Sample records for implantation system cais

  1. A Pilot CAI Scheme for the Malaysian Secondary Education System. (United States)

    Rao, A. Kanakaratnam; Rao, G. S.


    A multi-phase computer aided instruction (CAI) scheme for Malaysian Secondary Schools and Matriculation Centres attached to local universities is presented as an aid for improving instruction and for solving some problems presently faced by the Malaysian Secondary Education System. Some approaches for successful implementation of a CAI scheme are…

  2. CAI System of Obunsha Co., Ltd. Using CD-ROM (United States)

    Todokoro, Shigeru; Mukai, Yoshihiro

    This paper introduces the present status of R & D on CAI teaching materials in Obunsha Co., Ltd. Characteristics of CAI using CD-ROM as well as Culture-in CAI Teaching Materials System for junior high school English are described. The system consists of CD-ROM driver XM-2000 and Pasopia 700 of Toshiba Corporation having both features of CD-ROM and FD. CD-ROM stores vast amount of voice data while FD does text and graphics data. It is a frame-oriented mode system enabling to raise learning effect.

  3. Design Guidelines for CAI Authoring Systems. (United States)

    Hunka, S.


    Discussion of the use of authoring systems for courseware development focuses on guidelines to be considered when designing authoring systems. Topics discussed include allowing a variety of instructional strategies; interaction with peripheral processes such as student records; the editing process; and human factors in computer interface design,…

  4. The Intelligent CAI System for Chemistry Based on Automated Reasoning

    Institute of Scientific and Technical Information of China (English)

    王晓京; 张景中


    A new type of intelligent CAI system for chemistry is developed in this paper based on automated reasoning with chemistry knowledge.The system has shown its ability to solve chemistry problems,to assist students and teachers in studies and instruction with the automated reasoning functions.Its open mode of the knowledge base and its unique style of the interface between the system and human provide more opportunities for the users to acquire living knowledge through active participation.The automated reasoning based on basic chemistry knowledge also opened a new approach to the information storage and management of the ICAI system for sciences.

  5. The Graphics Terminal Display System; a Powerful General-Purpose CAI Package. (United States)

    Hornbeck, Frederick W., Brock, Lynn

    The Graphic Terminal Display System (GTDS) was created to support research and development in computer-assisted instruction (CAI). The system uses an IBM 360/50 computer and interfaces with a large-screen graphics display terminal, a random-access slide projector, and a speech synthesizer. An authoring language, GRAIL, was developed for CAI, and…

  6. Student Conceptions of, and Attitudes toward, Specific Features of a CAI System. (United States)

    Hativa, Nira


    Describes study of Israeli elementary school students that examined student attitudes toward computer-assisted instruction (CAI) designed to provide drill and practice in arithmetic. Attitudes are compared in relation to students' aptitude, gender, grade level, and socioeconomic status, and implications for the design of CAI systems are discussed.…

  7. Competition in Individualized CAI. (United States)

    Hativa, Nira; And Others


    Examines the effects of competition and cooperation on learning through computer-assisted instruction (CAI). A questionnaire was administered to 457 Israeli fourth graders who used two CAI arithmetic systems. The characteristics of the systems are discussed, and the results of the survey are correlated to students' gender and achievement levels.…

  8. Thermal and chemical evolution in the early solar system as recorded by FUN CAIs: Part I - Petrology, mineral chemistry, and isotopic composition of Allende FUN CAI CMS-1 (United States)

    Williams, C. D.; Ushikubo, T.; Bullock, E. S.; Janney, P. E.; Hines, R. R.; Kita, N. T.; Hervig, R. L.; MacPherson, G. J.; Mendybaev, R. A.; Richter, F. M.; Wadhwa, M.


    Detailed petrologic, geochemical and isotopic analyses of a new FUN CAI from the Allende CV3 meteorite (designated CMS-1) indicate that it formed by extensive melting and evaporation of primitive precursor material(s). The precursor material(s) condensed in a 16O-rich region (δ17O and δ18O ∼ -49‰) of the inner solar nebula dominated by gas of solar composition at total pressures of ∼10-3-10-6 bar. Subsequent melting of the precursor material(s) was accompanied by evaporative loss of magnesium, silicon and oxygen resulting in large mass-dependent isotope fractionations in these elements (δ25Mg = 30.71-39.26‰, δ29Si = 14.98-16.65‰, and δ18O = -41.57 to -15.50‰). This evaporative loss resulted in a bulk composition similar to that of compact Type A and Type B CAIs, but very distinct from the composition of the original precursor condensate(s). Kinetic fractionation factors and the measured mass-dependent fractionation of silicon and magnesium in CMS-1 suggest that ∼80% of the silicon and ∼85% of the magnesium were lost from its precursor material(s) through evaporative processes. These results suggest that the precursor material(s) of normal and FUN CAIs condensed in similar environments, but subsequently evolved under vastly different conditions such as total gas pressure. The chemical and isotopic differences between normal and FUN CAIs could be explained by sorting of early solar system materials into distinct physical and chemical regimes, in conjunction with discrete heating events, within the protoplanetary disk.

  9. Maxi CAI with a Micro. (United States)

    Gerhold, George; And Others

    This paper describes an effective microprocessor-based CAI system which has been repeatedly tested by a large number of students and edited accordingly. Tasks not suitable for microprocessor based systems (authoring, testing, and debugging) were handled on larger multi-terminal systems. This approach requires that the CAI language used on the…

  10. Dental Implant Systems (United States)

    Oshida, Yoshiki; Tuna, Elif B.; Aktören, Oya; Gençay, Koray


    Among various dental materials and their successful applications, a dental implant is a good example of the integrated system of science and technology involved in multiple disciplines including surface chemistry and physics, biomechanics, from macro-scale to nano-scale manufacturing technologies and surface engineering. As many other dental materials and devices, there are crucial requirements taken upon on dental implants systems, since surface of dental implants is directly in contact with vital hard/soft tissue and is subjected to chemical as well as mechanical bio-environments. Such requirements should, at least, include biological compatibility, mechanical compatibility, and morphological compatibility to surrounding vital tissues. In this review, based on carefully selected about 500 published articles, these requirements plus MRI compatibility are firstly reviewed, followed by surface texturing methods in details. Normally dental implants are placed to lost tooth/teeth location(s) in adult patients whose skeleton and bony growth have already completed. However, there are some controversial issues for placing dental implants in growing patients. This point has been, in most of dental articles, overlooked. This review, therefore, throws a deliberate sight on this point. Concluding this review, we are proposing a novel implant system that integrates materials science and up-dated surface technology to improve dental implant systems exhibiting bio- and mechano-functionalities. PMID:20480036

  11. Dental Implant Systems

    Directory of Open Access Journals (Sweden)

    Yoshiki Oshida


    Full Text Available Among various dental materials and their successful applications, a dental implant is a good example of the integrated system of science and technology involved in multiple disciplines including surface chemistry and physics, biomechanics, from macro-scale to nano-scale manufacturing technologies and surface engineering. As many other dental materials and devices, there are crucial requirements taken upon on dental implants systems, since surface of dental implants is directly in contact with vital hard/soft tissue and is subjected to chemical as well as mechanical bio-environments. Such requirements should, at least, include biological compatibility, mechanical compatibility, and morphological compatibility to surrounding vital tissues. In this review, based on carefully selected about 500 published articles, these requirements plus MRI compatibility are firstly reviewed, followed by surface texturing methods in details. Normally dental implants are placed to lost tooth/teeth location(s in adult patients whose skeleton and bony growth have already completed. However, there are some controversial issues for placing dental implants in growing patients. This point has been, in most of dental articles, overlooked. This review, therefore, throws a deliberate sight on this point. Concluding this review, we are proposing a novel implant system that integrates materials science and up-dated surface technology to improve dental implant systems exhibiting bio- and mechano-functionalities.


    Energy Technology Data Exchange (ETDEWEB)

    Gounelle, Matthieu [Laboratoire de Mineralogie et de Cosmochimie du Museum, CNRS and Museum National d' Histoire Naturelle, UMR 7202, CP52, 57 rue Cuvier, F-75005 Paris (France); Chaussidon, Marc; Rollion-Bard, Claire, E-mail: [Centre de Recherches Petrographiques et Geochimiques, CRPG-CNRS, BP 20, F-54501 Vandoeuvre-les-Nancy Cedex (France)


    A search for short-lived {sup 10}Be in 21 calcium-aluminum-rich inclusions (CAIs) from Isheyevo, a rare CB/CH chondrite, showed that only 5 CAIs had {sup 10}B/{sup 11}B ratios higher than chondritic correlating with the elemental ratio {sup 9}Be/{sup 11}B, suggestive of in situ decay of this key short-lived radionuclide. The initial ({sup 10}Be/{sup 9}Be){sub 0} ratios vary between {approx}10{sup -3} and {approx}10{sup -2} for CAI 411. The initial ratio of CAI 411 is one order of magnitude higher than the highest ratio found in CV3 CAIs, suggesting that the more likely origin of CAI 411 {sup 10}Be is early solar system irradiation. The low ({sup 26}Al/{sup 27}Al){sub 0} [{<=} 8.9 Multiplication-Sign 10{sup -7}] with which CAI 411 formed indicates that it was exposed to gradual flares with a proton fluence of a few 10{sup 19} protons cm{sup -2}, during the earliest phases of the solar system, possibly the infrared class 0. The irradiation conditions for other CAIs are less well constrained, with calculated fluences ranging between a few 10{sup 19} and 10{sup 20} protons cm{sup -2}. The variable and extreme value of the initial {sup 10}Be/{sup 9}Be ratios in carbonaceous chondrite CAIs is the reflection of the variable and extreme magnetic activity in young stars observed in the X-ray domain.

  13. Alternative communication network designs for an operational Plato 4 CAI system (United States)

    Mobley, R. E., Jr.; Eastwood, L. F., Jr.


    The cost of alternative communications networks for the dissemination of PLATO IV computer-aided instruction (CAI) was studied. Four communication techniques are compared: leased telephone lines, satellite communication, UHF TV, and low-power microwave radio. For each network design, costs per student contact hour are computed. These costs are derived as functions of student population density, a parameter which can be calculated from census data for one potential market for CAI, the public primary and secondary schools. Calculating costs in this way allows one to determine which of the four communications alternatives can serve this market least expensively for any given area in the U.S. The analysis indicates that radio distribution techniques are cost optimum over a wide range of conditions.

  14. A unified framework for producing CAI melting, Wark-Lovering rims and bowl-shaped CAIs (United States)

    Liffman, Kurt; Cuello, Nicolas; Paterson, David A.


    Calcium-Aluminium inclusions (CAIs) formed in the Solar system, some 4567 million years ago. CAIs are almost always surrounded by Wark-Lovering rims (WLRs), which are a sequence of thin, mono/bi-mineralic layers of refractory minerals, with a total thickness in the range of 1-100 microns. Recently, some CAIs have been found that have tektite-like bowl-shapes. To form such shapes, the CAI must have travelled through a rarefied gas at hypersonic speeds. We show how CAIs may have been ejected from the inner solar accretion disc via the centrifugal interaction between the solar magnetosphere and the inner disc rim. They subsequently punched through the hot, inner disc rim wall at hypersonic speeds. This re-entry heating partially or completely evaporated the CAIs. Such evaporation could have significantly increased the metal abundances of the inner disc rim. High speed movement through the inner disc produced WLRs. To match the observed thickness of WLRs required metal abundances at the inner disc wall that are of order 10 times that of standard solar abundances. The CAIs cooled as they moved away from the protosun, the deduced CAI cooling rates are consistent with the CAI cooling rates obtained from experiment and observation. The speeds and gas densities required to form bowl-shaped CAIs are also consistent with the expected speeds and gas densities for larger, ˜1 cm, CAIs punching through an inner accretion disc wall.

  15. NALDA (Naval Aviation Logistics Data Analysis) CAI (computer aided instruction)

    Energy Technology Data Exchange (ETDEWEB)

    Handler, B.H. (Oak Ridge K-25 Site, TN (USA)); France, P.A.; Frey, S.C.; Gaubas, N.F.; Hyland, K.J.; Lindsey, A.M.; Manley, D.O. (Oak Ridge Associated Universities, Inc., TN (USA)); Hunnum, W.H. (North Carolina Univ., Chapel Hill, NC (USA)); Smith, D.L. (Memphis State Univ., TN (USA))


    Data Systems Engineering Organization (DSEO) personnel developed a prototype computer aided instruction CAI system for the Naval Aviation Logistics Data Analysis (NALDA) system. The objective of this project was to provide a CAI prototype that could be used as an enhancement to existing NALDA training. The CAI prototype project was performed in phases. The task undertaken in Phase I was to analyze the problem and the alternative solutions and to develop a set of recommendations on how best to proceed. The findings from Phase I are documented in Recommended CAI Approach for the NALDA System (Duncan et al., 1987). In Phase II, a structured design and specifications were developed, and a prototype CAI system was created. A report, NALDA CAI Prototype: Phase II Final Report, was written to record the findings and results of Phase II. NALDA CAI: Recommendations for an Advanced Instructional Model, is comprised of related papers encompassing research on computer aided instruction CAI, newly developing training technologies, instructional systems development, and an Advanced Instructional Model. These topics were selected because of their relevancy to the CAI needs of NALDA. These papers provide general background information on various aspects of CAI and give a broad overview of new technologies and their impact on the future design and development of training programs. The paper within have been index separately elsewhere.

  16. Differential Characteristics and Methods of Operation Underlying CAI/CMI Drill and Practice Systems. (United States)

    Hativa, Nira


    Describes computer systems that combine drill and practice instruction with computer-managed instruction (CMI) and identifies system characteristics in four categories: (1) hardware, (2) software, (3) management systems, and (4) methods of daily operation. Topics discussed include microcomputer networks, graphics, feedback, degree of learner…

  17. Choice of a dental implant system. (United States)

    Hunt, Peter R; Gartner, Judith L; Norkin, Frederic J


    Many dentists are bewildered by the intricacies and complexities of dental implants. They are constantly besieged by product advertisements and can find it difficult to choose which systems to work with. Some dentists are so intimidated by the subject that they choose to avoid getting involved with implants and instead stick to traditional tooth replacement systems. By breaking implants down into 4 main components, the body, collar, connection, and restorative post, it is easier to understand the structure and function of dental implants. Each portion should be designed to achieve certain objectives. Once these structural components are understood, it is easier to compare and contrast differing implant systems.

  18. A Unified Framework for Producing CAI Melting, Wark-Lovering Rims and Bowl-Shaped CAIs

    CERN Document Server

    Liffman, Kurt; Paterson, David A


    Calcium Aluminium Inclusions (CAIs) formed in the Solar System, some 4,567 million years ago. CAIs are almost always surrounded by Wark-Lovering Rims (WLRs), which are a sequence of thin, mono/bi-mineralic layers of refractory minerals, with a total thickness in the range of 1 to 100 microns. Recently, some CAIs have been found that have tektite-like bowl-shapes. To form such shapes, the CAI must have travelled through a rarefied gas at hypersonic speeds. We show how CAIs may have been ejected from the inner solar accretion disc via the centrifugal interaction between the solar magnetosphere and the inner disc rim. They subsequently punched through the hot, inner disc rim wall at hypersonic speeds. This re-entry heating partially or completely evaporated the CAIs. Such evaporation could have significantly increased the metal abundances of the inner disc rim. High speed movement through the inner disc produced WLRs. To match the observed thickness of WLRs required metal abundances at the inner disc wall that a...

  19. The Relevance of AI Research to CAI. (United States)

    Kearsley, Greg P.

    This article provides a tutorial introduction to Artificial Intelligence (AI) research for those involved in Computer Assisted Instruction (CAI). The general theme is that much of the current work in AI, particularly in the areas of natural language understanding systems, rule induction, programming languages, and socratic systems, has important…

  20. The Biolink Implantable Telemetry System (United States)

    Betancourt-Zamora, Rafael J.


    Most biotelemetry applications deal with the moderated data rates of biological signals. Few people have studied the problem of transcutaneous data transmission at the rates required by NASA's Life Sciences-Advanced BioTelemetry System (LS-ABTS). Implanted telemetry eliminate the problems associated with wire breaking the skin, and permits experiments with awake and unrestrained subjects. Our goal is to build a low-power 174-216MHz Radio Frequency (RF) transmitter suitable for short range biosensor and implantable use. The BioLink Implantable Telemetry System (BITS) is composed of three major units: an Analog Data Module (ADM), a Telemetry Transmitter Module (TTM), and a Command Receiver Module (CRM). BioLink incorporates novel low-power techniques to implement a monolithic digital RF transmitter operating at 100kbps, using quadrature phase shift keying (QPSK) modulation in the 174-216MHz ISM band. As the ADM will be specific for each application, we focused on solving the problems associated with a monolithic implementation of the TTM and CRM, and this is the emphasis of this report. A system architecture based on a Frequency-Locked Loop (FLL) Frequency Synthesizer is presented, and a novel differential frequency that eliminates the need for a frequency divider is also shown. A self sizing phase modulation scheme suitable for low power implementation was also developed. A full system-level simulation of the FLL was performed and loop filter parameters were determined. The implantable antenna has been designed, simulated and constructed. An implant package compatible with the ABTS requirements is also being proposed. Extensive work performed at 200MHz in 0.5um complementary metal oxide semiconductors (CMOS) showed the feasibility of integrating the RF transmitter circuits in a single chip. The Hajimiri phase noise model was used to optimize the Voltage Controlled Oscillator (VCO) for minimum power consumption. Two test chips were fabricated in a 0.5pm, 3V CMOS

  1. Implementation and Control of Animation System for Machine Theory CAI System%机械原理实验CAI动画系统的实现与控制

    Institute of Scientific and Technical Information of China (English)

    徐建生; 夏先平; 胡家顺


    A courseware for demonstrating the animation of link mechanism used in machine theory CAI was developed under Visual Basic environment. The simulation and control of the movement were achieved. Beyonduser friendly and easy to use, the system can simulate the movement accurately and visually. The control of themovement, such as pausing, rotating clockwise or anti-clockwise, displaying the limitation position, is easy torealize at any time and any position. The size of any component can be changed and the type of the mechanismcan be selected by user and the type name of mechanism can be displayed automatically.%利用Visual Basic平台研制了连杆机构动画演示系统的CAI课件,实现了机构动画的计算机模拟运动和仿真控制。该系统界面友好,操作方便,机构运动准确形象,特别易于控制的实现,可在机构运动中任意实现暂停,正转,反转,极位显示;亦可在机构运动状态下任意实现构件尺寸的修改和机构类型的转换,并实现机构类型与机构名称的自动显示。

  2. The Design of multimedia CAI System with Delphi%基于Delphi语言的多媒体CAI系统设计

    Institute of Scientific and Technical Information of China (English)



    Hypermedia support and processing is necessary in the development of CAI systems.A hyper multimedia class TAnimatecell is defined with Delphi VCL, and the fechniques ofderioing sub-multimedia class and seripts interpreter are discussed.%用Delphi语言制作计算机辅助教学软件时,必须实现对超媒体的支持与处理,针对这种情况,阐述了采用Delphi中的VCL构造TAnimateCell类的方法以及在此基础上设计多媒体类和脚本解释析器的技术.


    Relvas, Carlos; Reis, Joana; Potes, José Alberto Caeiro; Fonseca, Fernando Manuel Ferreira; Simões, José Antonio Oliveira


    This study, aimed the development of a methodology for rapid manufacture of orthopedic implants simultaneously with the surgical intervention, considering two potential applications in the fields of orthopedics: the manufacture of anatomically adapted implants and implants for bone loss replacement. This work innovation consists on the capitation of the in situ geometry of the implant by direct capture of the shape using an elastomeric material (polyvinylsiloxane) which allows fine detail and great accuracy of the geometry. After scanning the elastomeric specimen, the implant is obtained by machining using a CNC milling machine programmed with a dedicated CAD/CAM system. After sterilization, the implant is able to be placed on the patient. The concept was developed using low cost technology and commercially available. The system has been tested in an in vivo hip arthroplasty performed on a sheep. The time increase of surgery was 80 minutes being 40 minutes the time of implant manufacturing. The system developed has been tested and the goals defined of the study achieved enabling the rapid manufacture of an implant in a time period compatible with the surgery time. PMID:27004181

  4. Timing Students' Answers in CAI. (United States)

    Hativa, Nira; And Others


    Discussion of limiting response time for students' answers focuses on a study of Israeli elementary students that investigated the effects on their performance of increasing the response time in computer-assisted instruction (CAI) for arithmetic drill and practice. Effects on high- versus low-aptitude students, and younger versus older, are…

  5. Implantable intraocular pressure monitoring systems: Design considerations

    KAUST Repository

    Arsalan, Muhammad


    Design considerations and limitations of implantable Intraocular Pressure Monitoring (IOPM) systems are presented in this paper. Detailed comparison with the state of the art is performed to highlight the benefits and challenges of the proposed design. The system-on-chip, presented here, is battery free and harvests energy from incoming RF signals. This low-cost design, in standard CMOS process, does not require any external components or bond wires to function. This paper provides useful insights to the designers of implantable wireless sensors in terms of design choices and associated tradeoffs. © 2013 IEEE.

  6. Implant positioning system using mutual inductance. (United States)

    Zou, You; O'Driscoll, Stephen


    Surgical placement of implantable medical devices (IMDs) has limited precision and post-implantation the device can move over time. Accurate knowledge of the position of IMDs allows better interpretation of data gathered by the devices and may allow wireless power to be focused on the IMD thereby increasing power transfer efficiency. Existing positioning methods require device sizes and/or power consumptions which exceed the limits of in-vivo mm-sized IMDs applications. This paper describes a novel implant positioning system which replaces the external transmitting (TX) coil of a wireless power transfer link by an array of smaller coils, measures the mutual inductance between each coil in the TX array and the implanted receiving (RX) coil, and uses the spatial variation in those mutual inductances to estimate the location of the implanted device. This method does not increase the hardware or power consumption in the IMD. Mathematical analysis and electromagnetic simulations are presented which explain the theory underlying this scheme and show its feasibility. A particle swarm based algorithm is used to estimate the position of the RX coil from the measured mutual inductance values. MATLAB simulations show the positioning estimation accuracy on the order of 1 mm.

  7. A Web-based on-machine mould matching and measurement system based on CAD/CAM/CAI integration

    Institute of Scientific and Technical Information of China (English)

    CHOI Jin-hwa; JEON Byung-cheol; KIM Gun-hee; SHIN Bong-cheol; LEE Honghee; CHO Myeong-woo; SEONG Eun-je; PARK Dong-sam


    The purpose of this study is to develop a Web-based on-machine mould identification and measurement system. The Web-based mould identification system matches obtained vision information with CAD database. Developed Web-based system is to exchange messages between a server and a client by making of ActiveX control, and the result of mould identification is shown on Web-browser at remote site. For effective feature classification and extraction, the signature method is used to make meaningful information from obtained image data. For on-machine measurement of the matched mould, inspection database is constructed from CAD database using developed inspection planning methods. The results are simulated and analyzed using developed system to verify the effectiveness of the proposed methods.

  8. Electrochemical behavior of dental implant system before andafter clinical use

    Institute of Scientific and Technical Information of China (English)

    Chae-Heon CHUNG; Hee-Jung KIM; Yong-Tae JEONG; Mee-Kyoung SON; Yong-Hoon JEONG; Han-Cheol CHOE


    Electrochemical behavior of dental implant system before and after clinical use (in vivo and in vitro) was researched by using abutment and titanium fixture. To simulate an oral environment, the samples of clinically used and non-used implant systems as a working electrode were exposed to artificial saliva at (36.5±1) ℃. Electrochemical tests were carried out using a potentiostat. After electrochemical test, the corrosion morphology of each sample was investigated by FE-SEM and EDS. The corrosion potential and pitting potential of clinically used implant system are lower than those of non-used implant system, and clinically used implant system exhibits a lower range of passivation, indicating a less degree of inherent resistance against chloride ion. The polarization resistance decreases in the case of clinically used implant system, whereas, Rp for clinically non-used implant system increases compared with clinically used implant system.

  9. Systemic alendronate treatment improves fixation of press-fit implants: a canine study using nonloaded implants

    DEFF Research Database (Denmark)

    Jensen, Thomas B; Bechtold, Joan E; Chen, Xinqian


    of alendronate treatment. Bone ongrowth (bone in contact with implant surface) was estimated using the linear intercept technique and shear strength was calculated as the slope on a load-displacement curve. For the press fit implants, alendronate treatment significantly increased bone ongrowth from 24% to 29...... early implant stability is an important predictor of longevity, systemic alendronate treatment could be an important clinical tool to positively influence the early stages of implant incorporation. Udgivelsesdato: 2007-Jun...

  10. CAI - There Is a Way to Make It Pay (But Not in Conventional Schooling) (United States)

    Butman, Robert C.


    CAI can pay by choosing a market where a decrease in training time or an increase in student-teacher ratios can be translated into lower over-all costs to the system. This situation obtains when CAI is used for the education and training of professionals, children with learning disabilities and others whose instructional needs cannot be met by the…

  11. Effects of Dental Implant-abutment Interfaces on the Reliability of Implant Systems

    Directory of Open Access Journals (Sweden)

    Zhang Xiao


    Full Text Available In this paper, by analyzing the effects of two different kinds of implant-abutment connection interfaces under the same working condition on the mechanical and fatigue performances of the implant system as well as on the surrounding bones, we intend to study such effects on the reliability of the implants and provide a theoretical basis for the design and clinical application of dental implant systems. For the purpose, we adopt a 3-D modeling method to establish the model, and use FEA (finite element analysis to carry out static mechanic and fatigue analysis on the implant system and its surrounding bones; then we make the two implant systems, and carry out fatigue tests on a dynamic fatigue testing machine to verify the FEA results. After comparing the results from the two different systems, we find that the stress distribution and fatigue safety factor of the system which has deeper axial matching of the taper connection are better than those of the other system, that is to say, between the two major elements of a implant system, the axial length of the connecting taper and the size of the hexagon, the former has greater effects than the latter. When the axial matching is deeper, the stress distribution of the implant system will be better, the fatigue safety factor will be higher, and the implant system will be more reliable.


    Directory of Open Access Journals (Sweden)

    Carolina Damayanti Marpaung


    Full Text Available Immediate loading of dental implant has been researched intensively in the development of Branemark’s early concept of 2 stages implant placement. This was embarked from both patients and practiitioner’s convenience towards a simpler protocol and shorter time frame. Many recent researchers later found that micromotions derived from occlusal loading for a certain degree, instead of resulting a fibrous tissue encapsulation, can enhance the osseointegration process. Dental Implant system enhancement towards maximizing the primary stability held a key factor in Branemark’s concept development. Surgical protocol and implant design was found to give a significant contribution to the prognosis of immediate-loading implants.

  13. [Design and application of implantable medical device information management system]. (United States)

    Cao, Shaoping; Yin, Chunguang; Zhao, Zhenying


    Through the establishment of implantable medical device information management system, with the aid of the regional joint sharing of resources, we further enhance the implantable medical device traceability management level, strengthen quality management, control of medical risk.

  14. Bacterial Leakage and Microgap along Implant-Abutment Connection in Three Different Implant Systems

    Directory of Open Access Journals (Sweden)

    Farshad Bajoghli


    Full Text Available A microgap between implant and abutment connection can act as a bacterial source and cause inflammation, even endanger Osseointegration and subsequently change clinical and histological parameters. The goal of this study was to evaluate the microgap and microbial leakage of implant-abutment connection in three different implant systems. In this experimental study, 28 implants in 3 groups (10 Zimmer with conical connection of 8 degrees, 10 Dentium with conical connection of 11 degrees, 8 Test implants with conical connection of 16 degrees were used. Microleakage of Escherichia coli was assessed at intervals of 5, 24, 48 hours and 2 weeks. Microgap was measured at 4 random points by scanning electron microscope. Data were analysed by Spss version 22 and kruskal-Wallis, Mann-Whitney, Chi- square, Kaplan- Meier tests. (α=0.5 Mean microgap was 4.8μm (±2.2 in Zimmer group, 3.1μm (±1.4 in Implantium group and 16.9μm (±8.7 in test group. After 2 weeks from start of the study, 20 percent of Zimmer and Dentium implants and 25 percent of test implant showed microleakage. Microleakage between Zimmer and Dentium implants was not significant; however, there was a significant difference between test implant and other groups. Microbial leakage was observed in all three implant systems. Although; there were differences in microgap between three groups, Microbial leakage was not statistically significant.




    Immediate loading of dental implant has been researched intensively in the development of Branemark’s early concept of 2 stages implant placement. This was embarked from both patients and practiitioner’s convenience towards a simpler protocol and shorter time frame. Many recent researchers later found that micromotions derived from occlusal loading for a certain degree, instead of resulting a fibrous tissue encapsulation, can enhance the osseointegration process. Dental Implant system enhance...

  16. Distribution and Origin of 36Cl In Allende CAIs

    Energy Technology Data Exchange (ETDEWEB)

    Matzel, J P; Jacobsen, B; Hutcheon, I D; Krot, A N; Nagashima, K; Yin, Q; Ramon, E C; Weber, P; Wasserburg, G J


    The abundance of short-lived radionuclides (SLRs) in early solar system materials provide key information about their nucleosynthetic origin and can constrain the timing of early solar system events. Excesses of {sup 36}S ({sup 36}S*) correlated with {sup 35}Cl/{sup 34}S ratios provide direct evidence for in situ decay of {sup 36}Cl ({tau}{sub 1/2} {approx} 0.3 Ma) and have been reported in sodalite (Na{sub 8}Al{sub 6}Si{sub 6}O{sub 24}Cl{sub 2}) and wadalite (Ca{sub 6}Al{sub 5}Si{sub 2}O{sub 16}Cl{sub 3}) in CAIs and chondrules from the Allende and Ningqiang CV carbonaceous chondrites. While previous studies demonstrate unequivocally that {sup 36}Cl was extant in the early solar system, no consensus on the origin or initial abundance of {sup 36}Cl has emerged. Understanding the origin of {sup 36}Cl, as well as the reported variation in the initial {sup 36}Cl/{sup 35}Cl ratio, requires addressing when, where and how chlorine was incorporated into CAIs and chondrules. These factors are key to distinguishing between stellar nucleosynthesis or energetic particle irradiation for the origin of {sup 36}Cl. Wadalite is a chlorine-rich secondary mineral with structural and chemical affinities to grossular. The high chlorine ({approx}12 wt%) and very low sulfur content (<<0.01 wt%) make wadalite ideal for studies of the {sup 36}Cl-{sup 36}S system. Wadalite is present in Allende CAIs exclusively in the interior regions either in veins crosscutting melilite or in zones between melilite and anorthite associated with intergrowths of grossular, monticellite, and wollastonite. Wadalite and sodalite most likely resulted from open-system alteration of primary minerals with a chlorine-rich fluid phase. We recently reported large {sup 36}S* correlated with {sup 35}Cl/{sup 34}S in wadalite in Allende Type B CAI AJEF, yielding a ({sup 36}Cl/{sup 35}Cl){sub 0} ratio of (1.7 {+-} 0.3) x 10{sup -5}. This value is the highest reported {sup 36}Cl/{sup 35}Cl ratio and is {approx}5 times

  17. A risk management approach to CAIS development (United States)

    Hart, Hal; Kerner, Judy; Alden, Tony; Belz, Frank; Tadman, Frank


    The proposed DoD standard Common APSE Interface Set (CAIS) was developed as a framework set of interfaces that will support the transportability and interoperability of tools in the support environments of the future. While the current CAIS version is a promising start toward fulfilling those goals and current prototypes provide adequate testbeds for investigations in support of completing specifications for a full CAIS, there are many reasons why the proposed CAIS might fail to become a usable product and the foundation of next-generation (1990'S) project support environments such as NASA's Space Station software support environment. The most critical threats to the viability and acceptance of the CAIS include performance issues (especially in piggybacked implementations), transportability, and security requirements. To make the situation worse, the solution to some of these threats appears to be at conflict with the solutions to others.

  18. Control strategies for CAI combustion processes; Strategien zur Regelung von CAI-Brennverfahren

    Energy Technology Data Exchange (ETDEWEB)

    Karrelmeyer, R.; Graf, G.; Scherrer, D.; Fischer, W.; Hathout, J.P. [Robert Bosch GmbH, Stuttgart (Germany)


    The contribution presents concepts for control of a CAI combustion process with internal exhaust trapping. The concepts are based on combustion characteristics obtained from the combustion chamber pressure signal. Combustion is controlled using the control variables of the air and fuel systems. The engines investigated were engines with variable valve drive, with different degrees of variability, and with a direct injection system. In a first step, a fully variable valve control system is investigated which enables adjustment of the gas change valves for the individual cylinders. In the second step, the cost aspect is considered and a control strategy is presented which does not control individual cylinders but uses a valve control strategy with conventional phase control elements. The control concepts presented here are a combination of pre-control and combustion characteristics control. Results obtained during operating mode switching, dynamic operation and stabilisation of the CAI mode are presented as well. Pre-control is particularly important in order to prevent misfires as well as extremely early and loud combustion both in dynamic operation and during switching. (orig.)

  19. Modified Titanium Implant as a Gateway to the Human Body: The Implant Mediated Drug Delivery System

    Directory of Open Access Journals (Sweden)

    Young-Seok Park


    Full Text Available The aim of this study was to investigate the efficacy of a proposed new implant mediated drug delivery system (IMDDS in rabbits. The drug delivery system is applied through a modified titanium implant that is configured to be implanted into bone. The implant is hollow and has multiple microholes that can continuously deliver therapeutic agents into the systematic body. To examine the efficacy and feasibility of the IMDDS, we investigated the pharmacokinetic behavior of dexamethasone in plasma after a single dose was delivered via the modified implant placed in the rabbit tibia. After measuring the plasma concentration, the areas under the curve showed that the IMDDS provided a sustained release for a relatively long period. The result suggests that the IMDDS can deliver a sustained release of certain drug components with a high bioavailability. Accordingly, the IMDDS may provide the basis for a novel approach to treating patients with chronic diseases.

  20. Stable Magnesium Isotope Variation in Melilite Mantle of Allende Type B1 CAI EK 459-5-1 (United States)

    Kerekgyarto, A. G.; Jeffcoat, C. R.; Lapen, T. J.; Andreasen, R.; Righter, M.; Ross, D. K.


    Ca-Al-rich inclusions (CAIs) are the earliest formed crystalline material in our solar system and they record early Solar System processes. Here we present petrographic and delta Mg-25 data of melilite mantles in a Type B1 CAI that records early solar nebular processes.

  1. The Matriculation Science Curriculum of the USM in the Context of the PPI and CAI Modes of Instruction. (United States)

    Cheng, Chuah Chong; Seng, Chin Pin


    Discusses philosophy, aims and objectives, and structure of the Matriculation Science Curriculum of the University Sains Malaysia. Includes comments on instructional strategies, individualized learning, programmed instruction, systems approach to computer-assisted instruction (CAI) implementation, CAI authoring system, and various program…

  2. Fine-Gained CAIs in Comet Samples: Moderate Refractory Character and Comparison to Small Refractory Inclusions in Chondrites (United States)

    Joswiak, D. J.; Brownlee, D. E.; Nguyen, A. N.; Messenger, S


    Examination of >200 comet Wild 2 particles collected by the Stardust (SD) mission shows that the CAI abundance of comet Wild 2's rocky material is near 1% and that nearly 50% of all bulbous tracks will contain at least one recognizable CAI fragment. A similar abundance to Wild 2 is found in a giant cluster IDP thought to be of cometary origin. The properties of these CAIs and their comparison with meteoritic CAIs provide important clues on the role of CAIs in the early Solar System (SS) and how they were transported to the edge of the solar nebula where Kuiper Belt comets formed. Previously, only two CAIs in comet Wild 2 had been identified and studied in detail. Here we present 2 new Wild 2 CAIs and 2 from a giant cluster cometary IDP, describe their mineralogical characteristics and show that they are most analogous to nodules in spinel-rich, fine-grained inclusions (FGIs) observed in CV3 and other chondrites. Additionally, we present new O isotope measurements from one CAI from comet Wild 2 and show that its oxygen isotopic composition is similar to some FGIs. This is only the second CAI from Wild 2 in which O isotopes have been measured.

  3. Micro- and nano-fabricated implantable drug-delivery systems


    Meng, Ellis; Hoang, Tuan


    Implantable drug-delivery systems provide new means for achieving therapeutic drug concentrations over entire treatment durations in order to optimize drug action. This article focuses on new drug administration modalities achieved using implantable drug-delivery systems that are enabled by micro- and nano-fabrication technologies, and microfluidics. Recent advances in drug administration technologies are discussed and remaining challenges are highlighted.

  4. Exotic encounters with dental implants: managing complications with unidentified systems. (United States)

    Mattheos, N; Janda, M Schittek


    As the application of dental implants increases worldwide, so is the number of technical and biological complications that general dental practitioners will be called to manage, while maintaining implant patients. In addition, the greater patient mobility encountered today combined with a growing trend of 'dental implant tourism' will very often result in situations where the dentist is requested to deal with complications in implants placed elsewhere and which sometimes might be of an 'exotic' system one cannot directly recognize. Such a situation can pose significant challenges to even experienced clinicians. The challenges are not only in the scientific field, but often include professional and ethical implications. This case report will discuss strategies for the management of implant complications in cases of unidentified implant systems. Critical factors in such situations would be the clinician's experience and special training, the correct radiographic technique, as well as access to the appropriate tools and devices.

  5. Calcium-aluminum-rich inclusions with fractionation and unidentified nuclear effects (FUN CAIs): II. Heterogeneities of magnesium isotopes and 26Al in the early Solar System inferred from in situ high-precision magnesium-isotope measurements (United States)

    Park, Changkun; Nagashima, Kazuhide; Krot, Alexander N.; Huss, Gary R.; Davis, Andrew M.; Bizzarro, Martin


    Calcium-aluminum-rich inclusions with isotopic mass fractionation effects and unidentified nuclear isotopic anomalies (FUN CAIs) have been studied for more than 40 years, but their origins remain enigmatic. Here we report in situ high precision measurements of aluminum-magnesium isotope systematics of FUN CAIs by secondary ion mass spectrometry (SIMS). Individual minerals were analyzed in six FUN CAIs from the oxidized CV3 carbonaceous chondrites Axtell (compact Type A CAI Axtell 2271) and Allende (Type B CAIs C1 and EK1-4-1, and forsterite-bearing Type B CAIs BG82DH8, CG-14, and TE). Most of these CAIs show evidence for excess 26Mg due to the decay of 26Al. The inferred initial 26Al/27Al ratios [(26Al/27Al)0] and the initial magnesium isotopic compositions (δ26Mg0) calculated using an exponential law with an exponent β of 0.5128 are (3.1 ± 1.6) × 10-6 and 0.60 ± 0.10‰ (Axtell 2271), (3.7 ± 1.5) × 10-6 and -0.20 ± 0.05‰ (BG82DH8), (2.2 ± 1.1) × 10-6 and -0.18 ± 0.05‰ (C1), (2.3 ± 2.4) × 10-5 and -2.23 ± 0.37‰ (EK1-4-1), (1.5 ± 1.1) × 10-5 and -0.42 ± 0.08‰ (CG-14), and (5.3 ± 0.9) × 10-5 and -0.05 ± 0.08‰ (TE) with 2σ uncertainties. We infer that FUN CAIs recorded heterogeneities of magnesium isotopes and 26Al in the CAI-forming region(s). Comparison of 26Al-26Mg systematics, stable isotope (oxygen, magnesium, calcium, and titanium) and trace element studies of FUN and non-FUN igneous CAIs indicates that there is a continuum among these CAI types. Based on these observations and evaporation experiments on CAI-like melts, we propose a generic scenario for the origin of igneous (FUN and non-FUN) CAIs: (i) condensation of isotopically normal solids in an 16O-rich gas of approximately solar composition; (ii) formation of CAI precursors by aggregation of these solids together with variable abundances of isotopically anomalous grains-possible carriers of unidentified nuclear (UN) effects; and (iii) melt evaporation of these precursors

  6. Cranial implant design using augmented reality immersive system. (United States)

    Ai, Zhuming; Evenhouse, Ray; Leigh, Jason; Charbel, Fady; Rasmussen, Mary


    Software tools that utilize haptics for sculpting precise fitting cranial implants are utilized in an augmented reality immersive system to create a virtual working environment for the modelers. The virtual environment is designed to mimic the traditional working environment as closely as possible, providing more functionality for the users. The implant design process uses patient CT data of a defective area. This volumetric data is displayed in an implant modeling tele-immersive augmented reality system where the modeler can build a patient specific implant that precisely fits the defect. To mimic the traditional sculpting workspace, the implant modeling augmented reality system includes stereo vision, viewer centered perspective, sense of touch, and collaboration. To achieve optimized performance, this system includes a dual-processor PC, fast volume rendering with three-dimensional texture mapping, the fast haptic rendering algorithm, and a multi-threading architecture. The system replaces the expensive and time consuming traditional sculpting steps such as physical sculpting, mold making, and defect stereolithography. This augmented reality system is part of a comprehensive tele-immersive system that includes a conference-room-sized system for tele-immersive small group consultation and an inexpensive, easily deployable networked desktop virtual reality system for surgical consultation, evaluation and collaboration. This system has been used to design patient-specific cranial implants with precise fit.

  7. Evolution of implantable and insertable drug delivery systems. (United States)

    Kleiner, Lothar W; Wright, Jeremy C; Wang, Yunbing


    The paper describes the development of implantable and insertable drug delivery systems (IDDS) from their early stage in the 1960s until the current stage in the 2010s. It gives a detailed summary of non-degradable and biodegradable systems and their applications in different areas such as vascular disease treatment, birth control, cancer treatment, and eye disease treatment. It also describes the development of various implantable pump systems and some other atypical IDDS, the challenges and the future of IDDS.

  8. Thermal and chemical evolution in the early Solar System as recorded by FUN CAIs: Part II - Laboratory evaporation of potential CMS-1 precursor material (United States)

    Mendybaev, Ruslan A.; Williams, Curtis D.; Spicuzza, Michael J.; Richter, Frank M.; Valley, John W.; Fedkin, Alexei V.; Wadhwa, Meenakshi


    We present the results of laboratory experiments in which a forsterite-rich melt estimated to be a potential precursor of Allende CMS-1 FUN CAI was evaporated into vacuum for different lengths of time at 1900 °C. The evaporation of this melt resulted in residues that define trajectories in chemical as well as magnesium, silicon and oxygen isotopic composition space and come very close to the measured properties of CMS-1. The isotopic composition of the evaporation residues was also used to determine the kinetic isotopic fractionation factors [α2,1 (vapor-melt) defined as the ratio of isotopes 2 and 1 of a given element in the evaporating gas divided by their ratio in the evaporating source] for evaporation of magnesium (α25,24 for 25Mg/24Mg), silicon (α29,28 for 29Si/28Si) and oxygen (α18,16 for 18O/16O) from the forsterite-rich melt at 1900 °C. The values of α25,24 = 0.98383 ± 0.00033 and α29,28 = 0.99010 ± 0.00038 are essentially independent of change in the melt composition as evaporation proceeds. In contrast, α18,16 changes from 0.9815 ± 0.0016 to ∼0.9911 when the residual melt composition changes from forsteritic to melilitic. Using the determined values of α25,24 and α29,28 and present-day bulk chemical composition of the CMS-1, the composition of the precursor of the inclusion was estimated to be close to the clinopyroxene + spinel + forsterite assemblage condensed from a solar composition gas. The correspondence between the chemical composition and isotopic fractionation of experimental evaporation residues and the present-day bulk chemical and isotopic compositions of CMS-1 is evidence that evaporation played a major role in the chemical evolution of CMS-1.

  9. Remote powering and data communication for implanted biomedical systems

    CERN Document Server

    Kilinc, Enver Gurhan; Maloberti, Franco


    This book describes new circuits and systems for implantable biomedical applications and explains the design of a batteryless, remotely-powered implantable micro-system, designed for long-term patient monitoring.  Following new trends in implantable biomedical applications, the authors demonstrate a system which is capable of efficient, remote powering and reliable data communication.  Novel architecture and design methodologies are used to transfer power with a low-power, optimized inductive link and data is transmitted by a reliable communication link.  Additionally, an electro-mechanical solution is presented for tracking and monitoring the implantable system, while the patient is mobile.  ·         Describes practical example of an implantable batteryless biomedical system; ·         Analyzes and compares various energy harvesting and power transfer methods; ·         Describes design of remote powering link and data communication of the implantable system, comparing differe...

  10. Silicon Isotopic Fractionation of CAI-like Vacuum Evaporation Residues

    Energy Technology Data Exchange (ETDEWEB)

    Knight, K; Kita, N; Mendybaev, R; Richter, F; Davis, A; Valley, J


    Calcium-, aluminum-rich inclusions (CAIs) are often enriched in the heavy isotopes of magnesium and silicon relative to bulk solar system materials. It is likely that these isotopic enrichments resulted from evaporative mass loss of magnesium and silicon from early solar system condensates while they were molten during one or more high-temperature reheating events. Quantitative interpretation of these enrichments requires laboratory determinations of the evaporation kinetics and associated isotopic fractionation effects for these elements. The experimental data for the kinetics of evaporation of magnesium and silicon and the evaporative isotopic fractionation of magnesium is reasonably complete for Type B CAI liquids (Richter et al., 2002, 2007a). However, the isotopic fractionation factor for silicon evaporating from such liquids has not been as extensively studied. Here we report new ion microprobe silicon isotopic measurements of residual glass from partial evaporation of Type B CAI liquids into vacuum. The silicon isotopic fractionation is reported as a kinetic fractionation factor, {alpha}{sub Si}, corresponding to the ratio of the silicon isotopic composition of the evaporation flux to that of the residual silicate liquid. For CAI-like melts, we find that {alpha}{sub Si} = 0.98985 {+-} 0.00044 (2{sigma}) for {sup 29}Si/{sup 28}Si with no resolvable variation with temperature over the temperature range of the experiments, 1600-1900 C. This value is different from what has been reported for evaporation of liquid Mg{sub 2}SiO{sub 4} (Davis et al., 1990) and of a melt with CI chondritic proportions of the major elements (Wang et al., 2001). There appears to be some compositional control on {alpha}{sub Si}, whereas no compositional effects have been reported for {alpha}{sub Mg}. We use the values of {alpha}Si and {alpha}Mg, to calculate the chemical compositions of the unevaporated precursors of a number of isotopically fractionated CAIs from CV chondrites whose

  11. Systemic Assessment of Patients Undergoing Dental Implant ...

    African Journals Online (AJOL)

    Background: Procedure‑related and patient‑related factors influence the prognosis of dental implants ... Results: Out of 51, 29 patients were males while 22 were females, with ratio of 1.32:1. ... difference of average STAI‑State subscore before and after the surgery was ... bleeding, swelling, bruising, pain, and tenderness to.

  12. Wireless energizing system for an automated implantable sensor

    Energy Technology Data Exchange (ETDEWEB)

    Swain, Biswaranjan; Nayak, Praveen P.; Kar, Durga P.; Bhuyan, Satyanarayan; Mishra, Laxmi P. [Department of Electronics and Instrumentation Engineering, Siksha ‘O’ Anusandhan University, Bhubaneswar 751030 (India)


    The wireless drive of an automated implantable electronic sensor has been explored for health monitoring applications. The proposed system comprises of an automated biomedical sensing system which is energized through resonant inductive coupling. The implantable sensor unit is able to monitor the body temperature parameter and sends back the corresponding telemetry data wirelessly to the data recoding unit. It has been observed that the wireless power delivery system is capable of energizing the automated biomedical implantable electronic sensor placed over a distance of 3 cm from the power transmitter with an energy transfer efficiency of 26% at the operating resonant frequency of 562 kHz. This proposed method ensures real-time monitoring of different human body temperatures around the clock. The monitored temperature data have been compared with a calibrated temperature measurement system to ascertain the accuracy of the proposed system. The investigated technique can also be useful for monitoring other body parameters such as blood pressure, bladder pressure, and physiological signals of the patient in vivo using various implantable sensors.

  13. Wireless energizing system for an automated implantable sensor (United States)

    Swain, Biswaranjan; Nayak, Praveen P.; Kar, Durga P.; Bhuyan, Satyanarayan; Mishra, Laxmi P.


    The wireless drive of an automated implantable electronic sensor has been explored for health monitoring applications. The proposed system comprises of an automated biomedical sensing system which is energized through resonant inductive coupling. The implantable sensor unit is able to monitor the body temperature parameter and sends back the corresponding telemetry data wirelessly to the data recoding unit. It has been observed that the wireless power delivery system is capable of energizing the automated biomedical implantable electronic sensor placed over a distance of 3 cm from the power transmitter with an energy transfer efficiency of 26% at the operating resonant frequency of 562 kHz. This proposed method ensures real-time monitoring of different human body temperatures around the clock. The monitored temperature data have been compared with a calibrated temperature measurement system to ascertain the accuracy of the proposed system. The investigated technique can also be useful for monitoring other body parameters such as blood pressure, bladder pressure, and physiological signals of the patient in vivo using various implantable sensors.

  14. 一种基于模块化结构的大学英语四级MCAI系统实现方法研究%Implementation of Modularized Multimedia CAI System for CET-4

    Institute of Scientific and Technical Information of China (English)

    余正涛; 宋丽哲; 车文刚; 邵谨; 郭剑毅


    Authorware是一种优秀的多媒体开发工具,能实现非常复杂的多媒体接 入及程序流程 控制,但在开发功能结构类似,信息资源丰富的模块时,还存在程序设计复杂,代码重复量 大,模块功能更改困难等问题。本文针对以上问题,在设计大学英语四级多媒体教学系统时 ,提出了一套基于模块化结构的大学英语四级MCAI教学软件的设计思想,并以听力部分为例 ,详细介绍了该部分各功能模块的实现。%Authorware is an excellent tool for developing multime dia systems. It can implement complex multimedia interfacing and program process con trol. However, there still exist problems such as programming complexity, code repetit ion and difficulty of module function updating in re-developing similar modules wit h large quantity of data. This paper purposes a new method of implementing a modul arized Multimedia CAI System for College English Test Band 4 (CET-4). Finally, it illu strates how to implement the functions of modules by a sample for Listening Comprehensio n.

  15. Military Standard Common APSE (Ada Programming Support Environment) Interface Set (CAIS). (United States)


    Package FILE-IMPORT.EXPORT The CAIS allows a particula : CAIS implementation to maintain fies separately from nle maintained by the host file system. This...function EXACT(LrST : in LIST TYPE; NANO : in TOKEN TYPE) return NUWDER; 207 PROPO’ FP MtL-S.TD-C jJS 31 JNNIARIY 19W.% Purpose: This function locates...NAME STRING) RESULT: LIST TEXT(1., 10); begin null; -- should be defined by Implementor end DELETE; procedure DELETECLIST: in out LISTTYPE; NANO

  16. Real-Time Graphics for CAI: A Rudimentary Grammar and Demonstration Program. (United States)

    Winn, William

    This paper focuses on graphics and how they can be created, in real time, from information stored in a database, and the application of this technique to computer-assisted instruction (CAI). It is noted that this is a special case of the general trend towards endowing instructional systems with a degree of decision-making or design expertise, as…

  17. Implant survivorship analysis after minimally invasive sacroiliac joint fusion using the iFuse Implant System®

    Directory of Open Access Journals (Sweden)

    Cher DJ


    Full Text Available Daniel J Cher,1 W Carlton Reckling,2 Robyn A Capobianco1 1Department of Clinical Affairs, SI-BONE, Inc., 2Department of Medical Affairs, SI-BONE, Inc., San Jose, CA, USA Introduction: Surgical revision rate is a key outcome with all permanent implants. The iFuse Implant System® is a permanent implant used to perform minimally invasive sacroiliac joint fusion. The purpose of this study is to determine the surgical revision rate after sacroiliac joint fusion surgery with this system. Methods: Using two internal sources of information, revision surgeries were identified and linked to index surgeries. The likelihood of revision surgery was calculated using the Kaplan–Meier life table approach. Predictors of revision were explored. Results: Four-year survivorship free from implant revision was 96.46%. Revision rate did not differ by sex and was lower for age >65. In all, 24% of revisions occurred within the first 30 days after surgery; 63.5% occurred within year 1. Implant survivorship has improved annually since the device was introduced in 2009. Conclusion: The survivorship rate with this implant is high and improving; the rate is somewhat higher than total hip replacement but lower than that of lumbar spine procedures. Keywords: safety, sacroiliac joint fusion, iFuse Implant System, revision

  18. Three Filtered Vacuum Arc Plasma Sources Deposition & Implantation System

    Institute of Scientific and Technical Information of China (English)

    WU Xian-ying; ZHANG Hui-xing; LI Qiang


    A deposition & implantation system, which includes three filtered vacuum arc plasma sources, has been built. Vacuum arc discharge is used to produce high-density metal plasma; Curved magnetic filtering technique is used to transfer the plasma into out-of-sight vacuum chamber and reduce macro-particles from the vacuum arc plasma in order to drastically reduce the macro-particles contamination of the films. The up to 30 kV negative bias applied to the target can be used for ion implantation in order to improve the film adhesion; or for ion sputtering to clear the substrate surface. The 0 to 300 V negative bias can be used to adjust the ion energy which forming films. The system is designed for various thin films synthesizing, such as single-layer, compound layer, multi-layer films. It's principle, components and applications are described in the literature.

  19. Marshall McLuhan and the Case Against CAI. (United States)

    Hirvela, Alan


    Presents some of the conventional arguments against computer assisted instruction (CAI) in language education and explores humanistic concerns raised in the works of Marshall McLuhan. It is concluded that CAI is introduced into the instructional process before proper research has demonstrated that this method of teaching is not harmful for…

  20. Effect of CAI on Achievement of LD Students in English (United States)

    Sivaram, R. T.; Ramar, R.


    The present experimental study was undertaken with three objectives in view, (i) to identify students with language learning disabilities (ii) to develop CAI software to teach LD students through computer-assisted instruction and (iii) to measure the effectiveness of CAI with special reference to LD students. Two matched groups of LD students were…

  1. CAI vs. Textbook for Grammar and Punctuation Skills. (United States)

    Schramm, Robert M.; Rich, Grace E.


    Undergraduate control groups (n=45) completed textbook grammar exercises; experimental groups (n=53) used self-paced tutorial/drill-and-practice software. Although students using computer-assisted instruction (CAI) made significant improvement, they had reservations about the method. CAI combined with instructor interaction seem to be a feasible…

  2. Retention systems for extraoral maxillofacial prosthetic implants: a critical review. (United States)

    Cobein, M V; Coto, N P; Crivello Junior, O; Lemos, J B D; Vieira, L M; Pimentel, M L; Byrne, H J; Dias, R B


    We describe the techniques available for retention of implant-supported prostheses: bar-clips, O-rings, and magnets. We present reported preferences and, although this is limited by the heterogeneity of methods used and patients studied, we hope we have identified the best retention systems for maxillofacial prosthetic implants. If practitioners know the advantages and disadvantages of each system, they can choose the most natural and comfortable prosthesis. We searched the PubMed and Scopus databases, and restricted our search to papers published 2001-13. MeSH terms used were Maxillofacial prosthesis and Craniofacial prosthesis OR Craniofacial prostheses. We found a total of 2630 papers, and after duplicates had been removed we analysed the rest and found 25 papers for review. Of these, 12 were excluded because they were case reports or non-systematic reviews. Of the remaining 13, 10 described group analyses and seemed appropriate to find practitioner's choices, as cited in the abstract (n=1611 prostheses). Three papers did not mention the type of prosthetic connection used, so were excluded. The most popular choices for different conditions were analysed, though the sites and retention systems were not specified in all 10 papers. The bar-clip system was the most used in auricular (6/10 papers) and nasal prostheses (4/10). For the orbital region, 6/10 favoured magnets. Non-osseointegrated mechanical or adhesive retention techniques are the least expensive and have no contraindications. When osseointegrated implants are possible, each facial region has a favoured system. The choice of system is influenced by two factors: standard practice and the abilities of the maxillofacial surgeon and maxillofacial prosthetist. Copyright © 2017 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

  3. Effects of implant system, impression technique, and impression material on accuracy of the working cast. (United States)

    Wegner, Kerstin; Weskott, Katharina; Zenginel, Martha; Rehmann, Peter; Wöstmann, Bernd


    This in vitro study aimed to identify the effects of the implant system, impression technique, and impression material on the transfer accuracy of implant impressions. The null hypothesis tested was that, in vitro and within the parameters of the experiment, the spatial relationship of a working cast to the placement of implants is not related to (1) the implant system, (2) the impression technique, or (3) the impression material. A steel maxilla was used as a reference model. Six implants of two different implant systems (Standard Plus, Straumann; Semados, Bego) were fixed in the reference model. The target variables were: three-dimensional (3D) shift in all directions, implant axis direction, and rotation. The target variables were assessed using a 3D coordinate measuring machine, and the respective deviations of the plaster models from the nominal values of the reference model were calculated. Two different impression techniques (reposition/pickup) and four impression materials (Aquasil Ultra, Flexitime, Impregum Penta, P2 Magnum 360) were investigated. In all, 80 implant impressions for each implant system were taken. Statistical analysis was performed using multivariate analysis of variance. The implant system significantly influenced the transfer accuracy for most spatial dimensions, including the overall 3D shift and implant axis direction. There was no significant difference between the two implant systems with regard to rotation. Multivariate analysis of variance showed a significant effect on transfer accuracy only for the implant system. Within the limits of the present study, it can be concluded that the transfer accuracy of the intraoral implant position on the working cast is far more dependent on the implant system than on the selection of a specific impression technique or material.

  4. Ion beam system for implanting industrial products of various shapes (United States)

    Denholm, A. S.; Wittkower, A. B.


    Implantation of metals and ceramics with ions of nitrogen and other species has improved surface properties such as friction, wear and corrosion in numerous industrial applications. Zymet has built a production machine to take advantage of this process which can implant a 2 × 10 17 ions/cm 2 dose of nitrogen ions into a 20 cm × 20 cm area in about 30 min using a 100 keV beam. Treatment is accomplished by mounting the product on a cooled, tiltable, turntable which rotates continuously, or is indexed in 15° steps to expose different surfaces in fixed position. Product cooling is accomplished by using a chilled eutectic metal to mount and grip the variously shaped objects. A high voltage supply capable of 10 mA at 100 kV is used, and the equipment is microcomputer controlled via serial light links. All important machine parameters are presented in sequenced displays on a CRT. Uniformity of treatment and accumulated dose are monitored by a Faraday cup system which provides the microprocessor with data for display of time to completion on the process screen. For routine implants the operator requires only two buttons; one for chamber vacuum control, and the other for process start and stop.

  5. Wearable Wireless Telemetry System for Implantable BioMEMS Sensors (United States)

    Simons, Rainee N.; Miranda, Felix A.; Wilson, Jeffrey D.; Simons, Renita E.


    Telemetry systems of a type that have been proposed for the monitoring of physiological functions in humans would include the following subsystems: Surgically implanted or ingested units that would comprise combinations of microelectromechanical systems (MEMS)- based sensors [bioMEMS sensors] and passive radio-frequency (RF) readout circuits that would include miniature loop antennas. Compact radio transceiver units integrated into external garments for wirelessly powering and interrogating the implanted or ingested units. The basic principles of operation of these systems are the same as those of the bioMEMS-sensor-unit/external-RFpowering- and-interrogating-unit systems described in "Printed Multi-Turn Loop Antennas for Biotelemetry" (LEW-17879-1) NASA Tech Briefs, Vol. 31, No. 6 (June 2007), page 48, and in the immediately preceding article, "Hand-Held Units for Short-Range Wireless Biotelemetry" (LEW-17483-1). The differences between what is reported here and what was reported in the cited prior articles lie in proposed design features and a proposed mode of operation. In a specific system of the type now proposed, the sensor unit would comprise mainly a capacitive MEMS pressure sensor located in the annular region of a loop antenna (more specifically, a square spiral inductor/ antenna), all fabricated as an integral unit on a high-resistivity silicon chip. The capacitor electrodes, the spiral inductor/antenna, and the conductor lines interconnecting them would all be made of gold. The dimensions of the sensor unit have been estimated to be about 110.4 mm. The external garment-mounted powering/ interrogating unit would include a multi-turn loop antenna and signal-processing circuits. During operation, this external unit would be positioned in proximity to the implanted or ingested unit to provide for near-field, inductive coupling between the loop antennas, which we have as the primary and secondary windings of an electrical transformer.

  6. Totally implantable hearing system: Five-year hearing results. (United States)

    Shohet, Jack A; Kraus, Eric M; Catalano, Peter J; Toh, Elizabeth


    1) To provide long-term hearing outcome measures of a totally implantable hearing system (implant) and compare to the baseline unaided (BLU) and baseline aided (BLA) conditions, and 2) discuss relevant safety measures. Prospective, nonrandomized, multicenter, single-subject-as-own-control design. Fifty-one subjects with mild to severe sensorineural hearing loss were implanted between 2008 and 2009 and enrolled in this postmarket approval study in the setting of private and hospital-based practices. Forty-nine of these subjects completed the 5-year study, which included annual follow-ups. Primary effectiveness endpoints were speech reception threshold (SRT) and word recognition scores at 50 dB (WRS50s). Secondary effectiveness endpoints were WRSs and the Abbreviated Profile of Hearing Aid Benefit (APHAB) scores. Adverse Device Effects (ADEs) and Serious Adverse Device Effects (SADEs) reported during the study period and a comparison of bone conduction scores are submitted as safety measures. Compared to the BLA condition, 1) SRT scores were improved at every annual follow-up; 2) WRS50s were better in 49%, and the same in 41% at the 5-year follow-up; 3) WRSs were improved by 17% at the 5-year follow-up; and 4) APHAB scores were improved in most subscales at every annual follow-up. There were three SADEs in three subjects and 15 ADEs in 11 subjects. Bone conduction scores increased by 3.7 dB at the 5-year follow-up. Average battery life was 4.9 years. The implant compared favorably to the subjects' hearing aid throughout the 5-year period in all of the areas measured and was found to be safe. 2b Laryngoscope, 2017. © 2017 The American Laryngological, Rhinological and Otological Society, Inc.

  7. Cai-Li Communication Protocol in Noisy Quantum Channel

    Institute of Scientific and Technical Information of China (English)

    L(U) Hua; YAN Xu-Dong; ZHANG Xian-Zhou


    @@ Since the original Cai-Li protocol [Chin. Phys. Lett. 21 (2004) 601] can be used only in an ideal quantum communication, we present the modified Cai-Li protocol that can be used in the a noisy quantum channel by using Calderbank-Shor-Steane (CSS) codes to correct errors. We also give a tight bound on the connection between information Eve eavesdropped with a measurement attack in line B → A and detection probability,which shows that the Cai-Li protocol can be used as a quasisecure direct quantum communication.

  8. Study on Teaching Strategies in Mathematics Education based on CAI

    Directory of Open Access Journals (Sweden)

    Wei Yan Feng


    Full Text Available With the development of information technology and the popularization of internet, mobile phone, new media represented is gradually influencing and changing people’s study and life, become the centre and social consensus of cultural information, according to the China Internet Network Information centre, the youth is the main use of CAI(Computer Assisted Instruction, which is the most active group of customers, fully understand the impact of the new media environment for students, higher mathematics education of college students in CAI. In this paper, the CAI is proposed for mathematics education of college students.

  9. Cutaneous and systemic hypersensitivity reactions to metallic implants

    DEFF Research Database (Denmark)

    Basko-Plluska, Juliana L; Thyssen, Jacob P; Schalock, Peter C


    ) following the insertion of intravascular stents, dental implants, cardiac pacemakers, or implanted gynecologic devices. Despite repeated attempts by researchers and clinicians to further understand this difficult area of medicine, the association between metal sensitivity and cutaneous allergic reactions...

  10. Integrated electronic system for implantable sensory NFC tag. (United States)

    Zaher, Ali; Saersten, Joar; Nguyen, Thanh Trung; Hafliger, Philipp


    We have designed the complete electronic system for an implanted sensory NFC-A tag (type 1) that monitors a physiological parameter, e.g. blood glucose, dehydration, bladder pressure, to name some of the target applications that we pursue. The tag is meant to be implanted under the skin and is powered by an NFC reader held close to it, such as a smart phone or a smart watch. The electronic system consists of a sensor front-end, ADC, NFC-A transceiver and NFC power harvester. In its present status, the physical layer of the communication and the power harvester have been implemented on one ASIC, and the sensor front-end and ADC on another, while the digital circuits realizing the higher level NFC protocol have been implemented on an FPGA. Simulations and a few preliminary test results are presented in this paper. The ultimate goal after thorough testing of this first prototype is to integrate all of these modules on a single ASIC.

  11. A CAI in the Ivuna CI1 Chondrite (United States)

    Frank, David R.; Zolensky, M.; Martinez, J.; Mikouchi, T.; Ohsumi, K.; Hagiya, K.; Satake, W.; Le, L.; Ross, D.; Peslier, A.


    We have recently discovered the first well-preserved calcium aluminum-rich inclusion (CAI) in a CI1 chondrite (Ivuna). Previously, all CI1 chondrites were thought to be devoid of preserved CAI and chondrules due to the near total aqueous alteration to which their parent body (bodies) have been subjected. The CAI is roughly spherical, but with a slight teardrop geometry and a maximum diameter of 170 microns (fig. 1). It lacks any Wark-Lovering Rim. Incipient aqueous alteration, and probably shock, have rendered large portions of the CAI poorly crystalline. It is extremely fine-grained, with only a few grains exceeding 10 microns. We have performed electron microprobe analyses (EPMA), FEG-SEM imaging and element mapping, as well as electron back-scattered diffraction (EBSD) and synchrotron X-ray diffraction (SXRD) in order to determine the fundamental characteristics of this apparently unique object.

  12. Constraints on the Origin of Chondrules and CAIs from Short-Lived and Long-Lived Radionuclides

    Energy Technology Data Exchange (ETDEWEB)

    Kita, N T; Huss, G R; Tachibana, S; Amelin, Y; Nyquist, L E; Hutcheon, I D


    The high time resolution Pb-Pb ages and short-lived nuclide based relative ages for CAIs and chondrules are reviewed. The solar system started at 4567.2 {+-} 0.6Ma inferred from the high precision Pb-Pb ages of CAIs. Time scales of CAIs ({le}0.1Myr), chondrules (1-3Myr), and early asteroidal differentiation ({ge}3Myr) inferred from {sup 26}Al relative ages are comparable to the time scale estimated from astronomical observations of young star; proto star, classical T Tauri star and week-lined T Tauri star, respectively. Pb-Pb ages of chondrules also indicate chondrule formation occur within 1-3 Myr after CAIs. Mn-Cr isochron ages of chondrules are similar to or within 2 Myr after CAI formation. Chondrules from different classes of chondrites show the same range of {sup 26}Al ages in spite of their different oxygen isotopes, indicating that chondrule formed in the localized environment. The {sup 26}Al ages of chondrules in each chondrite class show a hint of correlation with their chemical compositions, which implies the process of elemental fractionation during chondrule formation events.

  13. Nickel-induced systemic contact dermatitis and intratubal implants: the baboon syndrome revisited. (United States)

    Bibas, Nathalie; Lassere, Jacques; Paul, Carle; Aquilina, Christian; Giordano-Labadie, Françoise


    Permanent sterilization using intratubal implants is becoming increasingly popular worldwide. We report the first case of a 40-year-old woman presenting a systemic contact dermatitis due to nickel-containing intratubal implants: the Essure system. The diagnosis was confirmed with positive patch test result for nickel and total clearance of dermatitis after removing the implants that contain a metallic spiral of nitinol (alloy of 55% nickel and 45% titanium). Systemic contact dermatitis to the intratubal implants could be explained by the corrosion of nitinol after implantation resulting in the release of nickel. In the literature, no similar case has been reported despite the introduction of intratubal implants since 2002. Dermatologists and gynecologists need to be aware of this type of complication. In practice, a thorough assessment for possible nickel contact dermatitis in a woman undergoing sterilization with Essure is recommended. Preoperative patch testing must be carried out if there is any doubt.

  14. Outcome analysis in 3,160 implantations of radiologically guided placements of totally implantable central venous port systems

    Energy Technology Data Exchange (ETDEWEB)

    Teichgraeber, Ulf K.M. [Charite University Hospital, Department of Radiology, Berlin (Germany); Charite Universitaetsmedizin Berlin, Institut fuer Diagnostische und Interventionelle Radiologie, Berlin (Germany); Kausche, Stephan; Nagel, Sebastian N.; Gebauer, Bernhard [Charite University Hospital, Department of Radiology, Berlin (Germany)


    In this retrospective study the success and complication rates after radiologically guided port catheter implantation were evaluated. Between 2000 and 2008, 3,160 port catheter systems were implanted in our interventional suite. All interventions were imaging guided. The puncture of the preferably right internal jugular vein (IJV) was ultrasound-assisted and the catheter tip position was controlled with fluoroscopy. Catheter indwelling time and rates of periprocedural, early and late complications were evaluated. 922,599 catheter days (mean, 292 days; range, 0-2,704 days) were documented. The implantation was successful in 3,153 (99.8%) cases. A total of 374 (11.8%; 0.41/1,000 catheter days) adverse events were recorded. Of these, 42 (1.33%) were periprocedural complications. 86 (3.3%; 0.09/1,000 catheter days) early and 246 (9.4%; 0.27/1,000 catheter days) late onset complications occurred after port implantation. The most common complications were blood stream infection (n = 134; 5.1%; 0.15/1,000 catheter days), catheter-induced venous thrombosis (n = 97; 3.7%; 0.11/1,000 catheter days) and catheter migration (n = 34; 1.3%; 0.04/1,000 catheter days). A total of 193 (6.1%) port explantations were required. Ultrasound guided port implantation via the IJV results in low periprocedural complication rates. (orig.)

  15. Dental implants in the diabetic patient: systemic and rehabilitative considerations. (United States)

    Michaeli, Eli; Weinberg, Ido; Nahlieli, Oded


    Diabetes mellitus is the most prevalent endocrine disease, comprising the third highest cause of disability and morbidity in the Western world. In the past, implant placement was contraindicated in diabetic patients because of increased risk for implant failure and infection. Publications in recent years have shown success rates for dental implants in diabetic patients resembling those of the general population. Other studies, in diabetic patients, as well as in animal models, have shown an increased risk for implant failure. These results raise the question of whether diabetic patients are suitable for dental implant rehabilitation. This article reviews the literature and presents the factors used in assessing the severity of diabetes and its complications, as well as the considerations for rehabilitation planning in these patients. Integration of these factors by the dentist dictates whether as well as what type of implant-supported restoration should be preformed.

  16. CAI Ding-fang——An Outstanding Neurologist of Integrative Medicine

    Institute of Scientific and Technical Information of China (English)


    @@ Prof. CAI Ding-fang, Ph.D., was born on Nov. 8, 1956 in Shanghai. In 1988, Prof. CAI received the Ph.D. degree from the Nanjing University of Traditional Chinese Medicine. He built an academic foundation of a strong Chinese medicine (CM) & integrative medicine research following Prof. SHEN Zi-yin, an academician of the Chinese Academy of Sciences, and accomplished a training course aiming specifically at the solid and broad basic theory, as well as the deep and systemic expertise. He then worked as a visiting scholar in the Medical Center of the University of Tokushima, Japan from July 1990 to July 1991, and as a post-Ph.D. in Toyama Medical and Pharmaceutical University from September 1994 to September 1995.

  17. Ion implantation system and process for ultrasensitive determination of target isotopes

    Energy Technology Data Exchange (ETDEWEB)

    Farmer, III, Orville T.; Liezers, Martin


    A system and process are disclosed for ultrasensitive determination of target isotopes of analytical interest in a sample. Target isotopes may be implanted in an implant area on a high-purity substrate to pre-concentrate the target isotopes free of contaminants. A known quantity of a tracer isotope may also be implanted. Target isotopes and tracer isotopes may be determined in a mass spectrometer. The present invention provides ultrasensitive determination of target isotopes in the sample.

  18. Intraoperative implant rod three-dimensional geometry measured by dual camera system during scoliosis surgery. (United States)

    Salmingo, Remel Alingalan; Tadano, Shigeru; Abe, Yuichiro; Ito, Manabu


    Treatment for severe scoliosis is usually attained when the scoliotic spine is deformed and fixed by implant rods. Investigation of the intraoperative changes of implant rod shape in three-dimensions is necessary to understand the biomechanics of scoliosis correction, establish consensus of the treatment, and achieve the optimal outcome. The objective of this study was to measure the intraoperative three-dimensional geometry and deformation of implant rod during scoliosis corrective surgery.A pair of images was obtained intraoperatively by the dual camera system before rotation and after rotation of rods during scoliosis surgery. The three-dimensional implant rod geometry before implantation was measured directly by the surgeon and after surgery using a CT scanner. The images of rods were reconstructed in three-dimensions using quintic polynomial functions. The implant rod deformation was evaluated using the angle between the two three-dimensional tangent vectors measured at the ends of the implant rod.The implant rods at the concave side were significantly deformed during surgery. The highest rod deformation was found after the rotation of rods. The implant curvature regained after the surgical treatment.Careful intraoperative rod maneuver is important to achieve a safe clinical outcome because the intraoperative forces could be higher than the postoperative forces. Continuous scoliosis correction was observed as indicated by the regain of the implant rod curvature after surgery.

  19. A fully integrated microbattery for an implantable microelectromechanical system

    Energy Technology Data Exchange (ETDEWEB)

    Albano, F. [Department of Material Science Engineering, University of Michigan, Ann Arbor, MI 48109 (United States); Department of Mechanical Engineering, University of Michigan, Ann Arbor, MI 48109 (United States); Lin, Y.S.; Blaauw, D.; Sylvester, D.M. [Department of Electrical Engineering and Computer Science, University of Michigan, Ann Arbor, MI 48109 (United States); Wise, K.D. [Department of Electrical Engineering and Computer Science, University of Michigan, Ann Arbor, MI 48109 (United States); Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI 48109 (United States); Sastry, A.M. [Department of Material Science Engineering, University of Michigan, Ann Arbor, MI 48109 (United States); Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI 48109 (United States); Department of Mechanical Engineering, University of Michigan, Ann Arbor, MI 48109 (United States)


    The Wireless Integrated Microsystems Engineering Research Center's Intraocular Sensor (WIMS-ERC IOS) was studied as a model system for an integrated, autonomous implantable device. In the present study, we had four objectives: (1) select and designing an optimized power supply for the WIMS-IOS; (2) develop a fabrication technique allowing small scale, low-cost, and integrable fabrication for CMOS systems, and experimentally demonstrate a microscopic power source; (3) map capacity and lifetime of several fabricated microbatteries; (4) determine the effects of miniaturization on capacity, lifetime and device architecture. Physical vapor deposition (PVD) was used to deposit thin layers ({<=}1 {mu}m) of metal sequentially onto glass substrates (SiO{sub 2}, as used in the device). To map the influence of size over cell capacity and cycle life, we fabricated and tested five stand-alone cells using a Solartron {sup registered} 1470E battery tester and a Maccor {sup registered} 4000 series tester. A sixth battery was fabricated to investigate the effects of system integration, variable discharge rate and size reduction simultaneously. The highest experimental capacity among the larger cells O(cm{sup 2}) was 100 {mu}Ah, achieved by IOS-C-1 at 250 {mu}A (1.4 C) discharge. Among O(mm{sup 2}) cells, IOS-M-1 achieved the highest capacity (2.75 {mu}Ah, {proportional_to}76% of theoretical) at 2.5 {mu}A discharge (0.7 C rate). (author)

  20. Artrodese da coluna lombossacra com o implante A-Systems Lumbosacral column arthtodesis with a system's implant

    Directory of Open Access Journals (Sweden)

    Afrane Serdeira


    Full Text Available Foram avaliados 40 pacientes com espondilolistese e instabilidade lombossacra: 13 pacientes do tipo ístmica-lítica, 19 do tipo degenerativa, 2 pacientes do tipo traumática, 1 tipo do patológica, e 5 do tipo cirúrgica, nos quais foram realizadas 40 artrodeses da coluna lombossacra com enxerto ósseo e fixação metálica com o implante A-Systems. A avaliação dos pacientes foi realizada clínica e radiograficamente, nos períodos pré-operatório, pós-operatório imediato e pós-operatório tardio. O tempo de acompanhamento clínico máximo foi de 46 meses, o mínimo de 10 meses, obtendo-se um acompanhamento médio de 11 meses. A avaliação global tanto do ponto vista do paciente como da equipe médica mostrou que: 36 (90% dos pacientes obtiveram bom resultado; três pacientes (7,5% apresentaram melhora em relação ao pré-operatório e um paciente (2,5% não obteve melhora. Vinte e nove pacientes (72,5% tiveram sua capacidade de trabalho normalizada, nove (22,5% pacientes tiveram sua capacidade melhorada em 75% e dois (5% pacientes tiveram a capacidade melhorada em 50%. Vinte e um pacientes (52,5% tiveram o índice de Prolo aumentado entre 9 e 10 (excelente; 14 (35% tiveram índice de Prolo aumentado para 7 e 8 (bom; em 5 (12,5% o índice ficou entre 5 e 6 (regular e nenhum paciente teve índice 2, 3 ou 4 (mau. O tempo médio de retorno para as atividades normais variou de três a doze meses, com uma média de sete meses. Em comparação com métodos similares relatados pela literatura, o implante mostrou-se tão eficiente quanto eles, com as vantagens da simplicidade, da possibilidade de ser usado em vários níveis e da rigidez após montado.Lumbosacral column arthrodesis with bone graft and metallic fixation (A-Systems implant was carried out in 40 patients with spondylolisthesis and lumbosacral instability of the following types: isthmic-lytic in 13, degenerative in 19, traumatic in 2, pathological in 1, and surgical in 5

  1. Replacing worn overdenture abutments of an unknown implant system by using laser welding: a clinical report. (United States)

    Mohunta, Vrinda V; Stevenson, James A; Lee, Damian J


    This clinical report describes a procedure for replacing worn ball abutments with low-profile resilient abutments by using laser welding when the implant system for a mandibular implant-supported overdenture could not be identified. Copyright © 2014 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.

  2. An implantable thermoresponsive drug delivery system based on Peltier device. (United States)

    Yang, Rongbing; Gorelov, Alexander V; Aldabbagh, Fawaz; Carroll, William M; Rochev, Yury


    Locally dropping the temperature in vivo is the main obstacle to the clinical use of a thermoresponsive drug delivery system. In this paper, a Peltier electronic element is incorporated with a thermoresponsive thin film based drug delivery system to form a new drug delivery device which can regulate the release of rhodamine B in a water environment at 37 °C. Various current signals are used to control the temperature of the cold side of the Peltier device and the volume of water on top of the Peltier device affects the change in temperature. The pulsatile on-demand release profile of the model drug is obtained by turning the current signal on and off. The work has shown that the 2600 mAh power source is enough to power this device for 1.3 h. Furthermore, the excessive heat will not cause thermal damage in the body as it will be dissipated by the thermoregulation of the human body. Therefore, this simple novel device can be implanted and should work well in vivo.

  3. Implant Surface Temperature Changes during Er:YAG Laser Irradiation with Different Cooling Systems.

    Directory of Open Access Journals (Sweden)

    Abbas Monzavi


    Full Text Available Peri-implantitis is one of the most common reasons for implant failure. Decontamination of infected implant surfaces can be achieved effectively by laser irradiation; although the associated thermal rise may cause irreversible bone damage and lead to implant loss. Temperature increments of over 10ºC during laser application may suffice for irreversible bone damage.The purpose of this study was to evaluate the temperature increment of implant surface during Er:YAG laser irradiation with different cooling systems.Three implants were placed in a resected block of sheep mandible and irradiated with Er:YAG laser with 3 different cooling systems namely water and air spray, air spray alone and no water or air spray. Temperature changes of the implant surface were monitored during laser irradiation with a K-type thermocouple at the apical area of the fixture.In all 3 groups, the maximum temperature rise was lower than 10°C. Temperature changes were significantly different with different cooling systems used (P<0.001.Based on the results, no thermal damage was observed during implant surface decontamination by Er:YAG laser with and without refrigeration. Thus, Er:YAG laser irradiation can be a safe method for treatment of periimplantitis.

  4. Cutaneous and systemic hypersensitivity reactions to metallic implants

    DEFF Research Database (Denmark)

    Basko-Plluska, Juliana L; Thyssen, Jacob P; Schalock, Peter C


    Cutaneous reactions to metal implants, orthopedic or otherwise, are well documented in the literature. The first case of a dermatitis reaction over a stainless steel fracture plate was described in 1966. Most skin reactions are eczematous and allergic in nature, although urticarial, bullous......, and vasculitic eruptions may occur. Also, more complex immune reactions may develop around the implants, resulting in pain, inflammation, and loosening. Nickel, cobalt, and chromium are the three most common metals that elicit both cutaneous and extracutaneous allergic reactions from chronic internal exposure......) following the insertion of intravascular stents, dental implants, cardiac pacemakers, or implanted gynecologic devices. Despite repeated attempts by researchers and clinicians to further understand this difficult area of medicine, the association between metal sensitivity and cutaneous allergic reactions...

  5. A system architecture, processor, and communication protocol for secure implants

    NARCIS (Netherlands)

    C. Strydis (Christos); R.M. Seepers (Robert); P. Peris-Lopez (Pedro); D. Siskos (Dimitrios); I. Sourdis (Ioannis)


    textabstractSecure and energy-efficient communication between Implantable Medical Devices (IMDs) and authorized external users is attracting increasing attention these days. However, there currently exists no systematic approach to the problem, while solutions from neighboring fields, such as

  6. Cutaneous and systemic hypersensitivity reactions to metallic implants

    DEFF Research Database (Denmark)

    Basko-Plluska, Juliana L; Thyssen, Jacob P; Schalock, Peter C


    ) following the insertion of intravascular stents, dental implants, cardiac pacemakers, or implanted gynecologic devices. Despite repeated attempts by researchers and clinicians to further understand this difficult area of medicine, the association between metal sensitivity and cutaneous allergic reactions......Cutaneous reactions to metal implants, orthopedic or otherwise, are well documented in the literature. The first case of a dermatitis reaction over a stainless steel fracture plate was described in 1966. Most skin reactions are eczematous and allergic in nature, although urticarial, bullous......, and vasculitic eruptions may occur. Also, more complex immune reactions may develop around the implants, resulting in pain, inflammation, and loosening. Nickel, cobalt, and chromium are the three most common metals that elicit both cutaneous and extracutaneous allergic reactions from chronic internal exposure...

  7. Prosthodontic maintenance requirements of implant-retained overdentures using the locator attachment system. (United States)

    Vere, Joe; Hall, Derek; Patel, Raj; Wragg, Phillip


    The aim of this study was to investigate the prosthodontic maintenance requirements of patients rehabilitated with maxillary and mandibular implant-retained overdentures using the Locator Attachment System by retrospectively reviewing case records. Fifty patients made 112 unplanned return visits over a 3-year period. The most common reasons for returning were denture adjustments (n = 45), inadequate retention (n = 39), and loosening of the implant abutments (n = 14). Implant-retained overdentures using the Locator Attachment System have comparable prosthodontic maintenance requirements to other attachment systems. Problems associated with these prostheses are usually simple to resolve chairside.

  8. Artery Soft-Tissue Modelling for Stent Implant Training System

    Directory of Open Access Journals (Sweden)

    Giovanni Aloisio


    Full Text Available Virtual reality technology can be utilised to provide new systematic training methods for surgical procedures. Our aim is to build a simulator that allows medical students to practice the coronary stent implant procedure and avoids exposing patients to risks. The designed simulation system consists of a virtual environment and a haptic interface, in order to provide both the visualization of the coronary arteries and the tactile and force feedback generated during the interactions of the surgical instruments in the virtual environment. Since the arteries are soft tissues, their shape may change during an operation; for this reason physical modelling of the organs is necessary to render their behaviour under the influence of surgeon's instruments. The idea is to define a model that computes the displacement of the tissue versus time; from the displacement it is possible to calculate the response of the tissue to the surgical tool external stimuli. Information about tools displacements and tissue responses are also used to graphically model the artery wall and virtual surgical instrument deformations generated as a consequence of their coming into contact. In order to obtain a realistic simulation, the Finite Element Method has been used to model the soft tissues of the artery, using linear elasticity to reduce computational time and speed up interaction rates.

  9. Numerical simulation and validation of SI-CAI hybrid combustion in a CAI/HCCI gasoline engine (United States)

    Wang, Xinyan; Xie, Hui; Xie, Liyan; Zhang, Lianfang; Li, Le; Chen, Tao; Zhao, Hua


    SI-CAI hybrid combustion, also known as spark-assisted compression ignition (SACI), is a promising concept to extend the operating range of CAI (Controlled Auto-Ignition) and achieve the smooth transition between spark ignition (SI) and CAI in the gasoline engine. In this study, a SI-CAI hybrid combustion model (HCM) has been constructed on the basis of the 3-Zones Extended Coherent Flame Model (ECFM3Z). An ignition model is included to initiate the ECFM3Z calculation and induce the flame propagation. In order to precisely depict the subsequent auto-ignition process of the unburned fuel and air mixture independently after the initiation of flame propagation, the tabulated chemistry concept is adopted to describe the auto-ignition chemistry. The methodology for extracting tabulated parameters from the chemical kinetics calculations is developed so that both cool flame reactions and main auto-ignition combustion can be well captured under a wider range of thermodynamic conditions. The SI-CAI hybrid combustion model (HCM) is then applied in the three-dimensional computational fluid dynamics (3-D CFD) engine simulation. The simulation results are compared with the experimental data obtained from a single cylinder VVA engine. The detailed analysis of the simulations demonstrates that the SI-CAI hybrid combustion process is characterised with the early flame propagation and subsequent multi-site auto-ignition around the main flame front, which is consistent with the optical results reported by other researchers. Besides, the systematic study of the in-cylinder condition reveals the influence mechanism of the early flame propagation on the subsequent auto-ignition.

  10. Systemic assessment of patients undergoing dental implant surgeries: A trans- and post-operative analysis

    Directory of Open Access Journals (Sweden)

    Sanjay Byakodi


    Full Text Available Background: Procedure-related and patient-related factors influence the prognosis of dental implants to a major extent. Hence, we aimed to evaluate and analyze various systemic factors in patients receiving dental implants. Materials and Methods: Fifty-one patients were included in the study, in which a total of 110 dental implants were placed. Complete examination of the subjects was done before and after placement of dental implants. Implant surgery was planned, and osseointegrated dental implants were placed in the subjects. Postoperative evaluation of the dental implant patients was done after 3 weeks. Anxiety levels were determined using State-Trait Anxiety Inventory (STAI questionnaire on the surgery day and after 1 week of surgery. The participant describes how they feel at the moment by responding to twenty items as follows: (1 absolutely not, (2 slightly, (3 somewhat, or (4 very much. All the results were recorded and statistical analyzed by SPSS software. Results: Out of 51, 29 patients were males while 22 were females, with ratio of 1.32:1. Female patients' mean age was 50.18 years while male patients' mean age was 52.71 years, with statistically nonsignificant difference between them. Functional rehabilitation was the main purpose of choosing dental implants in more than 90% of the subjects. Diameter of 3.75 mm was the shortest implants to be placed in the present study, whereas in terms of length, 8.5 mm was the shortest length of dental implant used in the present study. Tooth area in which maximum implants were placed in our study was 36 tooth region. Maximum implants were placed in Type II bone quality (n = 38. Implants installed in the mandible were clamped more efficiently than implants placed in the maxilla (P < 0.001. The difference of average STAI-State subscore before and after the surgery was statistically significant (P < 0.05; significant. Conclusion: Mandibular dental implants show more clamping (torque than maxillary

  11. Clinical and radiological results of patients treated with three treatment modalities for overdentures on implants of the ITI (R) Dental Implant System - A randomized controlled clinical trial

    NARCIS (Netherlands)

    Wismeijer, D; van Waas, MAJ; Mulder, J; Vermeeren, JIJF; Kalk, W


    In a randomized controlled clinical trial carried out at the Ignatius teaching hospital in Breda, The Netherlands, 110 edentulous patients with severe mandibular bone loss were treated with implants of the ITI(R) Dental Implant System using 3 different treatment strategies: a mandibular overdenture

  12. Clinical and radiological results of patients treated with three treatment modalities for overdentures on implants of the ITI (R) Dental Implant System - A randomized controlled clinical trial

    NARCIS (Netherlands)

    Wismeijer, D; van Waas, MAJ; Mulder, J; Vermeeren, JIJF; Kalk, W

    In a randomized controlled clinical trial carried out at the Ignatius teaching hospital in Breda, The Netherlands, 110 edentulous patients with severe mandibular bone loss were treated with implants of the ITI(R) Dental Implant System using 3 different treatment strategies: a mandibular overdenture

  13. Prof. Cai Shuming Receives 2005 Wetland Conservation Award

    Institute of Scientific and Technical Information of China (English)


    @@ Prof. Cai Shuming, an expert in wetland studies from the CAS Institute of Geodesy & Geophysics, has been honored with a Ramsar Wetland Conservation Award in 2005. The announcement was made by the Standing Committee of the Ramsar Convention on June 10 in Gland,Switzerland.

  14. 電腦輔助教學與個別教學結合: 電腦輔助教學課堂應用初探 Computer-Assisted Instruction Under the Management of Individualized Instruction: A Classroom Management Approach of CAI

    Directory of Open Access Journals (Sweden)

    Sunny S. J. Lin


    Full Text Available 無First reviews the development of Computer. Assisted Instruction (CAI in Taiwan. This study describes the training of teachers from different levels of schools to design CAI coursewares, and the planning of CAI courseware bank possesses 2,000 supplemental coursewares. Some CAI's c1assroom application system should be carefully established to prevent the easy abuse of a CAI courseware as an instructional plan. The study also claims to steer CAI in our elemantary and secondary education could rely on the mastery learning as the instructional plan. In this case, CAI must limit its role as the formative test and remedial material only. In the higher education , the Keller's Personalized System of Instruction could be an effective c1assroom management system. Therefore, CAI will offer study guide and formative test only. Using these 2 instructional system may enhance student's achievement , and speed up the learning rate at the same time. Combining with individualized instruction and CAI will be one of the most workable approach in current c1assroom . The author sets up an experiment 10 varify their effectiveness and efficiency in the near future.

  15. The Thoratec system implanted as a modified total artificial heart: the Bad Oeynhausen technique. (United States)

    Arusoglu, Latif; Reiss, Nils; Morshuis, Michiel; Schoenbrodt, Michael; Hakim-Meibodi, Kavous; Gummert, Jan


    The CardioWest™ total artificial heart (SynCardia Systems, Tuscon, AZ, USA) is the only FDA-approved total artificial heart determined as a bridge to human heart transplantation for patients dying of biventricular heart failure. Implantation provides immediate hemodynamic restoration and clinical stabilization, leading to end-organ recovery and thus eventually allowing cardiac transplantation. Occasionally, implantation of a total artificial heart is not feasible for anatomical reasons. For this patient group, we have developed an alternative technique using the paracorporeal Thoratec biventricular support system (Thoratec, Pleasanton, CA, USA) as a modified total artificial heart. A detailed description of the implantation technique is presented.

  16. Clinical experience with an implanted closed-loop insulin delivery system

    National Research Council Canada - National Science Library

    Eric Renard


    ...: The Long-Term Sensor System® project assessed the feasibility of glucose control by the combined implantation of a pump for peritoneal insulin delivery and a central intravenous glucose sensor, connected physically by...

  17. Implant overdenture and Locator system in edentulous patient with severely resorbed mandible - a case report. (United States)

    Ionescu, Camelia; Gălbinaşu, Bogdan Mihai; Manolea, Horia; Pătraşcu, Ion


    Clinical studies have revealed that the main objective of implants in the edentulous jaw is to provide support for fixed prostheses or to stabilize complete dentures. Various attachment systems were developed for universal use in partially and completely edentulous patients such as clasps, cone-shape telescope copings, magnets, bar systems, locators. The aim of this case report is to present the Locator attachment that does not use the splinting of implants. Four implants were placed in the foraminal region and the Locator attachment system was used to connect overdentures to mandibular dental implants. The results proved that the Locator attachment system offers the possibility to obtain a higher retention and an improved stability for overdentures in edentulous patients with a severely resorbed mandible and lack of vertical space between the arches.

  18. The Effect of an Intelligent Tutoring System (ITS) on Student Achievement in Algebraic Expression (United States)

    Chien, Tsai Chen; Md. Yunus, Aida Suraya; Ali, Wan Zah Wan; Bakar, Ab. Rahim


    In this experimental study, use of Computer Assisted Instruction (CAI) followed by use of an Intelligent Tutoring System (CAI+ITS) was compared to the use of CAI (CAI only) in tutoring students on the topic of Algebraic Expression. Two groups of students participated in the study. One group of 32 students studied algebraic expression in a CAI…

  19. Embellecimiento facial con el "sistema matriz de implante mandibular": abordaje endoscópico Facial beauty "mandibular matrix implant system": endoscopic access

    Directory of Open Access Journals (Sweden)

    O. M. Ramírez


    del implante, una infección (tratada con irrigación antibiótica y succión, sin necesidad de cambiar el implante y un paciente que precisó remodelación del tamaño del implante. Aunque inicialmente este método se publicó en el año 2000 como técnica mediante abordaje abierto con incisiones intraorales, actualmente recomendamos el método endoscópico, con el cual hemos realizado más de 100 intervenciones, por ser más ventajoso en términos de riesgo de infección. El Sistema Matriz de Implante Mandibular es altamente exitoso por el nivel de satisfacción de los pacientes, la evolución postoperatoria favorable y las expectativas estéticas logradas.One of the most frequent aesthetic problems and of a difficult correction that affects the lower third of the face is the disharmony between the soft tissues and the underlying skeletal support. A loss of volume or a genetically small mandible affects the aesthetics and function of the mouth, chin, and neck. The limitations of the conventional techniques and the limited aesthetic results obtained with those motivated the author to develop a system of implants and a technique of three-dimensional remodeling of the mandible. This system is called Mandibular Matrix Implant System. The Mandibular Matrix Implant System consists of several units, an articulated wraparound geniomandibular implant and two wraparound gonial angle implants, one for each side. A prejowl implant can be integrated in the system as an additional implant as overlay or as a replacement for the chin implant. The implants are made of biocompatible high density porous polyethylene that allows his reshaping and adaptation to the aesthetic needs of every patient. In addition they assemble perfectly to the bony surface of the mandible. It is indicated primarily for the beautification of the facial framework. It can be performed as a separated procedure or in combination with a facial rejuvenation. It is also used in edentulous patients or in those with

  20. Implant Surface Temperature Changes during Er:YAG Laser Irradiation with Different Cooling Systems. (United States)

    Monzavi, Abbas; Shahabi, Sima; Fekrazad, Reza; Behruzi, Roohollah; Chiniforush, Nasim


    Peri-implantitis is one of the most common reasons for implant failure. Decontamination of infected implant surfaces can be achieved effectively by laser irradiation; although the associated thermal rise may cause irreversible bone damage and lead to implant loss. Temperature increments of over 10ºC during laser application may suffice for irreversible bone damage. The purpose of this study was to evaluate the temperature increment of implant surface during Er:YAG laser irradiation with different cooling systems. Three implants were placed in a resected block of sheep mandible and irradiated with Er:YAG laser with 3 different cooling systems namely water and air spray, air spray alone and no water or air spray. Temperature changes of the implant surface were monitored during laser irradiation with a K-type thermocouple at the apical area of the fixture. In all 3 groups, the maximum temperature rise was lower than 10°C. Temperature changes were significantly different with different cooling systems used (Plaser with and without refrigeration. Thus, Er:YAG laser irradiation can be a safe method for treatment of periimplantitis.

  1. A complete data and power telemetry system utilizing BPSK and LSK signaling for biomedical implants. (United States)

    Sonkusale, Sameer; Luo, Zhenying


    In this paper, a prototype of a telemetry system for battery-less biological implant is implemented, which demonstrates both wireless power delivery and duplex wireless data communication. BPSK (Binary Phase Shift Keying) modulation is used for the data transmission from the external controller to the implant and LSK (Load Shift Keying) modulation is used for the reverse data transmission from the implant to the external controller. Power is being delivered wirelessly to the implant through the energy contained in the incoming BPSK data signal. This implant system contains a novel single chip realization of low power BPSK demodulator architecture, which provides considerable power savings compared to prior art. The demodulator occupies 0.1mm(2) area and consumes 5mW power from a 3.3V power supply. A sensitive board level LSK receiver for data transmitted from implant to the external reader has been proposed. External BPSK transmitter consists of a class-E power amplifier that serves the dual purpose of a data transmitter and wireless power delivery. In summary, a very low power bidirectional power and data telemetry system for biological implants based on BPSK and LSK signaling is proposed.

  2. Energy Efficiency and Reliability in Wireless Biomedical Implant Systems

    CERN Document Server

    Abouei, Jamshid; Plataniotis, Konstantinos N; Pasupathy, Subbarayan


    The use of wireless implant technology requires correct delivery of the vital physiological signs of the patient along with the energy management in power-constrained devices. Toward these goals, we present an augmentation protocol for the physical layer of the Medical Implant Communications Service (MICS) with focus on the energy efficiency of deployed devices over the MICS frequency band. The present protocol uses the rateless code with the Frequency Shift Keying (FSK) modulation scheme to overcome the reliability and power cost concerns in tiny implantable sensors due to the considerable attenuation of propagated signals across the human body. In addition, the protocol allows a fast start-up time for the transceiver circuitry. The main advantage of using rateless codes is to provide an inherent adaptive duty-cycling for power management, due to the flexibility of the rateless code rate. Analytical results demonstrate that an 80% energy saving is achievable with the proposed protocol when compared to the IE...

  3. [Implant fixation strength and osseointegration following systemic administration of recombinant factor XIII and factor XIII concentrate. Animal experiment with implant fixation strength and osseointegration of porous surface implants]. (United States)

    Kienapfel, H; Wilke, A; Dörner, P; Jürgensen, R; Prinz, H; Hettel, A; Swain, R; Griss, P


    30 cylindrical commercially pure titanium fiber porous coated Ti6A14V implants were inserted press-fit into the proximal humeral portion of 30 sheep humeri to determine the systemic effect of recombinant factor XIII and placenta-derived factor XIII concentrate on bone ingrowth and on strength of fixation. For both the recombinant factor XIII and the factor XIII concentrate group the volume fraction of bone ingrowth and the strength of fixation was higher when compared with the control specimens. However the difference was only significant for the factor XIII concentrate group.

  4. Clinical evaluation of a novel dental implant system as single implants under immediate loading conditions - 4-month post-loading results from a multicentre randomised controlled trial. (United States)

    Esposito, Marco; Trullenque-Eriksson, Anna; Blasone, Rodolfo; Malaguti, Giuliano; Gaffuri, Cristiano; Caneva, Marco; Minciarelli, Armando; Luongo, Giuseppe

    To evaluate the safety and clinical effectiveness of a novel dental implant system (GENESIS Implant System, Keystone Dental, Massachusetts, USA) using another dental implant system by the same manufacturer as a control (PRIMA Implant System, Keystone Dental). A total of 53 patients requiring at least two single crowns had their sites randomised according to a split-mouth design to receive both implant systems at six centres. If implants could be placed with a torque superior to 40 Ncm they were to be loaded immediately with provisional crowns, otherwise after 3 months of submerged healing. Provisional crowns were replaced by definitive crowns 4 months after initial loading, when the follow-up period for the initial part of this study was completed. Outcome measures were crown/implant failures, complications, pink esthetic score (PES), peri-implant marginal bone level changes, plaque score, marginal bleeding, patients and preference of the clinician. In total 53 PRIMA and 53 GENESIS implants were placed. Three patients dropped out but all of the remaining patients were followed up to 4-months post-loading. No PRIMA implant failed whereas four GENESIS implants failed. Only two complications were reported for PRIMA implants. There were no statistically significant differences for crown/implant failures (difference in proportions = 0.080; P (McNemar test) = 0.125) and complications (difference in proportions = -0.04; P (McNemar test) = 0.500) between the implant systems. There were no differences at 4-months post-loading for plaque (difference = -0.54, 95% CI: -3.01 to 1.93; P (Paired t-test) = 0.660), marginal bleeding (difference = -3.8, 95% CI: -7.63 to 0.019; P (Paired t-test) = 0.051), PES (difference = 0.47, 95% CI: -0.56 to 1.50; P (Paired t-test) = 0.365) and marginal bone level changes (difference in mm = -0.04, 95% CI: -0.33 to 0.26; P (Paired t-test) = 0.795). The majority of the patients (46) had no

  5. Characteristics of implant-CAD/CAM abutment connections of two different internal connection systems. (United States)

    Sumi, T; Braian, M; Shimada, A; Shibata, N; Takeshita, K; Vandeweghe, S; Coelho, P G; Wennerberg, A; Jimbo, R


    Titanium or zirconium computer-aided design/computer-aided manufacturing abutments are now widely used for aesthetic implant treatments; however, information regarding microscopic structural differences that may influence the biological and mechanical outcomes of different implant systems is limited. Therefore, the characteristics of different connection systems were investigated. Optical microscopic observation and scanning electron microscopy showed different characteristics of two internal systems, namely the Astra Tech and the Replace Select system, and for different materials. The scanning electron microscopic observation showed for the Astra Tech that the implant-abutment interface seemed to be completely sealed for both titanium and zirconium abutments, both horizontally and sagittally; however, the first implant-abutment contact was below the fixture top, creating a microgap, and fixtures connected with titanium abutments showed significantly larger values (23·56μm±5·44 in width, and 168·78μm±30·39 in depth, P0·70), creating an inverted microgap. Thus, microscopy evaluation of two commonly used internal systems connected to titanium or zirconium abutments showed that the implant-abutment interface was perfectly sealed under no-loading conditions. However, an inverted microgap was seen in both systems, which may result in bacterial accumulation as well as alteration of stress distribution at the implant-abutment interface.

  6. Adjunctive Systemic and Local Antimicrobial Therapy in the Surgical Treatment of Peri-implantitis: A Randomized Controlled Clinical Trial. (United States)

    Carcuac, O; Derks, J; Charalampakis, G; Abrahamsson, I; Wennström, J; Berglundh, T


    The aim of the present randomized controlled clinical trial was to investigate the adjunctive effect of systemic antibiotics and the local use of chlorhexidine for implant surface decontamination in the surgical treatment of peri-implantitis. One hundred patients with severe peri-implantitis were recruited. Surgical therapy was performed with or without adjunctive systemic antibiotics or the local use of chlorhexidine for implant surface decontamination. Treatment outcomes were evaluated at 1 y. A binary logistic regression analysis was used to identify factors influencing the probability of treatment success, that is, probing pocket depth ≤5 mm, absence of bleeding/suppuration on probing, and no additional bone loss. Treatment success was obtained in 45% of all implants but was higher in implants with a nonmodified surface (79%) than those with a modified surface (34%). The local use of chlorhexidine had no overall effect on treatment outcomes. While adjunctive systemic antibiotics had no impact on treatment success at implants with a nonmodified surface, a positive effect on treatment success was observed at implants with a modified surface. The likelihood for treatment success using adjunctive systemic antibiotics in patients with implants with a modified surface, however, was low. As the effect of adjunctive systemic antibiotics depended on implant surface characteristics, recommendations for their use in the surgical treatment of peri-implantitis should be based on careful assessments of the targeted implant ( NCT01857804).

  7. Processing of microCT implant-bone systems images using Fuzzy Mathematical Morphology (United States)

    Bouchet, A.; Colabella, L.; Omar, S.; Ballarre, J.; Pastore, J.


    The relationship between a metallic implant and the existing bone in a surgical permanent prosthesis is of great importance since the fixation and osseointegration of the system leads to the failure or success of the surgery. Micro Computed Tomography is a technique that helps to visualize the structure of the bone. In this study, the microCT is used to analyze implant-bone systems images. However, one of the problems presented in the reconstruction of these images is the effect of the iron based implants, with a halo or fluorescence scattering distorting the micro CT image and leading to bad 3D reconstructions. In this work we introduce an automatic method for eliminate the effect of AISI 316L iron materials in the implant-bone system based on the application of Compensatory Fuzzy Mathematical Morphology for future investigate about the structural and mechanical properties of bone and cancellous materials.

  8. Numerical estimation of heat distribution from the implantable battery system of an undulation pump LVAD. (United States)

    Okamoto, Eiji; Makino, Tsutomu; Nakamura, Masatoshi; Tanaka, Shuji; Chinzei, Tsuneo; Abe, Yusuke; Isoyama, Takashi; Saito, Itsuro; Mochizuki, Shu-ichi; Imachi, Kou; Inoue, Yusuke; Mitamura, Yoshinori


    We have been developing an implantable battery system using three series-connected lithium ion batteries having an energy capacity of 1,800 mAh to drive an undulation pump left ventricular assist device. However, the lithium ion battery undergoes an exothermic reaction during the discharge phase, and the temperature rise of the lithium ion battery is a critical issue for implantation usage. Heat generation in the lithium ion battery depends on the intensity of the discharge current, and we obtained a relationship between the heat flow from the lithium ion battery q(c)(I) and the intensity of the discharge current I as q(c)(I) = 0.63 x I (W) in in vitro experiments. The temperature distribution of the implantable battery system was estimated by means of three-dimentional finite-element method (FEM) heat transfer analysis using the heat flow function q(c)(I), and we also measured the temperature rise of the implantable battery system in in vitro experiments to conduct verification of the estimation. The maximum temperatures of the lithium ion battery and the implantable battery case were measured as 52.2 degrees C and 41.1 degrees C, respectively. The estimated result of temperature distribution of the implantable battery system agreed well with the measured results using thermography. In conclusion, FEM heat transfer analysis is promising as a tool to estimate the temperature of the implantable lithium ion battery system under any pump current without the need for animal experiments, and it is a convenient tool for optimization of heat transfer characteristics of the implantable battery system.

  9. A system architecture, processor, and communication protocol for secure implants

    NARCIS (Netherlands)

    C. Strydis (Christos); R.M. Seepers (Robert); P. Peris-Lopez (Pedro); D. Siskos (Dimitrios); I. Sourdis (Ioannis)


    textabstractSecure and energy-efficient communication between Implantable Medical Devices (IMDs) and authorized external users is attracting increasing attention these days. However, there currently exists no systematic approach to the problem, while solutions from neighboring fields, such as wirele

  10. 120-kV ion-implantation system

    Energy Technology Data Exchange (ETDEWEB)

    Bhatia, M.S.; Bhattacharya, P.K.; Gaonkar, S.; Kansara, M.J.; Sarma, N.; Wagh, A.G.


    A compact and versatile heavy ion accelerator has been constructed for the uniform implantation of wafers with beams of microamperes and acceleration voltages of up to 120 keV. The mass analysis of the ion beam is carried out within the high voltage terminal at an energy of 10 keV after beam formation and focussing by an Extractor-cum-Einzel lens. The electromagnet utilized for this was of 14/sup 0/ bending angle. Acceleration is provided by a modified insulated core transformer of five sections operating on three phase power input. Provision is made for the implantation of either single targets and for the batch implantation of up to 36 wafers at a time. The ion source is a Nielsen type in which evaporation and ionization are achieved by the impact of thermionic electrons from a hot filament. It is capable of delivering currents in the microampere range for most of the elements and accepts liquid, solid and gaseous charges. While the facility enables implants of a wide range of doses, species and energies, it is mainly used for boron and phosphorous doping in semiconductors. Electrostatic scanning in two dimensions ensures maximum uniformity. All controls are operated at ground potential and are easily accessible.

  11. The KineSpring® Knee Implant System: an implantable joint-unloading prosthesis for treatment of medial knee osteoarthritis

    Directory of Open Access Journals (Sweden)

    Clifford AG


    Full Text Available Anton G Clifford,1 Stefan M Gabriel,1 Mary O’Connell,1 David Lowe,1 Larry E Miller,2,3 Jon E Block31Moximed, Inc, Hayward, CA, USA; 2Miller Scientific Consulting, Inc, Arden, NC, USA; 3The Jon Block Group, San Francisco, CA, USAAbstract: Symptomatic medial compartment knee osteoarthritis (OA is the leading cause of musculoskeletal pain and disability in adults. Therapies intended to unload the medial knee compartment have yielded unsatisfactory results due to low patient compliance with conservative treatments and high complication rates with surgical options. There is no widely available joint-unloading treatment for medial knee OA that offers clinically important symptom alleviation, low complication risk, and high patient acceptance. The KineSpring® Knee Implant System (Moximed, Inc, Hayward, CA, USA is a first-of-its-kind, implantable, extra-articular, extra-capsular prosthesis intended to alleviate knee OA-related symptoms by reducing medial knee compartment loading while overcoming the limitations of traditional joint-unloading therapies. Preclinical and clinical studies have demonstrated excellent prosthesis durability, substantial reductions in medial compartment and total joint loads, and clinically important improvements in OA-related pain and function. The purpose of this report is to describe the KineSpring System, including implant characteristics, principles of operation, indications for use, patient selection criteria, surgical technique, postoperative care, preclinical testing, and clinical experience. The KineSpring System has potential to bridge the gap between ineffective conservative treatments and irreversible surgical interventions for medial compartment knee OA.Keywords: KineSpring, knee, medial, osteoarthritis, prosthesis

  12. Monte Carlo studies of positron implantation in elemental metallic and multilayer systems

    Energy Technology Data Exchange (ETDEWEB)

    Ghosh, V.J.; Welch, D.O.; Lynn, K.G.


    We have used a Monte Carlo computer code developed at Brookhaven [sup 1,2] to study the implantation profiles of 1-10 keV positrons incident on a wide range of semi-infinite metals and multilayer systems. Our Monte Carlo program accounts for elastic scattering as well as inelastic scattering from core and valence electrons, and includes the excitation of plasmons. The implantation profiles of positrons in many metals as well as Pd/Al, and Al/Co/Si multilayers are presented. Scaling relations and closed-form expressions representing he implantation profiles are also discussed.

  13. Monte Carlo studies of positron implantation in elemental metallic and multilayer systems

    Energy Technology Data Exchange (ETDEWEB)

    Ghosh, V.J.; Welch, D.O.; Lynn, K.G.


    We have used a Monte Carlo computer code developed at Brookhaven {sup 1,2} to study the implantation profiles of 1-10 keV positrons incident on a wide range of semi-infinite metals and multilayer systems. Our Monte Carlo program accounts for elastic scattering as well as inelastic scattering from core and valence electrons, and includes the excitation of plasmons. The implantation profiles of positrons in many metals as well as Pd/Al, and Al/Co/Si multilayers are presented. Scaling relations and closed-form expressions representing he implantation profiles are also discussed.

  14. Implantable power generation system utilizing muscle contractions excited by electrical stimulation. (United States)

    Sahara, Genta; Hijikata, Wataru; Tomioka, Kota; Shinshi, Tadahiko


    An implantable power generation system driven by muscle contractions for supplying power to active implantable medical devices, such as pacemakers and neurostimulators, is proposed. In this system, a muscle is intentionally contracted by an electrical stimulation in accordance with the demands of the active implantable medical device for electrical power. The proposed system, which comprises a small electromagnetic induction generator, electrodes with an electrical circuit for stimulation and a transmission device to convert the linear motion of the muscle contractions into rotational motion for the magneto rotor, generates electrical energy. In an ex vivo demonstration using the gastrocnemius muscle of a toad, which was 28 mm in length and weighed 1.3 g, the electrical energy generated by the prototype exceeded the energy consumed for electrical stimulation, with the net power being 111 µW. It was demonstrated that the proposed implantable power generation system has the potential to replace implantable batteries for active implantable medical devices. © IMechE 2016.

  15. Infrared Thermographic Assessment of Cooling Effectiveness in Selected Dental Implant Systems

    Directory of Open Access Journals (Sweden)

    Karol Kirstein


    Full Text Available The excessive temperature fluctuations during dental implant site preparation may affect the process of bone-implant osseointegration. In the presented studies, we aimed to assess the quality of cooling during the use of 3 different dental implant systems (BEGO®, NEO BIOTECH®, and BIOMET 3i®. The swine rib was chosen as a study model. The preparation of dental implant site was performed with the use of 3 different speeds of rotation (800, 1,200, and 1,500 rpm and three types of cooling: with saline solution at room temperature, with saline solution cooled down to 3°C, and without cooling. A statistically significant difference in temperature fluctuations was observed between BEGO and NEO BIOTECH dental systems when cooling with saline solution at 3°C was used (22.3°C versus 21.8°C. In case of all three evaluated dental implant systems, the highest temperature fluctuations occurred when pilot drills were used for implant site preparation. The critical temperature, defined in the available literature, was exceeded only in case of pilot drills (of all 3 systems used at rotation speed of 1,500 rpm without cooling.

  16. [A case of percutaneous coronary intervention after transfemoral implantation of a medtronic CoreValve System]. (United States)

    Corcione, Nicola; Ferraro, Paolo; Polimeno, Michele; Messina, Stefano; de Rosa, Vincenzo; Giordano, Arturo


    The association between aortic valve disease and coronary atherosclerosis is common. In the recent era of transcatheter aortic valve implantation there is little experience with coronary artery intervention after valve implantation. We report a case of a 80-year-old male who underwent successful coronary artery intervention few months after a Medtronic CoreValve System percutaneous implantation for severe aortic valve stenosis. Verification of the position of the used wires (crossing from inside the self expanding frame) is of utmost importance before proceeding to coronary intervention. In this case, crossing the aortic valve, coronary angiography and percutaneous coronary intervention were successfully performed. In conclusion, percutaneous coronary intervention in patients with previous Medtronic CoreValve System implantation is feasible and safe.

  17. Complication incidence of two implant systems up to six years: a comparison between internal and external connection implants. (United States)

    Chae, Sung-Wook; Kim, Young-Sung; Lee, Yong-Moo; Kim, Won-Kyung; Lee, Young-Kyoo; Kim, Su-Hwan


    This study was conducted to compare the cumulative survival rates (CSRs) and the incidence of postloading complications (PLCs) between a bone-level internal connection system (ICS-BL) and an external connection system (ECS). The medical records of patients treated with either a ICS-BL or ECS between 2007 and 2010 at Asan Medical Center were reviewed. PLCs were divided into two categories: biological and technical. Biological complications included >4 mm of probing pocket depth, thread exposure in radiographs, and soft tissue complications, whereas technical complications included chipping of the veneering material, fracture of the implant, fracture of the crown, loosening or fracture of the abutment or screw, loss of retention, and loss of access hole filling material. CSRs were determined by a life-table analysis and compared using the log-rank chi-square test. The incidence of PLC was compared with the Pearson chi-squared test. A total of 2,651 implants in 1,074 patients (1,167 ICS-BLs in 551 patients and 1,484 ECSs in 523 patients) were analyzed. The average observation periods were 3.4 years for the ICS-BLs and 3.1 years for the ECSs. The six-year CSR of all implants was 96.1% (94.9% for the ICS-BLs and 97.1% for the ECSs, P=0.619). Soft tissue complications were more frequent with the ECSs (P=0.005) and loosening or fracture of the abutment or screw occurred more frequently with the ICS-BLs (P<0.001). Within the limitations of this study, the ICS-BL was more prone to technical complications while the ECS was more vulnerable to biological complications.

  18. Long-term implant prognosis in patients with and without a history of chronic periodontitis: a 10-year prospective cohort study of the ITI Dental Implant System. (United States)

    Karoussis, Ioannis K; Salvi, Giovanni E; Heitz-Mayfield, Lisa J A; Brägger, Urs; Hämmerle, Christoph H F; Lang, Niklaus P


    The aim of this 10-year study was to compare the failure, success and complication rates between patients having lost their teeth due to periodontitis or other reasons. Fifty-three patients who received 112 hollow screw implants (HS) of the ITI Dental Implant System were divided into two groups: group A - eight patients with 21 implants having lost their teeth due to chronic periodontitis; group B - forty five patients with 91 implants without a history of periodontitis. One and 10 years after surgical placement, clinical and radiographic parameters were assessed. The incidences of peri-implantitis were noticed over the 10 years of regular supportive periodontal therapy. Success criteria at 10 years were set at: pocket probing depth (PPD) periodontitis (group A) was 90.5%, while for the group with no past history of periodontitis (group B) it was 96.5%. Group A had a significantly higher incidence of peri-implantitis than group B (28.6% vs. 5.8%). With the success criteria set, 52.4% in group A and 79.1% of the implants in group B were successful. With a threshold set at PPD periodontitis demonstrated lower survival rates and more biological complications than patients with implants replacing teeth lost due to reasons other than periodontitis during a 10-year maintenance period. Furthermore, setting of thresholds for success criteria is crucial to the reporting of success rates.

  19. Design analysis of an implant and antenna system by using Taguchi method (United States)

    Celik, Nevin; Turgut, Emre; Bayazit, Yilmaz


    In present study, to investigate the thermal effects of the rechargeable neuromodulation implants (an implant and antenna together) in the body, a numerical analysis is performed by using commercial software ANSYS. Since it is well established that both the antenna and the implant generate heat, both of these heat sources may increase the tissue temperature in the subcutaneous zone and may also increase the temperature in the deeper tissue. Therefore, the sizes and heat generation amounts of the implant-antenna system gain great importance and a parametric evaluation that shows the effects of the design parameters on the temperature becomes necessary. For this aim, an optimization study is performed. The runs of the numerical simulations are determined by well-known design analysis method, namely Taguchi and the parametric evaluation of the study is carried out by Analysis of Variance (ANOVA) method. The design parameters considered are; (i) heat generated by the antenna q a (50, 52 and 54 W/m2), (ii) heat generated by the implant q i (30 and 35 W/m2), (iii) thickness of the implant t i (9, 11, and 13 mm) and finally (iv) the radius of the antenna R a (31, 35, 39 mm). The results showed that higher antenna radii result in higher temperatures in the tissue, whilst the least effective design parameter on the temperature is the heat generation of the implant.

  20. Dental Implant Placement using C-arm CT Real Time Imaging System: A Case Report. (United States)

    Rajkumar, B; Boruah, Lalit C; Thind, Amandeep; Jain, Gaurav; Gupta, Shilpi


    C-arm computed tomography (CT) is a new and innovative imaging technique. In combination with two-dimensional fluoroscopic or radiographic imaging, information provided by three-dimensional C-arm real time imaging can be valuable for therapy planning, guidance and outcome assessment in dental implant placement. This paper reports a case of two dental implant placement using Artis zee C-arm CT system first time in field of implantology.

  1. Evidence for an early nitrogen isotopic evolution in the solar nebula from volatile analyses of a CAI from the CV3 chondrite NWA 8616 (United States)

    Füri, Evelyn; Chaussidon, Marc; Marty, Bernard


    Nitrogen and noble gas (Ne-Ar) abundances and isotope ratios, determined by CO2 laser extraction static mass spectrometry analysis, as well as Al-Mg and O isotope data from secondary ion mass spectrometry (SIMS) analyses, are reported for a type B calcium-aluminum-rich inclusion (CAI) from the CV3 chondrite NWA 8616. The high (26Al/27Al)i ratio of (5.06 ± 0.50) × 10-5 dates the last melting event of the CAI at 39-99+109ka after "time zero", limiting the period during which high-temperature exchanges between the CAI and the nebular gas could have occurred to a very short time interval. Partial isotopic exchange with a 16O-poor reservoir resulted in Δ17O > -5‰ for melilite and anorthite, whereas spinel and Al-Ti-pyroxene retain the inferred original 16O-rich signature of the solar nebula (Δ17O ⩽ -20‰). The low 20Ne/22Ne (⩽0.83) and 36Ar/38Ar (⩽0.75) ratios of the CAI rule out the presence of any trapped planetary or solar noble gases. Cosmogenic 21Ne and 38Ar abundances are consistent with a cosmic ray exposure (CRE) age of ∼14 to 20 Ma, assuming CR fluxes similar to modern ones, without any evidence for pre-irradiation of the CAI before incorporation into the meteorite parent body. Strikingly, the CAI contains 1.4-3.4 ppm N with a δ15N value of +8‰ to +30‰. Even after correcting the measured δ15N values for cosmogenic 15N produced in situ, the CAI is highly enriched in 15N compared to the protosolar nebula (δ15NPSN = -383 ± 8‰; Marty et al., 2011), implying that the CAI-forming region was contaminated by 15N-rich material within the first 0.15 Ma of Solar System history, or, alternatively, that the CAI was ejected into the outer Solar System where it interacted with a 15N-rich reservoir.

  2. Du Bollettino del CAI à la revue Le Alpi

    Directory of Open Access Journals (Sweden)

    Jean-Paul Zuanon


    Full Text Available Comme les autres clubs alpins créés à la même époque, le CAI s’est rapidement doté d’outils de communication pour établir un lien entre ses membres et faire connaître sa philosophie en matière de pratique de la montagne.   Fondé en 1865, le bulletin trimestriel a été complété par la Rivista mensile en 1881. De fait,  l’organe du CAI est vieux de près de 140 ans.  Il est un reflet fidèle de l’évolution du club et des grands débats qui l’ont animé. Sans prétendre retracer cette longue histoire,...

  3. Replace种植系统在即刻种植中的临床应用研究%Clinical application of Replace implant system in the immediate implantation

    Institute of Scientific and Technical Information of China (English)

    张庆元; 张兆强; 张清彬; 刘佳钰


    目的:评价Replace种植系统应用于即刻种植的临床效果.方法:收集2006年2月~2008年2月期间具有即刻种植适应症的28例患者,行Replace种植系统植入术,术后3~6个月根据临床和影像学结果行二期手术及上部结构修复,随访观察18~36个月(平均15个月).结果:共植入47枚种植体,其中45枚获得成功,在随访期内无明显并发症,种植体负重后第1年牙槽骨吸收水平<1 mm.1例糖尿病患者2枚种植体于二期修复后7周脱落,成功率为95.74%(45/47).种植体周围龈炎4枚,烤瓷冠崩瓷2枚.结论:Replace即刻种植可缩短患者缺牙时间,减缓牙槽嵴吸收,患者满意度较高,但必须严格掌握适应症.%Objective: To evaluate the clinical effect of Replace implant system in application of the immediate implantation. Method:The Replace implant system was implanted in 28 patients who adapted to immediate implantation during February in 2006 to February in 2008. The dental implant rehabilitation was administered 3-6 months after the implant surgery in accordance lo the clinical and radiographic parameters. The clinical effect was followed up over 18-36 months (average IS months). Result:45 of all the 47 implants were successive and without obvious complication in the follow-up period t the absorption level of alveolar bone was less than I mm in the first year after rehabilitation. 2 implants embedded in the patient with diabetes dropped 7 weeks after the rehabilitation. The success rate was 95.74 % (45 / 47). There were 4 implants involved with peri-implant mucositis and 2 metal-porcelain full crowns yielded ceramic chipping. Conclusion: Immediate implantation with the Replace system could shorten the anodonlia time and slow down the absorption pace of alveolar bone. Patients were highly satisfied with the immediate implantation, However.the indication must be controlled strictly.

  4. Study on Teaching Strategies in Mathematics Education based on CAI


    Wei Yan Feng


    With the development of information technology and the popularization of internet, mobile phone, new media represented is gradually influencing and changing people’s study and life, become the centre and social consensus of cultural information, according to the China Internet Network Information centre, the youth is the main use of CAI(Computer Assisted Instruction), which is the most active group of customers, fully understand the impact of the new media environment for students, higher mat...

  5. A bone quality-based implant system: a preliminary report of stage I & stage II. (United States)

    Misch, C E; Hoar, J; Beck, G; Hazen, R; Misch, C M


    A system is introduced in which dental implants are specifically designed for containment within four different categories of bone densities. The sizes and the textured surfaces that accompany the gradations of lengths and diameters are standardized for each bone type. A modified thread design focuses on compression of bone rather than on shear, and the geometry of the entire implant body reflects features that are concurrent with a "platform effect." Having been tested by means of finite element analysis and initial animal studies, the results are provided herein for the placement of 364 consecutive implants in five clinical centers on human patients, with surgical survival results of 98.9 percent overall. The initial clinical report of these implants indicates that all bone densities may have similar initial survival rates.

  6. Security Risks, Low-tech User Interfaces, and Implantable Medical Devices: A Case Study with Insulin Pump Infusion Systems

    Energy Technology Data Exchange (ETDEWEB)

    Paul, Nathanael R [ORNL; Kohno, Tadayoshi [University of Washington, Seattle


    Portable implantable medical device systems are playing a larger role in modern health care. Increasing attention is now being given to the wireless control interface of these systems. Our position is that wireless security in portable implantable medical device systems is just a part of the overall system security, and increased attention is needed to address low-tech security issues.

  7. Automated COBOL code generation for SNAP-I CAI development and maintenance procedures

    Energy Technology Data Exchange (ETDEWEB)

    Buhrmaster, M.A.; Duncan, L.D.; Hume, R.; Huntley, A.F.


    In designing and implementing a computer aided instruction (CAI) prototype for the Navy Management System Support Office (NAVMASSO) as part of the Shipboard Nontactical ADP Program (SNAP), Data Systems Engineering Organization (DSEO) personnel developed techniques for automating the production of COBOL source code for CAI applications. This report discusses the techniques applied, which incorporate the use of a database management system (DBMS) to store, access, and manipulate the data necessary for producing COBOL source code automatically. The objective for developing the code generation techniques is to allow for the production of future applications in an efficient and reliable manner. This report covers the standards and conventions defined, database tables created, and the host language interface program used for generating COBOL source files. The approach is responsible for producing 85 percent of an 830,000 line COBOL application, in approximately one year's time. This code generation program generated transaction processing routines to be executed under the DM6TP NAVMASSO distributed processing environment on the Honeywell DPS-6 minicomputers, representing the standard SNAP-I environment.

  8. New Evidence for 26Al in CAI and Chondrules from Type 3 Ordinary Chondrites (United States)

    Srinivasan, G.; Russell, S. S.; MacPherson, G. J.; Huss, G. R.; Wasserburg, G. J.


    We have known since 1976 that 26A1 (tl/2 = 7.2 x 105 yrs) was alive in the early solar system, at a level of (26Al/27Al)o z 5 x 10-5 in calcium-aluminum inclusions (CAI). However, several outstanding questions remain. Little evidence for 26A1 has been found in other chondritic material, and none has been found in differentiated meteorites. These results might imply that 26A1 was heterogeneously distributed in the nebula or by mineralogic site in nebular dust, or they might reflect differences in time of formation. There are strict limitations on finding evidence of 26A1 in normal chondrules with bulk Al/Mg ~ 0.1, since even quenched, perfectly preserved, late-stage glasses would have low Al/Mg. Primary plagioclase crystals provide the only possibility, but these only crystallize rarely in melts within the compositional range of normal chondrules. Also, metamorphism can erase the evidence in high-AI/Mg phases. To address these issues, we have conducted a search for chondrules and CAI with high-Al/Mg phases suitable for ion-probe measurement in type 3 ordinary chondrites. Previous work has revealed evidence for 26Al in a plagioclase bearing, olivine-pyroxene class from Semarkona (LL3.0; (26Al/27Al)o = 7.7+/-2.1 x 10-6)), a plagioclase-rich object from Bovedy (L3.7?; 2.5+/-1.2 x 10-7), in separated plagioclase from St. Marguerite (H4; 2.0+/-0.6 x 10-7), an isolated hibonite grain from Dhajala (H3.8; 8.4+0.5 x 10-6), and in Al2O3 and hibonite grains ((26Al/27Al)o = 2-5 x 10-5; [GRH, unpublished]) from acid residues of Semarkona, Bishunpur (LL3.1), and Krymka (LL3.1). We have identified and measured Al-Mg isotope systematics in two CAI and seven chondrules from ordinary chondrites of low metamorphic grade and have found clear evidence for 26A1 in both CAI and in two chondrules.

  9. Walking after incomplete spinal cord injury using an implanted FES system: a case report. (United States)

    Hardin, Elizabeth; Kobetic, Rudi; Murray, Lori; Corado-Ahmed, Michelle; Pinault, Gilles; Sakai, Jonathan; Bailey, Stephanie Nogan; Ho, Chester; Triolo, Ronald J


    Implanted functional electrical stimulation (FES) systems for walking are experimentally available to individuals with incomplete spinal cord injury (SCI); however, data on short-term therapeutic and functional outcomes are limited. The goal of this study was to quantify therapeutic and functional effects of an implanted FES system for walking after incomplete cervical SCI. After robotic-assisted treadmill training and overground gait training maximized his voluntary function, an individual with incomplete SCI (American Spinal Injury Association grade C, cervical level 6-7) who could stand volitionally but not step was surgically implanted with an 8-channel receiver stimulator and intramuscular electrodes. Electrodes were implanted bilaterally, recruiting iliopsoas, vastus intermedius and lateralis, tensor fasciae latae, tibialis anterior, and peroneus longus muscles. Twelve weeks of training followed limited activity post-surgery. Customized stimulation patterns addressed gait deficits via an external control unit. The system was well-tolerated and reliable. After the 12-week training, maximal walking distance increased (from 14 m to 309 m), maximal walking speed was 10 times greater (from 0.02 m/s to 0.20 m/s), and physiological cost index was 5 times less (from 44.4 beats/m to 8.6 beats/m). Voluntary locomotor function was unchanged. The implanted FES system was well-tolerated, reliable, and supplemented function, allowing the participant limited community ambulation. Physiological effort decreased and maximal walking distance increased dramatically over 12 weeks.

  10. Miniature Coplanar Implantable Antenna on Thin and Flexible Platform for Fully Wireless Intracranial Pressure Monitoring System

    Directory of Open Access Journals (Sweden)

    M. Waqas A. Khan


    Full Text Available Minimally invasive approach to intracranial pressure monitoring is desired for long-term diagnostics. The monitored pressure is transmitted outside the skull through an implant antenna. We present a new miniature (6 mm × 5 mm coplanar implant antenna and its integration on a sensor platform to establish a far-field data link for the sensor readout at distances of 0.5 to 1 meter. The implant antenna was developed using full-wave electromagnetic simulator and measured in a liquid phantom mimicking the dielectric properties of the human head. It achieved impedance reflection coefficient better than −10 dB from 2.38 GHz to 2.54 GHz which covers the targeted industrial, scientific, and medical band. Experiments resulted in an acceptable peak gain of approximately −23 dBi. The implant antenna was submerged in the liquid phantom and interfaced to a 0.5 mW voltage controlled oscillator. To verify the implant antenna performance as a part of the ICP monitoring system, we recorded the radiated signal strength using a spectrum analyzer. Using a half-wavelength dipole as the receiving antenna, we captured approximately −58.7 dBm signal at a distance of 1 m from the implant antenna which is well above for the reader with sensitivity of −80 dBm.

  11. The Safety of MR Conditional Cochlear Implant at 1.5 Tesla Magnetic Resonance Imaging System. (United States)

    Takahashi, Daisuke; Ogura, Akio; Hayashi, Norio; Seino, Shinya; Kawai, Ryosuke; Matsuda, Tsuyoshi; Doi, Tsukasa; Tsuchihashi, Toshio


    In magnetic resonance imaging (MRI) examination of the patients with the cochlear implant, only limited data have a mention for safety information in the instruction manual supplied by the manufacturers. Therefore, imaging operators require more detailed safety information for implant device. We conducted detailed examination about displacement force, torque, and demagnetizing of the cochlear implant magnet based on American Society for Testing and Materials (ASTM) standard using the PULSAR and CONCERTO (MED-EL) with 1.5 tesla MRI system. As a result, the displacement force and the torque of the implant magnet were less than the numerical values descried in the manual. Therefore, these have almost no effect on the body under the condition described in a manual. In addition, the demagnetizing factor of the cochlear implant magnet occurred by a change magnetic field. The demagnetization depended on the direction of a line of magnetic force of the static magnetic field and the implant magnet. In conclusion, the operator must warn the position of the patients on inducing in the magnet room.

  12. A morphological analysis on the osteocytic lacunar canalicular system in bone surrounding dental implants. (United States)

    Haga, Maiko; Nozawa-Inoue, Kayoko; Li, Minqi; Oda, Kimimitsu; Yoshie, Sumio; Amizuka, Norio; Maeda, Takeyasu


    Osseointegration is the most preferable interface of dental implants and newly formed bone. However, the cavity preparation for dental implants often gives rise to empty lacunae or pyknotic osteocytes in bone surrounding the dental implant. This study aimed to examine the chronological alternation of osteocytes in the bone surrounding the titanium implants using a rat model. The distribution of the osteocytic lacunar canalicular system (OLCS) in bone around the titanium implants was examined by silver impregnation according to Bodian's staining. We also performed double staining for alkaline phosphatase (ALP) and tartrate-resistant acid phosphatase (TRAP), as well as immunohistochemistry for fibroblast growth factor (FGF) 23--a regulator for the serum concentration of phosphorus--and sclerostin, which has been shown to inhibit osteoblastic activities. Newly formed bone and the injured bone at the early stage exhibited an irregularly distributed OLCS and a few osteocytes positive for sclerostin or FGF23, therefore indicating immature bone. Osteocytes in the surrounding bone from Day 20 to Month 2 came to reveal an intense immunoreactivity for sclerostin. Later on, the physiological bone remodeling gradually replaced such immature bone into a compact profile bearing a regularly arranged OLCS. As the bone was remodeled, FGF23 immunoreactivity became more intense, but sclerostin became less so in the well-arranged OLCS. In summary, it seems likely that OLCS in the bone surrounding the dental implants is damaged by cavity formation, but later gradually recovers as bone remodeling takes place, ultimately inducing mature bone. Copyright © 2011 Wiley-Liss, Inc.

  13. Approaches and Challenges of Engineering Implantable Microelectromechanical Systems (MEMS Drug Delivery Systems for in Vitro and in Vivo Applications

    Directory of Open Access Journals (Sweden)

    Ken-Tye Yong


    Full Text Available Despite the advancements made in drug delivery systems over the years, many challenges remain in drug delivery systems for treating chronic diseases at the personalized medicine level. The current urgent need is to develop novel strategies for targeted therapy of chronic diseases. Due to their unique properties, microelectromechanical systems (MEMS technology has been recently engineered as implantable drug delivery systems for disease therapy. This review examines the challenges faced in implementing implantable MEMS drug delivery systems in vivo and the solutions available to overcome these challenges.

  14. Implantable Microimagers

    Directory of Open Access Journals (Sweden)

    Jun Ohta


    Full Text Available Implantable devices such as cardiac pacemakers, drug-delivery systems, and defibrillators have had a tremendous impact on the quality of live for many disabled people. To date, many devices have been developed for implantation into various parts of the human body. In this paper, we focus on devices implanted in the head. In particular, we describe the technologies necessary to create implantable microimagers. Design, fabrication, and implementation issues are discussed vis-à-vis two examples of implantable microimagers; the retinal prosthesis and in vivo neuro-microimager. Testing of these devices in animals verify the use of the microimagers in the implanted state. We believe that further advancement of these devices will lead to the development of a new method for medical and scientific applications.

  15. The Pathology of Orthopedic Implant Failure Is Mediated by Innate Immune System Cytokines

    Directory of Open Access Journals (Sweden)

    Stefan Landgraeber


    Full Text Available All of the over 1 million total joint replacements implanted in the US each year are expected to eventually fail after 15–25 years of use, due to slow progressive subtle inflammation at the bone implant interface. This inflammatory disease state is caused by implant debris acting, primarily, on innate immune cells, that is, macrophages. This slow progressive pathological bone loss or “aseptic loosening” is a potentially life-threatening condition due to the serious complications in older people (>75 yrs of total joint replacement revision surgery. In some people implant debris (particles and ions from metals can influence the adaptive immune system as well, giving rise to the concept of metal sensitivity. However, a consensus of studies agrees that the dominant form of this response is due to innate reactivity by macrophages to implant debris where both danger (DAMP and pathogen (PAMP signalling elicit cytokine-based inflammatory responses. This paper discusses implant debris induced release of the cytokines and chemokines due to activation of the innate (and the adaptive immune system and the subsequent formation of osteolysis. Different mechanisms of implant-debris reactivity related to the innate immune system are detailed, for example, danger signalling (e.g., IL-1β, IL-18, IL-33, etc., toll-like receptor activation (e.g., IL-6, TNF-α, etc., apoptosis (e.g., caspases 3–9, bone catabolism (e.g., TRAP5b, and hypoxia responses (Hif1-α. Cytokine-based clinical and basic science studies are in progress to provide diagnosis and therapeutic intervention strategies.

  16. Stress distribution in implant-supported prostheses using different connection systems and cantilever lengths: digital photoelasticity. (United States)

    Goiato, Marcelo Coelho; Shibayama, Ricardo; Gennari Filho, Humberto; de Medeiros, Rodrigo Antonio; Pesqueira, Aldiéris Alves; dos Santos, Daniela Micheline; de Araújo, Cleudmar Amaral


    Photoelastic analysis was used to evaluate the biomechanical behaviour of implant-supported, double-screwed crowns with different connection systems and cantilever lengths. Three models were made in PL-2 photoelastic resin and divided into six groups, on the basis of the implant connection system (external hexagon [EH] or Morse taper [MT]), type of abutment (Mini Pilar [Neodent, Curitiba, Paraná, Brazil] or "UCLA") and number of crowns in the cantilever (one or two). The implant-prosthesis unit was placed in a circular polariscope. Occlusal surfaces of the crowns were subjected to 100-N loads in the axial and oblique (45°) directions in a universal testing machine (EMIC). Generated stresses were recorded and analysed qualitatively in a graphics program (Adobe Photoshop). Under axial loading, all of the groups had similar numbers of fringes, which were increased when the crowns were subjected to oblique loading. The highest number of fringes was found during oblique loading in the EH + Mini Pilar group. In conclusion, although the type of implant connection system did not have a direct influence on the stress distribution for axial loading, the cantilever length did have a direct influence on stress distribution. Models with two crowns in the cantilever showed more stress, with a greater concentration of force on the cervical part of the implant.

  17. Phonological systems of pediatric cochlear implant users: The acquisition of voicing (United States)

    Chin, Steven B.; Oglesbee, Eric N.; Kirk, Andrew K.; Krug, Joseph E.


    Although cochlear implants are primarily auditory prostheses, they have also demonstrated their usefulness as aids to speech production and the acquisition of spoken language in children. This presentation reports on research currently being conducted at the Indiana University Medical Center on the development of phonological systems by children with five or more years of cochlear implant use in English-speaking environments. Characteristics of the feature [voice] will be examined in children with cochlear implants and in two comparison groups: adults with normal hearing and children with normal hearing. Specific aspects of voicing to be discussed include characteristic error patterns, phonetic implementation of the voicing contrast, and phonetic implementation of neutralization of the voicing contrast. Much of the evidence obtained thus far indicates that voicing acquisition in children with cochlear implants is not radically different from that of children with normal hearing. Many differences between the systems of children with cochlear implants and the ambient system thus appear to reflect the children's age as much as their hearing status. [Work supported by grants from the National Institutes of Health to Indiana University: R01DC005594 and R03DC003852.

  18. Periodontal ligament formation around different types of dental titanium implants. I. The self-tapping screw type implant system

    DEFF Research Database (Denmark)

    Warrer, K; Karring, T; Gotfredsen, K


    The aim of this study was to determine if a periodontal ligament can form around self-tapping, screw type titanium dental implants. Implants were inserted in contact with the periodontal ligament of root tips retained in the mandibular jaws of 7 monkeys. In each side of the mandible, 1 premolar......, a periodontal ligament can form on self-tapping, screw type titanium dental implants in areas where a void is present between the surrounding bone and the implant at the time of insertion....... and 2 molars were removed in such a manner that in approximately half the cases, the root tips were retained. Following healing, the experimental areas were examined on radiographs, and sites were selected for the insertion of the implants, so that every second implant would have a close contact...

  19. 基于Delphi的制图课件设计%Engineering Graphics CAI Design Based on Delphi

    Institute of Scientific and Technical Information of China (English)

    蒋先刚; 钟化兰; 涂晓斌


    Introduces programming technologies and methods of EngineeringGraphics CAI design based on Delphi, it focus on system configuration and software methods. It also presents methods and skills of using TTreeView component to construct the CAI'S database.%介绍基于Delphi开发环境下的制图课件的设计技术和实现方法。重点介绍画法几何与工程制图CAI课件系统的构造和软件实现方法,提出了用Delphi中的树状显示控件构造和管理制图CAI系统中的数据库设计方法和技巧。

  20. Periodontal ligament formation around different types of dental titanium implants. I. The self-tapping screw type implant system

    DEFF Research Database (Denmark)

    Warrer, K; Karring, T; Gotfredsen, K


    The aim of this study was to determine if a periodontal ligament can form around self-tapping, screw type titanium dental implants. Implants were inserted in contact with the periodontal ligament of root tips retained in the mandibular jaws of 7 monkeys. In each side of the mandible, 1 premolar......, a periodontal ligament can form on self-tapping, screw type titanium dental implants in areas where a void is present between the surrounding bone and the implant at the time of insertion....

  1. Systemic antibiotics and the risk of superinfection in peri-implantitis. (United States)

    Verdugo, Fernando; Laksmana, Theresia; Uribarri, Agurne


    Peri-implantitis has emerged in the last few years as a complication difficult to resolve. The etiopathogenesis consensus is mainly attributed to bacteria. Following the preferred reporting items for systematic reviews and meta-analysis (PRISMA) guidelines, a PubMed/Medline literature search was performed using the US National Library of Medicine database up to 2015 to analyze available scientific data on the rationale and risk of superinfection associated to systemic antimicrobials in human peri-implant disease. A hand search was also conducted on relevant medical and microbiology journals. The methodological index for non-randomized studies (MINORS) was independently assessed for quality on the selected papers. Proposed combined therapies use broad-spectrum antibiotics to halt the disease progression. A major associated risk, particularly when prescribed empirically without microbiological follow-up, is the undetected development of superinfections and overgrowth of opportunistic pathogens difficult to eradicate. Peri-implant superinfections with opportunistic bacteria, yeast and viruses, are plausible risks associated to the use of systemic antibiotics in immunocompetent individuals. Lack of microbiological follow-up and antibiotic susceptibility testing may lead to ongoing microbial challenges that exacerbate the disease progression. The increased proliferation of antimicrobial resistance, modern implant surface topography and indiscriminative empiric antibiotic regimens may promote the escalation of peri-implant disease in years to come. A personalized 3-month supportive therapy may help prevent risks by sustaining a normal ecological balance, decreasing specific pathogen proportions and maintaining ideal plaque control. Copyright © 2015 Elsevier Ltd. All rights reserved.

  2. Implementation of wireless power transfer and communications for an implantable ocular drug delivery system. (United States)

    Tang, T B; Smith, S; Flynn, B W; Stevenson, J T M; Gundlach, A M; Reekie, H M; Murray, A F; Renshaw, D; Dhillon, B; Ohtori, A; Inoue, Y; Terry, J G; Walton, A J


    A wireless power transfer and communication system based on near-field inductive coupling has been designed and implemented. The feasibility of using such a system to remotely control drug release from an implantable drug delivery system is addressed. The architecture of the wireless system is described and the signal attenuation over distance in both water and phosphate buffered saline is studied. Additionally, the health risk due to exposure to radio frequency (RF) radiation is examined using a biological model. The experimental results demonstrate that the system can trigger the release of drug within 5 s, and that such short exposure to RF radiation does not produce any significant (system could replace a chemical battery in an implantable system, eliminating the risks associated with battery failure and leakage and also allowing more compact designs for applications such as drug delivery.

  3. Electrostatic acceleration and deflection system for modification of semiconductor materials in laser-produced ion implantation (United States)

    Rosinski, M.; Parys, P.; Wolowski, J.; Gasior, P.; Pisarek, M.


    To optimize the efficiency of laser ion implantation technology, it is advisable to properly select the laser beam characteristics (i.e. power density, target illumination geometry, etc.). In many applications, it is important to select a specific range of ion energy to implant the ions at a given depth and at a given density. To make it possible, the electrostatic system for acceleration and deflection of low-energy laser-produced ions can be used. This contribution provides a description of the experiments aimed at the implantation of Ge ions from a narrow energy band onto SiO2/Si substrates, which were conducted at IPPLM. As the source of irradiation, we used a Nd:YAG up to 10 Hz laser system with pulse duration of 3.5 ns and pulse energy ∼ 0.5 J, which gave a power density of 1010 W/cm2. The ion stream parameters were measured using the time-of-fight method. The laser-produced ions passing through the diaphragm have been accelerated in the system of electrodes. Due to the electrostatic field configuration provided by the electrode system and a diaphragm located at the axis of the system, the selected ions were focussed at the area of interest to increase implantation density. The accelerating voltage, the distance of the diaphragm from the target, the diaphragm diameter and the gap width between electrodes were changed for choosing the desired parameters of the ion stream.

  4. Laser-Modified Surface Enhances Osseointegration and Biomechanical Anchorage of Commercially Pure Titanium Implants for Bone-Anchored Hearing Systems. (United States)

    Shah, Furqan A; Johansson, Martin L; Omar, Omar; Simonsson, Hanna; Palmquist, Anders; Thomsen, Peter


    Osseointegrated implants inserted in the temporal bone are a vital component of bone-anchored hearing systems (BAHS). Despite low implant failure levels, early loading protocols and simplified procedures necessitate the application of implants which promote bone formation, bone bonding and biomechanical stability. Here, screw-shaped, commercially pure titanium implants were selectively laser ablated within the thread valley using an Nd:YAG laser to produce a microtopography with a superimposed nanotexture and a thickened surface oxide layer. State-of-the-art machined implants served as controls. After eight weeks' implantation in rabbit tibiae, resonance frequency analysis (RFA) values increased from insertion to retrieval for both implant types, while removal torque (RTQ) measurements showed 153% higher biomechanical anchorage of the laser-modified implants. Comparably high bone area (BA) and bone-implant contact (BIC) were recorded for both implant types but with distinctly different failure patterns following biomechanical testing. Fracture lines appeared within the bone ~30-50 μm from the laser-modified surface, while separation occurred at the bone-implant interface for the machined surface. Strong correlations were found between RTQ and BIC and between RFA at retrieval and BA. In the endosteal threads, where all the bone had formed de novo, the extracellular matrix composition, the mineralised bone area and osteocyte densities were comparable for the two types of implant. Using resin cast etching, osteocyte canaliculi were observed directly approaching the laser-modified implant surface. Transmission electron microscopy showed canaliculi in close proximity to the laser-modified surface, in addition to a highly ordered arrangement of collagen fibrils aligned parallel to the implant surface contour. It is concluded that the physico-chemical surface properties of laser-modified surfaces (thicker oxide, micro- and nanoscale texture) promote bone bonding which

  5. Local and systemic changes associated with long-term, percutaneous, static implantation with titanium alloys in rhesus macaques (Macaca mulatta)

    Energy Technology Data Exchange (ETDEWEB)

    Frydman, Galit F.; Marini, Robert P.; Bakthavatchalu, Vasudevan; Biddle, Kathleen; Muthupalani, Sureshkumar; Vanderburg, Charles R.; Lai, Barry; Bendapudi, Pavan K.; Tompkins, Ronald G.; Fox, James G.


    Metal alloys are frequently used as implant materials in veterinary medicine. Recent studies suggest that many types of metal alloys may induce both local and systemic inflammatory responses. In this study, 37 rhesus macaques with long-term skull-anchored percutaneous titanium alloy implants (0-14 years duration) were evaluated for changes in their hematology, coagulation and serum chemistry profiles. Negative controls (n=28) did not have implants. All of the implanted animals were on IACUC-approved protocols and were not implanted for the purpose of this study. Animals with implants had significantly higher plasma D-dimer and lower antithrombin III concentrations compared with nonimplanted animals (p-values < 0.05). Additionally, animals with implants had significantly higher globulin, and lower albumin and calcium concentrations compared with nonimplanted animals (p-values < 0.05). Many of these changes were positively correlated with duration of implantation as well as the number of implants. Chronic bacterial infection was observed on the skin around many of the implant sites, and within deeper tissues. Representative histopathology around the implant site of two implanted animals revealed chronic suppurative to pyogranulomatous inflammation extending from the skin to the dura mater. X-ray fluorescence microscopy of tissue biopsies from the implant site of the same two animals revealed significant increases in free metal ions within the tissue, including titanium and iron. Free metal ions persisted in the tissues up to 6 months postexplant. These results suggest that long-term skull-anchored percutaneous titanium alloy implants results in localized inflammation, chronic infection, and leaching of metal ions into local tissues.

  6. In-situ forming composite implants for periodontitis treatment: How the formulation determines system performance. (United States)

    Do, M P; Neut, C; Metz, H; Delcourt, E; Mäder, K; Siepmann, J; Siepmann, F


    Periodontitis is the primary cause of tooth loss in adults and a very wide-spread disease. Recently, composite implants, based on a drug release rate controlling polymer and an adhesive polymer, have been proposed for an efficient local drug treatment. However, the processes involved in implant formation and the control of drug release in these composite systems are complex and the relationships between the systems' composition and the implants' performance are yet unclear. In this study, advanced characterization techniques (e.g., electron paramagnetic resonance, EPR) were applied to better understand the in-situ forming implants based on: (i) different types of poly(lactic-co-glycolic acid) (PLGA) as drug release rate controlling polymers; (ii) hydroxypropyl methylcellulose (HPMC) as adhesive polymer; and (iii) doxycycline or metronidazole as drugs. Interestingly, HPMC addition to shorter chain PLGA slightly slows down drug release, whereas in the case of longer chain PLGA the release rate substantially increases. This opposite impact on drug release was rather surprising, since the only difference in the formulations was the polymer molecular weight of the PLGA. Based on the physico-chemical analyses, the underlying mechanisms could be explained as follows: since longer chain PLGA is more hydrophobic than shorter chain PLGA, the addition of HPMC leads to a much more pronounced facilitation of water penetration into the system (as evidenced by EPR). This and the higher polymer lipophilicity result in more rapid PLGA precipitation and a more porous inner implant structure. Consequently, drug release is accelerated. In contrast, water penetration into formulations based on shorter chain PLGA is rather similar in the presence and absence of HPMC and the resulting implants are much less porous than those based on longer chain PLGA. Copyright © 2015 Elsevier B.V. All rights reserved.


    NARCIS (Netherlands)



    A prototype of a totally implantable vascular catheter-port system was evaluated on its design using three animals of different species. The catheter was placed either intravenously or intra-arterially, and connected to the port which was retained outside the body. Parameters used for design evaluat

  8. Effects of an alert system on implantable cardioverter defibrillator-related anxiety

    DEFF Research Database (Denmark)

    Duru, Firat; Dorian, Paul; Favale, Stefano


    Implantable cardioverter defibrillators (ICD) can prevent sudden cardiac death by delivering high-energy shocks in patients at risk of life-threatening ventricular tachyarrhythmias. Patients may be anxious about receiving inappropriate shocks in case of device or lead system malfunction, or about...

  9. Clinical experience with a novel subcutaneous implantable defibrillator system in a single center

    NARCIS (Netherlands)

    L. Dabiri Abkenari (Lara); D.A.M.J. Theuns (Dominic); S.D.A. Valk (Suzanne); Y. van Belle (Yves); N. de Groot (Natasja); D. Haitsma (David); A. Muskens-Heemskerk (Agnes); T. Szili-Torok (Tamas); L.J.L.M. Jordaens (Luc)


    textabstractBackground: Implantable cardioverter-defibrillators (ICDs) reduce mortality in both primary and secondary prevention, but are associated with substantial short- and long-term morbidity. A totally subcutaneous ICD (S-ICD) system has been developed. We report the initial clinical

  10. The systemic inflammatory response syndrome predicts short-term outcome after transapical transcatheter aortic valve implantation

    NARCIS (Netherlands)

    Rettig, Thijs C D; Rigter, Sander; Nijenhuis, Vincent J.; Van Kuijk, Jan Peter; Ten Berg, Jurriën M.; Heijmen, Robin H.; Van De Garde, Ewoudt M W; Noordzij, Peter G.


    Objective Despite the minimally invasive nature of transcatheter aortic valve implantation (TAVI), the incidence of acute kidney injury (AKI) and mortality is of major concern. Several studies showed that outcome was influenced by the systemic inflammatory response syndrome (SIRS) in patients underg

  11. Evaluation of biofouling for implantable micro dialysis system. (United States)

    Ota, T; To, N; Kanno, Y; Miki, N


    Implantable artificial kidney can drastically improve the quality of life of the renal disease patients. In previous study, our group has developed a multi-layered micro dialysis device which is composed of micro stainless steel channels and nano-porous polyethersulfone (PES) membranes. The device conducts hemofiltration without dialysis fluids, which is advantageous in miniaturization. We investigated the water-permeability of the PES membrane through in vivo experiments using rat model of renal disease for 5 hours and verified the effectiveness of the device. We investigated the permeability of PES membrane via in vitro experiments for 24 days. Biofouling on the PES membrane was found and caused deterioration of dialysis performance of the membrane. In this research, we investigated the biofouling such as thrombus, coagulation and protein adhesion on the sidewall of the micro fluidic channels. We investigated the micro fluidic channel geometry and surface condition associated with the processing methods. Conducting in vitro experiment for 7 days, biofouling was found to be mainly caused by the surface conditions. The mirror surface formed by electrolytic etching could substantially prevent biofouling.

  12. Enclosed Electronic System for Force Measurements in Knee Implants

    Directory of Open Access Journals (Sweden)

    David Forchelet


    Full Text Available Total knee arthroplasty is a widely performed surgical technique. Soft tissue force balancing during the operation relies strongly on the experience of the surgeon in equilibrating tension in the collateral ligaments. Little information on the forces in the implanted prosthesis is available during surgery and post-operative treatment. This paper presents the design, fabrication and testing of an instrumented insert performing force measurements in a knee prosthesis. The insert contains a closed structure composed of printed circuit boards and incorporates a microfabricated polyimide thin-film piezoresistive strain sensor for each condylar compartment. The sensor is tested in a mechanical knee simulator that mimics in-vivo conditions. For characterization purposes, static and dynamic load patterns are applied to the instrumented insert. Results show that the sensors are able to measure forces up to 1.5 times body weight with a sensitivity fitting the requirements for the proposed use. Dynamic testing of the insert shows a good tracking of slow and fast changing forces in the knee prosthesis by the sensors.

  13. Fabrication of Co/CoO Exchange Bias System by Ion Implantation and Its Magnetic Properties

    Institute of Scientific and Technical Information of China (English)

    FA Tao; XIANG Qing-Pei; YAO Shu-De


    We use ion implantation as a new approach to build an anti-ferromagnetic(AFM)cluster embedded exchange bias(EB)system.Co film with thickness of 130nm is deposited on the Si(111)substrate using magnetron sputtering,60keV O~+ is chosen to implanted into the Co film to form CoO AFM clusters coupling with Co matrix at the interface.By measuring the hysteresis loop after Reid-cooling,significant shifts of loop along the applied field are confirmed.When increasing the implantation dose to 2×10~(17)/cm~2 and annealed samples in N2 atmosphere,we obtain the highest HEB to 458 Oe.

  14. Flexible multi-electrode array with integrated bendable CMOS-chip for implantable systems. (United States)

    Winkin, N; Mokwa, W


    Micro-electrodes and micro-electrode arrays (MEAs) for stimulating neurons or recording action potentials are widely used in medical applications or biological research. For medical implants in many applications like brain implants or retinal implants there is a need for flexible MEAs with a large area and a large number of stimulation electrodes. In this work a flexible MEA with an embedded flexible silicon dummy CMOS-chip facing these challenges has been designed, manufactured and characterized. This approach offers the possibility by connecting and addressing several of these MEAs via a bus system, to increase the number and the density of electrodes significantly. This paper describes the design and fabrication process. Results on the mechanical and electrical behavior will be given and possible improvements for medical applications by this novel approach will be discussed.

  15. Depth of valve implantation, conduction disturbances and pacemaker implantation with CoreValve and CoreValve Accutrak system for Transcatheter Aortic Valve Implantation, a multi-center study. (United States)

    Lenders, Guy D; Collas, Valérie; Hernandez, José Maria; Legrand, Victor; Danenberg, Haim D; den Heijer, Peter; Rodrigus, Inez E; Paelinck, Bernard P; Vrints, Christiaan J; Bosmans, Johan M


    Transcatheter Aortic Valve Implantation (TAVI) is now considered an indispensable treatment strategy in high operative risk patients with severe, symptomatic aortic stenosis. However, conduction disturbances and the need for Permanent Pacemaker (PPM) implantation after TAVI with the CoreValve prosthesis still remain frequent. We aimed to evaluate the implantation depth, the incidence and predictors of new conduction disturbances, and the need for PPM implantation within the first month after TAVI, using the new Accutrak CoreValve delivery system (ACV), compared to the previous generation CoreValve (non-ACV). In 5 experienced TAVI-centers, a total of 120 consecutive non-ACV and 112 consecutive ACV patients were included (n=232). The mean depth of valve implantation (DVI) was 8.4±4.0 mm in the non-ACV group and 7.1±4.0 mm in the ACV group (p=0.034). The combined incidence of new PPM implantation and new LBBB was 71.2% in the non-ACV group compared to 50.5% in the ACV group (p=0.014). DVI (p=0.002), first degree AV block (p=0.018) and RBBB (p<0.001) were independent predictors of PPM implantation. DVI (p<0.001) and pre-existing first degree AV-block (p=0.021) were identified as significant predictors of new LBBB. DVI is an independent predictor of TAVI-related conduction disturbances and can be reduced by using the newer CoreValve Accutrak delivery system, resulting in a significantly lower incidence of new LBBB and new PPM implantation. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  16. Análisis microestructural de cinco sistemas de implantes de titanio comercialmente puro Microstructural analysis of five commercially pure titanium implant systems

    Directory of Open Access Journals (Sweden)

    S. Olate


    Full Text Available Hoy en día existe un gran número de empresas fabricantes de implantes así como diferentes tipos de implantes, lo que ha llevado a la diversificación en las técnicas de producción, no siempre asociados a una mejor calidad. El objetivo de este estudio fue identificar y tipificar cinco implantes de titanio comercialmente puro. Se utilizó un estudio descriptivo, doble ciego, para estudiar 15 muestras de implantes de 5 empresas comerciales. Cada implante fue removido de su transporte manteniendo sus características originales. Cada grupo fue de cinco implantes, nombrados con las letras A, B, C, D y E. el análisis incluyó metalografia, microscopia electrónica con sistema de microanálisis (SEM-EDS y finalmente, un analizador de imágenes. Implamed® y Master Screw® mostraron granos de menor tamaño. En microfotografías, todos exhibieron picos de titanio, carbono y oxígeno. Implamed® mostró también acero, sodio, magnesio, silicona, potasio e inclusiones de calcio. Todas las muestras mostraron buena finalización. Las variaciones observadas no serían suficientes para interferir en el proceso de oseointegración, no obstante las inclusiones de metal deben ser estudiadas detalladamente en sus efectos a largo plazo.Nowadays there is a great number of manufacturers and types of implants which has led to several techniques in their production, not always associated with better quality. The aim of this research was identify and typify five commercially pure titanium implant systems. A double-blind, descriptive trial was used with the selection of 15 samples from 5 different manufacturers. Each implant was removed from its package keeping its original characteristics. Five implant groups of 3 elements each were formed and named A, B, C, D, and E. The analyses included metallography, scanning electron microscopy with a microanalysis system (SEM-EDS and, finally, an image analyzer. Implamed® and Master Screw® showed smaller grain sizes. In

  17. The Vibrio cholerae quorum-sensing autoinducer CAI-1: analysis of the biosynthetic enzyme CqsA

    Energy Technology Data Exchange (ETDEWEB)

    Kelly, R.; Bolitho, M; Higgins, D; Lu, W; Ng, W; Jeffrey, P; Rabinowitz, J; Semmelhack, M; Hughson, F; Bassler, B


    Vibrio cholerae, the bacterium that causes the disease cholera, controls virulence factor production and biofilm development in response to two extracellular quorum-sensing molecules, called autoinducers. The strongest autoinducer, called CAI-1 (for cholera autoinducer-1), was previously identified as (S)-3-hydroxytridecan-4-one. Biosynthesis of CAI-1 requires the enzyme CqsA. Here, we determine the CqsA reaction mechanism, identify the CqsA substrates as (S)-2-aminobutyrate and decanoyl coenzyme A, and demonstrate that the product of the reaction is 3-aminotridecan-4-one, dubbed amino-CAI-1. CqsA produces amino-CAI-1 by a pyridoxal phosphate-dependent acyl-CoA transferase reaction. Amino-CAI-1 is converted to CAI-1 in a subsequent step via a CqsA-independent mechanism. Consistent with this, we find cells release {ge}100 times more CAI-1 than amino-CAI-1. Nonetheless, V. cholerae responds to amino-CAI-1 as well as CAI-1, whereas other CAI-1 variants do not elicit a quorum-sensing response. Thus, both CAI-1 and amino-CAI-1 have potential as lead molecules in the development of an anticholera treatment.

  18. Structural basis of Na+-independent and cooperative substrate/product antiport in CaiT

    NARCIS (Netherlands)

    Schulze, Sabrina; Köster, Stefan; Geldmacher, Ulrike; Terwisscha van Scheltinga, Anke C.; Kühlbrandt, Werner


    Transport of solutes across biological membranes is performed by specialized secondary transport proteins in the lipid bilayer, and is essential for life. Here we report the structures of the sodium-independent carnitine/butyrobetaine antiporter CaiT from Proteus mirabilis (PmCaiT) at 2.3-Å and from

  19. Effect of dietary lysine supplement on the performance of Mong Cai sows and their piglets

    NARCIS (Netherlands)

    Pham, K.T.; Duc, le N.; Hendriks, W.H.; Peet-Schwering, van der C.M.C.; Verstegen, M.W.A.


    The objective of this study was to determine optimal lysine requirement of lactating Mong Cai sows and their piglets. An experiment was conducted using 30 Mong Cai sows in a factorial randomized design with 5 dietary total lysine levels (0.60, 0.70, 0.85, 1.0 and 1.15%) for one-week pre-partum and 5

  20. CAI, Lecture, and Student Learning Style: The Differential Effects of Instructional Method. (United States)

    Ester, Don P.


    Describes a study that compared the effectiveness of computer-assisted instruction (CAI) and lecture approaches in teaching vocal anatomy and function to 60 undergraduate music students with different learning styles. Highlights include background on learning styles, implications for the use of CAI with various learning styles, and recommendations…

  1. Structural basis of Na+-independent and cooperative substrate/product antiport in CaiT

    NARCIS (Netherlands)

    Schulze, Sabrina; Köster, Stefan; Geldmacher, Ulrike; Terwisscha van Scheltinga, Anke C.; Kühlbrandt, Werner


    Transport of solutes across biological membranes is performed by specialized secondary transport proteins in the lipid bilayer, and is essential for life. Here we report the structures of the sodium-independent carnitine/butyrobetaine antiporter CaiT from Proteus mirabilis (PmCaiT) at 2.3-Å and from

  2. A Study of Effectiveness of Computer Assisted Instruction (CAI) over Classroom Lecture (CRL) at ICS Level (United States)

    Kaousar, Tayyeba; Choudhry, Bushra Naoreen; Gujjar, Aijaz Ahmed


    This study was aimed to evaluate the effectiveness of CAI vs. classroom lecture for computer science at ICS level. The objectives were to compare the learning effects of two groups with classroom lecture and computer-assisted instruction studying the same curriculum and the effects of CAI and CRL in terms of cognitive development. Hypotheses of…

  3. Linking CAI abundance to polarimetric response in a population of ancient asteroids (United States)

    Devogele, Maxime; Tanga, Paolo; Bendjoya, Philippe; Rivet, Jean-Pierre; Surdej, Jean; Bus, Schelte J.; Sunshine, Jessica M.; Cellino, Alberto; Campins, Humberto; Licandro, Javier; Pinilla-Alonso, Noemi; Carry, Benoit


    Polarimetry constitutes one of the fundamental tools for characterizing the surface texture and composition of airless Solar System bodies. In 2006, polarimetric observations led to the discovery of a new type of asteroids, which displays a peculiar polarimetric response. These asteroids are collectively known as "Barbarians", from (234) Barbara the first discovered one.The most commonly accepted explanation for this perculiar polarization response seems to be the presence of a high percentage of fluffy-type Calcium Aluminium-rich Inclusions (CAIs), whose optical properties could produce the observed polarization. Their reflectance spectra also exibit an absorption feature in the near-infrared around 2.1-2.2 microns, that is characteristic of this peculiar group.Based on these results, we organized a systematic polarimetric and near-infrared observational campaign of known Barbarians or candidate asteroids. These campaigns include members of the family of 1040 Klumpkea, 2085 Henan and 729 Watsonia, which are known to contain Barbarian and/or L-type asteroids also suspected to have such a polarimetric behaviour. We have made use of the ToPo polarimeter at the 1m telescope of the Centre pédagogique Planète et Univers (C2PU, Observatoire de la Côte d'Azur, France). The spectroscopic observations in the near-infrared were obtained with the SpeX instrument at the NASA's InfraRed Telescope Facility (IRTF).By combining polarimetry and spectroscopy we find a correlation between the abundance of CAIs and the inversion angle of the phase-polarization curve of Barbarian asteroids. This is the first time that a direct link has been established between a specific polarimetric response and the surface composition of asteroids. In addition, we find a considerable variety of CAI abundance from one object to the other, consistent with a wide range of possible albedos. Since these asteroids constitute a reservoir of primitive Solar System material, understanding their origin can

  4. Variable-temperature sample system for ion implantation at -192 to +500/sup 0/C

    Energy Technology Data Exchange (ETDEWEB)

    Fuller, C.T.


    A variable-temperature sample system based on exchange-gas coupling was developed for ion-implantation use. The sample temperature can be controlled from -192/sup 0/C to +500/sup 0/C with rapid cooling. The system also has provisions for focusing and alignment of the ion beam, electron suppression, temperature monitoring, sample current measuring, and cryo-shielding. Design considerations and operating characteristics are discussed. 5 figures.

  5. Experimental Validation of an Optical System for Interrogation of Dermally-Implanted Microparticle Sensors



    Dermally-implanted microparticle sensors are being developed for on-demand monitoring of blood sugar levels. For these to be deployed in vivo, a matched opto-electronic system for delivery of excitation, collection and analysis of escaping fluorescent signal is needed. Previous studies predicted the characteristics of fluorescence from microparticle sensors to facilitate design of hardware system. Based on the results of simulations, we designed and constructed the optical part of this opto-e...

  6. Brief Introduction to the Foundation of CAI Shidong Award for Plasma Physics

    Institute of Scientific and Technical Information of China (English)

    SHENG Zhengming


    @@ The late Academician Professor CAI Shidong was an outstanding plasma physicist who had made seminal contributions in both fundamental plasma theories and controlled thermonuclear fusion energy research.Professor CAI was also one of the pioneers in China's plasma physics research.In 1973,Professor CAI decided to leave U.S.and return to China in order to help pushing forward plasma physics research in China.Professor CAI formed a research group consisting of young scientists and carried out high-level works in this important physics discipline.He worked tirelessly,set examples by his own deeds,and made outstanding contributions in plasma physics research,educating younger generations of plasma physicists,as well as establishing collaborations with plasma scientists in other Asian-African developing nations.In short,Professor CAI devoted the best years of his life to China's plasma physics research.

  7. A detection system for charged-particle decay studies with a continuous-implantation method

    Energy Technology Data Exchange (ETDEWEB)

    Sun, L.J. [China Institute of Atomic Energy, Beijing 102413 (China); Xu, X.X., E-mail: [China Institute of Atomic Energy, Beijing 102413 (China); Lin, C.J., E-mail: [China Institute of Atomic Energy, Beijing 102413 (China); Wang, J.S. [Institute of Modern Physics, Chinese Academy of Sciences, Lanzhou 730000 (China); Fang, D.Q. [Shanghai Institute of Applied Physics, Chinese Academy of Sciences, Shanghai 201800 (China); Li, Z.H. [School of Physic and State Key Laboratory of Nuclear Physics and Technology, Peking University, Beijing 100871 (China); Wang, Y.T. [Shanghai Institute of Applied Physics, Chinese Academy of Sciences, Shanghai 201800 (China); Li, J. [School of Physic and State Key Laboratory of Nuclear Physics and Technology, Peking University, Beijing 100871 (China); Yang, L.; Ma, N.R. [China Institute of Atomic Energy, Beijing 102413 (China); Wang, K. [Shanghai Institute of Applied Physics, Chinese Academy of Sciences, Shanghai 201800 (China); Zang, H.L. [School of Physic and State Key Laboratory of Nuclear Physics and Technology, Peking University, Beijing 100871 (China); Wang, H.W.; Li, C.; Shi, C.Z.; Nie, M.W.; Li, X.F.; Li, H. [Shanghai Institute of Applied Physics, Chinese Academy of Sciences, Shanghai 201800 (China); Ma, J.B.; Ma, P. [Institute of Modern Physics, Chinese Academy of Sciences, Lanzhou 730000 (China); and others


    A new detection system with high detection efficiency and low detection threshold has been developed for charged-particle decay studies, including β-delayed proton, α decay or direct proton emission from proton-rich nuclei. The performance was evaluated by using the β-delayed proton emitter {sup 24}Si produced by projectile fragmentation at the First Radioactive Ion Beam Line in Lanzhou. Under a continuous-beam mode, the isotopes of interest were implanted into two double-sided silicon strip detectors, where the subsequent decays were measured and correlated to the preceding implantations by using position and time information. The system allows us to measure protons with energies down to about 200 keV without obvious β background in the proton spectrum. Further application of the detection system can be extended to the measurements of β-delayed proton decay and the direct proton emission of more exotic proton-rich nuclei.

  8. Development of a flow chamber system for the reproducible in vitro analysis of biofilm formation on implant materials (United States)

    Rath, Henryke; Stumpp, Sascha Nico; Stiesch, Meike


    Since the introduction of modern dental implants in the 1980s, the number of inserted implants has steadily increased. Implant systems have become more sophisticated and have enormously enhanced patients’ quality of life. Although there has been tremendous development in implant materials and clinical methods, bacterial infections are still one of the major causes of implant failure. These infections involve the formation of sessile microbial communities, called biofilms. Biofilms possess unique physical and biochemical properties and are hard to treat conventionally. There is a great demand for innovative methods to functionalize surfaces antibacterially, which could be used as the basis of new implant technologies. Present, there are few test systems to evaluate bacterial growth on these surfaces under physiological flow conditions. We developed a flow chamber model optimized for the assessment of dental implant materials. As a result it could be shown that biofilms of the five important oral bacteria Streptococcus gordonii, Streptococcus oralis, Streptococcus salivarius, Porphyromonas gingivalis, and Aggregatibacter actinomycetemcomitans, can be reproducibly formed on the surface of titanium, a frequent implant material. This system can be run automatically in combination with an appropriate microscopic device and is a promising approach for testing the antibacterial effect of innovative dental materials. PMID:28187188

  9. A power-efficient communication system between brain-implantable devices and external computers. (United States)

    Yao, Ning; Lee, Heung-No; Chang, Cheng-Chun; Sclabassi, Robert J; Sun, Mingui


    In this paper, we propose a power efficient communication system for linking a brain-implantable device to an external system. For battery powered implantable devices, the processor and the transmitter power should be reduced in order to both conserve battery power and reduce the health risks associated with transmission. To accomplish this, a joint source-channel coding/decoding system is devised. Low-density generator matrix (LDGM) codes are used in our system due to their low encoding complexity. The power cost for signal processing within the implantable device is greatly reduced by avoiding explicit source encoding. Raw data which is highly correlated is transmitted. At the receiver, a Markov chain source correlation model is utilized to approximate and capture the correlation of raw data. A turbo iterative receiver algorithm is designed which connects the Markov chain source model to the LDGM decoder in a turbo-iterative way. Simulation results show that the proposed system can save up to 1 to 2.5 dB on transmission power.

  10. A wireless power transmission system for implantable devices in freely moving rodents. (United States)

    Eom, Kyungsik; Jeong, Joonsoo; Lee, Tae Hyung; Kim, Jinhyung; Kim, Junghoon; Lee, Sung Eun; Kim, Sung June


    Reliable wireless power delivery for implantable devices in animals is highly desired for safe and effective experimental use. Batteries require frequent replacement; wired connections are inconvenient and unsafe, and short-distance inductive coupling requires the attachment of an exterior transmitter to the animal's body. In this article, we propose a solution by which animals with implantable devices can move freely without attachments. Power is transmitted using coils attached to the animal's cage and is received by a receiver coil implanted in the animal. For a three-dimensionally uniform delivery of power, we designed a columnar dual-transmitter coil configuration. A resonator-based inductive link was adopted for efficient long-range power delivery, and we used a novel biocompatible liquid crystal polymer substrate as the implantable receiver device. Using this wireless power delivery system, we obtain an average power transfer efficiency of 15.2% (minimum efficiency of 10% and a standard deviation of 2.6) within a cage of 15×20×15 cm3.

  11. Flexible, Polarization-Diverse UWB Antennas for Implantable Neural Recording Systems. (United States)

    Bahrami, Hadi; Mirbozorgi, S Abdollah; Ameli, Reza; Rusch, Leslie A; Gosselin, Benoit


    Implanted antennas for implant-to-air data communications must be composed of material compatible with biological tissues. We design single and dual-polarization antennas for wireless ultra-wideband neural recording systems using an inhomogeneous multi-layer model of the human head. Antennas made from flexible materials are more easily adapted to implantation; we investigate both flexible and rigid materials and examine performance trade-offs. The proposed antennas are designed to operate in a frequency range of 2-11 GHz (having S11 below -10 dB) covering both the 2.45 GHz (ISM) band and the 3.1-10.6 GHz UWB band. Measurements confirm simulation results showing flexible antennas have little performance degradation due to bending effects (in terms of impedance matching). Our miniaturized flexible antennas are 12 mm×12 mm and 10 mm×9 mm for single- and dual-polarizations, respectively. Finally, a comparison is made of four implantable antennas covering the 2-11 GHz range: 1) rigid, single polarization, 2) rigid, dual polarization, 3) flexible, single polarization and 4) flexible, dual polarization. In all cases a rigid antenna is used outside the body, with an appropriate polarization. Several advantages were confirmed for dual polarization antennas: 1) smaller size, 2) lower sensitivity to angular misalignments, and 3) higher fidelity.

  12. Dose perturbation in the presence of metallic implants: treatment planning system versus Monte Carlo simulations (United States)

    Wieslander, Elinore; Knöös, Tommy


    An increasing number of patients receiving radiation therapy have metallic implants such as hip prostheses. Therefore, beams are normally set up to avoid irradiation through the implant; however, this cannot always be accomplished. In such situations, knowledge of the accuracy of the used treatment planning system (TPS) is required. Two algorithms, the pencil beam (PB) and the collapsed cone (CC), are implemented in the studied TPS. Comparisons are made with Monte Carlo simulations for 6 and 18 MV. The studied materials are steel, CoCrMo, Orthinox® (a stainless steel alloy and registered trademark of Stryker Corporation), TiAlV and Ti. Monte Carlo simulated depth dose curves and dose profiles are compared to CC and PB calculated data. The CC algorithm shows overall a better agreement with Monte Carlo than the PB algorithm. Thus, it is recommended to use the CC algorithm to get the most accurate dose calculation both for the planning target volume and for tissues adjacent to the implants when beams are set up to pass through implants.

  13. A remote monitoring system for patients with implantable ventricular assist devices with a personal handy phone system. (United States)

    Okamoto, E; Shimanaka, M; Suzuki, S; Baba, K; Mitamura, Y


    The usefulness of a remote monitoring system that uses a personal handy phone for artificial heart implanted patients was investigated. The type of handy phone used in this study was a personal handy phone system (PHS), which is a system developed in Japan that uses the NTT (Nippon Telephone and Telegraph, Inc.) telephone network service. The PHS has several advantages: high-speed data transmission, low power output, little electromagnetic interference with medical devices, and easy locating of patients. In our system, patients have a mobile computer (Toshiba, Libretto 50, Kawasaki, Japan) for data transmission control between an implanted controller and a host computer (NEC, PC-9821V16) in the hospital. Information on the motor rotational angle (8 bits) and motor current (8 bits) of the implanted motor driven heart is fed into the mobile computer from the implanted controller (Hitachi, H8/532, Yokohama, Japan) according to 32-bit command codes from the host computer. Motor current and motor rotational angle data from inside the body are framed together by a control code (frame number and parity) for data error checking and correcting at the receiving site, and the data are sent through the PHS connection to the mobile computer. The host computer calculates pump outflow and arterial pressure from the motor rotational angle and motor current values and displays the data in real-time waveforms. The results of this study showed that accurate data on motor rotational angle and current could be transmitted from the subjects while they were walking or driving a car to the host computer at a data transmission rate of 9600 bps. This system is useful for remote monitoring of patients with an implanted artificial heart.

  14. Accuracy of needle implantation in brachytherapy using a medical AR system: a phantom study (United States)

    Wesarg, Stefan; Firle, Evelyn A.; Schwald, Bernd; Seibert, Helmut; Zogal, Pawel; Roeddiger, Sandra


    Brachytherapy is the treatment method of choice for patients with a tumor relapse after a radiation therapy with external beams or tumors in regions with sensitive surrounding organs-at-risk, e. g. prostate tumors. The standard needle implantation procedure in brachytherapy uses pre-operatively acquired image data displayed as slices on a monitor beneath the operation table. Since this information allows only a rough orientation for the surgeon, the position of the needles has to be verified repeatedly during the intervention. Within the project Medarpa a transparent display being the core component of a medical Augmented Reality (AR) system has been developed. There, pre-operatively acquired image data is displayed together with the position of the tracked instrument allowing a navigated implantation of the brachytherapy needles. The surgeon is enabled to see the anatomical information as well as the virtual instrument in front of the operation area. Thus, the Medarpa system serves as "window into the patient". This paper deals with the results of first clinical trials of the system. Phantoms have been used for evaluating the achieved accuracy of the needle implantation. This has been done by comparing the output of the system (instrument positions relative to the phantom) with the real positions of the needles measured by means of a verification CT scan.

  15. Ultrasound guided implantation of chest port systems via the lateral subclavian vein; Die sonographisch gezielte Implantation von Portkathetersystemen ueber die laterale Vena subclavia

    Energy Technology Data Exchange (ETDEWEB)

    Zaehringer, M.; Hilgers, J.; Krueger, K.; Strohe, D.; Bangard, C.; Neumann, L.; Lackner, K. [Inst. fuer Radiologische Diagnostik, Univ. zu Koeln (Germany); Warm, M. [Gynaekologie, Univ. zu Koeln (Germany); Reiser, M. [Medizinische Klinik I, Univ. zu Koeln (Germany); Toex, U. [Medizinische Klinik IV, Univ. zu Koeln (Germany)


    Purpose: Retrospective analysis of the success and complication rates of chest port implantation via the lateral subclavian vein. Materials and methods: Between January 2003 and June 2004, the lateral subclavian vein in 271 patients (186 women, 85 men, mean age 53.2 years) was punctured guided by ultrasound. This access was used to insert a port system, and the catheter tip was placed at the cavoatrial junction. The port reservoir was implanted in a subcutaneous infraclavicular pocket and fixed to the fascia of the pectoralis muscle. Indications for port implantation were chemotherapy (n=239), total parenteral nutrition (n=2) and intravenous medication (n=30). The patient follow-up was mainly performed either by the oncology division of the department of gynecology or by the department of internal medicine. Results: A chest port catheter system was successfully implanted in all patients. The catheter remained in place for a mean duration of 269.4 days (SD 192.3 days). No complications occurred during implantation. In the post-interventional period, 6 catheter dysfunctions were found (thrombotic 0.09 per 1000 catheter days; mechanic 0.05 per 1000 catheter days). While one local infection occurred in the early post-interventional period, 3 local and 15 systemic infections were independent of the port catheter placement (0.39 per 1000 catheter days). The rate of port catheter explantations due to dysfunction or infection was 0.07 per 1000 catheter days. Conclusion: Ultrasound-guided puncture of the lateral subclavian vein is a safe procedure for the insertion of central venous port catheter systems and had a very low complication rate in our study. For further evaluation of our port placement technique, prospective studies compared to placement through the internal jugular vein are necessary. (orig.)

  16. 3-Coil resonance-based wireless power transfer system for implantable electronic

    KAUST Repository

    Yi, Ying


    This paper presents a 3-coil resonance-based wireless power transfer (R-WPT) system using a single layer of inductor coil windings, in a pancake configuration, in order to obtain a compact system for implantable electronic applications. A theoretical analysis and experimental measurements in terms of quality factor Q and power transfer efficiency (PTE), was done. Our proposed 3-coil scheme can achieve a high PTE with a resonance frequency of 2.46 MHz over a transfer distance of up to 30 mm, by using two 15-mm radius implant coils. The achieved experimental PTE is more than 85%at a 5 mm separation distance, and about 50% PTE at a distance of 20 mm. © 2013 IEEE.

  17. An image guidance system for positioning robotic cochlear implant insertion tools (United States)

    Bruns, Trevor L.; Webster, Robert J.


    Cochlear implants must be inserted carefully to avoid damaging the delicate anatomical structures of the inner ear. This has motivated several approaches to improve the safety and efficacy of electrode array insertion by automating the process with specialized robotic or manual insertion tools. When such tools are used, they must be positioned at the entry point to the cochlea and aligned with the desired entry vector. This paper presents an image guidance system capable of accurately positioning a cochlear implant insertion tool. An optical tracking system localizes the insertion tool in physical space while a graphical user interface incorporates this with patient- specific anatomical data to provide error information to the surgeon in real-time. Guided by this interface, novice users successfully aligned the tool with an mean accuracy of 0.31 mm.

  18. Encapsulated Cellular Implants for Recombinant Protein Delivery and Therapeutic Modulation of the Immune System

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    Aurélien Lathuilière


    Full Text Available Ex vivo gene therapy using retrievable encapsulated cellular implants is an effective strategy for the local and/or chronic delivery of therapeutic proteins. In particular, it is considered an innovative approach to modulate the activity of the immune system. Two recently proposed therapeutic schemes using genetically engineered encapsulated cells are discussed here: the chronic administration of monoclonal antibodies for passive immunization against neurodegenerative diseases and the local delivery of a cytokine as an adjuvant for anti-cancer vaccines.

  19. Personality preference influences medical student use of specific computer-aided instruction (CAI

    Directory of Open Access Journals (Sweden)

    Halsey Martha


    Full Text Available Abstract Background The objective of this study was to test the hypothesis that personality preference, which can be related to learning style, influences individual utilization of CAI applications developed specifically for the undergraduate medical curriculum. Methods Personality preferences of students were obtained using the Myers-Briggs Type Indicator (MBTI test. CAI utilization for individual students was collected from entry logs for two different web-based applications (a discussion forum and a tutorial used in the basic science course on human anatomy. Individual login data were sorted by personality preference and the data statistically analyzed by 2-way mixed ANOVA and correlation. Results There was a wide discrepancy in the level and pattern of student use of both CAI. Although individual use of both CAI was positively correlated irrespective of MBTI preference, students with a "Sensing" preference tended to use both CAI applications more than the "iNtuitives". Differences in the level of use of these CAI applications (i.e., higher use of discussion forum vs. a tutorial were also found for the "Perceiving/Judging" dimension. Conclusion We conclude that personality/learning preferences of individual students influence their use of CAI in the medical curriculum.

  20. An Implantable Cardiovascular Pressure Monitoring System with On-Chip Antenna and RF Energy Harvesting

    Directory of Open Access Journals (Sweden)

    Yu-Chun Liu


    Full Text Available An implantable wireless system with on-chip antenna for cardiovascular pressure monitor is studied. The implantable device is operated in a batteryless manner, powered by an external radio frequency (RF power source. The received RF power level can be sensed and wirelessly transmitted along with blood pressure signal for feedback control of the external RF power. The integrated electronic system, consisting of a capacitance-to-voltage converter, an adaptive RF powering system, an RF transmitter and digital control circuitry, is simulated using a TSMC 0.18 μm CMOS technology. The implanted RF transmitter circuit is combined with a low power voltage-controlled oscillator resonating at 5.8 GHz and a power amplifier. For the design, the simulation model is setup using ADS and HFSS software. The dimension of the antenna is 1 × 0.6 × 4.8 mm3 with a 1 × 0.6 mm2 on-chip circuit which is small enough to place in human carotid artery.

  1. Design of a Customized Multipurpose Nano-Enabled Implantable System for In-Vivo Theranostics

    Directory of Open Access Journals (Sweden)

    Esteve Juanola-Feliu


    Full Text Available The first part of this paper reviews the current development and key issues on implantable multi-sensor devices for in vivo theranostics. Afterwards, the authors propose an innovative biomedical multisensory system for in vivo biomarker monitoring that could be suitable for customized theranostics applications. At this point, findings suggest that cross-cutting Key Enabling Technologies (KETs could improve the overall performance of the system given that the convergence of technologies in nanotechnology, biotechnology, micro&nanoelectronics and advanced materials permit the development of new medical devices of small dimensions, using biocompatible materials, and embedding reliable and targeted biosensors, high speed data communication, and even energy autonomy. Therefore, this article deals with new research and market challenges of implantable sensor devices, from the point of view of the pervasive system, and time-to-market. The remote clinical monitoring approach introduced in this paper could be based on an array of biosensors to extract information from the patient. A key contribution of the authors is that the general architecture introduced in this paper would require minor modifications for the final customized bio-implantable medical device.

  2. Biocompatible medical implant materials with binding sites for a biodegradable drug-delivery system

    Directory of Open Access Journals (Sweden)

    Al-Dubai H


    Full Text Available Haifa Al-Dubai1, Gisela Pittner1, Fritz Pittner1, Franz Gabor21Max F Perutz Laboratories, Department of Biochemistry, University of Vienna, Vienna, Austria; 2Department of Pharmaceutical Technology and Biopharmaceutics, Faculty of Life Sciences, University of Vienna, Vienna, AustriaAbstract: Feasibility studies have been carried out for development of a biocompatible coating of medical implant materials allowing the binding of biodegradable drug-delivery systems in a way that their reloading might be possible. These novel coatings, able to bind biodegradable nanoparticles, may serve in the long run as drug carriers to mediate local pharmacological activity. After biodegradation of the nanoparticles, the binding sites could be reloaded with fresh drug-delivering particles. As a suitable receptor system for the nanoparticles, antibodies are anchored. The design of the receptor is of great importance as any bio- or chemorecognitive interaction with other components circulating in the blood has to be avoided. Furthermore, the binding between receptor and the particles has to be strong enough to keep them tightly bound during their lifetime, but on the other hand allow reloading after final degradation of the particles. The nanoparticles suggested as a drug-delivery system for medical implants can be loaded with different pharmaceuticals such as antibiotics, growth factors, or immunosuppressives. This concept may enable the changing of medication, even after implantation of the medical device, if afforded by patients’ needs.Keywords: antibody immobilization, biocompatible coating, chitosan nanoparticles, drug targeting, medical device

  3. Breast Implants (United States)

    ... Medical Procedures Implants and Prosthetics Breast Implants Breast Implants Share Tweet Linkedin Pin it More sharing options Linkedin Pin it Email Print Breast implants are medical devices that are implanted under the ...

  4. Caiçaras, caboclos and natural resources: rules and scale patterns Caiçaras, caboclos e recursos naturais: regras e padrões de escala

    Directory of Open Access Journals (Sweden)

    Alpina Begossi


    Full Text Available One important question concerning the sustainability of local or native populations refers to their interaction with local and global institutions. We should expect that populations with capacity to interact economically and politically with institutions, might show a better chance for their ecological and cultural continuity, as well as for their system of trade and subsistence. The level of ecological and social interaction of local populations, following concepts from ecology, occurs on different scales: for example, from the territories of individual fishermen on the Atlantic Forest coast to organizations of community Extractive Reserves in the Amazon. The scale of organization (individual/family/community may influence the capacity to deal with institutions. This study analyses how Brazilian native populations, especially caiçaras of the Atlantic Forest coast, and caboclos from the Amazon, have interacted with regional, national and global institutions, concerning environmental demands. Concepts such as common management, natural capital, resilience and sustainability are useful to understand these illustrative cases.Uma questão importante da sustentabilidade de populações locais ou nativas se refere à interação com as instituições locais e globais. Podemos esperar que populações que demonstrem capacidade de interagir de forma econômica e política com as instituições apresentem também uma chance maior de continuidade cultural e ecológica, assim como de seus sistemas de troca e subsistência. O nível da interação ecológica e social das populações locais, seguindo conceitos da ecologia, ocorrem sob escalas diferentes: por exemplo, dos territórios individuais de pescadores da Mata Atlântica às organizações de comunidades em Reservas Extrativistas, na Amazônia. A escala organizacional (individual/familiar/comunitária pode influenciar a capacidade de lidar com as instituições.Esse estudo analisa como popula

  5. Utility of the NavX® Electroanatomic Mapping System for Permanent Pacemaker Implantation in a Pregnant Patient with Chagas Disease

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    Alejandro Velasco, MD


    Full Text Available Chagas disease is a highly prevalent zoonosis in Mexico, Central, and South America. Early cardiac involvement is one of the most serious complications of this disease, and conduction disturbances may occur at an early age. We describe a young pregnant woman with Chagas disease and a high degree atrioventricular block, who required implantation of a permanent dual chamber pacemaker. Using an electroanatomic navigation EnSite NavX® system the pacemaker was successfully implanted with minimal fluoroscopic exposure. This case demonstrates the safety and feasibility of using an electroanatomic navigation system to guide permanent pacemaker implantation minimizing x-ray exposure in pregnant patients.

  6. Materials directed to implants for repairing Central Nervous System

    Energy Technology Data Exchange (ETDEWEB)

    Canillas, M.; Moreno-Burriel, B.; Chinarro, E.


    Central Nervous System (CNS) can be damaged by a wide range of injuries and disorders which entail permanent disability in some cases. Moreover, CNS repairing process presents some complications. The natural repair mechanism, which consists on the glial scar formation, is triggered by the inflammatory process. Molecules delivered during these processes, inflammation and glial scar formation as well as oxygen and glucose deficiencies due to the injury, create an inhibitory environment for axon regeneration and remyelination which is known as secondary injury. Biomaterials are taking up an even more important role in repairing CNS. Physicochemical properties of some ceramic materials have inspired different applications to repair CNS as substrates, electrodes or molecule vehicles. Based on their biocompatibility, capability to neutralize reactive species involved in the inflammatory processes and their versatile processing to obtain scaffolds with different shapes and sizes, ceramics are a succulent offer in nervous tissue engineering. Furthermore, their possibilities have been increased with polymeric-ceramics composites development, which have given rise to new interesting horizon. (Author)

  7. A configurable realtime DWT-based neural data compression and communication VLSI system for wireless implants. (United States)

    Yang, Yuning; Kamboh, Awais M; Mason, Andrew J


    This paper presents the design of a complete multi-channel neural recording compression and communication system for wireless implants that addresses the challenging simultaneous requirements for low power, high bandwidth and error-free communication. The compression engine implements discrete wavelet transform (DWT) and run length encoding schemes and offers a practical data compression solution that faithfully preserves neural information. The communication engine encodes data and commands separately into custom-designed packet structures utilizing a protocol capable of error handling. VLSI hardware implementation of these functions, within the design constraints of a 32-channel neural compression implant, is presented. Designed in 0.13μm CMOS, the core of the neural compression and communication chip occupies only 1.21mm(2) and consumes 800μW of power (25μW per channel at 26KS/s) demonstrating an effective solution for intra-cortical neural interfaces.

  8. Adaptive evolution at immune system genes and deep pregnancy implantation in primates. (United States)

    Civetta, Alberto


    A major evolutionary change in the lineage ancestral to humans, chimpanzee and gorilla (HCG) has been the embedding of the embryo into maternal tissue. Thus, the first layer of cells (trophoblast) to differentiate after fertilization must adapt to invade the uterus. Such event would likely leave signatures of positive selection at genes with roles in embryo implantation. Here, 163 pregnancy implantation genes are tested for evidence of adaptive diversification in the ancestral lineage to HCG. Two immune system genes, HLA-E and KIR2DL4 showed evidence of positive selection. Some of the positive selected sites involve amino acid substitution with predicted damaging effects on protein function, thus highlighting the possibility of antagonistic pleiotropic effects. Selection at a gene coding for a receptor expressed in uterine cells (KIR) that interacts with trophoblast human leukocyte antigen (HLA) genes suggests a main role for immunological adaptations in embryo deep invasion of the maternal endometrium. Copyright © 2014 Elsevier Inc. All rights reserved.

  9. Knee Osteoarthritis Treatment with the KineSpring Knee Implant System: A Report of Two Cases

    Directory of Open Access Journals (Sweden)

    David A. Hayes


    Full Text Available Osteoarthritis (OA is a leading cause of disability in middle-aged and older adults with the prevalence expected to increase by 40% by 2025. This dramatic projected increase in OA reflects, in large part, the alarming obesity epidemic. Indeed, it is now well understood that abnormal loading across the knee joint due to malalignment and/or excessive weight gain is responsible for accelerating OA progression. Consequently, there is a therapeutic need for alternative knee OA treatments that directly address joint overload to fill the gap between ineffective conservative care and invasive joint-modifying surgical procedures. We describe two cases that presented with bilateral knee OA resistant to conservative treatments, each with one knee previously and unsuccessfully treated with high tibial osteotomy to improve alignment and the contralateral knee successfully treated with a joint-preserving, load-absorbing implant (KineSpring Knee Implant System.

  10. An Implanted Closed-loop Chip System for Heart Rate Control: System Design and Effects in Conscious Rats. (United States)

    Zhou, Yuxuan; Yuan, Yuan; Gao, Juan; Yang, Ling; Zhang, Feng; Zhu, Guoqing; Gao, Xingya


    To evaluate the efficiency of an implanted chip system for the control of heart rate (HR). The HR was recorded in six conscious Sprague-Dawley (SD) rats. An implanted chip system was designed to regulate the HR by stimulating the right cervical vagus nerve according to the feedback of real time HR. Each rat was subjected to 30-min regulation and 30-min recovery. The change of HR during the regulation period was compared with the control. The ECG was recorded during the experiment for 24 h. The ECG signals were successfully recorded during the experiment. The HR was significantly decreased during the period of regulation compared with control (-79.3 ±34.5, P chip system can regulate the HR to a designated set point.

  11. Estudio de asociación entre enfermedades sistémicas y el fracaso de implantes dentales Study of association between systemic diseases and dental implant failure

    Directory of Open Access Journals (Sweden)

    J Domínguez


    , genero y el habito de fumar.Since the beginning of oral implant surgery it has been recommended to exclude or limit certain patients with health issues or smoking habits. The chronic non-communicable diseases are not considered an absolute contraindication to the use of oral implants, but the type of disease should be evaluated in detail, as a potential risk that could affect the process of osseointegration. There are certain systemic conditions, such as osteoporosis, cardiovascular disease, diabetes mellitus, and hypothyroidism, as well as the habit of smoking, that affect the success, survival or failure of the implants. The purpose of the investigation is to determine whether there is an association between the failure of dental implants and systemic diseases in the population of patients undergoing dental implant surgery of San José de Santiago de Chile Hospital. We conducted a retrospective observational study and the variables studied were systemic diseases (osteoporosis, hypertension, diabetes, and hypothyroidism and the criteria used to assess the health of implants were those of the International Congress of Oral Implantology of Pisa, where "failure" is the term used for implants requiring removal or that were already lost. These variables were recorded from the clinical record and during a clinical examination, in a data collection sheet. This allowed to describe variables and their distribution, and then to analyze the data to find statistically valid evidence. For this study we can conclude that the analysis of each of the variables such as systemic hypertension or ASA II, have an association with the failure of dental implants, but not osteoporosis, hypothyroidism, diabetes, age, nutritional status, gender and cigarette smoking.

  12. XIVE种植体即刻植入即刻负重的临床观察%Clinical Evaluation of XIVE Implants System in Immediate Implantation after Trauma

    Institute of Scientific and Technical Information of China (English)

    宣永华; 张卫群; 马泉生


    Objective: To investigate the clinical efficacy of XIVE implants system in immediate implantation, which in the traumatical maxillary anterior. Methods: A total of 26 patients were selected for the study, the fresh sockets were implanted with XIVE implants( torque ≥ 35 Ncm) system after the traumatically extraction of 32 teeth, and received immediate restoration at the same time. The final restora- tion were performed on average 4~5 months postoperatively. The clinical and radiography measures were used for 1, 2 and 4 months. Results: Among 32 implants, there were only 2 implants lost after operation, the others were good. Conclusion: The method of immediate implantation which take place in the traumatically area is feasible. This method can avoid bone tissue absorption,while remain soft and hard tissue mophorlogy, and reduce the period oftreatment.%目的:评价XIVE种植体在上颌外伤前牙区即刻种植即刻负重修复的临床效果.方法:对26例前牙区单颗或多颗无法保留的外伤残根拔除后,即刻植入 XIVE 种植体,并即刻负重修复.种植体扭矩控制在35Ncm 左右,初期稳定性良好.平均四到五个月后行永久修复.在植入后l、2、4 个月对其进行临床及影像学检查.结果:32枚种植体有2枚种植体2周后出现松动,一个月后脱落,其余30枚均在预期时间内形成良好骨性愈合,最终完成修复.结论:上颌前牙区单颗或多颗牙外伤,残根无法保留者,行即刻种植即刻负重修复是可行.早期种植修复有利于减缓牙槽骨的吸收,保留软硬组织的形态,缩短疗程.

  13. Materials directed to implants for repairing Central Nervous System

    Directory of Open Access Journals (Sweden)

    Canillas, M.


    Full Text Available Central Nervous System (CNS can be damaged by a wide range of injuries and disorders which entail permanent disability in some cases. Moreover, CNS repairing process presents some complications. The natural repair mechanism, which consists on the glial scar formation, is triggered by the inflammatory process. Molecules delivered during these processes, inflammation and glial scar formation as well as oxygen and glucose deficiencies due to the injury, create an inhibitory environment for axon regeneration and remyelination which is known as “secondary injury”. Biomaterials are taking up an even more important role in repairing CNS. Physicochemical properties of some ceramic materials have inspired different applications to repair CNS as substrates, electrodes or molecule vehicles. Based on their biocompatibility, capability to neutralize reactive species involved in the inflammatory processes and their versatile processing to obtain scaffolds with different shapes and sizes, ceramics are a succulent offer in nervous tissue engineering. Furthermore, their possibilities have been increased with polymeric-ceramics composites development, which have given rise to new interesting horizon.Existen diferentes tipos de lesiones o desordenes del Sistema Nervioso Central (SNC que pueden provocar graves secuelas e incluso en algunos casos una discapacidad permanente. Además, el proceso de reparación del SNC tiene algunas complicaciones. El mecanismo natural de reacción a una lesión, el cual consiste en la formación de una cicatriz glial, es desencadenado por un proceso inflamatorio. Las moléculas liberadas durante estos procesos, la inflamación y formación de la cicatriz glial, así como la deficiencia en oxígeno y glucosa debidos a la lesión, crean un ambiente que inhibe la regeneración axonal creando la llamada “lesión secundaria”. Los biomateriales están adquiriendo un papel cada vez más importante en la reparación de SNC. Las

  14. Impact of systemic diseases on oral health related quality of life after implant-prosthodontic rehabilitation

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    Tina Pretnar


    Full Text Available Background: Implant-prosthodontic rehabilitation improves oral health related quality of life (OHRQoL, but the presence of systemic diseases can also affect the well-being of an individual.The study was carried out to determine the relationship between systemic diseases and OHRQoL after implant-prosthodontic rehabilitation on the basis of psychometric testing by a standardized questionnaire »Oral Health Impact Profile« (OHIP.Methods: 130 patients, who received one to eight Ankylos® implants (on average 2.6 ± 1.8 were included in this retrospective study in which all aspects of the OHRQoL construct were evaluated with a Slovenian version of the OHIP questionnaire. Data on all present systemic diseases were obtained from the existing health records. Dental status and dental restorations were identified on the basis of orthopantomographic images.Results: The majority of subjects had a cardiovascular disease (N = 37; 28.5 %, followed by a headache (N = 15, 11.5 %, allergies and asthma (n = 13, 10 %, and a rheumatic disease (N = 11, 8.5 %. Only osteoporosis was statistically significantly related to OHRQoL after implant-prosthodontic rehabilitation (p = 0.024. The best multiple linear regression model for the summary score for the questionnaire »Oral Health Impact Profile« for Slovenia (OHIP, and taking into account gender and age as confounding factors, included the number of remaining teeth and the presence of osteoporosis (p = 0.003, adjusted R2 = 0.104.Conclusions: The total number of remaining teeth in the oral cavity (p = 0.031, the presence of osteoporosis (p = 0.024, and taking into account the subject’s gender and age, are the most important clinical factors that affect the functioning of the SGS as well as psychosocial behavior of the patients after an implant-prosthodontic rehabilitation (adjusted R2 = 0.104. Other systemic diseases (cardiovascular disease, headache, allergies and

  15. Remote monitoring of implantable cardioverter-defibrillators. Problems and implications using a telemonitoring system. (United States)

    Siebermair, J; Clauss, S; Martens, E; Schuessler, F; Oversohl, N; Haserueck, N; Estner, H L; Kääb, S; Wakili, R


    The rising number of implantable devices has led to an increase in device-related workload, e.g., regular interrogation follow-up visits. Telemonitoring systems for implantable cardioverter-defibrillators (ICDs) seem to be a promising tool for reducing workload and costs, and they have the potential of optimizing patient care. However, issues such as practical functionality of ICD telemonitoring in daily routine may affect its broad implementation. The objective of this study was to evaluate potential problems during the implementation of a telemonitoring system, Medtronic CareLink™ (CL™) with respect to the installation and data transmission process. A total of 159 patients with ICDs who were equipped with the CL™ system were evaluated and followed up for 16 months regarding the success rate of the first data transmission via the telemonitoring system. In this cohort, a high rate of nontransmission of 23.9 % was observed after the 16-month follow-up. A detailed interview of these patients (no transmission) revealed that the main reasons for failed transmissions were due to the patients' loss of interest in the concept (approximately 50 %) as well as technical problems (approximately 25 %) with setting up the system. These results indicate that telemonitoring systems bear potential problems and that the evaluation of patient motivation and technical support options seems to play an important role in establishing the functionality of these systems.

  16. Comparison of SAGS I vs. SAGS II delivery systems in emerging implantation technologies (United States)

    Despres, Joseph; Sweeney, Joseph


    The International Fire Code has classified Subatmospheric Gas Delivery Systems (SAGS) technologies into two main categories: SAGS Type I and SAGS Type II systems. SAGS Type I delivery systems both store and deliver gases at subatmospheric pressures. An example of this technology is ATMI's Safe Delivery Source (SDS®) adsorbent based cylinder. SAGS Type II delivery systems store fluids at high pressure and utilize mechanical devices internal to the cylinder to deliver the gas at subatmospheric pressures. Typical mechanical devices used to enable subatmospheric delivery are either set point regulators or mechanical capillary based systems. This paper focuses on how these delivery systems perform against the unique requirements of traditional beam line ion implantation as well as solar and flat panel applications. Specifically, data are provided showing the capability of these systems with respect to flow rate, residual gas left within the cylinder, and cylinder end-point flow and delivery pressure dynamics.

  17. Systemic Sclerosis and Silicone Breast Implant: A Case Report and Review of the Literature

    Directory of Open Access Journals (Sweden)

    Antonios Psarras


    Full Text Available Environmentally induced systemic sclerosis is a well-recognized condition, which is correlated with exposure to various chemical compounds or drugs. However, development of scleroderma-like disease after exposure to silicone has always been a controversial issue and, over time, it has triggered spirited debate whether there is a certain association or not. Herein, we report the case of a 35-year-old female who developed Raynaud’s phenomenon and, finally, systemic sclerosis shortly after silicone breast implantation surgery.

  18. CAD/CAM/CAI Application for High-Precision Machining of Internal Combustion Engine Pistons

    Directory of Open Access Journals (Sweden)

    V. V. Postnov


    Full Text Available CAD/CAM/CAI application solutions for internal combustion engine pistons machining was analyzed. Low-volume technology of internal combustion engine pistons production was proposed. Fixture for CNC turning center was designed.

  19. 77 FR 9625 - Presentation of Final Conventional Conformance Test Criteria and Common Air Interface (CAI... (United States)


    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF COMMERCE National Institute of Standards and Technology Presentation of Final Conventional Conformance Test Criteria and Common Air Interface (CAI) Features/Functionalities Under Test in the Project 25...

  20. A wireless transmission system powered by an enzyme biofuel cell implanted in an orange. (United States)

    MacVittie, Kevin; Conlon, Tyler; Katz, Evgeny


    A biofuel cell composed of catalytic electrodes made of "buckypaper" modified with PQQ-dependent glucose dehydrogenase and FAD-dependent fructose dehydrogenase on the anode and with laccase on the cathode was used to activate a wireless information transmission system. The cathode/anode pair was implanted in orange pulp extracting power from its content (glucose and fructose in the juice). The open circuit voltage, Voc, short circuit current density, jsc, and maximum power produced by the biofuel cell, Pmax, were found as ca. 0.6 V, ca. 0.33 mA·cm(-2) and 670 μW, respectively. The voltage produced by the biofuel cell was amplified with an energy harvesting circuit and applied to a wireless transmitter. The present study continues the research line where different implantable biofuel cells are used for the activation of electronic devices. The study emphasizes the biosensor and environmental monitoring applications of implantable biofuel cells harvesting power from natural sources, rather than their biomedical use.

  1. Implante con el sistema de reparación herniaria inguinal de prolene (Prolene hernia system

    Directory of Open Access Journals (Sweden)

    José Goderich Lalán


    Full Text Available Se realizó un estudio clinicodescriptivo y prospectivo del seguimiento de 21 pacientes a los que se les realizó implante sistema de reparación herniaria inguinal de prolene en hernias inguinales, reproducidas entre el 15 de octubre de 1998 y el 31 de marzo de 1999, con el objetivo de evaluar sus resultados. En todos los casos se utilizó el método de cirugía de corta estadía, anestesia local y sedación o espinal y antibioticoterapia profiláctica. En el seguimiento a muy corto plazo no se reportan recidivas y ninguna complicación posoperatoria. Más de la mitad de los pacientes había recibido más de 2 operaciones. La media de edad fue 49 años y el sexo predominante el masculino. La técnica que se utilizó para implante fue la recomendada por los fabricantesA clinical descriptive and prospective study of the follow-up of 21 patients who received implant of the Prolene inguinal hernia repair system in inguinal hernias reproduced between October l5th, 1998, and March 31st, 1999, was conducted aimed at evaluating the results. The short-stay surgery method, local anesthesia and sedation, or spinal anesthesia and prophylactic antibiotic therapy were used in all cases. No relapses or postoperative complications were reported in a very short-term follow-up. More than half of the patients had undergone more than 2 operations. Average age was 49 and there was a predominance of males. The technique used for the implant was the one recommended by the manufacturers

  2. Performance and analysis of a 4-stroke multi-cylinder gasoline engine with CAI combustion


    Zhao, H.; Li, J; Ma, T.; Ladommatos, N


    Copyright © 2002 SAE International. This paper is posted on this site with permission from SAE International. Further use of this paper is not permitted without permission from SAE Controlled Auto-Ignition (CAI) combustion was realised in a production type 4-stroke 4-cylinder gasoline engine without intake charge heating or increasing compression ratio. The CAI engine operation was achieved using substantially standard components modified only in camshafts to restrict the gas exchange proc...

  3. First permanent human implant of the Stimulus Router System, a novel neuroprosthesis: preliminary testing of a polarity reversing stimulation technique. (United States)

    Gan, Liu Shi; Ravid, Einat N; Kowalczewski, Jan; Gauthier, Michel; Olson, Jaret; Morhart, Michael; Prochazka, Arthur


    Neuroprostheses (NPs) are electrical stimulators that help to restore sensory or motor functions lost as a result of neural damage. The Stimulus Router System (SRS) is a new type of NP developed in our laboratory. The system uses fully implanted, passive leads to "capture" and "route" some of the current flowing between pairs of surface electrodes to the vicinity of the target nerves, hence eliminating the need for an implanted stimulator. In June 2008, 3 SRS leads were implanted in a tetraplegic man for restoration of grasp and release. To reduce the size of the external wristlet and thereby optimize usability, we recently implemented a polarity reversing stimulation technique that allowed us to eliminate a reference electrode. Selective activation of three target muscles was achieved by switching the polarities of the stimulus current delivered between pairs of surface electrodes located over the pick-up terminals of the implanted leads and reducing the amplitude of the secondary phases of the stimulus pulses.

  4. An implantable ENG detector with in-system velocity selective recording (VSR) capability. (United States)

    Clarke, Chris; Rieger, Robert; Schuettler, Martin; Donaldson, Nick; Taylor, John


    Detection and classification of electroneurogram (ENG) signals in the peripheral nervous system can be achieved by velocity selective recording (VSR) using multi-electrode arrays. This paper describes an implantable VSR-based ENG recording system representing a significant development in the field since it is the first system of its type that can record naturally evoked ENG and be interfaced wirelessly using a low data rate transcutaneous link. The system consists of two CMOS ASICs one of which is placed close to the multi-electrode cuff array (MEC), whilst the other is mounted close to the wireless link. The digital ASIC provides the signal processing required to detect selectively ENG signals based on velocity. The design makes use of an original architecture that is suitable for implantation and reduces the required data rate for transmission to units placed outside the body. Complete measured electrical data from samples of the ASICs are presented that show that the system has the capability to record signals of amplitude as low as 0.5 μV, which is adequate for the recording of naturally evoked ENG. In addition, measurements of electrically evoked ENG from the explanted sciatic nerves of Xenopus Laevis frogs are presented.

  5. Formation of refractory metal nuggets and their link to the history of CAIs (United States)

    Schwander, D.; Kööp, L.; Berg, T.; Schönhense, G.; Heck, P. R.; Davis, A. M.; Ott, U.


    Ca, Al-rich inclusions (CAIs) often contain numerous refractory metal nuggets (RMNs), consisting of elements like Os, Ir, Mo, Pt and Ru. The nuggets are usually thought to have formed by equilibrium condensation from a gas of solar composition, simultaneously with or prior to oxide and silicate minerals. However, the exact mechanisms responsible for their extremely variable compositions, small sizes and associations with CAI minerals remain puzzling. Expanding on previous work on chemically separated RMNs, we have studied a large number of RMNs within their host CAIs from three different meteorite types, i.e., the highly primitive chondrite Acfer 094 (C2-ungrouped), Allende (CV3ox) and Murchison (CM2). Our results show several inconsistencies between the observed features and a direct condensation origin, including a lack of correlated abundance variations in the refractory metals that are expected from variations in condensation temperature. Instead, we show that most RMN features are consistent with RMN formation by precipitation from a CAI liquid enriched in refractory metals. This scenario is additionally supported by the common occurrence of RMNs in CAIs with clear melt crystallization textures as well as the occurrence of synthetic RMNs with highly variable compositions in run products from Schwander et al. (2015). In some cases, the sizes of meteoritic RMNs correlate with the sizes of their host minerals in CAIs, which indicates common cooling rates.

  6. Experimental study on cyclosporine A drug delivery system in prevention of posterior capsule opacification after intraocular lens implantation in rabbits

    Institute of Scientific and Technical Information of China (English)


    Objective To study the effect of cyclosporine A drug delivery system (CsA-DDS) on the prevention of posterior capsule opacification (PCO) after experimental intraocular lens implantation in rabbit eyes. Methods Twenty healthy New Zealand white rabbits, whose left eyes and right eyes were used respectively as experiment eyes and controls, were subjected to extracapsular lens extraction and artificial lens implantation. During the operation, CsA-DDS with poly (lactideco-glycolide) as carriers or empty DDS was...

  7. An Implantation and Detection System for Spectroscopy of 22,24Si

    Institute of Scientific and Technical Information of China (English)

    孙立杰; 马南茹; 王康; 臧宏亮; 王宏伟; 李琛; 施晨钟; 聂茂武; 李秀芳; 李贺; 马军兵; 徐新星; 马朋; 金仕纶; 黄美容; 白真; 王建国; 杨峰; 贾会明; 张焕乔; 刘祖华; 包鹏飞; 林承键; 王东玺; 吴振东; 杨彦云; 陈志强; 苏俊; 谌阳平; 周远杰; 马维虎; 陈杰; 王建松; 方德清; 李智焕; 王玉廷; 李晶; 杨磊


    A new decay detection system with high detection efficiency and low detection threshold has been developed for charged-particle decay studies, including β-delayed proton, α decay or direct proton emission from proton-rich nuclei. The detection system was tested by using theβ-delayed proton emitter 24Si and was commissioned in the decay study of 22Si produced by projectile fragmentation at the First Radioactive Ion Beam Line in Lanzhou. Under a continuous-beam mode, the isotopes of interest were implanted into two double-sided silicon strip detectors, where the subsequent decays were measured and correlated to the preceding implantations by using position and time information. The system allows to measure protons with energies down to about 200 keV without obvious β background in the proton spectrum. Further application of the detection system can be extended to the measurements ofβ-delayed proton decay and the direct proton emission of other exotic proton-rich nuclei.

  8. A Wireless Magnetic Resonance Energy Transfer System for Micro Implantable Medical Sensors

    Directory of Open Access Journals (Sweden)

    Tianyang Yang


    Full Text Available Based on the magnetic resonance coupling principle, in this paper a wireless energy transfer system is designed and implemented for the power supply of micro-implantable medical sensors. The entire system is composed of the in vitro part, including the energy transmitting circuit and resonant transmitter coils, and in vivo part, including the micro resonant receiver coils and signal shaping chip which includes the rectifier module and LDO voltage regulator module. Transmitter and receiver coils are wound by Litz wire, and the diameter of the receiver coils is just 1.9 cm. The energy transfer efficiency of the four-coil system is greatly improved compared to the conventional two-coil system. When the distance between the transmitter coils and the receiver coils is 1.5 cm, the transfer efficiency is 85% at the frequency of 742 kHz. The power transfer efficiency can be optimized by adding magnetic enhanced resonators. The receiving voltage signal is converted to a stable output voltage of 3.3 V and a current of 10 mA at the distance of 2 cm. In addition, the output current varies with changes in the distance. The whole implanted part is packaged with PDMS of excellent biocompatibility and the volume of it is about 1 cm3.

  9. An implantable, designed-for-human-use peripheral nerve stimulation and recording system for advanced prosthetics. (United States)

    Lachapelle, John R; Bjune, Caroline K; Kindle, Alexander L; Czarnecki, Andrew; Burns, John R; Grainger, Julianne E; Segura, Carlos A; Nugent, Brian D; Sriram, Tirunelveli S; Parks, Philip D; Keefer, Edward; Cheng, Jonathan


    Complex suture prostheses that deliver sensory and position feedback require a more sophisticated integration with the human user. Here a micro-size active implantable system that provides many-degree-of-freedom neural feedback in both sensory stimulation and motor control is shown, as one potential human-use solution in DARPA's HAPTIX program. Various electrical and mechanical challenge and solutions in meeting both sensory /motor performance as well as ISO 14708 FDA-acceptable human use in an aspirin-size active implementation are discussed.

  10. Investigation of combustion, performance and emission characteristics of 2-stroke and 4-stroke spark ignition and CAI/HCCI operations in a DI gasoline


    Y. Zhang; Zhao, H.


    In order to develop more efficient and cleaner gasoline engines, a number of new engine operating strategies have been proposed and researched on different engines, including the spark ignition (SI) and controlled autoignition (CAI) or HCCI in both 2-stroke and 4-stroke cycles in a poppet valve engine. In this work, a single cylinder direct injection gasoline engine equipped with an electro-hydraulic valve-train system has been commissioned and used to achieve seven different operating modes,...

  11. Penile Implants (United States)

    ... the discussion with your doctor. Types of penile implants There are two main types of penile implants: ... might help reduce the risk of infection. Comparing implant types When choosing which type of penile implant ...

  12. Functional brain fluorescence plurimetry in rat by implantable concatenated CMOS imaging system. (United States)

    Kobayashi, Takuma; Masuda, Hiroyuki; Kitsumoto, Chikara; Haruta, Makito; Motoyama, Mayumi; Ohta, Yasumi; Noda, Toshihiko; Sasagawa, Kiyotaka; Tokuda, Takashi; Shiosaka, Sadao; Ohta, Jun


    Measurement of brain activity in multiple areas simultaneously by minimally invasive methods contributes to the study of neuroscience and development of brain machine interfaces. However, this requires compact wearable instruments that do not inhibit natural movements. Application of optical potentiometry with voltage-sensitive fluorescent dye using an implantable image sensor is also useful. However, the increasing number of leads required for the multiple wired sensors to measure larger domains inhibits natural behavior. For imaging broad areas by numerous sensors without excessive wiring, a web-like sensor that can wrap the brain was developed. Kaleidoscopic potentiometry is possible using the imaging system with concatenated sensors by changing the alignment of the sensors. This paper describes organization of the system, evaluation of the system by a fluorescence imaging, and finally, functional brain fluorescence plurimetry by the sensor. The recorded data in rat somatosensory cortex using the developed multiple-area imaging system compared well with electrophysiology results.

  13. Implantable Heart Aid (United States)


    CPI's human-implantable automatic implantable defibrillator (AID) is a heart assist system, derived from NASA's space circuitry technology, that can prevent erratic heart action known as arrhythmias. Implanted AID, consisting of microcomputer power source and two electrodes for sensing heart activity, recognizes onset of ventricular fibrillation (VF) and delivers corrective electrical countershock to restore rhythmic heartbeat.

  14. Low-Gain, Low-Noise Integrated Neuronal Amplifier for Implantable Artifact-Reduction Recording System

    Directory of Open Access Journals (Sweden)

    Abdelhamid Benazzouz


    Full Text Available Brain neuroprostheses for neuromodulation are being designed to monitor the neural activity of the brain in the vicinity of the region being stimulated using a single macro-electrode. Using a single macro-electrode, recent neuromodulation studies show that recording systems with a low gain neuronal amplifier and successive amplifier stages can reduce or reject stimulation artifacts. These systems were made with off-the-shelf components that are not amendable for future implant design. A low-gain, low-noise integrated neuronal amplifier (NA with the capability of recording local field potentials (LFP and spike activity is presented. In vitro and in vivo characterizations of the tissue/electrode interface, with equivalent impedance as an electrical model for recording in the LFP band using macro-electrodes for rodents, contribute to the NA design constraints. The NA occupies 0.15 mm2 and dissipates 6.73 µW, and was fabricated using a 0.35 µm CMOS process. Test-bench validation indicates that the NA provides a mid-band gain of 20 dB and achieves a low input-referred noise of 4 µVRMS. Ability of the NA to perform spike recording in test-bench experiments is presented. Additionally, an awake and freely moving rodent setup was used to illustrate the integrated NA ability to record LFPs, paving the pathway for future implantable systems for neuromodulation.

  15. The Effect of the Computer Assisted Instruction (CAI on Student Attitude in Mathematics Teaching of Primary School 8th Class and Views of Students towards CAI

    Directory of Open Access Journals (Sweden)

    Tuğba Hangül


    Full Text Available The aim of this study is to research the effect of the subject of “Geometric Objects” which is included in mathematics curriculum at the eighth grade on the student attitude using computer assisted instruction (CAI and find out grade 8 primary school students’ views about the computer-assisted instruction. In this study the pre-post attitude with experimental control group design was performed. The research was done under control and experiment groups consisting of fifty-three eighth grade students who were randomly identified in the year of 2009-2010. Attitude was applied to the both groups before and at the end of teaching. The method of constructivism was applied to control the group while CAI was applied to the experiment group. After teaching, fourteen students who were randomly selected from the experimental group were interviewed. Quantitative data was analyzed using Independent Samples t-test and qualitative data was analyzed by description analyze. At the end of the study, the data put forward that teaching through CAI improves the students’ attitudes positively than the method of Constructivism and students have positive opinions on CAI.

  16. Effects of Computer-Assisted Instruction (CAI) on 11th Graders' Attitudes to Biology and CAI and Understanding of Reproduction in Plants and Animals. (United States)

    Soyibo, Kola; Hudson, Ann


    Investigates whether the use of the combination of lecture, discussion, and computer-assisted instruction (CAI) significantly improved students' attitudes toward biology and their understanding of reproduction in plants and animals. Studies grade 11 Jamaican female students (n=77) from two traditional high schools in Kingston. (Contains 19…

  17. I-Xe measurements of CAIs and chondrules from the CV3 chondrites Mokoia and Vigarano (United States)

    Whitby, J. A.; Russell, S. S.; Turner, G.; Gilmour, J. D.


    I-Xe analyses were carried out for chondrules and refractory inclusions from the two CV3 carbonaceous chondrites Mokoia and Vigarano (representing the oxidized and reduced subgroups, respectively). Although some degree of disturbance to the I-Xe system is evident in all of the samples, evidence is preserved of aqueous alteration of CAIs in Mokoia 1 Myr later than the I-Xe age of the Shallowater standard and of the alteration of a chondrule (V3) from Vigarano ~0.7 Myr later than Shallowater. Other chondrules in Mokoia and Vigarano experienced disturbance of the I-Xe system millions of years later and, in the case of one Vigarano chondrule (VS1), complete resetting of the I-Xe system after decay of essentially all 129I, corresponding to an age more than 80 Myr after Shallowater. Our interpretation is that accretion and processing to form the Mokoia and Vigarano parent bodies must have continued for at least 4 Myr and 80 Myr, respectively. The late age of a chondrule that shows no evidence for any aqueous alteration or significant thermal processing after its formation leads us to postulate the existence of an energetic chondrule-forming mechanism at a time when nebular processes are not expected to be important.

  18. Accuracy and precision of targeting using frameless stereotactic system in deep brain stimulator implantation surgery

    Directory of Open Access Journals (Sweden)

    Mayur Sharma


    Full Text Available Objectives: To assess the accuracy of targeting using NexFrame frameless targeting system during deep brain stimulation (DBS surgery. Materials and Methods: Fifty DBS leads were implanted in 33 patients using the NexFrame (Medtronic, Minneapolis, MN targeting system. Postoperative thin cut CT scans were used for lead localization. X, Y, Z coordinates of the tip of the lead were calculated and compared with the intended target coordinates to assess the targeting error. Comparative frame-based data set was obtained from randomly selected 33 patients during the same period that underwent 65 lead placements using Leksell stereotactic frame. Euclidean vector was calculated for directional error. Multivariate analysis of variance was used to compare the accuracy between two systems. Results: The mean error of targeting using frameless system in medio-lateral plane was 1.4 mm (SD ± 1.3, in antero-posterior plane was 0.9 mm (SD ± 1.0 and in supero-inferior plane Z was 1.0 mm (SD ± 0.9. The mean error of targeting using frame-based system in medio-lateral plane was 1.0 mm (SD ± 0.7, in antero-posterior plane was 0.9 mm (SD ± 0.5 and in supero-inferior plane Z was 0.7 mm (SD ± 0.6. The error in targeting was significantly more (P = 0.03 in the medio-lateral plane using the frameless system as compared to the frame-based system. Mean targeting error in the Euclidean directional vector using frameless system was 2.2 (SD ± 1.6 and using frame-based system was 1.7 (SD ± 0.6 (P = 0.07. There was significantly more error in the first 25 leads placed using the frameless system than the second 25 leads (P = 0.0015. Conclusion: The targeting accuracy of the frameless system was lower as compared to frame-based system in the medio-lateral direction. Standard deviations (SDs were higher using frameless system as compared to the frame-based system indicating lower accuracy of this system. Error in targeting should be considered while using frameless

  19. Evaluating the bending response of two osseointegrated transfemoral implant systems using 3D digital image correlation. (United States)

    Thompson, Melanie L; Backman, David; Branemark, Rickard; Mechefske, Chris K


    Osseointegrated transfemoral implants have been introduced as a prosthetic solution for above knee amputees. They have shown great promise, providing an alternative for individuals who could not be accommodated by conventional, socket-based prostheses; however, the occurrence of device failures is of concern. In an effort to improve the strength and longevity of the device, a new design has been proposed. This study investigates the mechanical behavior of the new taper-based assembly in comparison to the current hex-based connection for osseointegrated transfemoral implant systems. This was done to better understand the behavior of components under loading, in order to optimize the assembly specifications and improve the useful life of the system. Digital image correlation was used to measure surface strains on two assemblies during static loading in bending. This provided a means to measure deformation over the entire sample and identify critical locations as the assembly was subjected to a series of loading conditions. It provided a means to determine the effects of tightening specifications and connection geometry on the material response and mechanical behavior of the assemblies. Both osseoinegrated assemblies exhibited improved strength and mechanical performance when tightened to a level beyond the current specified tightening torque of 12 N m. This was shown by decreased strain concentration values and improved distribution of tensile strain. Increased tightening torque provides an improved connection between components regardless of design, leading to increased torque retention, decreased peak tensile strain values, and a more gradual, primarily compressive distribution of strains throughout the assembly.

  20. A wirelessly controlled implantable LED system for deep brain optogenetic stimulation

    Directory of Open Access Journals (Sweden)

    Mark A. Rossi


    Full Text Available In recent years optogenetics has rapidly become an essential technique in neuroscience. Its temporal and spatial specificity, combined with efficacy in manipulating neuronal activity, are especially useful in studying the behavior of awake behaving animals. Conventional optogenetics, however, requires the use of lasers and optic fibers, which can place considerable restrictions on behavior. Here we combined a wirelessly controlled interface and small implantable light-emitting diode (LED that allows flexible and precise placement of light source to illuminate any brain area. We tested this wireless LED system in vivo, in transgenic mice expressing channelrhodopsin-2 in striatonigral neurons expressing D1-like dopamine receptors. In all mice tested, we were able to elicit movements reliably. The frequency of twitches induced by high power stimulation is proportional to the frequency of stimulation. At lower power, contraversive turning was observed. Moreover, the implanted LED remains effective over 50 days after surgery, demonstrating the long-term stability of the light source. Our results show that the wireless LED system can be used to manipulate neural activity chronically in behaving mice without impeding natural movements.

  1. Single-stage implantation in the atrophic alveolar ridge of the mandible with the Norian skeletal repair system. (United States)

    Hölzle, Frank; Bauer, Florian; Kesting, Marco R; Mücke, Thomas; Deppe, Herbert; Wolff, Klaus-Dietrich; Swaid, Sami


    Dental implants have played a part in rehabilitation of the jaws for more than 40 years, but in some cases they alone are inadequate because of extreme alveolar resorption. Correction may necessitate a two-stage procedure with additional interventions. We have made a preliminary study of the use of the Norian skeletal repair system (SRS), a carbonated calcium phosphate bone cement used to augment the alveolar ridge as a single-stage procedure, with the placement of implants. Ten edentulous patients with insufficient vertical bone in the interforaminal area were treated. After a horizontal osteotomy and crestal mobilisation of the alveolar ridge, implants were placed through the crestal part and fixed in the basal part of the mandible. Norian SRS was used to fill the gap created. The prostheses were inserted 3 months later. Forty implants were inserted. The follow up period was 60 months, and no fractures or dislocations developed. One of the implants was lost and there was one wound dehiscence, but no surgical intervention or revision was necessary. Radiographs showed good consolidation of the bony structure in all cases. We have described a reliable, single-stage procedure for augmentation and implantation in a highly atrophic alveolar crest. A 98% survival is comparable with those of other techniques. Further clinical trials are necessary to replicate these promising results.

  2. The role of dye affinity in optical measurements of Cai(2+) transients in cardiac muscle. (United States)

    Kong, Wei; Fast, Vladimir G


    Previous experiments in cultures of neonatal rat myocytes demonstrated that the shape of Cai(2+) transients measured using high-affinity Ca(2+)-sensitive dyes may be misrepresented. The purpose of this study was to examine the role of dye affinity in Cai(2+) measurements in intact adult cardiac tissue by comparing optical recordings obtained with high- and low-affinity dyes. Experiments were carried out in porcine left ventricular (LV) wedge preparations stained locally by intramural injection via microcapillaries (diameter = 150 μm) with a low-affinity Ca(2+)-sensitive dye Fluo-4FF or Fluo-2LA (nominal Kd, ~7-10 μmol/l), high-affinity dye Rhod-2 (Kd = 0.57 μmol/l), and Fluo-4 or Fluo-2MA (Kd, ~0.4 μmol/l); in addition, tissue was stained with transmembrane potential (Vm)-sensitive dye RH-237. Optical recordings of Vm and Cai(2+) were made using optical fibers (diameter = 325 μm) glued with the microcapillaries. The durations of Cai(2+) transients measured at 50% level of recovery (CaD50) using high-affinity Fluo-4/Fluo-2MA dyes were up to ~81% longer than those measured with low-affinity Fluo-4FF/Fluo-2LA at long pacing cycle lengths (CL). In Fluo-4/Fluo-2MA measurements at long CLs, Cai(2+) transients often (~50% of cases) exhibited slow upstroke rise and extended plateau. In Rhod-2 measurements, CaD50 was moderately longer (up to ~35%) than in Fluo-4FF recordings, but Cai(2+) transient shapes were similar. In all series of measurements, mean action potential duration values were not significantly different (P > 0.05). The delays between Vm and Cai(2+) upstrokes were comparable for low- and high-affinity dyes (P > 0.05). In conclusion, measurements of Cai(2+) transient in ventricular myocardium are strongly affected by the affinity of Ca(2+) dyes. The high-affinity dyes may overestimate the duration and alter the shape of Cai(2+) transients. Copyright © 2014 the American Physiological Society.

  3. The role of dye affinity in optical measurements of Cai2+ transients in cardiac muscle (United States)

    Kong, Wei


    Previous experiments in cultures of neonatal rat myocytes demonstrated that the shape of Cai2+ transients measured using high-affinity Ca2+-sensitive dyes may be misrepresented. The purpose of this study was to examine the role of dye affinity in Cai2+ measurements in intact adult cardiac tissue by comparing optical recordings obtained with high- and low-affinity dyes. Experiments were carried out in porcine left ventricular (LV) wedge preparations stained locally by intramural injection via microcapillaries (diameter = 150 μm) with a low-affinity Ca2+-sensitive dye Fluo-4FF or Fluo-2LA (nominal Kd, ∼7–10 μmol/l), high-affinity dye Rhod-2 (Kd = 0.57 μmol/l), and Fluo-4 or Fluo-2MA (Kd, ∼0.4 μmol/l); in addition, tissue was stained with transmembrane potential (Vm)-sensitive dye RH-237. Optical recordings of Vm and Cai2+ were made using optical fibers (diameter = 325 μm) glued with the microcapillaries. The durations of Cai2+ transients measured at 50% level of recovery (CaD50) using high-affinity Fluo-4/Fluo-2MA dyes were up to ∼81% longer than those measured with low-affinity Fluo-4FF/Fluo-2LA at long pacing cycle lengths (CL). In Fluo-4/Fluo-2MA measurements at long CLs, Cai2+ transients often (∼50% of cases) exhibited slow upstroke rise and extended plateau. In Rhod-2 measurements, CaD50 was moderately longer (up to ∼35%) than in Fluo-4FF recordings, but Cai2+ transient shapes were similar. In all series of measurements, mean action potential duration values were not significantly different (P > 0.05). The delays between Vm and Cai2+ upstrokes were comparable for low- and high-affinity dyes (P > 0.05). In conclusion, measurements of Cai2+ transient in ventricular myocardium are strongly affected by the affinity of Ca2+ dyes. The high-affinity dyes may overestimate the duration and alter the shape of Cai2+ transients. PMID:24791783

  4. Mineralogy and Petrology of EK-459-5-1, A Type B1 CAI from Allende (United States)

    Jeffcoat, C. R.; Kerekgyarto, A. G.; Lapen, T. J.; Andreasen, R.; Righter, M.; Ross, D. K.


    Calcium-aluminum-rich inclusions (CAIs) are a type of coarse-grained clast composed of Ca-, Al-, and Mg-rich silicates and oxides found in chondrite meteorites. Type B (CAIs) are exclusively found in the CV chondrite meteorites and are the most well studied type of inclusion found in chondritic meteorites. Type B1 CAIs are distinguished by a nearly monomineralic rim of melilite that surrounds an interior predominantly composed of melilite, fassaite (Ti and Al-rich clinopyroxene), anorthite, and spinel with varying amounts of other minor primary and secondary phases. The formation of Type B CAIs has received considerable attention in the course of CAI research and quantitative models, experimental results and observations from Type B inclusions remain largely in disagreement. Recent experimental results and quantitative models have shown that the formation of B1 mantles could have occurred by the evaporative loss of Si and Mg during the crystallization of these objects. However, comparative studies suggest that the lower bulk SiO2 compositions in B1s result in more prior melilite crystallization before the onset of fassaite and anorthite crystallization leading to the formation of thick melilite rich rims in B1 inclusions. Detailed petrographic and cosmochemical studies of these inclusions will further our understanding of these complex objects.

  5. Testing the retention of attachments for implant overdentures - validation of an original force measurement system. (United States)

    Fromentin, O; Lassauzay, C; Abi Nader, S; Feine, J; de Albuquerque Junior, R F


    The aim of this study was to validate an original portable device to measure attachment retention of implant overdentures both in the lab and in clinical settings. The device was built with a digital force measurement gauge (Imada) secured to a vertical wheel stand associated with a customized support to hold and position the denture in adjustable angulations. Sixteen matrix and patrix cylindrical stud attachments (Locator) were randomly assigned as in vitro test specimens. Attachment abutments were secured in an implant analogue hung to the digital force gauge or to the load cell of a traction machine used as the gold standard (Instron Universal Testing Machine). Matrices were secured in a denture duplicate attached to the customized support, permitting reproducibility of their position on both pulling devices. Attachment retention in the axial direction was evaluated by measuring maximum dislodging force or peak load during five consecutive linear dislodgments of each attachment on both devices. After a wear simulation, retention was measured again at several time periods. The peak load measurements with the customized Imada device were similar to those obtained with the gold standard Instron machine. These findings suggest that the proposed portable device can provide accurate information on the retentive properties of attachment systems for removable dental prostheses.

  6. Longitudinal hemodynamic measurements in swine heart failure using a fully implantable telemetry system.

    Directory of Open Access Journals (Sweden)

    Jenny S Choy

    Full Text Available Chronic monitoring of heart rate, blood pressure, and flow in conscious free-roaming large animals can offer considerable opportunity to understand the progression of cardiovascular diseases and can test new diagnostics and therapeutics. The objective of this study was to demonstrate the feasibility of chronic, simultaneous measurement of several hemodynamic parameters (left ventricular pressure, systemic pressure, blood flow velocity, and heart rate using a totally implantable multichannel telemetry system in swine heart failure models. Two solid-state blood pressure sensors were inserted in the left ventricle and the descending aorta for pressure measurements. Two Doppler probes were placed around the left anterior descending (LAD and the brachiocephalic arteries for blood flow velocity measurements. Electrocardiographic (ECG electrodes were attached to the surface of the left ventricle to monitor heart rate. The telemeter body was implanted in the right side of the abdomen under the skin for approximately 4 to 6 weeks. The animals were subjected to various heart failure models, including volume overload (A-V fistula, n = 3, pressure overload (aortic banding, n = 2 and dilated cardiomyopathy (pacing-induced tachycardia, n = 3. Longitudinal changes in hemodynamics were monitored during the progression of the disease. In the pacing-induced tachycardia animals, the systemic blood pressure progressively decreased within the first 2 weeks and returned to baseline levels thereafter. In the aortic banding animals, the pressure progressively increased during the development of the disease. The pressure in the A-V fistula animals only showed a small increase during the first week and remained stable thereafter. The results demonstrated the ability of this telemetry system of long-term, simultaneous monitoring of blood flow, pressure and heart rate in heart failure models, which may offer significant utility for understanding cardiovascular disease

  7. Use of Implantable Venous Port Systems in the Treatment of Children with Orphan Diseases (Mucopolysaccharidosis and Pompe Disease: Case Series

    Directory of Open Access Journals (Sweden)

    M. Yu. Rykov


    Full Text Available Many orphan diseases in children require life-long and regular intravenous enzyme replacement therapy. The article describes the first Russian practice of implanting venous port systems in 12 patients with type I and II mucopolysaccharidosis and Pompe disease (6 months to 17 years old to create long-term venous access. Currently, implantable venous port systems are used in 9 (75% of 12 patients. 4 cases of thrombosis are observed in 3 patients. All of them have been successfully treated. 1 patient had a rotation of the port camera with a membrane facing downwards due to violation of an implantation technique. The camera was adjusted during the second operation.

  8. Fixed Implant Supported Rehabilitation of Partially Edentulous Posterior Maxilla in a Patient With Systemic Scleroderma: A Case Report. (United States)

    Baptist, Benjamin A


    Systemic Scleroderma (SSc) is an autoimmune disease that affects connective tissue, resulting in hardening skin, reduced vascular perfusion, gingival fibrosis, enlarged periodontal ligament, xerostomia, and trigeminal neuralgia. Secondary effects, including reduced oral opening and reduced manual dexterity may exacerbate the primary effects. Severe bone loss and premature tooth loss are common eventualities of SSc. Removable prosthetics can be a tedious option for these patients as the progression of the disease often leads to the impossibility of obtaining minimal standards of care, including stability, retention, and hygienic maintainability. Implant treatment of patients with Systemic Scleroderma is poorly documented, and common medications used to treat SSc have been considered relative contraindications to the prescription of dental implant therapy. This report describes 1 case after 2 years in function, where dental implants were successfully utilized to offer definitive fixed rehabilitation to a patient with SSc.

  9. Electroanalysis of tetracycline using nickel-implanted boron-doped diamond thin film electrode applied to flow injection system. (United States)

    Treetepvijit, Surudee; Chuanuwatanakul, Suchada; Einaga, Yasuaki; Sato, Rika; Chailapakult, Orawon


    The electrochemical analysis of tetracycline was investigated using nickel-implanted boron-doped diamond thin film electrode by cyclic voltammetry and amperometry with a flow injection system. Cyclic voltammetry was used to study the electrochemical oxidation of tetracycline. Comparison experiments were carried out using as-deposited boron-doped diamond thin film electrode (BDD). Nickel-implanted boron-doped diamond thin film electrode (Ni-DIA) provided well-resolved oxidation irreversible cyclic voltammograms. The current signals were higher than those obtained using the as-deposited BDD electrode. Results using nickel-implanted boron-doped diamond thin film electrode in flow injection system coupled with amperometric detection are presented. The optimum potential for tetracycline was 1.55 V versus Ag/AgCl. The linear range of 1.0 to 100 microM and the detection limit of 10 nM were obtained. In addition, the application for drug formulation was also investigated.


    Directory of Open Access Journals (Sweden)



    Full Text Available Thermal patterns of an area which underwent a polyphase deformation history such as the Carnic Alps were analyzed using the Colour Alteration Index (CAI of conodonts in order to constrain some aspects of the metamorphic history of this part of the Southern Alps. Hercynian and alpine tectonothermal events were distinguished using CAI analysis.  The Hercynian event developed temperatures up to low metamorphic conditions. Alpine tectonogenesis did not produce thermal levels in excess of the diagenetic zone. Moreover, CAI patterns allow recognition and evaluation of a hydrothermal metamorphic overprint of Permo-Triassic or Oligocene age that was superimposed on the pre-existing regional metamorphic zonation.   


    Directory of Open Access Journals (Sweden)

    A. M. Cherniavskiy


    Full Text Available The aim of investigation isestimation of mechanical heart support system «INCOR» implantation efficacy. Materials and methods. The Institute of Circulation Pathology has clinical experience of mechanical circulatory support systems «INCOR» (Berlin Heart AG implantation in 12 patients (10 men and 2 women with severe heart failure during the period from November 2006 to October 2012. The main indication for the use of mechanical support of the left ventricle was a left ventricular failure with marked dilatation of the left heart: end-diastolic volume (EDV, LV – 283 ± 58 ml, end-systolic volume (ESV – 233 ± 57 ml, ejection fraction (EF – 16 ± 7%, with preserved function of the right ventricle (RV (RV ejection fraction 35 ± 12%. Results. All patients showed a significant improvement in central hemodynamics in early postoperative period, reducing the volume of the heart chambers: LV EDV from 283 ± 58 to 183 ± 94 ml; LV ESV with 234 ± 57 to 157 ± 65 ml, increased right ventricular ejection fraction (RV EF (from 35 ± 12 to 43 ± 17%. Improve the function of the right ventricle oc- curred mainly due to the expense of left ventricular unloading and pulmonary circulation. In addition, there was a significant improvement in clinical status of patients – regression of symptoms of heart failure, a recovery of the liver and kidney function. Despite the ongoing anticoagulation and antiplatelet therapy under constant parameters of coagulation, there was some complications. Uterine bleeding occurred in 1 patient (16.6%, which required the abolition of anticoagulants and antiplatelet, uterine artery embolization, and as a result has led to thrombosis and stop system «INCOR». Four patients (33.3% had severe thromboembolic complications – acute cerebrovascular accident (CVA. In 1 patient (8% there was a hemorrhagic stroke due to rupture of intracerebral aneurysms with a breakthrough into the lateral ventricle of the brain. In 3 patients (25

  12. A comparative evaluation of implant supported zirconia framework gap of two CAD/CAM systems

    Directory of Open Access Journals (Sweden)

    Narges Ameri


    computer-aided manufacturing (CAM systems (AmannGirrbach and Zirkonzahn. Materials and Methods: The master model of 3-unit FDP was made of two implant abutments (AmannGirrbach and Zirkonzahn from canine to second premolar. Twelve frameworks were manufactured using each fabricating system from semi-sintered zirconia blanks, which had to be sintered for final density after milling. After manufacturing, the absolute marginal discrepancy in each abutment were determined by means of Video Measurement System (VMS. The data were analyzed, using independent and paired t test (P=0.05. Results: For the premolar abutment, the absolute marginal discrepancy of frameworks fabricated by AmannGirrbach system was significantly greater than those of the other system (P=0.005. There was no significant difference between the marginal discrepancy of canine and premolar abutments (P>0.05. Conclusion: Within the limitations of this study, it could be concluded that the marginal fit of zirconia FDPs was significantly dependent on the CAD/CAM system used, but the abutment size was not an effective factor.

  13. Arginine oscillation explains Na+ independence in the substrate/product antiporter CaiT. (United States)

    Kalayil, Sissy; Schulze, Sabrina; Kühlbrandt, Werner


    Most secondary-active transporters transport their substrates using an electrochemical ion gradient. In contrast, the carnitine transporter (CaiT) is an ion-independent, l-carnitine/γ-butyrobetaine antiporter belonging to the betaine/carnitine/choline transporter family of secondary transporters. Recently determined crystal structures of CaiT from Escherichia coli and Proteus mirabilis revealed an inverted five-transmembrane-helix repeat similar to that in the amino acid/Na(+) symporter LeuT. The ion independence of CaiT makes it unique in this family. Here we show that mutations of arginine 262 (R262) make CaiT Na(+)-dependent. The transport activity of R262 mutants increased by 30-40% in the presence of a membrane potential, indicating substrate/Na(+) cotransport. Structural and biochemical characterization revealed that R262 plays a crucial role in substrate binding by stabilizing the partly unwound TM1' helix. Modeling CaiT from P. mirabilis in the outward-open and closed states on the corresponding structures of the related symporter BetP reveals alternating orientations of the buried R262 sidechain, which mimic sodium binding and unbinding in the Na(+)-coupled substrate symporters. We propose that a similar mechanism is operative in other Na(+)/H(+)-independent transporters, in which a positively charged amino acid replaces the cotransported cation. The oscillation of the R262 sidechain in CaiT indicates how a positive charge triggers the change between outward-open and inward-open conformations as a unifying critical step in LeuT-type transporters.

  14. Design and optimization of a 3-coil resonance-based wireless power transfer system for biomedical implants

    KAUST Repository

    Yi, Ying


    This paper presents a resonance-based wireless power transfer system using a single layer of inductor coil windings, in a pancake configuration, in order to obtain a compact system for implantable electronic applications. We theoretically analyzed the system and characterized it by measuring its inductance, self-resonant frequency, and quality factor Q. In our resonance-based wireless power transfer prototype, we proposed a 3-coil system, using two 15-mm radius implantable coils, with a resonance frequency of 6.76MHz. This system can effectively transfer power for a distance of up to 50mm. Moreover, our proposed 3-coil system can achieve a high Q-factor and has a comparable power transfer efficiency (PTE) to previously reported works about 3-coil and 4-coil systems. The experimental PTE can achieve 82.4% at a separation distance of 20mm and more than 10% PTE at a distance of 40mm.

  15. Reconstitution of the central nervous system during salamander tail regeneration from the implanted neurospheres. (United States)

    McHedlishvili, Levan; Mazurov, Vladimir; Tanaka, Elly M


    Urodele amphibians such as axolotl are well known for their regenerative potential of the damaged central nervous system structures. Upon tail amputation, neural stem cells behind the amputation plane undergo self-renewing divisions and contribute to the functional spinal cord in the newly formed regenerate. The neural stem cells, harboring this potential, can be isolated from the animal and cultured under the suspension conditions. After 2-3 weeks in vitro they will proliferate and form the floating aggregates of the spherical shape, so-called neurospheres. Reimplanted back into the animal, the neurospheres can efficiently integrate in the spinal cord lesion and contribute to the following spinal cord regeneration events. Here we demonstrate the unique method of the axolotl tail spinal cord regeneration from the implanted neurosphere.

  16. Mandibular two-implant overdentures: three-year prosthodontic maintenance using the locator attachment system. (United States)

    Mackie, Andrew; Lyons, Karl; Thomson, W Murray; Payne, Alan G T


    Limited clinical research identifies prosthodontic maintenance requirements of mandibular overdentures using the Locator attachment system. Sixty-five edentulous participants received complete maxillary dentures opposing mandibular two-implant overdentures with either Locator nylon (n = 21), Southern plastic (n = 24), or Straumann gold (n = 20) matrices. Prosthodontic maintenance was recorded prospectively for 3 years using defined categories. Over the 3-year period, a mean 3.52 ± 4.8, 2.08 ± 1.9, and 5.5 ± 4.2 maintenance events occurred for Locator, Southern, and Straumann participants, respectively. Prosthodontic success rates of 90% in the Locator nylon group, 88% in the Southern plastic group, and 75% in the Straumann gold group were achieved. Int J Prosthodont 2011;24:328-331.

  17. On native Danish learners' challenges in distinguishing /tai/, /cai/ and /zai/

    DEFF Research Database (Denmark)

    Sloos, Marjoleine; Zhang, Chun


    Chinese (L2) initial consonants, namely , phonologically /th ts tsh/. Impressionistically, disentangling tai-cai-zai is extremely challenging for Danish learners, but experimental confirmation is lacking (Wang, Sloos & Zhang 2015, forthcoming). Eighteen native Danish learners of Chinese of Aarhus...... University participated in an ABX experiment. They were auditorily presented pairs of the critical stimuli tai-cai-zai, te-ce-ze and tuo-cuo-zuo combined with all four tones and alternated with fillers. The subjects indicated for each pair which of the two words matched the pinyin description. The expected...

  18. Germination of white radish, buckwheat and qing-geng-cai under low pressure in closed environment. (United States)

    Hinokuchi, Tsutomu; Oshima, Satoshi; Hashimoto, Hirofumi


    In order to cultivate plants under low pressure in closed environment, the germination rate of seeds of white radish was investigated under low pressure, low oxygen partial pressure and condition of pure oxygen. The result of these experiments showed that the germination rate was affected by the oxygen partial pressure. From this fact, it is possible to lower the total pressure by using only the pure oxygen in germination. Furthermore, the germination rates of seeds of buckwheat and qing-geng-cai were also investigated in pure oxygen for the comparison. Consequently, though tendency in germination rate of white radish was similar to qing-geng-cai, it was different from buckwheat.

  19. A comparative analysis of the accuracy of implant transfer impressions using the Ankylos® system


    Haubold, Henrik


    A follow-up long term prognosis of an implant retained superstructure depends heavily in an exact and precise fitting. In order to achieve this precise fitting the impression must ?register? the exact position of the implants in the oral cavity. This procedure seems to be the critical factor for the fitting precision of the implantsupported superstructure. The objective of this study was measuring the influence of different parameters to transfer precision of implant positions using the...

  20. Functional biocompatibility testing of silicone breast implants and a novel classification system based on surface roughness. (United States)

    Barr, S; Hill, E W; Bayat, A


    Increasing numbers of women undergo breast implantation for cosmetic and reconstructive purposes. Contracture of the fibrous capsule, which encases the implant leads to significant pain and reoperation. Texture, wettability and the cellular reaction to implant surfaces are poorly understood determinants of implant biocompatibility. The aim of this study was to evaluate the in-vitro characteristics of a range of commercial available implants using a macrophage based assay of implant biocompatibility and a quantitative assessment of wettability and texture. Thirteen commercially available surfaces were subjected to wettability and texture characterisation using scanning and laser confocal microscopy. THP-1 macrophages were cultured on their surfaces and assessed using Integrin αV immunocytochemistry, SEM and RT-PCR for the expression of TNF-Alpha, IL-6, IL-10 and a cytokine array for the production of TNF-alpha, IL-10, IL-1RA and IL1β; important indicators of inflammation and macrophage polarization. Textured surfaces can be accurately sub-categorized dependent upon roughness and re-entrant features into four main types (macro, micro, meso and nano-textured surfaces). Significant (P based on roughness and present a macrophage based assay of breast implant biocompatibility with a quantitative assessment of implant wettability and texture. The breast implant surface-cell interaction is variable and sufficient to alter healing response and capsular contracture fate in-vivo. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

  1. CAI and the Development of Automaticity in Mathematics Skills in Students with and without Mild Mental Handicaps. (United States)

    Lin, Agnes; And Others


    Describes a study that compared computer-assisted instruction (CAI) and a more traditional paper-and-pencil method in teaching mathematics skills to elementary school students with and without mild mental handicaps. Pretests and posttests were analyzed, and it was found that CAI, and extended practice, enhanced automatization of mathematics…

  2. Gender Role, Gender Identity and Sexual Orientation in CAIS ("XY-Women") Compared With Subfertile and Infertile 46,XX Women. (United States)

    Brunner, Franziska; Fliegner, Maike; Krupp, Kerstin; Rall, Katharina; Brucker, Sara; Richter-Appelt, Hertha


    The perception of gender development of individuals with complete androgen insensitivity syndrome (CAIS) as unambiguously female has recently been challenged in both qualitative data and case reports of male gender identity. The aim of the mixed-method study presented was to examine the self-perception of CAIS individuals regarding different aspects of gender and to identify commonalities and differences in comparison with subfertile and infertile XX-chromosomal women with diagnoses of Mayer-Rokitansky-Küster-Hauser syndrome (MRKHS) and polycystic ovary syndrome (PCOS). The study sample comprised 11 participants with CAIS, 49 with MRKHS, and 55 with PCOS. Gender identity was assessed by means of a multidimensional instrument, which showed significant differences between the CAIS group and the XX-chromosomal women. Other-than-female gender roles and neither-female-nor-male sexes/genders were reported only by individuals with CAIS. The percentage with a not exclusively androphile sexual orientation was unexceptionally high in the CAIS group compared to the prevalence in "normative" women and the clinical groups. The findings support the assumption made by Meyer-Bahlburg ( 2010 ) that gender outcome in people with CAIS is more variable than generally stated. Parents and professionals should thus be open to courses of gender development other than typically female in individuals with CAIS.

  3. Revision of the Oriental leafhopper genus Destinoides Cai & He (Hemiptera: Cicadellidae: Ledrinae), with a new synonym and two new combinations. (United States)

    Sun, Jing; Webb, Michael D; Zhang, Yalin


    The leafhopper genus Destinoides Cai & He is revised to include two species D. latifrons (Walker 1851, Ledra) n. comb. and D. conspicuus (Distant 1907, Petalocephala) n. comb. Destinoides fasciata Cai & He, 2000 is placed as a junior synonym of D. latifrons, syn. nov. These two species are redescribed and illustrated in detail and a key is given based on the males.

  4. Implant overdenture using a locator bar system by drill and tapping technique in a mandible edentulous patient: a case report. (United States)

    Kim, Min-Su; Yoon, Mi-Jung; Huh, Jung-Bo; Jeon, Young-Chan; Jeong, Chang-Mo


    Various options have been introduced for the selection of implant overdenture attachments. Attachment wear due to the repeated insertion and removal of dentures has caused problems such as decreased retention and the requirement for suprastructure remanufacturing. In these cases, a Locator bar system was applied using the drill and tapping technique to achieve total retrievability. In a 55-year-old female patient who showed three degrees of mobility in most of her teeth due to severe alveolar bone loss, a complete denture in the maxilla and an implant supported type overdenture in the mandible were planned after extracting all the remaining teeth. Six implants were placed from canine region to the distal molar region, and the locator was connected to the milled bar using the drill and tapping technique. For a 61-year-old female edentulous patient who complained of poor retention with old denture, a complete denture in the maxilla and an implant-tissue supported type overdenture in the mandible were planned. Four implants were placed in front of mental foramen, and the Locator was also connected to the Hader bar using the drill and tapping technique. With this technique, female parts can be easily replaced, and retention can be continuously maintained.

  5. [Mandibular bone tissue regeneration after the introduction of the implantation system performed on the basis of carbon composite material]. (United States)

    Chetvertnykh, V A; Loginova, N P; Astashina, N B; Rogozhnikov, G I; Rapekta, S I


    The purpose of this study was to investigate the processes of regeneration of bone tissue after the introduction of new implant systems. In the experiment, performed on 10 male pigs of Landras breed aged 50-55 days and weighing 17-18.5 kg, the time course of histological changes was studied in the area of mandibular regeneration after the formation of tissue defect and the introduction of the implant of a proposed construction. Morphological analysis of the experimental results 90, 180 and 270 days after the operation demonstrated the process of reparative regeneration of damaged bone along implant-bone block boundaries. Bone repair proceeded through the stage of formation of the woven bone with its progressive substitution by the lamellar bone, with the maintenance of the shape, size and symmetry of the damaged organ.

  6. Dental Implants. (United States)

    Griggs, Jason A


    Systematic reviews of literature over the period between 2008 and 2017 are discussed regarding clinical evidence for the factors affecting survival and failure of dental implants. The factors addressed include publication bias, tooth location, insertion torque, collar design, implant-abutment connection design, implant length, implant width, bone augmentation, platform switching, surface roughness, implant coatings, and the use of ceramic materials in the implant body and abutment. Copyright © 2017 Elsevier Inc. All rights reserved.

  7. Low-Power, 8-Channel EEG Recorder and Seizure Detector ASIC for a Subdermal Implantable System. (United States)

    Do Valle, Bruno G; Cash, Sydney S; Sodini, Charles G


    EEG remains the mainstay test for the diagnosis and treatment of patients with epilepsy. Unfortunately, ambulatory EEG systems are far from ideal for patients who have infrequent seizures. These systems only last up to 3 days and if a seizure is not captured during the recordings, a definite diagnosis of the patient's condition cannot be given. This work aims to address this need by proposing a subdermal implantable, eight-channel EEG recorder and seizure detector that has two modes of operation: diagnosis and seizure counting. In the diagnosis mode, EEG is continuously recorded until a number of seizures are recorded. In the seizure counting mode, the system uses a low-power algorithm to track the number of seizures a patient has, providing doctors with a reliable count to help determine medication efficacy or other clinical endpoint. An ASIC that implements the EEG recording and seizure detection algorithm was designed and fabricated in a 0.18 μm CMOS process. The ASIC includes eight EEG channels and is designed to minimize the system's power and size. The result is a power-efficient analog front end that requires 2.75 μW per channel in diagnosis mode and 0.84 μW per channel in seizure counting mode. Both modes have an input referred noise of approximately 1.1 μVrms.

  8. Sustained systemic delivery of green tea polyphenols by polymeric implants significantly diminishes benzo[a]pyrene-induced DNA adducts. (United States)

    Cao, Pengxiao; Vadhanam, Manicka V; Spencer, Wendy A; Cai, Jian; Gupta, Ramesh C


    The polyphenolics in green tea are believed to be the bioactive components. However, poor bioavailability following ingestion limits their efficacy in vivo. In this study, polyphenon E (poly E), a standardized green tea extract, was administered by sustained-release polycaprolactone implants (two, 2-cm implants; 20% drug load) grafted subcutaneously or via drinking water (0.8% w/v) to female S/D rats. Animals were treated with continuous low dose of benzo[a]pyrene (BP) via subcutaneous polymeric implants (2 cm; 10% load) and euthanized after 1 and 4 weeks. Analysis of lung DNA by (32)P-postlabeling resulted in a statistically significant reduction (50%; p = 0.023) of BP-induced DNA adducts in the implant group; however, only a modest (34%) but statistically insignificant reduction occurred in the drinking water group at 1 week. The implant delivery system also showed significant reduction (35%; p = 0.044) of the known BP diolepoxide-derived DNA adduct after 4 weeks. Notably, the total dose of poly E administered was >100-fold lower in the implant group than the drinking water group (15.7 versus 1,632 mg, respectively). Analysis of selected phase I, phase II, and nucleotide excision repair enzymes at both mRNA and protein levels showed no significant modulation by poly E, suggesting that the reduction in the BP-induced DNA adducts occurred presumably due to known scavenging of the antidiolepoxide of BP by the poly E catechins. In conclusion, our study demonstrated that sustained systemic delivery of poly E significantly reduced BP-induced DNA adducts in spite of its poor bioavailability following oral administration.

  9. The impact of glucocorticosteroids administered for systemic diseases on the osseointegration and survival of dental implants placed without bone grafting-A retrospective study in 31 patients. (United States)

    Petsinis, Vassilis; Kamperos, Georgios; Alexandridi, Foteini; Alexandridis, Konstantinos


    To evaluate the impact of glucocorticosteroids, administered for the treatment of systemic diseases, on the osseointegration and survival of dental implants placed without bone grafting. A retrospective study was conducted in search of patients treated with dental implants while receiving glucocorticosteroid therapy for various systemic diseases. In these cases, a conventional two-stage surgical protocol was used, without bone regeneration procedures. The osseointegration was clinically and radiographically tested at the uncovering of the implants. The follow-up after loading was set at a minimum of 3 years. A total of 31 patients were included in the study. Of the 105 dental implants placed, 104 were osseointegrated (99%). No bone absorption was radiographically noted at the uncovering of the osseointegrated implants. All of the osseointegrated implants were successfully loaded for the prosthetic restoration. The mean follow-up period after loading was 71 months, with an implant survival rate of 99%. Glucocorticosteroid intake for systemic diseases does not have a significant impact on the osseointegration and the 3-year survival of dental implants placed with a conventional two-stage surgical protocol and without bone grafting. Therefore, it should not be considered a contraindication for dental implant placement. Copyright © 2017 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

  10. Assessment of SAR and thermal changes near a cochlear implant system for mobile phone type exposures. (United States)

    McIntosh, Robert L; Iskra, Steve; McKenzie, Raymond J; Chambers, John; Metzenthen, Bill; Anderson, Vitas


    A cochlear implant system is a device used to enable hearing in people with severe hearing loss and consists of an internal implant and external speech processor. This study considers the effect of scattered radiofrequency fields when these persons are subject to mobile phone type exposure. A worst-case scenario is considered where the antenna is operating at nominal full power, the speech processor is situated behind the ear using a metallic hook, and the antenna is adjacent to the hook and the internal ball electrode. The resultant energy deposition and thermal changes were determined through numerical modelling. With a 900 MHz half-wave dipole antenna producing continuous-wave (CW) 250 mW power, the maximum 10 g averaged SAR was 1.31 W/kg which occurred in the vicinity of the hook and the ball electrode. The maximum temperature increase was 0.33 degrees C in skin adjacent to the hook. For the 1800 MHz antenna, operating at 125 mW, the maximum 10 g averaged SAR was 0.93 W/kg in the pinna whilst the maximum temperature change was 0.16 degrees C. The analysis predicts that the wearer complies with the radiofrequency safety limits specified by the International Commission on Non-Ionizing Radiation Protection (ICNIRP), the Institute of Electrical and Electronics Engineers (IEEE), and the Australian Radiation Protection and Nuclear Safety Agency (ARPANSA) for 900 and 1800 MHz mobile phone type exposure and thus raises no cause for concern. The resultant temperature increase is well below the maximum rise of 1 degrees C recommended by ICNIRP. Effects in the cochlea were insignificant.

  11. Systemic Assessment of Calcium and Phosphorus Level after Implantation of Porous Iron in Rats (United States)

    Siallagan, S. F.; Amelia, F.; Utami, N. D.; Ulum, M. F.; Boediono, A.; Estuningsih, S.; Hermawan, H.; Noviana, D.


    One of important aspects in bone healing process is physiological level of calcium (Ca), and phosphorus (P) that can be altered by implantation of biodegradable porous iron. Therefore, this study aims to investigate the concentration of Ca, P and Ca/P ratio in the peripheral blood during the implantation period up to 4 months. Forty adult male Sprague Dawley rats were used and divided into 3 groups receiving different pore size of iron implants (pore size 450, 580, 800μm) and one group of sham. The implants (5x2x0.5mm) were inserted into flat bone defects at latero-medial of femoral bone. Blood sample was taken from ventral tail artery before and after 4 month of implantation. Calcium and P concentrations in the blood were determined by BA-88A Semi-Auto Chemistry Analyzer. Results showed that concentration of Ca and P are slightly higher after implantation than before implantation, except for the 450μm group. The Ca/P ratio before and after implantation was increased in the sham group, and decreased in the 450 and 800μm groups. Concentration of Ca, P and Ca/P ratio insignificantly change between before and 4 months after surgery in some groups.

  12. Operative technique for insertion of a totally implantable system for venous access. (United States)

    Sterchi, J M; Fulks, D; Cruz, J; Paschold, E


    A totally implantable venous access device is described and a step by step technique for implanting the device is given. Among 203 patients in whom the technique has been used, thrombosis of the subclavian or jugular vein has occurred in only three. There have been no pulmonary complications, and only three devices have been removed because of infection.

  13. Development of implantable hemodialysis system using PES membranes with high water-permeability. (United States)

    To, N; Sanada, I; Ito, H; Morita, S; Kanno, Y; Miki, N


    This paper presents development of high water-permeable dialysis membranes. We proposed the system that does not use dialysis fluid for the implantable micro dialysis treatment and development of such membranes is crucial. We developed micro dialysis system composed by nanoporous membranes and microfluidic channels in our prior work. The membranes were made of nanoporous polyethersulfone (PES), which was not water-permeable. By not using dialysate, our device can be simplified because the pumps and storage tanks for the dialysis fluid are not necessary. This treatment is termed as hemofiltration. We measured the water permeability of PES membrane with respect to the concentrations of the PES, the additives, and the solvents in the casting solution. We could find the membranes with sufficiently high water permeability through in vitro experiments using a syringe pomp and whole cow blood, and the membrane had enough mechanical strength. We conducted experiments with multi-layered device in in vitro and in vivo using rats, where the system was connected to the vein and artery. We successfully collected the filtrate beyond target line, which was set by a medical doctor, without any leakage of blood from the device. The results verified that the filtration device can be scaled-up by increasing a number of the layer. We connected the device to a rat for 5h. It was verified the device maintained almost constant water permeability beyond our target line.

  14. First clinical implant of the VentrAssist left ventricular assist system as destination therapy for end-stage heart failure. (United States)

    Esmore, Donald S; Kaye, David; Salamonsen, Robert; Buckland, Mark; Rowland, Michael; Negri, Justin; Rowley, Yvonne; Woodard, John; Begg, John R; Ayre, Peter; Rosenfeldt, Franklin L


    The VentrAssist device left ventricular assist system, designed for permanent implantation, is a novel centrifugal pump with a hydrodynamically suspended rotor. The first human implant was into a 72-year-old man with New York Heart Association (NYHA) class IV heart failure due to idiopathic dilated cardiomyopathy. The implant and recovery were uneventful, and the patient survives at 17 months, is NYHA class II, and lives at home. This device shows promise in end-stage heart failure for permanent implantation and bridge to transplantation.

  15. Evaluation of Title I CAI Programs at Minnesota State Correctional Institutions. (United States)

    Sandman, Richard S.; Welch, Wayne W.

    Three Minnesota correctional institutions used computer-assisted instruction (CAI) on PLATO terminals to improve reading and mathematics skills: (1) the State Reformatory for Men, St. Cloud (males, ages 17-21); (2) the Minnesota Home School, Sauk Centre (males and females, ages 12-18); and (3) the State Training School, Red Wing (males, ages…

  16. Socioeconomic Status, Aptitude, and Gender Differences in CAI Gains of Arithmetic. (United States)

    Hativa, Nira; Shorer, Dvora


    A report is given of a study which examined the effects of computer-assisted instruction (CAI) in mathematics on 99 disadvantaged and 112 advantaged Israeli students. Higher performance levels and larger gains were found for advantaged over disadvantaged students, for high achievers over low achievers, and for boys over girls. (IAH)

  17. CAIS/ACSI 2001: Beyond the Web: Technologies, Knowledge and People. (United States)

    Canadian Journal of Information and Library Science, 2000


    Presents abstracts of papers presented at the 29th Annual Conference of the Canadian Association for Information Science (CAIS) held in Quebec on May 27-29, 2001. Topics include: professional development; librarian/library roles; information technology uses; virtual libraries; information seeking behavior; literacy; information retrieval;…

  18. Calcium-aluminum-rich inclusions with fractionation and unknown nuclear effects (FUN CAIs)

    DEFF Research Database (Denmark)

    Krot, Alexander N.; Nagashima, Kazuhide; Wasserburg, Gerald J.


    We present a detailed characterization of the mineralogy, petrology, and oxygen isotopic compositions of twelve FUN CAIs, including C1 and EK1-4-1 from Allende (CV), that were previously shown to have large isotopic fractionation patterns for magnesium and oxygen, and large isotopic anomalies of ...

  19. Effectiveness of Computer Assisted Instructions (CAI) in Teaching of Mathematics at Secondary Level (United States)

    Dhevakrishnan, R.; Devi, S.; Chinnaiyan, K.


    The present study was aimed at effectiveness of computer assisted instructions (CAI) in teaching of mathematics at secondary level adopted experimental method and observing the difference between (CAI) and traditional method. A sample of sixty (60) students of IX class in VVB Matriculation Higher Secondary School at Elayampalayam, Namakkal district were selected for a sample and sample was divided into two group namely experiment and control group. The experimental group consisted 30 students who were taught 'Mensurationí by the computer assisted instructions and the control groups comprising 30 students were taught by the conventional method of teaching. Data analyzed using mean, S.D. and t-test. Findings of the study clearly point out that significant increase in the mean gain scores has been found in the post test scores of the experimental group. Significant differences have been found between the control group and experimental group on post test gain scores. The experiment group, which was taught by the CAI showed better, learning. The conclusion is evident that the CAI is an effective media of instruction for teaching Mathematics at secondary students.s

  20. Consumption of fa cai Nostoc soup: a potential for BMAA exposure from Nostoc cyanobacteria in China? (United States)

    Roney, Britton R; Renhui, Li; Banack, Sandra Anne; Murch, Susan; Honegger, Rosmarie; Cox, Paul Alan


    Grown in arid regions of western China the cyanobacterium Nostoc flagelliforme--called fa cai in Mandarin and fat choy in Cantonese--is wild-harvested and used to make soup consumed during New Year's celebrations. High prices, up to $125 USD/kg, led to overharvesting in Inner Mongolia, Ningxia, Gansu, Qinghai, and Xinjiang. Degradation of arid ecosystems, desertification, and conflicts between Nostoc harvesters and Mongol herdsmen concerned the Chinese environmental authorities, leading to a government ban of Nostoc commerce. This ban stimulated increased marketing of a substitute made from starch. We analysed samples purchased throughout China as well as in Chinese markets in the United States and the United Kingdom. Some were counterfeits consisting of dyed starch noodles. A few samples from California contained Nostoc flagelliforme but were adulterated with starch noodles. Other samples, including those from the United Kingdom, consisted of pure Nostoc flagelliforme. A recent survey of markets in Cheng Du showed no real Nostoc flagelliforme to be marketed. Real and artificial fa cai differ in the presence of beta-N-methylamino-L-alanine (BMAA). Given its status as a high-priced luxury food, the government ban on collection and marketing, and the replacement of real fa cai with starch substitutes consumed only on special occasions, it is anticipated that dietary exposure to BMAA from fa cai will be reduced in the future in China.

  1. Using CAI To Enhance the Peer Acceptance of Mainstreamed Students with Mild Disabilities. (United States)

    Culliver, Concetta; Obi, Sunday

    This study applied computer-assisted instruction (CAI) techniques to improve peer acceptance among 92 mainstreamed students with mild disabilities from 10 to 13 years of age. Participants in the treatment group received their generalized curriculum program (including mathematics, language arts, reading, health, social studies, and science)…

  2. Irradiation influence on Mylar and Makrofol induced by argon ions in a plasma immersion ion implantation system

    Energy Technology Data Exchange (ETDEWEB)

    Hassan, A. [Accelerators & Ion Sources Department, Nuclear Research Center, Atomic Energy Authority, P.O. 13759, Cairo (Egypt); El-Saftawy, A.A., E-mail: [Accelerators & Ion Sources Department, Nuclear Research Center, Atomic Energy Authority, P.O. 13759, Cairo (Egypt); Aal, S.A. Abd El [Central Lab. for Elemental & Isotopic Analysis, Nuclear Research Center, Atomic Energy Authority, P.O. 13759, Cairo (Egypt); Ghazaly, M. El [Physiology Department, College of Medicine, Taif University, P.O. 888, Taif (Saudi Arabia); Physics Department, Faculty of Science, Zagazig University, P.O. 44519, Zagazig (Egypt)


    Highlights: • A home-built plasma immersion ion implantation system was tested in modifying surfaces. • Wettability modifications within the energy range 10 keV implantation are not investigated elsewhere, up to our knowledge. • The wettability of Mylar and Makrofol surface was enhanced by the dual effect of ion implantation and plasma treatment. • The improved wettability was found to depend on both surface roughness and chemistry. • The adhesive bonding and surface energy of the polymers are improved. - Abstract: Mylar and Makrofol polycarbonate polymers were irradiated by Ar ions in a plasma immersion ion implantation (PIII) system. The surface wettability of both polymers was investigated by employing the contact angle method. The measured contact angles were found to depend on the surface layer properties. Good wetting surfaces were found to depend not only on surface roughness but also on its chemistry that analyzed by Fourier transform infrared (FTIR) spectroscopy. Surfaces topography and roughness was investigated and correlated to their surface energy which studied with the aid of acid-base model for evaluating the improvement of surface wettability after irradiation. PIII improves polymers surface properties efficiently in a controllable way.

  3. High-Throughput Proteomic Approaches to the Elucidation of Potential Biomarkers of Chronic Allograft Injury (CAI

    Directory of Open Access Journals (Sweden)

    Hilary Cassidy


    Full Text Available This review focuses on the role of OMICs technologies, concentrating in particular on proteomics, in biomarker discovery in chronic allograft injury (CAI. CAI is the second most prevalent cause of allograft dysfunction and loss in the first decade post-transplantation, after death with functioning graft (DWFG. The term CAI, sometimes referred to as chronic allograft nephropathy (CAN, describes the deterioration of renal allograft function and structure as a result of immunological processes (chronic antibody-mediated rejection, and other non-immunological factors such as calcineurin inhibitor (CNI induced nephrotoxicity, hypertension and infection. Current methods for assessing allograft function are costly, insensitive and invasive; traditional kidney function measurements such as serum creatinine and glomerular filtration rate (GFR display poor predictive abilities, while the current “gold-standard” involving histological diagnosis with a renal biopsy presents its own inherent risks to the overall health of the allograft. As early as two years post-transplantation, protocol biopsies have shown more than 50% of allograft recipients have mild CAN; ten years post-transplantation more than 50% of the allograft recipients have progressed to severe CAN which is associated with diminishing graft function. Thus, there is a growing medical requirement for minimally invasive biomarkers capable of identifying the early stages of the disease which would allow for timely intervention. Proteomics involves the study of the expression, localization, function and interaction of the proteome. Proteomic technologies may be powerful tools used to identify novel biomarkers which would predict CAI in susceptible individuals. In this paper we will review the use of proteomics in the elucidation of novel predictive biomarkers of CAI in clinical, animal and in vitro studies.

  4. Modulation of the maternal immune system by the pre-implantation embryo

    Directory of Open Access Journals (Sweden)

    Walker Caroline G


    Full Text Available Abstract Background A large proportion of pregnancy losses occur during the pre-implantation period, when the developing embryo is elongating rapidly and signalling its presence to the maternal system. The molecular mechanisms that prevent luteolysis and support embryo survival within the maternal environment are not well understood. To gain a more complete picture of these molecular events, genome-wide transcriptional profiles of reproductive day 17 endometrial tissue were determined in pregnant and cyclic Holstein-Friesian dairy cattle. Results Microarray analyses revealed 1,839 and 1,189 differentially expressed transcripts between pregnant and cyclic animals (with ≥ 1.5 fold change in expression; P-value Conclusion The maternal immune system actively surveys the uterine environment during early pregnancy. The embryo modulates this response inducing the expression of endometrial molecules that suppress the immune response and promote maternal tolerance to the embryo. During this period of local immune suppression, genes of the innate immune response (in particular, antimicrobial genes may function to protect the uterus against infection.

  5. Indicators of soil quality in the implantation of no-till system with winter crops

    Directory of Open Access Journals (Sweden)

    Marco Antonio Nogueira

    Full Text Available We assessed the effect of different winter crops on indicators of soil quality related to C and N cycling and C fractions in a Rhodic Kandiudult under no-till system at implantation, during two growing seasons, in Londrina PR Brazil. The experimental design was randomized blocks with split-plot in time arrangement, with four replications. The parcels were the winter crops: multicropping of cover crops with black oat (Avena strigosa, hairy vetch (Vicia villosa and fodder radish (Raphanus sativus; sunflower (Heliantus annuus intercropped with Urochloa ruziziensis; corn (Zea mays intercropped with Urochloa; and corn; fodder radish; or wheat (Triticum aestivum as sole crops. The subplots were the years: 2008 and 2009. Determinations consisted of total organic C, labile and resistant C, total N, microbial biomass C and N, the C/N ratio of soil organic matter, and the microbial quotient (qMic, besides microbiological and biochemical attributes, assessed only in 2009. The attributes significantly changed with the winter crops, especially the multicropping of cover crops and fodder radish, as well as effect of years. Despite stimulating the microbiological/biochemical activity, fodder radish cropping decreased the soil C in the second year, likewise the wheat cropping. The multicropping of cover crops in winter is an option for management in the establishment of no-till system, which contributes to increase the concentrations of C and stimulate the soil microbiological/biochemical activity.

  6. PreImplantation factor (PIF*) regulates systemic immunity and targets protective regulatory and cytoskeleton proteins. (United States)

    Barnea, Eytan R; Hayrabedyan, Soren; Todorova, Krassimira; Almogi-Hazan, Osnat; Or, Reuven; Guingab, Joy; McElhinney, James; Fernandez, Nelson; Barder, Timothy


    Secreted by viable embryos, PIF is expressed by the placenta and found in maternal circulation. It promotes implantation and trophoblast invasion, achieving systemic immune homeostasis. Synthetic PIF successfully transposes endogenous PIF features to non-pregnant immune and transplant models. PIF affects innate and activated PBMC cytokines and genes expression. We report that PIF targets similar proteins in CD14+, CD4+ and CD8+ cells instigating integrated immune regulation. PIF-affinity chromatography followed by mass-spectrometry, pathway and heatmap analysis reveals that SET-apoptosis inhibitor, vimentin, myosin-9 and calmodulin are pivotal for immune regulation. PIF acts on macrophages down-stream of LPS (lipopolysaccharide-bacterial antigen) CD14/TLR4/MD2 complex, targeting myosin-9, thymosin-α1 and 14-3-3eta. PIF mainly targets platelet aggregation in CD4+, and skeletal proteins in CD8+ cells. Pathway analysis demonstrates that PIF targets and regulates SET, tubulin, actin-b, and S100 genes expression. PIF targets systemic immunity and has a short circulating half-life. Collectively, PIF targets identified; protective, immune regulatory and cytoskeleton proteins reveal mechanisms involved in the observed efficacy against immune disorders. Copyright © 2016 Elsevier GmbH. All rights reserved.

  7. Development of data communication system with ultra high frequency radio wave for implantable artificial hearts. (United States)

    Tsujimura, Shinichi; Yamagishi, Hiroto; Sankai, Yoshiyuki


    In order to minimize infection risks of patients with artificial hearts, wireless data transmission methods with electromagnetic induction or light have been developed. However, these methods tend to become difficult to transmit data if the external data transmission unit moves from its proper position. To resolve this serious problem, the purpose of this study is to develop a prototype wireless data communication system with ultra high frequency radio wave and confirm its performance. Due to its high-speed communication rate, low power consumption, high tolerance to electromagnetic disturbances, and secure wireless communication, we adopted Bluetooth radio wave technology for our system. The system consists of an internal data transmission unit and an external data transmission unit (53 by 64 by 16 mm, each), and each has a Bluetooth module (radio field intensity: 4 dBm, receiver sensitivity: -80 dBm). The internal unit also has a micro controller with an 8-channel 10-bit A/D converter, and the external unit also has a RS-232C converter. We experimented with the internal unit implanted into pig meat, and carried out data transmission tests to evaluate the performance of this system in tissue thickness of up to 3 mm. As a result, data transfer speeds of about 20 kbps were achieved within the communication distance of 10 m. In conclusion, we confirmed that the system can wirelessly transmit the data from the inside of the body to the outside, and it promises to resolve unstable data transmission due to accidental movements of an external data transmission unit.

  8. NWA10758: A New CV3 Chondrite Bearing a Giant CAI with Hibonite-Rich Wark-Lovering Rim (United States)

    Ross, D. K.; Simon, J. I.; Zolensky, M.


    Northwest Africa (NWA) 10758 is a newly identified carbonaceous chondrite that is a Bali-like oxidized CV3. The large Ca-Al rich inclusion (CAI) in this sample is approx. 2.4 x 1.4 cm. The CAI is transitional in composition between type A and type B, with interior mineralogy dominated by melilite, plus less abundant spinel and Al-Ti rich diopside, and only very minor anorthite (Fig. 1A). This CAI is largely free of secondary alteration in the exposed section we examined, with almost no nepheline, sodalite or Ca-Fe silicates. The Wark-Lovering (WL) rim on this CAI is dominated by hibonite, with lower abundances of spinel and perovskite, and with hibonite locally overlain by melilite plus perovskite (as in Fig. 1B). Note that the example shown in 1B is exceptional. Around most of the CAI, hibonite + spinel + perovskite form the WL rim, without overlying melilite. The WL rim can be unusually thick, ranging from approx. 20 microns up to approx. 150 microns. A well-developed, stratified accretionary rim infills embayments of the CAI, and thins over protuberances in the convoluted CAI surface.

  9. Northwest Africa 10758: A New CV3 Chondrite Bearing a Giant CAI with Hibonite-Rich Wark-Lovering Rim (United States)

    Ross, D. K.; Simon, J. I.; Zolensky, M.


    Northwest Africa (NWA) 10758 is a newly identified carbonaceous chondrite that is a Bali-like oxidized CV3. The large Ca-Al rich inclusion (CAI) in this sample is approx. 2.4 x 1.4 cm. The CAI is transitional in composition between type A and type B, with interior mineralogy dominated by melilite, plus less abundant spinel and Al-Ti rich diopside, and only very minor anorthite (Fig. 1A). This CAI is largely free of secondary alteration in the exposed section we examined, with almost no nepheline, sodalite or Ca-Fe silicates. The Wark-Lovering (WL) rim on this CAI is dominated by hibonite, with lower abundances of spinel and perovskite, and with hibonite locally overlain by melilite plus perovskite (as in Fig. 1B). Note that the example shown in 1B is exceptional. Around most of the CAI, hibonite + spinel + perovskite form the WL rim, without overlying melilite. The WL rim can be unusually thick, ranging from approx.20 microns up to approx. 150 microns. A well-developed, stratified accretionary rim infills embayments of the CAI, and thins over protuberances in the convoluted CAI surface.

  10. Spinal shape modulation in a porcine model by a highly flexible and extendable non-fusion implant system

    NARCIS (Netherlands)

    Wessels, Martijn; Hekman, Edsko E. G.; Kruyt, Moyo C.; Castelein, Rene M.; Homminga, Jasper J.; Verkerke, Gijsbertus J.


    In vivo evaluation of scoliosis treatment using a novel approach in which two posterior implants are implanted: XSLAT (eXtendable implant correcting Scoliosis in LAT bending) and XSTOR (eXtendable implant correcting Scoliosis in TORsion). The highly flexible and extendable implants use only small, b

  11. Single surgical procedure combining epicardial pacemaker implantation and subsequent extraction of the infected pacing system for pacemaker-dependent patients. (United States)

    Amraoui, Sana; Barandon, Laurent; Whinnett, Zachary; Ploux, Sylvain; Labrousse, Louis; Denis, Arnaud; Oses, Pierre; Ritter, Philippe; Haissaguerre, Michel; Bordachar, Pierre


    Management of pacemaker infection in pacing-dependent patients is often challenging. Typically, temporary pacing is used while antibiotic therapy is given for a number of days before reimplantation of a new endocardial system. This results in a prolonged hospital stay and complications associated with temporary pacing. In this study, we examine the feasibility of performing a single combined procedure of epicardial pacemaker implantation followed by system extraction. One hundred consecutive infected pacemaker-dependent patients underwent implantation of 2 epicardial ventricular leads and were converted to a ventricular demand pacing system. The infected pacing system was then extracted during the same procedure. Patients were followed up for 12 months. Significant pericardial bleeding developed during the procedure in 3 patients. The presence of the pericardial drain positioned during the implantation of the epicardial pacing system meant that cardiac tamponade did not occur, allowing surgical repair with sternotomy to be carried out under stable hemodynamic conditions. Two of these 100 patients died in the 30-day postoperative period; 1 death was due to septic shock and 1 to pulmonary distress. Median 1-year epicardial pacing thresholds were stable and excellent (1.4 ± 0.9 volts). However, 1 of the 2 leads developed increased thresholds in 6 patients, which led to the exclusive use of other ventricular lead. A single combined procedure of surgical epicardial pacemaker implantation and pacemaker system extraction appears to be a safe and effective method for managing pacemaker-dependent patients with infected pacemakers. Copyright © 2013 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved.

  12. Chronological study of oxygen isotope composition for the solar protoplanetary disk recorded in a fluffy Type A CAI from Vigarano (United States)

    Kawasaki, Noriyuki; Itoh, Shoichi; Sakamoto, Naoya; Yurimoto, Hisayoshi


    -23‰) with (26Al/27Al)0 = (4.5 ± 0.4) × 10-5. The values of (26Al/27Al)0 are consistent with the formation sequence inferred from petrography. The formation period for the V2-01 CAI is estimated to be 0.18 ± 0.07 Myr from the difference in initial 26Al/27Al values. These data suggest that the oxygen isotopic composition of solar nebular gas surrounding the CAI changed from 16O-rich to 16O-poor and back to 16O-rich during the first ∼0.2 Myr of Solar System formation.

  13. A programmable energy efficient readout chip for a multiparameter highly integrated implantable biosensor system (United States)

    Nawito, M.; Richter, H.; Stett, A.; Burghartz, J. N.


    In this work an Application Specific Integrated Circuit (ASIC) for an implantable electrochemical biosensor system (SMART implant, Stett et al., 2014) is presented. The ASIC drives the measurement electrodes and performs amperometric measurements for determining the oxygen concentration, potentiometric measurements for evaluating the pH-level as well as temperature measurements. A 10-bit pipeline analog to digital (ADC) is used to digitize the acquired analog samples and is implemented as a single stage to reduce power consumption and chip area. For pH measurements, an offset subtraction technique is employed to raise the resolution to 12-bits. Charge integration is utilized for oxygen and temperature measurements with the capability to cover current ranges between 30 nA and 1 μA. In order to achieve good performance over a wide range of supply and process variations, internal reference voltages are generated from a programmable band-gap regulated circuit and biasing currents are supplied from a wide-range bootstrap current reference. To accommodate the limited available electrical power, all components are designed for low power operation. Also a sequential operation approach is applied, in which essential circuit building blocks are time multiplexed between different measurement types. All measurement sequences and parameters are programmable and can be adjusted for different tissues and media. The chip communicates with external unites through a full duplex two-wire Serial Peripheral Interface (SPI), which receives operational instructions and at the same time outputs the internally stored measurement data. The circuit has been fabricated in a standard 0.5-μm CMOS process and operates on a supply as low as 2.7 V. Measurement results show good performance and agree with circuit simulation. It consumes a maximum of 500 μA DC current and is clocked between 500 kHz and 4 MHz according to the measurement parameters. Measurement results of the on-chip ADC show a

  14. Comparison of Retentive Force in Four Attachment Systems in Implant- Supported Overdenture of the Lower Arch

    Directory of Open Access Journals (Sweden)

    Ahmadzadeh A.


    Full Text Available tement of Problem: Along with the rapid population growth in recent decades, there has been an increase in the number of edentulous patients who have complications with conventional denture. This entails the use of dentures, such as implant overdenture, which are more efficacious. Purpose: The purpose of this study is to compare four types of different attachm-ent systems; two prefabricated and two castable attachments. Materials and Method: A model of lower edentulous arch was constructed out of dental stone. Two parallel implants were placed in the canine region. A single cast metal chrome cobalt framework was fabricated to provide reinforcement for experimental overdentures and it splinted the two attachments on the cast. To conduct this study, four groups with six numbers of attachments in each group (superflex ball, locator, castable ball on bar, castable bar were selected. All the samples were put in a Universal Testing Machine and a tension force with the speed of 50 mm/ min was exerted to separate the framework from the cast. The tension force was recorded and the first two prefabricated attachments (superflex ball and locator were compared with the second two castable attachments (ball on bar, castable bar.Results: The findings of this study revealed that retention force of castable ball on bar was greater than the other three attachments (35.31±3.14N. With regard to the strength of retentive force, superflex ball took the second place (33.33± 3.11 N and locator (20.90± 3.74N and castable bar (14.74± 1.15N took the third and the forth places, respectively ( p >0.001. Conclusion: The retentive force of castable ball on bar was similar to that of superflex ball. Therefore, the use of this cheap attachment; castable ball on bar, is preferred to its prefabricated counterparts. The retentive force of this kind of attachment is greater than expensive locators. The retentive force of castable bar was similar to that of locator, although

  15. Systemic levels of metallic ions released from orthodontic mini-implants. (United States)

    de Morais, Liliane Siqueira; Serra, Glaucio Guimarães; Albuquerque Palermo, Elisabete Fernandes; Andrade, Leonardo Rodrigues; Müller, Carlos Alberto; Meyers, Marc André; Elias, Carlos Nelson


    Orthodontic mini-implants are a potential source of metallic ions to the human body because of the corrosion of titanium (Ti) alloy in body fluids. The purpose of this study was to gauge the concentration of Ti, aluminum (Al), and vanadium (V), as a function of time, in the kidneys, livers, and lungs of rabbits that had Ti-6Al-4V alloy orthodontic mini-implants placed in their tibia. Twenty-three New Zealand rabbits were randomly divided into 4 groups: control, 1 week, 4 weeks, and 12 weeks. Four orthodontic mini-implants were placed in the left proximal tibia of 18 rabbits. Five control rabbits had no orthodontic mini-implants. After 1, 4, and 12 weeks, the rabbits were killed, and the selected tissues were extracted and prepared for analysis by graphite furnace atomic absorption spectrophotometry. Low amounts of Ti, Al, and V were detectable in the 1-week, 4-weeks, and 12-weeks groups, confirming that release of these metals from the mini-implants occurs, with diffusion and accumulation in remote organs. Despite the tendency of ion release when using the Ti alloy as orthodontic mini-implants, the amounts of metals detected were significantly below the average intake of these elements through food and drink and did not reach toxic concentrations.

  16. Assessment of an implant-skin interface scoring system for external skeletal fixation of dogs. (United States)

    McDonald-Lynch, Mischa B; Marcellin-Little, Denis J; Roe, Simon C; Lascelles, B Duncan X; Trumpatori, Brian J; Griffith, Emily H


    OBJECTIVE To assess intraobserver repeatability and interobserver and in vivo versus photographic agreement of a scoring system for the implant-skin interface (ISI) of external skeletal fixation (ESF). SAMPLE 42 photographs of ISIs from 18 dogs for interobserver agreement and intraobserver repeatability and 27 photographs of ISIs from 6 dogs for in vivo versus photograph agreement. PROCEDURES An ISI inflammation scoring system was developed. It included scales for 6 metrics (erythema, drainage amount, drainage type, swelling, hair loss or lack of hair regrowth, and granulation tissue). Photographs of the ISI of ESF were obtained by use of a standard protocol and evaluated to determine intraobserver repeatability and interobserver agreement (Cronbach α; 4 raters) of the ISI score. Agreement between in vivo and photographic ISI scores (2 raters) and correlation between median scores across metrics were evaluated. RESULTS 42 photographs met the inclusion criteria. Overall intraclass correlation coefficients ranged from 0.922 to 0.975. Interobserver overall Cronbach α ranged from 0.835 to 0.943. For in vivo versus photographic assessment, 27 ISIs in 6 dogs and their photographs were evaluated. The Cronbach α for both raters ranged from 0.614 to 0.938. Overall, the Cronbach α ranged from 0.725 to 0.932. Mean photographic scores were greater than mean in vivo scores for each metric. Pearson correlation coefficients ranged from 0.221 to 0.923. Erythema, swelling, and granulation were correlated with all other metrics. CONCLUSIONS AND CLINICAL RELEVANCE In this study, an ISI scoring system used in this study had high repeatability and agreement and may therefore be considered for use in clinical situations. Photographic scores were not equivalent to in vivo scores and should not be used interchangeably.

  17. Improvement of the insertion axis for cochlear implantation with a robot-based system. (United States)

    Torres, Renato; Kazmitcheff, Guillaume; De Seta, Daniele; Ferrary, Evelyne; Sterkers, Olivier; Nguyen, Yann


    It has previously reported that alignment of the insertion axis along the basal turn of the cochlea was depending on surgeon' experience. In this experimental study, we assessed technological assistances, such as navigation or a robot-based system, to improve the insertion axis during cochlear implantation. A preoperative cone beam CT and a mastoidectomy with a posterior tympanotomy were performed on four temporal bones. The optimal insertion axis was defined as the closest axis to the scala tympani centerline avoiding the facial nerve. A neuronavigation system, a robot assistance prototype, and software allowing a semi-automated alignment of the robot were used to align an insertion tool with an optimal insertion axis. Four procedures were performed and repeated three times in each temporal bone: manual, manual navigation-assisted, robot-based navigation-assisted, and robot-based semi-automated. The angle between the optimal and the insertion tool axis was measured in the four procedures. The error was 8.3° ± 2.82° for the manual procedure (n = 24), 8.6° ± 2.83° for the manual navigation-assisted procedure (n = 24), 5.4° ± 3.91° for the robot-based navigation-assisted procedure (n = 24), and 3.4° ± 1.56° for the robot-based semi-automated procedure (n = 12). A higher accuracy was observed with the semi-automated robot-based technique than manual and manual navigation-assisted (p robot-based system reduces both the error and the variability of the alignment with a defined optimal axis.

  18. Image-guided smart laser system for precision implantation of cells in cartilage (United States)

    Katta, Nitesh; Rector, John A.; Gardner, Michael R.; McElroy, Austin B.; Choy, Kevin C.; Crosby, Cody; Zoldan, Janet; Milner, Thomas E.


    State-of-the-art treatment for joint diseases like osteoarthritis focus on articular cartilage repair/regeneration by stem cell implantation therapy. However, the technique is limited by a lack of precision in the physician's imaging and cell deposition toolkit. We describe a novel combination of high-resolution, rapid scan-rate optical coherence tomography (OCT) alongside a short-pulsed nanosecond thulium (Tm) laser for precise cell seeding in cartilage. The superior beam quality of thulium lasers and wavelength of operation 1940 nm offers high volumetric tissue removal rates and minimizes the residual thermal footprint. OCT imaging enables targeted micro-well placement, precise cell deposition, and feature contrast. A bench-top system is constructed using a 15 W, 1940 nm, nanosecond-pulsed Tm fiber laser (500 μJ pulse energy, 100 ns pulse duration, 30kHz repetition rate) for removing tissue, and a swept source laser (1310 ± 70 nm, 100 kHz sweep rate) for OCT imaging, forming a combined Tm/OCT system - a "smart laser knife". OCT assists the smart laser knife user in characterizing cartilage to inform micro-well placement. The Tm laser creates micro-wells (2.35 mm diameter length, 1.5 mm width, 300 μm deep) and micro-incisions (1 mm wide, 200 μm deep) while OCT image-guidance assists and demonstrates this precision cutting and cell deposition with real-time feedback. To test micro-well creation and cell deposition protocol, gelatin phantoms are constructed mimicking cartilage optical properties and physiological structure. Cell viability is then assessed to illustrate the efficacy of the hydrogel deposition. Automated OCT feedback is demonstrated for cutting procedures to avoid important surface/subsurface structures. This bench-top smart laser knife system described here offers a new image-guided approach to precise stem cell seeding that can enhance the efficacy of articular cartilage repair.

  19. Development of a wireless intra-ocular pressure monitoring system for incorporation into a therapeutic glaucoma drainage implant (United States)

    Kakaday, Tarun; Plunkett, Malcolm; McInnes, Steven; Li, Jim S. Jimmy; Voelcker, Nicolas H.; Craig, Jamie E.


    Glaucoma is a common cause of blindness. Wireless, continuous monitoring of intraocular pressure (IOP) is an important, unsolved goal in managing glaucoma. An IOP monitoring system incorporated into a glaucoma drainage implant (GDI) overcomes the design complexity associated with incorporating a similar system in a more confined space within the eye. The device consists of a micro-electro-mechanical systems (MEMS) based capacitive pressure sensor integrated with an inductor printed directly onto a polyimide printed circuit board (PCB). The device is designed to be incorporated onto the external plate of a therapeutic GDI. The resonance frequency changes as a function of IOP, and is tracked remotely using a spectrum analyzer. A theoretical model for the reader antenna was developed to enable maximal inductive coupling with the IOP sensor implant. Pressure chamber tests indicate that the sensor implant has adequate sensitivity in the IOP range with excellent reproducibility over time. Additionally, we show that sensor sensitivity does not change significantly after encapsulation with polydimethylsiloxane (PDMS) to protect the device from fluid environment. In vitro experiments showed that the signal measured wirelessly through sheep corneal and scleral tissue was adequate indicating potential for using the system in human subjects.

  20. Preoperative parameters and their prognostic value in amyotrophic lateral sclerosis patients undergoing implantation of a diaphragm pacing stimulation system

    Directory of Open Access Journals (Sweden)

    Aydin Sanli


    Full Text Available Introduction: Amyotrophic lateral sclerosis (ALS is a progressive neuromuscular disease with devastating and fatal respiratory complications. Diaphragm pacing stimulation (DPS is a treatment option in diaphragm insufficient ALS patients. Ventilatory insufficiency depending on diaphragmatic failure is treated by the present study aimed to investigate prognostic value of preoperative clinical and functional characteristics of ALS patients undergoing implantation of a DPS system and to determine appropriate indications for the DPS system. Methods: The study included 34 ALS patients implanted with DPS system. All patients underwent multidisciplinary and laboratory evaluations before the surgery. The laboratory examinations included pulmonary function tests and arterial blood gas analysis. Survival rates were recorded in a 2-year follow-up after the surgery. Results: Twenty-eight of 34 patients with ALS survived after a 2-year follow-up. These patients were younger than those who died and had the disease for a longer time; however, the differences were not significant. Both right and left hemidiaghragms were thicker in the survived patients (P < 0.0001 for each. Pulmonary function tests revealed no significant differences between the patients who survived. Arterial blood gas analysis demonstrated lower partial pressure of carbon dioxide in the survived patients (P = 0.025. Conclusions: DPS implantation was more efficacious in ALS patients with mild respiratory failure and thicker diaphragm. Predictors of long-term effectiveness of DPS system are needed to be addressed by large-scale studies.

  1. Teeth movement in denture and implant-supported prosthesis influenced by microwave flask systems (United States)

    Consani, Rafael L.X.; Sonehara, Leonardo G.; Mesquita, Marcelo F.; Barão, Valentim A.R.; Caetano, Conrado R.


    Background/Aims This study evaluated the teeth movement in maxillary dentures and mandibular implantsupported prostheses processed by microwave flasks. Methods A model mounted on articulator was used to manufacture Co-Cr frameworks. Pins were placed for measurements on the incisal edge of upper and lower central incisors (I), buccal cusp of first upper and lower premolars (PM), and mesiobuccal cusps of upper and lower second molars (M). Distances I-I (incisor to incisor), PM-PM (premolar to premolar), M-M (molar to molar), RI-RM (right incisor to right molar), and LI-LM (left incisor to left molar) were measured before and after processing using a microscope (0.0005 mm). Vertical misfit between abutment and implant platform was evaluated for regions A (left distal implant), B (left median implant), C (medial implant), D (right median implant), and E (right distal implant) in predetermined labial and lingual sites. Prostheses were divided into groups G1 – conventional flask, and G2 – experimental HH flask. Acrylic resin was microwaved at 1400 W (30% for 3 min, 0% for 3 min, and 60% for 3 min). Horizontal teeth displacement and vertical misfit between abutment and implant platform were considered before and after procedures. Data were submitted to three-way ANOVA and Tukey's test (α = 0.05). Results Except for M-M distance, the teeth showed displacements without statistical difference for prosthesis and flask factors. There was no significant difference for vertical misfit values for both flasks. Conclusion Diferente flasks did not cause significant changes in the teeth displacement, except for M-M. Vertical misfit values were not influenced by the flasks. PMID:26605143

  2. Cochlear Implant

    Directory of Open Access Journals (Sweden)

    Mehrnaz Karimi


    Full Text Available People with profound hearing loss are not able to use some kinds of conventional amplifiers due to the nature of their loss . In these people, hearing sense is stimulated only when the auditory nerve is activated via electrical stimulation. This stimulation is possible through cochlear implant. In fact, for the deaf people who have good mental health and can not use surgical and medical treatment and also can not benefit from air and bone conduction hearing aids, this device is used if they have normal central auditory system. The basic parts of the device included: Microphone, speech processor, transmitter, stimulator and receiver, and electrode array.

  3. In vivo evaluation of an implantable portal pump system for augmenting liver perfusion. (United States)

    Jiao, L R; Seifalian, A M; Davidson, B R; Habib, N


    Increasing portal inflow in cirrhosis using a mechanical pump reduces portal venous pressure and improves liver function. A pump has been developed for portal vein implantation in human cirrhosis. This study describes the initial in vivo evaluation in a porcine model. Five Large White pigs underwent laparotomy and exposure of the liver. Flow in the hepatic artery, portal vein and hepatic microcirculation was monitored continuously. Hepatic tissue oxygenation was measured by near-infrared spectroscopy. After baseline measurements the pump was inserted into the portal vein. Pump flow rate was then increased stepwise to 50 per cent over the baseline value for a period of 2 h. The pump was then stopped for 20 min and left in situ while continuing to collect systemic and hepatic haemodynamic data. The animal was killed and biopsies for histological examination were taken from the liver, small intestine and spleen. The baseline total hepatic blood flow was 626(39) ml/min; the hepatic artery supplied 18.4(2.1) per cent and the portal vein 81.6(2.1) per cent. The pump was inserted successfully in all animals without surgical complications. During surgical insertion of the pump, the temporary portal vein occlusion resulted in a significant rise in hepatic artery blood flow (22(3) per cent; P Portal vein flow was augmented by pumping; there was a significant correlation between the pump motor speed and portal vein flow (P oxygenation (P portal vein. Portal venous blood flow can be increased up to 50 per cent with a resultant increase in flow in the hepatic microcirculation and hepatic oxygenation and without adverse effects on either hepatic or systemic haemodynamics.

  4. Purification and Activity of Antibacterial Substances Derived from Soil Streptomyces sp.CaiF1

    Institute of Scientific and Technical Information of China (English)

    Hui YANG; Guixiang PENG; Jianmin ZENG; Zhiyuan TAN


    [Objective] This study aimed to separate and purify antibacterial sub- stances from soil Streptomyces sp. CaiF1, and to explore the activities of this sub- stance. [Method] The antibacterial substances were separated and purified by Ethyl acetate extraction, macroporous adsorptive resin, silica gel chromatography and preparative high performance liquid chromatography (HPLC), and powdery mildew were taken as the indicating bacterial to study their activities. [Result] Antibacterial substances were purified and the stability analysis of the extracts from Streptomyces CaiF1 fermentation broth showed very stable at pH 2.0-pH 10.0, 100 ~C and changed very little under UV treatment for 24 h. Inhibition rate of powdery mildew was 69.7%. [Conclusion] The purified antibacterial substances showed good stability, which provided theoretical foundation for their structural identifications and future ap- plications.

  5. Injection Molding of Titanium Alloy Implant For Biomedical Application Using Novel Binder System Based on Palm Oil Derivatives

    Directory of Open Access Journals (Sweden)

    R. Ibrahim


    Full Text Available Problem statement: Titanium alloy (Ti6Al4V has been widely used as an implant for biomedical application. In this study, the implant had been fabricated using high technology of Powder Injection Molding (PIM process due to the cost effective technique for producing small, complex and precision parts in high volume compared with conventional method through machining. Approach: Through PIM, the binder system is one of the most important criteria in order to successfully fabricate the implants. Even though, the binder system is a temporary, but failure in the selection and removal of the binder system will affect on the final properties of the sintered parts. Therefore, the binder system based on palm oil derivative which is palm stearin had been formulated and developed to replace the conventional binder system. Results: The rheological studies of the mixture between the powder and binders system had been determined properly in order to be successful during injection into injection molding machine. After molding, the binder held the particles in place. The binder system had to be removed completely through debinding step. During debinding step, solvent debinding and thermal pyrolysis had been used to remove completely of the binder system. The debound part was then sintered to give the required physical and mechanical properties. The in vitro biocompatibility also was tested using Neutral Red (NR and mouse fibroblast cell lines L-929 for the direct contact assay. Conclusion: The results showed that the properties of the final sintered parts fulfill the Standard Metal Powder Industries Federation (MPIF 35 for PIM parts except for tensile strength and elongation due to the formation of titanium carbide. The in vitro biocompatibility on the extraction using mouse fibroblast cell line L-929 by means of NR assays showed non toxic for the sintered specimen titanium alloy parts.

  6. Accuracy of a newly developed cone-beam computerized tomography-aided surgical guidance system for dental implant placement: an ex vivo study. (United States)

    Murat, Sema; Kamburoğlu, Kivanç; Özen, Tuncer


    The aim of the present study was to measure the accuracy of the cone-beam computerized tomography (CBCT)- aided StentCad Beyond surgical guidance system and to compare bone-supported and tooth/bone-supported guidance by using this system in dental implant placement ex vivo. Five cadaver mandibles were scanned using an Iluma CBCT scanner. After scanning, DICOM slices were transferred to the StentCad Beyond implant simulation software, which was used for preoperative implant planning. Using the StentCad Beyond guidance system, 9 implant drills were inserted using a bone-supported guidance system and 11 using a tooth/bone-supported guidance system. Mandibles were scanned again and these data were transferred to the StentCad Beyond software. Pre- and postoperative information was superimposed using the Rhinoceros version 4 software program, and deviations between planned and actual drill positions were calculated for each implant. In addition, differences between bone-supported and tooth/bone-supported guidance systems were analyzed by t-test, with a significance level of P .05); however, statistically significant differences between groups were found in mean horizontal coronal deviation (P = .016) and mean horizontal apical deviation (P = .047). The StentCad Beyond system was found to be a reliable guide for placing implants ex vivo.

  7. Dilution effects on the controlled auto-ignition (CAI) combustion of hydrocarbon and alcohol fuels


    Oakley, A.; Zhao, H.; Ma, T.; Ladommatos, N


    Copyright © 2001 SAE International. This paper is posted on this site with permission from SAE International. Further use of this paper is not permitted without permission from SAE This paper presents results from an experimental programme researching the in-cylinder conditions necessary to obtain homogenous CAI (or HCCI) combustion in a 4-stroke engine. The fuels under investigation include three blends of Unleaded Gasoline, a 95 RON Primary Reference Fuel, Methanol, and Ethanol. This wor...

  8. Experimental investigation of CAI combustion in a two-stroke poppet valve DI engine


    Zhang, Yan


    This thesis was submitted for the award of Doctor of Philosophy and was awarded by Brunel University London Due to their ability to simultaneously reduce fuel consumption and NOx emissions, Controlled Auto Ignition (CAI) and HCCI combustion processes have been extensively researched over the last decade and adopted on prototype gasoline engines. These combustion processes were initially achieved on conventional two-stroke ported gasoline engines, but there have been significantly fewer stu...

  9. Cochlear Implants (United States)

    A cochlear implant is a small, complex electronic device that can help to provide a sense of sound. People who are ... of-hearing can get help from them. The implant consists of two parts. One part sits on ...

  10. Cochlear Implants (United States)

    ... imaging (MRI) scans, to evaluate your inner ear anatomy. Cochlear implant surgery Cochlear implant surgery is usually performed as an outpatient procedure under general anesthesia. An incision is made behind the ear ...

  11. Contracted Nose after Silicone Implantation: A New Classification System and Treatment Algorithm (United States)

    Kim, Yong Kyu; Shin, Seungho; Kim, Joo Heon


    Background Silicone implants are frequently used in augmentation rhinoplasty in Asians. A common complication of silicone augmentation rhinoplasty is capsular contracture. This is similar to the capsular contracture after augmentation mammoplasty, but a classification for secondary contracture after augmentation rhinoplasty with silicone implants has not yet been established, and treatment algorithms by grade or severity have yet to be developed. Methods Photographs of 695 patients who underwent augmentation rhinoplasty with a silicone implant from May 2001 to May 2015 were analyzed. The mean observation period was 11.4 months. Of the patients, 81 were male and 614 were female, with a mean age of 35.9 years. Grades were assigned according to postoperative appearance. Grade I was a natural appearance, as if an implant had not been inserted. Grade II was an unnatural lateral margin of the implant. Clearly identifiable implant deviation was classified as grade III, and short nose deformation was grade IV. Results Grade I outcomes were found in 498 patients (71.7%), grade II outcomes in 101 (14.5%), grade III outcomes in 75 (10.8%), and grade IV outcomes in 21 patients (3.0%). Revision surgery was indicated for the 13.8% of all patients who had grade III or IV outcomes. Conclusions It is important to clinically classify the deformations due to secondary contracture after surgery and to establish treatment algorithms to improve scientific communication among rhinoplasty surgeons. In this study, we suggest guidelines for the clinical classification of secondary capsular contracture after augmentation rhinoplasty, and also propose a treatment algorithm. PMID:28194349

  12. High capacity implantable data recorders: system design and experience in canines and Denning black bears. (United States)

    Laske, Timothy G; Harlow, Henry J; Werder, Jon C; Marshall, Mark T; Iaizzo, Paul A


    Implantable medical devices have increasingly large capacities for storing patient data as a diagnostic aid and to allow patient monitoring. Although these devices can store a significant amount of data, an increased ability for data storage was required for chronic monitoring in recent physiological studies. Novel high capacity implantable data recorders were designed for use in advanced physiological studies of canines and free-ranging black bears. These hermitically sealed titanium encased recorders were chronically implanted and programmed to record intrabody broadband electrical activity to monitor electrocardiograms and electromyograms, and single-axis acceleration to document relative activities. Changes in cardiac T-wave morphology were characterized in the canines over a 6 month period, providing new physiological data for the design of algorithms and filtering schemes that could be employed to avoid inappropriate implantable defibrillator shocks. Unique characteristics of bear hibernation physiology were successfully identified in the black bears, including: heart rate, respiratory rate, gross body movement, and shiver An unanticipated high rejection rate of these devices occurred in the bears, with five of six being externalized during the overwintering period, including two devices implanted in the peritoneal cavity. High capacity implantable data recorders were designed and utilized for the collection of long-term physiological data in both laboratory and extreme field environments. The devices described were programmable to accommodate the diverse research protocols. Additionally, we have described substantial differences in the response of two species to a common device. Variations in the foreign body response of different mammals must be identified and taken into consideration when choosing tissue-contacting materials in the application of biomedical technology to physiologic research.

  13. Contracted Nose after Silicone Implantation: A New Classification System and Treatment Algorithm

    Directory of Open Access Journals (Sweden)

    Yong Kyu Kim


    Full Text Available BackgroundSilicone implants are frequently used in augmentation rhinoplasty in Asians. A common complication of silicone augmentation rhinoplasty is capsular contracture. This is similar to the capsular contracture after augmentation mammoplasty, but a classification for secondary contracture after augmentation rhinoplasty with silicone implants has not yet been established, and treatment algorithms by grade or severity have yet to be developed.MethodsPhotographs of 695 patients who underwent augmentation rhinoplasty with a silicone implant from May 2001 to May 2015 were analyzed. The mean observation period was 11.4 months. Of the patients, 81 were male and 614 were female, with a mean age of 35.9 years. Grades were assigned according to postoperative appearance. Grade I was a natural appearance, as if an implant had not been inserted. Grade II was an unnatural lateral margin of the implant. Clearly identifiable implant deviation was classified as grade III, and short nose deformation was grade IV.ResultsGrade I outcomes were found in 498 patients (71.7%, grade II outcomes in 101 (14.5%, grade III outcomes in 75 (10.8%, and grade IV outcomes in 21 patients (3.0%. Revision surgery was indicated for the 13.8% of all patients who had grade III or IV outcomes.ConclusionsIt is important to clinically classify the deformations due to secondary contracture after surgery and to establish treatment algorithms to improve scientific communication among rhinoplasty surgeons. In this study, we suggest guidelines for the clinical classification of secondary capsular contracture after augmentation rhinoplasty, and also propose a treatment algorithm.

  14. Numerical investigation of CAI Combustion in the Opposed- Piston Engine with Direct and Indirect Water Injection (United States)

    Pyszczek, R.; Mazuro, P.; Teodorczyk, A.


    This paper is focused on the CAI combustion control in a turbocharged 2-stroke Opposed-Piston (OP) engine. The barrel type OP engine arrangement is of particular interest for the authors because of its robust design, high mechanical efficiency and relatively easy incorporation of a Variable Compression Ratio (VCR). The other advantage of such design is that combustion chamber is formed between two moving pistons - there is no additional cylinder head to be cooled which directly results in an increased thermal efficiency. Furthermore, engine operation in a Controlled Auto-Ignition (CAI) mode at high compression ratios (CR) raises a possibility of reaching even higher efficiencies and very low emissions. In order to control CAI combustion such measures as VCR and water injection were considered for indirect ignition timing control. Numerical simulations of the scavenging and combustion processes were performed with the 3D CFD multipurpose AVL Fire solver. Numerous cases were calculated with different engine compression ratios and different amounts of directly and indirectly injected water. The influence of the VCR and water injection on the ignition timing and engine performance was determined and their application in the real engine was discussed.

  15. A short-term clinical evaluation of effectiveness of the fixed implantation of Ankylos implant system with multiple crowns%Ankylos种植系统多牙固定修复短期临床疗效评价

    Institute of Scientific and Technical Information of China (English)

    郭照中; 张恒; 杨旭; 周婷婷; 刘学


    目的 评价Ankylos种植体用于固定修复多牙缺失的临床应用效果.方法 临床选择21例多牙缺失患者完成Ankylos 68枚种植体进行潜入式种植手术,部分骨量不足的患者,同期使用膜引导骨再生术、上颌窦内提升术或上颌窦外提升术.Ⅱ期手术两周后,按照常规方法完成金钯合金烤瓷冠修复.术后随访,检查修复体与基台的稳定性,种植体周围牙龈组织的健康状况;通过X线检查观察骨组织的吸收情况及基台的密合程度;调查患者对种植义齿咀嚼、美观功能的主观满意度.种植后及义齿修复后的临床观察期为1~2.5年.结果 冠桥修复后,1例患者的1枚种植体在种植修复后1个月时,发生种植体周围炎;1例在修复后1年烤瓷冠崩瓷;其余种植体均稳定,无明显骨吸收,种植体基台界面密合,牙龈组织健康.按种植成功标准,修复成功66枚,成功率97.1%;失败2枚,占2.9%.结论 Ankylos种植体用于多牙缺失的固定修复具有良好的临床效果.%Objective To evaluate the clinical effects of Ankylos implant system to restore the loss of more than one teeth. Methods Totally, 21 cases with loss of more than one teeth were investigated, and a total of 68 implants were placed from January, 2008 to May, 2010. All the patients had undergone routinely two-stage surgery. When patients showed deficient alveolar ridge, guided bone regeneration (GBR), osteotome sinus floor elevation, lateral antroslomy surgery with simultaneous placement of implants were applied. They were restored with platinum eeramic crowns. All implants were followed up, and records were kept about stability of the implants and abutments, conditions of the surrounding soft tissues, sealability of implant abutment junction, the marginal bone loss through X-ray checking, satisfaction of the patients to mastication, and other aspects of the restorations. The follow- up time was 1-2.5 years. Results Among all of the

  16. Quality control of system of imaging for rectal ultrasound for implants seed prostate low rate; Control de calidad del sistem de imagen por ecografia rectal para implantes de semillas de prostata de baja tasa

    Energy Technology Data Exchange (ETDEWEB)

    Luquero Llopis, N.; Ferrer Gracia, C.; Huertas Martinez, C.; Huerga Cabrerizo, C.; Corredoira Silva, E.; Serrada Hierro, A.


    In this work, the objective is the evaluation of the image system used in implants of prostate of low rate held at our hospital, for maximum control on the placement of the seeds in the patient and therefore carried out dosimetry. (Author)

  17. Analog Integrated Circuit and System Design for a Compact, Low-Power Cochlear Implant

    NARCIS (Netherlands)

    Ngamkham, W.


    Cochlear Implants (CIs) are prosthetic devices that restore hearing in profoundly deaf patients by bypassing the damaged parts of the inner ear and directly stimulating the remaining auditory nerve fibers in the cochlea with electrical pulses. This thesis describs the electronic circuit design of va

  18. The effects of low dose chemotherapy for advanced hepatocellular carcinoma through percutaneously implanted intra-arterial port system

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Hyun Seok; Won, Je Hwan; Yoo, Byung Moo; Kim, Young Soo; Cho, Sung Won [Ajou Univ. College of Medicine, Suwon (Korea, Republic of); Park, Dong Won [Suwon Medical Center, Suwon (Korea, Republic of)


    To investigate the effects of low-dose FP (5-Fluorouracil[5FU]+Cispatin[CDDP]) therapy through a percutaneously implanted intra-arterial port system in patients with advanced hepatocellular carcinoma (HCC). Twenty-five patients with advanced HCCs and portal vein thrombosis, or large HCCs which were unresectable or for which transarterial chemoembolization was thought to be ineffective, underwent intra-arterial port implantation. The mean maxinal diameter of these tumors was 13.7 (range, 5-21.5) cm, and they were located at the right lobe (n=18), the left lobe(n=3), or throughout the liver (n=4). Tumor thrombosis was detected in the main (n=14), right (n=3) and left portal vein(n=1), the right portal vein and inferior vena cava(n=2), and the inferior vena cava(n=1). The four others patients had no portal vein thrombosis. All intra-arterial port implantations were performed percutaneously in the angiographic ward through the right or left common femoral artery. The port chamber was implanted in the inguinal area and fixed using histoacryl. For intra-arterial chemotherapy, 5-FU (250 mg/day) and CDDP (10 mg/day) were used for five days every four weeks. In order to observe changes in tumor size, follow-up CT scanning was performed every two months. Implantation of the port system was successful in all cases, and patients underwent between one and eleven (mena, 3.9) sessions of chemotherapy. Port-and catheter-related complications, namely dislodgement of the catheter(n=2), wound infection(n=2), migration of the coil(n=1) and catheter occlusion(n=1) occurred in six patients (24%), and chemotherapy-related complications, namely liver failure(n=3) and gastric ulcer bleeding(n=1), in four (16%). A complete response, i. e. the disappearance of tumor thrombosis of the portal vein, was achieved in one patient (4%), a partial response in three (12%), and a minor response in four (16%); the overall response rate was 32% and the mean survival period was 7.6 months. Low-dose FP

  19. Balloon-expanding stent and delivery system for transcatheter aortic valve implantation:An animal study

    Institute of Scientific and Technical Information of China (English)

    Xiang Chen; Fei-Yu Wang; Guo-Jun Chu; Yu-Feng Zhu; Hong-Wen Tan; Xian-Xian Zhao; Yong-Wen Qin; Jun-Bo Ge


    Objective: To evaluate the feasibility and satefy of transcatheter aortic valve implantation in animals by using a new balloon-expanding valved stent. Methods: The balloon-expandable stent is made from cobalt-based alloy material and designed with a tubular, slotted structure. Fresh bovine pericardium was treated, sutured and fixed on the balloon-expandable stent. Ten healthy sheep (five males and five females), weighing an average of (25.16 ± 1.83) kg, were selected to undergo transcatheter implantation of the valve stents. The function of the valve stent was evaluated by angiography, echocardiography, and histology six months after the procedure. Results: Of the ten experimental sheep, two sheep died during the operation because the higher position of the artificial valve affected the opening of the coronary artery. We successfully implanted the aortic valve stent in other eight sheep;however, one sheep died of heart failure two weeks after the operation due to the lower position of the valve stent. The valve stents were implanted in the desired position in seven sheep. Ascending aortic angiographic and autoptic findings immediately after the operation confirmed the satisfactory location and function of the valved stent. Echocardiography, angiography, and histology at six post-operative months confirmed the satisfactory location and function of the valve stent. Conclusion: We successfully implanted our new valve stent as a replacement of native aortic valve via the transcatheter route with satisfactory outcome. Copyright © 2015, Chinese Medical Association Production. Production and hosting by Elsevier B.V. on behalf of KeAi Communications Co., Ltd. This is an open access article under the CC BY-NC-ND license (

  20. Emergency and elective implantation of covered stent systems in iatrogenic arterial injuries

    Energy Technology Data Exchange (ETDEWEB)

    Goltz, J.P.; Kickuth, R. [Universitaetsklinikum Wuerzburg (Germany). Inst. fuer Roentgendiagnostik; Bastuerk, P.; Hoppe, H.; Triller, J. [Universitaetsspital Bern (Switzerland). Inst. fuer Diagnostische, Interventionelle und Paediatrische Radiologie


    Purpose: To evaluate the effectiveness and safety of covered stents for the management of iatrogenic arterial injury. Materials and Methods: Between 03/1998 and 12/2009, 31 patients underwent selective covered stent implantation after iatrogenic arterial injury. 12/31 of these patients (38.7 %) were hemodynamically unstable. Six different endovascular covered stent types were utilized. The primary endpoints of this study were technical and clinical success and rates of minor and major complications. Results: Initial angiograms demonstrated active extravasation in 19 (61.3 %) patients and pseudoaneurysms in 12 (38.7 %) patients. The following sites of bleeding origin were detected: axillary artery, subclavian artery, common iliac artery, external iliac artery, internal iliac artery, common femoral artery, superficial femoral artery, popliteal and fibular artery, femoro-popliteal and popliteo-crural bypasses, common hepatic artery, aberrant hepatic artery, cystic and gastroduodenal artery. In all patients bleeding was effectively controlled by covered stent implantation resulting in an immediate technical success of 100 %. Clinical success attributed to covered stent implantation was documented in 30 of the 31 patients (96.8 %). Major complications included death in four patients (11.1 %), acute thrombosis with arm ischemia in one patient (2.8 %) and stent fracture with associated pseudoaneurysm in another patient (2.8 %). In 2/31 patients (6.5 %) covered stent failure was detected and successfully treated by implantation of a second covered stent. Conclusion: Emergency and elective implantation of covered stents may be used for minimally invasive and effective management of iatrogenic arterial injury. (orig.)

  1. Computer Assisted Instruction (CAI): A Partner for PI? (United States)

    Edwards, John S.; Tillman, Murray


    Discusses differences between computer-delivered instruction and print-delivered instruction and the importance of the role of the instructional design process when adapting traditional teaching materials to newer media. The use of authoring systems for preparing materials and computer-managed instruction as a support for programed instruction are…

  2. Experimental study on cyclosporine A drug delivery system in prevention of posterior capsule opacification after intraocular lens implantation in rabbits

    Institute of Scientific and Technical Information of China (English)

    Pei Cheng; Sun Naixue


    Objective To study the effect of cyclosporine A drug delivery system (CsA-DDS) on the prevention of posterior capsule opacification (PCO) after experimental intraocular lens implantation in rabbit eyes. Methods Twenty healthy New Zealand white rabbits, whose left eyes and right eyes were used respectively as experiment eyes and controls, were subjected to extracapsular lens extraction and artificial lens implantation. During the operation, CsA-DDS with poly (lactideco-glycolide) as carriers or empty DDS was implanted in the capsular bag for the experimental eyes and controls respectively. After the operation, anterior chamber reaction, intraocular pressure (IOP) and CsA concentration were monitored and twelve weeks after the operation, the eyes were extracted for histopathological and morphological examinations. Results There were no differences between the two groups in conjunctival congestion,IOP change and anterior chamber reaction. PCO was less severe in the experimental eyes than in the controls. Light microscopy revealed that posterior capsular membrane in the experimental eyes was slick, with no obvious proliferation,whereas in the controls, there were lens epithelial cell proliferation and cortex regeneration of different degrees.Morphological examination with electron microscope showed that in the experimental eyes, lens epithelial cells did not function actively and apoptosis occurred, whereas in the controls, epithelial cells presented active function. No marked ultrastructural changes were found in either group. Conclusion Cs-DDS can inhibit PCO after intraocular lens implantation in rabbit eyes and does not have toxic effects on the surrounding ocular tissues. Therefore, it has a good potential for clinical use in prevention of PCO.

  3. Pacemaker dependency after transcatheter aortic valve implantation with the self-expanding Medtronic CoreValve System. (United States)

    van der Boon, Robert M A; Van Mieghem, Nicolas M; Theuns, Dominic A; Nuis, Rutger-Jan; Nauta, Sjoerd T; Serruys, Patrick W; Jordaens, Luc; van Domburg, Ron T; de Jaegere, Peter P T


    To determine pacemaker (PM) dependency at follow-up visit in patients who underwent new permanent pacemaker implantation (PPI) following transcatheter aortic valve implantation (TAVI). Single center prospective observational study including 167 patients without previous PM implantation who underwent TAVI with the self-expanding Medtronic CoreValve System (MCS) between November 2005 and February 2011. PM dependency was defined by the presence of a high degree atrioventricular block (HDAVB; second [AV2] and third degree [AV3B]), or a slow (<30 bpm) or absent ventricular escape rhythm during follow-up PM interrogation. A total of 36 patients (21.6%) received a new PM following TAVI. The indication for PM was AV2B (n=2, 5.6%), AV3B (n=28, 77.8%), postoperative symptomatic bradycardia (n=3, 8.3%), brady-tachy syndrome (n=1, 2.8%), atrial fibrilation with slow response (n=1, 2.8%) and left bundle branch block (n=1, 2.8%). Long term follow-up was complete for all patients and ranged from 1 to 40 months (median (IQR): 11.5 (5.0-18.0 months). Of those patients with a HDAVB, 16 out of the 30 patients (53.3%) were PM independent at follow-up visit (complete or partial resolution of the AV conduction abnormality). Overall, 20 out of the 36 patients (55.6%) who received a new PM following TAVI were PM independent at follow-up. Partial and even complete resolution of peri-operative AV conduction abnormalities after MCS valve implantation occurred in more than half of the patients. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.


    Institute of Scientific and Technical Information of China (English)

    Mao Yitao; Xu Li


    Currently, most people with modern multichannel cochlear implant systems can understand speech in qui-et environment very well. However, studies in recent decades reported a lack of satisfaction in music percep-tion with cochlear implants. This article reviews the literature on music ability of cochlear implant users by presenting a systematic outline of the capabilities and limitations of cochlear implant recipients with regard to their music perception as well as production. The review also evaluates the similarities and differences be-tween electric hearing and acoustic hearing regarding music perception. We summarize the research results in terms of the individual components of music (e.g., rhythm, pitch, and timbre). Finally, we briefly intro-duce the vocal singing of prelingually-deafened children with cochlear implants as evaluated by acoustic measures.


    Institute of Scientific and Technical Information of China (English)

    容明灯; 张雪洋; 刘卫平; 卢海宾; 李少冰; 罗维; 苏媛; 黄雁红; 金爱琼


    Objective To observe the clinical effects of the immediate implant placement of Zimmer dental implant system in the molar regions.Methods 14 cases with a total of 19 molar teeth to be scheduled for immediate implant were se-lected to be treated with Zimmer dental implant system .17 of the 19 molar teeth were simultaneously operated with GBR tech-nique.The upper structure was repaired with Palladium PFM porcelain crown after the postoperative phase I of 4~6 months and postoperative phase II of 2 weeks.Results All the 19 dental implants were well combined and were stable in the follow-ing 12 months.Conclusion A good osseointegration is obtained in the molar teeth with Zimmer dental implant system .Cor-rectly dealing with the soft and hard tissues in the process of immediate implant of molar teeth shortens the period of treat-ment, and repairs the bone tissue defects around the original lost teeth and the surrounding gingival tissue form.The immedi-ate implant should be applied properly in the molar teeth .%目的:观察Zimmer种植体在后牙区即刻种植的临床效果。方法选择14例19颗后牙区即刻种植病例,采用Zimmer种植系统,其中17颗同时行GBR 技术,Ⅰ期术后4~6个月,Ⅱ期术后2周,上部结构采用钯金烤瓷冠修复。结果19颗种植体骨结合良好,追踪12个月,种植体稳存。结论 Zimmer 在后牙区采用即刻种植可以取得良好的骨结合。在后牙区即刻种植手术过程中,正确的软硬组织处理可以在缩短疗程的同时,良好的恢复了原缺失牙周围的骨组织缺损及周围牙龈组织形态。在后牙区即刻种植时,应选择恰当的适应症,避免盲目即刻种植。

  6. The possibility of controlled auto-ignition (CAI) in gasoline engine and gas to liquid (GTL) as a fuel of diesel engine in Korea

    Energy Technology Data Exchange (ETDEWEB)

    Jeong, D. [Korea Inst. of Machinery and Materials, Daejou (Korea)


    A significant challenge grows from the ever-increasing demands for the optimization of performance, emissions, fuel economy and drivability. The most powerful technologies in the near future to improve these factors are believed Controlled Auto-Ignition (CAI) in gasoline engine and Gas to Liquid (GTL) as a fuel of Diesel engine. In recent years there has been an increasing trend to use more complex valvetrain designs from traditional camshaft driven mechanical systems to camless electromagnetic or electrohydraulic solutions. Comparing to fixed valve actuation systems, variable valve actuation (VVA) should be powerful to optimize the engine cycle. The matching of valve events to the engine performance and to emission requirements at a given engine or vehicle operating condition can be further optimized to the Controlled Auto-Ignition (CAI) in gasoline engine, which has benefits in NOx emission, fuel consumption, combustion stability and intake throttle load. In case of Diesel engine, the increasing demands for NOx and soot emission reduction have introduced aftertreatment technologies recently, but been in need of basic solution for the future, such as a super clean fuel like Gas to Liquid (GTL), which has benefits in comparability to diesel fuel, independency from crude oil and reduction of CO, THC and soot emissions. Korea looks to the future with these kinds of technologies, and tries to find the possibility for reaching the future targets in the internal combustion engine. (orig.)

  7. Dental Implant Surgery (United States)

    ... here to find out more. Dental Implant Surgery Dental Implant Surgery Dental implant surgery is, of course, surgery, ... here to find out more. Dental Implant Surgery Dental Implant Surgery Dental implant surgery is, of course, surgery, ...

  8. A biomechanical testing system to determine micromotion between hip implant and femur accounting for deformation of the hip implant: Assessment of the influence of rigid body assumptions on micromotions measurements. (United States)

    Leuridan, Steven; Goossens, Quentin; Roosen, Jorg; Pastrav, Leonard; Denis, Kathleen; Mulier, Michiel; Desmet, Wim; Vander Sloten, Jos


    Accurate pre-clinical evaluation of the initial stability of new cementless hip stems using in vitro micromotion measurements is an important step in the design process to assess the new stem's potential. Several measuring systems, linear variable displacement transducer-based and other, require assuming bone or implant to be rigid to obtain micromotion values or to calculate derived quantities such as relative implant tilting. An alternative linear variable displacement transducer-based measuring system not requiring a rigid body assumption was developed in this study. The system combined advantages of local unidirectional and frame-and-bracket micromotion measuring concepts. The influence and possible errors that would be made by adopting a rigid body assumption were quantified. Furthermore, as the system allowed emulating local unidirectional and frame-and-bracket systems, the influence of adopting rigid body assumptions were also analyzed for both concepts. Synthetic and embalmed bone models were tested in combination with primary and revision implants. Single-legged stance phase loading was applied to the implant - bone constructs. Adopting a rigid body assumption resulted in an overestimation of mediolateral micromotion of up to 49.7μm at more distal measuring locations. Maximal average relative rotational motion was overestimated by 0.12° around the anteroposterior axis. Frontal and sagittal tilting calculations based on a unidirectional measuring concept underestimated the true tilting by an order of magnitude. Non-rigid behavior is a factor that should not be dismissed in micromotion stability evaluations of primary and revision femoral implants. Copyright © 2017 Elsevier Ltd. All rights reserved.

  9. A Web-based searchable system to confirm magnetic resonance compatibility of implantable medical devices in Japan: a preliminary study. (United States)

    Fujiwara, Yasuhiro; Fujioka, Hitoshi; Watanabe, Tomoko; Sekiguchi, Maiko; Murakami, Ryuji


    Confirmation of the magnetic resonance (MR) compatibility of implanted medical devices (IMDs) is mandatory before conducting magnetic resonance imaging (MRI) examinations. In Japan, few such confirmation methods are in use, and they are time-consuming. This study aimed to develop a Web-based searchable MR safety information system to confirm IMD compatibility and to evaluate the usefulness of the system. First, MR safety information for intravascular stents and stent grafts sold in Japan was gathered by interviewing 20 manufacturers. These IMDs were categorized based on the descriptions available on medical package inserts as: "MR Safe," "MR Conditional," "MR Unsafe," "Unknown," and "No Medical Package Insert Available". An MR safety information database for implants was created based on previously proposed item lists. Finally, a Web-based searchable system was developed using this database. A questionnaire was given to health-care personnel in Japan to evaluate the usefulness of this system. Seventy-nine datasets were collected using information provided by 12 manufacturers and by investigating the medical packaging of the IMDs. Although the datasets must be updated by collecting data from other manufacturers, this system facilitates the easy and rapid acquisition of MR safety information for IMDs, thereby improving the safety of MRI examinations.


    Energy Technology Data Exchange (ETDEWEB)

    Krot, A N; Chaussidon, M; Yurimoto, H; Sakamoto, N; Nagashima, K; Hutcheon, I D; MacPherson, G J


    Based on the mineralogy and petrography, coarse-grained, igneous, anorthite-rich (Type C) calcium-aluminum-rich inclusions (CAIs) in the CV3 carbonaceous chondrite Allende have been recently divided into three groups: (i) CAIs with melilite and Al,Ti-diopside of massive and lacy textures (coarse grains with numerous rounded inclusions of anorthite) in a fine-grained anorthite groundmass (6-1-72, 100, 160), (ii) CAI CG5 with massive melilite, Al,Ti-diopside and anorthite, and (iii) CAIs associated with chondrule material: either containing chondrule fragments in their peripheries (ABC, TS26) or surrounded by chondrule-like, igneous rims (93) (Krot et al., 2007a,b). Here, we report in situ oxygen isotopic measurements of primary (melilite, spinel, Al,Ti-diopside, anorthite) and secondary (grossular, monticellite, forsterite) minerals in these CAIs. Spinel ({Delta}{sup 17}O = -25{per_thousand} to -20{per_thousand}), massive and lacy Al,Ti-diopside ({Delta}{sup 17}O = -20{per_thousand} to -5{per_thousand}) and fine-grained anorthite ({Delta}{sup 17}O = -15{per_thousand} to -2{per_thousand}) in 100, 160 and 6-1-72 are {sup 16}O-enriched relative spinel and coarse-grained Al,Ti-diopside and anorthite in ABC, 93 and TS26 ({Delta}{sup 17}O ranges from -20{per_thousand} to -15{per_thousand}, from -15{per_thousand} to -5{per_thousand}, and from -5{per_thousand} to 0{per_thousand}, respectively). In 6-1-72, massive and lacy Al,Ti-diopside grains are {sup 16}O-depleted ({Delta}{sup 17}O {approx} -13{per_thousand}) relative to spinel ({Delta}{sup 17}O = -23{per_thousand}). Melilite is the most {sup 16}O-depleted mineral in all Allende Type C CAIs. In CAI 100, melilite and secondary grossular, monticellite and forsterite (minerals replacing melilite) are similarly {sup 16}O-depleted, whereas grossular in CAI 160 is {sup 16}O-enriched ({Delta}{sup 17}O = -10{per_thousand} to -6{per_thousand}) relative to melilite ({Delta}{sup 17}O = -5{per_thousand} to -3{per_thousand}). We infer


    Energy Technology Data Exchange (ETDEWEB)

    Wielandt, Daniel; Krot, Alexander N.; Bizzarro, Martin [Centre for Star and Planet Formation, Natural History Museum of Denmark, University of Copenhagen, Copenhagen DK-1350 (Denmark); Nagashima, Kazuhide; Huss, Gary R. [Hawai' i Institute of Geophysics and Planetology, University of Hawai' i at Manoa, HI 96822 (United States); Ivanova, Marina A. [Vernadsky Institute of Geochemistry and Analytical Chemistry, Moscow 119991 (Russian Federation)


    Beryllium-10 is a short-lived radionuclide (t{sub 1/2} = 1.4 Myr) uniquely synthesized by spallation reactions and inferred to have been present when the solar system's oldest solids (calcium-aluminum-rich inclusions, CAIs) formed. Yet, the astrophysical site of {sup 10}Be nucleosynthesis is uncertain. We report Li-Be-B isotope measurements of CAIs from CV chondrites, including CAIs that formed with the canonical {sup 26}Al/{sup 27}Al ratio of {approx}5 Multiplication-Sign 10{sup -5} (canonical CAIs) and CAIs with Fractionation and Unidentified Nuclear isotope effects (FUN-CAIs) characterized by {sup 26}Al/{sup 27}Al ratios much lower than the canonical value. Our measurements demonstrate the presence of four distinct fossil {sup 10}Be/{sup 9}Be isochrons, lower in the FUN-CAIs than in the canonical CAIs, and variable within these classes. Given that FUN-CAI precursors escaped evaporation-recondensation prior to evaporative melting, we suggest that the {sup 10}Be/{sup 9}Be ratio recorded by FUN-CAIs represents a baseline level present in presolar material inherited from the protosolar molecular cloud, generated via enhanced trapping of galactic cosmic rays. The higher and possibly variable apparent {sup 10}Be/{sup 9}Be ratios of canonical CAIs reflect additional spallogenesis, either in the gaseous CAI-forming reservoir, or in the inclusions themselves: this indicates at least two nucleosynthetic sources of {sup 10}Be in the early solar system. The most promising locale for {sup 10}Be synthesis is close to the proto-Sun during its early mass-accreting stages, as these are thought to coincide with periods of intense particle irradiation occurring on timescales significantly shorter than the formation interval of canonical CAIs.

  12. Vascular complications with transcatheter aortic valve implantation using the 18 Fr Medtronic CoreValve System: the Rotterdam experience. (United States)

    Van Mieghem, Nicolas M; Nuis, Rutger-Jan; Piazza, Nicolo; Apostolos, Tzikas; Ligthart, Jurgen; Schultz, Carl; de Jaegere, Peter P; Serruys, Patrick W


    Transcatheter aortic valve implantation (TAVI) requires large bore catheters. Access site complications, therefore, can be a concern. The aim of this study is to present the 30-day incidence of major and minor vascular complications in patients treated with the third generation 18 Fr Medtronic CoreValve System. We prospectively evaluated the vascular complications occurring in all patients treated with the 18 Fr Medtronic CoreValve System between October 2006 and October 2009 in the Thoraxcenter using various proposed definitions. Ninety-nine consecutive patients were treated with TAVI using the 18 Fr Medtronic CoreValve System. Vascular events were encountered in 13 patients (13%), seven of these cases (54%) were related to incomplete arteriotomy closure with the Prostar device which is the default access closure technique in our centre. Depending on how major vascular complications were defined, the incidence varied from 4 to 13%. Blood transfusions in combination with surgical or percutaneous intervention were required in eight cases. Transcatheter aortic valve implantation with the 18 Fr Medtronic CoreValve System(R) has a 4 to 13% vascular complications' rate. More than half of the vascular events were due to incomplete Prostar arteriotomy closure, despite its use by experienced operators. Current percutaneous closure devices for these large arteriotomies seems suboptimal. Uniformity in how to define TAVI related vascular complications is needed.

  13. Estudio de asociación entre enfermedades sistémicas y el fracaso de implantes dentales Study of association between systemic diseases and dental implant failure


    Domínguez, J.; Acuña, J.; M. Rojas; J Bahamondes; Matus, S


    Desde los inicios de la cirugía de implantes orales, se ha recomendado excluir o limitar a ciertos pacientes con problemas de salud o hábitos de tabaquismo. Los enfermedades crónicas no transmisibles de salud, no son considerados una contraindicación absoluta para la utilización de implantes orales, pero si se debe evaluar con detalle el tipo de enfermedad presente, por ser un potencial riesgo que podría afectar el proceso de oseointegración. Hay ciertas condiciones sistémicas, como la osteop...

  14. Estudio de asociación entre enfermedades sistémicas y el fracaso de implantes dentales Study of association between systemic diseases and dental implant failure


    J. Domínguez; Acuña,J; Rojas, M.; J Bahamondes; Matus, S


    Desde los inicios de la cirugía de implantes orales, se ha recomendado excluir o limitar a ciertos pacientes con problemas de salud o hábitos de tabaquismo. Los enfermedades crónicas no transmisibles de salud, no son considerados una contraindicación absoluta para la utilización de implantes orales, pero si se debe evaluar con detalle el tipo de enfermedad presente, por ser un potencial riesgo que podría afectar el proceso de oseointegración. Hay ciertas condiciones sistémicas, como la osteop...

  15. A wireless implantable multichannel microstimulating system-on-a-chip with modular architecture. (United States)

    Ghovanloo, Maysam; Najafi, Khalil


    A 64-site wireless current microstimulator chip (Interestim-2B) and a prototype implant based on the same chip have been developed for neural prosthetic applications. Modular standalone architecture allows up to 32 chips to be individually addressed and operated in parallel to drive up to 2048 stimulating sites. The only off-chip components are a receiver inductive-capacitive (LC) tank, a capacitive low-pass filter for ripple rejection, and arrays of microelectrodes for interfacing with the neural tissue. The implant receives inductive power up to 50 mW and data at 2.5 Mb/s from a frequency shift keyed (FSK) 5/10 MHZ carrier to generate up to 65,800 stimulus pulses/s. Each Interestim-2B chip contains 16 current drivers with 270 microA full-scale current, 5-bit (32-steps) digital-to-analog converter (DAC) resolution, 100 M omega output impedance, and a voltage compliance that extends within 150 and 250 mV of the 5 V supply and ground rails, respectively. It can generate any arbitrary current waveform and supports a variety of monopolar and bipolar stimulation protocols. A common analog line provides access to each site potential, and exhausts residual stimulus charges for charge balancing. The chip has site potential measurement and in situ site impedance measurement capabilities, which help its users indicate defective sites or characteristic shifts in chronic stimulations. Interestim-2B chip is fabricated in the AMI 1.5 microm standard complementary metal-oxide-semiconductor (CMOS) process and measures 4.6 x 4.6 x 0.5 mm. The prototype implant size including test connectors is 19 x 14 x 6 mm, which can be shrunk down to < 0.5 CC. This paper also summarizes some of the in vitro and in vivo experiments performed using the Interestim-2B prototype implant.

  16. Validation of a cage implant system for assessing in vivo performance of long-acting release microspheres. (United States)

    Doty, Amy C; Hirota, Keiji; Olsen, Karl F; Sakamoto, Naoya; Ackermann, Rose; Feng, Meihua R; Wang, Yan; Choi, Stephanie; Qu, Wen; Schwendeman, Anna; Schwendeman, Steven P


    Here we describe development of a silicone rubber/stainless steel mesh cage implant system, much like that used to assess biocompatibility of biomaterials [1], for easy removal of injectable polymer microspheres in vivo. The sterile cage has a type 316 stainless steel mesh size (38 μm) large enough for cell penetration and free fluid flow in vivo but small enough for microsphere retention, and a silicone rubber shell for injection of the microspheres. Two model drugs, the poorly soluble steroid, triamcinolone acetonide, and the highly water-soluble luteinizing hormone-releasing hormone (LHRH) peptide superagonist, leuprolide, were encapsulated in PLGA microspheres large enough (63-90 μm) to be restrained by the cage implant in vivo. The in vitro release from both formulations was followed by ultra-performance liquid chromatography (UPLC) with and without the cage in a standard release media, PBS pH 7.4 + 0.02% Tween 80 + 0.05% sodium azide, at 37 °C. Pharmacokinetics (PK) in rats was assessed after SC injection or SC in-cage implantation of microspheres with plasma analysis by LC-MS/MS or EIA. Tr-A and leuprolide in vitro release was largely unaffected after the initial burst irrespective of the cage or test tube incubation vessel and release was much slower than observed in vivo for both drugs. Moreover, Tr-A and leuprolide pharmacokinetics with and without the cage were highly similar during the 2-3 week release duration before a significant inflammatory response was caused by the cage implant. Hence, the PK-validated cage implant provides a simple means to recover and evaluate the microsphere drug carriers in vivo during a time window of at least a few weeks in order to characterize the polymer microsphere release and erosion behavior in vivo. This approach may facilitate development of mechanism-based in vitro/in vivo correlations and enable development of more accurate and useful in vitro release tests. Copyright © 2016 Elsevier Ltd. All

  17. Reliability of preoperative planning of an image-guided system for oral implant placement based on 3-dimensional images: an in vivo study. (United States)

    Fortin, Thomas; Bosson, Jean Luc; Coudert, Jean Loup; Isidori, Michel


    The purpose of this study was to assess the reliability of the planning software of an image-guided implant placement system based on a mechanical device coupled with a template stabilized on soft tissue during surgery. Thirty consecutive partially or completely edentulous patients were treated with the image-guided system. For each patient, a study prosthesis was fabricated and duplicated in acrylic resin and served as a scanning template. Axial images were obtained from a computerized tomographic scan and transferred to planning software that provides real 3-dimensional information to plan implant position. Once the final position of the implant was defined, preoperative data such as the size of implants and anatomic complications were recorded using the planning software. The scanning template was then drilled in that exact position by a drilling machine. During surgery, the drilled template was used as a drill guide. After implant placement, intraoperative data were recorded and statistically compared with the preoperative data using the Kendall correlation coefficient for qualitative data and the Kappa concordance coefficient for quantitative data. Agreement between the preoperative and intraoperative data was high for both implant size and anatomic complications. The Kendall correlation coefficient was 0.8 for the diameter and 0.82 for the length. The Kappa concordance coefficient was 0.87 for both dehiscence and bone graft, 0.88 for osteotomy, and 1.0 for fenestration. In the few instances where planning was not perfect, implant placement was completed in a clinically acceptable manner. The results suggest that the image-guided system presented is reliable for the preoperative assessment of implant size and anatomic complications. It may also be reliable for flapless surgery.

  18. A comparative evaluation of linear dimensional accuracy of the dies obtained using three conceptually different die systems in the fabrication of implant prosthesis: An in vitro study

    Directory of Open Access Journals (Sweden)

    Manawar Ahmad


    Purpose: The purpose of the study was to evaluate the linear dimensional accuracy between the implant master die and three conceptually different die systems such as Pindex system, Accu-trac precision die system, and Conventional brass dowel pin system. Materials and Methods: Thirty impressions of implant master die were made with polyether impression material. Ten experimental implant casts were fabricated for each of the three different die systems tested: Accu-trac precision die tray system, Pindex system, and conventional brass dowel pin system. The solid experimental casts were sectioned and then removed from the die system 30 times. Linear distances between all six possible distances were measured from one centre of the transfer coping to the other, using a co-ordinate measuring machine in millimeters up to accuracy of 0.5 microns. Data were tabulated and statistically analyzed by Binomial non parametric test using SPSS version 15. Results: Significant differences were found for distance A-B (P = 0.002, A-C ( P = 0.002, A-D (P value = 0.002, and B-D ( P = 0.021 in Conventional Dowel pin system however for Accu-trac precision die tray system, it was significant only for distance A-D (P = 0.002 but for Pindex system it was non-significant for all the distances measured. Conclusion: Within the limitations of this study, use of Pindex system is recommended when sectioned dies are needed for a multi implant retained prosthesis.

  19. Irradiation influence on Mylar and Makrofol induced by argon ions in a plasma immersion ion implantation system (United States)

    Hassan, A.; El-Saftawy, A. A.; Aal, S. A. Abd El; Ghazaly, M. El


    Mylar and Makrofol polycarbonate polymers were irradiated by Ar ions in a plasma immersion ion implantation (PIII) system. The surface wettability of both polymers was investigated by employing the contact angle method. The measured contact angles were found to depend on the surface layer properties. Good wetting surfaces were found to depend not only on surface roughness but also on its chemistry that analyzed by Fourier transform infrared (FTIR) spectroscopy. Surfaces topography and roughness was investigated and correlated to their surface energy which studied with the aid of acid-base model for evaluating the improvement of surface wettability after irradiation. PIII improves polymers surface properties efficiently in a controllable way.

  20. A companion agent for automated training systems

    NARCIS (Netherlands)

    Buiël, E.F.T.; Lubbers, J.


    TNO Defence, Security & Safety has a long history of applied research in the area of automated simulator-based training by means of Computer-Assisted Instruction (CAI). Traditionally, a CAI system does not enable a true dialogue between the learner and the virtual instructor. Most frequently, the sy

  1. Algorithms, hardware, and software for a digital signal processor microcomputer-based speech processor in a multielectrode cochlear implant system. (United States)

    Morris, L R; Barszczewski, P


    Software and hardware have been developed to create a powerful, inexpensive, compact digital signal processing system which in real-time extracts a low-bit rate linear predictive coding (LPC) speech system model. The model parameters derived include accurate spectral envelope, formant, pitch, and amplitude information. The system is based on the Texas Instruments TMS320 family, and the most compact realization requires only three chips (TMS320E17, A/D-D/A, op-amp), consuming a total of less than 0.5 W. The processor is part of programmable cochlear implant system under development by a multiuniversity Canadian team, but also has other applications in aids to the hearing handicapped.

  2. CAI多媒體教學軟體之開發模式 Using an Instructional Design Model for Developing a Multimedia CAI Courseware

    Directory of Open Access Journals (Sweden)

    Hsin-Yih Shyu


    Full Text Available 無This article outlined a systematic instructional design model for developing a multimedia computer-aided instruction (CAI courseware. The model illustrated roles and tasks as two dimensions necessary in a CAI production teamwork. Four major components (Analysis, Design, Development, and Revise/Evaluation following by totally 25 steps are provided. Eight roles with each competent skills were identified. The model will be useful in serving as a framework for developing a mulrimedia CAI courseware for educators, instructional designers and CAI industry developers.

  3. A new cable-tie based sternal closure system: description of the device, technique of implantation and first clinical evaluation

    Directory of Open Access Journals (Sweden)

    Grapow Martin TR


    Full Text Available Abstract Background Wire closure still remains the preferred technique despite reasonable disadvantages. Associated complications, such as infection and sternal instability, cause time- and cost-consuming therapies. We present a new tool for sternal closure with its first clinical experience and results. Methods The sternal ZipFixTM System is based on the cable-tie principle. It primarily consists of biocompatible Poly-Ether-Ether-Ketone implants and is predominantly used peristernally through the intercostal space. The system provides a large implant-to-bone contact for better force distribution and for avoiding bone cut through. Results 50 patients were closed with the ZipFixTM system. No sternal instability was observed at 30 days. Two patients developed a mediastinitis that necessitated the removal of the device; however, the ZipFixTM were intact and the sternum remained stable. Conclusions In our initial evaluation, the short-term results have shown that the sternal ZipFixTM can be used safely and effectively. It is fast, easy to use and serves as a potential alternative for traditional wire closure.

  4. Comparison of dual-time-constant and fast-acting automatic gain control (AGC) systems in cochlear implants. (United States)

    Boyle, Patrick J; Büchner, Andreas; Stone, Michael A; Lenarz, Thomas; Moore, Brian C J


    Cochlear implants usually employ an automatic gain control (AGC) system as a first stage of processing. AGC1 was a fast-acting (syllabic) compressor. AGC2 was a dual-time-constant system; it usually performed as a slow-acting compressor, but incorporated an additional fast-acting system to provide protection from sudden increases in sound level. Six experienced cochlear-implant users were tested in a counterbalanced order, receiving one-month of experience with a given AGC type before switching to the other type. Performance was evaluated shortly after provision of a given AGC type and after one-month of experience with that AGC type. Questionnaires, mainly relating to listening in quiet situations, did not reveal significant differences between the two AGC types. However, fixed-level and roving-level tests of sentence identification in noise both revealed significantly better performance for AGC2. It is suggested that the poorer performance for AGC1 occurred because AGC1 introduced cross-modulation between the target speech and background noise, which made perceptual separation of the target and background more difficult.

  5. Biomedical implantable microelectronics. (United States)

    Meindl, J D


    Innovative applications of microelectronics in new biomedical implantable instruments offer a singular opportunity for advances in medical research and practice because of two salient factors: (i) beyond all other types of biomedical instruments, implants exploit fully the inherent technical advantages--complex functional capability, high reliability, lower power drain, small size and weight-of microelectronics, and (ii) implants bring microelectronics into intimate association with biological systems. The combination of these two factors enables otherwise impossible new experiments to be conducted and new paostheses developed that will improve the quality of human life.

  6. Optimization of dental implantation (United States)

    Dol, Aleksandr V.; Ivanov, Dmitriy V.


    Modern dentistry can not exist without dental implantation. This work is devoted to study of the "bone-implant" system and to optimization of dental prostheses installation. Modern non-invasive methods such as MRI an 3D-scanning as well as numerical calculations and 3D-prototyping allow to optimize all of stages of dental prosthetics. An integrated approach to the planning of implant surgery can significantly reduce the risk of complications in the first few days after treatment, and throughout the period of operation of the prosthesis.

  7. Characterization of Meteorites by Focused Ion Beam Sectioning: Recent Applications to CAIs and Primitive Meteorite Matrices (United States)

    Christoffersen, Roy; Keller, Lindsay P.; Han, Jangmi; Rahman, Zia; Berger, Eve L.


    Focused ion beam (FIB) sectioning has revolutionized preparation of meteorite samples for characterization by analytical transmission electron microscopy (TEM) and other techniques. Although FIB is not "non-destructive" in the purest sense, each extracted section amounts to no more than nanograms (approximately 500 cubic microns) removed intact from locations precisely controlled by SEM imaging and analysis. Physical alteration of surrounding material by ion damage, fracture or sputter contamination effects is localized to within a few micrometers around the lift-out point. This leaves adjacent material intact for coordinate geochemical analysis by SIMS, microdrill extraction/TIMS and other techniques. After lift out, FIB sections can be quantitatively analyzed by electron microprobe prior to final thinning, synchrotron x-ray techniques, and by the full range of state-of-the-art analytical field-emission scanning transmission electron microscope (FE-STEM) techniques once thinning is complete. Multiple meteorite studies supported by FIB/FE-STEM are currently underway at NASA-JSC, including coordinated analysis of refractory phase assemblages in CAIs and fine-grained matrices in carbonaceous chondrites. FIB sectioning of CAIs has uncovered epitaxial and other overgrowth relations between corundum-hibonite-spinel consistent with hibonite preceding corundum and/or spinel in non-equilibrium condensation sequences at combinations of higher gas pressures, dust-gas enrichments or significant nebular transport. For all of these cases, the ability of FIB to allow for coordination with spatially-associated isotopic data by SIMS provides immense value for constraining the formation scenarios of the particular CAI assemblage. For carbonaceous chondrites matrix material, FIB has allowed us to obtain intact continuous sections of the immediate outer surface of Murchison (CM2) after it has been experimentally ion processed to simulate solar wind space weathering. The surface

  8. The Clinical Experiences of Dr.CAI Gan in Treating Chronic Constipation

    Institute of Scientific and Technical Information of China (English)

    ZHANG Zheng-li; ZHU Mei-ping; LIU Qun; LEI Yun-xia


    @@ Prof.CAI Gan (蔡淦) is an academic leader in TCM treatment of the spleen and stomach disease.He insisted that liver depression, spleen deficiency and poor nourishment of the intestines are the core of pathogenesis for chronic constipation.Therefore he often treats the disease by strengthening the spleen,relieving the depressed liver, nourishing yin and moistening the intestines.Meanwhile he attaches great importance to syndrome differentiation and comprehensive regulation and treatment.As a result,good therapeutic effects are often achieved.The authors summarized his ways for treating chronic constipation with the following 10 methods, which are introduced below.

  9. MEMS biomedical implants

    Institute of Scientific and Technical Information of China (English)

    Tai Yuchong


    The field of micro-electro-mechanical systems (MEMS) has advanced tremendously for the last 20 years. Most commercially noticeably, the field has successfully advanced from pressure sensors to micro physical sensors, such as accelerometers and gyros, for handheld electronics application. In parallel, MEMS has also advanced into micro total analysis system(TAS) and/or lab-on-a-chip applications. This article would discuss a relatively new but promising future direction towards MEMS biomedical implants. Specifically, Parylene C has been explored to be used as a good MEMS implant material and will be discussed in detail. Demonstrated implant devices, such as retinal and spinal cord implants, are presented in this article.

  10. A new transcutaneous energy transmission system with hybrid energy coils for driving an implantable biventricular assist device. (United States)

    Okamoto, Eiji; Yamamoto, Yoshiro; Akasaka, Yuhta; Motomura, Tadashi; Mitamura, Yoshinori; Nosé, Yukihiko


    We have developed a new transcutaneous energy transmission (TET) system for a totally implantable biventricular assist device (BVAD) system in the New Energy and Industrial Development Organization (NEDO) artificial heart project. The TET system mainly consists of an energy transmitter, a hybrid energy coil unit, an energy receiver, an internal battery system, and an optical telemetry system. The hybrid energy coil unit consists of an air-core energy transmission coil and an energy-receiving coil having a ferrite core. Internal units of the TET system are encapsulated in a titanium alloy casing, which has a size of 111 mm in width, 73 mm in length, and 25 mm in height. In in vitro experiments, the TET system can transmit a maximum electric energy of 60 Watts, and it has a maximum transmission efficiency of 87.3%. A maximum surface temperature of 46.1 degrees C was measured at the ferrite core of the energy-receiving coil during an energy transmission of 20 Watts in air. The long-term performance test shows that the TET system has been able to operate stably for over 4 years with a decrease of energy-transmission efficiency from 85% to 80%. In conclusion, the TET system with the hybrid energy coil can overcome the drawback of previously reported TET systems, and it promises to be the highest performance TET system in the world.

  11. Magnetic-Field Immunity Examination and Evaluation of Transcutaneous Energy-Transmission System for a Totally Implantable Artificial Heart

    Directory of Open Access Journals (Sweden)

    Takahiko Yamamoto


    Full Text Available Transcutaneous energy transmission (TET is the most promising noninvasive method for supplying driving energy to a totally implantable artificial heart. Induction-heating (IH cookers generate a magnetic flux, and if a cooker is operated near a transcutaneous transformer, the magnetic flux generated will link with its external and internal coils. This will affect the performance of the TET and the artificial heart system. In this paper, we present the design and development of a coil to be used for a magnetic immunity test, and we detail the investigation of the magnetic immunity of a transcutaneous transformer. The experimental coil, with five turns like a solenoid, was able to generate a uniform magnetic field in the necessary bandwidth. A magnetic-field immunity examination of the TET system was performed using this coil, and the system was confirmed to have sufficient immunity to the magnetic field generated as a result of the conventional operation of induction-heating cooker.

  12. Cochlear Implant in Adults

    Directory of Open Access Journals (Sweden)

    Jaleh Samadi


    Full Text Available Cochlear implant is the result of a great combination and collaboration of engineering and medicine. It is mainly because it has the most conflict with the human nervous system among all prosthesis. Cochlear implant helps a child with profound hearing loss to understand and articulate speech and let an adult person with hearing loss communicate with people by phone. Although these wonderful results could not be seen in all patients, will let us know about the great scientific findings.

  13. Accuracy of a direct drill-guiding system with minimal tolerance of surgical instruments used for implant surgery: a prospective clinical study (United States)


    PURPOSE A recently introduced direct drill-guiding implant surgery system features minimal tolerance of surgical instruments in the metal sleeve by using shank-modified drills and a sleeve-incorporated stereolithographic guide template. The purpose of this study was to evaluate the accuracy of this new guided surgery system in partially edentulous patients using geometric analyses. MATERIALS AND METHODS For the study, 21 implants were placed in 11 consecutive patients using the direct drill-guiding implant surgery system. The stereolithographic surgical guide was fabricated using cone-beam computed tomography, digital scanning, computer-aided design and computer-assisted manufacturing, and additive manufacturing processes. After surgery, the positional and angular deviations between planned and placed implants were measured at the abutment level using implant-planning software. The Kruskal-Wallis test and Mann-Whitney U test were used to compare the deviations (α=.05). RESULTS The mean horizontal deviations were 0.593 mm (SD 0.238) mesiodistally and 0.691 mm (SD 0.344) buccolingually. The mean vertical deviation was 0.925 mm (SD 0.376) occlusogingivally. The vertical deviation was significantly larger than the horizontal deviation (P=.018). The mean angular deviation was 2.024 degrees (SD 0.942) mesiodistally and 2.390 degrees (SD 1.142) buccolingually. CONCLUSION The direct drill-guiding implant surgery system demonstrates high accuracy in placing implants. Use of the drill shank as the guiding component is an effective way for reducing tolerance. PMID:27350855

  14. Novel implantable imaging system for enabling simultaneous multiplanar and multipoint analysis for fluorescence potentiometry in the visual cortex. (United States)

    Kobayashi, Takuma; Motoyama, Mayumi; Masuda, Hiroyuki; Ohta, Yasumi; Haruta, Makito; Noda, Toshihiko; Sasagawa, Kiyotaka; Tokuda, Takashi; Tamura, Hideki; Ishikawa, Yasuyuki; Shiosaka, Sadao; Ohta, Jun


    Techniques for fast, noninvasive measurement of neuronal excitability within a broad area will be of major importance for analyzing and understanding neuronal networks and animal behavior in neuroscience field. In this research, a novel implantable imaging system for fluorescence potentiometry was developed using a complementary metal-oxide semiconductor (CMOS) technology, and its application to the analysis of cultured brain slices and the brain of a living mouse is described. A CMOS image sensor, small enough to be implanted into the brain, with light-emitting diodes and an absorbing filter was developed to enable real-time fluorescence imaging. The sensor, in conjunction with a voltage-sensitive dye, was certainly able to visualize the potential statuses of neurons and obtain physiological responses in both right and left visual cortex simultaneously by using multiple sensors for the first time. This accomplished multiplanar and multipoint measurement provides multidimensional information from different aspects. The light microsensors do not disturb the animal behavior. This implies that the imaging system can combine functional fluorescence imaging in the brain with behavioral experiments in a freely moving animal.

  15. Eyelid reanimation with gold weight implant and tendon sling suspension: evaluation of excursion and velocity using the FACIAL CLIMA system. (United States)

    Hontanilla, Bernardo; Marre, Diego


    This study aims to analyse the efficacy of static techniques, namely gold weight implant and tendon sling, in the reanimation of the paralytic eyelid. Upper eyelid rehabilitation in terms of excursion and blinking velocity is performed using the automatic motion capture system, FACIAL CLIMA. Seventy-four patients underwent a total of 101 procedures including 58 upper eyelid gold weight implants and 43 lower eyelid tendon suspension with 27 patients undergoing both procedures. The presence of lagophtalmos, eye dryness, corneal ulcer, epiphora and lower lid ptosis/ectropion was assessed preoperatively. The Wilcoxon signed-rank test was used to compare preoperative versus postoperative measurements of upper eyelid excursion and blinking velocity determined with FACIAL CLIMA. Significance was set at p CLIMA revealed significant improvement of eyelid excursion and velocity of blinking (p CLIMA system is a reliable method to quantify upper eyelid excursion and blinking velocity and to detect the exact position of the lower eyelid. Copyright © 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

  16. Intelligent CAI. (United States)


    of industria !, technological, and sociological interest- invaluable information for executives and professionals who must keep up to date. The...BEVERAGE 1A HOT CHOCOLATE MB TEA IBI WITH LEMON HB2 WITH SUGAR AND CREAM 1C COFFEE 11 SUBSTITUTE WOR’ JN &TATCIKMT Before we end this

  17. Exploring User Experience and Affect to Enhance Creative Artificial Intelligence Systems


    Salevati, Sara


    In recent years, Creative Artificial Intelligence Systems (CAIS) have transformed the nature of creative practices. This transformation has created a need for research on the importance of the human collaborator, the user experience (UX) and practical applications of CAIS.This dissertation addresses the need for research in this respect through three interrelated studies, that focus on supporting the collaboration between users and CAIS in the generation of creative artefacts. The first study...

  18. Ca-Fe and Alkali-Halide Alteration of an Allende Type B CAI: Aqueous Alteration in Nebular or Asteroidal Settings (United States)

    Ross, D. K.; Simon, J. I.; Simon, S. B.; Grossman, L.


    Ca-Fe and alkali-halide alteration of CAIs is often attributed to aqueous alteration by fluids circulating on asteroidal parent bodies after the various chondritic components have been assembled, although debate continues about the roles of asteroidal vs. nebular modification processes [1-7]. Here we report de-tailed observations of alteration products in a large Type B2 CAI, TS4 from Allende, one of the oxidized subgroup of CV3s, and propose a speculative model for aqueous alteration of CAIs in a nebular setting. Ca-Fe alteration in this CAI consists predominantly of end-member hedenbergite, end-member andradite, and compositionally variable, magnesian high-Ca pyroxene. These phases are strongly concentrated in an unusual "nodule" enclosed within the interior of the CAI (Fig. 1). The Ca, Fe-rich nodule superficially resembles a clast that pre-dated and was engulfed by the CAI, but closer inspection shows that relic spinel grains are enclosed in the nodule, and corroded CAI primary phases interfinger with the Fe-rich phases at the nodule s margins. This CAI also contains abundant sodalite and nepheline (alkali-halide) alteration that occurs around the rims of the CAI, but also penetrates more deeply into the CAI. The two types of alteration (Ca-Fe and alkali-halide) are adjacent, and very fine-grained Fe-rich phases are associated with sodalite-rich regions. Both types of alteration appear to be replacive; if that is true, it would require substantial introduction of Fe, and transport of elements (Ti, Al and Mg) out of the nodule, and introduction of Na and Cl into alkali-halide rich zones. Parts of the CAI have been extensively metasomatized.

  19. Implantation of an ergonomics administration system in a company: report of an occupational therapist specialist in ergonomics. (United States)

    Moraes, Berla; Andrade, Valéria Sousa


    This article aims to describe step-by-step the implementation of an ergonomics administration system in a company from March 2009 till March 2011 by an occupational therapist specialist in ergonomics based on the OSHAS 18001 guidelines and the Regulatory Norms 17 manual. The process began with the definition of five requisites with bases on the manual of application of the Regulatory Norms 17: survey; materials individual transportation and discharge; workplace furniture; workplace equipments; work environment and organization of the work to be managed with bases on the OSHAS 18001 guidelines. The following steps were established: sensitization of the company high administration, elaboration and institution of an ergonomics politics, development of ergonomics committees, ergonomics analysis of the work with recommendation of ergonomic improvements, implantation of improvements and evaluation or the results. This research experiment suggests the importance not only of a guiding axle but also of a professional qualification and participation of the company on the implementation of an ergonomics management system.

  20. Clock recovery PLL with gated PFD for NRZ ON-OFF Modulated Signals in a retinal implant system. (United States)

    Brendler, Christian; Aryan, Naser Pour; Rieger, Viola; Rothermel, Albrecht


    A Clock Recovery Phase Locked Loop with Gated Phase Frequency Detector (GPLL) for NRZ ON-OFF Modulated Signals with low data transmission rates for an inductively powered subretinal implant system is presented. Low data transmission rate leads to a long absence of inductive powering in the system when zeros are transmitted. Consequently there is no possibility to extract any clock in these pauses, thus the digital circuitry can not work any more. Compared to a commonly used PLL for clock extraction, no certain amount of data transitions is needed. This is achieved by having two operating modes. In one mode the GPLL tracks the HF input signal. In the other, the GPLL is an adjustable oscillator oscillating at the last used frequency. The proposed GPLL is fabricated and measured using a 350 nm High Voltage CMOS technology.

  1. Estado nutricional y adecuación del menú en los CAI de Villa Gesell



    Los Centros de Atención Integral (C.A.I) son unidades pertenecientes al PROMIN en los que se combinan prestaciones pedagógicas y de estimulación con complementación alimentaria en áreas de alta concentración de pobreza estructural. Objetivos: Evaluar el estado nutricional de los niños que asisten a los C.A.I. de Villa Gesell y la adecuación del menú brindado en estos a las necesidades nutricionales. Material y Método: Se procedió a tomar mediciones antropométricas tales como...

  2. A Comparative Study to Evaluate the Effectiveness of Computer Assisted Instruction (CAI) versus Class Room Lecture (RL) for Computer Science at ICS Level (United States)

    Kausar, Tayyaba; Choudhry, Bushra Naoreen; Gujjar, Aijaz Ahmed


    This study was aimed to evaluate the effectiveness of CAI vs. classroom lecture for computer science at ICS level. The objectives were to compare the learning effects of two groups with class room lecture and computer assisted instruction studying the same curriculum and the effects of CAI and CRL in terms of cognitive development. Hypothesis of…

  3. A multi-faceted treatment approach for anterior reconstructions using current ceramics, implants, and adhesive systems. (United States)

    Hajtó, Jan; Gehringer, Uwe; Ozcan, Mutlu


    Of all developments in dental technology, fulfilling the esthetic and functional demands of the patient, especially regarding anterior reconstructions, is still a challenge for both dentists and dental technicians. This becomes more difficult for patients with a previous treatment history that is not ideal. This case presentation demonstrates reconstruction of an anterior zirconia resin-bonded fixed dental prosthesis (RBFDP) for the mandible with a combined approach utilizing veneers for harmonized space distribution on the abutment teeth and an implant-supported zirconia fixed dental prosthesis in the anterior segment of the maxilla. Adhesive cementation of the restorations is also presented in a step-by-step approach based on the current state of the art.

  4. ActiGait® A Partly Implantable Drop-Foot Stimulator System

    DEFF Research Database (Denmark)

    Larsen, Birgit Tine; Partriciu, Andrei


    ActiGait® is a four-channel partly implantable neuroprosthesis to control ankle dorsiflexion during the swing phase of gait. Besides being safe and effective it was the goal of the developers to make a device that was easily handled by users with various levels of disabilitities. To ensure optimal...... application of the ActiGait® during market introduction, additional monitoring tools were applied and developed such as preoperative and postoperative magnetic resonance imaging (MRI), intraoperative fluoroscopy, and surface recordings of the artifacts generated by the electrical stimulation of the nerve....... By employing close monitoring during the establisment of new ActiGait® clinical centers, ActiGait® has been shown to be well accepted by users in several European countries....

  5. Classification and Clinical Management of Retrograde Peri-implantitis Associated with Apical Periodontitis: A Proposed Classification System and Case Report. (United States)

    Sarmast, Nima D; Wang, Howard H; Sajadi, Ali S; Angelov, Nikola; Dorn, Samuel O


    Biological complications involving dental implants include peri-implant diseases such as peri-implant mucositis and peri-implantitis. The latter presents with progressive bone loss from the alveolar crest in a coronal apical direction. However, a separate disease entity termed retrograde peri-implantitis (RPI), which presents with progressive bone loss at the periapex of the implant, also exists and may be of particular interest to endodontists because it typically presents with periapical pathology of both the implant and adjacent tooth or at a site that previously housed an endodontically treated tooth. The reported prevalence of retrograde peri-implantitis is 0.26%, which is much lower than the prevalence of marginal peri-implantitis; however, its incidence increases to 7.8% when teeth adjacent to the implant exhibit an endodontic infection. It is positively correlated with a shorter distance between the implant and the adjacent tooth and a shorter time elapsed from the endodontically treated adjacent tooth to implant placement. This case report describes a patient diagnosed with an RPI lesion (RPI) associated with an adjacent endodontically treated tooth with a persistent periapical radiolucent lesion. The diagnosis, possible etiology, and management of the RPI lesion is thoroughly reported including follow-up visits showing complete resolution after subsequent periodontal and endodontic therapy. Endodontic evaluation of teeth adjacent to the implant site should be performed for primary prevention of RPI. Proper classification of RPI will aid in determining the course of treatment; class 1 and 2 cases require endodontic therapy of the involved teeth for healing to occur. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  6. Goserelin Implant (United States)

    ... in men (blockage that causes difficulty urinating), or heart or liver disease.tell your doctor if you are pregnant or plan to become pregnant. Goserelin implant should not be used in pregnant women, except ...

  7. Systemic Inflammatory Response Syndrome in End-Stage Heart Failure Patients Following Continuous-Flow Left Ventricular Assist Device Implantation: Differences in Plasma Redox Status and Leukocyte Activation. (United States)

    Mondal, Nandan K; Sorensen, Erik N; Pham, Si M; Koenig, Steven C; Griffith, Bartley P; Slaughter, Mark S; Wu, Zhongjun J


    The role of oxidative stress and leukocyte activation has not been elucidated in developing systemic inflammatory response syndrome (SIRS) in heart failure (HF) patients after continuous-flow left ventricular assist device (CF-LVAD) implantation. The objective of this study was to investigate the change of plasma redox status and leukocyte activation in CF-LVAD implanted HF patients with or without SIRS. We recruited 31 CF-LVAD implanted HF patients (16 SIRS and 15 non-SIRS) and 11 healthy volunteers as the control. Pre- and postimplant blood samples were collected from the HF patients. Plasma levels of oxidized low-density lipoprotein (oxLDL), malondialdehyde (MDA), total antioxidant capacity (TAC), superoxide dismutase (SOD) in erythrocyte, myeloperoxidase (MPO), and polymorphonuclear elastase (PMN-elastase) were measured. The HF patients had a preexisting condition of oxidative stress than healthy controls as evident from the higher oxLDL and MDA levels as well as depleted SOD and TAC. Leukocyte activation in terms of higher plasma MPO and PMN-elastase was also prominent in HF patients than controls. Persistent oxidative stress and reduced antioxidant status were found to be more belligerent in HF patients with SIRS after the implantation of CF-LVAD when compared with non-SIRS patients. Similar to oxidative stress, the activation of blood leukocyte was significantly highlighted in SIRS patients after implantation compared with non-SIRS. We identified that the plasma redox status and leukocyte activation became more prominent in CF-LVAD implanted HF patients who developed SIRS. Our findings suggest that plasma biomarkers of oxidative stress and leukocyte activation may be associated with the development of SIRS after CF-LVAD implant surgery.

  8. Low accuracy of stem implantation in THR using the CASPAR-system: anteversion measurements in 10 hips. (United States)

    Mazoochian, Farhad; Pellengahr, Christoph; Huber, Armin; Kircher, Jörn; Refior, Hans Jürgen; Jansson, Volkmar


    We studied 10 patients by means of pre- and postoperative CT who underwent computer-assisted total hip replacement using the CASPAR-system (OrthoMaquet GmbH, Rastatt, Germany). The anteversion angles of the stem and translational deviations measured after surgery were compared to the preoperatively planned ones as a quality control. We found an average difference of 7.8 degrees (SD 6.3 degrees; 95% CI 3.3 degrees-12.3 degrees) in the angles and an average difference of 1.8 (SD 1.7; 95% CI 0.6-3.0) mm and 1.2 (SD 1.4: 95% CI 0.25-2.2), respectively, in the medial and lateral deviation. In conclusion, we could not confirm the same accuracy of implant position as that claimed by the manufacturer.

  9. Update on bariatric surgical procedures and an introduction to the implantable weight loss device: the Maestro Rechargeable System

    Directory of Open Access Journals (Sweden)

    Hwang SS


    Full Text Available Stephanie S Hwang,1 Mark C Takata,1 Ken Fujioka,2 William Fuller1 1Division of General/Bariatric Surgery, Scripps Clinic Weight Management, 2Division of Diabetes and Endocrinology, Scripps Clinic, La Jolla, CA, USA Abstract: There are many different methods of treating obesity, ranging from various medical options to several surgical therapies. This paper briefly summarizes current surgical options for weight loss with a focus on one of the newest US Food and Drug Administration-approved devices for surgical weight loss therapy, the Maestro Rechargeable System. Also known as the vagal blocking for obesity control implantable device, this tool blocks vagal nerve activity to induce weight loss. Keywords: VBLOC device, vagal, vagus, obesity

  10. Contraceptive implants. (United States)

    McDonald-Mosley, Raegan; Burke, Anne E


    Implantable contraception has been extensively used worldwide. Implants are one of the most effective and reversible methods of contraception available. These devices may be particularly appropriate for certain populations of women, including women who cannot use estrogen-containing contraception. Implants are safe for use by women with many chronic medical problems. The newest implant, Implanon (Organon International, Oss, The Netherlands), is the only device currently available in the United States and was approved in 2006. It is registered for 3 years of pregnancy prevention. Contraceptive implants have failure rates similar to tubal ligation, and yet they are readily reversible with a return to fertility within days of removal. Moreover, these contraceptive devices can be safely placed in the immediate postpartum period, ensuring good contraceptive coverage for women who may be at risk for an unintended pregnancy. Irregular bleeding is a common side effect for all progestin-only contraceptive implants. Preinsertion counseling should address possible side effects, and treatment may be offered to women who experience prolonged or frequent bleeding. Thieme Medical Publishers.

  11. Remote actuated valve implant

    Energy Technology Data Exchange (ETDEWEB)

    McKnight, Timothy E.; Johnson, Anthony; Moise, Kenneth J.; Ericson, Milton Nance; Baba, Justin S.; Wilgen, John B.; Evans, Boyd Mccutchen


    Valve implant systems positionable within a flow passage, the systems having an inlet, an outlet, and a remotely activatable valve between the inlet and outlet, with the valves being operable to provide intermittent occlusion of the flow path. A remote field is applied to provide thermal or magnetic activation of the valves.

  12. From Corporate Social Responsibility, through Entrepreneurial Orientation, to Knowledge Sharing: A Study in Cai Luong (Renovated Theatre) Theatre Companies (United States)

    Tuan, Luu Trong


    Purpose: This paper aims to examine the role of antecedents such as corporate social responsibility (CSR) and entrepreneurial orientation in the chain effect to knowledge sharing among members of Cai Luong theatre companies in the Vietnamese context. Knowledge sharing contributes to the depth of the knowledge pool of both the individuals and the…

  13. Hunting and use of terrestrial fauna used by Caiçaras from the Atlantic Forest coast (Brazil

    Directory of Open Access Journals (Sweden)

    Alves Rômulo RN


    Full Text Available Abstract Background The Brazilian Atlantic Forest is considered one of the hotspots for conservation, comprising remnants of rain forest along the eastern Brazilian coast. Its native inhabitants in the Southeastern coast include the Caiçaras (descendants from Amerindians and European colonizers, with a deep knowledge on the natural resources used for their livelihood. Methods We studied the use of the terrestrial fauna in three Caiçara communities, through open-ended interviews with 116 native residents. Data were checked through systematic observations and collection of zoological material. Results The dependence on the terrestrial fauna by Caiçaras is especially for food and medicine. The main species used are Didelphis spp., Dasyprocta azarae, Dasypus novemcinctus, and small birds (several species of Turdidae. Contrasting with a high dependency on terrestrial fauna resources by native Amazonians, the Caiçaras do not show a constant dependency on these resources. Nevertheless, the occasional hunting of native animals represents a complimentary source of animal protein. Conclusion Indigenous or local knowledge on native resources is important in order to promote local development in a sustainable way, and can help to conserve biodiversity, particularly if the resource is sporadically used and not commercially exploited.

  14. Phenotypic diversity and correlation between white-opaque switching and the CAI microsatellite locus in Candida albicans. (United States)

    Hu, Jian; Guan, Guobo; Dai, Yu; Tao, Li; Zhang, Jianzhong; Li, Houmin; Huang, Guanghua


    Candida albicans is a commensal fungal pathogen that is often found as part of the human microbial flora. The aim of the present study was to establish a relationship between diverse genotypes and phenotypes of clinical isolates of C. albicans. Totally 231 clinical isolates were collected and used for genotyping and phenotypic switching analysis. Based on the microsatellite locus (CAI) genotyping assay, 65 different genotypes were identified, and some dominant types were found in certain human niches. For example, the genotypes of 30-44 and 30-45 were enriched in vaginal infection samples. C. albicans has a number of morphological forms including the single-celled yeasts, multicellular filaments, white, and opaque cell types. The relationship between the CAI genotype and the ability to undergo phenotypic switching was examined in the clinical isolates. We found that the strains with longer CAA/G repeats in both alleles of the CAI locus were more opaque competent. We also discovered that some MTL heterozygous (a/alpha) isolates could undergo white-opaque switching when grown on regular culture medium (containing glucose as the sole carbon source). Our study establishes a link between phenotypic switching and genotypes of the CAI microsatellite locus in clinical isolates of C. albicans.

  15. Changes in flavour and microbial diversity during natural fermentation of suan-cai, a traditional food made in Northeast China. (United States)

    Wu, Rina; Yu, Meiling; Liu, Xiaoyu; Meng, Lingshuai; Wang, Qianqian; Xue, Yating; Wu, Junrui; Yue, Xiqing


    We measured changes in the main physical and chemical properties, flavour compounds and microbial diversity in suan-cai during natural fermentation. The results showed that the pH and concentration of soluble protein initially decreased but were then maintained at a stable level; the concentration of nitrite increased in the initial fermentation stage and after reaching a peak it decreased significantly to a low level by the end of fermentation. Suan-cai was rich in 17 free amino acids. All of the free amino acids increased in concentration to different degrees, except histidine. Total free amino acids reached their highest levels in the mid-fermentation stage. The 17 volatile flavour components identified at the start of fermentation increased to 57 by the mid-fermentation stage; esters and aldehydes were in the greatest diversity and abundance, contributing most to the aroma of suan-cai. Bacteria were more abundant and diverse than fungi in suan-cai; 14 bacterial species were identified from the genera Leuconostoc, Bacillus, Pseudomonas and Lactobacillus. The predominant fungal species identified were Debaryomyces hansenii, Candida tropicalis and Penicillium expansum.

  16. Teaching Critical Thinking Skills with CAI: A Design by Two Researchers Shows Computers Can Make a Difference. (United States)

    Bass, George M., Jr.; Perkins, Harvey W.


    Describes a project which involved designing a nine-week course utilizing computer assisted instruction (CAI) to teach seventh graders critical thinking skills. Results indicate measurable gains were made in the critical thinking skills of verbal analogy and inductive/deductive reasoning, although no consistent gains were made in logical reasoning…

  17. From Corporate Social Responsibility, through Entrepreneurial Orientation, to Knowledge Sharing: A Study in Cai Luong (Renovated Theatre) Theatre Companies (United States)

    Tuan, Luu Trong


    Purpose: This paper aims to examine the role of antecedents such as corporate social responsibility (CSR) and entrepreneurial orientation in the chain effect to knowledge sharing among members of Cai Luong theatre companies in the Vietnamese context. Knowledge sharing contributes to the depth of the knowledge pool of both the individuals and the…

  18. A three-year comparative study of continuation rates, bleeding patterns and satisfaction in Australian women using a subdermal contraceptive implant or progestogen releasing-intrauterine system. (United States)

    Weisberg, Edith; Bateson, Deborah; McGeechan, Kevin; Mohapatra, Lita


    BACKGROUND Long-acting reversible contraceptive methods (LARCs) are safe, highly effective, readily reversible, and require no action on the part of the user following insertion. Early discontinuation may put women at increased risk of unintended pregnancy. METHODS Following insertion of a progestogen-only subdermal implant or intrauterine system (IUS) at Family Planning NSW, women 18 years and older completed a questionnaire about their choice. At 6 weeks, 6, 12, 24 and 36 months by telephone or online they completed a questionnaire about bleeding patterns, side effects, satisfaction, and reasons for discontinuation. RESULTS Two hundred IUS users and 149 implant users were enrolled. The former were generally older, married or in a de-facto relationship, and had children. Forty-seven percent of implant users discontinued within three years compared to 27% of IUS users (p = 0.002). In the first two years amenorrhoea was more frequent in implant users. Frequent bleeding/spotting was more prevalent in the first year of IUS use but over time was twice as prevalent in implant users. Infrequent bleeding/spotting was more common in IUS users. CONCLUSION Both devices are highly effective and acceptable cost-effective methods. While LARCs should be promoted to women of all ages seeking contraception, early discontinuation due to unacceptable bleeding highlights the need for pre-insertion counselling.

  19. Two years since SSAMS: Status of {sup 14}C AMS at CAIS

    Energy Technology Data Exchange (ETDEWEB)

    Ravi Prasad, G.V.; Cherkinsky, Alexander; Culp, Randy A.; Dvoracek, Doug K.


    The NEC 250 kV single stage AMS accelerator (SSAMS) was installed two years ago at the Center for Applied Isotope Studies (CAIS), University of Georgia. The accelerator is primarily being used for radiocarbon measurements to test the authenticity of natural and bio-based samples while all other samples such as geological, atmospheric, marine and archaeological. are run on the 500 kV, NEC 1.5SDH-1 model tandem accelerator, which has been operating since 2001. The data obtained over a six months period for OXI, OXII, ANU sucrose and FIRI-D are discussed. The mean value of ANU sucrose observed to be slightly lower than the consensus value. The processed blanks on SSAMS produce lower apparent age compared to the tandem accelerator as expected.

  20. 物理教学中CAI的应用%CAI in Physics Teaching

    Institute of Scientific and Technical Information of China (English)

    梁继军; 王建东



  1. Normative findings of electrically evoked compound action potential measurements using the neural response telemetry of the Nucleus CI24M cochlear implant system.

    NARCIS (Netherlands)

    Cafarelli-Dees, D.; Dillier, N.; Lai, W.K.; Wallenberg, E. von; Dijk, B. van; Akdas, F.; Aksit, M.; Batman, C.; Beynon, A.J.; Burdo, S.; Chanal, J.M.; Collet, L.; Conway, M.; Coudert, C.; Craddock, L.; Cullington, H.; Deggouj, N.; Fraysse, B.; Grabel, S.; Kiefer, J.; Kiss, J.G.; Lenarz, T.; Mair, A.; Maune, S.; Muller-Deile, J.; Piron, J.P.; Razza, S.; Tasche, C.; Thai-Van, H.; Toth, F.; Truy, E.; Uziel, A.; Smoorenburg, G.F.


    One hundred and forty-seven adult recipients of the Nucleus 24 cochlear implant system, from 13 different European countries, were tested using neural response telemetry to measure the electrically evoked compound action potential (ECAP), according to a standardised postoperative measurement procedu

  2. A novel implantable vagus nerve stimulation system (ADNS-300) for combined stimulation and recording of the vagus nerve: Pilot trial at Ghent University Hospital

    NARCIS (Netherlands)

    El Tahry, R.; Raedt, R.; Mollet, L.; de Herdt, V.; Wyckuys, T.; Van Dycke, A.; Meurs, A.; Dewaele, F.; van Roost, D.; Doguet, P.; Delbeke, J.; Wadman, W.; Vonck, K.; Boon, P.


    Purpose: Vagus nerve stimulation (VNS) is an established treatment for refractory epilepsy. The ADNS-300 is a new system for VNS that includes a rechargeable stimulus generator and an electrode for combined stimulation and recording. In this feasibility study, three patients were implanted with ADNS

  3. Study of near-surface nanostructures in silicon systems after ion implantation and in the epitaxial growth by means of X-ray scattering

    CERN Document Server

    Beck, U W L


    In this thesis sample systems on silicon base, the doped regions of which were fabricated by ion implantation respectively by epitaxial layer growth, were studied by means of surface-sensitive X-ray scattering. In the foreground thereby lies the identification and characterization of defects and real structures, which influence the electronic properties.

  4. Adaptation of cochlear implant fitting to various telecommunication systems: a proposal for a 'telephone map'. (United States)

    Giannantonio, Sara; Di Nardo, Walter; Schinaia, Lorenzo; Paludetti, Gaetano


    Despite the innovations in cochlear implant (CI) technology in recent years, some auditory tasks remain difficult for CI recipients. This work proposes the creation of specific maps for telephone communication (via conventional phone and via Internet protocol, VoIP). In light of our preliminary results, we believe that our experimental maps might improve conventional telephone and Internet communications for CI recipients. This study aimed to: (1) analyze the spectro-temporal characteristics of the signals; (2) evaluate speech recognition scores using two different types of telephone communication; and (3) change some map parameters on the basis of the previous signal analysis, to obtain a specific map for telephone use. Eleven Cochlear™ Nucleus® CI recipients were tested for bisyllabic word recognition in quiet using reproduced voice and transmitted voice via conventional telephone and Skype® using the habitual-ACE (SLB) map, and two experimental maps (F- and V-Map). The results showed a worsening of word recognition scores with SLB-Map via telephone (30.5%) and VoIP (18.6%) compared with those achieved with the same map in an anechoic booth. In the experimental listening conditions, 65% and 54% of patients performed better with F- and V-Map, respectively, up to a maximum of performance improvement by 35% via telephone and 25% via VoIP.

  5. Dietary Changes over Time in a Caiçara Community from the Brazilian Atlantic Forest

    Directory of Open Access Journals (Sweden)

    Priscila L. MacCord


    Full Text Available Because they are occurring at an accelerated pace, changes in the livelihoods of local coastal communities, including nutritional aspects, have been a subject of interest in human ecology. The aim of this study is to explore the dietary changes, particularly in the consumption of animal protein, that have taken place in Puruba Beach, a rural community of caiçaras on the São Paulo Coast, Brazil, over the 10-yr period from 1992-1993 to 2002-2003. Data were collected during six months in 1992-1993 and during the same months in 2002-2003 using the 24-hr recall method. We found an increasing dependence on external products in the most recent period, along with a reduction in fish consumption and in the number of fish species eaten. These changes, possibly associated with other nonmeasured factors such as overfishing and unplanned tourism, may cause food delocalization and a reduction in the use of natural resources. Although the consequences for conservation efforts in the Atlantic Forest and the survival of the caiçaras must still be evaluated, these local inhabitants may be finding a way to reconcile both the old and the new dietary patterns by keeping their houses in the community while looking for sources of income other than natural resources. The prospect shown here may reveal facets that can influence the maintenance of this and other communities undergoing similar processes by, for example, shedding some light on the ecological and economical processes that may occur within their environment and in turn affect the conservation of the resources upon which the local inhabitants depend.

  6. An Unusual Bone Loss Around Implants

    Directory of Open Access Journals (Sweden)

    Amirreza Rokn


    Full Text Available AbstractPre-implant disease is an inflammatory process, which can affect the surrounding tissues of a functional Osseointegrated implant that is usually as a result of a disequilibrium between the micro-flora and the body defense system.This case reports a 57 years old male with unusual bone loss around dental implants.This was an unusual case of peri-implantitis which occurred only in the implants on one side of the mouth although they all were unloaded implants.

  7. Improvement in magnetic field immunity of externally-coupled transcutaneous energy transmission system for a totally implantable artificial heart. (United States)

    Yamamoto, Takahiko; Koshiji, Kohji; Homma, Akihiko; Tatsumi, Eisuke; Taenaka, Yoshiyuki


    Transcutaneous energy transmission (TET) that uses electromagnetic induction between the external and internal coils of a transformer is the most promising method to supply driving energy to a totally implantable artificial heart without invasion. Induction-heating (IH) cookers generate magnetic flux, and if a cooker is operated near a transcutaneous transformer, the magnetic flux generated will link with the external and internal coils of the transcutaneous transformer. This will affect the performance of the TET and the artificial heart system. Hence, it is necessary to improve the magnetic field immunity of the TET system. During operation of the system, if the transcutaneous transformer is in close proximity to an IH cooker, the electric power generated by the cooker and coupled to the transformer can drive the artificial heart system. To prevent this coupling, the external coil was shielded with a conductive shield that had a slit in it. This reduces the coupling between the transformer and the magnetic field generated by the induction cooker. However, the temperature of the shield increased due to heating by eddy currents. The temperature of the shield can be reduced by separating the IH cooker and the shield.

  8. The implantation of a PV electric energy generation system at the Saint Peter and Saint Paul islands

    Energy Technology Data Exchange (ETDEWEB)

    Galdino, Marco Antonio; Silva, Patricia de Castro da [Centro de Pesquisas de Energia Eletrica (CEPEL), Rio de Janeiro, RJ (Brazil)], E-mail:; Souza, Marco Antonio Carvalho [Secretaria da Comissao Interministerial para os Recursos do Mar (SECIRM), Brasilia, DF (Brazil)


    The Saint Peter and Saint Paul Islands are located at 0 degree 55.00' N and 29 degree 20.76'' W, at a distance of circa 550 M (nautical miles) NE from the City of Natal, RN (Northeast Region of Brazil), and comprises of many small islands and rocks of igneous plutonic origin. In 1998, a first Scientific Station was built in order to receive researchers involved in several projects. The CEPEL, as responsible by the electrical energy supply to the Scientific Station; designed and installed a PV electric energy generation system which had a power of 3.6 kWp. This system operated successfully for the last 10 years, suffering frequent maintenance. In 2006, a new design for the Scientific Station has been started aiming to improve its resources and safety. The new PV system has a maximum power of 7.8 kWp, and employs an updated technology (SMA, Germany). The equipment was integrated and submitted to intensive testing at facilities of CEPEL, and was installed and commissioned at the Islands in June 2008. Since the installation, the equipment has been operating as required, meeting the energy and water demand of the Station. The present paper describes the many steps involved in the implantation of the PV system at the Scientific Station. (author)

  9. A therapeutic delivery system for chronic osteomyelitis via a multi-drug implant based on three-dimensional printing technology. (United States)

    Wu, Weigang; Ye, Chenyi; Zheng, Qixin; Wu, Gui; Cheng, Zhaohui


    Chronic osteomyelitis is difficult to be cured and often relapses, which presents to be a great challenge to clinicians. We conducted this original study to explore the efficiency of therapeutic alliance for chronic osteomyelitis by a multi-drug implant based on three-dimensional printing technology. We designed and fabricated preciously a multi-drug implant with a multi-layered concentric cylinder construction by three-dimensional (3D) printing technology. Levofloxacin and tobramycin were incorporated into the drug implant in a specific sequence. The drug release property of the drug implant was assayed in vitro We also developed an animal model of chronic osteomyelitis to estimate the effect of the 3D printed multi-drug implant. The results showed that the multi-drug implant had a sustained and programmed drug release property. Levofloxacin and tobramycin which were released from the multi-drug implant worked in tandem to enhance pharmacodynamic action which was similar to a tumor chemotherapy program and were sufficient to treat chronic osteomyelitis. These findings imply that the administration of 3D printed multi-drug implant would be a potential therapeutic method for chronic osteomyelitis. Further studies are required.

  10. The accuracy of reformatted images using a new virtual 3-dimensional dental implant system

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Jin Seok; Kim, Eun Kyung; Han, Won Jeong [Dankook University College of Medicine, Seoul (Korea, Republic of)


    To compare the measurements of the mandible and the detectability of the mandibular canal on reformatted images using a newly developed 3-dimensional implant simulation program with traditionally used CT multiplanar reconstruction program and true measurements. Ten dry dog mandibles were used in this study. Occlusal templates for CT examination were fabricated and marked with gutta percha at ten sites. Axial CT scans were taken and reconstructed using DentaScan (D group) and Vimplant program (V group), and each mandible was sectioned at the previously marked sites (R group). Maximum vertical height (H) and maximum width (W) of the mandible, the distances from buccal border of the mandibular canal to the most buccal aspect of the mandible (X), and the distance from the superior border of the mandibular canal to the alveolar crest (Y) were measured, and the mandibular measurements in each group were compared. Detectability of mandibular canal was evaluated using a 3-point scale in both V and D groups by three oral radiologists and compared. H in the V group was slightly greater than that in the D group, and W and X in the V group was slightly less than those in the D group. H in the V group was less than that in the R group, and W and X in the V group was larger than those in the R group. The detectability of the mandibular canal did not show statistically significant differences between V and D groups. The results of the experiment show that the newly developed, inexpensive Vimplant simulation program can be used as an alternative to the traditionally used, and more expensive CT multiplanar reconstruction program.

  11. Biomechanical effect of a zirconia dental implant-crown system: a three-dimensional finite element analysis. (United States)

    Chang, Chih-Ling; Chen, Chen-Sheng; Yeung, Tze Cheung; Hsu, Ming-Lun


    The objective of this study was to analyze and compare the stresses in two different bone-implant interface conditions in anisotropic three-dimensional finite element models (FEMs) of an osseointegrated implant of either commercially pure titanium or yttrium-partially stabilized zirconia (Y-PSZ) in combination with different superstructures (gold alloy or Y-PSZ crown) in the posterior maxilla. Three-dimensional FEMs were created of a first molar section of the maxilla into which was embedded an implant, connected to an abutment and superstructure, using commercial software. Two versions of the FEM were constructed; these allowed varying assignment of properties (either a bonded and or a contact interface), so that all experimental variables could be investigated in eight groups. Compact and cancellous bone were modeled as fully orthotropic and transversely isotropic, respectively. Oblique (200-N vertical and 40-N horizontal) occlusal loading was applied at the central and distal fossae of the crown. Maximum von Mises and compressive stresses in the compact bone in the two interfaces were lower in the zirconia implant groups than in the titanium implant groups. A similar pattern of stress distribution in cancellous bone was observed, not only on the palatal side of the platform but also in the apical area of both types of implants. The biomechanical parameters of the new zirconia implant generated a performance similar to that of the titanium implant in terms of displacement, stresses on the implant, and the bone-implant interface; therefore, it may be a viable alternative, especially for esthetic regions.

  12. Implant interactions with orthodontics. (United States)

    Celenza, Frank


    Many situations arise in which orthodontic therapy in conjunction with implant modalities is beneficial, relevant or necessary. These situations might entail orthodontic treatment preparatory to the placement of an implant, such as in the site preparation for implant placement. Traditionally, this has been somewhat well understood, but there are certain guidelines that must be adhered to as well as diagnostic steps that must be followed. Provision of adequate space for implant placement is of paramount importance, but there is also the consideration of tissue manipulation and remodeling which orthodontic therapy can achieve very predictably and orthodontists should be well versed in harnessing and employing this modality of site preparation. In this way, hopeless teeth that are slated for extraction can still be utilized by orthodontic extraction to augment tissues, both hard and soft, thereby facilitating site development. On the corollary, and representing a significant shift in treatment sequencing, there are many situations in which orthodontic mechanotherapy can be simplified, expedited, and facilitated by the placement of an implant and utilization as an integral part of the mechanotherapy. Implants have proven to provide excellent anchorage, and have resulted in a new class of anchorage known as "absolute anchorage". Implants can be harnessed as anchors both in a direct and indirect sense, depending upon the dictates of the case. Further, this has led to the development of orthodontic miniscrew systems and techniques, which can have added features such as flexibility in location and placement, as well as ease of use and removal. As orthodontic appliances evolve, the advent of aligner therapy has become mainstream and well accepted, and many of the aforementioned combined treatment modalities can and should be incorporated into this relatively new treatment modality as well.

  13. The Case for a Generic Implant Processor

    NARCIS (Netherlands)

    Strydis, C.; Gaydadjiev, G.N.


    A more structured and streamlined design of implants is nowadays possible. In this paper we focus on implant processors located in the heart of implantable systems. We present a real and representative biomedical-application scenario where such a new processor can be employed. Based on a suitably se

  14. The Case for a Generic Implant Processor

    NARCIS (Netherlands)

    Strydis, C.; Gaydadjiev, G.N.


    A more structured and streamlined design of implants is nowadays possible. In this paper we focus on implant processors located in the heart of implantable systems. We present a real and representative biomedical-application scenario where such a new processor can be employed. Based on a suitably

  15. Cochlear Implant

    Institute of Scientific and Technical Information of China (English)


    In this text, the authors recall the main principles and data ruling cochlear implants. Then, a first circle of technical equipment for assistance is presented. This circle includes: device setting (DS), Electrically evoked Auditory Brainstem Responses (EABR), Neural Response Telemetry (NRT), Stapedial Reflex (SR) and Electrodogram Acquisition (EA). This first cycle becomes more and more important as children are implanted younger and younger; the amount of data available with this assistance makes necessary the use of models (implicit or explicit) to handle this information. Consequently, this field is more open than ever.

  16. An experimental examination of mutimodal imagine system for implant site assessment

    Energy Technology Data Exchange (ETDEWEB)

    Park, Chang Seo; Kim, Kee Deog [Dept. of Dental Radiology, College of Dentistry, Yonsei University, Seoul (Korea, Republic of)


    The scanora X-ray unit uses the principles of narrow beam radiography and spiral tomography. Starting with a panoramic overview as a scout image, multiple tomographic projection could be selected. This study evaluated the accuracy of spiral tomography in comparison to routine panoramic radiography for dental implant treatment planing. An experimental study was performed on a cadaver mandible to assess the accuracy of panoramic radiography and spiral tomography film images for measurement of metallic spheres. After radiographic images of the metallic spheres on the surgical stent were measured and corrected for a fixed magnification of radiographic images, following results were obtained. 1. In the optimal position of the mandible, the minimal horizontal and vertical distortion was evident in the panoramic radiography images. The mean horizontal and vertical magnification error in anterior sites was 5.25% and 0.75%, respectively. The mean horizontal and vertical magnification error in posterior sites was 0.50% and 1.50%, respectively. 2. In the displaced forward or in and eccentric position of the mandible, the magnification error of the panoramic radiography images increased significantly over the optimal position. Overall, the mean horizontal magnification error of the anterior site in the different position changed dramatically within a range of -17.25% to 39.00%, compared to the posterior range of -5.25% to 8.50%. However, the mean vertical magnification error stayed with the range of 0.5% to 3.75% for all the mandibular positions. 3. The magnification effects in the tomographic scans were nearly identical for the anterior and posterior with a range of 2.00% to 5.75% in the horizontal and 4.50% to 5.50% in the vertical dimension, respectively. 4. A statistically significant difference between the anterior and posterior measurements was found in the horizontal measurements of the panoramic radiography images of the displaced dorward and backward position of the

  17. Successful rehabilitation of partial edentulous maxilla and mandible with new type of implants: molecular precision implants. (United States)

    Danza, Matteo; Lauritano, Dorina; Carinci, Francesco


    The extraction of teeth results in rapid bone resorption both vertically and horizontally in the first month. The loss of alveolar ridge reduces the chance of implant rehabilitation. Atraumatic extraction, implant placement in extraction socket, and an immediate prosthesis have been proposed as alternative therapies to maintain the volume and contours tissue and reduce time and cost of treatment. The immediate load of implants is a universally practiced procedure; nevertheless a successful procedure requires expertise in both the clinical and the reconstructive stages using a solid implant system. Excellent primary stability and high bone-implant contact are only minimal requirements for any type of implant procedure. In this paper we present a case report using a new type of implants. The new type of implants, due to its sophisticated control system of production, provides to the implantologist a safe and reliable implant, with a macromorphology designed to ensure a close contact with the surrounding bone.

  18. Successful Rehabilitation of Partial Edentulous Maxilla and Mandible with New Type of Implants: Molecular Precision Implants

    Directory of Open Access Journals (Sweden)

    Matteo Danza


    Full Text Available The extraction of teeth results in rapid bone resorption both vertically and horizontally in the first month. The loss of alveolar ridge reduces the chance of implant rehabilitation. Atraumatic extraction, implant placement in extraction socket, and an immediate prosthesis have been proposed as alternative therapies to maintain the volume and contours tissue and reduce time and cost of treatment. The immediate load of implants is a universally practiced procedure; nevertheless a successful procedure requires expertise in both the clinical and the reconstructive stages using a solid implant system. Excellent primary stability and high bone-implant contact are only minimal requirements for any type of implant procedure. In this paper we present a case report using a new type of implants. The new type of implants, due to its sophisticated control system of production, provides to the implantologist a safe and reliable implant, with a macromorphology designed to ensure a close contact with the surrounding bone.

  19. A Two-Microphone Noise Reduction System for Cochlear Implant Users with Nearby Microphones—Part II: Performance Evaluation

    Directory of Open Access Journals (Sweden)

    Rudolf Häusler


    Full Text Available Users of cochlear implants (auditory aids, which stimulate the auditory nerve electrically at the inner ear often suffer from poor speech understanding in noise. We evaluate a small (intermicrophone distance 7 mm and computationally inexpensive adaptive noise reduction system suitable for behind-the-ear cochlear implant speech processors. The system is evaluated in simulated and real, anechoic and reverberant environments. Results from simulations show improvements of 3.4 to 9.3 dB in signal to noise ratio for rooms with realistic reverberation and more than 18 dB under anechoic conditions. Speech understanding in noise is measured in 6 adult cochlear implant users in a reverberant room, showing average improvements of 7.9–9.6 dB, when compared to a single omnidirectional microphone or 1.3–5.6 dB, when compared to a simple directional two-microphone device. Subjective evaluation in a cafeteria at lunchtime shows a preference of the cochlear implant users for the evaluated device in terms of speech understanding and sound quality.

  20. Image-navigated implant surgery with an image overlay system. A phantom study on the accuracy of needle placement

    Energy Technology Data Exchange (ETDEWEB)

    Gotoh, Masakazu; Naitoh, Munetaka; Izumi, Masahiro [Aichi-Gakuin Univ. Nagoya (Japan). School of Dentistry] [and others


    Three-dimensional CT (3D-CT) images can provide excellent information for maxillofacial surgery. These images would be more effective if they could be overlaid on the surgical field. To develop an image navigation system for maxillofacial surgery, we have reported on a preliminary phantom study on the possibility of overlaying a constructed 3D-CT image on the patient's surgical field. In the present study, we investigated the accuracy of needle placement in simulated image-guided implant surgery. A phantom made of an acrylic box (50 x 50 x 50 mm) filled with gelatin, in which two needles were inserted in the vertical and oblique directions, was scanned with CT equipment. Thereafter, the 3D-CT images were reconstructed to provide navigation images. Ten dentists placed two needles into experimental phantoms with reference to the overlaid navigation images on the phantom. Immediately after the insertion, the experimental phantoms were also scanned with CT under the same exposure condition as the reference navigation phantom. The distance (defined as positional error) between the needle position on the reference images and those on the experimental images were measured on two planes, that is, the surface plane and the plane situated 25 mm under the surface plane (needle apex plane). The angulation error was defined as the difference between the placement angle of the reference needle and that of each experimentally inserted needle. For the vertical insertion, the mean and standard deviation (SD) of positional error were 2.7{+-}1.4 mm and 3.6{+-}1.1 mm on the surface and needle apex planes, respectively. For the oblique insertion, they were 1.9{+-}0.8 mm and 4.4{+-}2.3 mm on the each plane. Significant differences were observed between the two planes on oblique insertion (p=0.00125). On angulation error, a significant difference was also confirmed between the two placement directions (p=0.0069). The accuracy was considered to be sufficient and the system appeared

  1. An implantable CMOS signal conditioning system for recording nerve signals with cuff electrodes

    DEFF Research Database (Denmark)

    Papathanasiou, Konstantinos; Lehmann, Torsten


    We propose a system architecture for recording nerve signals with cuff electrodes and develop the key component in this system, the small-input, low-noise, low-power, high-gain amplifier. The amplifier is implemented using a mixture of weak- and strong-inversion transistors and a special off...

  2. 论蔡元培的传记写作%On Cai Yuanpei' s Biographical Writing

    Institute of Scientific and Technical Information of China (English)



    Cai Yuanpei wrote a great many biographical writings in his life though he wasn' t famous for writing biography. In the period of his formative education and studying freely, he accumulated the attainment of biographical writing and cultivated gradually the sense of cultural identification based on Chinese ancient bi- ography. When embarking on political revolution and educational innovation, he became more active in bio- graphical writing, especially choosing those revolutionaries, relatives and friends as leading characters. In his later years, he wrote autobiography with a style of annals suggested by Hu Shi. All in all, it was very obvious that Cai should be a helpful promotion to modem transformation of Chinese biographical idea though he wasn' t determined biographical writer and researcher, including his lack of more profound biographical theories and very self-conscious sense of modem biographical style.%蔡元培并不是一位以写作传记而闻名的文学家,但在一生中写下了大量的传记作品。在接受启蒙教育和“自由”读书的过程中,他积累了良好的传记写作素养,逐渐形成了对中国传记文化的认同感。随着政治革命、教育革新等活动的展开,他更是积极写作各种人物传记,其中的革命家传和亲友传最具特色。晚年在胡适的影响下用年谱体写作自传。尽管蔡元培的志向并不在传记写作及研究上,此外亦无十分深刻的传记理论见解和非常自觉的现代传记文体意识,但对中国传记文学观念的现代转型具有一定的助推作用。

  3. Evolving and Implanting Web-based E-Government Systems in Universities


    Reiß, Dirk; Rumpe, Bernhard; Schulze-Quester, Marvin; Stein, Mark


    The Bologna Process has triggered a major restructuring of the current university diploma into a bachelor/master system. As one effect, the administration effort for the new system has increased dramatically. As a second effect, students need and demand a much better information policy, given the new possibilities of the internet. Both to increase efficiency of the university's administration and to provide students as well as lecturers with modern e government services, it is inevitable to e...

  4. Interaction between Lysophosphatidic Acid, Prostaglandins and the Endocannabinoid System during the Window of Implantation in the Rat Uterus (United States)

    Sordelli, Micaela S.; Beltrame, Jimena S.; Cella, Maximiliano; Gervasi, María Gracia; Perez Martinez, Silvina; Burdet, Juliana; Zotta, Elsa; Franchi, Ana M.; Ribeiro, María Laura


    Bioactive lipid molecules as lysophosphatidic acid (LPA), prostaglandins (PG) and endocannabinoids are important mediators of embryo implantation. Based on previous published data we became interested in studying the interaction between these three groups of lipid derivatives in the rat uterus during the window of implantation. Thus, we adopted a pharmacological approach in vitro using LPA, DGPP (a selective antagonist of LPA3, an LPA receptor), endocannabinoids’ receptor selective antagonists (AM251 and AM630) and non selective (indomethacin) and selective (NS-398) inhibitors of cyclooxygenase-1 and 2 enzymes. Cyclooxygenase isoforms participate in prostaglandins’ synthesis. The incubation of the uterus from rats pregnant on day 5 of gestation (implantation window) with LPA augmented the activity and the expression of fatty acid amide hydrolase, the main enzyme involved in the degradation of endocannabinoids in the rodent uteri, suggesting that LPA decreased endocannabinoids’ levels during embryo implantation. It has been reported that high endocannabinoids are deleterious for implantation. Also, LPA increased PGE2 production and cyclooxygenase-2 expression. The incubation of LPA with indomethacin or NS-398 reversed the increment in PGE2 production, suggesting that cyclooxygenase-2 was the isoform involved in LPA effect. PGs are important mediators of decidualization and vascularization at the implantation sites. All these effects were mediated by LPA3, as the incubation with DGPP completely reversed LPA stimulatory actions. Besides, we also observed that endocannabinoids mediated the stimulatory effect of LPA on cyclooxygenase-2 derived PGE2 production, as the incubation of LPA with AM251 or AM630 completely reversed LPA effect. Also, LPA augmented via LPA3 decidualization and vascularization markers. Overall, the results presented here demonstrate the participation of LPA3 in the process of implantation through the interaction with other groups of lipid

  5. A Comparison of the Quality of Life of Patients With an Entirely Subcutaneous Implantable Defibrillator System Versus a Transvenous System (from the EFFORTLESS S-ICD Quality of Life Substudy)

    DEFF Research Database (Denmark)

    Pedersen, Susanne S.; Mastenbroek, Mirjam H; Carter, Nathan;


    The first clinical results from the Evaluation of Factors Impacting Clinical Outcome and Cost Effectiveness of the subcutaneous implantable cardioverter defibrillator (EFFORTLESS S-ICD) Registry on the entirely S-ICD system are promising, but the impact of the S-ICD system on patients' quality of...

  6. Implant fixation by bone ingrowth. (United States)

    Kienapfel, H; Sprey, C; Wilke, A; Griss, P


    The term osseointegration referred originally to an intimate contact of bone tissue with the surface of a titanium implant; the term bone ingrowth refers to bone formation within an irregular (beads, wire mesh, casting voids, cut grooves) surface of an implant. The section dealing with the historical background describes the development of macroporous, microporous, and textured surfaces with an emphasis on the evolution of porous and textured metal surfaces. The principal requirements for osseointegration and bone ingrowth are systematically reviewed as follows: i) the physiology of osseointegration and bone ingrowth, including biomaterial biocompatibility with respect to cellular and matrix response at the interface; ii) the implant surface geometry characteristics; iii) implant micromotion and fixation modes; and iv) the implant-bone interface distances. Based on current methods of bone ingrowth assessment, this article comparatively reviews and discusses the results of experimental studies with the objective of determining local and systemic factors that enhance bone ingrowth fixation.

  7. Implantable centrifugal blood pump with dual impeller and double pivot bearing system: electromechanical actuator, prototyping, and anatomical studies. (United States)

    Bock, Eduardo; Antunes, Pedro; Leao, Tarcisio; Uebelhart, Beatriz; Fonseca, Jeison; Leme, Juliana; Utiyama, Bruno; da Silva, Cibele; Cavalheiro, Andre; Filho, Diolino Santos; Dinkhuysen, Jarbas; Biscegli, Jose; Andrade, Aron; Arruda, Celso


    An implantable centrifugal blood pump has been developed with original features for a left ventricular assist device. This pump is part of a multicenter and international study with the objective to offer simple, affordable, and reliable devices to developing countries. Previous computational fluid dynamics investigations and wear evaluation in bearing system were performed followed by prototyping and in vitro tests. In addition, previous blood tests for assessment of normalized index of hemolysis show results of 0.0054±2.46 × 10⁻³ mg/100 L. An electromechanical actuator was tested in order to define the best motor topology and controller configuration. Three different topologies of brushless direct current motor (BLDCM) were analyzed. An electronic driver was tested in different situations, and the BLDCM had its mechanical properties tested in a dynamometer. Prior to evaluation of performance during in vivo animal studies, anatomical studies were necessary to achieve the best configuration and cannulation for left ventricular assistance. The results were considered satisfactory, and the next step is to test the performance of the device in vivo.

  8. Use of Prothrombin Complex Concentrate in Patients during Heart Transplantation after Implantation of a Left Ventricular Mechanical Support System

    Directory of Open Access Journals (Sweden)

    V. V. Lomivorotov


    Full Text Available Heart transplantation in patients after implantation of mechanical cardiac support devices entails an extremely high risk for perioperative bleeding. Recombinant activated coagulation factor VII is presently used to reduce the volume of bleeding in this patient group. There are parallel data on its administration-induced thromboembolic events in the literature. This paper describes a case of using a prothrombin complex concentrate in a patient during explantation of a left ventricular bypass system and subsequent orthotopic heart transplantation in the presence of significant hypocoagulation. At the end of a surgery, 1200 IU of the agent was used at a remaining bleeding rate of more than 1000 ml/hour. Within the first 24 hours after surgery, the rate of discharge drainage was less than 100 ml/hour. A control plain chest X-ray study revealed massive left-sided hydrothorax on day 2 postsurgery. The left pleural cavity was revised under thoracoscopic guidance and 1000 ml of blood clots were evacuated. Although the administration of prothrombin complex concentrate did not guard against re-intervention, its use seems a promising strategy in life-threatening bleedings in patients after explantation of mechanical cardiac support devices. Further multicenter investigations are required to determine the efficacy and safety of prothrom-bin complex concentration in cardiac surgery. Key words: Recombinant activated coagulation factor VII, prothrombin complex concentration, mechanical cardiac support device, orthotopic heart transplantation.

  9. Percutaneous retrieval of dislodged totally implantable central venous access system in 92 cases: Experience in a single hospital

    Energy Technology Data Exchange (ETDEWEB)

    Cheng, C.-C.; Tsai, T.-N. [Division of Cardiology, Department of Medicine, Tri-Service General Hospital, Taipei, Taiwan (China); Yang, C.-C. [Department of Medicine, Armed Forces Tao-Yuan General Hospital, Taoyuan, Taiwan (China); Han, C.-L. [Division of Cardiology, Department of Medicine, Tri-Service General Hospital, Taipei, Taiwan (China)], E-mail:


    Objective: To investigate the clinical presentation of dislodged totally implantable central venous access system (central venous port-catheter) fragments and the efficacy and safety of percutaneous retrieval of them in our hospital. Materials and methods: Ninety-two cancer patients, mean age of 53.8 years old with 51.1% male, were enrolled from January 2005 to March 2007. They were referred to our catheterization laboratory for retrieval of fractured central venous port-catheter in our hospital. All patients were followed in the outpatient department for at least 1 month after surgical insertion. The characteristics of disrupted central venous port-catheter were recorded. The procedure-related clinical condition was evaluated. Results: The most common presentation of central venous port-catheter dislodgement is irrigation resistance to infusion (51/92). The most common location of fractured fragments is between superior vena cava and right atrium (i.e. proximal end remained in superior vena cava and distal end in right atrium) (22/92). The most common fracture site of the catheter is at the anastomosis between injection port and catheter (77/92). The retrieval set used mostly is loop snare. The success rate of the percutaneous retrieval of dislodged fragment was 97.8% and the complication rate was 3.3% only. Conclusion: The faulty connection between catheter and injection port contributes mainly to dislodgement of central venous port-catheter. Percutaneous retrieval of dislodged catheter is a highly successful, safe and efficient method.

  10. High Reliability of a Scoring System for Implant Position in Undisplaced Femoral Neck Fractures

    DEFF Research Database (Denmark)

    Viberg, Bjarke; Bartholin, Marie-Louise L; Weber, Kolja;


    OBJECTIVES: The aim of this study was to evaluate the intra-rater and inter-rater reliability of a scoring system for internal fixation (SIFA) in undisplaced femoral neck fractures (FNF). DESIGN: A reproducibility study with a historical consecutive cohort. SETTING: The patients were all treated...... of the screw position in femoral head had the largest difference of acceptable positioning, when comparing visual assessment with the measured. CONCLUSIONS: The SIFA scoring system demonstrates substantial intra-rater and inter-rater reliability (kappa (0.51-0.78), when raters make measurements of radiographs......, but lower reliability (kappa 0.13-0.78) when raters visually assess the radiographs without measuring. The SIFA scoring system should be assessed on a large cohort for correlation with clinical evaluation....

  11. Neural signal processing and closed-loop control algorithm design for an implanted neural recording and stimulation system. (United States)

    Hamilton, Lei; McConley, Marc; Angermueller, Kai; Goldberg, David; Corba, Massimiliano; Kim, Louis; Moran, James; Parks, Philip D; Sang Chin; Widge, Alik S; Dougherty, Darin D; Eskandar, Emad N


    A fully autonomous intracranial device is built to continually record neural activities in different parts of the brain, process these sampled signals, decode features that correlate to behaviors and neuropsychiatric states, and use these features to deliver brain stimulation in a closed-loop fashion. In this paper, we describe the sampling and stimulation aspects of such a device. We first describe the signal processing algorithms of two unsupervised spike sorting methods. Next, we describe the LFP time-frequency analysis and feature derivation from the two spike sorting methods. Spike sorting includes a novel approach to constructing a dictionary learning algorithm in a Compressed Sensing (CS) framework. We present a joint prediction scheme to determine the class of neural spikes in the dictionary learning framework; and, the second approach is a modified OSort algorithm which is implemented in a distributed system optimized for power efficiency. Furthermore, sorted spikes and time-frequency analysis of LFP signals can be used to generate derived features (including cross-frequency coupling, spike-field coupling). We then show how these derived features can be used in the design and development of novel decode and closed-loop control algorithms that are optimized to apply deep brain stimulation based on a patient's neuropsychiatric state. For the control algorithm, we define the state vector as representative of a patient's impulsivity, avoidance, inhibition, etc. Controller parameters are optimized to apply stimulation based on the state vector's current state as well as its historical values. The overall algorithm and software design for our implantable neural recording and stimulation system uses an innovative, adaptable, and reprogrammable architecture that enables advancement of the state-of-the-art in closed-loop neural control while also meeting the challenges of system power constraints and concurrent development with ongoing scientific research designed

  12. Towards a single-chip, implantable RFID system: is a single-cell radio possible? (United States)

    Burke, Peter; Rutherglen, Christopher


    We present an overview of progress towards single-chip RFID solutions. To date heterogeneous integration has been appropriate for non-biological systems. However, for in-vivo sensors and even drug delivery systems, a small form factor is required. We discuss fundamental limits on the size of the form factor, the effect of the antenna, and propose a unified single-chip RFID solution appropriate for a broad range of biomedical in-vivo device applications, both current and future. Fundamental issues regarding the possibility of single cell RF radios to interface with biological function are discussed.

  13. 被历史错位的蔡襄书法%Cai Xiang's Calligraphy Dislocated by the History

    Institute of Scientific and Technical Information of China (English)



    宋代书法"尚意"的思潮,是一代文宗欧阳修、蔡襄和苏轼等人引领下形成的。蔡襄的书法和理论作为中国传统书法文化艺术的组成部分,具有承前启后的作用。然而在很长的历史时期里,学界在研究蔡襄的诗和书法时有"论者或不然",或认为"宋四大家"的书法是蔡京而非蔡襄等悖论。现根据史料,让我们以今人的眼光对蔡襄的书法进行整体的审视和评价。%The calligraphy in Song dynasty had the trend of "Shang Yi" under the guidance of Ouyang Xiu, Cai Xiang and Su Shi. Cai Xiang's calligraphy and theory, as one part of the traditional Chinese culture, have played an important role in linking the past and the future in Chinese calligraphy. However, there were opposite voices in the academic circles during a long time, and furthermore, Cai Jing, instead of Cai Xiang, is one of "four great calligraphers in Song dynasty", which is a fallacy in today's perspective. Now with the help of historical records, this paper gives overall review and evaluation on his works.

  14. Construction and implantation of a microinfusion system for sustained delivery of neuroactive agents. (United States)

    Cunningham, Miles G; O'Connor, Ryan P; Wong, Sydney E


    Sustained delivery of neuroactive agents is widely used in neuroscience, but poses many technical challenges. It is necessary to deliver the agent with high precision while minimizing localized trauma and inflammation. Also, the ability to customize the system to accommodate animals of different species and sizes is desirable. This video presentation demonstrates the construction of an infusion system that can be fitted to any particular research animal. The delivery microcannula diameter is approximately 10-fold smaller than most infusion cannulas presently used. This translates into enhanced accuracy and reduced trauma to the brain region under study. The delivery cannula can also be sculpted to fit the contour of the surface of the animal's skull, thereby allowing closure of the scalp incision neatly over the infusion system, precluding the need for a skull-mounted pedestal, reducing risk of infection, and ensuring a greater level of comfort to the animal. The system is assembled in an air-free environment and requires the researcher to fashion glass micropipettes with a heat source. These construction methods require special skills that are best acquired, if not in person, using video instruction.

  15. Cais do Valongo: patrimonialização de locais, objetos e herança africana

    Directory of Open Access Journals (Sweden)

    Sandra de Sá Carneiro


    Full Text Available Resumo Neste artigo problematizamos diferentes sentidos (culturais e religiosos atribuídos ao Cais do Valongo, considerado o principal porto de entrada dos africanos escravizados no Brasil, desde que foi redescoberto nas escavações e entrou na pauta do projeto de revitalização da Zona Portuária da cidade do Rio de Janeiro. De uma “africanidade” cultural com nexos religiosos específicos, em um primeiro momento, transformou-se em símbolo da “diáspora africana”, sem que se desse destaque às referências religiosas e, depois, em uma obra realizada pelo Porto Maravilha, recuperada no processo de revitalização em curso, e lugar de promoção turística. Por último, discutimos como hoje segmentos do movimento negro e lideranças religiosas buscam manter o caráter religioso e sacralizado do Cais, promovendo ali a “Lavagem do Cais do Valongo”.

  16. Numerical Investigation Into Effect of Fuel Injection Timing on CAI/HCCI Combustion in a Four-Stroke GDI Engine (United States)

    Cao, Li; Zhao, Hua; Jiang, Xi; Kalian, Navin


    The Controlled Auto-Ignition (CAI) combustion, also known as Homogeneous Charge Compression Ignition (HCCI), was achieved by trapping residuals with early exhaust valve closure in conjunction with direct injection. Multi-cycle 3D engine simulations have been carried out for parametric study on four different injection timings in order to better understand the effects of injection timings on in-cylinder mixing and CAI combustion. The full engine cycle simulation including complete gas exchange and combustion processes was carried out over several cycles in order to obtain the stable cycle for analysis. The combustion models used in the present study are the Shell auto-ignition model and the characteristic-time combustion model, which were modified to take the high level of EGR into consideration. A liquid sheet breakup spray model was used for the droplet breakup processes. The analyses show that the injection timing plays an important role in affecting the in-cylinder air/fuel mixing and mixture temperature, which in turn affects the CAI combustion and engine performance.

  17. CAI的设计与制作%CAI Design and Manufacture

    Institute of Scientific and Technical Information of China (English)

    汪岩; 汪鹰扬


    从学科教师的角度探讨多媒体CAI课件的开发思路和制作技术。发挥计算机多媒体技术的特点和优势,推动高教环境教育的发展。多媒体教学更加生动,内容更加丰富,使环境教育知识更容易被接受,多媒体课件能够用漂亮的图形界面提高使用者的学习兴趣,以丰富的声音和影片剪辑使学习更有效果。%From teachers' perspective of multimedia CAI courseware development train of thought and making technology. Play the computer multimedia technology characteristics and advantages, promote the development of environmental education in higher education. Multimedia teaching more lively, content is more rich, make environmental education knowledge more easily accepted, multimedia courseware can use beautiful graphical interface for users to improve the interest in learning, to enrich the sound and video clips to make learning be personally on the scene.

  18. Bird community structure in riparian environments in Cai River, Rio Grande do Sul, Brazil

    Directory of Open Access Journals (Sweden)

    Jaqueline Brummelhaus


    Full Text Available Urbanization produces changes in riparian environments, causing effects in the structure of bird communities, which present different responses to the impacts. We compare species richness, abundance, and composition of birds in riparian environments with different characteristics in Cai River, Rio Grande do Sul, Brazil. We carried out observations in woodland, grassland, and urban environments, between September 2007 and August 2008. We listed 130 bird species, 29 species unique to woodland environment, and an endangeredspecies: Triclaria malachitacea. Bird abundance differed from woodland (n = 426 individuals to urban environments (n = 939 individuals (F2,6 = 7.315; P = 0.025. Species composition and feeding guilds differed significantly in the bird community structures among these three riparian environments. In the grassland and urban environments there were more generalist insectivorous species, while in the woodland environments we find more leaf and trunk insectivorous species and frugivorous species, sensitive to human impacts. Bird species can be biological quality indicators and they contribute to ecosystems performing relevant functions. With the knowledge on bird community structure and their needs, it is possible to implement management practices for restoration of degraded riparian environments.

  19. Inflammation and pregnancy: the role of the immune system at the implantation site. (United States)

    Mor, Gil; Cardenas, Ingrid; Abrahams, Vikki; Guller, Seth


    The concept that pregnancy is associated with immune suppression has created a myth of pregnancy as a state of immunological weakness and, therefore, of increased susceptibility to infectious diseases. A challenging question is whether the maternal immune system is a friend or a foe of pregnancy. In this review, we discuss data associated to the role of the immune system during pregnancy. We propose a new paradigm in terms of the fetal-maternal immune interaction as well as the immunological response of the mother to microorganism. Our challenge is to better understand the immunology of pregnancy in order to deliver the appropriate treatment to patients with pregnancy complications as well as to determine public policies for the protection of pregnant women during pandemics.

  20. Minimally invasive positioning robot system of femoral neck hollow screw implants based on x-ray error correction (United States)

    Zou, Yunpeng; Xu, Ying; Hu, Lei; Guo, Na; Wang, Lifeng


    Aiming the high failure rate, the high radiation quantity and the poor positioning accuracy of femoral neck traditional surgery, this article develops a set of new positioning robot system of femoral neck hollow screw implants based on X-rays error correction, which bases on the study of x-rays perspective principle and the Motion Principle of 6 DOF(degree of freedom) series robot UR(Universal Robots). Compared with Computer Assisted Navigation System, this system owns better positioning accuracy and more simple operation. In addition, without extra Equipment of Visual Tracking, this system can reduce a lot of cost. During the surgery, Doctor can plan the operation path and the pose of mark needle according to the positive and lateral X-rays images of patients. Then they can calculate the pixel ratio according to the ratio of the actual length of mark line and the length on image. After that, they can calculate the amount of exercise of UR Robot according to the relative position between operation path and guide pin and the fixed relationship between guide pin and UR robot. Then, they can control UR to drive the positioning guide pin to the operation path. At this point, check the positioning guide pin and the planning path is coincident, if not, repeat the previous steps, until the positioning guide pin and the planning path coincide which will eventually complete the positioning operation. Moreover, to verify the positioning accuracy, this paper make an errors analysis aiming to thirty cases of the experimental model of bone. The result shows that the motion accuracy of the UR Robot is 0.15mm and the Integral error precision is within 0.8mm. To verify the clinical feasibility of this system, this article analysis on three cases of the clinical experiment. In the whole process of positioning, the X-rays irradiation time is 2-3s, the number of perspective is 3-5 and the whole positioning time is 7-10min. The result shows that this system can complete accurately

  1. Long-term experience with implanted intrathecal drug administration systems for failed back syndrome and chronic mechanical low back pain

    Directory of Open Access Journals (Sweden)

    Treharne GJ


    Full Text Available Abstract Background Continuous intrathecal drug delivery has been shown in open studies to improve pain and quality of life in those with intractable back pain who have had spinal surgery. There is limited data on long term effects and and even less for patients with mechanical back pain without prior spinal surgery. Methods We have investigated spinal drug administration systems for patients with failed back syndrome and chronic mechanical low back pain by patient questionnaire study of the efficacy of this therapy and a case notes review. Results 36 patients (97% of 37 approached completed questionnaires, 24 with failed back syndrome and 12 with chronic mechanical low back pain. Recalled pre-treatment levels with current post-treatment levels of pain and a range of quality of life measures (recorded on 11-point numerical rating scales were compared. Pain improved significantly in both groups (Wilcoxan signed ranks test, p 0.005, Wilcoxan signed ranks test with Bonferroni correction. Diamorphine was used in all 37 patients, bupivacaine in 32, clonidine in 27 and baclofen in 3. The mean dose of diamorphine increased for the first 2 years but did not change 2–6 years post implant, averaging 4.5 mg/day. Revision surgery was required in 24% of cases, but reduced to 12% in the later years of our experience. Conclusions We conclude that spinal drug administration systems appear to be of benefit in alleviating pain in the failed back syndrome and chronic mechanical low back pain but need to be examined prospectively.

  2. Speech understanding in background noise with the two-microphone adaptive beamformer BEAM in the Nucleus Freedom Cochlear Implant System. (United States)

    Spriet, Ann; Van Deun, Lieselot; Eftaxiadis, Kyriaky; Laneau, Johan; Moonen, Marc; van Dijk, Bas; van Wieringen, Astrid; Wouters, Jan


    This paper evaluates the benefit of the two-microphone adaptive beamformer BEAM in the Nucleus Freedom cochlear implant (CI) system for speech understanding in background noise by CI users. A double-blind evaluation of the two-microphone adaptive beamformer BEAM and a hardware directional microphone was carried out with five adult Nucleus CI users. The test procedure consisted of a pre- and post-test in the lab and a 2-wk trial period at home. In the pre- and post-test, the speech reception threshold (SRT) with sentences and the percentage correct phoneme scores for CVC words were measured in quiet and background noise at different signal-to-noise ratios. Performance was assessed for two different noise configurations (with a single noise source and with three noise sources) and two different noise materials (stationary speech-weighted noise and multitalker babble). During the 2-wk trial period at home, the CI users evaluated the noise reduction performance in different listening conditions by means of the SSQ questionnaire. In addition to the perceptual evaluation, the noise reduction performance of the beamformer was measured physically as a function of the direction of the noise source. Significant improvements of both the SRT in noise (average improvement of 5-16 dB) and the percentage correct phoneme scores (average improvement of 10-41%) were observed with BEAM compared to the standard hardware directional microphone. In addition, the SSQ questionnaire and subjective evaluation in controlled and real-life scenarios suggested a possible preference for the beamformer in noisy environments. The evaluation demonstrates that the adaptive noise reduction algorithm BEAM in the Nucleus Freedom CI-system may significantly increase the speech perception by cochlear implantees in noisy listening conditions. This is the first monolateral (adaptive) noise reduction strategy actually implemented in a mainstream commercial CI.

  3. Short Implants: New Horizon in Implant Dentistry. (United States)

    Jain, Neha; Gulati, Manisha; Garg, Meenu; Pathak, Chetan


    The choice of implant length is an essential factor in deciding the survival rates of these implants and the overall success of the prosthesis. Placing an implant in the posterior part of the maxilla and mandible has always been very critical due to poor bone quality and quantity. Long implants can be placed in association with complex surgical procedures such as sinus lift and bone augmentation. These techniques are associated with higher cost, increased treatment time and greater morbidity. Hence, there is need for a less invasive treatment option in areas of poor bone quantity and quality. Data related to survival rates of short implants, their design and prosthetic considerations has been compiled and structured in this manuscript with emphasis on the indications, advantages of short implants and critical biomechanical factors to be taken into consideration when choosing to place them. Studies have shown that comparable success rates can be achieved with short implants as those with long implants by decreasing the lateral forces to the prosthesis, eliminating cantilevers, increasing implant surface area and improving implant to abutment connection. Short implants can be considered as an effective treatment alternative in resorbed ridges. Short implants can be considered as a viable treatment option in atrophic ridge cases in order to avoid complex surgical procedures required to place long implants. With improvement in the implant surface geometry and surface texture, there is an increase in the bone implant contact area which provides a good primary stability during osseo-integration.

  4. Adaptive Hypermedia Technique and its Applications in Intelligent CAI%自适应超媒体技术及其在智能化CAI中的应用

    Institute of Scientific and Technical Information of China (English)

    周学海; 周立; 龚育昌; 赵振西


    将自适应超媒体的方法和技术应用于智能教学系统,可充分体现因材施教的思想,提高学生的学习效果。文章介绍了自适应超媒体系统的关键方法和技术,描述了智能教学系统的组成与结构,然后结合自适应教学系统KDAES的研制讨论了自适应技术对教学系统智能化的支持及系统核心模块--学生模型的构建。%Applying the technique of adaptive hypermedia to intelligent educational systems will reflect the thought of individualizing the course material to different students and thus will enhance the learning performance.This paper describes the key methods and techniques of adaptive hypermedia systems and the structure of intelligent educational systems.Then with the development of an adaptive educational system named KDAES,We discuss how adaptive techniques provide support to the intelligence of CAI and the creation of student model,which is a kernel module of system.

  5. Spatio-temporal expression patterns of anandamide-binding receptors in rat implantation sites: evidence for a role of the endocannabinoid system during the period of placental development

    Directory of Open Access Journals (Sweden)

    Konje Justin C


    Full Text Available Abstract Background Although there is growing evidence that endocannabinoids play a critical role in early pregnancy, there are no studies describing the possible targets for this system after implantation. The endometrial stroma, which undergoes extensive proliferation and differentiation giving rise to the decidua and the trophoblast cells that invade after the initial stages of implantation, are potential targets. Since high anandamide (AEA levels, the main endocannabinoid, are detrimental to implantation and in order to gain insight into the role of the endocannabinoid system in the development of the fetoplacental unit, the spatio-temporal pattern of expression of the anandamide-binding receptors, CB1, CB2 and the vanilloid receptor (TRPV1, were investigated by quantitative RT-PCR, western blot and immunohistochemistry. Methods Rat uterine maternal tissues from different days of pregnancy were used to investigate the expression of CB1, CB2 and vanilloid receptors by quantitative RT-PCR, western blot and immunohistochemistry. Results The data indicate that all the three receptors were expressed in decidualized cells and placenta. Interestingly, CB1 and CB2 were also expressed in smooth muscle cells of maternal blood vessels and in endovascular trophoblast cells, whereas TRPV1 was mainly expressed in uterine natural killer (uNK cells and in the longitudinal muscle layer throughout pregnancy. In all tissues, CB2 protein was present at a lower level than CB1. Conclusion These observations support a role for the endocannabinoid system during the period of decidualization and placental development.

  6. Transcutaneous Optical Information Transmission System for a Totally Implantable Artificial Heart (United States)

    Yamamoto, Takahiko; Koshiji, Kohji

    A transcutaneous optical information transmission system (TOITS) offers the most promising method for noninvasively transmitting the information to control a total artificial heart (TAH). We had used light-emitting diode (LED) and photo diode (PD) with different wavelengths for full-duplex bidirectional communication in the TOITS. In this study, reduction of optical crosstalk in full-duplex bidirectional communication was investigated by using a combination of two orthogonal polarizers with the same wavelength. As a result, we confirmed that optical crosstalk could be prevented for communication through a cow's skin (3.5 mm thick) and that the signal waveform could be transmitted satisfactorily.


    Directory of Open Access Journals (Sweden)

    Antônio Donizette de Oliveira


    Full Text Available This research aimed at analysing the economic feasibility of stablishing agroforestry system with eucalypt in savanna areas. The wood produced should be allocated to sawmills and energy production. The effect of changes in the discount rate, land value, prices of wood, soybean and rice, the proportion of wood destined to sawmill and energy and production cost. The research was conduct in Paracatu county in  Minas Gerais state. The economic criteria used was the Net Presente Worth (NPW. The results showed that the agroforestry system is feasible only if 5% or more of the wood produced is allocated to sawmills and the remaining wood is used for energy or for other purposes that reaches the same value or higher in the market. Discount rates higher than 11,45% per annum; land prices over US$ 200.90/ha; productivity lower than 20.86 st/ha.a; meat price lower than 16.75/15kg ; lumber for sawmill lower than US 5.24/st; rice and soybean price below US$ 6.34/60kg and US$5.96/60kg respectively; total production cost increase of more than 5.37% render the project economically unfeasible.

  8. Failure mode and bending moment of canine pancarpal arthrodesis constructs stabilized with two different implant systems. (United States)

    Wininger, Fred A; Kapatkin, Amy S; Radin, Alex; Shofer, Frances S; Smith, Gail K


    To compare failure mode and bending moment of a canine pancarpal arthrodesis construct using either a 2.7 mm/3.5 mm hybrid dynamic compression plate (HDCP) or a 3.5 mm dynamic compression plate (DCP). Paired in vitro biomechanical testing of canine pancarpal arthrodesis constructs stabilized with either a 2.7/3.5 HDCP or 3.5 DCP. Paired cadaveric canine antebrachii (n=5). Pancarpal arthrodesis constructs were loaded to failure (point of maximum load) in 4-point bending using a materials-testing machine. Using this point of failure, bending moments were calculated from system variables for each construct and the 2 plating systems compared using a paired t-test. To examine the relationship between metacarpal diameter and screw diameter failure loads, linear regression was used and Pearson' correlation coefficient was calculated. Significance was set at Pbending strength. There was a significant linear correlation r=0.74 (P-slope=.014) and 0.8 (P-slope=.006) between metacarpal diameter and failure loads for the HDCP and 3.5 DCP, respectively. There was a small but significant difference between bending moment at failure between 2.7/3.5 HDCP and 3.5 DCP constructs; however, the difference may not be clinically evident in all patients. The 2.7/3.5 HDCP has physical and mechanical properties making it a more desirable plate for pancarpal arthrodesis.

  9. 计算机辅助创新驱动的产品概念设计创新设想产生过程模型%Process model of new ideas generation for product conceptual design driven by CAI

    Institute of Scientific and Technical Information of China (English)

    张建辉; 檀润华; 张鹏; 曹国忠


    Generation of creative ideas was critical in the product conceptual design process. The obstacle to idea generation in the process was that desigers didn't make full use of knowledge in different fields. Theory of Inventive Problem Solving (TRIZ) based Computer-aided Innovation Systems (CAIs) provided a platform for knowledge application in different fields. Principles of creative idea generation driven by Computer-aided Innovation (CAI) was put forward, the inventive problem was solved based on the design scenario of CAIs, the extended solution space was set up by (Unexpected Discoveries)UXD which was implied in the source design in order to drive the generation of creative idea, then, an integrated process model of creative idea generation for product conceptual design driven by CAI was developed. Idea generation for a safety isolation butterfly valve was carried out using the process model and demonstrated its feasibility.%创新设想产生是产品概念设计阶段的关键环节,影响该阶段设想产生的障碍是设计人员不能很好地利用多学科领域的知识.鉴于此,基于发明问题解决理论的计算机辅助创新软件系统提供了应用多学科领域知识的一个平台.提出了计算机辅助创新驱动的创新设想产生原理,以计算辅助创新软件为设计场景进行问题求解,基于源设计中的未预见的发现建立扩展解空间,驱动创新设想产生,进而建立了计算机辅助创新驱动的产品概念设计创新设想产生过程模型.通过安全隔离蝶阀创新设想产生验证了该模型的可行性.

  10. Bridging the osteoarthritis treatment gap with the KineSpring Knee Implant System: early evidence in 100 patients with 1-year minimum follow-up

    Directory of Open Access Journals (Sweden)

    London NJ


    Full Text Available Nicholas J London,1 Jon Smith,2 Larry E Miller,3,4 Jon E Block4 1Department of Orthopaedic Surgery, Harrogate District Foundation Trust, Harrogate, UK; 2The Mid Yorkshire Hospitals NHS Trust, Yorkshire, UK; 3Miller Scientific Consulting, Arden, NC, USA; 4The Jon Block Group, San Francisco, CA, USA Abstract: Almost 4 million Americans are within the knee osteoarthritis (OA treatment gap, the period from unsuccessful exhaustion of conservative treatment to major surgical intervention. New treatment alternatives for symptomatic knee OA are greatly needed. The purpose of this report was to assess outcomes of a joint-unloading implant (KineSpring® Knee Implant System in patients with symptomatic medial knee OA. A total of 100 patients enrolled in three clinical trials were treated with the KineSpring System and followed for a minimum of 1 year. All devices were successfully implanted and activated, with no operative complications. Knee pain severity improved 60% (P < 0.001 at 1 year, with 76% of patients reporting a minimum 30% improvement in pain severity. All Western Ontario and McMaster Universities Arthritis Index (WOMAC subscores significantly improved at 1 year, with a 56% improvement in pain, 57% improvement in function, and a 39% improvement in stiffness (all P < 0.001. The percentage of patients experiencing a minimum 20% improvement in WOMAC subscores was 74% for pain, 83% for function, and 67% for stiffness. During follow-up, six (6% patients required additional surgery, including four total knee arthroplasties and two high tibial osteotomies. The KineSpring System effectively bridges the treatment gap between failed conservative care and surgical joint-modifying procedures. Keywords: implant, KineSpring, knee, medial, osteoarthritis, unloading

  11. Implantable nuclear-fueled circulatory support system. V. Acute physiologic analyses

    Energy Technology Data Exchange (ETDEWEB)

    Huffman, F.N.; Migliore, J.J.; Hagen, K.G.; Daly, B.D.T.; Robinson, W.J.; Ruggles, A.E.; Norman, J.C.


    Nuclear-Fueled circulatory assist systems have reached the stage of in vivo evaluation. Physiologic studies of the effects of intracorporeal heat and radiation as well as blood pumps indicate that these factors should not preclude clinical application of nuclear artificial hearts. In the circulatory system under consideration, a fraction of the heat from a 50 watt Plutonium-238 fuel capsule is converted into hydraulic power for driving a left ventricular assist pump via a miniature, electronically controlled steam (tidal regenerator) engine. The engine is pressurized (8-140 PSIA) by the displacement of a single drop of water between the condenser (150/sup 0/F) and the boiler (360/sup 0/F). The electrical power for sensing, logic and displacement is provided by a thermoelectric module interposed between the superheater (900/sup 0/F) and boiler. The pusher plate pump also functions as a blood-cooled heat exchanger and sensor for the control logic. The assist pump is connected between the apex of the left ventricle and the descending thoracic aorta. The power source module is suspended in the left retroperitoneal cavity from the psoas tendon. The blood interface of the pump is flocked with polyester fibers. A stable biologic lining develops in the pump using Dextran as the only anticoagulant. The longest in vivo testing period has been 4/sup 1///sub 2/ days. Plasma hemoglobinshave remained below 10 mg/sup 0///sub 0/. Although rectal temperatures have not increased, elevated respiratory rates have been noted. Reduction of left ventricular pressure and dp/dt have been demonstrated with maintenance of arterial pressure.

  12. Identifying patients with less potential to benefit from implantable cardioverter-defibrillator therapy: comparison of the performance of four risk scoring systems. (United States)

    Kaura, Amit; Sunderland, Nicholas; Kamdar, Ravi; Petzer, Edward; McDonagh, Theresa; Murgatroyd, Francis; Dhillon, Para; Scott, Paul


    Patients at high non-sudden cardiac death risk may gain no significant benefit from implantable cardioverter-defibrillator (ICD) therapy. A number of approaches have been proposed to identify these patients, including single clinical markers and more complex scoring systems. The aims of this study were to use the proposed scoring systems to (1) establish how many current ICD recipients may be too high risk to derive significant benefit from ICD therapy and (2) evaluate how well the scoring systems predict short-term mortality in an unselected ICD cohort. We performed a single-centre retrospective observational study of all new ICD implants over 5 years (2009-2013). We used four published scoring systems (Bilchick, Goldenberg, Kramer and Parkash) and serum urea to identify new ICD recipients whose short-term predicted mortality risk was high. We evaluated how well the scoring systems predicted death. Over 5 years, there were 406 new implants (79% male, mean age 70 (60-76), 58% primary prevention). During a follow-up of 936 ± 560 days, 96 patients died. Using the scoring systems, the proportion of ICD recipients predicted to be at high short-term mortality risk were 5.9% (Bilchick), 34.7% (Goldenberg), 7.4% (Kramer), 21.4% (Parkash) and 25% (urea, cut-off of >9.28 mM). All four risk scores predicted mortality (P systems, a significant proportion of current ICD recipients are at high short-term mortality risk. Although all four scoring systems predicted mortality during follow-up, none significantly outperformed serum urea.

  13. Decontamination of dental implant surface in peri-implantitis treatment: a literature review


    Mellado Valero, Ana; Buitrago Vera, Pedro José; Solá Ruiz, María Fernanda; Ferrer García, Juan Carlos


    Etiological treatment of peri-implantitis aims to reduce the bacterial load within the peri-implant pocket and decontaminate the implant surface in order to promote osseointegration. The aim of this literature review was to evaluate the efficacy of different methods of implant surface decontamination. A search was conducted using the PubMed (Medline) database, which identified 36 articles including in vivo and in vitro studies, and reviews of different decontamination systems (chemical, mecha...

  14. The Complement System at the Embryo Implantation Site: Friend or Foe? (United States)

    Bulla, R.; Bossi, F.; Tedesco, F.


    An inflammatory-like process and vascular remodeling represent the main changes that occur in decidua in the early phase of pregnancy. These changes are partly induced by trophoblast cells that colonize the decidua and are also contributed by the complement system, which can easily be activated as a result of tissue remodeling. Local control by several complement regulators including surface-bound and soluble molecules is critical to prevent complement-mediated tissue damage in normal pregnancy. C7 expressed on the endothelial cells (ECs) surface has been recognized as a novel complement regulator involved in the control of the proinflammatory effect of the terminal complement complex. The protective role of placental complement regulators in pregnancy is underscored by the recent finding of an association of preeclampsia with mutations in the genes encoding for some of these proteins. Complement components produced at feto-maternal interface serve an important function in placental development. C1q synthesized by decidual ECs and expressed on the cell surface is particularly important in this regard because it acts as a molecular bridge between endovascular trophoblast and ECs. C1q is also produced by extravillous trophoblast and is used to favor trophoblast migration through the decidua. Defective expression of C1q by trophoblast is associated with impaired trophoblast invasion of decidua and may have important implications in pregnancy disorders such as preeclampsia characterized by reduced vascular remodeling. PMID:22566936

  15. Implantation of a safety management system information under the ISO 27001: risk analysis information

    Directory of Open Access Journals (Sweden)

    José Gregorio Arévalo Ascanio


    Full Text Available In this article the structure of the business of the city of Ocaña is explored with the aim of expanding the information and knowledge of the main variables of the productive activity of the municipality, its entrepreneurial spirit, technological development and productive structure. For this, a descriptive research was performed to identify economic activity in its various forms and promote the implementation of administrative practices consistent with national and international references.The results allowed to establish business weaknesses, including information, which once identified are used to design spaces training, acquisition of abilities and employers management practices in consistent with the challenges of competitiveness and stay on the market.As of the results was collected information regarding technological component companies of the productive fabric of the city, for which the application of tools for the analysis of information systems is proposed using the ISO 27001: 2005, using most appropriate technologies to study organizations that protect their most important asset information: information.

  16. Intramural optical mapping of V(m) and Ca(i)2+ during long-duration ventricular fibrillation in canine hearts. (United States)

    Kong, Wei; Ideker, Raymond E; Fast, Vladimir G


    Intramural gradients of intracellular Ca(2+) (Ca(i)(2+)) Ca(i)(2+) handling, Ca(i)(2+) oscillations, and Ca(i)(2+) transient (CaT) alternans may be important in long-duration ventricular fibrillation (LDVF). However, previous studies of Ca(i)(2+) handling have been limited to recordings from the heart surface during short-duration ventricular fibrillation. To examine whether abnormalities of intramural Ca(i)(2+) handling contribute to LDVF, we measured membrane voltage (V(m)) and Ca(i)(2+) during pacing and LDVF in six perfused canine hearts using five eight-fiber optrodes. Measurements were grouped into epicardial, midwall, and endocardial layers. We found that during pacing at 350-ms cycle length, CaT duration was slightly longer (by ≃10%) in endocardial layers than in epicardial layers, whereas action potential duration (APD) exhibited no difference. Rapid pacing at 150-ms cycle length caused alternans in both APD (APD-ALT) and CaT amplitude (CaA-ALT) without significant transmural differences. For 93% of optrode recordings, CaA-ALT was transmurally concordant, whereas APD-ALT was either concordant (36%) or discordant (54%), suggesting that APD-ALT was not caused by CaA-ALT. During LDVF, V(m) and Ca(i)(2+) progressively desynchronized when not every action potential was followed by a CaT. Such desynchronization developed faster in the epicardium than in the other layers. In addition, CaT duration strongly increased (by ∼240% at 5 min of LDVF), whereas APD shortened (by ∼17%). CaT rises always followed V(m) upstrokes during pacing and LDVF. In conclusion, the fact that V(m) upstrokes always preceded CaTs indicates that spontaneous Ca(i)(2+) oscillations in the working myocardium were not likely the reason for LDVF maintenance. Strong V(m)-Ca(i)(2+) desynchronization and the occurrence of long CaTs during LDVF indicate severely impaired Ca(i)(2+) handling and may potentially contribute to LDVF maintenance.

  17. An analysis of observer‐rated functional vision in patients implanted with the Argus II Retinal Prosthesis System at three years (United States)

    Richards, Thomas P; Arditi, Aries; da Cruz, Lyndon; Dagnelie, Gislin; Dorn, Jessy D; Duncan, Jacque L; Ho, Allen C; Olmos de Koo, Lisa C; Sahel, José‐Alain; Stanga, Paulo E; Thumann, Gabriele; Wang, Vizhong; Greenberg, Robert J


    Abstract Objective The purpose of this analysis was to compare observer‐rated tasks in patients implanted with the Argus II Retinal Prosthesis System, when the device is ON versus OFF. Methods The Functional Low‐Vision Observer Rated Assessment (FLORA) instrument was administered to 26 blind patients implanted with the Argus II Retinal Prosthesis System at a mean follow‐up of 36 months. FLORA is a multi‐component instrument that consists in part of observer‐rated assessment of 35 tasks completed with the device ON versus OFF. The ease with which a patient completes a task is scored using a four‐point scale, ranging from easy (score of 1) to impossible (score of 4). The tasks are evaluated individually and organised into four discrete domains, including ‘Visual orientation’, ‘Visual mobility’, ‘Daily life and ‘Interaction with others’. Results Twenty‐six patients completed each of the 35 tasks. Overall, 24 out of 35 tasks (69 per cent) were statistically significantly easier to achieve with the device ON versus OFF. In each of the four domains, patients’ performances were significantly better (p < 0.05) with the device ON versus OFF, ranging from 19 to 38 per cent improvement. Conclusion Patients with an Argus II Retinal Prosthesis implanted for 18 to 44 months (mean 36 months), demonstrated significantly improved completion of vision‐related tasks with the device ON versus OFF. PMID:26804484

  18. Low-Power, Low-Voltage Electroosmotic Actuator for an Implantable Micropumping System Intended for Drug Delivery Applications (United States)

    Getpreecharsawas, Jirachai

    An electroosmotic (EO) actuator offers a low-power, low-voltage alternative in a diaphragm-based periodic displacement micropump intended for an implantable drug delivery system. The actuator utilizes an electroosmosis mechanism to transport liquid across a membrane to deflect the pumping diaphragms in a reciprocating manner. In the study, the membrane made of porous nanocrystalline silicon (pnc-Si) tens of nanometers in thickness was used as the promising EO generator with low power consumption and small package size. This ultrathin membrane provides the opportunity for electrode integration such that the very high electric field can be generated across the membrane with the applied potential under 1 volt for low flow rate applications like drug delivery. Due to such a low applied voltage, the challenge, however, imposes on the capability of generating the pumping pressure high enough to deflect the pumping diaphragms and overcome the back pressure normally encountered in the biological tissue and organ. This research identified the cause of weak pumping pressure that the electric field inside the orifice-like nanopores of the ultrathin membrane is weaker than conventional theory would predict. It no longer scales uniformly with the thickness of membrane, but with the pore length-to-diameter aspect ratio for each nanopore. To enhance the pumping performance, the pnc-Si membrane was coated with an ultrathin Nafion film. As a result, the induced concentration difference across the Nafion film generates the osmotic pressure against the back pressure allowing the EO actuator to maintain the target pumping flow rate under 1 volt.

  19. Stress analysis of mandibular implant-retained overdenture with independent attachment system: effect of restoration space and attachment height. (United States)

    Ebadian, Behnaz; Talebi, Saeid; Khodaeian, Niloufar; Farzin, Mahmoud


    In this in vitro study, 2 implants were embedded in the interforaminal region of an acrylic model. Two kinds of retention mechanisms were used to construct complete overdentures: ball type and direct abutment (Locator). The ball-type retention mechanism models included 3 different collar heights (1, 2, and 3 mm) with 15 mm occlusal plane height, and 3 different occlusal plane heights (9, 12, and 15 mm) with 1 mm collar height. The direct abutment models included 3 different occlusal plane heights (9, 12, and 15 mm) with 1 mm cuff height. Vertical unilateral and bilateral loads of 150 N were applied to the central fossa of the first molar. The stress of the bone around the implant was analyzed by finite element analysis. The results showed that by increasing vertical restorative space, the maximum stress values around implants were decreased in both unilateral and bilateral loading models. The results also showed that the increase in maximum stress values around implants correlated with the ball attachment collar height. The Locator attachment with a 1 mm cuff height and 9 mm occlusal plane height demonstrated 6.147 and 3.914 MPa in unilateral and bilateral loading conditions, respectively. While a reduction in the collar height of a ball-type retention mechanism and an increase in the vertical restorative space in direct abutment retention mechanisms are both biomechanically favorable, and may result in reduced stress in peri-implant bone, a ball attachment seems to be more favorable in the stress distribution around an implant than a Locator attachment.


    Institute of Scientific and Technical Information of China (English)



    探讨Office VBA应用于CAI系统的多种方法,重点以实现CAI系统在适时性和交互性方面的突破,包括课件、题库、评卷和适时帮助等方面的实现方案,也提供了VBA用于Office应用软件教学的一些思路.

  1. 载二膦酸盐种植材料的研究进展%Developments in Research of Local Bisphosphonate Delivery System of Implant Denture

    Institute of Scientific and Technical Information of China (English)

    臧程程; 翟俊江; 孟艳华


    种植义齿作为一种先进的口腔修复治疗手段,现在已广泛地为牙齿缺失患者所接受.而种植体周骨量不足仍然成为其应用受到限制的重要原因之一.二膦酸盐(BPs) 类药物是当今临床上广泛使用的破骨细胞性骨吸收抑制剂,可以抑制骨吸收,增加骨密度.由于BPs全身应用的种种缺陷,其在种植体上的局部应用近来成为研究热点.磷酸钙陶瓷、聚乳酸、纤维蛋白膜和胶原膜都已作为BPs载体被报道.本文将对BPs的骨调节机制和局部释药系统的研究进展作一综述.%Dental implant is an advanced prosthodontic treatment widely accepted by patients with missing tooth.However, peri-implant bone loss is still an important reason which limits wider application of the implants to a certain extent. Bisphosphonates is an osteoclastic bone resorption inhibitor that is widely used in clinical practice with the function of inhibiting bone resorption and increasing bone density. As the defect of systemic BPs treatment, local application of BPs in implant has become a research hotspot recently. Calcium phosphate ceramics, polylactic acid.fibrinogen film and collagen membrane have been reported as BPs carriers. This article summarizes the researchs on the mechanism of bone regulation and lacal delivering system of BPs.

  2. Semiconductor applications of plasma immersion ion implantation technology

    Indian Academy of Sciences (India)

    Mukesh Kumar; Rajkumar; Dinesh Kumar; P J George


    Many semiconductor integrated circuit manufacturing processes require high dose of implantation at very low energies. Conventional beam line ion implantation system suffers from low beam current at low energies, therefore, cannot be used economically for high dose applications. Plasma immersion ion implantation (PIII) is emerging as a potential technique for such implantations. This method offers high dose rate irrespective of implantation energy. In the present study nitrogen ions were implanted using PIII in order to modify the properties of silicon and some refractory metal films. Oxidation behaviour of silicon was observed for different implantation doses. Diffusion barrier properties of refractory barrier metals were studied for copper metallization.

  3. Cross-sectional analysis of the implant-abutment interface. (United States)

    Coelho, A L; Suzuki, M; Dibart, S; DA Silva, N; Coelho, P G


    The purpose of this study was to develop a technique to evaluate the implant-abutment gap of an external hexagon implant system as a function of radius. Six implants of 3.75 mm in diameter (Conexao Sistema de Protese Ltda, Sao Paulo, Brazil) and their respective abutments were screw connected and torqued to 20 N cm(-1). The implants were mounted in epoxy assuring an implant long-axis position perpendicular to the vertical axis. Each implant was grounded through its thickness parallel to implant long-axis at six different distance interval. Implant-abutment gap distances were recorded along the implant-abutment region for each section. Individual measurements were related to their radial position through trigonometric inferences. A sixth degree polynomial line fit approach determined radial adaptation patterns for each implant. Micrographs along implant sections showed a approximately 300 mum length implant-abutment engagement region. All implants presented communication between external and internal regions through connection gaps and inaccurate implant-abutment alignment. Average gap distances were not significantly different between implants (P > 0.086). Polynomial lines showed implant-abutment gap values below 10 mum from 0 mum to approximately 250 mum of the implant-abutment engagement region. Gap distances significantly increased from approximately 250 mum to the outer radius of the implant-abutment engagement region. The technique described provided a broader scenario of the implant-abutment gap adaptation compared with previous work concerning implant-abutment gap determination, and should be considered for better understanding mechanical aspects or biological effects of implant-abutment adaptation on peri-implant tissues.

  4. Hernia Surgical Mesh Implants (United States)

    ... Prosthetics Hernia Surgical Mesh Implants Hernia Surgical Mesh Implants Share Tweet Linkedin Pin it More sharing options ... majority of tissue used to produce these mesh implants are from a pig (porcine) or cow (bovine) ...

  5. Urogynecologic Surgical Mesh Implants (United States)

    ... Prosthetics Urogynecologic Surgical Mesh Implants Urogynecologic Surgical Mesh Implants Share Tweet Linkedin Pin it More sharing options ... majority of tissue used to produce these mesh implants are from a pig (porcine) or cow (bovine). ...

  6. Degradation of implant materials

    CERN Document Server

    Eliaz, Noam


    This book surveys the degradation of implant materials, reviewing in detail such failure mechanisms as corrosion, fatigue and wear, along with monitoring techniques. Surveys common implant biomaterials, as well as procedures for implant retrieval and analysis.

  7. Survival of dental implants placed in sites of previously failed implants. (United States)

    Chrcanovic, Bruno R; Kisch, Jenö; Albrektsson, Tomas; Wennerberg, Ann


    To assess the survival of dental implants placed in sites of previously failed implants and to explore the possible factors that might affect the outcome of this reimplantation procedure. Patients that had failed dental implants, which were replaced with the same implant type at the same site, were included. Descriptive statistics were used to describe the patients and implants; survival analysis was also performed. The effect of systemic, environmental, and local factors on the survival of the reoperated implants was evaluated. 175 of 10,096 implants in 98 patients were replaced by another implant at the same location (159, 14, and 2 implants at second, third, and fourth surgeries, respectively). Newly replaced implants were generally of similar diameter but of shorter length compared to the previously placed fixtures. A statistically significant greater percentage of lost implants were placed in sites with low bone quantity. There was a statistically significant difference (P = 0.032) in the survival rates between implants that were inserted for the first time (94%) and implants that replaced the ones lost (73%). There was a statistically higher failure rate of the reoperated implants for patients taking antidepressants and antithrombotic agents. Dental implants replacing failed implants had lower survival rates than the rates reported for the previous attempts of implant placement. It is suggested that a site-specific negative effect may possibly be associated with this phenomenon, as well as the intake of antidepressants and antithrombotic agents. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  8. A novel porcine model of implant associated osteomyelitis: a comprehensive analysis of local, regional and systemic response

    DEFF Research Database (Denmark)

    Jensen, Louise Kruse; Koch, Janne; Dich-Jorgensen, Kirstine;


    Pigs are favorable experimental animals for infectious diseases in humans. However, implant associated osteomyelitis (IAO) models in pigs have only been evaluated using high-inoculum infection (>108 CFU) models in 1975 and 1993. Therefore, the aim of this paper was to present a new low inoculum...

  9. Effects of Delayed Second Cochlear Implant

    Institute of Scientific and Technical Information of China (English)

    XIA Rui-ming; WU Xi-hong; JANG Zi-gang; JING Yuan-yuan; LIN Yun-juan; YU Li-sheng


    Objective Since Helms' successful bilateral cochlear implantation with good results in 1996, there have been increasing number of reports on bilateral cochlear implantation. Most second device have been implantated within one year after the first. Considering effects of long time auditory deprivation, it is not clear whether a delayed second cochlear implant serves to add additional benefits and how it may interact with central nervous system plasticity. Methods Three cases who received delayed second cochlear implants at People's Hospital of Peking University from 2002 to 2005 were reviewed. The interval between the first and second implants was longer than 2 years in all three patients. Sound perception, and unilateral/bilateral speech discrimination in quiet and noise were evaluated. In addition, GAP detection test was conducted in one patient. Results In one case,having both implants on provided improved performance compared to using only one implant both in quiet and noise. Presumably due to visual interference from lip-reading or short interval between second implant and testing,one patient showed no improvement from using the second implant either in quiet or noise, while the last case demonstrated additional benefits from the second implant only in quiet. In all three patients, performance in recognizing the four tones in Mandarin was superior over word recognition. Conclusions Considerable plasticity in the cerebral auditory center is preserved, despite long acoustic deprivation in some children who have received unilateral cochlear implant. Delayed second implants can result in significant improvements in some of these children. Visual interference from lip-reading may be an obstacle during retraining. The better recognition of tones in the Mandarin language may represent a different sound discrimination mechanism in the auditory system,although it may also be related to the signal processing mechanisms of the implant used (MED-EL COMBI 40+).

  10. Hf-182-W-182 age dating of a Al-26-poor inclusion and implications for the origin of short-lived radioisotopes in the early Solar System

    DEFF Research Database (Denmark)

    Holst, Jesper Christian; Olsen, Mia Bjørg Stolberg; Paton, Chad


    Refractory inclusions [calcium–aluminum-rich inclusions, (CAIs)] represent the oldest Solar System solids and provide information regarding the formation of the Sun and its protoplanetary disk. CAIs contain evidence of now extinct short-lived radioisotopes (e.g., 26Al, 41Ca, and 182Hf) synthesized...... in one or multiple stars and added to the protosolar molecular cloud before or during its collapse. Understanding how and when short-lived radioisotopes were added to the Solar System is necessary to assess their validity as chronometers and constrain the birthplace of the Sun. Whereas most CAIs formed...... provide a unique window into the earliest Solar System, including the origin of short-lived radioisotopes. However, their chronology is unknown. Using the 182Hf–182W chronometer, we show that a FUN CAI recording a condensation origin from a solar gas formed coevally with canonical CAIs, but with 26Al/27Al...

  11. Complications after cardiac implantable electronic device implantations

    DEFF Research Database (Denmark)

    Kirkfeldt, Rikke Esberg; Johansen, Jens Brock; Nohr, Ellen Aagaard;


    Complications after cardiac implantable electronic device (CIED) treatment, including permanent pacemakers (PMs), cardiac resynchronization therapy devices with defibrillators (CRT-Ds) or without (CRT-Ps), and implantable cardioverter defibrillators (ICDs), are associated with increased patient...

  12. Implant marketing: cost effective implant dentistry. (United States)

    Wohrle, P S; Levin, R P


    The application of the KAL-Technique to the field of implant dentistry allows both patients and dental practices to benefit. It is an exciting advance that decreases frustration and stress in providing implant procedures and lowers overall costs. Professionals using the KAL-Technique report significant predictability in achieving passive framework fit. They are also lowering overall cost of implant cases, which increases the number of patients who can accept implant treatment. It has been well established that the more individuals in a practice that receive implants, the more referrals a practice will gain. This is because implant patients find tremendous advances in the quality of life, and do not hesitate to tell others who can take advantage of this opportunity. Implant dentistry is one of the fastest growing fields in dentistry today. While some other areas of dentistry begin to decline in volume and need, implant dentistry provides the opportunity to keep practices strong and to insure long-term success.

  13. Hip Implant Systems (United States)

    ... made of metal or ceramic, and the socket (acetabulum) is removed and replaced with a prosthetic cup. ... its socket in the hip bone (pelvis) Bone fracture Joint infection Local nerve damage with numbness/weakness ...

  14. Reducing Radiation Exposure During CRT Implant Procedures: Single-Center Experience With Low-Dose Fluoroscopy Settings and a Sensor-Based Navigation System (MediGuide). (United States)

    Thibault, Bernard; Mondésert, Blandine; Macle, Laurent; Dubuc, Marc; Dyrda, Katia; Talajic, Mario; Roy, Denis; Rivard, Léna; Guerra, Peter G; Andrade, Jason G; Khairy, Paul


    Cardiac resynchronization therapy (CRT) implant procedures are often complex and prolonged, resulting in substantial ionizing radiation (IR) exposure to the patient and operator. We assessed the impact of lower-dose fluoroscopy settings and a sensor-based electromagnetic tracking system (MediGuide™, MDG) on reducing IR exposure during CRT implantation. A single-center 2-group cohort study was conducted on 348 consecutive patients, age 66.4 ± 11.0 years, 80.4% male, with CRT implant procedures from 2013 to 2015. Patients were arbitrarily assigned to MDG (N = 239) versus no MDG (N = 109) guidance. Lower-dose fluoroscopy settings were adopted in January 2015 (3 instead of 6 fps; 23 instead of 40 nGy/pulse; N = 101). Overall, MDG was associated with an 82.1% reduction in IR exposure (393 μGray·m(2) vs. 2191 μGray·m(2) , P dose fluoroscopy resulted in a 59.5% reduction in IR-exposure without MDG (1055 μGray·m(2) vs. 2608 μGray·m(2) , P Low-dose fluoroscopy combined with MDG was associated with a 95.9% lower exposure to IR when compared to standard fluoroscopy without MDG (108 μGray·m(2) vs. 2608 μGray·m(2) , P Low-dose fluoroscopy settings are highly effective (>50%) in reducing IR exposure during CRT implant procedures. When combined with MDG, >95% reduction in IR exposure is achieved. Moreover, MDG shortens procedural duration and may improve acute procedural outcomes. © 2016 Wiley Periodicals, Inc.

  15. New orthopaedic implant management tool for computer-assisted planning, navigation, and simulation: from implant CAD files to a standardized XML-based implant database. (United States)

    Sagbo, S; Blochaou, F; Langlotz, F; Vangenot, C; Nolte, L-P; Zheng, G


    Computer-Assisted Orthopaedic Surgery (CAOS) has made much progress over the last 10 years. Navigation systems have been recognized as important tools that help surgeons, and various such systems have been developed. A disadvantage of these systems is that they use non-standard formalisms and techniques. As a result, there are no standard concepts for implant and tool management or data formats to store information for use in 3D planning and navigation. We addressed these limitations and developed a practical and generic solution that offers benefits for surgeons, implant manufacturers, and CAS application developers. We developed a virtual implant database containing geometrical as well as calibration information for orthopedic implants and instruments, with a focus on trauma. This database has been successfully tested for various applications in the client/server mode. The implant information is not static, however, because manufacturers periodically revise their implants, resulting in the deletion of some implants and the introduction of new ones. Tracking these continuous changes and keeping CAS systems up to date is a tedious task if done manually. This leads to additional costs for system development, and some errors are inevitably generated due to the huge amount of information that has to be processed. To ease management with respect to implant life cycle, we developed a tool to assist end-users (surgeons, hospitals, CAS system providers, and implant manufacturers) in managing their implants. Our system can be used for pre-operative planning and intra-operative navigation, and also for any surgical simulation involving orthopedic implants. Currently, this tool allows addition of new implants, modification of existing ones, deletion of obsolete implants, export of a given implant, and also creation of backups. Our implant management system has been successfully tested in the laboratory with very promising results. It makes it possible to fill the current gap

  16. Different encapsulation strategies for implanted electronics

    Directory of Open Access Journals (Sweden)

    Winkler Sebastian


    Full Text Available Recent advancements in implant technology include increasing application of electronic systems in the human body. Hermetic encapsulation of electronic components is necessary, specific implant functions and body environments must be considered. Additional functions such as wireless communication systems require specialized technical solutions for the encapsulation.

  17. Three-year follow-up of an implanted functional electrical stimulation system for upright mobility in a child with a thoracic level spinal cord injury. (United States)

    Betz, Randal R; Johnston, Therese E; Smith, Brian T; Mulcahey, M J; McCarthy, James J


    The purpose of this study was to compare the use of a functional electrical stimulation (FES) system with the use of knee-ankle-foot orthoses (KAFO) for upright mobility over a 3-year period in a child with a spinal cord injury (SCI). A 13-year-old boy with a T8 complete SCI received a lower extremity implanted FES system. Electrodes were implanted for knee extension and for hip extension, abduction, and adduction. After training and at annual intervals, independence and timeliness in completing 7 upright mobility activities with FES and KAFO, as well as stimulated muscle strength, were assessed. Results have shown that FES provided independence equal to that of KAFO for all activities. Four activities were accomplished more quickly with FES, including donning the system, reaching a high object, transferring to a high surface, and walking 6 m. A floor-to-stand transfer was faster with KAFO. Functional results and stimulated muscle strength have remained stable over the 3-year period. The results indicate that FES can provide function equal to or faster than KAFO in a child with a T8 complete SCI and that performance with the FES system can remain stable for at least 3 years.

  18. Accelerated Recovery of Endothelium Function after Stent Implantation with the Use of a Novel Systemic Nanoparticle Curcumin

    Directory of Open Access Journals (Sweden)

    Qi Lu


    Full Text Available Curcumin was reported to exhibit a wide range of pharmacological effects including antioxidant, anti-inflammatory, and antiproliferative activities and significantly prevent smooth muscle cells migration. In the present study, a novel kind of curcumin loaded nanoparticles (Cur-NP has been prepared and characterized with the aim of inhibiting inflammation formation and accelerating the healing process of the stented arteries. Cur-NP was administrated intravenously after stent implantation twice a week and detailed tissue responses were evaluated. The results demonstrated that intravenous administration of Cur-NP after stent implantation accelerated endothelial cells restoration and endothelium function recovery and may potentially be an effective therapeutic alternative to reduce adverse events for currently available drug eluting stents.

  19. Antimicrobial technology in orthopedic and spinal implants (United States)

    Eltorai, Adam EM; Haglin, Jack; Perera, Sudheesha; Brea, Bielinsky A; Ruttiman, Roy; Garcia, Dioscaris R; Born, Christopher T; Daniels, Alan H


    Infections can hinder orthopedic implant function and retention. Current implant-based antimicrobial strategies largely utilize coating-based approaches in order to reduce biofilm formation and bacterial adhesion. Several emerging antimicrobial technologies that integrate a multidisciplinary combination of drug delivery systems, material science, immunology, and polymer chemistry are in development and early clinical use. This review outlines orthopedic implant antimicrobial technology, its current applications and supporting evidence, and clinically promising future directions. PMID:27335811

  20. Retrograde peri-implantitis

    Directory of Open Access Journals (Sweden)

    Mohamed Jumshad


    Full Text Available Retrograde peri-implantitis constitutes an important cause for implant failure. Retrograde peri-implantitis may sometimes prove difficult to identify and hence institution of early treatment may not be possible. This paper presents a report of four cases of (the implant placed developing to retrograde peri-implantitis. Three of these implants were successfully restored to their fully functional state while one was lost due to extensive damage. The paper highlights the importance of recognizing the etiopathogenic mechanisms, preoperative assessment, and a strong postoperative maintenance protocol to avoid retrograde peri-implant inflammation.

  1. [Bilateral cochlear implantation]. (United States)

    Kronenberg, Jona; Migirov, Lela; Taitelbaum-Swead, Rikey; Hildesheimer, Minka


    Cochlear implant surgery became the standard of care in hearing rehabilitation of patients with severe to profound sensorineural hearing loss. This procedure may alter the lives of children and adults enabling them to integrate with the hearing population. In the past, implantation was performed only in one ear, despite the fact that binaural hearing is superior to unilateral, especially in noisy conditions. Cochlear implantation may be performed sequentially or simultaneously. The "sensitive period" of time between hearing loss and implantation and between the two implantations, when performed sequentially, significantly influences the results. Shorter time spans between implantations improve the hearing results after implantation. Hearing success after implantation is highly dependent on the rehabilitation process which includes mapping, implant adjustments and hearing training. Bilateral cochlear implantation in children is recommended as the proposed procedure in spite of the additional financial burden.

  2. A gravidade do trauma em vítimas de traumatismo crânio-encefálico avaliada pelo manual AIS/90 e mapas CAIS/85 La gravedad del trauma en víctimas de traumatismo cráneo-encefálico por medio del manual AIS/90 y mapas CAIS/85 Injury severity measures by AIS/90 manual and CAIS/85 chart in head injured patients

    Directory of Open Access Journals (Sweden)

    Regina Marcia Cardoso de Sousa


    Full Text Available Estudo comparativo do uso do manual da ABBREVIATED INJURY SCALE (AIS e dos mapas da CONDENSED ABBREVIATED INJURY SCALE (CAIS, como bases para cálculo do INJURY SEVERITY SCORE (ISS em vítimas de trauma crânio-encefálico. Os resultados evidenciaram que o valor do ISS foi coincidente na maioria (59,51% das vítimas passíveis de codificação pelos dois instrumentos. Quanto à indicação da faixa de gravidade do trauma (grave, moderado e leve não existiram diferenças estatisticamente significantes entre os dois instrumentos. Quanto a capacidade de cobertura da CAIS/85 para a identificação da gravidade das lesões constatou-se que a CAIS/85 permitiu a pontuação de 61,38% das lesões pontuadas com a AIS/90.Estudio comparativo del uso del Manual de la ABBREVIATED INJURY SCALE (AIS y de los mapas de la CONDENSED ABBREVIATED INJURY SCALE (CAIS, como base para el cálculo del INJURY SEVERITY SCORE (ISS en víctimas de trauma cráneo-encefálico. Los resultados mostraron que el valor del ISS coincidía en la mayoría (58,51% de las víctimas posibles de codificación por los dos instrumentos. En cuanto a la indicación de la faja de gravedad del trauma (grave, moderado y leve no existian diferencias estadísticamente significantes entre los dos instrumentos. En cuanto a la capacidad de cobertura de la CAIS/85 para la identificación de la gravedad de las lesiones, se constató que la CAIS/85 permitió la puntuación de 61,38% de las lesiones puntiadas con la AIS/90.This study was developed in order to compare the use of the ABBREVIATED INJURY SCALE (AIS and the CONDENSED ABBREVIATED INJURY SCALE (CAIS as basis to calculate INJURY SEVERITY SCORE (ISS in head injured patients. The results showed that the ISS value was equivalent in the majority of the patients (58,51% codified by both scales. Also no statistic differences between the scales were perceived when we compared the severity levels as severe, moderate and minor. 61,38% of the lesions

  3. Computerized implant-dentistry: Advances toward automation (United States)

    Gulati, Minkle; Anand, Vishal; Salaria, Sanjeev Kumar; Jain, Nikil; Gupta, Shilpi


    Advancements in the field of implantology such as three-dimensional imaging, implant-planning software, computer-aided-design/computer-aided-manufacturing (CAD/CAM) technology, computer-guided, and navigated implant surgery have led to the computerization of implant-dentistry. This three-dimensional computer-generated implant-planning and surgery has not only enabled accurate preoperative evaluation of the anatomic limitations but has also facilitated preoperative planning of implant positions along with virtual implant placement and subsequently transferring the virtual treatment plans onto the surgical phase via static (guided) or dynamic (navigated) systems aided by CAD/CAM technology. Computerized-implant-dentistry being highly predictable and minimally invasive in nature has also allowed implant placement in patients with medical comorbidities (e.g. radiation therapy, blood dyscrasias), in patients with complex problems following a significant alteration of the bony anatomy as a result of benign or malignant pathology of the jaws or trauma and in patients with other physical and emotional problems. With significant achievements accomplished in the field of computerized implant-dentistry, attempts are now been made toward complete automation of implant-dentistry. PMID:25810585

  4. Computerized implant-dentistry: Advances toward automation

    Directory of Open Access Journals (Sweden)

    Minkle Gulati


    Full Text Available Advancements in the field of implantology such as three-dimensional imaging, implant-planning software, computer-aided-design/computer-aided-manufacturing (CAD/CAM technology, computer-guided, and navigated implant surgery have led to the computerization of implant-dentistry. This three-dimensional computer-generated implant-planning and surgery has not only enabled accurate preoperative evaluation of the anatomic limitations but has also facilitated preoperative planning of implant positions along with virtual implant placement and subsequently transferring the virtual treatment plans onto the surgical phase via static (guided or dynamic (navigated systems aided by CAD/CAM technology. Computerized-implant-dentistry being highly predictable and minimally invasive in nature has also allowed implant placement in patients with medical comorbidities (e.g. radiation therapy, blood dyscrasias, in patients with complex problems following a significant alteration of the bony anatomy as a result of benign or malignant pathology of the jaws or trauma and in patients with other physical and emotional problems. With significant achievements accomplished in the field of computerized implant-dentistry, attempts are now been made toward complete automation of implant-dentistry.

  5. Retinal implants: a systematic review. (United States)

    Chuang, Alice T; Margo, Curtis E; Greenberg, Paul B


    Retinal implants present an innovative way of restoring sight in degenerative retinal diseases. Previous reviews of research progress were written by groups developing their own devices. This systematic review objectively compares selected models by examining publications describing five representative retinal prostheses: Argus II, Boston Retinal Implant Project, Epi-Ret 3, Intelligent Medical Implants (IMI) and Alpha-IMS (Retina Implant AG). Publications were analysed using three criteria for interim success: clinical availability, vision restoration potential and long-term biocompatibility. Clinical availability: Argus II is the only device with FDA approval. Argus II and Alpha-IMS have both received the European CE Marking. All others are in clinical trials, except the Boston Retinal Implant, which is in animal studies. Vision restoration: resolution theoretically correlates with electrode number. Among devices with external cameras, the Boston Retinal Implant leads with 100 electrodes, followed by Argus II with 60 electrodes and visual acuity of 20/1262. Instead of an external camera, Alpha-IMS uses a photodiode system dependent on natural eye movements and can deliver visual acuity up to 20/546. Long-term compatibility: IMI offers iterative learning; Epi-Ret 3 is a fully intraocular device; Alpha-IMS uses intraocular photosensitive elements. Merging the results of these three criteria, Alpha-IMS is the most likely to achieve long-term success decades later, beyond current clinical availability.

  6. The Columbus Knee System: 4-Year Results of a New Deep Flexion Design Compared to the NexGen Full Flex Implant

    Directory of Open Access Journals (Sweden)

    D. Goebel


    Full Text Available The Columbus knee system is designed as a standard knee implant to allow high flexion without additional bone resection. Between August, 2004 and March, 2010 we performed 109 total knee arthroplasties of the Columbus knee system in 101 consecutive patients suffering from primary arthrosis of the knee. Mean age was 72.4 years in women and 70.3 years in men. Mean followup was 47.3 months. The 4-year results of a group of patients who received the NexGen Full Flex implant operated by the same surgeon were used for comparison. Mean total knee score was Columbus: 175.6 and NexGen Flex: 183.4; =0.037. Mean operation time was 53 min for Columbus and 66 min for NexGen Flex; 0.05. Radiological assessment showed no signs of loosening for both groups. Therefore, the Columbus knee system can be recommended for flexion angles up to 140∘.

  7. [Neurotology and cochlear implants]. (United States)

    Merchán, Miguel A


    In this review we analyse cochlear implantation in terms of the fundamental aspects of the functioning of the auditory system. Concepts concerning neuronal plasticity applied to electrical stimulation in perinatal and adult deep hypoacusis are reviewed, and the latest scientific bases that justify early implantation following screening for congenital deafness are discussed. Finally, this review aims to serve as an example of the importance of fostering the sub-specialty of neurotology in our milieu, with the aim of bridging some of the gaps between specialties and thus improving both the knowledge in the field of research on auditory pathologies and in the screening of patients. The objectives of this review, targeted above all towards specialists in the field of otorhinolaryngology, are to analyse some significant neurological foundations in order to reach a better understanding of the clinical events that condition the indications and the rehabilitation of patients with cochlear implants, as well as to use this means to foster the growth of the sub-specialty of neurotology.

  8. A revista Cais entre o protagonismo e o assistencialismo: Uma análise discursiva crítica

    Directory of Open Access Journals (Sweden)

    Viviane de Melo Resende


    Full Text Available Como parte dos resultados de um projeto integrado cujo escopo é investigar, por meio de análises discursivas, as práticas envolvidas na produção e na distribuição de cinco publicações em língua portuguesa voltadas para a situação de rua, este artigo focaliza, com base na Análise de Discurso Crítica, a revista Cais, publicada em Lisboa. Configurando‑se como jornal de rua, a revista é vendida na rua e por pessoas em situação de rua ou de risco, para as quais revertem 70% da venda de cada exemplar. Mais que um meio de comunicação e difusão de problemas sociais, acredita‑se que esse tipo de imprensa proporciona a configuração de posições e relações diferentes, podendo por isso alterar a experiência da exclusão. Neste artigo, tomando como dados excertos de uma entrevista com o seu editor, exploro em que medida se dá a participação de pessoas em situação de rua na produção da revista Cais e na representação desta mesma situação.

  9. Design of CAI Courseware Based on Virtual Reality Mechanism%基于VR机制的CAI课件设计

    Institute of Scientific and Technical Information of China (English)



    In this paper,the application feature and significance of VR technology in the educational field are summarized.In particular,the design mechanism of CAI courseware of the instruction aiming at individuals is studied,and with virtual reality mechanism a learning-while-doing environment is realized for the user in the CAI courseware in the major of the computer application.The design theory,the technique way,some of the algorithm flowchart and the interface of the exercise of operation are given.%论述了虚拟现实技术在教育领域中的应用特点和重要意义。特别研究了针对个别化教学的CAI课件设计机制,并运用虚拟现实机制在计算机应用类CAI课件设计中实现了一个可供用户边学边做的学习环境。给出了设计原理、技术路线、部分算法流程和操作练习界面。

  10. Mandibular overdentures supported by two Branemark, IMZ or ITI implants : a 5-year prospective study

    NARCIS (Netherlands)

    Meijer, HJA; Batenburg, RHK; Raghoebar, GM; Vissink, A


    Objectives: The aim of this prospective comparative study was to evaluate the survival rate and the condition of the peri-implant tissues of the IMZ implant system (two-stage cylindertype), the Branemark implant system (two-stage screwtype) and the ITI implant system (one-stage screwtype) supporting

  11. The case for a generic implant processor. (United States)

    Strydis, Christos; Gaydadjiev, Georgi N


    A more structured and streamlined design of implants is nowadays possible. In this paper we focus on implant processors located in the heart of implantable systems. We present a real and representative biomedical-application scenario where such a new processor can be employed. Based on a suitably selected processor simulator, various operational aspects of the application are being monitored. Findings on performance, cache behavior, branch prediction, power consumption, energy expenditure and instruction mixes are presented and analyzed. The suitability of such an implant processor and directions for future work are given.

  12. Instrumentation of dental implants: a literature review

    Directory of Open Access Journals (Sweden)

    Fabiana de Almeida Curylofo


    Full Text Available Introduction and Objective: The aim of this study was to review the literature on the systems used to decontaminate the implant’s surface. Different instruments have been proposed, but there is no agreement in the literature about which methods would be more efficient with no damage to the implant surface. It was reported the use of plastic, carbon fiber, stainless-steel and titanium curettes and also the use of other systems such as ultrasonic points with different tips, rubber cups and air abrasion. Literature review: In most of the studies, the injury caused on the titanium surface at the time of instrumentation was examined. In others, the cell adhesion on the titanium dental implants following instrumentation of the implant surface was observed. Moreover, to enhance cleaning around implants, ultrasonic systems were recently tested. Conclusion: Metal instruments can lead to major damage to implant surface, therefore, they are not indicated for decontamination of dental implants surfaces. Furthermore, non-metallic instruments, such as plastic curettes, rubber cups, air abrasion and some ultrasonic systems seem to be better choices to remove calculus and plaque of the sub- and supra-gingival peri-implant area. It is noteworthy that more studies evaluating the effects of these systems are required to establish best practices to be used in the treatment of patients with dental implants.

  13. Selected Topics on Advanced Information Systems Engineering: Editorial Introduction to the Issue 5 of CSIMQ

    Directory of Open Access Journals (Sweden)

    Janis Grabis


    Full Text Available The 5th issue of the journal on Complex Systems Informatics and Modeling (CSIMQ presents extended versions of five papers selected from the CAiSE Forum 2015. The forum was part of the 27th edition of international Conference on Advanced Information Systems engineering (CAiSE 2015, which took place in June 2015 in Stockholm, Sweden. Information systems engineering draws its foundation from various interrelated disciplines including, e.g., conceptual modeling, database systems, business process management, requirements engineering, human computer interaction, and enterprise computing to address various practical challenges in development and application of information systems. The guiding subjects of CAiSE 2015 were Creativity, Ability, and Integrity. The CAiSE Forum aimed at presenting and discussing new ideas and tools related to information systems Engineering.

  14. Digital photoelastic analysis applied to implant dentistry (United States)

    Ramesh, K.; Hariprasad, M. P.; Bhuvanewari, S.


    Development of improved designs of implant systems in dentistry have necessitated the study of stress fields in the implant regions of the mandible/maxilla for better understanding of the biomechanics involved. Photoelasticity has been used for various studies related to dental implants in view of whole field visualization of maximum shear stress in the form of isochromatic contours. The potential of digital photoelasticity has not been fully exploited in the field of implant dentistry. In this paper, the fringe field in the vicinity of the connected implants (All-On-Four® concept) is analyzed using recent advances in digital photoelasticity. Initially, a novel 3-D photoelastic model making procedure, to closely mimic all the anatomical features of the human mandible is proposed. By choosing appropriate orientation of the model with respect to the light path, the essential region of interest were sought to be analysed while keeping the model under live loading conditions. Need for a sophisticated software module to carefully identify the model domain has been brought out. For data extraction, five-step method is used and isochromatics are evaluated by twelve fringe photoelasticity. In addition to the isochromatic fringe field, whole field isoclinic data is also obtained for the first time in implant dentistry, which could throw important information in improving the structural stability of the implant systems. Analysis is carried out for the implant in the molar as well as the incisor region. In addition, the interaction effects of loaded molar implant on the incisor area are also studied.

  15. Feasibility of a TinyPump system for pediatric CPB, ECMO, and circulatory assistance: hydrodynamic performances of the modified pump housing for implantable TinyPump. (United States)

    Yokoyama, Naoyuki; Suzuki, Masaaki; Hoshi, Hideo; Ohuchi, Katsuhiro; Fujimoto, Tetsuo; Takatani, Setsuo


    The TinyPump is a miniature centrifugal blood pump with an extremely small priming volume of 5 ml, allowing blood transfusion free cardiopulmonary bypass as well as extracorporeal membrane oxygenation in pediatric patients. In this study, a new pump housing with the angled inlet port (25 degrees toward impeller center with respect to the flow axis) was designed to optimize the pump displaced volume and to extend the application of the TinyPump to implantable support The fluid dynamic performance analysis revealed that the head pressure losses increased from 3 to 17 mm Hg in comparison with straight port design as the pump rotational speed increased from 2,000 to 4,000 rpm. This was probably caused by perturbed flow patterns at the site of the inlet bent port area and streamline hitting the off-center of the impeller. No significant effect on pumping efficiency was observed because of modification in inlet port design. Modification in the inflow and outflow port designs together with the drive mechanism reduces the height of the pump system, including the motor, to 27 mm yielding the displaced volume of 68 ml in comparison with 40 mm of the paracorporeal system with the displaced volume of 105 ml. Further analysis in terms of hemolytic as well as antithrombogenic performance will be carried out to finalize the housing design for the implantable version of the TinyPump.

  16. In situ monitoring of brain tissue reaction of chronically implanted electrodes with an optical coherence tomography fiber system (United States)

    Xie, Yijing; Hassler, Christina; Stieglitz, Thomas; Seifert, Andreas; Hofmann, Ulrich G.


    Neural microelectrodes are well established tools for delivering therapeutic electrical pulses, and recording neural electrophysiological signals. However, long term implanted neural probes often become functionally impaired by tissue encapsulation. At present, analyzing this immune reaction is only feasible with post-mortem histology; currently no means for specific in vivo monitoring exist and most applicable imaging modalities provide no sufficient resolution for a cellular measurement in deep brain regions. Optical coherence tomography (OCT) is a well developed imaging modality, providing cellular resolution and up to 1.2 mm imaging depth in brain tissue. Further more, a fiber based spectral domain OCT was shown to be capable of minimally invasive brain intervention. In the present study, we propose to use a fiber based spectral domain OCT to monitor the the progression of the tissue's immune response and scar encapsulation of microprobes in a rat animal model. We developed an integrated OCT fiber catheter consisting of an implantable ferrule based fiber cannula and a fiber patch cable. The fiber cannula was 18.5 mm long, including a 10.5 mm ceramic ferrule and a 8.0 mm long, 125 μm single mode fiber. A mating sleeve was used to fix and connect the fiber cannula to the OCT fiber cable. Light attenuation between the OCT fiber cable and the fiber cannula through the mating sleeve was measured and minimized. The fiber cannula was implanted in rat brain together with a microelectrode in sight used as a foreign body to induce the brain tissue immune reaction. Preliminary data showed a significant enhancement of the OCT backscattering signal during the brain tissue scarring process, while the OCT signal of the flexible microelectrode was getting weaker consequentially.

  17. Silicone breast implants and connective tissue disease

    DEFF Research Database (Denmark)

    Lipworth, Loren; Holmich, Lisbet R; McLaughlin, Joseph K


    The association of silicone breast implants with connective tissue diseases (CTDs), including systemic sclerosis, systemic lupus erythematosus, rheumatoid arthritis, and fibromyalgia, as well as a hypothesized new "atypical" disease, which does not meet established diagnostic criteria for any known...

  18. Interactions among osteoblastic cells, Staphylococcus aureus and chitosan-immobilized titanium implants in a post-operative co-culture system: An in vitro study. (United States)

    Ghimire, Niranjan; Foss, Berit L; Sun, Yuyu; Deng, Ying


    Biomaterial-related infections (BRIs) have become a major challenge in the field of orthopedic implants. In this study, we delved into the problem of BRI and attempted to reduce the possibility of BRI incidence via surface modification of titanium (Ti) with chitosan (SA-CS-Ti). To comprehensively evaluate the anti-infection potential of SA-CS-Ti, we first constructed a post-operative infection (POI) model with varying concentrations of bacteria (10(2) CFU/sample and 10(4) CFU/sample) and a constant number of SaOS-2 cells (10(5) /sample). Then, we biologically characterized the interactions between the SaOS-2 cells, bacteria, and different Ti implants using the POI model. The results from the osteoblastic cell and bacterial attachment tests demonstrated that the SA-CS-Ti surfaces exhibit superior osteogenic behavior relative to other Ti surfaces studied while showing significant anti-infective activities in the POI model with a low infection ratio (bacteria: cell ratio of 0.001:1) 30 minutes after infection. Additionally, the SA-CS-Ti surfaces showed significantly reduced (panti-fouling property. The significantly increased (p<0.05) sensitivity of S. aureus adhered to the SA-CS-Ti surfaces against cefazolin (1 mg/L treatment) and gentamicin (10 mg/L and 100 mg/L treatment) in the co-culture system augmented potential of SA-CS-Ti to be used as orthopedic implants. This article is protected by copyright. All rights reserved.

  19. Quality assessment of pacemaker implantations in Denmark

    DEFF Research Database (Denmark)

    Møller, M; Arnsbo, P; Asklund, Mogens


    AIMS: Quality assessment of therapeutic procedures is essential to insure a cost-effective health care system. Pacemaker implantation is a common procedure with more than 500,000 implantations world-wide per year, but the general complication rate is not well described. We studied procedure related...

  20. Developmental neuroplasticity after cochlear implantation. (United States)

    Kral, Andrej; Sharma, Anu


    Cortical development is dependent on stimulus-driven learning. The absence of sensory input from birth, as occurs in congenital deafness, affects normal growth and connectivity needed to form a functional sensory system, resulting in deficits in oral language learning. Cochlear implants bypass cochlear damage by directly stimulating the auditory nerve and brain, making it possible to avoid many of the deleterious effects of sensory deprivation. Congenitally deaf animals and children who receive implants provide a platform to examine the characteristics of cortical plasticity in the auditory system. In this review, we discuss the existence of time limits for, and mechanistic constraints on, sensitive periods for cochlear implantation and describe the effects of multimodal and cognitive reorganization that result from long-term auditory deprivation. Copyright © 2011. Published by Elsevier Ltd.

  1. Implant success!!!.....simplified

    Directory of Open Access Journals (Sweden)

    Luthra Kaushal


    Full Text Available The endeavor towards life-like restoration has helped nurture new vistas in the art and science of implant dentistry. The protocol of "restoration-driven implant placement" ensures that the implant is an apical extension of the ideal future restoration and not the opposite. Meticulous pre-implant evaluation of soft and hard tissues, diagnostic cast and use of aesthetic wax-up and radiographic template combined with surgical template can simplify the intricate roadmap for appropriate implant treatment. By applying the harmony of artistic skill, scientific knowledge and clinical expertise, we can simply master the outstanding implant success in requisites of aesthetics, phonetics and function.

  2. Selected Topics on Information Systems Engineering: Editorial Introduction to Issue 9 of CSIMQ

    Directory of Open Access Journals (Sweden)

    Sergio Espana


    Full Text Available This issue of the journal of Complex Systems Informatics and Modeling (CSIMQ presents papers that discuss selected topics on information systems engineering. The papers are extended versions of selected papers from the CAiSE Forum 2016 held in Ljubljana, Slovenia. The CAiSE Forum is a place within the International Conference on Advanced Information Systems Engineering for disseminating and debating new ideas and tools related to this area.

  3. Cai Hua, L’homme pensé par l’homme, Du statut scientifique des sciences sociales (Man thought by Man. About the scientific status of social sciences), Paris, PUF, 2008, 214 pp. et Laurent Barry, La parenté (Kinship), Paris, Gallimard, 2008, 567 pp.



    Two recent works reintroduce China into the anthropology of kinship. Cai Hua and Laurent Barry are both students of Françoise Héritier, who at the Collège de France has revitalised our understanding of the systems of African kinship. Their two books, similarly constructed, devote considerable space to the systems of the Han. The anthropology of kinship, a discipline founded in 1870 by Lewis Henry Morgan’s Systems of Consanguinity and Affinity of the Human Family, and revived in 1949 by the th...

  4. Contact dermatitis after implantable cardiac defibrillator implantation for ventricular tachycardia. (United States)

    Dogan, Pinar; Inci, Sinan; Kuyumcu, Mevlut Serdar; Kus, Ozgur


    Pacemaker contact sensitivity is a rare condition. Less than 30 reports of pacemaker skin reactions have been described. We report a 57-year-old woman who underwent an implantable cardiac defibrillator (ICD) implantation for ventricular tachycardia. A skin patch test was positive on almost all components of the pacemaker system. She was treated with topical corticosteroids and skin lesions resolved within 2 weeks. Because of widespread use of various devices, we will see this more often and therefore it is important to recognize this problem and its effective management.

  5. The economic impact of battery longevity in implantable cardioverter-defibrillators for cardiac resynchronization therapy: the hospital and healthcare system perspectives. (United States)

    Landolina, Maurizio; Morani, Giovanni; Curnis, Antonio; Vado, Antonello; D'Onofrio, Antonio; Bianchi, Valter; Stabile, Giuseppe; Crosato, Martino; Petracci, Barbara; Ceriotti, Carlo; Bontempi, Luca; Morosato, Martina; Ballari, Gian Paolo; Gasparini, Maurizio


    Patients receiving cardiac resynchronization therapy defibrillators (CRT-Ds) are likely to undergo one or more device replacements, mainly for battery depletion. We assessed the economic impact of battery depletion on the overall cost of CRT-D treatment from the perspectives of the healthcare system and the hospital. We also compared devices of different generations and from different manufacturers in terms of therapy cost. We analysed data on 1792 CRT-Ds implanted in 1399 patients in 9 Italian centres. We calculated the replacement probability and the total therapy cost over 6 years, stratified by device generation and manufacturer. Public tariffs from diagnosis-related groups were used together with device prices and hospitalization costs. Generators were from 3 manufacturers: Boston Scientific (667, 37%), Medtronic (973, 54%), and St Jude Medical (152, 9%). The replacement probability at 6 years was 83 and 68% for earlier- and recent-generation devices, respectively. The need for replacement increased total therapy costs by more than 50% over the initial implantation cost for hospitals and by more than 30% for healthcare system. The improved longevity of recent-generation CRT-Ds reduced the therapy cost by ∼6% in both perspectives. Among recent-generation CRT-Ds, the replacement probability of devices from different manufacturers ranged from 12 to 70%. Consequently, the maximum difference in therapy cost between manufacturers was 40% for hospitals and 19% for the healthcare system. Differences in CRT-D longevity strongly affect the overall therapy cost. While the use of recent-generation devices has reduced the cost, significant differences exist among currently available systems.

  6. Cai Hua, L’homme pensé par l’homme, Du statut scientifique des sciences sociales Paris, PUF, 2008, 214 p. et Laurent Barry, La parenté, Paris, Gallimard, 2008, 567 p.



    Deux ouvrages récents réintroduisent la Chine dans l’anthropologie de la parenté. Cai Hua et Laurent Barry sont tous deux des élèves de Françoise Héritier, qui a renouvelé au Collège de France la connaissance des systèmes de parenté africains, et leurs ouvrages, construits de façon parallèle, accordent une grande place aux systèmes Han. L’anthropologie de la parenté, fondée en 1870 par l’ouvrage de Lewis Henry Morgan, Systems of Consanguinity and Affinity of the Human Family, et relancée en 1...

  7. Breast Implants: Saline vs. Silicone (United States)

    ... differ in material and consistency, however. Saline breast implants Saline implants are filled with sterile salt water. ... of any age for breast reconstruction. Silicone breast implants Silicone implants are pre-filled with silicone gel — ...

  8. Peri-implant hastalıklar

    Directory of Open Access Journals (Sweden)

    M Selim Yavuz


    Full Text Available

    The treatment of partially or totally edentulous subjects with oral implants is a common procedure. Biological complications are occur around implants which are peri-implant mucositis and periimplantitis.

    Peri-implant mucositis is pathological condition which is normally localized in the soft tissues surrounding an oral implant. Peri-implantitis surrounding oral implants is an inflammatory process affecting the soft and hard tissues resulting in rapid loss of supporting bone associated with bleeding and suppuration. The diagnosis of peri-implant diseases is usually established by assessing probing depth, gingival index, bleeding on probing and radiographic bone resorption examinations. The etiopathogenesis of peri-implant diseases is related to the periimplant environment and to the soft tissues/implant interface, to patient-related factors (smoke, systemic diseases, plaque control and to host-parasite equilibrium.

    Peri-implant diseases can be controlled successfully by providing mechanical, antiseptic, antibiotic and surgical supportive therapy, individually or combined.



    Tam veya kısmi dişsiz hastaların tedavisinde yaygın prosedürlerden biride oral implantlardır. İmplantların etrafında peri-implant mukositis ve peri-implantitis diye biyolojik komplikasyonlar meydana gelir. Peri-implant mukositis bir oral implantın etrafındaki normalde yumuşak dokuda lokalize patolojik bir durumdur. Oral implantların çevresindeki peri-implantitis süpürasyon ve kanama ile ilişkili destek kemiğin hızlı kaybı ile sonuçlanan, sert ve yumuşak dokuları etkileyen inflamatuar bir süreçtir.

    Peri-implant hastalıkların teşhisi genellikle sondalama cep derinliği, gingival indeks, sondalamada kanama ve radyografik kemik rezorbsiyon muayenesi ile kanıtlanır. Peri-implant hastalıkların etiyopatogenezi, peri-implant çevre ve yumuşak doku-implant yüzleşmesi, hasta ile ili

  9. Ensiled and dry cassava leaves, and sweet potato vines as a protein source in diets for growing Vietnamese large white Mong Cai pigs

    NARCIS (Netherlands)

    Nguyen, T.H.L.; Le, N.G.; Verstegen, M.W.A.; Hendriks, W.H.


    The aim of the present study was to evaluate the effects of replacing 70% of the protein from fish meal by protein from ensiled or dry cassava leaves and sweet potato vines on the performance and carcass characters of growing F1 (Large White¿Mong Cai) pigs in Central Vietnam. Twenty-five crossbred

  10. Design of Bilingual Teaching CAI Courseware in Human Parasitology Courses%人体寄生虫学课程双语教学CAI课件的研制

    Institute of Scientific and Technical Information of China (English)

    曾瑾; 王红; 李翠英; 杨立军; 王文林


    目的 研制和开发一套有云南地域特色的人体寄生虫学课程双语教学CAI课件.方法 以PowerPoint 为平台,用Authorware、Flash、Photoshop、Audition、Gif Animator 等软件为辅助工具进行CAI课件制作.结果 制作了含有医学蠕虫学、医学原虫学和医学节肢动物学三部分内容组成的双语教学CAI课件.结论 脚本设计和各类软件的综合应用是CAI课件研制的关键.%Objective To design and develop a set of bilingual CAI coursewares especially adapted to teach human parasitology in Yunnan Province. Method The CAI coursewares were designed using PowerPoint as the main platform, assisted with the incorporation of softwares such as Authorware, Flash, Photoshop, Audition and Gif Animator. Result A set of bilingual CAI Courseware to teach Human Parasitology including medical helminthology, medical protozoology and medical arthropodology has been developed. Conclusion Script design and comprehensive application of variable softwares are the key points in designing and developing CAI coursewares.

  11. Ensiled and dry cassava leaves, and sweet potato vines as a protein source in diets for growing Vietnamese large white Mong Cai pigs

    NARCIS (Netherlands)

    Nguyen, T.H.L.; Le, N.G.; Verstegen, M.W.A.; Hendriks, W.H.


    The aim of the present study was to evaluate the effects of replacing 70% of the protein from fish meal by protein from ensiled or dry cassava leaves and sweet potato vines on the performance and carcass characters of growing F1 (Large White¿Mong Cai) pigs in Central Vietnam. Twenty-five crossbred p

  12. Urinary incontinence - collagen implants (United States)

    ... gov/ency/article/007373.htm Urinary incontinence - injectable implant To use the sharing features on this page, please enable JavaScript. Injectable implants are injections of material into the urethra to ...

  13. Implantable Medical Devices (United States)

    ... Artery Disease Venous Thromboembolism Aortic Aneurysm More Implantable Medical Devices Updated:Sep 16,2016 For Rhythm Control ... a Heart Attack Introduction Medications Surgical Procedures Implantable Medical Devices • Life After a Heart Attack • Heart Attack ...

  14. About Implantable Contraception (United States)

    ... a tube was inserted, and get a new contraceptive implant on schedule or switch to another method of ... continue Possible Side Effects Young women who get contraceptive implants might notice such side effects as: irregular or ...

  15. Breast Reconstruction with Implants (United States)

    Breast reconstruction with implants Overview By Mayo Clinic Staff Breast reconstruction is a surgical procedure that restores shape to ... treat or prevent breast cancer. One type of breast reconstruction uses breast implants — silicone devices filled with silicone ...

  16. Batteries used to Power Implantable Biomedical Devices (United States)

    Bock, David C.; Marschilok, Amy C.; Takeuchi, Kenneth J.; Takeuchi, Esther S.


    Battery systems have been developed that provide years of service for implantable medical devices. The primary systems utilize lithium metal anodes with cathode systems including iodine, manganese oxide, carbon monofluoride, silver vanadium oxide and hybrid cathodes. Secondary lithium ion batteries have also been developed for medical applications where the batteries are charged while remaining implanted. While the specific performance requirements of the devices vary, some general requirements are common. These include high safety, reliability and volumetric energy density, long service life, and state of discharge indication. Successful development and implementation of these battery types has helped enable implanted biomedical devices and their treatment of human disease. PMID:24179249

  17. Batteries used to Power Implantable Biomedical Devices. (United States)

    Bock, David C; Marschilok, Amy C; Takeuchi, Kenneth J; Takeuchi, Esther S


    Battery systems have been developed that provide years of service for implantable medical devices. The primary systems utilize lithium metal anodes with cathode systems including iodine, manganese oxide, carbon monofluoride, silver vanadium oxide and hybrid cathodes. Secondary lithium ion batteries have also been developed for medical applications where the batteries are charged while remaining implanted. While the specific performance requirements of the devices vary, some general requirements are common. These include high safety, reliability and volumetric energy density, long service life, and state of discharge indication. Successful development and implementation of these battery types has helped enable implanted biomedical devices and their treatment of human disease.

  18. Chemical and topographical analysis of the surface of dental implants


    Muñante Cárdenas, Jose Luis; Cirujano-Dentista. Máster en Cirugía y Traumatología Buco-maxilofacial. Doctorando en Cirugía. Universidad Estatal de Campinas-UNICAMP, Sao Paulo, Brasil.; Landers, Richard; Profesor Asociado. Instituto de Física Gleb Wataghin, Departamento de Física Aplicada-Universidad Estatal de Campinas-UNICAMP. Sao Paulo, Brasil.


    The aim of this study was to analyze the chemical composition and surface topography of commercially pure titanium implants, obtained from three trademarks frequently used in dentistry. There were nine titanium implants of the following systems: As Technology, Neodent and Sistema Nacional de Implantes. These materials were divided into three groups, with three implants in each group. Photoelectron Spectroscopy Excited by X-ray (XPS) was used to determine the chemical composition, while to cha...


    Directory of Open Access Journals (Sweden)

    Salaheddine Derouiche


    Full Text Available In this paper, we present the implemented denoising section in the coding strategy of cochlear implants, the technique used is the technique of wavelet bionic BWT (Bionic Wavelet Transform. We have implemented the algorithm for denoising Raise the speech signal by the hybrid method BWT in the FPGA (Field Programmable Gate Array, Xilinx (Virtex5 XC5VLX110T. In our study, we considered the following: at the beginning, we present how to demonstrate features of this technique. We present an algorithm implementation we proposed, we present simulation results and the performance of this technique in terms of improvement of the SNR (Signal to Noise Ratio. The proposed implementations are realized in VHDL (Very high speed integrated circuits Hardware Description Language. Different algorithms for speech processing, including CIS (Continuous Interleaved Sampling have been implemented the strategy in this processor and tested successfully.

  20. Perceptions on hospitality when visiting secluded communities of guaranis, caiçaras e quilombolas in Paraty region

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    Luis Alberto Beares


    Full Text Available Tourism in secluded communities puts different cultures in contact with each other and must be handled carefully not to cause environmental damage as well as cultural loss which might jeopardize the local development and create hostile relationships. The proposal of in sito tourism, considering the local memory and patrimony as a hospitality potential, was observed during technical visitations to three communities located in the Paraty region and surroundings: Guarani, Caiçara (fishermen and Quilombola(African slaves descendants. Through field work involving visitations to communities and interviews with locals, information regarding cultural differences and the importance of the land occupation in the history of each of the communities was assessed. The common link in the history of these peoples is the struggle for the right of land possession. During visits when people shared their territory various forms of hospitality in each community were verified, issued from different cultures and cultural values.

  1. Which axial and bending stiffnesses of posterior implants are required to design a flexible lumbar stabilization system? (United States)

    Schmidt, Hendrik; Heuer, Frank; Wilke, Hans-Joachim


    Dynamic stabilization devices have been introduced to clinics as an alternative to rigid fixation. The stiffness of these devices varies widely, whereas the optimal stiffness, achieving a predefined stabilization of the spine, is unknown. This study was focused on the determination of stiffness values for posterior stabilization devices achieving a flexible, semi-flexible or rigid connection between two vertebrae. An extensively validated finite element model of a lumbar spinal segment L4-5 with an implanted posterior fixation device was used in this study. The model was exposed to pure moments of 7.5 and 20Nm around the three principal anatomical directions, simulating flexion, extension, lateral bending and axial rotation. In parametrical studies, the influence of the axial and bending fixator stiffness on the spinal range of motion was investigated. In order to examine the validity of the computed results, an in-vitro study was carried out. In this, the influence of two posterior stabilization devices (DSS and rigidly internal fixator) on the segmental stabilization was investigated. The finite element (FE)-model predicted that each load direction caused a pairing of stiffness relations between axial and bending stiffness. In flexion and extension, however, the bending stiffness had a neglectable effect on the segmental stabilization, compared to the axial stiffness. In contrast, lateral bending and axial rotation were influenced by both stiffness parameters. Except in axial rotation, the model predictions were in a good agreement with the determined in-vitro data. In axial rotation, the FE-model predicted a stiffer segmental behavior than it was determined in the in-vitro study. It is usually expected that high stiffness values are required for a posterior stabilization device to stiffen a spinal segment. We found that already small stiffness values were sufficient to cause a stiffening. Using these data, it may possible to develop implants for certain clinical

  2. Implantable electronic medical devices

    CERN Document Server

    Fitzpatrick, Dennis


    Implantable Electronic Medical Devices provides a thorough review of the application of implantable devices, illustrating the techniques currently being used together with overviews of the latest commercially available medical devices. This book provides an overview of the design of medical devices and is a reference on existing medical devices. The book groups devices with similar functionality into distinct chapters, looking at the latest design ideas and techniques in each area, including retinal implants, glucose biosensors, cochlear implants, pacemakers, electrical stimulation t

  3. Long-term evaluation of hollow screw and hollow cylinder dental implants : Clinical and radiographic results after 10 years

    NARCIS (Netherlands)

    Telleman, Gerdien; Meijer, Henny J. A.; Raghoebar, Gerry M.

    Background: In 1988, an implant manufacturer offered a new dental implant system, with a wide choice of hollow cylinder (HC) and hollow screw (HS) implants. The purpose of this retrospective study of HS and HC implants was to evaluate clinical and radiographic parameters of peri-implant tissue and

  4. Development of an auditory implant manipulator for minimally invasive surgical insertion of implantable hearing devices. (United States)

    Stieger, C; Caversaccio, M; Arnold, A; Zheng, G; Salzmann, J; Widmer, D; Gerber, N; Thurner, M; Nauer, C; Mussard, Y; Kompis, M; Nolte, L P; Häusler, R; Weber, S


    To present the auditory implant manipulator, a navigation-controlled mechanical and electronic system which enables minimally invasive ('keyhole') transmastoid access to the tympanic cavity. The auditory implant manipulator is a miniaturised robotic system with five axes of movement and an integrated drill. It can be mounted on the operating table. We evaluated the surgical work field provided by the system, and the work sequence involved, using an anatomical whole head specimen. The work field provided by the auditory implant manipulator is considerably greater than required for conventional mastoidectomy. The work sequence for a keyhole procedure included pre-operative planning, arrangement of equipment, the procedure itself and post-operative analysis. Although system improvements are necessary, our preliminary results indicate that the auditory implant manipulator has the potential to perform keyhole insertion of implantable hearing devices.

  5. Lumbar subarachnoid hematoma following an epidural blood patch for meningeal puncture headache related to the implantation of an intrathecal drug delivery system. (United States)

    Hustak, Erik C; Engle, Mitchell P; Viswanathan, Ashwin; Koyyalagunta, Dhanalakshmi


    Persistent meningeal puncture headache (MPH) is a known complication following both intentional and unintentional puncture of the dura mater.  We present a case of persistent MPH following implantation of an intrathecal drug delivery system (IDDS). Two separate epidural blood patches (EBP) were performed under radiographic guidance with contrast visualization of the epidural space on postoperative days 16 and 28, respectively. The case was complicated by the development of a symptomatic lumbar subarachnoid hematoma diagnosed on postoperative day 35. The patient subsequently underwent a laminectomy, evacuation of the hematoma, and explanation of the IDDS. This case illustrates a potential unique morbidity associated with the EBP in a patient with an IDDS. The report concludes with a brief review of MPH followed by a discussion of possible mechanisms underlying this complication.

  6. The effect of systemic lipoic acid on hearing preservation after cochlear implantation via the round window approach: A guinea pig model. (United States)

    Chang, Mun Young; Gwon, Tae Mok; Lee, Ho Sun; Lee, Jun Ho; Oh, Seung Ha; Kim, Sung June; Park, Min-Hyun


    The present study aimed to evaluate the effects of systemic lipoic acid on hearing preservation after cochlear implantation. Twelve Dunkin-Hartley guinea pigs were randomly divided into two groups: the control group and the lipoic acid group. Animals in the lipoic acid group received lipoic acid intraperitoneally for 4 weeks. A sterilised silicone electrode-dummy was inserted through the round window to a depth of approximately 5 mm. The hearing level was measured using auditory brainstem responses (ABRs) prior to electrode-dummy insertion, and at 4 days and 1, 2, 3 and 4 weeks after electrode-dummy insertion. The threshold shift was defined as the difference between the pre-operative threshold and each of the post-operative thresholds. The cochleae were examined histologically 4 weeks after electrode-dummy insertion. Threshold shifts changed with frequency but not time. At 2kHz, ABR threshold shifts were statistically significantly lower in the lipoic acid group than the control group. At 8, 16 and 32kHz, there was no significant difference in the ABR threshold shift between the two groups. Histologic review revealed less intracochlear fibrosis along the electrode-dummy insertion site in the lipoic acid group than in the control group. The spiral ganglion cell densities of the basal, middle and apical turns were significantly higher in the lipoic acid group compared with the control group. Therefore, systemic lipoic acid administration appears to effectively preserve hearing at low frequencies in patients undergoing cochlear implantation. These effects may be attributed to the protection of spiral ganglion cells and prevention of intracochlear fibrosis. Copyright © 2017 Elsevier B.V. All rights reserved.


    Directory of Open Access Journals (Sweden)



    Full Text Available Cochlear implant is a small, surgically implanted complex electronic device that can help to provide a sense of sound to a person with severe to profound sensorineural hearing loss. This type of hearing loss, typically involves damage to hair cells in the cochlea, as a result sound cannot reach the auditory nerve which usually receives information from hair cells. A cochlear implant skips the damaged hair cells and to stimulate the auditory nerve directly. An implant does not restore normal hearing, instead it can give a deaf person a useful representation of sounds in the environment and help him or her to understand speech. I am here presenting this article in relation to the indications, intraoperative and postoperative complications of cochlear implantation in our institute since January 2013. Children who receive implants at earlier age, outperform their peers who are implanted at a later age. This is reflected in all the areas of speech and language development.

  8. Correlation between implantation defects and dopants in Fe-implanted SiC

    Energy Technology Data Exchange (ETDEWEB)

    Declemy, A.; Dupeyrat, C.; Eyidi, D. [CNRS, Universite de Poitiers, ENSMA, Departement de Physique et Mecanique des Materiaux, Futuroscope-Chasseneuil (France); Debelle, A.; Thome, L. [Univ. Paris-Sud, CNRS-IN2P3, Centre de spectrometrie Nucleaire et de Spectrometrie de Masse (CSNSM), Orsay (France); Monnet, I. [CEA-CNRS-ENSICAEN, Centre de Recherche sur les Materiaux, les Ions et la Photonique (CIMAP), Caen (France)


    SiC single crystals were implanted with Fe ions and the effects of implantation temperature, Fe concentration, and subsequent swift heavy ion irradiation on both dopant and damage depth distributions were evaluated by using RBS and channelling techniques. It is found that an increase of the implantation temperature above the threshold temperature for amorphization can lead to the formation of a broad layer ({proportional_to}50 nm) containing a large concentration of implanted Fe atoms ({proportional_to}2 at.%) but almost free of implantation defects. This particular configuration is likely due to dynamic annealing during implantation combined with defect annihilation at the surface. It is only observed when the implanted species concentration does not exceed a critical value (which lies between 2 and 5 at.% in the present system). Post-implantation swift heavy ion irradiation leads to a further decrease of the damage level, while the Fe distribution is not affected. The Fe substitutional fraction has been evaluated in the different tested conditions. A maximum value of {proportional_to}50% is found when implantation is performed at the temperature above that required to prevent amorphization (470 K in the present system). Swift-heavy ion irradiation seems to induce Fe atoms relocation at substitutional positions. (orig.)

  9. Implantes transcigomáticos Traszygomatic implants


    B. Fernández Ateca; M. Colorado Bonnin; C. Gay Escoda


    Los implantes cigomáticos, originariamente diseñados por Branemark en 1989, son implantes de cabeza en 45 grados, de 4'5 milímetros de diámetro en su parte más ancha, y que pueden medir entre 30 y 50 milímetros de longitud. Se insertan desde la parte palatina del proceso alveolar, siguiendo la cresta cigomática-alveolar hasta anclarse en el cuerpo del malar, y en el caso de pacientes maxilectomizados, entrando directamente en el cuerpo del malar. Estos implantes ofrecen una alternativa más al...

  10. Clinical and angiographic outcomes following first-in-man implantation of a novel thin-strut low-profile fixed-wire stent: The Svelte Coronary Stent Integrated Delivery System first-in-man trial

    NARCIS (Netherlands)

    R. Diletti (Roberto); H.M. Garcia-Garcia (Hector); C.V. Bourantas (Christos); R.J.M. van Geuns (Robert Jan); N.M. van Mieghem (Nicolas); P. Agostoni (Pierfrancesco); T. Muramatsu (Takashi); V. Farooq (Vasim); R. Spencer (Richard); J. de Schepper; M. Pomeranz (Mark); P.R. Stella (Pieter); P.W.J.C. Serruys (Patrick)


    textabstractAims: The Svelte Stent Integrated Delivery System (IDS) is a novel fixed-wire thin-strut cobalt-chromium stent characterised by a very low entry profile. The aim of the present study is to evaluate the safety and the feasibility of the Svelte stent IDS implantation in humans. Methods and

  11. Optimal implantation depth and adherence to guidelines on permanent pacing to improve the results of transcatheter aortic valve replacement with the medtronic corevalve system: The CoreValve prospective, international, post-market ADVANCE-II study

    NARCIS (Netherlands)

    A.S. Petronio (Anna S.); J.-M. Sinning (Jan-Malte); N.M. van Mieghem (Nicolas); G. Zucchelli (Giulio); G. Nickenig (Georg); R. Bekeredjian (Raffi); B. Bosmans; F. Bedogni (Francesco); M. Branny (Marian); K. Stangl (Karl); J. Kovac (Jan); M. Schiltgen (Molly); S. Kraus (Stacia); P.P.T. de Jaegere (Peter)


    textabstractObjectives The aim of the CoreValve prospective, international, post-market ADVANCE-II study was to define the rates of conduction disturbances and permanent pacemaker implantation (PPI) after transcatheter aortic valve replacement with the Medtronic CoreValve System (Minneapolis, Minnes

  12. Optimal implantation depth and adherence to guidelines on permanent pacing to improve the results of transcatheter aortic valve replacement with the medtronic corevalve system: The CoreValve prospective, international, post-market ADVANCE-II study

    NARCIS (Netherlands)

    A.S. Petronio (Anna S.); J.-M. Sinning (Jan-Malte); N.M. van Mieghem (Nicolas); G. Zucchelli (Giulio); G. Nickenig (Georg); R. Bekeredjian (Raffi); B. Bosmans; F. Bedogni (Francesco); M. Branny (Marian); K. Stangl (Karl); J. Kovac (Jan); M. Schiltgen (Molly); S. Kraus (Stacia); P.P.T. de Jaegere (Peter)


    textabstractObjectives The aim of the CoreValve prospective, international, post-market ADVANCE-II study was to define the rates of conduction disturbances and permanent pacemaker implantation (PPI) after transcatheter aortic valve replacement with the Medtronic CoreValve System (Minneapolis, Minnes

  13. In Vitro Testing of an Implantable Wireless Telemetry System for Long-Term Electromyography Recordings in Large Animals. (United States)

    Kneisz, Lukas; Unger, Ewald; Lanmüller, Hermann; Mayr, Winfried


    Multichannel bio-signal recording in undisturbed in vivo conditions is a frequent demand in experimental work for development of methodology and associated equipment for functional electrical stimulation (FES) application, limb prosthesis, and diagnostic tools in contemporary rehabilitation efforts. Intramuscular electromyogram (EMG) recordings can provide comprehensive insight in complex interactions of agonistic and antagonistic muscles during movement tasks and in contrast act as reliable control signals for both neuroprosthesis and mechanical prosthesis. We fabricated a fully implantable device, which is capable of recording electromyography signals from inside a body and transmit these signals wirelessly to an external receiver. The developed analog front end uses only two electrodes per channel, provides a gain of 60 dB, and incorporates a band pass filter with lower cut-off frequency of 4 Hz and upper cut-off frequency of 480 Hz. The bidirectional wireless data link, which operates in the 2.4 GHz Industrial, Scientific and Medical band, is designed for transmission distances of 10 m using an application data rate of 1 kSps for each of the two channels. Performed in vitro tests with the devices coated in epoxy resin and inserted into a phantom with tissue-equivalent characteristics confirmed the functionality of our concept and the measurement results are consistent with those from preceding simulations.

  14. Application of modified auditory profile in observation of hearing rehabilitation effects among adult partially deaf patients with cochlear implant system

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    Pankovska A.


    Full Text Available Aim: to obtain results in order to organize an individual profile of patient's hearing skills, which is a graphic illustration of obtained results that are used to monitor and provide appropriate assessment of the rehabilitation process using the modified set of hearing abilities tests. Material and methods. Material includes 24 adult patients (19 female and 5 male with partial deafness. All of them use cochlear implants. 6 patients have been using the Cl for no more than 6 months. 12 subjects have been using the Cl for more than 6 months, 3 of them have been using the Cl for more than a year and 3 people have been using the Cl for more than 24 months. Results. Research was based on 18 tasks. In the 8 of them 24 patients obtained the result of 100% identification just one month after the first speech processor fitting. However significant changes were observed in the remaining 10 tasks. 3 complete profiles of the patients hearing skills were created. Conclusions. Results obtained by the patients confirm that the set of supervision materials designed to control the effects of rehabilitation and proposed as pilot study is valuable and can be used in diagnostics. Formula developed on the basis of auditory skill profile of the patient provides clear information on patient's progress (both to a patient and a therapist. It helps determine exercises for the next stages of rehabilitation.

  15. Discussion of vicarious calibration of GOSAT/TANSO-CAI UV-band (380nm) and aerosol retrieval in wildfire region in the OCO-2 and GOSAT observation campaign at Railroad Valley in 2016 (United States)

    Hashimoto, M.; Kuze, A.; Bruegge, C. J.; Shiomi, K.; Kataoka, F.; Kikuchi, N.; Arai, T.; Kasai, K.; Nakajima, T.


    The GOSAT (Greenhouse Gases Observing Satellite) / TANSO-CAI (Cloud and Aerosol Imager, CAI) is an imaging sensor to measure cloud and aerosol properties and observes reflected sunlight from the atmosphere and surface of the ground. The sensor has four bands from near ultraviolet (near-UV) to shortwave infrared, 380, 674, 870 and 1600nm. The field of view size is 0.5 km for band-1 through band-3, and 1.5km for band-4. Band-1 (380nm) is one of unique function of the CAI. The near-UV observation offers several advantages for the remote sensing of aerosols over land: Low reflectance of most surfaces; Sensitivity to absorbing aerosols; Absorption of trace gases is weak (Höller et al., 2004). CAI UV-band is useful to distinguish absorbing aerosol (smoke) from cloud. GOSAT-2/TANSO-CAI-2 that will be launched in the future also has UV-bands, 340 and 380nm. We carried out an experiment to calibrate CAI UV-band radiance using data taken in a field campaign of OCO-2 and GOSAT at Railroad Valley in 2016. The campaign period is June 27 to July 3 in 2016. We measured surface reflectance by using USB4000 Spectrometer with 74-UV collimating lens (Ocean Optics) and Spectralon (Labsphere). USB4000 is a UV spectrometer, and its measurement range from 300 to 520nm. We simulated CAI UV-band radiance using a vector type of radiation transfer code, i.e. including polarization calculation, pstar3 (Ota et al., 2010) using measured surface reflectance and atmospheric data, pressure and relative humidity by radiosonde in the same campaign, and aerosol optical depth by AERONET, etc. Then, we evaluated measured UV radiances with the simulated data. We show the result of vicarious calibration of CAI UV-band in the campaign, and discuss about this method for future sensor, CAI-2. Around the campaign period, there was wildfire around Los Angeles, and aerosol optical thickness (AOT) observed by AERONET at Rail Road valley and Caltech sites is also high. We tried to detect and retrieve aerosol

  16. Immunological Response to Biodegradable Magnesium Implants (United States)

    Pichler, Karin; Fischerauer, Stefan; Ferlic, Peter; Martinelli, Elisabeth; Brezinsek, Hans-Peter; Uggowitzer, Peter J.; Löffler, Jörg F.; Weinberg, Annelie-Martina


    The use of biodegradable magnesium implants in pediatric trauma surgery would render surgical interventions for implant removal after tissue healing unnecessary, thereby preventing stress to the children and reducing therapy costs. In this study, we report on the immunological response to biodegradable magnesium implants—as an important aspect in evaluating biocompatibility—tested in a growing rat model. The focus of this study was to investigate the response of the innate immune system to either fast or slow degrading magnesium pins, which were implanted into the femoral bones of 5-week-old rats. The main alloying element of the fast-degrading alloy (ZX50) was Zn, while it was Y in the slow-degrading implant (WZ21). Our results demonstrate that degrading magnesium implants beneficially influence the immune system, especially in the first postoperative weeks but also during tissue healing and early bone remodeling. However, rodents with WZ21 pins showed a slightly decreased phagocytic ability during bone remodeling when the degradation rate reached its maximum. This may be due to the high release rate of the rare earth-element yttrium, which is potentially toxic. From our results we conclude that magnesium implants have a beneficial effect on the innate immune system but that there are some concerns regarding the use of yttrium-alloyed magnesium implants, especially in pediatric patients.

  17. A New Type of Foreign Clast in A Polymict Ureilite: A CAI or AL-Rich Chondrule (United States)

    Goodrich, C. A.; Ross, D. K.; Treiman, A. H.


    Introduction: Polymict ureilites are breccias interpreted to represent regolith formed on a ureilitic asteroid [1-3]. They consist of approximately 90-95% clasts of various ureilite types (olivine-pyroxene rocks with Fo 75-95), a few % indigenous feldspathic clasts, and a few % foreign clasts [4-20]. The foreign clasts are diverse, including fragments of H, L, LL and R chondrites, angrites, other achondrites, and dark clasts similar to CC [6,7,9-19]. We report a new type of foreign clast in polymict ureilite DaG 999. Methods: Clast 8 in Dar al Gani (DaG) 999/1 (Museum fur Naturkunde) was discovered during a survey of feldspathic clasts in polymict ureilites [19,20]. It was studied by BEI, EMPA, and X-ray mapping on the JEOL 8530F electron microprobe at ARES, JSC. Petrography and Mineral Compositions: Clast 8 is sub-rounded to irregular in shape, approximately 85 micrometers in diameter, and consists of approximately 68% pyroxene and 32% mesostasis (by area). Part of the pyroxene (top half of clast in Fig. 1a and 2) shows a coarse dendritic morphology; the rest appears massive. Mesostasis may be glassy and contains fine needles/grains of pyroxene. The pyroxene has very high CaO (23.5 wt.%) and Al2O3 (19.7 wt.%), with the formula: (Ca(0.91)Mg(0.63)Fe(0.01)Al(sup VI) (0.38)Cr(0.01)Ti(0.05)1.99 Si2O6. The bulk mesostasis also has very high Al2O3 (approximately 26 wt.%). A bulk composition for the clast was obtained by combining modal abundances with phase compositions (Table 1, Fig. 3). Discussion: The pyroxene in clast 8 has a Ca-Al-(Ti)- rich (fassaitic) composition that is clearly distinct from compositions of pyroxenes in main group ureilites [22] or indigenous feldspathic clasts in polymict ureilites [4-8]. It also has significantly higher Al than fassaite in angrites (up to approximately 12 wt.% [23]), which occur as xenoliths in polymict ureilites. Ca-Al-Ti rich pyroxenes are most commonly found in CAIs, Al-rich chondrules and other types of refractory

  18. Transcatheter aortic valve implantation with the NVT Allegra transcatheter heart valve system: first-in-human experience with a novel self-expanding transcatheter heart valve. (United States)

    Wenaweser, Peter; Stortecky, Stefan; Schütz, Torsten; Praz, Fabien; Gloekler, Steffen; Windecker, Stephan; Elsässer, Albrecht


    We aimed to demonstrate the feasibility and investigate the safety of a novel, self-expanding trans-catheter heart valve in a selected patient population with severe aortic stenosis. Between January and September 2013, a total of 21 patients with symptomatic severe aortic stenosis were eligible for transcatheter aortic valve implantation (TAVI) with the self-expanding NVT Allegra bioprosthesis (New Valve Technology, Hechingen, Germany) at two cardiovascular centres. Patients were elderly (age 83.8±4 years), predominantly female (95.2%), and all were considered to be at prohibitive risk for surgical aortic valve replacement (logistic EuroSCORE 30.4±11%). Procedural and device success was achieved in 95.2% and 85.7%, respectively. Echocardiographic assessment at discharge showed favourable haemodynamic results with a reduction of the mean transvalvular aortic gradient from 48.0±21 mmHg to 8.9±3 mmHg. In the majority of patients (90.5%), none or trace aortic regurgitation was recorded. Permanent pacemaker implantation was required in 23.8% of patients within the first 30 days of follow-up. Apart from one procedural death, no other serious adverse events were observed during the periprocedural period. TAVI with the NVT Allegra system was highly effective in alleviating symptoms and reducing NYHA functional class at 30-day follow-up. The first-in-human experience with the NVT Allegra transcatheter heart valve prosthesis was associated with a high rate of procedural success. Furthermore, the NVT Allegra bioprosthesis was able to achieve favourable haemodynamic results and effectively alleviate symptoms at 30-day follow-up. The larger, multicentre NAUTILUS study will provide further information on the safety and efficacy of this novel, second-generation transcatheter aortic bioprosthesis.

  19. Implantes transcigomáticos Traszygomatic implants

    Directory of Open Access Journals (Sweden)

    B. Fernández Ateca


    Full Text Available Los implantes cigomáticos, originariamente diseñados por Branemark en 1989, son implantes de cabeza en 45 grados, de 4'5 milímetros de diámetro en su parte más ancha, y que pueden medir entre 30 y 50 milímetros de longitud. Se insertan desde la parte palatina del proceso alveolar, siguiendo la cresta cigomática-alveolar hasta anclarse en el cuerpo del malar, y en el caso de pacientes maxilectomizados, entrando directamente en el cuerpo del malar. Estos implantes ofrecen una alternativa más al cirujano en el momento de planificar un tratamiento protésico-rehabilitador implantosoportado. Sobretodo, en aquellos pacientes con un maxilar superior atrófico en el que no se pueden realizar injertos óseos o estos han fracasado. El objetivo de este artículo es proponer el protocolo quirúrgico de colocación de los implantes trascigomáticos y revisar la literatura actual sobre la evolución clínica de estos implantes.The zygomatic implants, originally designed by Branemark in 1989, are implants with a 45 degree inclined head, 4'5 millimetre diameter at their widest part and measuring between 30 and 50 millimetres in length. They are inserted from the palatine side of the alveolar process, following the zygomatic-alveolar edge and anchor in the body of the zygomatic bone. In the case of maxillectomized patients, they are inserted directly in the body of the malar bone. These implants offer an additional alternative to the surgeon when planning an implant supported rehabilitation treatment; specially in those patients with an atrophic maxilla in which osseous grafts cannot be realized or these grafts have failed. The objective of this article is to propose the surgical,protocol of placement of traszygomatic implants and to check the current literature on the clinical evolution of these implants.

  20. Localization and Tracking of Implantable Biomedical Sensors

    Directory of Open Access Journals (Sweden)

    Ilknur Umay


    Full Text Available Implantable sensor systems are effective tools for biomedical diagnosis, visualization and treatment of various health conditions, attracting the interest of researchers, as well as healthcare practitioners. These systems efficiently and conveniently provide essential data of the body part being diagnosed, such as gastrointestinal (temperature, pH, pressure parameter values, blood glucose and pressure levels and electrocardiogram data. Such data are first transmitted from the implantable sensor units to an external receiver node or network and then to a central monitoring and control (computer unit for analysis, diagnosis and/or treatment. Implantable sensor units are typically in the form of mobile microrobotic capsules or implanted stationary (body-fixed units. In particular, capsule-based systems have attracted significant research interest recently, with a variety of applications, including endoscopy, microsurgery, drug delivery and biopsy. In such implantable sensor systems, one of the most challenging problems is the accurate localization and tracking of the microrobotic sensor unit (e.g., robotic capsule inside the human body. This article presents a literature review of the existing localization and tracking techniques for robotic implantable sensor systems with their merits and limitations and possible solutions of the proposed localization methods. The article also provides a brief discussion on the connection and cooperation of such techniques with wearable biomedical sensor systems.