden)

    García Lara, R.

    2010-10-01

    Full Text Available Environmental concerns, growing public pressure and regulatory measures are changing the way people do business around the world. Consumers and shareholders are increasingly demanding environmentally-friendly ceramic products, as well as transparency in the environmental performance of the companies. Since its creation in 1995, The Eco-Management and Audit Scheme (EMAS is a voluntary tool recognized as the most reliable environmental management system available in EU for organizations to evaluate, improve and report companies’ environmental performance. Regulation (EC No 1221/2009 of the European Parliament and of the Council, known as EMAS III or Global EMAS, allows organizations outside EU to participate, making EMAS more attractive for ceramic companies that usually export. Ceramic companies that implement EMAS, achieve marketplace advantages and improve company image, as well as adding credibility and confidence with customers, stakeholders and public authorities. They also benefit of environmental legislation relief and other advantages as exception of financial insurance obligation included in new Environmental Responsibility legislation.

    El aumento de la conciencia medioambiental, la presión pública y normativa están cambiando la forma de hacer negocios. En esta línea, consumidores y partes interesadas demandan cada vez más productos cerámicos sostenibles, así como transparencia del comportamiento ambiental de las empresas. Desde su creación en 1995, el Sistema Comunitario de Gestión y Auditoría Ambientales (EMAS, es un sistema voluntario reconocido como el de mayor transparencia y credibilidad en los estados miembros de la UE, que permite a las organizaciones participantes evaluar y mejorar su comportamiento ambiental y difundir la información pertinente al público y otras partes interesadas. El vigente Reglamento (CE nº 1221/2009 del Parlamento Europeo y del Consejo, conocido como EMAS III o EMAS global, ha

  19. Leonardo da Vinci y la nutrición humana

    OpenAIRE

    Carretero Gómez, Mª Begoña

    2011-01-01

    En esta experiencia trabajamos el tema la nutrición humana con una perspectiva diferente. Para ello hemos utilizado el libro de cocina “Notas de cocina de Leonardo da Vinci” de Shelagh and Routh, como texto base del que hemos extraído diferentes fragmentos, recetas y variada información de cómo era la forma de alimentarse y nutrirse en el Renacimiento. Se han realizado comparaciones entre la época actual y la de Leonardo. Para redondear la experiencia hemos cocinado algunas receta...

  20. Contribution to Energy Management of the Main Standards for Environmental Management Systems: The Case of ISO 14001 and EMAS

    Directory of Open Access Journals (Sweden)

    Iker Laskurain

    2017-11-01

    Full Text Available The adoption of Energy Management Systems (EnMSs based on international standards has gained momentum since the ISO 50001 standard was launched in 2011. Before that, the potential to improve the energy management with Environmental Management Systems (EMSs based on ISO 14001 and EMAS was identified in the literature. However, no in-depth analysis reported in the literature has explored this claim. The need for research is now even more evident with the development of new versions of the standards for environmental management―ISO 14001:2015 and EMAS III. Since many companies that already have a certified EMSs might be uncertain whether to adopt an ISO 50001 based EnMSs, the present work aims to shed light on the contribution of ISO 14001:2015 and EMAS III to energy management. Furthermore, the work summarizes the results of an empirical exploratory study carried out in eight Spanish organizations, four with an EMS implemented and certified based on ISO 14001:2015 and four more with an EMS registered to EMAS III. The findings show that both ISO14001 and EMAS certified organizations carry out energy management practices, even though they have no formal EnMSs implemented. Implications for managers and policy makers are discussed, together with avenues for further research.

  1. Leonardo da Vinci y la nutrición humana

    Directory of Open Access Journals (Sweden)

    Mª Begoña Carretero Gómez

    2011-01-01

    Full Text Available En esta experiencia trabajamos el tema la nutrición humana con una perspectiva diferente. Para ello hemos utilizado el libro de cocina “Notas de cocina de Leonardo da Vinci” de Shelagh and Routh, como texto base del que hemos extraído diferentes fragmentos, recetas y variada información de cómo era la forma de alimentarse ynutrirse en el Renacimiento. Se han realizado comparaciones entre la época actual y la de Leonardo. Para redondear la experiencia hemos cocinado algunas recetas extraídas del libro.

  2. Mu ema must roos : [luuletused] / S{u00E1ndor Cso̤ri

    Index Scriptorium Estoniae

    Cso̤ri, S{u00E1ndor

    2004-01-01

    Sisu: Mu ema must roos ; Viinamägi, enne sõda ; Su lauba hämarusest ; Cantata profana ; Kolmandal päeval hakkas sadama lund ; Ema jutt ; Lume mälestus ; Lampide ja rusikate ette ; Kümnes õhtu ; Jutustab koit ; Oleksid kehv taevaelanik ; Päikesevalgus ja must öine põldmari ; Kiri põhjast ; Öösel koputab moon ; Keegi su sõber ; Rajan endale teed ; Ülestunnistus Linnale ; Lesknaised tantsivad ; Värvimata jäänud silmalaugude eleegia ; 1956. aasta novembri mälestuseks ; Vihane tund ; Sel ajal jaanuaris. Eluloolisi andmeid autori kohta lk. 389-391

  3. A bioinformatics prediction approach towards analyzing the glycosylation, co-expression and interaction patterns of epithelial membrane antigen (EMA/MUC1)

    International Nuclear Information System (INIS)

    Kalra, Rajkumar S.; Wadhwa, Renu

    2015-01-01

    Epithelial membrane antigen (EMA or MUC1) is a heavily glycosylated, type I transmembrane glycoprotein commonly expressed by epithelial cells of duct organs. It has been shown to be aberrantly glycosylated in several diseases including cancer. Protein sequence based annotation and analysis of glycosylation profile of glycoproteins by robust computational and comprehensive algorithms provides possible insights to the mechanism(s) of anomalous glycosylation. In present report, by using a number of bioinformatics applications we studied EMA/MUC1 and explored its trans-membrane structural domain sequence that is widely subjected to glycosylation. Exploration of different extracellular motifs led to prediction of N and O-linked glycosylation target sites. Based on the putative O-linked target sites, glycosylated moieties and pathways were envisaged. Furthermore, Protein network analysis demonstrated physical interaction of EMA with a number of proteins and confirmed its functional involvement in cell growth and proliferation pathways. Gene Ontology analysis suggested an involvement of EMA in a number of functions including signal transduction, protein binding, processing and transport along with glycosylation. Thus, present study explored potential of bioinformatics prediction approach in analyzing glycosylation, co-expression and interaction patterns of EMA/MUC1 glycoprotein

  4. A bioinformatics prediction approach towards analyzing the glycosylation, co-expression and interaction patterns of epithelial membrane antigen (EMA/MUC1)

    Energy Technology Data Exchange (ETDEWEB)

    Kalra, Rajkumar S., E-mail: renu-wadhwa@aist.go.jp; Wadhwa, Renu, E-mail: renu-wadhwa@aist.go.jp [Cell Proliferation Research Group and DBT-AIST International Laboratory for Advanced Biomedicine, National Institute of Advanced Industrial Science and Technology (AIST Central 4), 1-1-1 Higashi, Tsukuba, Ibaraki 305-8562 (Japan)

    2015-02-27

    Epithelial membrane antigen (EMA or MUC1) is a heavily glycosylated, type I transmembrane glycoprotein commonly expressed by epithelial cells of duct organs. It has been shown to be aberrantly glycosylated in several diseases including cancer. Protein sequence based annotation and analysis of glycosylation profile of glycoproteins by robust computational and comprehensive algorithms provides possible insights to the mechanism(s) of anomalous glycosylation. In present report, by using a number of bioinformatics applications we studied EMA/MUC1 and explored its trans-membrane structural domain sequence that is widely subjected to glycosylation. Exploration of different extracellular motifs led to prediction of N and O-linked glycosylation target sites. Based on the putative O-linked target sites, glycosylated moieties and pathways were envisaged. Furthermore, Protein network analysis demonstrated physical interaction of EMA with a number of proteins and confirmed its functional involvement in cell growth and proliferation pathways. Gene Ontology analysis suggested an involvement of EMA in a number of functions including signal transduction, protein binding, processing and transport along with glycosylation. Thus, present study explored potential of bioinformatics prediction approach in analyzing glycosylation, co-expression and interaction patterns of EMA/MUC1 glycoprotein.

  5. Comparison of two simulation systems to support robotic-assisted surgical training: a pilot study (Swine model).

    Science.gov (United States)

    Whitehurst, Sabrina V; Lockrow, Ernest G; Lendvay, Thomas S; Propst, Anthony M; Dunlow, Susan G; Rosemeyer, Christopher J; Gobern, Joseph M; White, Lee W; Skinner, Anna; Buller, Jerome L

    2015-01-01

    To compare the efficacy of simulation-based training between the Mimic dV- Trainer and traditional dry lab da Vinci robot training. A prospective randomized study analyzing the performance of 20 robotics-naive participants. Participants were enrolled in an online da Vinci Intuitive Surgical didactic training module, followed by training in use of the da Vinci standard surgical robot. Spatial ability tests were performed as well. Participants were randomly assigned to 1 of 2 training conditions: performance of 3 Fundamentals of Laparoscopic Surgery dry lab tasks using the da Vinci or performance of 4 dV-Trainer tasks. Participants in both groups performed all tasks to empirically establish proficiency criterion. Participants then performed the transfer task, a cystotomy closure using the daVinci robot on a live animal (swine) model. The performance of robotic tasks was blindly assessed by a panel of experienced surgeons using objective tracking data and using the validated Global Evaluative Assessment of Robotic Surgery (GEARS), a structured assessment tool. No statistically significant difference in surgeon performance was found between the 2 training conditions, dV-Trainer and da Vinci robot. Analysis of a 95% confidence interval for the difference in means (-0.803 to 0.543) indicated that the 2 methods are unlikely to differ to an extent that would be clinically meaningful. Based on the results of this study, a curriculum on the dV- Trainer was shown to be comparable to traditional da Vinci robot training. Therefore, we have identified that training on a virtual reality system may be an alternative to live animal training for future robotic surgeons. Published by Elsevier Inc.

  6. Change of practice patterns in urology with the introduction of the Da Vinci surgical system: the Greek NHS experience in debt crisis era.

    Science.gov (United States)

    Deligiannis, Dimitros; Anastasiou, Ioannis; Mygdalis, Vasileios; Fragkiadis, Evangelos; Stravodimos, Konstantinos

    2015-03-31

    To determine the attitudinal change for urologic surgery in Greece since the introduction of the da Vinci Surgical System (DVS). We describe contemporary trends at public hospital level, the initial Greek experience, while at the same time Greece is in economic crisis and funding is under austerity measures. We retrospectively analyzed annualized case log data on urologic procedures, between 2008 (installation of the DVS) and 2013, from "Laiko'' Hospital in Athens. We evaluated, using summary statistics, trends and institutional status regarding robot-assisted surgery (RAS). We also analyzed the relationship between the introduction of RAS and change in total volume of procedures performed. 1578 of the urological procedures performed at "Laiko'' Hospital were pooled, 1342 (85%) being open and 236 RAS (15%). We observed a 6-fold increase in the number of RAS performed, from 7% of the total procedural volume (14/212) in 2008 to 30% (96/331) in 2013. For radical prostatectomy, in 2008 2% were robot-assisted and 98% open while in 2013, 46% and 54% respectively. Pyeloplasty was performed more often using the robot-assisted method since 2010. RAS-dedicated surgeons increased both RAS and the total number of procedures they performed. From 86 in 2008 to 145 in 2013, with 57% of them being RAS in 2013 as compared to 13 % in 2008. Robot-assisted surgery has integrated into the armamentarium for urologic surgery in Greece at public hospital level. Surgical robot acquisition is also associated with increased volume of procedures, especially prostatectomy, despite the ongoing debate over cost-effectiveness, during economic crisis and International Monetary Fund (IFN) era.

  7. Change of practice patterns in urology with the introduction of the Da Vinci surgical system: the Greek NHS experience in debt crisis era

    Directory of Open Access Journals (Sweden)

    Dimitros Deligiannis

    2015-03-01

    Full Text Available Objective: To determine the attitudinal change for urologic surgery in Greece since the introduction of the da Vinci Surgical System (DVS. We describe contemporary trends at public hospital level, the initial Greek experience, while at the same time Greece is in economic crisis and funding is under austerity measures. Materials and Methods: We retrospectively analyzed annualized case log data on urologic procedures, between 2008 (installation of the DVS and 2013, from “Laiko’’ Hospital in Athens. We evaluated, using summary statistics, trends and institutional status regarding robot-assisted surgery (RAS. We also analyzed the relationship between the introduction of RAS and change in total volume of procedures performed. Results: 1578 of the urological procedures performed at “Laiko’’ Hospital were pooled, 1342 (85% being open and 236 RAS (15%. We observed a 6-fold increase in the number of RAS performed, from 7% of the total procedural volume (14/212 in 2008 to 30% (96/331 in 2013. For radical prostatectomy, in 2008 2% were robot-assisted and 98% open while in 2013, 46% and 54% respectively. Pyeloplasty was performed more often using the robot-assisted method since 2010. RAS-dedicated surgeons increased both RAS and the total number of procedures they performed. From 86 in 2008 to 145 in 2013, with 57% of them being RAS in 2013 as compared to 13 % in 2008. Conclusions: Robot-assisted surgery has integrated into the armamentarium for urologic surgery in Greece at public hospital level. Surgical robot acquisition is also associated with increased volume of procedures, especially prostatectomy, despite the ongoing debate over cost-effectiveness, during economic crisis and International Monetary Fund (IFN era.

  8. Estimating Anthropometric Marker Locations from 3-D LADAR Point Clouds

    Science.gov (United States)

    2011-06-01

    http://perception.inrialpes. fr/Publications/2008/CMKBH08. [17] Da Vinci , L. The Notebooks of Leonardo Da Vinci Complete. Public Domain, 2004. [18] Duda...the problem is based on historical research into the proper proportioning of the human body. A famous example of this research is Leonardo da Vinci’s

  9. Introduction to Kinetic Model Equations

    Science.gov (United States)

    2011-01-01

    application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 ∗Dipartimento di Matematica del Politecnico di Milano Piazza Leonardo da Vinci 32...NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Dipartimento di Matematica del Politecnico di Milano Piazza Leonardo da Vinci 32, 20133 Milano

  10. Isa-ema maa : [luuletused] / Leelo Tungal

    Index Scriptorium Estoniae

    Tungal, Leelo, 1947-

    2001-01-01

    Sisu: Isa-ema maa ; Vahetund ; Päkapikk võis näha ; Kodune jutt ; Koeruse mõõt ; mütsid ; Loomade laul ; Igal sügisel ; Väike jõulusoov ; Millal tuled, jõuluvana ; Paharet ; Suur õun ; Teiste laste mänguasjad ; Oi heldeke! ; Tere-tere ; Kui ma ... ; Magus tähestik ; Pluss ja miinus ; Pinalis ; Esimese klassi õpilane ; Teise klassi õpilane ; Miks on kana vana? ; Hommik ; Seitsme maa ja mere taga ; Köha pere ; Harjad ; Täna sügist mängib suvi ; Toas ; Laps jäi voodis magama ; Klassivennad ; Talvehommik ; Siili elu ; Hiirehernesupp ; Hundi lugemine ; Karu ärkamine ; Unelaul ; Salajutt ; Kooli eel ; Laiskvorsti elu ; Kindel plaan ; Oma kohal ; Puhkama ; Vana vahva lasteaed ; Sama laps ; Tüli

  11. The rosiglitazone decision process at FDA and EMA : What should we learn?

    NARCIS (Netherlands)

    Pouwels, Koen B.; van Grootheest, Kees

    2012-01-01

    In September 2010 the EMA decided to suspend the market authorisation of rosiglitazone, while the FDA decided to restrict the use of rosiglitazone. These actions were taken approximately 10 years after the introduction of rosiglitazone, because rosiglitazone might be associated with an increased

  12. A model of care for healthy menopause and ageing : EMAS position statement

    NARCIS (Netherlands)

    Stute, Petra; Ceausu, Iuliana; Depypere, Herman; Lambrinoudaki, Irene; Mueck, Alfred; Pérez-López, Faustino R.; van der Schouw, Yvonne T.; Senturk, Levent M.; Simoncini, Tommaso; Stevenson, John C.; Rees, Margaret

    2016-01-01

    Worldwide, the number of menopausal women is increasing. They present with complex medical issues that lie beyond the traditional scope of gynaecologists and general practitioners (GPs). The European Menopause and Andropause Society (EMAS) therefore provides a holistic model of care for healthy

  13. A Odisséia da Imagem: Freud, Lacan e a Arte

    Directory of Open Access Journals (Sweden)

    Sergio Sklar

    2011-09-01

    Full Text Available Ousando se aproximar de outras áreas do conhecimento, a psicanálise foi também marcada, como atestam inúmeros ensaios psicanalíticos, pelo alto apreço de Freud e Lacan em relação à arte. Um deles, percorrendo as adjacências entre o discurso freudiano, a teoria lacaniana e o mundo artístico, é considerado neste artigo: O Espaço Imanente (Rio de Janeiro: Imago, 1989. Este livro se aventura pelas longas divagações estético-freudianas, revendo as análises sobre o Moisés de Michelangelo, Leonardo da Vinci e a Gradiva de W.Jensen e os comentários de Lacan sobre o quadro de Hans Holbein, Os Embaixadores. Delas, rediscute a concepção de uma psicanálise da arte em torno da cisão entre o concreto, visível ou “externo” (o que existe concretamente na escultura de Michelangelo, na pintura de Da Vinci, no delírio do protagonista de Jensen, no quadro de Holbein, e o mental ou “interno” (o que torna a realidade pensada ou representada. Na contramarcha desta posição, assinala como o externo torna-se, também, condição para que o artista possa criar “internamente”. Insólito na leitura psicanalítica que sustenta, este ensaio agrega ao ar de liberdade que insufla a criação do artista diante de sua obra, traduzindo um aparente rompimento ou descompromisso dos conteúdos artísticos com qualquer ocorrência concreta, a organização física ou imanente dos objetos que se encontram na realidade.

  14. Cannes : seks ja revolutsioon / Annika Koppel

    Index Scriptorium Estoniae

    Koppel, Annika

    2006-01-01

    Cannes'i filmifestival. Nähtud filmidest : Ron Howardi "Da Vinci kood"("The Code Da Vinci"), hiinlase Lou Ye "Suvepalee", inglase Ken Loach'i "Tuul, mis sasib odrapõldu" ("The Wind that Shakes the Barely"), ungarlase Györgi Palfi "Taksidermia"

  15. Simulation Study of Using High-Z EMA to Suppress Recoil Protons Crosstalk in Scintillating Fiber Array for 14.1 MeV Neutron Imaging

    Science.gov (United States)

    Jia, Qinggang; Hu, Huasi; Zhang, Fengna; Zhang, Tiankui; Lv, Wei; Zhan, Yuanpin; Liu, Zhihua

    2013-12-01

    This paper studies the effect of a high-Z extra mural absorber (EMA) to improve the spatial resolution of a plastic (polystyrene) scintillating fiber array for 14.1 MeV fusion neutron imaging. Crosstalk induced by recoil protons was studied, and platinum (Pt) was selected as EMA material, because of its excellent ability to suppress the recoil protons penetrating the fibers. Three common fiber arrays (cylindrical scintillating fibers in square and hexagonal packing arrangements and square scintillating fibers) were simulated using the Monte Carlo method for evaluating the effect of Pt-EMA in improving spatial resolution. It is found that the resolution of the 100 μm square fiber array can be improved from 1.7 to 3.4 lp/mm by using 10- μm-thick Pt-EMA; comparatively, using an array with thinner square fibers (50 μm) only obtains a resolution of 2.1 lp/mm. The packing fraction decreases with the increase of EMA thickness. Our results recommend the use of 10 μm Pt-EMA for the square and the cylindrical (hexagonal packing) scintillating fiber arrays with fibers of 50-200 μm in the cross-sectional dimension. Besides, the dead-zone material should be replaced by high-Z material for the hexagonal packing cylindrical fiber array with fibers of 50-200 μm in diameter. Tungsten (W) and gold (Au) are also used as EMA in the three fiber arrays as a comparison. The simulation results show that W can be used at a lower cost, and Au does not have any advantages in cost and resolution improvement.

  16. Totally extraperitoneal (TEP) bilateral hernioplasty using the Single Site® robotic da Vinci platform (DV-SS TEP): description of the technique and preliminary results.

    Science.gov (United States)

    Cestari, A; Galli, A C; Sangalli, M N; Zanoni, M; Ferrari, M; Roviaro, G

    2017-06-01

    Laparoendoscopic single site totally extraperitoneal (TEP) hernia repair showed to be a feasible alternative to conventional laparoscopic hernia repair; nevertheless single site surgery, with the loss of instruments triangulation can be a demanding procedure. To overcome those hurdles, the Single Site® (SS) platform of the da Vinci (DV) Si robotic system enables to perform surgical procedures through a 25-mm skin incision, with a stable 3D vision and restoring an adequate triangulation of the surgical instruments. We present in details the technique and the preliminary results of DV-SS TEP, to our knowledge the first cases reported in literature. In March 2016, three consecutive male patients (mean age 46.6 years-mean BMI 25.3) with bilateral symptomatic inguinal hernia were submitted to DV-SS TEP in our institutions. Feasibility, codification of the technique, operative time and perioperative outcomes were recorded. All the procedures were completed as scheduled, with no conversion to other techniques. Mean operative time was 98.6 min, ranging between 155 and 55 min, reflecting the learning curve of the operating room team on this new procedure. No intraoperative or postoperative complications were experienced and all the patients were discharged within 24 h after surgery. Patients reported satisfactory postoperative course, with no recurrence of inguinal hernia and satisfaction in cosmetic result at 6-month follow-up. DV-SS TEP inguinal hernia repair showed to be feasible and effective surgical option for bilateral groin hernia repair. Patients' outcome was uneventful, with optimal cosmetic results. Further studies comparing this innovative technique to TEP or LESS TEP should be promoted.

  17. Uudised : Duo Veski ئ Kalluste Londonis. Rahvusvaheline seminar EMAs. Heliloojate suaree / Igor Garshnek

    Index Scriptorium Estoniae

    Garšnek, Igor, 1958-

    2000-01-01

    Duo Veski ئ Kalluste annab 5. nov. kontserdi Londoni kuninglikus muusikakolledzhis VI Briti saksofonikongressi raames. 23. ja 24. okt. toimus EMAs "Tempuse" programmi raames seminar "Public relations and Fundraising". 30. okt. toimunud Heliloojate Liidu töökoosolekust

  18. Energy Materials Coordinating Committee (EMaCC), fiscal year 1985. Annual technical report

    International Nuclear Information System (INIS)

    1986-05-01

    The DOE Energy Materials Coordinating Committee (EMaCC) serves primarily to enhance coordination among the Department's materials programs and to further the effective use of materials expertise within the Department. These functions are accomplished through the exchange of budgetary and planning information among program managers and through technical meeting/workshops on selected topics involving both DOE and major contractors. Four topical subcommittees on Structural Ceramics, Batteries and Fuel Cells, Radioactive Waste Containment, and Steel are established and are continuing their own program. The FY 1985 and FY 1986 meeting program is given. The EMaCC aids in obtaining materials-related inputs for both intra- and inter-agency compilations. Brief summaries of the materials research programs associated with each office and division are presented, including tables listing individual projects and the FY 1985 budgets for each. More details on the individual projects within the divisions and the specific tasks or subcontracts within the various projects are given in the paragraph descriptions

  19. Energy Materials Coordinating Committee (EMaCC), fiscal year 1985. Annual technical report

    Energy Technology Data Exchange (ETDEWEB)

    None

    1986-05-01

    The DOE Energy Materials Coordinating Committee (EMaCC) serves primarily to enhance coordination among the Department's materials programs and to further the effective use of materials expertise within the Department. These functions are accomplished through the exchange of budgetary and planning information among program managers and through technical meeting/workshops on selected topics involving both DOE and major contractors. Four topical subcommittees on Structural Ceramics, Batteries and Fuel Cells, Radioactive Waste Containment, and Steel are established and are continuing their own program. The FY 1985 and FY 1986 meeting program is given. The EMaCC aids in obtaining materials-related inputs for both intra- and inter-agency compilations. Brief summaries of the materials research programs associated with each office and division are presented, including tables listing individual projects and the FY 1985 budgets for each. More details on the individual projects within the divisions and the specific tasks or subcontracts within the various projects are given in the paragraph descriptions.

  20. System of ecological monitoring and assessment (EMA) for nuclear power plant site areas

    International Nuclear Information System (INIS)

    Vorob'ev, E.I.; Oleinikov, N.F.; Reznichenko, V.Yu.

    1988-01-01

    The goal of the EMA program is to improve the utilization of the natural and labor resources of the city of Sosnovyi Bor due to the opportune discovery of negative changes in the state of the surrounding environment and human health and to predict and assess the possible consequences of implementing technological and economic decisions and their optimization from the point of view of ecology with regard to reactor siting and sizing. The EMA system provides monitoring means and a data bank on the environment and health of workers and the population, a packet of programs for processing and analyzing data, and a set of models to describe and predict the condition of the object/environment/man system. The system monitors contamination sources, monitors and assesses aquatic and terrestrial ecosystems, and accounts for meteorological and biosolar factors which impact on reactor siting

  1. Magnetic field measurement system of the VINCY Cyclotron

    International Nuclear Information System (INIS)

    Dobrosavljevic, A.; Cirkovic, S.; Zdravkovic, A.; Urosevic, Z.; Lucic, M.; Gemaljevic, M.

    1995-01-01

    This paper presents the magnetic field measurement system of the VINCY Cyclotron, main part of the TESLA accelerator installation whose construction has been going on in the Vinca Institute of Nuclear Sciences. Measurement system consists of mechanical structure and control unit for the automatic positioning of the measurement probe in the median plane, between the poles of the magnet, and corresponding measuring instrumentation, based on two digital tesla meters. Concept of the measurement system is defined by the TESLA team, while realisation of the measurement system is performed in co-operation with the LOLA Institute. (author)

  2. Solving Kinetic Equations on GPU’s

    Science.gov (United States)

    2011-01-01

    7 Acknowledgments 23 8 Appendix: CUDA pseudo-codes 27 ∗Dipartimento di Matematica del Politecnico di Milano Piazza Leonardo da Vinci 32, 20133 Milano...PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Dipartimento di Matematica del Politecnico di Milano Piazza Leonardo da Vinci 32, 20133 Milano, Italy 8

  3. Experiência brasileira inicial em cirurgia da obesidade robô - assistida Brazilian experience in obesity surgery robot-assisted

    Directory of Open Access Journals (Sweden)

    Ricardo Zugaib Abdalla

    2012-03-01

    Full Text Available RACIONAL: As técnicas minimamente invasivas associaram-se à cirurgia bariátrica propiciando redução na agressão aos órgãos e sistemas. A robótica é uma nova possibilidade dentro do conceito de mínima invasão. OBJETIVOS: Avaliar a experiência inicial da robótica em cirurgia da obesidade. MÉTODOS: Foram operados 27 pacientes no mesmo hospital, pela mesma equipe, com o mesmo sistema cirúrgico que foi Da Vinci S. RESULTADOS: Foram realizadas seis colocações de banda gástrica, cinco gastrectomias verticais e 16 septações gástricas com by-pass em Y-de-Roux. Ocorreu uma complicação importante e nenhum óbito. CONCLUSÕES: A via robótica mostrou-se segura durante experiência inicial, propiciando maior facilidade durante o procedimento em pacientes obesos.BACKGROUND: Minimally invasive techniques were associated with bariatric surgery, leading to a decrease in aggression to the organs and systems. Robotic surgery is a new possibility within the concept of minimal invasion. AIM: To evaluate the initial experience of robotic surgery for obesity. METHODS: Twenty seven patients were operated in the same hospital, by the same team with the same surgical system, Da Vinci S. RESULTS: Were performed six gastric band placement , five sleeve gastrectomies and 16 gastric bypasses. There was one major complication and no death in this series. CONCLUSIONS: The robotic surgery for obesity surgery was safe during the initial experience.

  4. Validation of Robotic Surgery Simulator (RoSS).

    Science.gov (United States)

    Kesavadas, Thenkurussi; Stegemann, Andrew; Sathyaseelan, Gughan; Chowriappa, Ashirwad; Srimathveeravalli, Govindarajan; Seixas-Mikelus, Stéfanie; Chandrasekhar, Rameella; Wilding, Gregory; Guru, Khurshid

    2011-01-01

    Recent growth of daVinci Robotic Surgical System as a minimally invasive surgery tool has led to a call for better training of future surgeons. In this paper, a new virtual reality simulator, called RoSS is presented. Initial results from two studies - face and content validity, are very encouraging. 90% of the cohort of expert robotic surgeons felt that the simulator was excellent or somewhat close to the touch and feel of the daVinci console. Content validity of the simulator received 90% approval in some cases. These studies demonstrate that RoSS has the potential of becoming an important training tool for the daVinci surgical robot.

  5. Logam Merkuri pada Pekerja Penambangan Emas Tanpa Izin

    Directory of Open Access Journals (Sweden)

    Arif Sumantri

    2014-05-01

    Full Text Available Potensi produksi pertambangan emas di Indonesia termasuk dalam kategori cukup besar dengan produksi rata-rata 113.720,4423 kg/tahun. Penggunaan merkuri pada proses pengolahan emas berpotensi menyebabkan terjadinya masalah kesehatan seperti keracunan merkuri. Tujuan penelitian ini adalah menganalisis faktor risiko akumulasi merkuri pada rambut pekerja penambangan emas tanpa izin (PETI di Desa Cisarua, Nanggung, Bogor tahun 2013. Penelitian ini adalah penelitian kuantitatif dengan pendekatan potong lintang. Populasi penelitian ini adalah seluruh pekerja PETI Desa Cisarua. Sampel diambil menggunakan teknik accidental sampling sebanyak 40 pekerja. Data dikumpulkan melalui wawancara dan pengamatan. Pengukuran konsentrasi merkuri dalam rambut pekerja menggunakan AAS FIMS dengan Reverence Recovery Material 100%. Variabel bebas pada penelitian ini adalah umur, masa kerja, jam kerja dan konsumsi ikan dengan variabel terikatnya adalah akumulasi logam merkuri pada rambut pekerja. Hasil penelitian menunjukkan bahwa rata-rata akumulasi logam merkuri dalam rambut pekerja antara 2,03 sampai 9,04 ppm atau terdapat 24 orang (60% mengalami keracunan merkuri lebih dari 2 ppm. Faktor masa kerja (nilai p = 0,000 memiliki korelasi dengan akumulasi logam merkuri pada sampel rambut pekerja yang menunjukan korelasi positif dengan kekuatan sedang (r = 0,552. Hasil analisis multivariat dijelaskan dalam model (akumulasi logam merkuri = -0,315 + 0,896*masa kerja dengan variabel Adjusted R Square masa kerja sebesar 52,6%. Indonesia has a quite large potential production of gold mining with average production 113.720,4423 kg/year. Gold mining production by mercury could cause health problems, such as mercury poisoning. The purpose of this study was to analyze the risk factor of mercury accumulation in hair samples from illegal gold mining (IGM workers in Cisarua, Nanggung, Bogor in 2013. This research was a quantitative study by cross sectional approach. The population in

  6. Face, content and concurrent validity of the Mimic® dV-Trainer for robot-assisted endoscopic surgery: a prospective study.

    Science.gov (United States)

    Egi, H; Hattori, M; Tokunaga, M; Suzuki, T; Kawaguchi, K; Sawada, H; Ohdan, H

    2013-01-01

    The aim of this study was to determine whether any correlation exists between the performance of the Mimic® dV-Trainer (Mimic Technologies, Seattle, Wash., USA) and the da Vinci Surgical System (Intuitive Surgical, Sunnyvale, Calif., USA). Twelve participants were recruited, ranging from residents to consultants. We used four training tasks, consisting of 'Pick and Place', 'Peg Board', 'Thread the Rings' and 'Suture Sponge', from the software program of the Mimic dV-Trainer. The performance of the participants was recorded and measured. Additionally, we prepared the same tasks for the da Vinci Surgical System. All participants completed the tasks using the da Vinci Surgical System and were assessed according to time, the Objective Structured Assessment of Technical Skill checklist and the global rating score for endoscopic suturing assessed by two independent blinded observers. After performing these tasks, the participants completed a questionnaire that evaluated the Mimic dV-Trainer's face and content validity. The final results for each participant for the Mimic dV-Trainer and the da Vinci Surgical System were compared. All participants ranked the Mimic dV-Trainer as a realistic training platform that is useful for residency training. There was a significant relationship between the Mimic dV-Trainer and the da Vinci Surgical System in all four tasks. We verified the reliability of the assessment of the checklist and the global rating scores for endoscopic suturing assessed by the two blinded observers using Cronbach's alpha test (r = 0.803, 0.891). We evaluated the concurrent validity of the Mimic dV-Trainer and the da Vinci Surgical System. Our results suggest the possibility that training using the Mimic dV-Trainer may therefore be able to improve the operator's performance during live robot-assisted surgery. © 2013 S. Karger AG, Basel.

  7. The Curie–Da Vinci Connection: 5-Years' Experience With Laparoscopic (Robot-Assisted) Implantation for High-Dose-Rate Brachytherapy of Solitary T2 Bladder Tumors

    Energy Technology Data Exchange (ETDEWEB)

    Steen-Banasik, Elzbieta M. van der, E-mail: E.vanderSteen-Banasik@radiotherapiegroep.nl [Radiotherapiegroep, Arnhem (Netherlands); Smits, Geert A.H.J. [Department of Urology, Rijnstate Hospital, Arnhem (Netherlands); Oosterveld, Bernard J.; Janssen, Theo; Visser, Andries G. [Radiotherapiegroep, Arnhem (Netherlands)

    2016-08-01

    Purpose: To report experience and early results of laparoscopic implantation for interstitial brachytherapy (BT) of solitary bladder tumors and the feasibility of a high-dose-rate (HDR) schedule. Methods and Materials: From December 2009 to April 2015, 57 patients with a T2 solitary bladder tumor were treated in Arnhem with transurethral bladder resection followed by external beam irradiation, applied to the bladder and regional iliac lymph nodes, 40 Gy in 20 fractions, 5 fractions per week, and within 1 week interstitial HDR BT, in selected cases combined with partial cystectomy and lymph node dissection. The BT catheters were placed via a transabdominal approach with robotic assistance from a Da Vinci robot after a successful initial experience with a nonrobotic laparoscopic approach. The fraction schedule for HDR was 10 fractions of 2.5 Gy, 3 fractions per day. This was calculated to be equivalent to a reference low-dose-rate schedule of 30 Gy in 60 hours. Data for oncologic outcomes and toxicity (Common Toxicity Criteria version 4) were prospectively collected. Results: These modifications resulted in an average postoperative hospitalization of 6 days, minimal blood loss, and no wound healing problems. Two patients had severe acute toxicity: 1 pulmonary embolism grade 4 and 1 cardiac death. Late toxicity was mild (n=2 urogenital grade 3 toxicity). The median follow-up was 2 years. Using cumulative incidence competing risk analysis, the 2-year overall, disease-free, and disease-specific survival and local control rates were 59%, 71%, 87%, and 82%, respectively. Conclusions: The benefits of minimally invasive surgery for implantation of BT catheters and the feasibility of HDR BT in bladder cancer are documented. The patient outcome and adverse events are comparable to the best results published for a bladder-sparing approach.

  8. Concept of the detuned primary coupling and model measurements for the radiofrequency system of the VINCY cyclotron

    International Nuclear Information System (INIS)

    Bojovic, B.; Susini, A.

    1999-01-01

    A new concept of the impedance matching of a radiofrequency (RF) amplifier (primary) coupled to a cyclotron RF cavity (secondary) is discussed. In this arrangement the necessity of moving the coupling loop in vacuum is avoided, and the impedance matching for different operating frequencies is performed only by a variable capacitor. A design procedure based on the transformer equations is proposed, and the design of the RF system of the VINCY Cyclotron, the main part of the TESLA Accelerator Installation, based on the concept of the detuned primary coupling is presented. The measurements on a 1:1 scale model of the RF system of the VINCY Cyclotron were carried out for the whole range of the operating frequencies. The results obtained confirmed the viability of the coupling concept for the cyclotron RF systems. (authors)

  9. Thermal modal analysis of novel non-pneumatic mechanical elastic wheel based on FEM and EMA

    Science.gov (United States)

    Zhao, Youqun; Zhu, Mingmin; Lin, Fen; Xiao, Zhen; Li, Haiqing; Deng, Yaoji

    2018-01-01

    A combination of Finite Element Method (FEM) and Experiment Modal Analysis (EMA) have been employed here to characterize the structural dynamic response of mechanical elastic wheel (ME-Wheel) operating under a specific thermal environment. The influence of high thermal condition on the structural dynamic response of ME-Wheel is investigated. The obtained results indicate that the EMA results are in accordance with those obtained using the proposed Finite Element (FE) model, indicting the high reliability of this FE model applied in analyzing the modal of ME-Wheel working under practical thermal environment. It demonstrates that the structural dynamic response of ME-Wheel operating under a specific thermal condition can be predicted and evaluated using the proposed analysis method, which is beneficial for the dynamic optimization design of the wheel structure to avoid tire temperature related vibration failure and improve safety of tire.

  10. Robotic rectosigmoidectomy: pioneer case report in Brazil. Current scene in colorectal robotic surgery Retossigmoidectomia laparoscópica robô-assistida: relato de caso pioneiro no Brasil. Panorama atual da cirurgia robótica colorretal

    Directory of Open Access Journals (Sweden)

    Marcelo Averbach

    2010-03-01

    Full Text Available Laparoscopic colorectal surgery is believed to be technically and oncologically feasible. Robotic surgery is an attractive mode in performing minimally-invasive surgery once it has several advantages if compared to standard laparoscopic surgery. The aim of this paper is to report the first known case of colorectal resection surgery using the robotic assisted surgical device in Brazil. A 35-year-old woman with deep infiltrating endometriosis with rectal involvement was referred for colorectal resection using da Vinci® surgical system. The authors also reviewed the most current series and discussed not only the safety and feasibility but also the real benefits of robotic colorectal surgeryA cirurgia laparoscópica colorretal é considerada tecnicamente factível e segura, com resultados oncológicos comparáveis à cirurgia aberta. A cirurgia robótica é uma atraente modalidade de cirurgia minimamente invasiva, com algumas vantagens claras sobre a laparoscopia convencional. O objetivo deste trabalho é descrever a experiência pioneira da cirurgia colorretal robô-assistida no Brasil. A paciente de 35 anos operada com auxílio do sistema da Vinci® tinha endometriose profunda, com envolvimento do reto. É feita ampla revisão da literatura, discutindo não apenas a indicação e segurança da cirurgia robótica colorretal, mas também seus reais benefícios

  11. A method for Effect Modifier Assessment in ergonomic intervention research – The EMA method

    DEFF Research Database (Denmark)

    Edwards, Kasper; Winkel, Jørgen

    2016-01-01

    Introduction: Ergonomic intervention research includes studies in which researchers arrange (or follow) changes in working conditions to determine the effects in risk factors and/or health. Often this research takes place at workplaces and not in a controlled environment of a laboratory. The effe......Introduction: Ergonomic intervention research includes studies in which researchers arrange (or follow) changes in working conditions to determine the effects in risk factors and/or health. Often this research takes place at workplaces and not in a controlled environment of a laboratory...... of the literature revealed lack of or poor consideration of effect modifiers in ergonomic intervention research. We present a method that has been developed over the course of several years parallel to intervention studies in healthcare. Material and methods: The EMA method is a type of group interview including 3...... sources. Conclusion: The EMA method seems to offer a feasible procedure to obtain significant knowledge on potential effect modifiers in ergonomic intervention research. However, further development and validation is suggested....

  12. Injection and central region studies for the VINCY Cyclotron

    International Nuclear Information System (INIS)

    Milinkovic, L.; Toprek, D.; Brajuskovic, B.

    1992-01-01

    The central region of the VINCY Cyclotron, the main part of the TESLA Accelerator Installation, is designed to operate with two external ion sources: an ECR ion source for heavy ions, and a multicusp ion source for H - and D - ions. A tilted spiral inflector with an electric bending radius of 25 mm is used to bend the beams into the median plane of the Cyclotron at the magnetic radius of 16 mm. The optical properties of the inflector were studied, and an effort to minimize the inflector fringe field, using the RELAX3D code, for the calculation of the electric potential distribution, was made. (author) 7 refs.; 4 figs

  13. Design of power electronics for TVC and EMA systems

    Science.gov (United States)

    Nelms, R. Mark; Bell, J. Brett; Shepherd, Michael T.

    1994-11-01

    The Component Development Division of the Propulsion Laboratory at Marshall Space Flight Center (MSFC) is currently developing a class of electromechanical actuators (EMA's) for use in space transportation applications such as thrust vector control (TVC) and propellant control valves (PCV). These high power servomechanisms will require rugged, reliable, and compact power electronic modules capable of modulating several hundred amperes of current at up to 270 volts. MSFC has selected the brushless dc motor for implementation in EMA's. A previous project performed by Auburn University examined the use of the resonant dc link (RDCL) inverter, pulse density modulation (PDM), and mos-controlled thyristors (MCT's) for speed control of a brushless dc motor. The speed of the brushless dc motor is proportional to the applied stator voltage. In a PDM system, the control system determines the number of resonant voltage pulses which must be applied to the stator to achieve a desired speed. The addition of a waveshaping circuit to the front end of a standard three-phase inverter yields a RDCL inverter; the resonant voltage pulses are produced through the action of this wave shaping circuit and the inverter. This project has focused on the implementation of a system which permits zero-voltage switching with the bus voltage clamped at the input voltage level. In the same manner as the RDCL inverter, the inverter selected for this implementation is a combination of waveshaping circuit and a standard three-phase inverter. In addition, this inverter allows a pulse-width modulated (PWM)-like control scheme instead of a PDM scheme. The operation of waveshaping circuit will be described through analysis and waveforms. Design relationships will also be presented.

  14. Banks, environment and sustainable development. EMAS regulation n. 761/2001/EC applied to the financial institutions; Banche, ambiente e sviluppo sostenibile l'adesione degli istituti finanziari al regolamento EMAS

    Energy Technology Data Exchange (ETDEWEB)

    Andriola, L; Ingrisano, G; Sampognaro, G [ENEA, Divisione Caratterizzazione dell' Ambiente e del Territorio, Centro Ricerche Casaccia, Rome (Italy)

    2001-07-01

    The purpose of this work is to characterize the role of the financial institutions in achieving sustainable development meaning a process of development which leaves at least the same amount of capital, natural and man-made, to future generations as current generations have access to. This makes it clear that sustainable development is about capital allocation and thus should be at the core of financial markets activity. On a more practical level the different ways banks affect environment are analyzed: as investors - supplying the investments with environmental perspective; as lenders - developing new financial products to encourage sustainable development; as valuers - estimating risks and opportunities in project-financing; as powerful stake holders - as shareholders and lenders they can exercise considerable influence over companies; - as polluters - while not dirty industries, financial institutions do consume natural resources. By the study of these environmental aspects it comes out that bank should introduce the environmental variable in internal management to reduce their own impacts and, above all, in credit assessment, in development of new financial products to encourage businesses to invest in duty technologies and adopt environmental management systems (EMAS, ISO 14001), and in helping small shareholders in deciding how to invest their own money, for example advising Green funds. [Italian] Lo scopo del presente lavoro e' individuare il ruolo delle istituzioni finanziarie nel perseguire uno sviluppo sostenibile ossia un processo di sviluppo che lasci alle generazioni future lo stesso capitale, naturale e creato dall'uomo, di cui dispone l'attuale generazione. Da tale affermazione risulta evidente che lo sviluppo sostenibile e' relazionato alle scelte di investimento e dovrebbe dunque essere il core-business dei mercati finanziari. Piu' in dettaglio vengono analizzati i differenti modi con cui la banca influenza l'ambiente: come investitori - sostenendo

  15. Energy Materials Coordinating Committee (EMaCC), Fiscal year 1992. Annual technical report

    Energy Technology Data Exchange (ETDEWEB)

    1993-05-01

    The DOE EMaCC serves to coordinate the department`s materials programs and to further effective use of materials expertise within the department. This document presents summaries of budgets and of research projects, arranged according to the offices of energy efficiency and renewable energy, energy research, environmental restoration and waste management, nuclear energy, civilian radioactive waste management, defense, and fossil energy. A directory and a keyword index are included.

  16. European responses to the Ebola crisis- Part I: Initiatives at the European Medicines Agency (EMA)

    DEFF Research Database (Denmark)

    Minssen, Timo

    2014-01-01

    to potential new medicines to counter Ebola outbreaks. In a statement announced by the International Coalition of Medicines Regulatory Authorities (ICMRA) in September 2014, regulators around the world led by the FDA and the EMA have vowed to collaborate in supporting accelerated evaluation of experimental new...

  17. Energy Materials Coordinating Committee (EMaCC). Annual technical report, fiscal year 1983

    International Nuclear Information System (INIS)

    1984-03-01

    The following text briefly describes the materials research programs of the Department of Energy. It is organized by office and organizational charts are provided to allow easy identification of the materials research programs of each office. These program descriptions have been prepared from inputs submitted by many different EMaCC members. This report is not a comprehensive summary of the Department's programs, but rather a compilation of the programs of those offices that submitted inputs

  18. Banks, environment and sustainable development. EMAS regulation n. 761/2001/EC applied to the financial institutions; Banche, ambiente e sviluppo sostenibile l'adesione degli istituti finanziari al regolamento EMAS

    Energy Technology Data Exchange (ETDEWEB)

    Andriola, L.; Ingrisano, G.; Sampognaro, G. [ENEA, Divisione Caratterizzazione dell' Ambiente e del Territorio, Centro Ricerche Casaccia, Rome (Italy)

    2001-07-01

    The purpose of this work is to characterize the role of the financial institutions in achieving sustainable development meaning a process of development which leaves at least the same amount of capital, natural and man-made, to future generations as current generations have access to. This makes it clear that sustainable development is about capital allocation and thus should be at the core of financial markets activity. On a more practical level the different ways banks affect environment are analyzed: as investors - supplying the investments with environmental perspective; as lenders - developing new financial products to encourage sustainable development; as valuers - estimating risks and opportunities in project-financing; as powerful stake holders - as shareholders and lenders they can exercise considerable influence over companies; - as polluters - while not dirty industries, financial institutions do consume natural resources. By the study of these environmental aspects it comes out that bank should introduce the environmental variable in internal management to reduce their own impacts and, above all, in credit assessment, in development of new financial products to encourage businesses to invest in duty technologies and adopt environmental management systems (EMAS, ISO 14001), and in helping small shareholders in deciding how to invest their own money, for example advising Green funds. [Italian] Lo scopo del presente lavoro e' individuare il ruolo delle istituzioni finanziarie nel perseguire uno sviluppo sostenibile ossia un processo di sviluppo che lasci alle generazioni future lo stesso capitale, naturale e creato dall'uomo, di cui dispone l'attuale generazione. Da tale affermazione risulta evidente che lo sviluppo sostenibile e' relazionato alle scelte di investimento e dovrebbe dunque essere il core-business dei mercati finanziari. Piu' in dettaglio vengono analizzati i differenti modi con cui la banca influenza l

  19. Cover, North Atlantic Treaty Organization, Strategic Insights, v. 10, Issue 3 (Winter 2011)

    OpenAIRE

    2011-01-01

    The cover on this edition of Strategic Insights features the NATO sigil overlaid with Leonardo da Vinci’s Vitruvian Man. The original Vitruvian Man was designed by the Roman architect Vitruvius in an attempt to define artistic proportions for the human body. Da Vinci made adjustments to Vitruvius’s proportions, making them more accurate. Specifically, da Vinci realized that the circle and square that outline the limits of the man’s limbs do not have the same center: the center of the circl...

  20. Revista História da Educação - RHE, v. 11, n. 21, 2007

    Directory of Open Access Journals (Sweden)

    RHE Asphe

    2011-04-01

    gênese do campo da História da Educação.

    A professora Alessandra Arce trabalha em seu texto: <em>As pesquisas na área da educação infantil e a história da educação: construindo a história do atendimento às crianças pequenas no Brasil, constrói um entendimento sobre esta temática sobre a qual a mesma é reconhecida pesquisadora.

    Karl Michael Lorenz da Sacred Heart University – Connecticut trata em seu artigo <em>A zoologia filosófica no Brasil: explorando as modernas correntes do pensamento cientifico no Collégio de Pedro II em meados do século XIX, de aspectos vinculados à ideologia do tradicional educandário que moldou o ensino secundário no Brasil no Século XX.

    A professora Andréa Borges Leão no texto <em>A Livraria Garnier e a história dos livros infantis no Brasil – gênese e formação de um campo literário (1858-1920, resgata a história de uma das mais tradicionais livrarias do século XIX e de sua contribuição inestimável para a história da educação brasileira.

    João Paulo Martins investiga um dos textos clássicos na área da história da educação mundial, <em>As aventuras de Telêmaco, relacionando-o ao fazer histórico.

    História e romance: a idéia de história em As aventuras de Telêmaco e as relações entre o texto histórico e a prosa ficcional na passagem dos séculos XVII-XVIII. Este trabalho contribui para a compreensão da relação entre história e prosa ficcional aspecto este muito presente na área de historia da educação em termos teórico-metodológicos.

    Na seção Documentos, que já é tradicional em nossa revista, publicamos um dos documentos clássicos da história da educação do século XIX relacionado à Liga do Ensino no Brasi,l apresentado pela Drª Maria Helena Câmara Bastos.

    Com essa publicação, mais uma vez a Asphe e a revista História da Educação reafirmam seus compromissos com a pesquisa hist

  1. Kinect technology for hand tracking control of surgical robots: technical and surgical skill comparison to current robotic masters.

    Science.gov (United States)

    Kim, Yonjae; Leonard, Simon; Shademan, Azad; Krieger, Axel; Kim, Peter C W

    2014-06-01

    Current surgical robots are controlled by a mechanical master located away from the patient, tracking surgeon's hands by wire and pulleys or mechanical linkage. Contactless hand tracking for surgical robot control is an attractive alternative, because it can be executed with minimal footprint at the patient's bedside without impairing sterility, while eliminating current disassociation between surgeon and patient. We compared technical and technologic feasibility of contactless hand tracking to the current clinical standard master controllers. A hand-tracking system (Kinect™-based 3Gear), a wire-based mechanical master (Mantis Duo), and a clinical mechanical linkage master (da Vinci) were evaluated for technical parameters with strong clinical relevance: system latency, static noise, robot slave tremor, and controller range. Five experienced surgeons performed a skill comparison study, evaluating the three different master controllers for efficiency and accuracy in peg transfer and pointing tasks. da Vinci had the lowest latency of 89 ms, followed by Mantis with 374 ms and 3Gear with 576 ms. Mantis and da Vinci produced zero static error. 3Gear produced average static error of 0.49 mm. The tremor of the robot used by the 3Gear and Mantis system had a radius of 1.7 mm compared with 0.5 mm for da Vinci. The three master controllers all had similar range. The surgeons took 1.98 times longer to complete the peg transfer task with the 3Gear system compared with Mantis, and 2.72 times longer with Mantis compared with da Vinci (p value 2.1e-9). For the pointer task, surgeons were most accurate with da Vinci with average error of 0.72 mm compared with Mantis's 1.61 mm and 3Gear's 2.41 mm (p value 0.00078). Contactless hand-tracking technology as a surgical master can execute simple surgical tasks. Whereas traditional master controllers outperformed, given that contactless hand-tracking is a first-generation technology, clinical potential is promising and could

  2. Dynamic behaviour studies of a vertical axis wind turbine blade using Operational Modal Analysis (OMA) and Experimental Modal Analysis (EMA)

    DEFF Research Database (Denmark)

    Najafi, Nadia; Schmidt Paulsen, Uwe; Belloni, F.

    2014-01-01

    Dynamic behavior of a modified blade fitted onto a small 1 kW vertical-axis wind turbine is studied by two different approaches: Classical modal analysis (EMA) is carried out to validate the results of Operational Modal Analysis (OMA). In traditional modal analysis (EMA) one axis accelerometers...... it is excited by random and wind forces. The cameras are programmed in LabView to take pictures at the same time with 180 fps and store them on a high speed hard disk. The output deflection will be investigated in frequency domain by peak picking method, and then AR (Autoregressive) model is applied to describe...

  3. Energy Materials Coordinating Committee (EMaCC). Annual technical report, fiscal year 1983

    Energy Technology Data Exchange (ETDEWEB)

    None

    1984-03-01

    The following text briefly describes the materials research programs of the Department of Energy. It is organized by office and organizational charts are provided to allow easy identification of the materials research programs of each office. These program descriptions have been prepared from inputs submitted by many different EMaCC members. This report is not a comprehensive summary of the Department's programs, but rather a compilation of the programs of those offices that submitted inputs.

  4. Environmental Management Accounting (EMA: Reflection of Environmental Factors in the Accounting Processes through the Identification of the Environmental Costs Attached to Products, Processes and Services

    Directory of Open Access Journals (Sweden)

    Cleopatra Sendroiu

    2006-10-01

    Full Text Available EMA can be defined as the identification, collection, estimation, analysis, internal reporting, and use of materials and energy flow information, environmental cost information, and other cost information for both conventional and environmental decision-making within an organization. Thus EMA incorporates and integrates two of the three building blocks of sustainable development – environment and economics – as they relate to an organization’s internal decision-making. EMA is a relatively new tool in environmental management. Decades ago environmental costs were very low, so it seemed wise to include them in the overhead account for simplicity and convenience. Recently there has been a steep rise in all environmental costs, including energy and water prices as well as liabilities.

  5. Environmental Management Accounting (EMA: Reflection of Environmental Factors in the Accounting Processes through the Identification of the Environmental Costs Attached to Products, Processes and Services

    Directory of Open Access Journals (Sweden)

    Costantin Roman

    2006-12-01

    Full Text Available EMA can be defined as the identification, collection, estimation, analysis, internal reporting, and use of materials and energy flow information, environmental cost information, and other cost information for both conventional and environmental decision-making within an organization. Thus EMA incorporates and integrates two of the three building blocks of sustainable development – environment and economics – as they relate to an organization’s internal decision-making. EMA is a relatively new tool in environmental management. Decades ago environmental costs were very low, so it seemed wise to include them in the overhead account for simplicity and convenience. Recently there has been a steep rise in all environmental costs, including energy and water prices as well as liabilities.

  6. Disputas pela legitimação de lógicas de uso e apropriação do meio natural: conservação ambiental, representações e conflitos no entorno do Parque Nacional das Emas – GO Disputes for the legitimisation of logics of use and ownership of the natural environment: environmental conservation, representations and conflicts in the surroundings of Emas National Park - GO Disputas por la legitimación de lógicas de uso y apropiación del medio natural: conservación ambiental, representaciones y conflictos en el entorno del Parque Nacional de las Emas – GO

    Directory of Open Access Journals (Sweden)

    Lorena Cândido Fleury

    2010-01-01

    Full Text Available PortuguêsEste artigo visa discutir reconfigurações nas dinâmicas sociais a partir da incorporação de demandas provenientes da “questão ambiental”, tomando por base empírica o conflito no entorno do Parque Nacional das Emas, unidade de conservação ambiental localizada na divisa entre os estados de Goiás, Mato Grosso e Mato Grosso do Sul. Após observação direta, pesquisa documental, técnicas de associações livres de palavras e entrevistas semiestruturadas com 51 agentes na área de estudo, constata-se que a vivência coletiva da unidade de conservação possibilita uma atualização dos conflitos anteriormente existentes, podendo-se concluir que, nos embates pela apropriação do ambiente, estão em disputa sentidos culturais, pautados não apenas pelos interesses objetivos, mas também pelos significados que os distintos grupos sociais projetam para a construção comum do mundo ao seu redor.EnglishThis article aims to discuss reconfigurations in social dynamics starting from the incorporation of demands from "environmental issues", taking, on an empirical base, the conflict in the surroundings of EMAS National Park, environmental conservation unit located on the border of the States of Goiás, Mato Grosso and Mato Grosso do Sul. After direct observation, desk research, techniques of free associations of words and semi structured interviews with 51 agents in the area of study, it is noted that the collective experience of the conservation unit enables an update of previously existing conflicts. One can therefore conclude that in collisions by ownership of the environment, cultural senses are in dispute, guided not only by objective interests, but also by the meanings that different social groups design for the collective construction of the world around them.EspañolEste artículo visa discutir reconfiguraciones en las dinámicas sociales a partir de la incorporación de demandas provenientes de la “cuestión ambiental

  7. Avaliação da Escala de Motivação Acadêmica em estudantes paulistas: propriedades psicométricas Assessment of Academic Motivation Scale for students from São Paulo: psychometric properties

    Directory of Open Access Journals (Sweden)

    Maria Cristina Rodrigues Azevedo Joly

    2011-08-01

    Full Text Available A motivação de estudantes se tem destacado no contexto educacional como um construto importante em função do ensino eficaz e aprendizagem significativa. Nesse sentido, este estudo investigou as propriedades psicométricas de uma versão brasileira da Escala de Motivação Acadêmica (EMA aplicada em 170 universitários paulistas, sendo 71% do gênero feminino, com faixa etária de 18 a 25 anos, dos cursos de ciências biológicas, educação física, nutrição, pedagogia e psicologia. Constatou-se que os estudantes apresentaram média maior no fator motivação intrínseca e menor média para o fator motivação externa por recompensas sociais. Verificou-se diferença estatisticamente significativa na autopercepção da motivação para a universidade dos estudantes apenas em função do curso frequentado. Houve correlação dos escores da escala com o rendimento acadêmico. A precisão da escala aferida pelo alfa de Cronbach é muito boa. Os resultados referentes à validade e precisão obtidos atribuem características psicométricas à EMA para universitários paulistas.The students' motivation has been highlighted in the educational context as an important construct, as a function of effective teaching and meaningful learning. According with this concept, this study aimed to investigate the psychometric properties of a Brazilian version of the Academic Motivation Scale (EMA applied to 170 university students from São Paulo, of which 71% female, aged 18 to 25 years in the courses of biological sciences, physical education, nutrition, psychology and pedagogy. The results showed that the students' best averaged score were in intrinsic motivation factor and the worst was in social reward external motivation factor. There were significant statistical differences in the students' self-perception of motivation to university only due to course taken. There was correlation between the factors' scale with the academic performance. The Cronbach

  8. Determinação da energia metabolizável do farelo residual do milho com e sem enzima em dietas para frangos de corte

    Directory of Open Access Journals (Sweden)

    C.G. Valadares

    2016-06-01

    Full Text Available RESUMO O objetivo deste trabalho foi avaliar o valor nutricional e determinar a energia metabolizável do farelo residual de milho (FRM sem e com o uso da enzima alfa- amilase. Foi realizado um experimento de metabolismo com 180 pintos machos Cobb com 14 dias, distribuídos em um delineamento inteiramente ao acaso, com seis tratamentos, cinco repetições e seis aves por parcela. As dietas experimentais foram: T1: ração referência (RR, T2: 60% T1 + 40% de FRM, T3: RR + enzima, T4: 60% T1 + 40% de FRM com adição de enzima, T5: RR com substituição de 100% do milho pelo FRM e T6: RR com substituição de 100% do milho pelo FRM com adição de enzima. A composição química do FRM foi: 88,33% de matéria seca (MS, 10,23% de proteína bruta (PB, 15,44% de extrato etéreo (EE, 4,33% de cinzas (CZ e 4555kcal/kg de energia bruta (EB. Os valores dos coeficientes de metabolizabilidade aparente para o FRM sem e com adição de enzima foram, respectivamente, de 73,37% e 76,33% para MS (p=0,0136, 70,44% e 70,39% para PB (p=0,9595 e de 74,79% e 76,77% para EB (p=0,0128. Os valores da energia metabolizável aparente (EMA e da EMA corrigida para retenção de nitrogênio (EMAn para o FRM (na base natural foram de 3322±19 e 3241±18kcal/kg e de 3334±16 e 3261±17kcal/kg, respectivamente, sem e com adição de enzima. A adição da enzima não teve efeito estatístico significativo sobre os valores de EMA e EMAn, entretanto houve efeito positivo no coeficiente de metabolização da energia.

  9. Tracked "Pick-Up" Ultrasound for Robot-Assisted Minimally Invasive Surgery.

    Science.gov (United States)

    Schneider, Caitlin; Nguan, Christopher; Rohling, Robert; Salcudean, Septimiu

    2016-02-01

    We present a novel "pick-up" ultrasound transducer for intraabdominal robot-assisted minimally invasive surgery. Such a "pick-up" ultrasound transducer is inserted through an abdominal incision at the beginning of the procedure and remains in the abdominal cavity throughout, eliminating the need for a dedicated port or a patient bedside surgical assistant. The transducer has a handle that can be grasped in a repeatable manner using a da Vinci Prograsp tool, allowing the transducer to be accurately manipulated by the surgeon using the da Vinci Robot. This is one way to enable 3-D tracking of the transducer, and, thus, mapping of the vasculature. The 3-D vascular images can be used to register preoperative CT to intraoperative camera images. To demonstrate the feasibility of the approach, we use an ultrasound vessel phantom to register a CT surface model to extracted ultrasound vessel models. The 3-D vascular phantom images are generated by segmenting B-mode images and tracking the pick-up ultrasound transducer with the da Vinci kinematics, internal electromagnetic sensor, or visible fiducials suitable for camera tracking. Reconstruction results using da Vinci kinematics for tracking give a target registration error of 5.4 ± 1.7 mm.

  10. Plankton And Heavy Metal Correlation From Commercial Vessels In Port Of Tanjung Emas Semarang

    Science.gov (United States)

    Tjahjono, Agus; Bambang, Aziz Nur; Anggoro, Sutrisno

    2018-02-01

    The commercial vessels activity have a big role to increase the flow of number of cargoes from a port to another port. However, the impact of these activities are the disposal of ballast water from port area to the destination port. The purpose of this research was to analyze the correlation of phytoplankton, zooplankton, and heavy metal which were contained inside the ballast water of commercial vessel towards in waters of the port of Tanjung Emas Semarang. The concentration of heavy metal either from commercial vessels or the waters in port area analyzed by Atomic Absorption Spectrophotometer (AAS). The result showed that the correlation of zooplankton and phytoplankton in the water ballast at commercial vessels have a medium correlation to zooplankton and phytoplankton in waters of Port of Tanjung Emas Semarang (PTES) were 48.9% and 58.3%. Correlation of heavy metal Cd, Zn, Cu, Zn and Pb in ballast water of commercial vessel toward each metal in waters of PTES area has a strong correlation in contribution were 76.7%, 75.6%, 71.4% and 73.8%. It showed us that the loading activity of commercial vessels in port are contributed towards the pollution in waters.

  11. Measuring the Latency of an Augmented Reality System for Robot-Assisted Minimally Invasive Surgery

    DEFF Research Database (Denmark)

    Jørgensen, Martin Kibsgaard; Kraus, Martin

    2017-01-01

    Minimal latency is important for augmented reality systems and teleoperation interfaces as even small increases in latency can affect user performance. Previously, we have developed an augmented reality system that can overlay stereoscopic video streams with computer graphics in order to improve....... The latency of the da Vinci S surgical system was on average 62 ms. None of the components of our overlay system (separately or combined) significantly affected the latency. However, the latency of the assistant's monitor increased by 14 ms. Passing the video streams through CPU or GPU memory increased...... visual communication in training for robot-assisted minimally invasive surgery with da Vinci surgical systems. To make sure that our augmented reality system provides the best possible user experience, we investigated the video latency of the da Vinci surgical system and how the components of our system...

  12. FUNGSI BAK AIR CIGAROKROK DAN PASIRGOMBONG KAITANNYA DENGAN TAMBANG EMAS COKOTOK ABAD XX The Function of Cigarokrok and Pasirgombong Water Tubs and Its Relation with the History of Cikotok Gold Mining in 20th Century

    Directory of Open Access Journals (Sweden)

    Effie Latifundia

    2016-07-01

    Abstrak Tujuan tulisan ini berupaya mengungkap dan mendokumentasikan bak air Cigarokrok dan bak air Pasirgombong yang dibangun pada masa kolonial dikaitkan dengan sejarah tambang emas Cikotok. Data diperoleh berdasarkan hasil penelitian  arkeologis tentang  pola persebaran situs-situs di kawasan Kecamatan Cibeber, Kabupaten Lebak, Provinsi Banten pada tahun 2007 dengan metode survei yang dilengkapi studi kepustakaan dan wawancara. Berdasarkan hasil penelitian, dua bak penampung dan pembagi air ini dibangun zaman Belanda bersamaan dengan pembangunan pabrik tambang emas Cikotok. Kedua bak air memiliki nilai sejarah dan arkeologi yang masih terus berfungsi dan dimanfaatkan oleh masyarakat sampai saat ini. Fungsi bangunan bak air Cigarokrok adalah tempat atau wadah penampung dan pembagi air untuk kebutuhan air bersih sehari-hari bagi warga yang ada di kompleks perumahan dinas perusahaan tambang emas Cikotok, perkantoran tambang emas Cikotok, dan masyarakat sekitar. Sedang fungsi bak air Pasirgombong merupakan bak atau kolam penampung air untuk dialirkan ke mesin (turbin pembangkit listrik tenaga air (PLTA, dan kemudian aliran listrik tersebut disalurkan untuk penggerak mesin-mesin yang terdapat di pabrik tambang emas Cikotok. Selain itu, listrik tersebut dimanfaatkan untuk penerang rumah-rumah penduduk masyarakat Cikotok dan sekitarnya. Bak air Cigarokrok dan bak air Pasirgombong menjadi bukti fisik bangunan masa kejayaan tambang emas Cikotok yang dibangun masa kolonial dengan bentuk dan fungsi masih bertahan dan berlanjut hingga sekarang ini sebagai warisan budaya yang perlu dilestarikan untuk dipelihara dan dilindungi.   Kata Kunci: air, bak air, tambang emas, kawasan Cikotok

  13. STUDI MINERAL GEOKIMIA DAN MIKROTERMOMETRI MINERALISASI EMAS PADA BATUAN METAMORFIK DI PULAU BURU, PROVINSI MALUKU

    OpenAIRE

    Irzal nur

    2014-01-01

    Penelitian ini bertujuan untuk mengetahui tipe mineralisasi dan merekonstruksi model genetik primer dari endapan emas pada batuan metamorfik di daerah Gogorea dan Gunung Botak, Pulau Buru, Provinsi Maluku, berdasarkan studi mineralogi, geokimia, dan mikrotermometri inklusi fluida. Penelitian ini direncanakan dilaksanakan selama dua tahun, di mana pada tahun pertama dilakukan studi mineralogi dan geokimia untuk mendeterminasi karakteristik host rock metamorfik dan fasies metamorfismenya, alte...

  14. Validation Test Report for WAVEWATCH III

    Science.gov (United States)

    2012-11-30

    now to run on the HPC computer, DaVinci , on the DSRC with all ten domains in place as described above for a 48-hour forecast from start in the PBS...will soon replace DaVinci , so those optimizations are yet to be discovered. So, our focus can now point towards how the domains are set up, whether...References ALADIN International Team, (1997). The ALADIN project: Mesoscale modelling seen as a basic tool for weather forecasting and atmospheric

  15. An Evaluation of Stereoscopic Digital Mammography for Earlier Detection of Breast Cancer and Reduced Rate of Recall

    Science.gov (United States)

    2008-08-01

    the procedure directly through a large incision, the operation is performed using tools inserted through natural or surgically prepared openings in the...The daVinci ™ robotic surgical system (Intuitive Surgical Inc., Sunnyvale CA) makes use of a stereo 3-D workstation using dual CRTs with magnification...of the patient in the operating room, the remote-guided nature of the daVinci ™ controls can allow surgery to be per- FIGURE 8 — Use of a 5-Mpixel

  16. Robotic hip arthroscopy in human anatomy.

    Science.gov (United States)

    Kather, Jens; Hagen, Monika E; Morel, Philippe; Fasel, Jean; Markar, Sheraz; Schueler, Michael

    2010-09-01

    Robotic technology offers technical advantages that might offer new solutions for hip arthroscopy. Two hip arthroscopies were performed in human cadavers using the da Vinci surgical system. During both surgeries, a robotic camera and 5 or 8 mm da Vinci trocars with instruments were inserted into the hip joint for manipulation. Introduction of cameras and working instruments, docking of the robotic system and instrument manipulation was successful in both cases. The long articulating area of 5 mm instruments limited movements inside the joint; an 8 mm instrument with a shorter area of articulation offered an improved range of motion. Hip arthroscopy using the da Vinci standard system appears a feasible alternative to standard arthroscopy. Instruments and method of application must be modified and improved before routine clinical application but further research in this area seems justified, considering the clinical value of such an approach. Copyright 2010 John Wiley & Sons, Ltd.

  17. Robotic surgery twice performed in the treatment of hilar cholangiocarcinoma with deep jaundice: delayed right hemihepatectomy following the right-hepatic vascular control.

    Science.gov (United States)

    Zhu, Zhenyu; Liu, Quanda; Chen, Junzhou; Duan, Weihong; Dong, Maosheng; Mu, Peiyuan; Cheng, Di; Che, Honglei; Zhang, Tao; Xu, Xiaoya; Zhou, Ningxin

    2014-10-01

    To explore and find a new method to treat hilar cholangiocarcinoma with deep jaundice assisted by Da Vinci robot. A hilar cholangiocarcinoma patient of type Bismuch-Corlette IIIa was found with deep jaundice (total bilirubin: 635 µmol/L). On the first admission, we performed Da Vinci robotic surgery including drainage of left hepatic duct, dissection of right hepatic vessels (right portal vein and right hepatic artery), and placement of right-hepatic vascular control device. Three weeks later on the second admission when the jaundice disappeared we occluded right-hepatic vascular discontinuously for 6 days and then sustained later. On the third admission after 3 weeks of right-hepatic vascular control, the right hemihepatectomy was performed by Da Vinci robot for the second time. The future liver remnant after the right-hepatic vascular control increased from 35% to 47%. The volume of left lobe increased by 368 mL. When the total bilirubin and liver function were all normal, right hemihepatectomy was performed by Da Vinci robot 10 weeks after the first operation. The removal of atrophic right hepatic lobe with tumor in bile duct was found with no pathologic cancer remaining in the margin. The patient was followed up at our outpatient clinic every 3 months and no tumor recurrence occurs by now (1 y). Under the Da Vinci robotic surgical system, a programmed treatment can be achieved: first, the hepatic vessels were controlled gradually together with biliary drainage, which results in liver's partial atrophy and compensatory hypertrophy in the other part. Then a radical hepatectomy could be achieved. Such programmed hepatectomy provides a new treatment for patients of hilar cholangiocarcinoma with deep jaundice who have the possibility of radical heptolobectomy.

  18. Proficiency training on a virtual reality robotic surgical skills curriculum.

    Science.gov (United States)

    Bric, Justin; Connolly, Michael; Kastenmeier, Andrew; Goldblatt, Matthew; Gould, Jon C

    2014-12-01

    The clinical application of robotic surgery is increasing. The skills necessary to perform robotic surgery are unique from those required in open and laparoscopic surgery. A validated laparoscopic surgical skills curriculum (Fundamentals of Laparoscopic Surgery or FLS™) has transformed the way surgeons acquire laparoscopic skills. There is a need for a similar skills training and assessment tool for robotic surgery. Our research group previously developed and validated a robotic training curriculum in a virtual reality (VR) simulator. We hypothesized that novice robotic surgeons could achieve proficiency levels defined by more experienced robotic surgeons on the VR robotic curriculum, and that this would result in improved performance on the actual daVinci Surgical System™. 25 medical students with no prior robotic surgery experience were recruited. Prior to VR training, subjects performed 2 FLS tasks 3 times each (Peg Transfer, Intracorporeal Knot Tying) using the daVinci Surgical System™ docked to a video trainer box. Task performance for the FLS tasks was scored objectively. Subjects then practiced on the VR simulator (daVinci Skills Simulator) until proficiency levels on all 5 tasks were achieved before completing a post-training assessment of the 2 FLS tasks on the daVinci Surgical System™ in the video trainer box. All subjects to complete the study (1 dropped out) reached proficiency levels on all VR tasks in an average of 71 (± 21.7) attempts, accumulating 164.3 (± 55.7) minutes of console training time. There was a significant improvement in performance on the robotic FLS tasks following completion of the VR training curriculum. Novice robotic surgeons are able to attain proficiency levels on a VR simulator. This leads to improved performance in the daVinci surgical platform on simulated tasks. Training to proficiency on a VR robotic surgery simulator is an efficient and viable method for acquiring robotic surgical skills.

  19. The application of the EMAS-ordinance to small hydro-power-plants

    International Nuclear Information System (INIS)

    Patek, R.

    2000-01-01

    The application of the eco-management and audit scheme ordinance to small hydro-power-plants deals with the possibility to take an environmental-relevant audition on sites of small hydro-power-plants to achieve the environmental EMAS-certificate. Within the realization of the acquired improvement steps also the efficiency of the power plants should be increased that the audit also becomes interesting in economic matters. Contents: after explaining the legal frame being prescribed by the European Community, its interpretation and relevance for the sites of SHP, common impacts of these on the environment are particularized. From these facts a valuation-catalogue has been developed, which will be used by the power plant-owners for the assessment of their sites to take part in the EMAS-system. This catalogue is split up into six modules, which comprise all possible valuation areas which can appear concerning the different kinds of plants. These modules are: MODUL A: backwater area; MODUL B: weir; MODUL C: powerhouse; MODUL D: tail water area; MODUL E: diversion channel / penstock; MODUL F: diversion section. Furthermore three submodules to gather common data concerning plant and river have been created. At the development of the catalogue there was particularly attached importance to a user-friendly application. The goal was to realize the valuation by the plant owners to minimize costs. To take objectiveness into account the module-catalogue was created in a way that auditors (the power plant owners) must not formulate specifications by themselves; the possible assessments only have to be marked with a cross at the corresponding parameters, which have been listed up. (author)

  20. Neutron back scattering for the search of the Battle of Anghiari

    International Nuclear Information System (INIS)

    Bom, V.R.; Cosentino, A.; Seracini, M.; Rosa, R.

    2010-01-01

    The 'Battle of Anghiari' is a wall painting made by Leonardo Da Vinci around 1505. Its present day location is unknown but some indications suggest that the mural might be concealed behind a brick wall. Test measurements are presented demonstrating that neutron back scattering (NBS) can be used to search through the wall for the painting. NBS is a non-destructive technique to establish the presence of the hydrogen contained in the painting materials that were probably used by Da Vinci.

  1. Combining of ETHOS Operating Ergonomic Platform, Three-dimensional Laparoscopic Camera, and Radius Surgical System Manipulators Improves Ergonomy in Urologic Laparoscopy: Comparison with Conventional Laparoscopy and da Vinci in a Pelvi Trainer.

    Science.gov (United States)

    Tokas, Theodoros; Gözen, Ali Serdar; Avgeris, Margaritis; Tschada, Alexandra; Fiedler, Marcel; Klein, Jan; Rassweiler, Jens

    2017-10-01

    Posture, vision, and instrumentation limitations are the main predicaments of conventional laparoscopy. To combine the ETHOS surgical chair, the three-dimensional laparoscope, and the Radius Surgical System manipulators, and compare the system with conventional laparoscopy and da Vinci in terms of task completion times and discomfort. Fifteen trainees performed the three main laparoscopic suturing tasks of the Heilbronn training program (IV: simulation of dorsal venous complex suturing; V: circular suturing of tubular structure; and VI: urethrovesical anastomosis) in a pelvi trainer. The tasks were performed conventionally, utilizing the three devices, and robotically. Task completion times were recorded and the surgeon discomfort was evaluated using questionnaires. Task completion times were compared using nonparametric Wilcoxon signed rank test and ergonomic scores were compared using Pearson chi-square test. The use of the full laparoscopic set (ETHOS chair, three-dimensional laparoscopic camera, Radius Surgical System needle holders), resulted in a significant improvement of the completion time of the three tested tasks compared with conventional laparoscopy (psystem nullified heavy discomfort for Tasks IV and V and minimized it (6.7%) for the most demanding Task VI. Especially for Task VI, all trainees gained benefit, by using the system, in terms of task completion times and discomfort. The limited trainee robotic experience and the questionnaire subjectivity could be a potential limitation. The ergonomic laparoscopic system offers significantly improved task completion times and ergonomy than conventional laparoscopy. Furthermore, it demonstrates comparable results to robotic surgery. The study was conducted in a pelvi trainer and no patients were recruited. Copyright © 2016 European Association of Urology. Published by Elsevier B.V. All rights reserved.

  2. A new incentive for energy audit EMAS development according to regulation 1836; Un nuovo incentivo alla diagnosi energetica sviluppo dell`EMAS secondo il regolamento 1836

    Energy Technology Data Exchange (ETDEWEB)

    Degli Atti, F [ENEA, Centro Ricerche Casaccia, Rome (Italy). Dipt. Energia

    1997-11-01

    Environment`s respect is nowadays a primary requirement for industries because it affects manufacture`s costs and efficiency for what is regarding production, confrontation with social classes, with workers and resident for what is regarding environmental impact, improving moreover corporate and product`s image. On this basis european common rules are necessary and European Commission issued Regulation 1836/93 known also as EMAS - Environmental Management and Audit Scheme-that is proposing to industries a voluntary adhesion to it. Rational Use of Energy can be integrated in this Management and Audit scheme because of his direct effect on emission and resources` consumption. Therefore energy efficiency is a primary need for an industry not only for its social aspect but also for its strategic impact on market success.

  3. [The advancement of robotic surgery--successes, failures, challenges].

    Science.gov (United States)

    Haidegger, Tamás

    2010-10-10

    Computer-integrated robotic surgery systems appeared more than twenty years ago and since then hundreds of different prototypes have been developed. Only a fraction of them have been commercialized, mostly to support neurosurgical and orthopaedic procedures.Unquestionably, the most successful one is the da Vinci surgical system, primarily deployed in urology and general laparoscopic surgery. It is developed and marketed by Intuitive Surgical Inc. (Sunnyvale, CA, USA), the only profitable company of the segment. The da Vinci made robotic surgery is known and acknowledged throughout the world, and the great results delivered convinced most of the former critics of the technology. Success derived from the well chosen business development strategy, proficiency of the developers, appropriate timing and a huge pot of luck. This article presents the most important features of the da Vinci system, the history of development along with its medical, economical and financial aspects, and seeks the answer why this particular system became successful.

  4. The economical impact and the environmental efficiency of the ISO 14001/EMAS certification of industrial companies; L'impact economique et l'efficacite environnementale de la certification ISO 14001/EMAS des entreprises industrielles

    Energy Technology Data Exchange (ETDEWEB)

    Backer, P. de

    1999-07-01

    The 1836/93 EMAS is the European regulation on environmental management and auditing scheme. Its aim is to answer the precise requirements of a standard for the management of the environmental impacts of industrial activities. The ISO 14001 standard defines the requirements of an environmental management policy at the international scale. The aim of this study is to make a statement of the enforcement of the ISO 14001 and EMAS environmental management systems in France in terms of results and with respect to the help provided by public authorities. The following aspects are analyzed successively: the aim of the study (context, global goal, hypotheses, cost-benefit analysis, qualitative appraisal); the methodological aspects (selection of sites, sectoral distribution, geographical, legal and financial aspects, data collection, analysis and synthesis); the motivation of companies (sectoral analysis, business aspects, reduction of operation costs, personnel motivation); the objectives of the environmental management system (conformability analysis, environmental goals, effluents, soil pollution, energy and water conservation, wastes, consumption of raw materials, noise and other pollutants); economical aspects (cost, personnel training, audits, benefits, minimization of environmental impacts, reduction of energy, water and materials consumption); cost-benefit evaluation; environmental efficiency of the environmental management system; attitude of other companies; comparison with other European countries; synthesis and proposals. (J.S.)

  5. Computer assisted pyeloplasty in children the retroperitoneal approach

    DEFF Research Database (Denmark)

    Olsen, L H; Jorgensen, T M

    2004-01-01

    PURPOSE: We describe the first series of computer assisted retroperitoneoscopic pyeloplasty in children using the Da Vinci Surgical System (Intuitive Surgical, Inc., Mountainview, California) with regard to setup, method, operation time, complications and preliminary outcome. The small space...... with the Da Vinci Surgical System. With the patient in a lateral semiprone position the retroperitoneal space was developed by blunt and balloon dissection. Three ports were placed for the computer assisted system and 1 for assistance. Pyeloplasty was performed with the mounted system placed behind...

  6. Implementation of amplifiers, control and safety subsystems of radiofrequency system of VINCY Cyclotron

    International Nuclear Information System (INIS)

    Drndarevic, V.; Obradovic, M.; Samardic, B.; Djuric, B.; Bojovic, B.; Trajic, M.I.; Golubicic, Z.; Smiljakovic, V.

    1996-01-01

    Concept and design of power amplifiers, control subsystem and safety subsystems for the RF system of the VINCY cyclotron are described. The power amplifiers subsystem consists of two amplifiers of 30 kW nominal power that operate in class B or class C. High stability of voltage amplitude of 5x10 -4 and phase stability between two resonators better than ± 0.5 0 in the range from 16.5 to 31 MHz is being providing by RF control subsystem. Autonomous safety system serves to protect staff from high voltage and to protect equipment from damage. (author)

  7. No haste, more taste: An EMA study of the effects of stress, negative and positive emotions on eating behavior.

    Science.gov (United States)

    Reichenberger, Julia; Kuppens, Peter; Liedlgruber, Michael; Wilhelm, Frank H; Tiefengrabner, Martin; Ginzinger, Simon; Blechert, Jens

    2018-01-01

    Stress and emotions alter eating behavior in several ways: While experiencing negative or positive emotions typically leads to increased food intake, stress may result in either over- or undereating. Several participant characteristics, like gender, BMI and restrained, emotional, or external eating styles seem to influence these relationships. Thus far, most research relied on experimental laboratory studies, thereby reducing the complexity of real-life eating episodes. The aim of the present study was to delineate the effects of stress, negative and positive emotions on two key facets of eating behavior, namely taste- and hunger-based eating, in daily life using ecological momentary assessment (EMA). Furthermore, the already mentioned individual differences as well as time pressure during eating, an important but unstudied construct in EMA studies, were examined. Fifty-nine participants completed 10days of signal-contingent sampling and data were analyzed using multilevel modeling. Results revealed that higher stress led to decreased taste-eating which is in line with physiological stress-models. Time pressure during eating resulted in less taste- and more hunger-eating. In line with previous research, stronger positive emotions went along with increased taste-eating. Emotional eating style moderated the relationship between negative emotions and taste-eating as well as hunger-eating. BMI moderated the relationship between negative as well as positive emotions and hunger-eating. These findings emphasize the importance of individual differences for understanding eating behavior in daily life. Experienced time pressure may be an important aspect for future EMA eating studies. Copyright © 2016 Elsevier B.V. All rights reserved.

  8. UPAYA PENCEGAHAN DAN PENANGGULANGAN PENCEMARAN AIR AKIBAT PENAMBANGAN EMAS DI SUNGAI KAHAYAN

    Directory of Open Access Journals (Sweden)

    Mrs. Heriamariaty

    2012-02-01

    Full Text Available The absence of Public Mining Area and continued use of mercury is responsible for the illegal gold mining and water pollution in Kahayan river. Efforts must be made to avoid and overcome environmental impact by strengthening coordination in central and regional level; empowering local community; and imposing sanction as law enforcement method. Belum adanya Wilayah Pertambangan Rakyat serta penggunaan merkuri mendorong terjadinya penambangan emas tanpa izin dan pencemaran air di Sungai Kahayan. Untuk mencegah dan menanggulangi pencemaran ini diperlukan koordinasi di tingkat pusat dan daerah; penyuluhan dan pendekatan di bidang sosial, ekonomi, budaya, hukum, dan teknologi; serta penegakan hukum secara tegas melalui penerapan sanksi.

  9. Possibilities of 140Nd production by the VINCY cyclotron

    International Nuclear Information System (INIS)

    Comor, J.J.; Dakovic, M.

    2000-01-01

    Application of positron emission tomography (PET) in modern medical diagnosis relies on the application of short lived radionuclides 11 C, 13 N, 15 O and 18 F, presuming their production in the close vicinity of the PET camera. Application of long-lived positron emitters would enable the regional distribution of PET radiopharmaceuticals, which would significantly lower the price of PET diagnosis, as well as enable its application in fields currently inhibited by the short half-life of available positron emitters. One of the candidates for application in PET is the generator system 140 Nd/ 140 Pr, due to the long half-life of 140 Nd (3,37 days). Theoretical calculations confirm that this radionuclide can be produced with high yields by protons accelerated to energies bellow 30 MeV. Due to its optimal operating parameters, the VINCY Cyclotron could produce enough 140 Nd for its regional distribution to a number of PET centers (author)

  10. Pc based RF control system for the Vincy cyclotron

    International Nuclear Information System (INIS)

    Samardzic, B.J.; Drndarevic, V.R.

    1999-01-01

    The concept and design procedure for the RF control system of the VINCY cyclotron are described. Special attention has been paid to the choice of computer support of this system. The merits and limitations of the chosen solution have been analyzed. A PC type computer has been selected as the platform for performing the functions of initiation, control, and supervision of the RF system. The integration of the hardware is carried out by direct connection to the PC bus via standard communication interfaces. The system software operates under a graphic oriented Windows operating system applying the modern concept of virtual instrumentation. The application of this concept allowed considerable simplification of the operator-RF system interaction and resulted in additional flexibility of the software to further extensions or modifications of the system. The selected open architecture of the computer platform allows a simple and economic upgrading of the realized system in accordance with future requirements. Tests of the realized RF control system prototype are in progress. (authors)

  11. Muusika : Tiit Kuusik 90. Wagneri ooperid EMA-le. Eva Märtsoni laulukonkurss Tallinnas. USA tantsijad tõlgendavad Pärti. Sumera luigelaul salves. WGT Baltimaade kultuurifestivalil. Paul Mägi tagasi Malmös. / Martti Raide

    Index Scriptorium Estoniae

    Raide, Martti

    2001-01-01

    11.IX möödus 90 aastat Tiit Kuusiku sünnist. Eesti Richard Wagneri Ühingu vahendusel anti EMA raamatukogule üle Wagneri ooperite 32 CD-le salvestatud kogumik. 25.IX ئ 2.X toimus EMA-s saksa lauluprofessori Eva Märtsoni meistrikursus. 1.ئ10.X külastab Eestit Ohio osariigist pärit moderntantsutrupp Antaeus Dance. ERSO ja Paavo Järvi salvestavad Lepo Sumera viimaseid heliteoseid. Weekend Guitar Trio on ringreisil Soomes. Paul Mägi kutsuti Malmo Sümfooniaorkestrit juhatama. Põltsamaa linnavalitsuses arutati 2002. a. oktoobris toimuva Põhja- ja Baltimaade puhkpillilaagri korraldamisega seonduvat.

  12. Measuring the Latency of an Augmented Reality System for Robot-Assisted Minimally Invasive Surgery

    DEFF Research Database (Denmark)

    Jørgensen, Martin Kibsgaard; Kraus, Martin

    2017-01-01

    visual communication in training for robot-assisted minimally invasive surgery with da Vinci surgical systems. To make sure that our augmented reality system provides the best possible user experience, we investigated the video latency of the da Vinci surgical system and how the components of our system...... affect the overall latency. To measure the photon-to-photon latency, we used a microcontroller to determine the time between the activation of a lightemitting diode in front of the endoscopic camera and the corresponding increase in intensity of the surgeon's display as measured by a phototransistor...

  13. Ichthyofauna from the Emas National Park region: composition and structure

    Directory of Open Access Journals (Sweden)

    E. Benedito-Cecilio

    Full Text Available The relationship between habitats and the ichthyofauna composition in the Parque Nacional das Emas (PNE and adjacent areas (the Araguaia and Sucuriú rivers are provided and could be applied in determining the Park's future zoning. Samples of the ichthyofauna and limnological parameters were obtained during both dry (September 1999 and wet (December 1999 seasons. Ichthyofauna collections resulted in the capture of 4,740 specimens of 22 species. The most abundant species in the Araguaia River during the two sampling seasons were Astyanax sp. 2 and Hasemania sp. In the Sucuriú River and PNE, Astyanax scabripinnis cf. paranae and Hoplias aff. malabaricus were the most frequent species. The largest number of species and diversity index were recorded for the Araguaia River. However, sound management policies require more detailed studies on the fish communities of the Cerrado biome.

  14. A second Leonardo da Vinci?

    Science.gov (United States)

    Nakano, Mitsuko; Endo, Toshitaka; Tanaka, Shigeki

    2003-10-01

    We describe a young woman who suddenly began mirror writing with her right hand and has not reverted to normal writing for more than 6 years, although she writes normally with her left hand. She is ambidextrous, although she had previously used only her right hand for writing and drawing. Since it is much easier for her to use right-handed mirror writing, she uses her left hand only for writing meant to be read by others and her right hand for all other writing. Her hobbies are sculpture and painting, and her chief complaint is migraine accompanied by sensory and perceptive disturbances.

  15. Evidence of high inbreeding in a population of the endangered giant anteater, Myrmecophaga tridactyla (Myrmecophagidae, from Emas National Park, Brazil

    Directory of Open Access Journals (Sweden)

    Rosane G. Collevatti

    2007-01-01

    Full Text Available We report the genetic structure, relatedness and mating structure of a population of the endangered giant anteater Myrmecophaga tridactyla Linnaeus, 1758 in the Emas National Park, Brazil, based on variability at five microsatellite loci. Additionally, we addressed the hypothesis that the M. tridactyla population studied has low levels of polymorphism and high levels of inbreeding and relatedness and that animals with overlapping home range are highly related. All five microsatellite loci displayed low levels of polymorphism and of expected and observed heterozygosity. The low level of polymorphism and high inbreeding showed by the population studied may be the outcome of high mortality and reduction in population size due to recurrent fire events in the Emas National Park, as reported in 1994. The reduction in population size may have led to a higher frequency of mating between closely related animals, augmented by the isolation of the population in the park because of the expansion of agricultural land and fragmentation of the Cerrado environment. The natural history of M. tridactyla and the phylopatric (sex-biased dispersal behavior of females should increase the effects of isolation and bottlenecking, decreasing gene flow and increasing inbreeding. However, the low levels of polymorphism found in this population may simply be due to the natural history and evolution of M. tridactyla as reported for other species. The genetic structure and dynamics of this population needs to be investigated more profoundly in order to provide sound data for the design of conservation strategies for M. tridactyla in the Emas National Park.

  16. Current state of virtual reality simulation in robotic surgery training: a review.

    Science.gov (United States)

    Bric, Justin D; Lumbard, Derek C; Frelich, Matthew J; Gould, Jon C

    2016-06-01

    Worldwide, the annual number of robotic surgical procedures continues to increase. Robotic surgical skills are unique from those used in either open or laparoscopic surgery. The acquisition of a basic robotic surgical skill set may be best accomplished in the simulation laboratory. We sought to review the current literature pertaining to the use of virtual reality (VR) simulation in the acquisition of robotic surgical skills on the da Vinci Surgical System. A PubMed search was conducted between December 2014 and January 2015 utilizing the following keywords: virtual reality, robotic surgery, da Vinci, da Vinci skills simulator, SimSurgery Educational Platform, Mimic dV-Trainer, and Robotic Surgery Simulator. Articles were included if they were published between 2007 and 2015, utilized VR simulation for the da Vinci Surgical System, and utilized a commercially available VR platform. The initial search criteria returned 227 published articles. After all inclusion and exclusion criteria were applied, a total of 47 peer-reviewed manuscripts were included in the final review. There are many benefits to utilizing VR simulation for robotic skills acquisition. Four commercially available simulators have been demonstrated to be capable of assessing robotic skill. Three of the four simulators demonstrate the ability of a VR training curriculum to improve basic robotic skills, with proficiency-based training being the most effective training style. The skills obtained on a VR training curriculum are comparable with those obtained on dry laboratory simulation. The future of VR simulation includes utilization in assessment for re-credentialing purposes, advanced procedural-based training, and as a warm-up tool prior to surgery.

  17. Robotic technology in surgery: current status in 2008.

    Science.gov (United States)

    Murphy, Declan G; Hall, Rohan; Tong, Raymond; Goel, Rajiv; Costello, Anthony J

    2008-12-01

    There is increasing patient and surgeon interest in robotic-assisted surgery, particularly with the proliferation of da Vinci surgical systems (Intuitive Surgical, Sunnyvale, CA, USA) throughout the world. There is much debate over the usefulness and cost-effectiveness of these systems. The currently available robotic surgical technology is described. Published data relating to the da Vinci system are reviewed and the current status of surgical robotics within Australia and New Zealand is assessed. The first da Vinci system in Australia and New Zealand was installed in 2003. Four systems had been installed by 2006 and seven systems are currently in use. Most of these are based in private hospitals. Technical advantages of this system include 3-D vision, enhanced dexterity and improved ergonomics when compared with standard laparoscopic surgery. Most procedures currently carried out are urological, with cardiac, gynaecological and general surgeons also using this system. The number of patients undergoing robotic-assisted surgery in Australia and New Zealand has increased fivefold in the past 4 years. The most common procedure carried out is robotic-assisted laparoscopic radical prostatectomy. Published data suggest that robotic-assisted surgery is feasible and safe although the installation and recurring costs remain high. There is increasing acceptance of robotic-assisted surgery, especially for urological procedures. The da Vinci surgical system is becoming more widely available in Australia and New Zealand. Other surgical specialties will probably use this technology. Significant costs are associated with robotic technology and it is not yet widely available to public patients.

  18. An EMA Analysis of the Effect of Increasing Word Length on Consonant Production in Apraxia of Speech: A Case Study

    Science.gov (United States)

    Bartle, Carly J.; Goozee, Justine V.; Murdoch, Bruce E.

    2007-01-01

    The effect of increasing word length on the articulatory dynamics (i.e. duration, distance, maximum acceleration, maximum deceleration, and maximum velocity) of consonant production in acquired apraxia of speech was investigated using electromagnetic articulography (EMA). Tongue-tip and tongue-back movement of one apraxic patient was recorded…

  19. Moving Along: In biomechanics, rehabilitation engineering, and movement analysis, Italian researchers are making great strides.

    Science.gov (United States)

    Gugliellmelli, Eugenio; Micera, Silvestro; Migliavacca, Francesco; Pedotti, Antonio

    2015-01-01

    In Italy, biomechanics research and the analysis of human and animal movement have had a very long history, beginning with the exceptional pioneering work of Leonardo da Vinci. In 1489, da Vinci began investigating human anatomy, including an examination of human tendons, muscles, and the skeletal system. He continued this line of inquiry later in life, identifying what he called "the four powers--movement, weight, force, and percussion"--and how he thought they worked in the human body. His approach, by the way, was very modern--analyzing nature through anatomy, developing models for interpretation, and transferring this knowledge to bio-inspired machines.

  20. PREFACE: EMAS 2011: 12th European Workshop on Modern Developments in Microbeam Analysis

    Science.gov (United States)

    Brisset, François; Dugne, Olivier; Robaut, Florence; Lábár, János L.; Walker, Clive T.

    2012-03-01

    This volume of IOP Conference Series: Materials Science and Engineering contains papers from the 12th Workshop of the European Microbeam Analysis Society (EMAS) on Modern Developments and Applications in Microbeam Analysis, which took place from the 15-19 May 2011 in the Angers Congress Centre, Angers, France. The primary aim of this series of workshops is to assess the state-of-the-art and reliability of microbeam analysis techniques. The workshops also provide a forum where students and young scientists starting out on a career in microbeam analysis can meet and discuss with the established experts. The workshops have a very specific format comprising invited plenary lectures by internationally recognized experts, poster presentations by the participants and round table discussions on the key topics led by specialists in the field. This workshop was organized in collaboration with GN-MEBA - Groupement National de Microscopie Electronique à Balayage et de microAnalysis, France. The technical programme included the following topics: the limits of EPMA, new techniques, developments and concepts in microanalysis, microanalysis in the SEM, and new and less common applications of micro- and nanoanalysis. As at previous workshops there was also a special oral session for young scientists. The best presentation by a young scientist was awarded with an invitation to attend the 2012 Microscopy and Microanalysis meeting at Phoenix, Arizona. The prize went to Pierre Burdet, of the Federal Institute of Technology of Lausanne (EPFL), for his talk entitled '3D EDS microanalysis by FIB-SEM: enhancement of elemental quantification'. The continuing relevance of the EMAS workshops and the high regard in which they are held internationally can be seen from the fact that 74 posters from 18 countries were on display at the meeting, and that the participants came from as far away as Japan, Canada and the USA. A selection of participants with posters were invited to give a short oral

  1. Ion beam dynamics in the acceleration region of the Vincy Cyclotron

    International Nuclear Information System (INIS)

    Tomic, S.; Samsonov, E.

    1998-01-01

    Modern concept of heavy ion cyclotrons assumes a tendency of decreasing the gaps between magnet poles, enabling better efficiency of the magnetic field circuit. This restricts possible solutions of acceleration structure and imposes the necessity of installing the dees in valleys of magnetic structures. This approach, which is accepted in the VINCY Cyclotron, requires a detailed study of the ion beam dynamics in the acceleration region. Consequently, we analyzed ion beams with eta = 1,05 and 0.25 in radial and axial phase space. Also, the energy spread in emittances and the influence of the first harmonic of the magnetic field on the radial betatron oscillations are discussed. The transformation of coherent into incoherent radial oscillations as well as the effect to radial off-centering on the beam vertical size at Walkinshaw resonance location, is pointed out (author)

  2. How do the EMA and FDA decide which anticancer drugs make it to the market? A comparative qualitative study on decision makers' views.

    Science.gov (United States)

    Tafuri, G; Stolk, P; Trotta, F; Putzeist, M; Leufkens, H G; Laing, R O; De Allegri, M

    2014-01-01

    The process leading to a regulatory outcome is guided by factors both related and unrelated to the data package, defined in this analysis as 'formal and informal factors', respectively. The aim of this qualitative study was to analyse which formal and informal factors drive the decision-making process of the European Medicines Agency (EMA) and Food and Drug Administration (FDA) regulators with regard to anticancer drugs, using in-depth semi-structured interviews with regulators of the two agencies. In line with the theory and practice of qualitative research, no set sample size was defined a priori. Respondent enrolment continued until saturation and redundancy were reached. Data were collected through means of in-depth semi-structured interviews conducted either in a face-to-face setting or via Skype(®) with each regulator. The interviews were audio-recorded and verbatim transcribed. The analysis was manually carried out on the transcribed text. Data were independently coded and categorized by two researchers. Interpretation of the findings emerged through a process of triangulation between the two. Seven EMA and six FDA regulators, who had extensive experience with making decisions about anticancer medicines, were interviewed between April and June 2012. There is an open dialogue between the FDA and EMA, with the two moving closer and exchanging information, not opinions. Differences in decision-making between the agencies may be due to a different evaluation of end points. Different interaction modalities with industry and patients represent an additional source of divergence with a potential impact on decision-making. The key message of our respondents was that the agencies manage uncertainty in a different way: unlike the EMA, the FDA has a prevailing attitude to take risks in order to guarantee quicker access to new treatments. Although formal factors are the main drivers for regulatory decisions, the influence of informal factors plays an important role in

  3. Uudised : EMA uus barokkorel. Olari Elts Soome Raadio SO ees. "Supreme Silence" Saksamaal. Kangro muusika Lätis ja Leedus / Priit Kuusk

    Index Scriptorium Estoniae

    Kuusk, Priit, 1938-

    2001-01-01

    EMA vastvalminud barokkoreli avamispidustustest. O.Elts juhatas 30. apr. Finlandia-talos toimunud kontserdil Soome Raadio SO-d. P.Vähi teos "Supreme Silence" kõlas kahel muusikafestivalil Saksamaal. Läti klaveriduo esitas rahvusvahelisel klaveriduode festivalil Lätis ja Leedus R.Kangro pala "O Sancta Simplicitas!"

  4. Uso da metodologia de coleta total de excretas na determinação da energia metabolizável em rações para frangos de corte ajustadas ou não quanto aos níveis de vitaminas e minerais Adjustment of the total excreta collection method for metabolizable energy determination of broiler chicken fedstuffs: consideration of vitamin and micro-minerals levels in the test diet

    Directory of Open Access Journals (Sweden)

    Valdir Silveira de Avila

    2006-08-01

    Full Text Available Avaliou-se neste estudo a influência dos teores de vitaminas e microminerais da ração-teste na determinação dos valores de energia metabolizável aparente (EMA e energia metabolizável aparente corrigida pelo nitrogênio retido (EMAn do farelo de soja. Foram comparadas rações-teste ajustadas ou não para as quantidades de cloreto de colina e premix de vitaminas e microminerais em relação à ração-referência. Adotou-se o método tradicional de coleta total de excretas utilizando-se 360 pintos de corte machos e fêmeas da linhagem Ross de 15 a 23 dias de idade, alojados em baterias metálicas com bandejas coletoras de excretas. As aves foram distribuídas em esquema de blocos casualizados, de acordo com o andar das baterias, com dois tratamentos e 12 repetições de dez aves (cinco machos e cinco fêmeas. Em um tratamento, efetuou-se a substituição de 40% da ração-referência por farelo de soja, enquanto no outro, além dessa substituição, ajustaram-se as quantidades de cloreto de colina e dos premixes de vitaminas e microminerais com base na ração-referência. Os valores médios e os respectivos erros-padrão para EMA e EMAn (kcal/kg do farelo de soja, com base na matéria natural, foram 2.462±29,62 e 2.269±25,80 para ração ajustada e 2.353±26,18 e 2.191±23,88 para ração não ajustada. O ajuste das quantidades de cloreto de colina e do premix de vitaminas e microminerais na ração-teste propiciou maiores valores de EMA e EMAn do farelo de soja em relação à ração não-ajustada. É importante ajustar as quantidades de vitaminas e microminerais nas rações-teste em experimentos visando determinar a energia metabolizável de ingredientes para aves.The objective of this study was to evaluate the effects of vitamin and micromineral levels adjustment in the test diet on the total collection method for determination of apparent metabolizable energy (EMA and apparent metabolizable energy corrected by nitrogen retention

  5. Microbiological Analysis of Surfaces of Leonardo Da Vinci’s Atlantic Codex: Biodeterioration Risk

    Directory of Open Access Journals (Sweden)

    Gianfranco Tarsitani

    2014-01-01

    Full Text Available Following the discovery of discoloration on some pages of the Atlantic Codex (AC of Leonardo da Vinci kept in the Biblioteca Ambrosiana in Milan, some investigations have been carried out to verify the presence of microorganisms, such as bacteria and fungi. To verify the presence of microorganisms a noninvasive method of sampling has been used that was efficient and allowed us to highlight the microbial facies of the material that was examined using conventional microbiological techniques. The microclimatic conditions in the storage room as well as the water content of the volume were also assessed. The combined observations allowed the conclusion that the discoloration of suspected biological origin on some pages of AC is not related to the presence or current attack of microbial agents.

  6. High Voltage EEE Parts for EMA/EHA Applications on Manned Launch Vehicles

    Science.gov (United States)

    Griffin, Trent; Young, David

    2011-01-01

    The objective of this paper is an assessment of high voltage electronic components required for high horsepower electric thrust vector control (TVC) systems for human spaceflight launch critical application. The scope consists of creating of a database of available Grade 1 electrical, electronic and electromechanical (EEE) parts suited to this application, a qualification path for potential non-Grade 1 EEE parts that could be used in these designs, and pathfinder testing to validate aspects of the proposed qualification plan. Advances in the state of the art in high power electric power systems enable high horsepower electric actuators, such as the electromechnical actuator (EMA) and the electro-hydrostatic actuator (EHA), to be used in launch vehicle TVC systems, dramaticly reducing weight, complexity and operating costs. Designs typically use high voltage insulated gate bipolar transistors (HV-IGBT). However, no Grade 1 HV-IGBT exists and it is unlikely that market factors alone will produce such high quality parts. Furthermore, the perception of risk, the lack of qualification methodoloy, the absence of manned space flight heritage and other barriers impede the adoption of commercial grade parts onto the critical path. The method of approach is to identify high voltage electronic component types and key parameters for parts currently used in high horsepower EMA/EHA applications, to search for higher quality substitutes and custom manufacturers, to create a database for these parts, and then to explore ways to qualify these parts for use in human spaceflight launch critical application, including grossly derating and possibly treating hybrid parts as modules. This effort is ongoing, but results thus far include identification of over 60 HV-IGBT from four manufacturers, including some with a high reliability process flow. Voltage ranges for HV-IGBT have been identified, as has screening tests used to characterize HV-IGBT. BSI BS ISO 21350 Space systems Off

  7. Arts and science under the sign of Leonardo. The case of the National Museum of Science and Technology ‘Leonardo da Vinci’ of Milan

    Directory of Open Access Journals (Sweden)

    Claudio Giorgione

    2009-06-01

    Full Text Available Drawing on the example of Leonardo da Vinci, who was able to combine arts and science in his work, the National Museum of Science and Technology of Milan has always pursued the blending and the dialogue of humanistic and scientific knowledge. It has employed this approach in all of its activities, from the set design of exhibition departments to the acquisition of collections and, more recently, in the dialogue with the public. Now more than ever, following a renewal path for the Museum, these guidelines are being subject to research to achieve a new and more up-to-date interpretation.

  8. Marketing Regulatory Oversight of Advanced Therapy Medicinal Products (ATMPs) in Europe: The EMA/CAT Perspective.

    Science.gov (United States)

    Salmikangas, Paula; Schuessler-Lenz, Martina; Ruiz, Sol; Celis, Patrick; Reischl, Ilona; Menezes-Ferreira, Margarida; Flory, Egbert; Renner, Matthias; Ferry, Nicolas

    2015-01-01

    With the release of Regulation 1394/2007, a new framework for gene and cell therapy medicinal products and tissue-engineered products was established in the European Union. For all three product classes, called advanced therapy medicinal products, a centralised marketing authorisation became mandatory. The European Medicines Agency (EMA) together with its Committee for Advanced Therapies, Committee for Human Medicinal Products and the network of national agencies is responsible for scientific evaluation of the marketing authorisation applications. For a new application, data and information relating to manufacturing processes and quality control of the active substance and the final product have to be submitted for evaluation together with data from non-clinical and clinical safety and efficacy studies. Technical requirements for ATMPs are defined in the legislation, and guidance for different products is available through several EMA/CAT guidelines. Due to the diversity of ATMPs, a tailored approach for regulating these products is considered necessary. Thus, a risk-based approach has been introduced for ATMPs allowing flexibility for the regulatory requirements. Since the regulatory framework for ATMPs was established, five products have been licenced in the European Union. However, the pipeline of new ATMPs is much bigger, as seen from the significant numbers of different products discussed by the CAT in scientific advice and classification procedures. In 2013, a public consultation on the ATMP Regulation was conducted by the European Commission, and the results were published in 2014. The report proposes several improvements for the current framework and established procedures for the regulation of ATMPs.

  9. Sustainability and EMAS: Impact of Motivations and Barriers on the Perceived Benefits from the Adoption of Standards

    Directory of Open Access Journals (Sweden)

    José Álvarez-García

    2016-10-01

    Full Text Available The objective of this paper is to analyze the influence of the sources of motivation that lead companies to adopt a global standard of the Environmental Management System and the barriers found in the process, on the perceived benefits of the implementation and certification of the standard. To achieve the objectives proposed, primary data were collected using a survey questionnaire that was administered to a representative sample of companies certified as EMAS-Eco-Management and Audit Scheme of the Autonomous Community of Galicia (sample of 114 of the 255 companies. An extensive review of the academic literature published on ISO 14001 and EMAS about motivations, barriers and benefits was carried out in order to establish the working hypotheses that are analyzed using structural equation models as the statistical tool. The findings of this study show that the motivations positively affect the benefits derived from implementation, noting that the internal motivations (related to efficiency; improved performance, productivity and profitability have a stronger influence on the benefits than the external motivations (related to stakeholders’ social pressure. In addition, the motivations also affect the perceived barriers, and these affect the benefits negatively, i.e., the higher the barriers encountered, the lower the perceived benefits. The results obtained allow us to identify important implications for managers, which will help them establish management strategies in the field of environmental management.

  10. Estudo comparativo entre elementos meteorológicos monitorados por estações convencional e automática na região de Maringá, Estado do Paraná - DOI: 10.4025/actascitechnol.v25i2.2220

    Directory of Open Access Journals (Sweden)

    Ivonete de Almeida Souza

    2003-04-01

    Full Text Available Efetuou-se, neste trabalho, um estudo comparativo entre os seguintes elementos meteorológicos: temperatura do ar máxima (Tmax, mínima (Tmin e média (Tmed, umidade relativa do ar média (URmed e pressão atmosférica média (Patm, obtidos em uma Estação Meteorológica Convencional (EMC e em uma Estação Meteorológica Automática (EMA, em Maringá, Estado do Paraná, no período de 01/03/99 a 31/12/2001. Os dados entre as respectivas estações foram comparados através do coeficiente de determinação (R2, do índice de concordância de Willmott (d e por meio do erro ( associado ao coeficiente angular da reta de regressão. Após a análise dos dados, concluiu-se que os elementos meteorológicos Tmax, Tmed, Tmin e URmed apresentaram significativa concordância entre os dados observados na EMC e na EMA. Os valores da URmed obtidos pelo sensor eletrônico da EMA foram 2% maiores que os mesmos obtidos pelo sensor da EMC, estando esse erro dentro da faixa de precisão dos sensores. Apesar dos baixos erros, os dados de Patm apresentaram diferenças significativas, contudo essa defasagem numérica deve-se à diferença de altitude (28m das localidades onde se situam a EMC e a EMA.

  11. Intraoperative registered transrectal ultrasound guidance for robot-assisted laparoscopic radical prostatectomy.

    Science.gov (United States)

    Mohareri, Omid; Ischia, Joseph; Black, Peter C; Schneider, Caitlin; Lobo, Julio; Goldenberg, Larry; Salcudean, Septimiu E

    2015-01-01

    To provide unencumbered real-time ultrasound image guidance during robot-assisted laparoscopic radical prostatectomy, we developed a robotic transrectal ultrasound system that tracks the da Vinci® Surgical System instruments. We describe our initial clinical experience with this system. After an evaluation in a canine model, 20 patients were enrolled in the study. During each procedure the transrectal ultrasound transducer was manually positioned using a brachytherapy stabilizer to provide good imaging of the prostate. Then the transrectal ultrasound was registered to the da Vinci robot by a previously validated procedure. Finally, automatic rotation of the transrectal ultrasound was enabled such that the transrectal ultrasound imaging plane safely tracked the tip of the da Vinci instrument controlled by the surgeon, while real-time transrectal ultrasound images were relayed to the surgeon at the da Vinci console. Tracking was activated during all critical stages of the surgery. The transrectal ultrasound robot was easy to set up and use, adding 7 minutes (range 5 to 14) to the procedure. It did not require an assistant or additional control devices. Qualitative feedback was acquired from the surgeons, who found transrectal ultrasound useful in identifying the urethra while passing the dorsal venous complex suture, defining the prostate-bladder interface during bladder neck dissection, identifying the seminal vesicles and their location with respect to the rectal wall, and identifying the distal prostate boundary at the apex. Real-time, registered robotic transrectal ultrasound guidance with automatic instrument tracking during robot-assisted laparoscopic radical prostatectomy is feasible and potentially useful. The results justify further studies to establish whether the approach can improve procedure outcomes. Copyright © 2015 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  12. Arts and science under the sign of Leonardo. The case of the National Museum of Science and Technology ‘Leonardo da Vinci’ of Milan (Italian original version

    Directory of Open Access Journals (Sweden)

    Claudio Giorgione

    2009-06-01

    Full Text Available Drawing on the example of Leonardo da Vinci, who was able to combine arts and science in his work, the National Museum of Science and Technology of Milan has always pursued the blending and the dialogue of humanistic and scientific knowledge. It has employed this approach in all of its activities, from the set design of exhibition departments to the acquisition of collections and, more recently, in the dialogue with the public. Now more than ever, following a renewal path for the Museum, these guidelines are being subject to research to achieve a new and more up-to-date interpretation.

  13. Quantum Turbulence ---Another da Vinci Code---

    Science.gov (United States)

    Tsubota, M.

    Quantum turbulence comprises a tangle of quantized vorticeswhich are stable topological defects created by Bose-Einstein condensation, being realized in superfluid helium and atomic Bose-Einstein condensates. In recent years there has been a growing interest in quantum turbulence. One of the important motivations is to understand the relation between quantum and classical turbulence. Quantum turbulence is expected to be much simpler than usual classical turbulence and give a prototype of turbulence. This article reviews shortly the recent research developments on quantum turbulence.

  14. Virtual labs in Leonardo da Vinci

    Directory of Open Access Journals (Sweden)

    Stanislaw Nagy

    2006-10-01

    Full Text Available This paper discusses the problem of virtual lab capabilities in the e-learning. Using combination of web conferencing and "virtual labs" capabilities, a new quality distance learning teaching is now in preparation and will be included in the course teaching to produce interactive, online simulations for the natural gas engineering studies. The activities are designed to enhance the existing curriculum and to include online assessments. A special care is devoted to the security problem between a server and a client computer. Several examples of the virtual labs related to the PVT thermodynamics, fluid flow, the natural gas well-testing, and thev gas network flow are prepared and tested. A major challenge for the 'CELGAS' system is in managing the delicate balance between the student collaboration and the isolation. Students may be encouraged to collaborate and work with each other, simulating their exploration of the lab material.

  15. Augmented reality to the rescue of the minimally invasive surgeon. The usefulness of the interposition of stereoscopic images in the Da Vinci™ robotic console.

    Science.gov (United States)

    Volonté, Francesco; Buchs, Nicolas C; Pugin, François; Spaltenstein, Joël; Schiltz, Boris; Jung, Minoa; Hagen, Monika; Ratib, Osman; Morel, Philippe

    2013-09-01

    Computerized management of medical information and 3D imaging has become the norm in everyday medical practice. Surgeons exploit these emerging technologies and bring information previously confined to the radiology rooms into the operating theatre. The paper reports the authors' experience with integrated stereoscopic 3D-rendered images in the da Vinci surgeon console. Volume-rendered images were obtained from a standard computed tomography dataset using the OsiriX DICOM workstation. A custom OsiriX plugin was created that permitted the 3D-rendered images to be displayed in the da Vinci surgeon console and to appear stereoscopic. These rendered images were displayed in the robotic console using the TilePro multi-input display. The upper part of the screen shows the real endoscopic surgical field and the bottom shows the stereoscopic 3D-rendered images. These are controlled by a 3D joystick installed on the console, and are updated in real time. Five patients underwent a robotic augmented reality-enhanced procedure. The surgeon was able to switch between the classical endoscopic view and a combined virtual view during the procedure. Subjectively, the addition of the rendered images was considered to be an undeniable help during the dissection phase. With the rapid evolution of robotics, computer-aided surgery is receiving increasing interest. This paper details the authors' experience with 3D-rendered images projected inside the surgical console. The use of this intra-operative mixed reality technology is considered very useful by the surgeon. It has been shown that the usefulness of this technique is a step toward computer-aided surgery that will progress very quickly over the next few years. Copyright © 2012 John Wiley & Sons, Ltd.

  16. Technological advances in robotic-assisted laparoscopic surgery.

    Science.gov (United States)

    Tan, Gerald Y; Goel, Raj K; Kaouk, Jihad H; Tewari, Ashutosh K

    2009-05-01

    In this article, the authors describe the evolution of urologic robotic systems and the current state-of-the-art features and existing limitations of the da Vinci S HD System (Intuitive Surgical, Inc.). They then review promising innovations in scaling down the footprint of robotic platforms, the early experience with mobile miniaturized in vivo robots, advances in endoscopic navigation systems using augmented reality technologies and tracking devices, the emergence of technologies for robotic natural orifice transluminal endoscopic surgery and single-port surgery, advances in flexible robotics and haptics, the development of new virtual reality simulator training platforms compatible with the existing da Vinci system, and recent experiences with remote robotic surgery and telestration.

  17. Quand le film raconte l’image. Variations cinématographiques autour de La Cène de Léonard de Vinci

    Directory of Open Access Journals (Sweden)

    Valentine Robert

    2009-05-01

    Full Text Available Partant de l’hypothèse qu’au cinéma, un plan travaillé à la manière d’un tableau engage, non pas un « arrêt » du récit, mais un enrichissement de la logique narrative linéaire du film par une sémiotique tabulaire et des jeux de références intermédiales, cet article analyse le cas exemplaire et récurrent des plans qui reconstituent en « tableau vivant » La Cène de Léonard de Vinci. Christus (Giulio Antamoro, 1914-1916, Ben Hur, a tale of the Christ (Fred Niblo, 1925 ou Quo Vadis (Mervyn LeRoy, 1951 y sont explorés, ainsi que d’autres productions qui replacent la composition du Cenacolo à la fois en une « phase » et une « stase » dramatique et esthétique du récit christique. Des films tels que Viridiana (Luis Buñuel, 1961 sont aussi évoqués, qui font apparaître la composition comme une pause allégorique d’un récit contemporain, enrichi sur un plan énonciatif, symbolique et iconographique.Based on the hypothesis that in the cinema, a shot worked in the style of a picture doesn’t “stop” the storyline but expands the linear narrative with tabular semiotics and artistic references, this article analyzes the exemplary and recurring case of the shots which reconstitute Leonardo da Vinci’s Last Supper as a “living picture”. Christus (Giulio Antamoro, 1914-1916, Ben Hur, a tale of the Christ (Fred Niblo, 1925, Quo Vadis (Mervyn LeRoy, 1951 and other movies are investigated, that replace the famous Cenacolo as both a phase and a stasis of the Christlike narrative. Films like Viridiana (Luis Buñuel, 1961 are mentioned too, where da Vinci’s composition occurs like an allegorical extension of a contemporary story, enriched both symbolically and iconographically.

  18. EMA: a developmentally regulated cell-surface glycoprotein of CNS neurons that is concentrated at the leading edge of growth cones.

    Science.gov (United States)

    Baumrind, N L; Parkinson, D; Wayne, D B; Heuser, J E; Pearlman, A L

    1992-08-01

    To identify cell-surface molecules that mediate interactions between neurons and their environment during neural development, we used monoclonal antibody techniques to define a developmentally regulated antigen in the central nervous system of the mouse. The antibody we produced (2A1) immunolabels cells throughout the central nervous system; we analyzed its distribution in the developing cerebral cortex, where it is expressed on cells very soon after they complete mitosis and leave the periventricular proliferative zone. Expression continues into adult life. The antibody also labels the epithelium of the choroid plexus and the renal proximal tubules, but does not label neurons of the peripheral nervous system in the dorsal root ganglia. In dissociated cell culture of embryonic cerebral cortex, 2A1 labels the surface of neurons but not glia. Immunolabeling of neurons in tissue culture is particularly prominent on the edge of growth cones, including filopodia and the leading edge of lamellipodia, when observed with either immunofluorescence or freeze-etch immunoelectron microscopy. Immunopurification with 2A1 of a CHAPS-extracted membrane preparation from brains of neonatal mice produces a broad (32-36 kD) electrophoretic band and a less prominent 70 kD band that are sensitive to N-glycosidase but not endoglycosidase H. Thus the 2A1 antibody recognizes a developmentally regulated, neuronal cell surface glycoprotein (or glycoproteins) with complex N-linked oligosaccharide side chains. We have termed the glycoprotein antigen EMA because of its prominence on the edge membrane of growth cones. EMA is similar to the M6 antigen (Lagenaur et al: J. Neurobiol. 23:71-88, 1992) in apparent molecular weight, distribution in tissue sections, and immunoreactivity on Western blots, suggesting that the two antigens are similar or identical. Expression of EMA is a very early manifestation of neuronal differentiation; its distribution on growth cones suggests a role in mediating the

  19. EMA-qPCR to monitor the efficiency of a closed-coupled solar pasteurization system in reducing Legionella contamination of roof-harvested rainwater.

    Science.gov (United States)

    Reyneke, B; Dobrowsky, P H; Ndlovu, T; Khan, S; Khan, W

    2016-05-15

    Solar pasteurization is effective in reducing the level of indicator organisms in stored rainwater to within drinking water standards. However, Legionella spp. were detected at temperatures exceeding the recommended pasteurization temperatures using polymerase chain reaction assays. The aim of the current study was thus to apply EMA quantitative polymerase chain reaction (EMA-qPCR) to determine whether the Legionella spp. detected were intact cells and therefore possibly viable at pasteurization temperatures >70°C. The BacTiter-Glo™ Microbial Cell Viability Assay was also used to detect the presence of ATP in the tested samples, as ATP indicates the presence of metabolically active cells. Chemical analysis also indicated that all anions and cations were within the respective drinking water guidelines, with the exception of iron (mean: 186.76 μg/L) and aluminium (mean: 188.13 μg/L), which were detected in the pasteurized tank water samples at levels exceeding recommended guidelines. The BacTiter-Glo™ Microbial Cell Viability Assay indicated the presence of viable cells for all pasteurized temperatures tested, with the percentage of ATP (in the form of relative light units) decreasing with increasing temperature [70-79°C (96.7%); 80- 89°C (99.2%); 90-95°C (99.7%)]. EMA-qPCR then indicated that while solar pasteurization significantly reduced (p0.05) in the mean copy numbers was detected with an increase in the pasteurization temperature, with 6 × 10(3) genomic copies/mL DNA sample obtained at 95°C. As intact Legionella cells were detected in the pasteurized tank water samples, quantitative microbial risk assessment studies need to be conducted to determine the potential health risk associated with using the water for domestic purposes. Copyright © 2016 Elsevier B.V. All rights reserved.

  20. EQF kutsehariduses ehk mida me Hollandis õppisime / Anu Vaagen

    Index Scriptorium Estoniae

    Vaagen, Anu, 1971-

    2011-01-01

    Leonardo da Vinci programmi finantseeriva projekti EQF kaudu käisid Luua Metsanduskooli direktor, arendusjuht ja maastikuehituse õpetaja Hollandis kompetentsipõhise õppe ja kooli juhtimise vallas teadmisi omandamas

  1. Accident conditions analysis of spent fuel storage pool RA research reactor in Vinca; Analiza udesnih stanja u odlagalistu isluzenog goriva istrazivackog rektora RA u Vinci

    Energy Technology Data Exchange (ETDEWEB)

    Jovic, V; Jovic, L [Institute of Nuclear Sciences VINCA, Belgrade (Serbia and Montenegro)

    2000-07-01

    Based on Safety analysis of the spent fuel pool RA research reactor in Vinca, conditions and possibilities accident sequences in present configuration storage facility are considered (author) [Serbo-Croat] Na osnovu Analize sigurnosti odlagalista isluzenog goriva istrazivackog reaktora RA u Vinci razmatraju se uslovi i mogucnosti pojave udesnih stanja u postojecoj konfiguraciji odlagalista (author)

  2. Regulatory/Scientific Supports for Micro-, Small-, and Medium-Sized Enterprises (SMEs) With Medicinal Products Provided by the PMDA and EMA.

    Science.gov (United States)

    Kondo, Hideyuki; Shibatsuji, Masayoshi; Yasuda, Naoyuki

    2018-01-01

    Micro-, small-, and medium-sized enterprises (SMEs) have been considered as key players who can bring innovative medicinal products and/or technologies into the field. However, they may need much regulatory/scientific supports to provide their products, technologies, or services to the market in a timely way. Both the Pharmaceuticals and Medical Devices Agency (PMDA) and the European Medicines Agency (EMA), regulatory authorities for medicinal products in Japan and the EU, respectively, have prepared supportive measures for SMEs from the early phase of product/technology development to the postmarketing phase. With respect to supports for SMEs, both agencies have provided similar SME-specific supportive activities, including routine administrative assistance, consultations about product development strategy from an early phase, as well as specific regulatory/scientific issues and fee incentives. In addition, there is a system to register SME status in the EU, which can be a tool for regulators to know how much potential SME-driven activities have and with whom they should communicate to provide necessary supports. Furthermore, as new technologies and novel products from SMEs are not limited to the region where they are developed, close communication about these topics between the PMDA and the EMA will contribute to advancing patients' access to necessary medicinal products.

  3. Agening and qualification

    DEFF Research Database (Denmark)

    Pedersen, Bibi Bording; Sørensen, John Houman

    2006-01-01

    "Alder og kvalifikationer" - et Leonardo da Vinci EU finansieret projekt, der sammenligner ældres stilling på arbejdsmarkedet i Belgien, Holland, Tyskland og Danmark. Projektet blev koordineret af Erfurt universitet....

  4. VIDEO EDUKASI ANIMASI 2 DIMENSI MENGENAI BAHAYA MERKURI TERHADAP MASYARAKAT KABUPATEN LOMBOK TENGAH SEBAGAI DAMPAK PENAMBANGAN EMAS ILEGAL

    Directory of Open Access Journals (Sweden)

    I Made Marthana Yusa

    2017-08-01

    Full Text Available Abstrak Merkuri adalah salah satu jenis logam berat yang banyak ditemukan di alam dan tersebar dalam batuan, tanah, air dan udara sebagai senyawa anorganik dan organik. Merkuri dapat dimanfaatkan dalam berbagai bidang industri, salah satunya industri emas. Pengelolaan limbah hasil industri pengolahan emas yang tidak sesuai dengan prosedur yang baik dan benar akan menyebabkan pencemaran lingkungan. Merkuri yang telah mengontaminasi lingkungan dalam jangka waktu panjang akan membawa dampak buruk bagi kesehatan manusia yang sering berinteraksi dengan bahan merkuri ini. Dalam penelitian ini, dilakukan perancangan video berbasis animasi 2 dimensi, sebagai salah satu rekomendasi solusi edukasi, untuk pencegahan dampak kesehatan, akibat pencemaran lingkungan oleh merkuri di Lombok Tengah. Dari hasil penelitian didapatkan fakta bahwa responden yang terdiri dari staf Konservasi dan Sumber Daya Alam serta staf Pengawasan dan Pengendalian Lingkungan Kantor Lingkungan Hidup Kabupaten Lombok Tengah menilai video edukasi berbasis animasi 2 dimensi yang dihasilkan sangat baik dari segi desain maupun penyampaian informasinya. Video ini juga bermanfaat untuk mengedukasi masyarakat penambang emas di Lombok Tengah agar lebih mewaspadai merkuri dan bahayanya, juga menghargai kesehatan diri dan keselamatan kerja. Kata Kunci: Animasi 2 Dimensi, Bahaya Merkuri, Merkuri, Metil Merkuri, Video Edukasi Abstract Mercury is one of the heavy metals found in nature and spread in rocks, soil, water and air as inorganic and organic compounds. Mercury can be utilized in various industrial fields, one of which is the gold industry. Waste management of gold processing industry that is not in accordance with good and correct procedures will cause environmental pollution. Mercury that has been contaminating the environment over the long term will have adverse effects on human health that often interact with these mercury ingredients. A 2-dimensional animation based video has been

  5. Evidence of high inbreeding in a population of the endangered giant anteater, Myrmecophaga tridactyla (Myrmecophagidae), from Emas National Park, Brazil

    OpenAIRE

    Collevatti, Rosane G.; Leite, Kelly C.E.; Miranda, Guilherme H.B. de; Rodrigues, Flavio H.G.

    2007-01-01

    We report the genetic structure, relatedness and mating structure of a population of the endangered giant anteater Myrmecophaga tridactyla Linnaeus, 1758 in the Emas National Park, Brazil, based on variability at five microsatellite loci. Additionally, we addressed the hypothesis that the M. tridactyla population studied has low levels of polymorphism and high levels of inbreeding and relatedness and that animals with overlapping home range are highly related. All five microsatellite loci dis...

  6. Mona Lisa kuulsa naeratuse saladus leidis lahenduse / Johannes Saar

    Index Scriptorium Estoniae

    Saar, Johannes, 1965-

    2004-01-01

    Firenze kunstiajalooõpetaja Giuseppe Pallanti jõudis 25-aastase arhiivitöö tulemusena järeldusele, et Leonardo da Vinci Mona Lisa modelliks on siidikaupmehe Francesco del Giocondo abikaasa Lisa Gerardini

  7. Viral pathogenesis in diagrams

    National Research Council Canada - National Science Library

    Tremblay, Michel; Berthiaume, Laurent; Ackermann, Hans-Wolfgang

    2001-01-01

    .... The 268 diagrams in Viral Pathogenesis in Diagrams were selected from over 800 diagrams of English and French virological literature, including one derived from a famous drawing by Leonardo da Vinci...

  8. PREFACE: EMAS 2013 Workshop: 13th European Workshop on Modern Developments and Applications in Microbeam Analysis

    Science.gov (United States)

    Llovet, Xavier, Dr; Matthews, Mr Michael B.; Brisset, François, Dr; Guimarães, Fernanda, Dr; Vieira, Professor Joaquim M., Dr

    2014-03-01

    This volume of the IOP Conference Series: Materials Science and Engineering contains papers from the 13th Workshop of the European Microbeam Analysis Society (EMAS) on Modern Developments and Applications in Microbeam Analysis which took place from the 12th to the 16th of May 2013 in the Centro de Congressos do Alfândega, Porto, Portugal. The primary aim of this series of workshops is to assess the state-of-the-art and reliability of microbeam analysis techniques. The workshops also provide a forum where students and young scientists starting out on a career in microbeam analysis can meet and discuss with the established experts. The workshops have a very specific format comprising invited plenary lectures by internationally recognized experts, poster presentations by the participants and round table discussions on the key topics led by specialists in the field. This workshop was organized in collaboration with LNEG - Laboratório Nacional de Energia e Geologia and SPMICROS - Sociedade Portuguesa de Microscopia. The technical programme included the following topics: electron probe microanalysis, future technologies, electron backscatter diffraction (EBSD), particle analysis, and applications. As at previous workshops there was also a special oral session for young scientists. The best presentation by a young scientist was awarded with an invitation to attend the 2014 Microscopy and Microanalysis meeting at Hartford, Connecticut. The prize went to Shirin Kaboli, of the Department of Metals and Materials Engineering of McGill University (Montréal, Canada), for her talk entitled ''Plastic deformation studies with electron channelling contrast imaging and electron backscattered diffraction''. The continuing relevance of the EMAS workshops and the high regard in which they are held internationally can be seen from the fact that 74 posters from 21 countries were on display at the meeting and that the participants came from as far away as Japan, Canada and the USA. A

  9. Um estudo semântico enunciativo da corrupção em dicionários e documentos governamentais

    Directory of Open Access Journals (Sweden)

    Julio Cesar Machado

    2010-07-01

    Full Text Available

    Descolamos sentidos da palavra corrupção, seu funcionamento e circulação, privilegiadamente no espaço enunciativo jurídico. Abordamo-la como acontecimento, sob o foco da linguística enunciativo-discursiva, envolvendo questões de ordem histórica, política e social. A pertinência da pesquisa parte do fato de que já são aceitos (pelo povo ou pelo Estado sentidos “não criminais” para o termo. Eles não mais condizem com a memória de desprezível, evidenciado sobremaneira no caso “mensalão”, demonstrando a não transparência da língua, a sua plasticidade polissêmica, a sua constituição política, a sua configuração opaca, bem como seu equívoco indissociável do acontecimento. Mobilizamos para esta visualização, o dispositivo teórico da Semântica do Acontecimento, ancilar à Semântica Histórica da Enunciação e à Analise de Discurso francesa. Tal postura determina a articulação entre teoria e corpus por meio do <em>a priori da história. Nosso procedimento evidenciará uma língua erudita que pode designar a palavra “corrupção” a partir de seu funcionamento, que se pauta no rol das leis jurídicas e desvela uma performatividade.

  10. Procedimento de Rives/Stoppa modificado robô-assistido para correção de hernias ventrais da linha média Modified robot assisted Rives/Stoppa videosurgery for midline ventral hernia repair

    Directory of Open Access Journals (Sweden)

    Ricardo Zugaib Abdalla

    2012-06-01

    Full Text Available RACIONAL: Os defeitos da linha média podem ser congênitos ou adquiridos. Os procedimentos convencionais para correção desse defeito geralmente envolvem grandes incisões, com grandes descolamentos de pele e tecido celular subcutâneo. O uso da videocirurgia para a correção desses defeitos, ainda é controverso. OBJETIVOS: Realizar descrição inédita na literatura, mostrando a experiência inicial do uso da robótica nas reconstruções de linha média, associando a cirurgia minimamente invasiva à técnicas consagradas como Rives/Stoppa e separação de componentes. MÉTODOS: Foram operados cinco pacientes no mesmo hospital, pela mesma equipe, usando o sistema robótico da Vinci S. RESULTADOS: Foram três mulheres e dois homens, sem mortalidade na amostra. Duas pacientes foram reoperadas com hérnia pelo tunel entre os músculos retos do abdomen e aponeurose posterior, com fechamento dos mesmos na reoperação. CONCLUSÕES: O procedimento robótico para reconstrução da linha média mostrou-se factível e esteticamente aceitável. Tem a vantagem de seguir os princípios tradicionais aventados para a parede abdominal através de via minimamente invasiva.BACKGROUND:The weakness of the linea alba can be caused by congenital and aquired factors. The conventional procedure to correct these imperfections generally involve large incisions with big detachments of the skin and subcutaneous tissue. The use of videosurgery for the repair of these weaknesses is still controversy. AIM: To describe a new procedure using robotics in the repair of the linea alba, associating minimally invasive tecniques by Rives/Stoppa and component separation tecniques. METHODS: Five patients undergone surgery in the same hospital, the same operating team and using the Da Vinci S. robotics equipment. RESULTS: Three women and two men undergone surgery, with no mortality. Two of these patients were re-operated due a recurrent hernia between muscle and posterior sheath

  11. Determinação da energia metabolizável de alimentos para codornas japonesas em postura Metabolizable energy of different feedstuffs tested in female Japanese quails

    Directory of Open Access Journals (Sweden)

    A.M.A. Moura

    2010-02-01

    Full Text Available Foram determinados os valores de energia metabolizável aparente (EMA, de energia metabolizável aparente corrigida por retenção de nitrogênio (EMAn e do coeficiente de metabolização aparente da energia bruta (CMAEB% do milho, sorgo, farelo de soja, farelo de glúten de milho e óleo de soja refinado. Foram utilizadas 240 codornas japonesas (Coturnix japonica, fêmeas com idade inicial de 60 dias, em delineamento experimental inteiramente ao caso, com seis tratamentos, cinco repetições e oito codornas por unidade experimental. Os tratamentos consistiram de cinco rações experimentais e uma ração referência. Cada ração experimental foi constituída, na base da matéria natural, por 70% da ração referência e 30% do ingrediente a ser testado, com exceção da ração para determinação da EMAn do óleo de soja, com 10% de inclusão e 90% da ração referência. O experimento foi realizado em gaiolas distribuídas em baterias metálicas. Os valores de EMA, EMAn (em kcal/kg de matéria natural e do CMAEB (% do milho moído, sorgo, farelo de soja, farelo de glúten de milho e óleo de soja refinado foram, respectivamente: 3.572 e 3.612kcal/kg e 92,6%; 3.108 e 3.149kcal/kg e 80,9%; 2.633 e 2.676kcal/kg e 65,3%; 4.043 e 4.096kcal/kg e 75,0%; 9.335 e 9.379kcal/kg e 98,8%. Os valores de EMA descritos para outras espécies de aves são discrepantes dos obtidos no presente estudo, não sendo recomendado seu uso em formulação de rações para codornas japonesas em postura.The values of the apparent metabolizable energy (AME, the apparent metabolizable energy corrected for nitrogen retention (AMEn, and the apparent metabolization coefficient of crude energy (AMCCE were determined in corn, sorghum, soybean meal, corn gluten meal, and refined soybean oil. Two-hundred and forty six-day-old female Japanese quails (Coturnix japonica were used in a completely randomized design, with five replicates and eight quails per experimental unit. The

  12. Leonardo aitab mahetootjaid / Aret Vooremäe

    Index Scriptorium Estoniae

    Vooremäe, Aret, 1970-

    2005-01-01

    Põllumajanduskonsulentide koolitamisest Balti põllumajandusülikoolides Leonardo da Vinci projekti raames. Projekti käigus töötatakse koostöös Saksamaa ja Inglismaa partneritega välja õppematerjalid

  13. Rodstvennik Monõ Lizõ / Bianca Kantino

    Index Scriptorium Estoniae

    Kantino, Bianca

    2004-01-01

    Uurijad on kindlaks teinud Leonardo da Vinci maalil "Gioconda" poseerinud naise isiku, kelleks oli Francesco del Gioconda naine Mona Lisa (1479-1528) ja leidnud naise otsese järeltulija - 51 aastase arhitekti

  14. [Sacrocolpopexy - pro laparoscopic].

    Science.gov (United States)

    Hatzinger, M; Sohn, M

    2012-05-01

    Innovative techniques have a really magical attraction for physicians as well as for patients. The number of robotic-assisted procedures worldwide has almost tripled from 80,000 procedures in the year 2007 to 205,000 procedures in 2010. In the same time the total number of Da Vinci surgery systems sold climbed from 800 to 1,400. Advantages, such as three-dimensional visualization, a tremor-filter, an excellent instrument handling with 6 degrees of freedom and better ergonomics, together with aggressive marketing led to a veritable flood of new Da Vinci acquisitions in the whole world. Many just took the opportunity to introduce a new instrument to save a long learning curve and start immediately in the surgical master class.If Da Vinci sacrocolpopexy is compared with the conventional laparoscopic approach, robotic-assisted sacrocolpopexy shows a significantly longer duration of the procedure, a higher need for postoperative analgesics, much higher costs and an identical functional outcome without any advantage over the conventional laparoscopic approach. Although the use of robotic-assisted systems shows a significantly lower learning curve for laparoscopic beginners, it only shows minimal advantages for the experienced laparoscopic surgeon. Therefore it remains uncertain whether robotic-assisted surgery shows a significant advantage compared to the conventional laparoscopic surgery, especially with small reconstructive laparoscopic procedures such as sacrocolpopexy.

  15. Giorgione "Magav Venus" : inimene ja pildiruum / Linnar Priimägi

    Index Scriptorium Estoniae

    Priimägi, Linnar, 1954-

    2001-01-01

    Giorgione'i maali "Magav Veenus" (1508/10) analüüs, mõjud ja seosed hilisemate Venustega kunstiajaloos ; Leonardo da Vinci "Mona Lisa" (1503/06) pilgu lahtimõtestamine ; kurtisanikultuur ja selle kajastamine maalikunstis.

  16. Hispaanlased tahtsid eesti noored endale päriseks jätta / Kadri Ratt

    Index Scriptorium Estoniae

    Ratt, Kadri

    2007-01-01

    Rakvere Kutsekeskkooli projekti "Uued oskused ja pädevused läbi õpirände kogemuse" raames ja Leonardo da Vinci kutseharidusprogrammi toetusel käisid Rakvere Kutsekeskkooli kokaeriala neli õpilast õppepraktikal Hispaanias

  17. Adequacy of Current Equivalent Margins Analysis (EMA) Guidance, Data and Methodologies for 60+ Years of Operation

    International Nuclear Information System (INIS)

    Server, W.; Hardin, T.; Cipolla, R.; Hall, B.

    2015-01-01

    In order to assure the structural integrity of reactor pressure vessels (RPVs), the fracture toughness of the ferritic steels used to fabricate the RPV must be shown to be adequate during their entire operating life, including extended license life. The Charpy V-notch (CVN) impact test has been used in the nuclear industry since it uses a small test specimen that can be irradiated in surveillance programs and provides an indirect way of assessing the fracture toughness of RPV steels. The effects of embrittlement typically are characterized by changes to the average Charpy curves measured before and after irradiation: shift of the 30 ft-lb (41 J) index temperature, and decrease in the CVN upper shelf energy (USE). Requirements in the USA for the USE of RPV belt-line materials are codified in Title 10, Code of Federal Regulations, Part 50 (10 CFR 50), Appendix G. Before irradiation, USE in the transverse (T-L) orientation for base materials and crack extension in the welding direction for weld materials must be greater than or equal to 75 ft-lb (102 J), and it is not to become less than 50 ft-lb (68 J) due to radiation embrittlement throughout the license of the RPV. If the projected USE of any RPV belt-line steel falls below 50 ft-lb (68 J), the projected value must be demonstrated to provide a margin of safety against ductile fracture equivalent to that required by Appendix G of the American Society of Mechanical Engineers (ASME) Boiler and Pressure Vessel Code, Section XI. The analytical evaluation method used is called an equivalent margin analysis (EMA). This paper reviews the current status of EMAs and recommends improvements and clarifications that can be made to meet the needs of extended license life to 80 years. Focus is placed on analytical methodology, material property needs and proper implementation. (authors)

  18. The Visible Humans | NIH MedlinePlus the Magazine

    Science.gov (United States)

    ... in contrast to similar images drawn by Leonardo DaVinci around 1500. Photos By: Karl Hoehne, University Medical ... develop products like artificial limbs; or to create tools to help surgeons rehearse operations. They've even ...

  19. Malta 10 000 õpilasega kutsekool / Kristi Tammik

    Index Scriptorium Estoniae

    Tammik, Kristi

    2014-01-01

    Tallinna ehituskooli kuus töötajat osalesid Leonardo Da Vinci projekti „Flexible Possibilities for Organizing” VET õpirände projektis, mille raames külastati Malta tehnoloogia-, teadus- ja kunstikolledžit (MCAST)

  20. Virtuaalne keeleõpe / Ege Meister

    Index Scriptorium Estoniae

    Meister, Ege

    2004-01-01

    Leonardi da Vinci programmi raames toimuvast rahvusvahelisest koostööst tehniliste erialade õpilastele inglise keele õpetamiseks. Projektist LENTEC, mille raames eri riikide õpilased õppisid virtuaalselt inglise keelt ning lahendasid ühiselt tehnikateemalisi ülesandeid

  1. Pendugaan Model Sumber Anomali Magnetik Bawah Permukaan Di Area Pertambangan Emas Rakyat Desa Paningkaban, Kecamatan Gumelar, Kabupaten Banyumas (Halaman 38 S.d. 42)

    OpenAIRE

    -, Sehah; Anom Raharjo, Sukmaji; Wibowo, Okky

    2014-01-01

    Telah dilakukan survei magnetik dan pendugaan model sebaran sumber anomali magnetik bawah permukaan di kawasan pertambangan emas rakyat Desa Paningkaban, Kecamatan Gumelar, Kabupaten Banyumas. Data awal yang diperoleh dalam survei magnetik adalah kuat medan magnetik total. Setelah dilakukan beberapa koreksi dan reduksi diperoleh data anomali magnetik residual. Berdasarkan hasil pemodelan terhadap data anomali magnetik residual menggunakan perangkat lunak Mag2DC for Window pada lintasan AB, di...

  2. Pendugaan Model Sumber Anomali Magnetik Bawah Permukaan di Area Pertambangan Emas Rakyat Desa Paningkaban, Kecamatan Gumelar, Kabupaten Banyumas (Halaman 38 s.d. 42)

    OpenAIRE

    -, Sehah; Anom Raharjo, Sukmaji; Wibowo, Okky

    2015-01-01

    Telah dilakukan survei magnetik dan pendugaan model sebaran sumber anomali magnetik bawah permukaan di kawasan pertambangan emas rakyat Desa Paningkaban, Kecamatan Gumelar, Kabupaten Banyumas. Data awal yang diperoleh dalam survei magnetik adalah kuat medan magnetik total. Setelah dilakukan beberapa koreksi dan reduksi diperoleh data anomali magnetik residual. Berdasarkan hasil pemodelan terhadap data anomali magnetik residual menggunakan perangkat lunak Mag2DC for Window pada lintasan AB, di...

  3. Prantsusmaal hoolekandeasutuste hindamist õppimas / Kaidi-Mari Liping

    Index Scriptorium Estoniae

    Liping, Kaidi-Mari

    2008-01-01

    12.-16. maini osales Võrumaa neljaliikmeline delegatsioon Prantsusmaal Agen'is toimunud koolitusel, mille eesmärk oli tutvustada hoolekandeasutustes osutatavate teenuste kvaliteedi hindamise metoodikat Valoris. Koolitus toimus EL Leonardo da Vinci programmi projekti Valoris TIQSS raames

  4. Loodi töötervishoiu ja -ohutuse alase hariduse ja koolituse võrgustik Euroopas / Ulrike Bollmann

    Index Scriptorium Estoniae

    Bollmann, Ulrike

    2006-01-01

    1. oktoobril 2005. a. Hispaanias Bilboas algatatud Leonardo da Vinci projektist ENETOSH (European Network Education and Training in Occupational Safety and Health ehk Euroopa töötervishoiu ja -ohutuse alane hariduse ja koolituse võrgustik)

  5. Tourism. Leonardo da Vinci Series: Good Practices.

    Science.gov (United States)

    Commission of the European Communities, Brussels (Belgium). Directorate-General for Education and Culture.

    This brochure, part of a series about good practices in vocational training in the European Union, describes 10 projects that have promoted investment in human resources through training in the tourism sector to promote sustainable, or responsible, tourism. The projects and their countries of origin are as follows: (1) BEEFT, training of mobility…

  6. [Studies of vision by Leonardo da Vinci].

    Science.gov (United States)

    Berggren, L

    2001-01-01

    Leonardo was an advocate of the intromission theory of vision. Light rays from the object to the eye caused visual perceptions which were transported to the brain ventricles via a hollow optic nerve. Leonardo introduced wax injections to explore the ventricular system. Perceptions were assumed to go to the "senso comune" in the middle (3rd) ventricle, also the seat of the soul. The processing station "imprensiva" in the anterior lateral horns together with memory "memoria" in th posterior (4th) ventricle integrated the visual perceptions to visual experience. - Leonardo's sketches with circular lenses in the center of the eye reveal that his dependence on medieval optics prevailed over anatomical observations. Drawings of the anatomy of the sectioned eye are missing although Leonardo had invented a new embedding technique. In order to dissect the eye without spilling its contents, the eye was first boiled in egg white and then cut. The procedure was now repeated and showed that the ovoid lens after boiling had become spherical. - Leonardo described that light rays were refracted and reflected in the eye but his imperfect anatomy prevented a development of physiological optics. He was, however, the first to compare the eye with a pin-hole camera (camera obscura). Leonardo's drawings of the inverted pictures on the back wall of a camera obscura inspired to its use as an instrument for artistic practice. The camera obscura was for centuries a model for explaining human vision.

  7. External irradiation of the personnel operating the reactor RA at Vinca in the period 1963-1966; Spoljasnje ozracivanje osoblja koje opsluzuje reaktor RA u Vinci u periodu 1963-1966

    Energy Technology Data Exchange (ETDEWEB)

    Ninkovic, M M; Minincic, Z [Institut za nuklearne nauke Vinca, Belgrade (Yugoslavia)

    1967-07-01

    The objective of this paper was the analysis of external radiation exposure of the personnel employed at the RA reactor in Vinca during past four years. During 1963 reactor was not operated because of the general repair and maintenance, and it was operated during 1964, 1965 and 1966. The internal irradiation and the estimation of the beta doses on the skin were not analysed in this paper, they should be treated by separate analyses. The evaluation of external irradiation covered only gamma radiation since yhe neutron doses were negligible. The analysis was based on the the irradiation dose data obtained by film and personal dosemeters. Predmet ovog rada je analiza spoljasnjeg ozracivanja osoblja koje je radilo na reaktoru RA u Vinci u poslednje cetiri godine, u toku kojih je reaktor bio u opstem remontu 1963, odnosno u normalnom radu 1964, 1965 i 1966. U ovom radu nismo se upustali u analizu unutrasnjeg ozracivanja, kao ni procenu doza beta zracenja na kozi, sto treba da bude predmet posebnih analiza. Pri proceni spoljasnjeg ozracivanja operisano je samo sa dozama gama zracenja, jer je ozracivanje neutronima zanemarljivo. Celokupna analiza izvrsena je na osnovu podataka o dozama ozracivanja do kojih se doslo ocitavanjem film o penkalo dozimetara.

  8. Mentoring console improves collaboration and teaching in surgical robotics.

    Science.gov (United States)

    Hanly, Eric J; Miller, Brian E; Kumar, Rajesh; Hasser, Christopher J; Coste-Maniere, Eve; Talamini, Mark A; Aurora, Alexander A; Schenkman, Noah S; Marohn, Michael R

    2006-10-01

    One of the most significant limitations of surgical robots has been their inability to allow multiple surgeons and surgeons-in-training to engage in collaborative control of robotic surgical instruments. We report the initial experience with a novel two-headed da Vinci surgical robot that has two collaborative modes: the "swap" mode allows two surgeons to simultaneously operate and actively swap control of the robot's four arms, and the "nudge" mode allows them to share control of two of the robot's arms. The utility of the mentoring console operating in its two collaborative modes was evaluated through a combination of dry laboratory exercises and animal laboratory surgery. The results from surgeon-resident collaborative performance of complex three-handed surgical tasks were compared to results from single-surgeon and single-resident performance. Statistical significance was determined using Student's t-test. Collaborative surgeon-resident swap control reduced the time to completion of complex three-handed surgical tasks by 25% compared to single-surgeon operation of a four-armed da Vinci (P nudge mode was particularly useful for guiding a resident's hands during crucially precise steps of an operation (such as proper placement of stitches). The da Vinci mentoring console greatly facilitates surgeon collaboration during robotic surgery and improves the performance of complex surgical tasks. The mentoring console has the potential to improve resident participation in surgical robotics cases, enhance resident education in surgical training programs engaged in surgical robotics, and improve patient safety during robotic surgery.

  9. A prospective comparison of robotic and laparoscopic pyeloplasty.

    Science.gov (United States)

    Link, Richard E; Bhayani, Sam B; Kavoussi, Louis R

    2006-04-01

    To determine whether robotic-assisted pyeloplasty (RLP) has any significant clinical or cost advantages over laparoscopic pyeloplasty (LP) for surgeons already facile with intracorporeal suturing. LP has become an established management approach for primary ureteropelvic junction obstruction. More recently, the da Vinci robot has been applied to this procedure (RLP) in an attempt to shorten the learning curve. Whether RLP provides any significant advantage over LP for the experienced laparoscopist remains unclear. Ten consecutive cases each of transperitoneal RLP and LP performed by a single surgeon were compared prospectively with respect to surgical times and perioperative outcomes. Cost assessment was performed by sensitivity analysis using a mathematical cost model incorporating operative time, anesthesia fees, consumables, and capital equipment depreciation. The RLP and LP groups had statistically indistinguishable demographics, pathology, and similar perioperative outcomes. Mean operative and total room time for RLP was significantly longer than LP by 19.5 and 39.0 minutes, respectively. RLP was much more costly than LP (2.7 times), due to longer operative time, increased consumables costs, and depreciation of the costly da Vinci system. However, even if depreciation was eliminated, RLP was still 1.7 times as costly as LP. One-way sensitivity analysis showed that LP operative time must increase to almost 6.5 hours for it to become cost equivalent to RLP. For the experienced laparoscopist, application of the da Vinci robot resulted in no significant clinical advantage and added substantial cost to transperitoneal laparoscopic dismembered pyeloplasty.

  10. Kate Steinitz, Librarian, Artist, Scholar; Being a Thirteen-Part Tribute to One Whose Verve Has Enlivened Some Eight Decades on Two Continents

    Science.gov (United States)

    Wilson Libr Bull, 1970

    1970-01-01

    Personal reminiscences about the Dada artist, expert on Leonardo da Vinci, and librarian at the UCLA Library of Vinciana by museum directors, scholars, and friends. Includes selected bibliography of her works, a chronology, poems, sketches, and photographs. (JS)

  11. From Illusion to Reality: A Brief History of Robotic Surgery.

    Science.gov (United States)

    Marino, Marco Vito; Shabat, Galyna; Gulotta, Gaspare; Komorowski, Andrzej Lech

    2018-04-01

    Robotic surgery is currently employed for many surgical procedures, yielding interesting results. We performed an historical review of robots and robotic surgery evaluating some critical phases of its evolution, analyzing its impact on our life and the steps completed that gave the robotics its current popularity. The origins of robotics can be traced back to Greek mythology. Different aspects of robotics have been explored by some of the greatest inventors like Leonardo da Vinci, Pierre Jaquet-Droz, and Wolfgang Von-Kempelen. Advances in many fields of science made possible the development of advanced surgical robots. Over 3000 da Vinci robotic platforms are installed worldwide, and more than 200 000 robotic procedures are performed every year. Despite some potential adverse events, robotic technology seems safe and feasible. It is strictly linked to our life, leading surgeons to a new concept of surgery and training.

  12. Projekt "Baltenet - The Baltic Technology Network" / Leonid Pai

    Index Scriptorium Estoniae

    Pai, Leonid

    2005-01-01

    Baltenet - The Baltic Technology Network on projekt, mille alusel teevad koostööd tehniliste erialade koolituse arendamiseks Baltimere äärsetes riikides neli kutseõppeasutust Soomest, Rootsist, Lätis ja Eestist. Projekti rahastab Euroopa Liidu Leonardo da Vinci programm

  13. Pictures of fear and horror / Aare Pilv

    Index Scriptorium Estoniae

    Pilv, Aare, 1976-

    2009-01-01

    Autor lapsena unes hirmu põhjustanud piltidest. Ants Laikmaa pastellmaalist "Marie Underi portree (1904), selle sarnasusest Edvard Munchi kujutatud naistega ("Angstgefühl", 1896). Jüri Arraku illustratsioonist "Vanapagan" lasteraamatule "Suur Tõll" (1982). Otsa vaatavatest portreedest (Leonardo da Vinci "Mona Lisa")

  14. Femtosecond laser surface structuring of molybdenum thin films

    CSIR Research Space (South Africa)

    Kotsedi, L

    2015-10-01

    Full Text Available , 20133 Milano, Italy e Center for Nano Science and Technology, Istituto Italiano di Tecnologia, Via Pascoli 70/3, 20133 Milano, Italy f Institute for Photonics and Nanotechnologies (IFN)–CNR, Piazza Leanardo Da Vinci, 32, 20133 Milano, Italy...

  15. Initial consecutive 125 cases of robotic assisted laparoscopic radical prostatectomy performed in Ireland's first robotic radical prostatectomy centre.

    LENUS (Irish Health Repository)

    Bouchier-Hayes, D M

    2012-03-01

    We examined the patient characteristics, operative proceedings and the outcomes of the initial series of 125 cases of robot-assisted laparoscopic radical prostatectomy (RALRP) in an independent hospital in Ireland, performed by two surgeons using the da Vinci(®) surgical system.

  16. Physics Based Modeling in Design and Development for U.S. Defense Held in Denver, Colorado on November 14-17, 2011. Volume 2: Audio and Movie Files

    Science.gov (United States)

    2011-11-17

    Mr. Frank Salvatore, High Performance Technologies FIXED AND ROTARY WING AIRCRAFT 13274 - “CREATE-AV DaVinci : Model-Based Engineering for Systems... Tools for Reliability Improvement and Addressing Modularity Issues in Evaluation and Physical Testing”, Dr. Richard Heine, Army Materiel Systems

  17. Globaalne peastsoojenemine : Bangkok / Mai Loog

    Index Scriptorium Estoniae

    Loog, Mai, 1960-

    2006-01-01

    Dan Browni samanimelise romaani järgi valminud põnevusfilm "Da Vinci kood" : režissöör Ron Howard : Ameerika Ühendriigid 2006. Tais lisati filmi algusse ja lõppu hoiatavad teated, et tegemist on väljamõeldisega

  18. Leonardo sild / Alar Just

    Index Scriptorium Estoniae

    Just, Alar

    2003-01-01

    31. XI 2001. a. Asi linna lähedal Norras liikluseks avatud puidust jalgteesillast, mis ehitati Leonardo da Vinci projekti järgi. Lõplikud joonised tegi arhitektuuribüroo Selberg Architects. Leonardo-silla ehitamise initsiaatoriks oli norra kunstnik Vebjorn Sand. 4 ill

  19. [Distance learning using internet in the field of bioengineering].

    Science.gov (United States)

    Ciobanu, O

    2003-01-01

    The Leonardo da Vinci training programme supports innovative transnational initiatives for promoting the knowledge, aptitudes and skills necessary for successful integration into working life. Biomedical engineering is an emerging interdisciplinary field that contributes to understand, define and solve problems in biomedical technology within industrial and health service contexts. Paper presents a Leonardo da Vinci pilot-project called Web-based learning and training in the field of biomedical and design engineering (WEBD). This project has started on 2001. The WEBD project proposes to use advanced learning technologies to provide education in the www. Project uses interactive 3D graphics and virtual reality tools. The WEBD distance training permits users to experience and interact with a life-like model or environment, in safety and at convenient times, while providing a degree of control over the simulation that is usually not possible in the real-life situation.

  20. 2D-3D radiograph to cone-beam computed tomography (CBCT) registration for C-arm image-guided robotic surgery.

    Science.gov (United States)

    Liu, Wen Pei; Otake, Yoshito; Azizian, Mahdi; Wagner, Oliver J; Sorger, Jonathan M; Armand, Mehran; Taylor, Russell H

    2015-08-01

    C-arm radiographs are commonly used for intraoperative image guidance in surgical interventions. Fluoroscopy is a cost-effective real-time modality, although image quality can vary greatly depending on the target anatomy. Cone-beam computed tomography (CBCT) scans are sometimes available, so 2D-3D registration is needed for intra-procedural guidance. C-arm radiographs were registered to CBCT scans and used for 3D localization of peritumor fiducials during a minimally invasive thoracic intervention with a da Vinci Si robot. Intensity-based 2D-3D registration of intraoperative radiographs to CBCT was performed. The feasible range of X-ray projections achievable by a C-arm positioned around a da Vinci Si surgical robot, configured for robotic wedge resection, was determined using phantom models. Experiments were conducted on synthetic phantoms and animals imaged with an OEC 9600 and a Siemens Artis zeego, representing the spectrum of different C-arm systems currently available for clinical use. The image guidance workflow was feasible using either an optically tracked OEC 9600 or a Siemens Artis zeego C-arm, resulting in an angular difference of Δθ:∼ 30°. The two C-arm systems provided TRE mean ≤ 2.5 mm and TRE mean ≤ 2.0 mm, respectively (i.e., comparable to standard clinical intraoperative navigation systems). C-arm 3D localization from dual 2D-3D registered radiographs was feasible and applicable for intraoperative image guidance during da Vinci robotic thoracic interventions using the proposed workflow. Tissue deformation and in vivo experiments are required before clinical evaluation of this system.

  1. Explorers with a Mission.

    Science.gov (United States)

    Sweeney, Patricia James

    1991-01-01

    Offers brief summaries of contributions made by several of Christopher Columbus's contemporaries, including Nicholas Cusa, Leonardo da Vinci, Michelangelo Buonarroti, Nicholas Copernicus, Johannes Gutenberg, Sir Thomas More, Desiderius Erasmus, and John Colet. Urges modern Catholic educators to learn from these risk takers and visionaries. (DMM)

  2. [Laparoscopic colorectal surgery - SILS, robots, and NOTES.

    NARCIS (Netherlands)

    D'Hoore, André; Wolthuis, Albert M.; Mizrahi, Hagar; Parker, Mike; Bemelman, Willem A.; Wara, Pål

    2011-01-01

    Single incision laparoscopic surgery resection of colon is feasible, but so far evidence of benefit compared to standard laparoscopic technique is lacking. In addition to robot-controlled camera, there is only one robot system on the market capable of performing laparoscopic surgery. The da Vinci

  3. Use of 3-D HD auxiliary monitor by bedside assistant results in shorter console-time and ischemia-time in robot assisted laparoscopic partial tumor-nephrectomy

    NARCIS (Netherlands)

    Alamyar, M.; Bouma, H; ; Goossens, W.J.H.; Wieringa, F.P.; Kroon, B.K.; Eendebak, P.T.; Wijburg, C.J.; Smits, G.A.H.J.

    2014-01-01

    Recently, we have shown that connecting live three-dimensional (3D) monitors to all three available Da Vinci® robot (Intuitive) generations improved the impression of shared perception for the whole surgical team. Standardized dry lab experiments revealed that delicate teamwork was faster (up to

  4. Võimalus osta Leonardo joonistus / Maria-Kristiina Soomre

    Index Scriptorium Estoniae

    Soomre, Maria-Kristiina, 1978-

    2001-01-01

    10. VII tuleb Londonis Christies'i oksjonil müügile Leonardo da Vinci etüüd ratsanikust, mis kuulub kunstniku poolelijäänud "Tarkade kummardamise" kompositsiooni ettevalmistavate etüüdide hulka. Müügihinnaks arvatakse kujunevat 3,5 miljonit naela.

  5. Kormašov puhus Leonardo autoportree intriigi lõkkele / Tiiu Leis

    Index Scriptorium Estoniae

    Leis, Tiiu

    2010-01-01

    Kadrioru Kunstimuuseumis eksponeeritakse Leonardo da Vinci arvatavat autoportreed. Lõuna-Itaalia erakogust leitud maali uurimisprotsessi kaasati Tallinna Ülikooli kunstiosakonna juhataja, maali ja maalitehnoloogia õppejõud Orest Kormašov, kes jagab selgitusi maali uuringute kohta. Ekspertiisis osales ka Eesti Kunstiakadeemia graafilise disaini tudeng Helen Kokk

  6. Püha õhtu seltskonnalaud / Kaire Nurk

    Index Scriptorium Estoniae

    Nurk, Kaire, 1960-

    2005-01-01

    Püha õhtusöömaaja teemast kunstis. Saksa kunstiajaloolase Horst Schwebeli poolt Leonardo da Vinci "Püha õhtusöömaaja" XX sajandi "töötlustes" välja toodud poliitilise agitatsiooni ja ühisest probleemist haaratud seltskonna kujutiste suunast. Laua kujutisest kunstis

  7. Meelelahutus on meelelahutus / Jaak Lõhmus

    Index Scriptorium Estoniae

    Lõhmus, Jaak

    2006-01-01

    17. mail esilinastus Cannes'i filmifestivalil Dan Browni samanimelise menuromaani järgi valminud põnevusfilm "Da Vinci kood" (režissöör Ron Howard). Filmi linastuse järel toimunud pressikonverentsist, kus olid kohal nii lavastaja kui staarid ja rekordarv ajakirjanikke

  8. Broadening industry perspectives of vehicle telematics application through virtual learning environments

    NARCIS (Netherlands)

    Bull, K.; Hull, N.; Peck, D.P.

    2009-01-01

    EADIS is a two year international initiative funded by Leonardo Da Vinci UK. It involves five European design-related educational institutions who have developed a Vehicle Telematics Road Map. The map acts as the basis for an internationally available online training programme that shares knowledge

  9. Electric Service Areas, Electric Servic Area - given to us from GA power and Planters Electric - distributed by the EMA Director, Val Ashcraft, Published in 2008, 1:2400 (1in=200ft) scale, Effingham County Government.

    Data.gov (United States)

    NSGIC Local Govt | GIS Inventory — Electric Service Areas dataset current as of 2008. Electric Servic Area - given to us from GA power and Planters Electric - distributed by the EMA Director, Val...

  10. PlenadrEMA: effect of dual-release versus conventional hydrocortisone on fatigue, measured by ecological momentary assessments: a study protocol for an open-label switch pilot study.

    Science.gov (United States)

    Boesen, Victor Brun; Christoffersen, Thea; Watt, Torquil; Borresen, Stina Willemoes; Klose, Marianne; Feldt-Rasmussen, Ulla

    2018-01-23

    Patients with adrenal insufficiency have impaired health-related quality of life (QoL). The dual-release hydrocortisone preparation, Plenadren, has been developed to mimic the physiological cortisol release more closely than conventional hydrocortisone treatment. Plenadren has been shown to improve QoL, in particular fatigue, in patients with primary adrenal insufficiency. However, the effect has not been investigated in patients with secondary adrenal insufficiency; furthermore, no study has taken the diurnal variation of fatigue into account. To assess diurnal variations, it is necessary to use repeated daily measurements, such as ecological momentary assessments (EMAs). This study aims to evaluate EMAs of fatigue as outcome in future large-scale randomised clinical trials. The PlenadrEMA trial is an investigator-initiated open-label switch pilot trial of the effect of Plenadren versus conventional hydrocortisone on fatigue in patients with secondary adrenal insufficiency. The trial will include 30 participants. After 5 weeks on their usual hydrocortisone treatment, patients will be shifted to Plenadren for 16 weeks. Fatigue will be assessed using momentary versions of the Multidimensional Fatigue Inventory (MFI-20). Items will be administered to participants via a smartphone application four times daily during 20 days. Assessments will be performed before treatment shift and repeated after 12.5 weeks on Plenadren. The study will identify the best suited outcome for future randomised clinical trials, and in addition, estimate the variability and difference in fatigue between the two treatments to perform power calculations. The trial will be conducted in accordance with the Declaration of Helsinki and has been approved by the Regional Scientific Ethical Committee in Copenhagen (ID: H-1-2014-073). All patients will receive written and verbal information about the trial and will give informed consent before enrolment. Findings will be published in peer

  11. Serosurvey of Leptospirainterrogans, Brucellaabortus and Chlamydophilaabortus infection in free-ranging giant anteaters (Myrmecophaga tridactyla from Brazil

    Directory of Open Access Journals (Sweden)

    Flávia R. Miranda

    2015-05-01

    Full Text Available Abstract:A serological survey for antibodies against Leptospira interrogans, Brucella abortus, and Chlamydophila abortus was conducted in 21 clinically healthy, free-ranging giant ant- eaters (Myrmecophaga tridactyla from Parque Nacional das Emas (Goiás State, Brazil; n=6, Parque Nacional da Serra da Canastra (Minas Gerais State, Brazil; n=9, and RPPN SESC Pantanal (Mato Grosso State, Brazil; n=6 between July 2001 and September 2006. Sera were screened for antibodies against 22 serovars of Leptospira interrogans with a microscopic agglutination test. Twelve tested positive for L. interrogansserovars sentot (n=5 in PN Emas, n=2 in PN Serra da Canastra, butembo (n=2 in PN Serra da Canastra, autumnalis, bataviae, and shermani/icterohaemorrhagiae(n=1 each in SESC PantanalOne adult female tested positive for B. abortus with the buffered plate antigen test. All sera were negative for C. abortususing the complement fixation text. This is the first report of pathogens that may interfere with the reproduction and population dynamics of free-ranging giant anteaters.

  12. Behavioural responses of captive-born greater rheas Rhea americana Linnaeus (Rheiformes, Rheidae submitted to antipredator training Respostas comportamentais de emas cativas Rhea americana Linnaeus (Rheiformes, Rheidae submetidas a treinamentoanti-predação

    Directory of Open Access Journals (Sweden)

    Cristiano S. de Azevedo

    2006-03-01

    Full Text Available Human activities have been diminishing greater rhea Rhea americana (Linnaeus, 1758 populations throughout their natural distribution. The reintroductions of captive-born greater rheas have been tried but without success; since the individuals reintroduced were killed by predators. Captive-born animals that have been isolated from predators for many generations can lose their predator recognition abilities. To enhance the survival rates of the reintroduced animals, researchers are now using antipredator training techniques. We studied the response of 15 zoo-borne greater rheas to antipredator training. The animals were divided into three groups: two test groups and one control group. We ran 15 antipredator tests and four control testes with each group. Antipredator tests consisted of pairing a taxidermized predator model or a real predator (domestic dog with a simulation of a capture procedure. Control tests consisted of presenting the predator model (jaguar to the birds, after training but not associating it with an aversive event and recording behavioural responses. All tests were video-recorded and analysed a posteriori. Results showed that the trained rheas responded appropriately to the predators, becoming more vigilant and that there was considerable individual differences in response to antipredator training. The results demonstrated that antipredator training is effective and therefore an invaluable tool for reintroduction projects involving greater rheas. Furthermore, the methods employed in this research project should be applicable to other species of flightless birds.As atividades humanas têm diminuído as populações de emas Rhea americana (Linnaeus, 1758 por toda sua área de distribuição. Reintroduções de emas nascidas em cativeiro têm sido tentadas, mas sem sucesso, uma vez que os indivíduos reintroduzidos são mortos por predadores. Animais nascidos em cativeiro que foram isolados de seus predadores por várias gera

  13. Systematic review and cumulative analysis of perioperative outcomes and complications after robot-assisted radical cystectomy

    DEFF Research Database (Denmark)

    Novara, Giacomo; Catto, James W F; Wilson, Timothy

    2015-01-01

    and complications of RARC in comparison with ORC and LRC. EVIDENCE ACQUISITION: Medline, Scopus, and Web of Science databases were searched using a free-text protocol including the terms robot-assisted radical cystectomy or da Vinci radical cystectomy or robot* radical cystectomy. RARC case series and studies...

  14. Unveiling the Gap

    DEFF Research Database (Denmark)

    Jensson, Pall; Rokkjær, Ole; Nørgaard, Bente

    by the EU Leonardo da Vinci Partnership program. The project had two objectives. The first objective was to use the European Qualification Framework (EQF) as a benchmark against the National Qualification Framework (NQF) of the partner countries and the IE educations offered by the partner institutions...

  15. Le tecnologie di rilievo marino e costiero

    Directory of Open Access Journals (Sweden)

    Redazione mediaGEO

    2015-03-01

    Full Text Available In a quiet location on the banks of the Tiber River, not far from the airport "Leonardo Da Vinci" of Rome, on October 9 and 10, was held a workshop entitled "The marine and coastal survey technologies" organized by Codevintec.

  16. Fra Bartolommeo

    DEFF Research Database (Denmark)

    Elen, Albert J.; Fischer, Chris

    In Museum Boijmans Van Beuningen, discover the masterpieces of Fra Bartolommeo (1473-1517), the Italian monk and artist from the famous monastery of San Marco in Florence. He, Leonardo da Vinci, Raphael and Michelangelo were the four most important artists of the High Renaissance. Paintings by Fra...

  17. Artsmarts.

    Science.gov (United States)

    Greenman, Geri

    2000-01-01

    Provides information on Leonardo da Vinci, Michelangelo, and Honore Daumier's "Rue Transonian." Describes an art activity in which students in an advanced drawing class reproduce a famous drawing in the same medium as the original, make the composition contemporary, and include themselves in the composition. (CMK)

  18. Study of development paths of dairy farmers in Slovenia

    NARCIS (Netherlands)

    Klopcic, M.; Verhees, F.J.H.M.; Kuipers, A.; Koops, W.J.

    2014-01-01

    As part of the Central and Eastern European project of Wageningen UR (Wageningen, the Netherlands) combined with a Leonardo da Vinci project coordinated by Warsaw University of Life Sciences (Warsaw, Poland), an analysis was performed in year 2012 of future development paths of dairy farmers in

  19. Предлогаемый автопортрет итальянского художника Леонардо да Винчи экспонируется в Кадриорге

    Index Scriptorium Estoniae

    2010-01-01

    Kadrioru Kunstimuuseumis eksponeeritakse 5.-12. veebruarini Leonardo da Vinci arvatavat autoportreed. Koos portreemaaliga näidatakse Eesti ja Itaalia spetsialistide koostöös valminud portreeskulptuuri ja 3D arvutimudelit. Samal teemal Jelena Jeliferova repliik "Код да Винчи" lk. 8

  20. EMA beamline at SIRIUS: extreme condition X-ray methods of analysis

    International Nuclear Information System (INIS)

    Souza Neto, Narcizo

    2016-01-01

    Full text: The EMA beamline (Extreme condition X-ray Methods of Analysis) is one of the hard x-ray undulator beamlines within the first phase of the new synchrotron source in Brazil (Sirius project). This beamline is thought to make a difference where a high brilliance (high flux of up to 2 x 10 14 photons/sec with beam size down to 0.5 x 0.5 μm 2 ) is essential, which is the case for extreme pressures that require small focus and time-resolved that require high photon flux. With that in mind we propose the beamline to have two experimental hutches to cover most of the extreme condition techniques today employed at synchrotron laboratories worldwide. These two stations are thought to provide the general infrastructure for magnets and lasers experiments, which may evolve as new scientific problems appear. In addition to the hutches, support laboratories will be strongly linked and supportive to the experiments at the beamline, covering high pressure instrumentations using diamond anvil cells and pump-and-probe requirements for ultrafast and high power lasers. Along these lines, we will describe the following techniques covered at this beamline: magnetic spectroscopy (XMCD) and scattering (XRMS) under high pressure and very low temperature in order to fully probe both ferromagnetic and antiferromagnetic materials and the dependence with pressure; extreme pressure and temperature XRD and XAS experiments using very small diamond culet anvils and high power lasers. (author)

  1. EMA beamline at SIRIUS: extreme condition X-ray methods of analysis

    Energy Technology Data Exchange (ETDEWEB)

    Souza Neto, Narcizo, E-mail: narcizo.souza@lnls.br [Centro Nacional de Pesquisa em Energia e Materiais (CNPEM), Campinas, SP (Brazil)

    2016-07-01

    Full text: The EMA beamline (Extreme condition X-ray Methods of Analysis) is one of the hard x-ray undulator beamlines within the first phase of the new synchrotron source in Brazil (Sirius project). This beamline is thought to make a difference where a high brilliance (high flux of up to 2 x 10{sup 14} photons/sec with beam size down to 0.5 x 0.5 μm{sup 2}) is essential, which is the case for extreme pressures that require small focus and time-resolved that require high photon flux. With that in mind we propose the beamline to have two experimental hutches to cover most of the extreme condition techniques today employed at synchrotron laboratories worldwide. These two stations are thought to provide the general infrastructure for magnets and lasers experiments, which may evolve as new scientific problems appear. In addition to the hutches, support laboratories will be strongly linked and supportive to the experiments at the beamline, covering high pressure instrumentations using diamond anvil cells and pump-and-probe requirements for ultrafast and high power lasers. Along these lines, we will describe the following techniques covered at this beamline: magnetic spectroscopy (XMCD) and scattering (XRMS) under high pressure and very low temperature in order to fully probe both ferromagnetic and antiferromagnetic materials and the dependence with pressure; extreme pressure and temperature XRD and XAS experiments using very small diamond culet anvils and high power lasers. (author)

  2. Handbook of the eurolaser academy

    CERN Document Server

    1998-01-01

    The European Community regards training as a priority area and has therefore developed a series of programmes in the field of vocational training. This book is the result of a pilot project selected under two of these Community Action Programmes. It was initially selected under the COMETT programme, concerned with the development of continuing vocational training in the European Community. Moreover, it was one of the few selected projects to receive further funding under a second selection in the context of the LEONARDO DA VINCI Action Programme for the implementation of a European Community Vocational Training policy. It is with great pleasure that I present the outcome of this project which embodies one of the fundamental objectives of the LEONARDO DA VINCI Programme -training for new technologies in SMEs, which make a significant contribution to economic development in Europe. K DRAXLER Director Directorate General XXII European Commission x Acknowledgements The Volume Editor gratefully acknowledges fundin...

  3. [Robotic splenectomy--a personal view].

    Science.gov (United States)

    Vasilescu, C

    2010-01-01

    Until now 40 robotic splenectomies were performed in our department, the first case being done on February 25, 2008. Our data show that robotic splenectomy with the DaVinci surgical system is technically feasible and safe, with good results and without complications. The main advantages are a better tridimensional view and an increased versatility of the surgical instruments. The DaVinci system allows an accurate dissection around the splenic hilum and preservation of the splenic remnant vessels in partial splenectomy. Robotic splenectomy will probably not replace the laparoscopic splenectomy for the most common indications like ITP, hemolytic anemia. It may be a very useful surgical tool in difficult splenectomy: partial splenectomy, splenectomy in liver cirrhosis, splenic tumors or malignant hemopathies. In these cases the robotic approach may shorten the operative time, decrease the blood loss and the risk of remorrhagic complications during surgery and even make possible a minimally invasive splenectomy very difficult to be performed by classical laparoscopy.

  4. PREFACE: Proceedings of the 11th European Workshop of the European Microbeam Analysis Society (EMAS) on Modern Developments and Applications in Microbeam Analysis

    Science.gov (United States)

    2010-07-01

    This volume of IOP Conference Series: Materials Science and Engineering contains papers from the 11th Workshop of the European Microbeam Analysis Society (EMAS) on Modern Developments and Applications in Microbeam Analysis which took place from 10-14 May 2009 in the Hotel Faltom, Gdynia, Poland. The primary aim of this series of workshops is to assess the state-of-the-art and reliability of microbeam analysis techniques. The workshops also provide a forum where students and young scientists starting out on careers in microbeam analysis can meet and discuss with the established experts. The workshops have a very distinct format comprising invited plenary lectures by internationally recognized experts, poster presentations by the participants and round table discussions on the key topics led by specialists in the field. For this workshop EMAS invited speakers on the following topics: EPMA, EBSD, fast energy-dispersive X-ray spectroscopy, three-dimensional microanalysis, and micro-and nanoanalysis in the natural resources industry. The continuing relevance of the EMAS workshops and the high regard in which they are held internationally can be seen from the fact that 69 posters from 16 countries were on display at the meeting and that the participants came from as far away as Japan and the USA. A number of participants with posters were invited to give short oral presentations of their work in two dedicated sessions. As at previous workshops there was also a special oral session for young scientists. Small cash prizes were awarded for the three best posters and for the best oral presentation by a young scientist. The prize for the best poster went to the contribution by G Tylko, S Dubchak, Z Banach and K Turnau, entitled Monte Carlo simulation for an assessment of standard validity and quantitative X-ray microanalysis in plant. Joanna Wojewoda-Budka of the Institute of Metallurgy and Materials Science, Krakow, received the prize for the best oral presentation by a

  5. Distance Learning. Leonardo da Vinci Series: Good Practices.

    Science.gov (United States)

    Commission of the European Communities, Brussels (Belgium). Directorate-General for Education and Culture.

    This brochure, part of a series about good practices in vocational training in the European Union, describes 12 projects that use distance learning to promote lifelong learning in adults. The projects and their countries of origin are as follows: (1) 3D Project, training in the use of IT tools for 3D simulation and animation and practical…

  6. Animeerija ei pea olema da Vinci / Eve Tisler

    Index Scriptorium Estoniae

    Tisler, Eve

    2006-01-01

    Sügisest saab Eesti Kunstiakadeemia meediateaduskonnas fotograafia, stenograafia ja graafilise disaini kõrval õppida ka animatsiooni. Osakonna erakorraline dotsent on Ülo Pikkov ning professor Priit Pärn annab kursust loovusest

  7. Updated EMAS declaration of the Federal Office for Environment Protection 2009 for the sites Dessau-Rosslau, Berlin-Bismarckplatz, Berlin-Marienfelde, Langen and the house 23 in Berlin-Dahlem; Aktualisierte EMAS-Umwelterklaerung des Umweltbundesamtes 2009 fuer die Standorte Dessau-Rosslau, Berlin-Bismarckplatz, Berlin-Marienfelde, Langen und das Haus 23 in Berlin-Dahlem. Der Zukunft verpflichtet - ein Zeichen setzen

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2009-07-01

    The environmental certificate under consideration describes the state of the art of the environmental targets and the most important developments in the environmental management system of the Federal Office for Environment Protection (Dessau-Rosslau, Federal Republic of Germany). Moreover, the most important environmental characteristic values are updated. Thus, the Federal Office for Environment Protection fulfills the formal EMAS regulation and documents the high requirement for the enhanced claim of the environmental management.

  8. The Prosthetic Experience Between Body and Technology

    DEFF Research Database (Denmark)

    Søndergaard, Morten

    2018-01-01

    In this paper, I argue that a prosthetic aesthetic instigated by experimental art practices operate with and within a ‘second nature’ – in-between science and art. Drawing on theories from Dewey and Edelman and examples from Da Vinci, Brancusi, Man Ray, Dali and Stelarc, I am calling...

  9. Implementation of the Automated Numerical Model Performance Metrics System

    Science.gov (United States)

    2011-09-26

    question. As of this writing, the DSRC IBM AIX machines DaVinci and Pascal, and the Cray XT Einstein all use the PBS batch queuing system for...3.3). 12 Appendix A – General Automation System This system provides general purpose tools and a general way to automatically run

  10. Hand-assisted robotic right donor nephrectomy in patient with total sinus inversus: A case report

    Science.gov (United States)

    Gonzalez-Heredia, Raquel; Garcia-Roca, Raquel; Benedetti, Enrico

    2016-01-01

    Total situs inversus” is an infrequent congenital condition. The robot has been already proved as a safe and attractive approach for living donor neprectomies. We report here the first right donor nephrectomy in a patient with total sinus inversus that is performed using the Da Vinci platform. PMID:27085108

  11. Teaching and learning spinal anaesthesia: anaesthetists' attitudes.

    LENUS (Irish Health Repository)

    Breen, Dorothy

    2010-12-01

    To identify the determinants of learning for one medical procedural skill, spinal anaesthesia, by eliciting the opinions of anaesthetists in Ireland and Hungary. This objective is one component of a research project, Medical Competence Assessment Procedure (MedCAP) funded by the EU Leonardo da Vinci Lifelong Learning Programme.

  12. The Identification of Land Subsidance by Levelling Measurement and GPR Data at Tanjung Emas Harbour, Semarang

    Directory of Open Access Journals (Sweden)

    Purnomo Raharjo

    2017-10-01

    Full Text Available Recently, the main problem in Semarang City is flood. This area has low relief that consists of coastal alluvial deposits, swamp and marine sediments. The coastline is characterized by muddy, sandy, and rocky coasts, and mangrove coast. Ground Penetrating Radar (GPR records, show that subsurface geological condition of northern part of Semarang is coastal alluvial deposit and in the south is volcanic rocks. The aims of this this research is to determine land subsidence by levelling measurement in 2005 in Tanjung Emas Harbour area built on 1995. During ten years, there are various land subsidance in this area: in Coaster Street (21 – 41 cm, container wharf (62 – 94 cm, north breakwater (64 – 79 cm, west breakwater (74 – 140 cm, east groin (76 – 89 cm, and stacking area ( 77 – 109 cm. According to this research, it is concluded that one reason causes of flooding in this area is land subsidence.

  13. Soil chemical factors and grassland species density in Emas National Park (central Brazil).

    Science.gov (United States)

    Amorim, P K; Batalha, M A

    2008-05-01

    Studies of grasslands on specific soil types suggest that different nutrients can limit biomass production and, hence, species composition and number. The Brazilian cerrado is the major savanna region in America and once covered about 2 million km(2), mainly in the Brazilian Central Plateau, under seasonal climate, with wet summer and dry winter. In view of the importance of soil chemical factors in the distribution of the vegetation forms within the Cerrado domain and which may influence the number of species, we analyzed some soil characteristics in three herbaceous vegetation forms -- hyperseasonal cerrado, seasonal cerrado, and wet grassland -- in Emas National Park, a core cerrado site, to investigate the relationship between number of species and soil characteristics. We collected vegetation and soil samples in these three vegetation forms and submitted the obtained data to multiple linear regression. We found out that aluminum and pH were the best predictors of species density, the former positively related to species density and the latter negatively related. Since the predictable variation in species density is important in determining areas of conservation, we can postulate that these two soil factors are indicators of high species density areas in tropical grasslands, which could be used in selecting priority sites for conservation.

  14. Bringing History Alive in the Classroom!

    Science.gov (United States)

    McRae, Lee, Ed.

    1996-01-01

    This document consists of the first four issues of a serial publication, "Bringing History Alive in the Classroom!" The volumes focus on: (1) "A Sampling of Renaissance Instruments," which includes: information on Christopher Columbus, Leondardo da Vinci, and William Shakespeare, a timeline from the middle ages through the renaissance, Queen…

  15. Kunst og Filosofi i det 20. Århundrede

    DEFF Research Database (Denmark)

    Indhold: Dan Zahavi: Edmund Husserl : fænomenologi og kunst. Kasper Nefer Olsen: Croce : en hegelianer uden sorger ; Wittgenstein : det æstetiske er nu. Carsten Juhl: Paul Valérys introduktion til Leonardo da Vincis metode. Peer F. Bundgård: Den formelle frigørelse : om Ernst Cassirers bestemmelse...

  16. Conrad Gessner-Kongress, Zürich, 6.-9. Juni 2016

    Directory of Open Access Journals (Sweden)

    Urs Leu

    2016-11-01

    Full Text Available To mark the 500th birthday of Conrad Gessner, the Leonardo da Vinci of Switzerland, an international congress was organized by the University and the Zentralbibliothek Zurich, which attracted many researchers to Zurich. Nearly 50 presentations illuminated work, life and contemporaries of the famous Zurich polymath and naturalist.

  17. Surgical Technology Integration with Tools for Cognitive Human Factors (STITCH)

    Science.gov (United States)

    2010-10-01

    Measurement Tool We conducted another round of data collection using the daVinci Surgical System at the University of Kentucky Hospital in May. In this...9 3. Tools and Display Technology...considering cognitive and environmental factors such as mental workload, stress, situation awareness, and level of comfort with complex tools . To

  18. Hand-assisted robotic right donor nephrectomy in patient with total situs inversus: A case report.

    Science.gov (United States)

    Gonzalez-Heredia, Raquel; Garcia-Roca, Raquel; Benedetti, Enrico

    2016-01-01

    Total situs inversus" is an infrequent congenital condition. The robot has been already proved as a safe and attractive approach for living donor nephrectomies. We report here the first right donor nephrectomy in a patient with total situs inversus that is performed using the Da Vinci platform. Published by Elsevier Ltd.

  19. Hand-assisted robotic right donor nephrectomy in patient with total situs inversus: A case report

    Directory of Open Access Journals (Sweden)

    Raquel Gonzalez-Heredia

    2016-01-01

    Full Text Available Total situs inversus” is an infrequent congenital condition. The robot has been already proved as a safe and attractive approach for living donor nephrectomies. We report here the first right donor nephrectomy in a patient with total situs inversus that is performed using the Da Vinci platform.

  20. Testing some of Benjamin Graham’s Stock Selection Criteria: A Case of the FTSE Bursa Malaysia EMAS Index from Year 2000 to 2009

    Directory of Open Access Journals (Sweden)

    Desmond Chang

    2011-01-01

    Full Text Available Benjamin Graham, also known as the “father of value investing” proposed that investment in the stock exchange can be a safe endeavor while receiving gains that outperform the market if the investor makes carefully thought out purchases. This study aims to determine if the use of some of Benjamin Graham’s stock selection criteria is able to generate returns that are significantly greater than the returns in the stock exchange of Malaysia, particularly, the comprehensive FTSE Bursa Malaysia EMAS Index. This study collected secondary data regarding fundamentals of companies listed in the FTSE Bursa Malaysia EMAS Index from the year 2000 to 2009. Five criteria were set up in this research based on one or a combination of price-to-earnings ratio, price-to-book value, current ratio and dividend yield. The listed companies were screened using those criteria. An equally weighted portfolio was created using the screened companies and their one-year and two-year returns calculated. The returns were compared to the market return. Hypotheses of this research were tested using t-test statistic to determine the significance of the data. This research found that most of the screening criteria used generated returns that were higher than the market return in almost every year they were tested in. Benjamin Graham’s stock selection criteria although have been conceived over 80 years ago is still applicable today in the Malaysian market. Further research can be conducted with different criteria with varying holding periods and in different markets.