Operative Landscape at Canadian Neurosurgery Residency Programs.

Science.gov (United States)

Tso, Michael K; Dakson, Ayoub; Ahmed, Syed Uzair; Bigder, Mark; Elliott, Cameron; Guha, Daipayan; Iorio-Morin, Christian; Kameda-Smith, Michelle; Lavergne, Pascal; Makarenko, Serge; Taccone, Michael S; Wang, Bill; Winkler-Schwartz, Alexander; Sankar, Tejas; Christie, Sean D

2017-07-01

Background Currently, the literature lacks reliable data regarding operative case volumes at Canadian neurosurgery residency programs. Our objective was to provide a snapshot of the operative landscape in Canadian neurosurgical training using the trainee-led Canadian Neurosurgery Research Collaborative. Anonymized administrative operative data were gathered from each neurosurgery residency program from January 1, 2014, to December 31, 2014. Procedures were broadly classified into cranial, spine, peripheral nerve, and miscellaneous procedures. A number of prespecified subspecialty procedures were recorded. We defined the resident case index as the ratio of the total number of operations to the total number of neurosurgery residents in that program. Resident number included both Canadian medical and international medical graduates, and included residents on the neurosurgery service, off-service, or on leave for research or other personal reasons. Overall, there was an average of 1845 operative cases per neurosurgery residency program. The mean numbers of cranial, spine, peripheral nerve, and miscellaneous procedures were 725, 466, 48, and 193, respectively. The nationwide mean resident case indices for cranial, spine, peripheral nerve, and total procedures were 90, 58, 5, and 196, respectively. There was some variation in the resident case indices for specific subspecialty procedures, with some training programs not performing carotid endarterectomy or endoscopic transsphenoidal procedures. This study presents the breadth of neurosurgical training within Canadian neurosurgery residency programs. These results may help inform the implementation of neurosurgery training as the Royal College of Physicians and Surgeons residency training transitions to a competence-by-design curriculum.

21 CFR 882.4800 - Self-retaining retractor for neurosurgery.

Science.gov (United States)

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Self-retaining retractor for neurosurgery. 882...-retaining retractor for neurosurgery. (a) Identification. A self-retaining retractor for neurosurgery is a self-locking device used to hold the edges of a wound open during neurosurgery. (b) Classification...

The Prevalence of Burnout Among US Neurosurgery Residents.

Science.gov (United States)

Shakir, Hakeem J; McPheeters, Matthew J; Shallwani, Hussain; Pittari, Joseph E; Reynolds, Renée M

2017-10-27

Burnout is a syndrome of emotional exhaustion, depersonalization, and reduced personal accomplishment. Its prevalence among US physicians exceeds 50% and is higher among residents/fellows. This is important to the practice of neurosurgery, as burnout is associated with adverse physical health, increased risk of substance abuse, and increased medical errors. To date, no study has specifically addressed the prevalence of burnout among neurosurgery residents. To determine and compare the prevalence of burnout among US neurosurgery residents with published rates for residents/fellows and practicing physicians from other specialties. We surveyed 106 US neurosurgery residency training programs to perform a descriptive analysis of the prevalence of burnout among residents. Data on burnout among control groups were used to perform a cross-sectional analysis. Nonparametric tests assessed differences in burnout scores among neurosurgery residents, and the 2-tailed Fisher's exact test assessed burnout between neurosurgery residents and control populations. Of approximately 1200 US neurosurgery residents, 255 (21.3%) responded. The prevalence of burnout was 36.5% (95% confidence interval: 30.6%-42.7%). There was no significant difference in median burnout scores between gender (P = .836), age (P = .183), or postgraduate year (P = .963) among neurosurgery residents. Neurosurgery residents had a significantly lower prevalence of burnout (36.5%) than other residents/fellows (60.0%; P burnout than other residents/fellows and practicing physicians. The underlying causes for these findings were not assessed and are likely multifactorial. Future studies should address possible causes of these findings. Copyright © 2017 by the Congress of Neurological Surgeons

Progress of women in neurosurgery.

Science.gov (United States)

Spetzler, Robert F

2011-01-01

Despite advances in issues related to gender equity, barriers to recruiting and retaining women in neurosurgery continue to exist. At the same time, the overall projected shortage of neurosurgeons suggests that women will be vital to the long-term success of the field. Attracting women to neurosurgery can capitalize on strategies, such as mentoring, teaching leadership and negotiating skills, and job sharing or dual training tracks to name a few, that would benefit both men and women passionate about pursuing neurosurgery. Ultimately, personal and institutional accountability must be evaluated to ensure that the best and brightest candidates, regardless of gender, are recruited to neurosurgical programs to promote the health of our challenging but most satisfying profession.

Challenges in paediatric neurosurgery

Directory of Open Access Journals (Sweden)

Pragati Ganjoo

2017-01-01

Full Text Available Improvements in technique, knowledge and expertise have brought about rapid advances in the fields of paediatric neurosurgery and anaesthesia, and many procedures limited earlier to adults are now being increasingly attempted in neonates and small children, with good outcomes. This article highlights the challenges faced by the operating team while handling some of the technically complex procedures like awake craniotomy, interventional neuroradiology, minimally invasive neurosurgery, procedures in intraoperative magnetic resonance imaging suites, and neonatal emergencies in the paediatric population.

Samii's essentials in neurosurgery

International Nuclear Information System (INIS)

Ramina, Ricardo; Pontifical Catholic Univ. of Parana, Curitiba; Pires Aguiar, Paulo Henrique; Sao Paulo Univ.; Hospital Santa Paula, Sao Paulo; Tatagiba, Marcos

2008-01-01

'Samii's Essentials in Neurosurgery' contains selected papers written by internationally recognized contributors who were trained by Professor Madjid Samii in Hannover, Germany. The main topics deal with cutting-edge technology in neurosurgery, skull-base surgery, and specific peripheral nerve, spine, and vascular surgeries. The texts and a wealth of illustrations review and reinforce guidelines on the diagnosis and management of situations that readers are likely to encounter in everyday practice. This book will be of great interest to neurosurgeons, neurologists, ENT surgeons, neuroradiologists, and neurophysiotherapists. (orig.)

Neurosurgery clinical registry data collection utilizing Informatics for Integrating Biology and the Bedside and electronic health records at the University of Rochester.

Science.gov (United States)

Pittman, Christine A; Miranpuri, Amrendra S

2015-12-01

In a population health-driven health care system, data collection through the use of clinical registries is becoming imperative to continue to drive effective and efficient patient care. Clinical registries rely on a department's ability to collect high-quality and accurate data. Currently, however, data are collected manually with a high risk for error. The University of Rochester's Department of Neurosurgery in conjunction with the university's Clinical and Translational Science Institute has implemented the integrated use of the Informatics for Integrating Biology and the Bedside (i2b2) informatics framework with the Research Electronic Data Capture (REDCap) databases.

Comprehensive, integrated, remote sensing at DOE sites

International Nuclear Information System (INIS)

Lackey, J.G.; Burson, Z.G.

1985-01-01

The Department of Energy has established a program called Comprehensive, Integrated Remote Sensing (CIRS). The overall objective of the program is to provide a state-of-the-art data base of remotely sensed data for all users of such information at large DOE sites. The primary types of remote sensing provided, at present, consist of the following: large format aerial photography, video from aerial platforms, multispectral scanning, and airborne nuclear radiometric surveys. Implementation of the CIRS Program by EG and G Energy Measurements, Inc. began with field operations at the Savannah River Plant in 1982 and is continuing at that DOE site at a level of effort of about $1.5 m per year. Integrated remote sensing studies were subsequently extended to the West Valley Demonstration Project in this summer and fall of 1984. It is expected that the Program will eventually be extended to cover all large DOE sites on a continuing basis

Development of remote control integrator system on Tokamak

International Nuclear Information System (INIS)

Wu Yichun; Wang Lingzhi; Shu Shuangbao

2014-01-01

In order to meet with the requirement of electromagnetic diagnosis to the J-TEXT Tokamak, a remote control integrator system was developed. With modular design method, the integrator system is composed of the integrator cards, a control card, a linear power card and the BNC interface cards, and it uses the PC control soft- ware to conduct network control. An integrator system provides 32 integrator channels, and all integral channels have four kinds of integral time constants for remote selection and provide three kinds of integrator running control methods. According to laboratory and J-TEXT field testing, it shows that the output voltage range is -10-10 V, output noise is not more than 5 mV, and for the four kinds of integral time constants, the integral output drifts are all less than 5 mV within 100 s for each integrator channel. (authors)

Chronic Pain in Neurosurgery.

Science.gov (United States)

Grodofsky, Samuel

2016-09-01

This review includes a summary of contemporary theories of pain processing and advocates a multimodal analgesia approach for providing perioperative care. A summary of various medication classes and anesthetic techniques is provided that highlights evidence emerging from neurosurgical literature. This summary covers opioid management, acetaminophen, nonsteroidal antiinflammatories, ketamine, lidocaine, dexmedetomidine, corticosteroids, gabapentin, and regional anesthesia for neurosurgery. At present, there is not enough investigation into these areas to describe best practices for treating or preventing chronic pain in neurosurgery; but providers can identify a wider range of options available to personalize perioperative care strategies. Copyright © 2016 Elsevier Inc. All rights reserved.

The 2015 AANS Presidential Address: Neurosurgery's founding principles.

Science.gov (United States)

Harbaugh, Robert E

2015-12-01

These are turbulent times for American neurosurgery. It is important to look ahead and prepare for the future but it is also important to look back-for it is memory and tradition that prevent the tyranny of the present. It is impossible to know where we are going if we don't remember where we were. In this paper I want to discuss the founding principles of neurosurgery-the principles that have allowed neurosurgery to prosper in its first century-and to stress the importance of adhering to these principles in times of change. I also want to talk to you about how the American Association of Neurological Surgeons (AANS) is helping neurosurgeons honor our founding principles, while preparing neurosurgery for its second century.

[History of world neurosurgery].

Science.gov (United States)

Wang, X

2017-05-28

In 5000 BC, South American tribes digged the bones in the living head to seek ways to communicate with the gods, which was primitive trephination and may be the first neurosurgical behavior. In 2600 BC, Imhotep in ancient Egypt took the brain out of the head from the nose, for a better preserve of the mummy, which was a prototype of modern transsphenoidal surgery. And the development of anatomy in ancient Greek laid a solid foundation for neurosurgery. From 500 to 1500 AD, the rise of religion and the occurrence of war, prompted a large number of craniocerebral trauma, which contributed greatly to the early development of neurosurgery as a distinct specialty. In 1861, Brocca astutely localized the language function to the third left frontal convolution in a series of studies, which was considered to be of landmark importance in the understanding of cerebral localization. In 1878, William Macewen performed a successful surgery to remove an en plaque meningioma with intrathecal anesthesia, representing the first modern neurosurgical operation. However, the contributions of the Americans, starting with Harvey Cushing, exerted a definitive force. Portuguese Moritz performed the first cerebral angiogram on a living schizophrenia patient in 1926. And he established the Moniz-Lima prefrontal leucotomy for the treatment of schizophrenia, for which he won the Nobel Prize in Physiology and Medicine in 1949. In 1968, the Swiss scholar Yassagir firstly carried out neurosurgical surgeries under the microscope. China's neurosurgery was founded by Zhao Yicheng in 1952 in Tianjin, and the gap in neurosurgery between China and the world gradually narrowed after 60 years of development.

Neurosurgery Elective for Preclinical Medical Students: Early Exposure and Changing Attitudes.

Science.gov (United States)

Zuckerman, Scott L; Mistry, Akshitkumar M; Hanif, Rimal; Chambless, Lola B; Neimat, Joseph S; Wellons, John C; Mocco, J; Sills, Allen K; McGirt, Matthew J; Thompson, Reid C

2016-02-01

Exposure to surgical subspecialties is limited during the preclinical years of medical school. To offset this limitation, the authors created a neurosurgery elective for first- and second-year medical students. The objective was to provide each student with early exposure to neurosurgery by combining clinical experience with faculty discussions about the academic and personal realities of a career in neurosurgery. From 2012 to 2013, the authors offered a neurosurgery elective course to first- and second-year medical students. Each class consisted of the following: 1) peer-reviewed article analysis; 2) student presentation; 3) faculty academic lecture; 4) faculty personal lecture with question and answer period. Thirty-five students were enrolled over a 2-year period. After completing the elective, students were more likely to: consider neurosurgery as a future career (P life to be higher (P life, and family-work balance, while not altering the students' views about the difficulty of training. Adopting a neurosurgery elective geared towards preclinical medical students can significantly change attitudes about the field of neurosurgery and has potential to increase interest in pursuing a career in neurosurgery. Copyright © 2016 Elsevier Inc. All rights reserved.

Standards for reporting randomized controlled trials in neurosurgery.

Science.gov (United States)

Kiehna, Erin N; Starke, Robert M; Pouratian, Nader; Dumont, Aaron S

2011-02-01

The Consolidated Standards for Reporting of Trials (CONSORT) criteria were published in 1996 to standardize the reporting and improve the quality of clinical trials. Despite having been endorsed by major medical journals and shown to improve the quality of reported trials, neurosurgical journals have yet to formally adopt these reporting criteria. The purpose of this study is to evaluate the quality and reporting of randomized controlled trials (RCTs) in neurosurgery and the factors that may affect the quality of reported trials. The authors evaluated all neurosurgical RCTs published in 2006 and 2007 in the principal neurosurgical journals (Journal of Neurosurgery; Neurosurgery; Surgical Neurology; Journal of Neurology, Neurosurgery, and Psychiatry; and Acta Neurochirurgica) and in 3 leading general medical journals (Journal of the American Medical Association, Lancet, and the New England Journal of Medicine). Randomized controlled trials that addressed operative decision making or the treatment of neurosurgical patients were included in this analysis. The RCT quality was evaluated using the Jadad score and the CONSORT checklist. In 2006 and 2007, 27 RCTs relevant to intracranial neurosurgery were reported. Of these trials, only 59% had a Jadad score ≥ 3. The 3 major medical journals all endorsed the CONSORT guidelines, while none of the neurosurgical journals have adopted these guidelines. Randomized controlled trials published in the 3 major medical journals had a significantly higher mean CONSORT score (mean 41, range 39-44) compared with those published in neurosurgical journals (mean 26.4, range 17-38; p journals (mean 3.42, range 2-5) than neurosurgical journals (mean 2.45, range 1-5; p = 0.05). Despite the growing volume of RCTs in neurosurgery, the quality of reporting of these trials remains suboptimal, especially in the neurosurgical journals. Improved awareness of the CONSORT guidelines by journal editors, reviewers, and authors of these papers could

Publication misrepresentation among neurosurgery residency applicants: an increasing problem.

Science.gov (United States)

Kistka, Heather M; Nayeri, Arash; Wang, Li; Dow, Jamie; Chandrasekhar, Rameela; Chambless, Lola B

2016-01-01

OBJECT Misrepresentation of scholarly achievements is a recognized phenomenon, well documented in numerous fields, yet the accuracy of reporting remains dependent on the honor principle. Therefore, honest self-reporting is of paramount importance to maintain scientific integrity in neurosurgery. The authors had observed a trend toward increasing numbers of publications among applicants for neurosurgery residency at Vanderbilt University and undertook this study to determine whether this change was a result of increased academic productivity, inflated reporting, or both. They also aimed to identify application variables associated with inaccurate citations. METHODS The authors retrospectively reviewed the residency applications submitted to their neurosurgery department in 2006 (n = 148) and 2012 (n = 194). The applications from 2006 were made via SF Match and those from 2012 were made using the Electronic Residency Application Service. Publications reported as "accepted" or "in press" were verified via online search of Google Scholar, PubMed, journal websites, and direct journal contact. Works were considered misrepresented if they did not exist, incorrectly listed the applicant as first author, or were incorrectly listed as peer reviewed or published in a printed journal rather than an online only or non-peer-reviewed publication. Demographic data were collected, including applicant sex, medical school ranking and country, advanced degrees, Alpha Omega Alpha membership, and USMLE Step 1 score. Zero-inflated negative binomial regression was used to identify predictors of misrepresentation. RESULTS Using univariate analysis, between 2006 and 2012 the percentage of applicants reporting published works increased significantly (47% vs 97%, p < 0.001). However, the percentage of applicants with misrepresentations (33% vs 45%) also increased. In 2012, applicants with a greater total of reported works (p < 0.001) and applicants from unranked US medical schools (those not

YouTube as a Source of Information on Neurosurgery.

Science.gov (United States)

Samuel, Nardin; Alotaibi, Naif M; Lozano, Andres M

2017-09-01

The importance of videos in social media communications in the context of health care and neurosurgery is becoming increasingly recognized. However, there has not yet been a systematic analysis of these neurosurgery-related communications. Accordingly, this study was aimed at characterizing the online video content pertaining to neurosurgery. Neurosurgery-related videos uploaded on YouTube were collected using a comprehensive search strategy. The following metrics were extracted for each video: number of views, likes, dislikes, comments, shares, date of upload, and geographic region of origin where specified. A quantitative and qualitative evaluation was performed on all videos included in the study. A total of 713 nonduplicate videos met the inclusion criteria. The overall number of views for all videos was 90,545,164. Videos were most frequently uploaded in 2016 (n = 348), with a 200% increase in uploads compared with the previous year. Of the videos that were directly relevant to clinical neurosurgery, the most frequent video categories were "educational videos" (25%), followed by "surgical and procedure overview" (20%), "promotional videos" (17%), and "patient experience" (16%). The remainder of the videos consisted primarily of unrealistic simulations of cranial surgery for entertainment purposes (20%). The findings from this study highlight the increasing use of video communications related to neurosurgery and show that institutions, neurosurgeons, and patients are using YouTube as an educational and promotional platform. As online communications continue to evolve, it will be important to harness this tool to advance patient-oriented communication and knowledge dissemination in neurosurgery. Copyright © 2017 Elsevier Inc. All rights reserved.

Technological innovation in neurosurgery: a quantitative study.

Science.gov (United States)

Marcus, Hani J; Hughes-Hallett, Archie; Kwasnicki, Richard M; Darzi, Ara; Yang, Guang-Zhong; Nandi, Dipankar

2015-07-01

Technological innovation within health care may be defined as the introduction of a new technology that initiates a change in clinical practice. Neurosurgery is a particularly technology-intensive surgical discipline, and new technologies have preceded many of the major advances in operative neurosurgical techniques. The aim of the present study was to quantitatively evaluate technological innovation in neurosurgery using patents and peer-reviewed publications as metrics of technology development and clinical translation, respectively. The authors searched a patent database for articles published between 1960 and 2010 using the Boolean search term "neurosurgeon OR neurosurgical OR neurosurgery." The top 50 performing patent codes were then grouped into technology clusters. Patent and publication growth curves were then generated for these technology clusters. A top-performing technology cluster was then selected as an exemplar for a more detailed analysis of individual patents. In all, 11,672 patents and 208,203 publications related to neurosurgery were identified. The top-performing technology clusters during these 50 years were image-guidance devices, clinical neurophysiology devices, neuromodulation devices, operating microscopes, and endoscopes. In relation to image-guidance and neuromodulation devices, the authors found a highly correlated rapid rise in the numbers of patents and publications, which suggests that these are areas of technology expansion. An in-depth analysis of neuromodulation-device patents revealed that the majority of well-performing patents were related to deep brain stimulation. Patent and publication data may be used to quantitatively evaluate technological innovation in neurosurgery.

Image-guided neurosurgery. Global concept of a surgical tele-assistance using obstacle detection robotics

International Nuclear Information System (INIS)

Desgeorges, M.; Bellegou, N.; Faillot, Th.; Cordoliani, Y.S.; Dutertre, G.; Blondet, E.; Soultrait, F. de; Boissy, J.M.

2000-01-01

Surgical tele-assistance significantly increases accuracy of surgical gestures, especially in the case of brain tumor neurosurgery. The robotic device is tele-operated through a microscope and the surgeon's gestures are guided by real-time overlaying of the X-ray imagery in the microscope. During the device's progression inside the brain, the focus is ensured by the microscope auto-focus feature. The surgeon can thus constantly check his position on the field workstation. Obstacles to avoid or dangerous areas can be previewed in the operation field. This system is routinely used for 5 years in the neurosurgery division of the Val de Grace hospital. More than 400 brain surgery operations have been done using it. An adaptation is used for rachis surgery. Other military hospitals begin to be equipped with similar systems. It will be possible to link them for data transfer. When it will be operational, such a network it will show what could be, in the future, a medical/surgical remote-assistance system designed to take care of wounded/critical conditions people, including assistance to surgical gestures. (authors)

Free-access open-source e-learning in comprehensive neurosurgery skills training.

Science.gov (United States)

Jotwani, Payal; Srivastav, Vinkle; Tripathi, Manjul; Deo, Rama Chandra; Baby, Britty; Damodaran, Natesan; Singh, Ramandeep; Suri, Ashish; Bettag, Martin; Roy, Tara Sankar; Busert, Christoph; Mehlitz, Marcus; Lalwani, Sanjeev; Garg, Kanwaljeet; Paul, Kolin; Prasad, Sanjiva; Banerjee, Subhashis; Kalra, Prem; Kumar, Subodh; Sharma, Bhavani Shankar; Mahapatra, Ashok Kumar

2014-01-01

Since the end of last century, technology has taken a front seat in dispersion of medical education. Advancements of technology in neurosurgery and traditional training methods are now being challenged by legal and ethical concerns of patient safety, resident work-hour restriction and cost of operating-room time. To supplement the existing neurosurgery education pattern, various e-learning platforms are introduced as structured, interactive learning system. This study focuses on the concept, formulation, development and impact of web based learning platforms dedicated to neurosurgery discipline to disseminate education, supplement surgical knowledge and improve skills of neurosurgeons. 'Neurosurgery Education and Training School (NETS), e-learning platform' has integration of web-based technologies like 'Content Management System' for organizing the education material and 'Learning Management System' for updating neurosurgeons. NETS discussion forum networks neurosurgeons, neuroscientists and neuro-technologists across the globe facilitating collaborative translational research. Multi-authored neurosurgical e-learning material supplements the deficiencies of regular time-bound education. Interactive open-source, global, free-access e-learning platform of NETS has around 1) 425 visitors/month from 73 countries; ratio of new visitors to returning visitors 42.3; 57.7 (2); 64,380 views from 190 subscribers for surgical videos, 3-D animation, graphics based training modules (3); average 402 views per post. The e-Learning platforms provide updated educational content that make them "quick, surf, find and extract" resources. e-Learning tools like web-based education, social interactive platform and question-answer forum will save unnecessary expenditure of time and travel of neurosurgeons seeking knowledge. The need for free access platforms is more pronounced for the neurosurgeons and patients in developing nations.

Integrated remotely sensed datasets for disaster management

Science.gov (United States)

McCarthy, Timothy; Farrell, Ronan; Curtis, Andrew; Fotheringham, A. Stewart

2008-10-01

Video imagery can be acquired from aerial, terrestrial and marine based platforms and has been exploited for a range of remote sensing applications over the past two decades. Examples include coastal surveys using aerial video, routecorridor infrastructures surveys using vehicle mounted video cameras, aerial surveys over forestry and agriculture, underwater habitat mapping and disaster management. Many of these video systems are based on interlaced, television standards such as North America's NTSC and European SECAM and PAL television systems that are then recorded using various video formats. This technology has recently being employed as a front-line, remote sensing technology for damage assessment post-disaster. This paper traces the development of spatial video as a remote sensing tool from the early 1980s to the present day. The background to a new spatial-video research initiative based at National University of Ireland, Maynooth, (NUIM) is described. New improvements are proposed and include; low-cost encoders, easy to use software decoders, timing issues and interoperability. These developments will enable specialists and non-specialists collect, process and integrate these datasets within minimal support. This integrated approach will enable decision makers to access relevant remotely sensed datasets quickly and so, carry out rapid damage assessment during and post-disaster.

History, Current Situation, and Future Development of Endoscopic Neurosurgery in China.

Science.gov (United States)

Li, Chuzhong; Zhu, Haibo; Zong, Xuyi; Wang, Xinsheng; Gui, Songbai; Zhao, Peng; Zhang, Yazhuo

2018-02-01

During the past few decades, Chinese endoscopic neurosurgery has rapidly developed in synchrony with the rest of the world. The aim of this article is to review the development of Chinese endoscopic neurosurgery, including its birth, growth, current situation, and prospects. The history of Chinese endoscopic neurosurgery development can be divided into 3 stages: cognition and initial stage (1964-1995), exploration and maturity stage (1995-2006), and rapid development and promotion stage (2006-present). In the first stage, we mainly began to become aware of endoscopic neurosurgery from the translation and review of literature. In the mid to late 1990s, Chinese neurosurgery pioneers began using neuroendoscopic techniques. In the following decade, many leading neurosurgeons made persistent efforts to push the development of Chinese endoscopic neurosurgery forward, focusing on advocating for and promoting and popularizing neuroendoscopic technology. In the rapid development and promotion stage, many representative national and regional neurosurgical centers became skilled and efficient in the application of neuroendoscopic technology and became new advocates of the technology. The number of cases, level of technology, and treatment effectiveness are gradually nearing international standards. However, future development requires promotion of balanced development to decrease regional disparities, further strengthen international exchanges, follow the latest developments, and constantly innovate for continuous improvement. Following the dramatic efforts of several pioneers, development of Chinese endoscopic neurosurgery has been considerable, and it has become an important component of neurosurgery worldwide. Copyright © 2017 Elsevier Inc. All rights reserved.

New CT-aided stereotactic neurosurgery technique

International Nuclear Information System (INIS)

Shao, H.M.; Truong, T.K.; Reed, I.S.; Slater, R.A.

1985-01-01

In this communication, a new technique for CT-aided stereotactic neurosurgery is presented. The combination of specially designed hardware and software provides a fast, simple, and versatile tool for the accurate insertion of a probe into the human brain. This system is portable and can be implemented on any CT computer system. The complete procedure to perform the CT-aided stereotactic neurosurgery technique is presented. Experimental results are given which demonstrate the power of the method. Finally, the key algorithms for realizing this technique are described in the Appendix

Teleradiology in neurosurgery, based on the experience of the Department of Neurosurgery, Polish Academy of Sciences

International Nuclear Information System (INIS)

Glowacki, M.; Czernicki, Z.; Jurkiewicz, J.; Walasek, N.; Czernicki, Z.; Jurkiewicz, J.

2005-01-01

The aim of the study was to analyze experience with the teleconsulting system applied at the Department of Neurosurgery, Polish Academy of Sciences (PAN) and to establish the best medical and economic conditions for teleradiological networks. The presented system is based on frame-grabbing technology and is operated by MultiView TM 2.0D (eMeD, Tech.) software. Computed tomography (CT) examinations performed in the hospitals in Ciechanow or Ostroleka are transmitted to the teleconsulting center in the Department of Neurosurgery, PAN. Regular telephone lines with a transmission speed of 56 kbps are utilized. One whole CT examination is transmitted in 5 to 7 minutes. All clinical information is reported during telephone conversation optimized by a specific questionnaire which helps improve arrangements for neurosurgical intervention and to document consultations. The usefulness of mobile phones and e mail in teleradiology was also evaluated.The period from December 1996 to April 2002 was studied. During this time, 931 transmission were performed. The most common were control examinations (26%), followed by neurotrauma (19%), spontaneous intracerebral hemorrhage (18%), neurooncology (13%), subarachnoidal hemorrhage (7%), hydrocephalus (5%), cerebral ischemia (3%), and those without any intracranial pathologies (4%). Disturbances were observed in 4% of transmissions. Seventy percent of the consulted patients were treated conservatively in remote hospitals. Thirty percent of the cases were admitted to our department, of whom 86% were operated. Mobile phones were found to be a useful tool in urgent neurosurgical consultations. Sending compressed CT images via e mail provided sufficient quality,but requires a particular technical background. The system allows for: 1) proper qualification for neurosurgical treatment, 2) fast and easy access to consultations with specialists, 3) patient follow-up (repeated consultations),4) avoidance of unnecessary transportation, and 5

Coastal remote sensing – towards integrated coastal research and management

CSIR Research Space (South Africa)

Lück-Vogel, Melanie

2012-10-01

Full Text Available coastal resources and anthropogenic infrastructure for a safer future. What is the role of remote sensing? The coastal zone connects terrestrial biophysical systems with marine systems. Some marine ecosystems cannot function without intact inland... for the development of sound integrated management solutions. To date, however, remote sensing applications usually focus on areas landward from the highwater line (?terrestrial? remote sensing), while ?marine? remote sensing does not pay attention to the shallow...

Bradford's law: identification of the core journals for neurosurgery and its subspecialties.

Science.gov (United States)

Venable, Garrett T; Shepherd, Brandon A; Loftis, Christopher M; McClatchy, S Gray; Roberts, Mallory L; Fillinger, Meghan E; Tansey, James B; Klimo, Paul

2016-02-01

Bradford's law describes the scatter of citations for a given subject or field. It can be used to identify the most highly cited journals for a field or subject. The objective of this study was to use currently accepted formulations of Bradford's law to identify core journals of neurosurgery and neurosurgical subspecialties. All original research publications from 2009 to 2013 were analyzed for the top 25 North American academic neurosurgeons from each subspecialty. The top 25 were chosen from a ranked career h-index list identified from previous studies. Egghe's formulation and the verbal formulation of Bradford's law were applied to create specific citation density zones and identify the core journals for each subspecialty. The databases were then combined to identify the core journals for all of academic neurosurgery. Using Bradford's verbal law with 4 zone models, the authors were able to identify the core journals of neurosurgery and its subspecialties. The journals found in the most highly cited first zone are presented here as the core journals. For neurosurgery as a whole, the core included the following journals: Journal of Neurosurgery, Neurosurgery, Spine, Stroke, Neurology, American Journal of Neuroradiology, International Journal of Radiation Oncology Biology Physics, and New England Journal of Medicine. The core journals for each subspecialty are presented in the manuscript. Bradford's law can be used to identify the core journals of neurosurgery and its subspecialties. The core journals vary for each neurosurgical subspecialty, but Journal of Neurosurgery and Neurosurgery are among the core journals for each neurosurgical subspecialty.

Neurosurgery and Music; Effect of Wolfgang Amadeus Mozart.

Science.gov (United States)

Gasenzer, Elena Romana; Kanat, Ayhan; Neugebauer, Edmund

2017-06-01

The nervous system works like a great orchestra. Specifically, the music of Mozart with its "Mozart effect" is appropriate to use in neurosurgery. We investigated the relationship between Mozart's music and neurosurgery. We used digital catalogs like "PubMed" and the libraries of universities. Key words were "Wolfgang Amadeus Mozart" and "neurosurgery and music." In the first half of the 20th century, performing neurosurgery on some musicians, such as Maurice Ravel, Josef Hassid, and George Gershwin, resulted in a fatal outcome. The cause of this is probably that neurosurgery had not been developed yet in the first half of the 20th century. In the past 3 decades, the neurosurgical operations of musicians show that musicians have rich associations among auditory, somatic, and sensorial systems. It is clear that we have much to learn from studies about music and brain function that derive from our surgical experiences with patients. The neuronal plasticity of musicians' brains may be different from that of nonmusicians' brains. Musicians with enhanced motor skills have greater capacity for plasticity because of enriched interhemispheric connections. Listening to music and the effect of Mozart in neurosurgical practice, intensive care, or rehabilitation were documented in many studies. As authors, we mean something different: Its effectiveness should be studied. We concluded that in current neurosurgical practice, Mozart has an effect. More research and clinical studies are needed. Copyright © 2017 Elsevier Inc. All rights reserved.

Integration of remote refurbishment performed on ITER components

Energy Technology Data Exchange (ETDEWEB)

Dammann, A., E-mail: alexis.dammann@iter.org [ITER Organization, Route de Vinon sur Verdon, 13115 Saint Paul Lez Durance (France); Antola, L. [AMEC, 31 Parc du Golf, CS 90519, 13596 Aix en Provence (France); Beaudoin, V. [ITER Organization, Route de Vinon sur Verdon, 13115 Saint Paul Lez Durance (France); Dremel, C. [Westinghouse, Electrique France/Astare, 122 Avenue de Hambourg, 13008 Marseille (France); Evrard, D. [SOGETI High Tech, 180 Rue René Descartes, 13851 Aix en Provence (France); Friconneau, J.P. [ITER Organization, Route de Vinon sur Verdon, 13115 Saint Paul Lez Durance (France); Lemée, A. [SOGETI High Tech, 180 Rue René Descartes, 13851 Aix en Provence (France); Levesy, B.; Pitcher, C.S. [ITER Organization, Route de Vinon sur Verdon, 13115 Saint Paul Lez Durance (France)

2015-10-15

Highlights: • System engineering approach to consolidate requirements to modify the layout of the Hot Cell. • Illustration of the loop between requirement and design. • Verification process. - Abstract: Internal components of the ITER Tokamak are replaced and transferred to the Hot Cell by remote handling equipment. These components include port plugs, cryopumps, divertor cassettes, blanket modules, etc. They are brought to the refurbishment area of the ITER Hot Cell Building for cleaning and maintenance, using remote handling techniques. The ITER refurbishment area will be unique in the world, when considering combination of size, quantity of complex component to refurbish in presence of radiation, activated dust and tritium. The refurbishment process to integrate covers a number of workstations to perform specific remote operations fully covered by a mast on crane system. This paper describes the integration of the Refurbishment Area, explaining the functions, the methodology followed, some illustrations of trade-off and safety improvements.

The history of neurosurgery at the University of Sao Paulo

Directory of Open Access Journals (Sweden)

Manoel Jacobsen Teixeira

2014-03-01

Full Text Available The history of neurosurgery at University of São Paulo comes from 1918, since its origins under the Department of Neurology from Chair of Psychiatric Clinic and Nervous Diseases. Professor Enjolras Vampré was the great inspiration for such medical specialty in the State of Sao Paulo. In 1929, the first neurosurgical procedures were performed in the recently (at time organized Section of Neurosurgery. The official inauguration of the Division of Functional Neurosurgery occurred at June 1977, with the presence of worldwide well-known neuroscientists. The division suffered a deep streamlining under the leadership of Professor Raul Marino Jr., between the decades of 1990 and 2000. At this time, it was structured with the sections of neurological surgery, functional neurosurgery and neurosurgical emergency. Since 2008, Professor Manoel Jacobsen Teixeira is the Chairman of the Division and has provided the Division with the best available technological resources, performing more than 3,000 surgeries a year and training professionals who will, certainly, be some of the future leaders of brazilian neurosurgery.

Dr. Lenke Horvath (1917-1991): Creator of Pediatric Neurosurgery in Romania.

Science.gov (United States)

Mohan, Dumitru; Moisa, Horatiu Alexandru; Nica, Dan Aurel; Ciurea, Alexandru Vlad

2016-04-01

The development of neurosurgery as an independent specialty took place with great difficulty in Romania. In this respect, the most revered personalities are those of Professor Alexandru Moruzzi (1900-1957) (in Iasi) and Professor Dimitrie Bagdasar (1893-1946) (in Bucharest), who are the fathers of modern neurosurgery in Romania. Professor Bagdasar was schooled in Professor Harvey Cushing's clinic in Boston and is credited with creating the first completely independent neurosurgical unit in Romania. His legacy was carried on with honor by Professor Constantin Arseni (1912-1994), who, in 1975, tasked Dr. Lenke Horvath (1917-1991) with creating the first autonomous pediatric neurosurgery unit in Bucharest. This article is a small tribute to the founder of pediatric neurosurgery in Romania and one of the female pioneer neurosurgeons, who, by personal example of dedication and hard work, radically changed medical thinking and neurosurgery in Romania. Copyright © 2016 Elsevier Inc. All rights reserved.

Past, Present, and Future of Neurosurgery in Uganda.

Science.gov (United States)

Haglund, Michael M; Warf, Benjamin; Fuller, Anthony; Freischlag, Kyle; Muhumuza, Michael; Ssenyonjo, Hussein; Mukasa, John; Mugamba, John; Kiryabwire, Joel

2017-04-01

Neurosurgery in Uganda was virtually non-existent up until late 1960s. This changed when Dr. Jovan Kiryabwire spearheaded development of a neurosurgical unit at Mulago Hospital in Kampala. His work ethic and vision set the stage for rapid expansion of neurosurgical care in Uganda.At the beginning of the 2000s, Uganda was a country of nearly 30 million people, but had only 4 neurosurgeons. Neurosurgery's progress was plagued by challenges faced by many developing countries, such as difficulty retaining specialists, lack of modern hospital resources, and scarce training facilities. To combat these challenges 2 distinct programs were launched: 1 by Dr. Benjamin Warf in collaboration with CURE International, and the other by Dr. Michael Haglund from Duke University. Dr. Warf's program focused on establishing a facility for pediatric neurosurgery. Dr. Haglund's program to increase neurosurgical capacity was founded on a "4 T's Paradigm": Technology, Twinning, Training, and Top-Down. Embedded within this paradigm was the notion that Uganda needed to train its own people to become neurosurgeons, and thus Duke helped establish the country's first neurosurgery residency training program.Efforts from overseas, including the tireless work of Dr. Benjamin Warf, have saved thousands of children's lives. The influx of the Duke Program caused a dynamic shift at Mulago Hospital with dramatic effects, as evidenced by the substantial increase in neurosurgical capacity. The future looks bright for neurosurgery in Uganda and it all traces back to a rural village where 1 man had a vision to help the people of his country. Copyright © 2017 by the Congress of Neurological Surgeons.

Stereotactic neurosurgery for tremor

NARCIS (Netherlands)

Speelman, Johannes D.; Schuurman, Richard; de Bie, Rob M. A.; Esselink, Rianne A. J.; Bosch, D. Andries

2002-01-01

The role of the motor thalamus as surgical target in stereotactic neurosurgery for different kinds of tremor is discussed. For tremor in Parkinson's disease. the subthalamic nucleus becomes more and more often the surgical target, because this target also gives relief of other and more

Long-range strategy for remote sensing: an integrated supersystem

Science.gov (United States)

Glackin, David L.; Dodd, Joseph K.

1995-12-01

Present large space-based remote sensing systems, and those planned for the next two decades, remain dichotomous and custom-built. An integrated architecture might reduce total cost without limiting system performance. An example of such an architecture, developed at The Aerospace Corporation, explores the feasibility of reducing overall space systems costs by forming a 'super-system' which will provide environmental, earth resources and theater surveillance information to a variety of users. The concept involves integration of programs, sharing of common spacecraft bus designs and launch vehicles, use of modular components and subsystems, integration of command and control and data capture functions, and establishment of an integrated program office. Smart functional modules that are easily tested and replaced are used wherever possible in the space segment. Data is disseminated to systems such as NASA's EOSDIS, and data processing is performed at established centers of expertise. This concept is advanced for potential application as a follow-on to currently budgeted and planned space-based remote sensing systems. We hope that this work will serve to engender discussion that may be of assistance in leading to multinational remote sensing systems with greater cost effectiveness at no loss of utility to the end user.

Testing integrated sensors for cooperative remote monitoring

International Nuclear Information System (INIS)

Filby, E.E.; Smith, T.E.; Albano, R.K.; Andersen, M.K.; Lucero, R.L.; Tolk, K.M.; Andrews, N.S.

1996-01-01

The Modular Integrated Monitoring System (MIMS) program, with Sandia National Laboratory (SNL) as the lead lab, was devised to furnish sensors and integrated multi-sensor systems for cooperative remote monitoring. The Idaho National Engineering Laboratory (INEL), via the Center for Integrated Monitoring and Control (CIMC), provides realistic field tests of the sensors and sensor-integration approach for the MIMS, and for other similar programs. This has two important goals: it helps insure that these systems are truly read for use, and provides a platform so they can be demonstrated for potential users. A remote monitoring test/demonstration has been initiated at the Idaho Chemical Processing Plant (ICPP) to track the movement of spent nuclear fuel from one storage location to another, using a straddle carrier and shielded cask combination. Radiation monitors, motion sensors, videocameras, and other devices from several US Department of Energy (DOE) labs and commercial vendors were linked on the network. Currently, project personnel are collecting raw data from this large array of sensors, without trying to program any special network activities or other responses. These data will be used to determine which devices can actually provide useful information for a cooperative monitoring situation, versus those that may be redundant

Advanced technology in neurosurgery

International Nuclear Information System (INIS)

Pluchino, F.; Broggi, G.

1987-01-01

Technological improvements in neurosurgery are discussed. The use of surgical lasers, ultrasound aspirators, bipolar coagulator and operative microscopes for surgery of deep-seated neoplasms and vascular malformations is discussed. Intraoperative monitoring, chronotherapy, chronic neurostimulation and stereotactic interstitial irradiation are covered and indications for interventional neuroradiology are reviewed

The Co-evolution of Neuroimaging and Psychiatric Neurosurgery.

Science.gov (United States)

Dyster, Timothy G; Mikell, Charles B; Sheth, Sameer A

2016-01-01

The role of neuroimaging in psychiatric neurosurgery has evolved significantly throughout the field's history. Psychiatric neurosurgery initially developed without the benefit of information provided by modern imaging modalities, and thus lesion targets were selected based on contemporary theories of frontal lobe dysfunction in psychiatric disease. However, by the end of the 20th century, the availability of structural and functional magnetic resonance imaging (fMRI) allowed for the development of mechanistic theories attempting to explain the anatamofunctional basis of these disorders, as well as the efficacy of stereotactic neuromodulatory treatments. Neuroimaging now plays a central and ever-expanding role in the neurosurgical management of psychiatric disorders, by influencing the determination of surgical candidates, allowing individualized surgical targeting and planning, and identifying network-level changes in the brain following surgery. In this review, we aim to describe the coevolution of psychiatric neurosurgery and neuroimaging, including ways in which neuroimaging has proved useful in elucidating the therapeutic mechanisms of neuromodulatory procedures. We focus on ablative over stimulation-based procedures given their historical precedence and the greater opportunity they afford for post-operative re-imaging, but also discuss important contributions from the deep brain stimulation (DBS) literature. We conclude with a discussion of how neuroimaging will transition the field of psychiatric neurosurgery into the era of precision medicine.

The history of neurosurgery at the University of Alabama at Birmingham.

Science.gov (United States)

Foreman, Paul M; Markert, James M; Diethelm, Arnold G; Hadley, Mark N

2014-10-01

: The Division of Neurosurgery at the University of Alabama at Birmingham was formally founded in 1954 under the leadership of James Garber Galbraith. The following 60 years would see neurosurgery at the forefront of the development of a nationally recognized medical center in the heart of Birmingham, Alabama. The Department of Neurosurgery now employs 14 faculty members, performs more than 4500 neurosurgical procedures annually, is active in clinical and laboratory research, and boasts a contemporary, comprehensive residency training program.

Endovascular Neurosurgery: Personal Experience and Future Perspectives.

Science.gov (United States)

Raymond, Jean

2016-09-01

From Luessenhop's early clinical experience until the present day, experimental methods have been introduced to make progress in endovascular neurosurgery. A personal historical narrative, spanning the 1980s to 2010s, with a review of past opportunities, current problems, and future perspectives. Although the technology has significantly improved, our clinical culture remains a barrier to methodologically sound and safe innovative care and progress. We must learn how to safely practice endovascular neurosurgery in the presence of uncertainty and verify patient outcomes in real time. Copyright © 2016 Elsevier Inc. All rights reserved.

Resurgence of functional neurosurgery for Parkinson's disease: a historical perspective

NARCIS (Netherlands)

Speelman, J. D.; Bosch, D. A.

1998-01-01

The history of functional neurosurgery for the treatment of Parkinson's disease is reviewed. Two major stages may be distinguished: (1) open functional neurosurgery, which started in 1921 with bilateral cervical rhizotomy by Leriche. In 1937 Bucy performed the first motor cortectomy in a tremor

Computational Modeling for Enhancing Soft Tissue Image Guided Surgery: An Application in Neurosurgery.

Science.gov (United States)

Miga, Michael I

2016-01-01

With the recent advances in computing, the opportunities to translate computational models to more integrated roles in patient treatment are expanding at an exciting rate. One area of considerable development has been directed towards correcting soft tissue deformation within image guided neurosurgery applications. This review captures the efforts that have been undertaken towards enhancing neuronavigation by the integration of soft tissue biomechanical models, imaging and sensing technologies, and algorithmic developments. In addition, the review speaks to the evolving role of modeling frameworks within surgery and concludes with some future directions beyond neurosurgical applications.

[The origins of the French neurosurgery].

Science.gov (United States)

Brunon, J

2016-06-01

Modern French neurosurgery starts at the beginning of the XXth century under the motivation of Joseph Babinski. He submitted his patients to Thierry de Martel who had learned this new specialized area of medicine with H. Cushing in the États-Unis and V. Horsey in Great Britain. His first successfully treated case of an intracranial tumor was published in 1909. But the true founding father was Clovis Vincent, initially a neurologist and collaborator of de Martel, who became the first chairman in 1933 of the neurosurgical department at the Pitié hospital of Paris and the first professor of neurosurgery in 1938. After the Second World War, many departments were created outside of Paris. Neurosurgery was definitively recognized as a specialized area in medicine in 1948. Currently, more than 400 neurosurgeons work in France. Because I had the very great privilege to be present at the birth of this society in 1970 and to still be in contact with some of the second and third generation of French neurosurgeons who led it to its high international recognition, the Chairman of the French Neurosurgical Society asked me to write this short historical vignette. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

Application of fiber tractography for neurosurgery

International Nuclear Information System (INIS)

Hashimoto, Naoya; Yoshimine, Toshiki

2007-01-01

This review describes about the fiber tractography (FT) for its basic principle, method, and application to neurosurgery involving usefulness, pitfall, validation needed and future perspective. MR diffusion weighted image exhibits the diffusion (Brownian movement) of water molecules and its multiple images taken by different angles of magnetic field can also give information of their diffusion anisotropy, whereby diffusion tensor image is yielded as FT owing to their high anisotropy, with use of appropriate softwares assuming an ellipsoid of anisotropic water (single tensor model). FT thus presents an image of a specific and functional neurofiber bundle. Recently, FT in neurosurgery has been recognized to have pitfalls in tracing the bundle at its crossing and branch, e.g., suggested avoidance of surgery of eloquent area navigated with FT alone. For this, developed and considered are the multi-tensor models based on multiple ellipsoids and on probabilistic one on probability, and combination of electrophysiological mapping is thought necessary as well. Application of FT is also actively in progress to understand neurological diseases like cerebral vascular lesion, hemiplegia, epilepsy, injury and many others. FT navigation without other validation is thus limited in neurosurgery, but FT is surely one of means to improve patients' prognosis and quality of life (QOL). (R.T.)

Functional neurosurgery (part 2)

African Journals Online (AJOL)

This month's CME includes the final two articles that review func- tional neurosurgical topics, i.e. surgery for movement disorders,[1] where deep brain stimulation plays a major role, and surgical man- agement of pain.[2] From these articles, which give an overview of the respective topics, it is clear that neurosurgery forms a ...

Sustainable transport planning using GIS and remote sensing: an integrated approach

Science.gov (United States)

Giorgoudis, Marios D.; Hadjimitsis, Diofantos G.; Shiftan, Yoram

2014-08-01

The main advantage of using GIS is its ability to access and analyze spatially distributed data. The applications of GIS to transportation can be viewed as involving either on data retrieval; data integrator; or data analysis. The use of remote sensing can assist the retrieval of land use changes. Indeed, the integration of GIS and remote sensing will be used to fill the gap in the smart transport planning. A four step research is going to be done in order to try to integrate the usage of GIS and remote sensing to sustainable transport planning. The proposed research will be held in the city of Limassol, Cyprus. The data that are going to be used are data that are going to be collected through questionnaires, and other available data from the Cyprus Public Works Department and from the Remote Sensing Laboratory and Geo-Environment Research Lab of the Cyprus University of Technology. Overall, statistical analysis and market segmentation of data will be done, the land usage will be examined, and a scenario building on mode choice will be held. This paper presents an overview of the methodology that will be adopted.

Intraoperative ultrasound in neurosurgery

International Nuclear Information System (INIS)

Velasco, J.; Manzanares, R.; Fernandez, L.; Hernando, A.; Ramos, M. del Mar; Garcia, R.

1996-01-01

The present work is a review of the major indications for intraoperative ultrasound in the field of neurosurgery, stressing the exploratory method and describing what we consider to be the most illustrative cases. We attempt to provide a thorough view of this constantly developing technique which, despite its great practical usefulness, may be being underemployed. (Author) 47 refs

Third-generation cephalosporins as antibiotic prophylaxis in neurosurgery : What's the evidence?

NARCIS (Netherlands)

Liu, Weiming; Neidert, Marian Christoph; Groen, Rob J. M.; Woernle, Christoph Michael; Grundmann, Hajo

To analyze the role of third-generation cephalosporins as prophylactic antibiotics in neurosurgery. We reviewed the literature for data from randomized controlled trials (RCTs) on third-generation cephalosporins compared to other antibiotic regimen in neurosurgery. End point of the RCTs was the

Intraoperative Image Guidance in Neurosurgery: Development, Current Indications, and Future Trends

International Nuclear Information System (INIS)

Schulz, Ch.; Mauer, U.M.; Waldeck, S.

2012-01-01

Introduction. As minimally invasive surgery becomes the standard of care in neurosurgery, it is imperative that surgeons become skilled in the use of image-guided techniques. The development of image-guided neurosurgery represents a substantial improvement in the microsurgical treatment of tumors, vascular malformations, and other intracranial lesions. Objective. There have been numerous advances in neurosurgery which have aided the neurosurgeon to achieve accurate removal of pathological tissue with minimal disruption of surrounding healthy neuronal matter including the development of microsurgical, endoscopic, and endovascular techniques. Neuro navigation systems and intraoperative imaging should improve success in cranial neurosurgery. Additional functional imaging modalities such as PET, SPECT, DTI (for fiber tracking), and fMRI can now be used in order to reduce neurological deficits resulting from surgery; however the positive long-term effect remains questionable for many indications. Method. Pub Med database search using the search term “image guided neurosurgery.” More than 1400 articles were published during the last 25 years. The abstracts were scanned for prospective comparative trials. Results and Conclusion. 14 comparative trials are published. To date significant data amount show advantages in intraoperative accuracy influencing the perioperative morbidity and long-term outcome only for cerebral glioma surgery.

Patient Satisfaction and Short-Term Outcome in Elective Cranial Neurosurgery.

Science.gov (United States)

Reponen, Elina; Tuominen, Hanna; Hernesniemi, Juha; Korja, Miikka

2015-11-01

Patient-reported experience is often used as a measure for quality of care, but no reports on patient satisfaction after cranial neurosurgery exist. To study the association of overall patient satisfaction and surgical outcome and to evaluate the applicability of overall patient satisfaction as a proxy for quality of care in elective cranial neurosurgery. We conducted an observational study on the relationship of overall patient satisfaction at 30 postoperative days with surgical and functional outcome (modified Rankin Scale [mRS] score) in a prospective, consecutive, and unselected cohort of 418 adult elective craniotomy patients enrolled between December 2011 and December 2012 at Helsinki University Hospital, Helsinki, Finland. Postoperative overall (subjective and objective) morbidity was present in 194 (46.4%) patients; yet almost 94% of all study patients reported high overall satisfaction. Low overall patient satisfaction at 30 days was not associated with postoperative major morbidity in elective cranial neurosurgery. Dependent functional status (mRS score ≥3) at 30 days, minor infections, poor postoperative subjective overall health status, and patient-reported severe symptoms (double vision, poor balance) may contribute to unsatisfactory patient experience. Overall patient satisfaction with elective cranial neurosurgery is high. Even 9 of 10 patients with postoperative major morbidity rated high overall patient satisfaction at 30 days. Overall patient satisfaction may merely reflect patient experience and subjective postoperative health status, and therefore it is a poor proxy for quality of care in elective cranial neurosurgery.

Case-control studies in neurosurgery.

Science.gov (United States)

Nesvick, Cody L; Thompson, Clinton J; Boop, Frederick A; Klimo, Paul

2014-08-01

Observational studies, such as cohort and case-control studies, are valuable instruments in evidence-based medicine. Case-control studies, in particular, are becoming increasingly popular in the neurosurgical literature due to their low cost and relative ease of execution; however, no one has yet systematically assessed these types of studies for quality in methodology and reporting. The authors performed a literature search using PubMed/MEDLINE to identify all studies that explicitly identified themselves as "case-control" and were published in the JNS Publishing Group journals (Journal of Neurosurgery, Journal of Neurosurgery: Pediatrics, Journal of Neurosurgery: Spine, and Neurosurgical Focus) or Neurosurgery. Each paper was evaluated for 22 descriptive variables and then categorized as having either met or missed the basic definition of a case-control study. All studies that evaluated risk factors for a well-defined outcome were considered true case-control studies. The authors sought to identify key features or phrases that were or were not predictive of a true case-control study. Those papers that satisfied the definition were further evaluated using the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist. The search detected 67 papers that met the inclusion criteria, of which 32 (48%) represented true case-control studies. The frequency of true case-control studies has not changed with time. Use of odds ratios (ORs) and logistic regression (LR) analysis were strong positive predictors of true case-control studies (for odds ratios, OR 15.33 and 95% CI 4.52-51.97; for logistic regression analysis, OR 8.77 and 95% CI 2.69-28.56). Conversely, negative predictors included focus on a procedure/intervention (OR 0.35, 95% CI 0.13-0.998) and use of the word "outcome" in the Results section (OR 0.23, 95% CI 0.082-0.65). After exclusion of nested case-control studies, the negative correlation between focus on a procedure

Demographics, Interests, and Quality of Life of Canadian Neurosurgery Residents.

Science.gov (United States)

Iorio-Morin, Christian; Ahmed, Syed Uzair; Bigder, Mark; Dakson, Ayoub; Elliott, Cameron; Guha, Daipayan; Kameda-Smith, Michelle; Lavergne, Pascal; Makarenko, Serge; Taccone, Michael S; Tso, Michael K; Wang, Bill; Winkler-Schwartz, Alexander; Fortin, David

2018-03-01

Neurosurgical residents face a unique combination of challenges, including long duty hours, technically challenging cases, and uncertain employment prospects. We sought to assess the demographics, interests, career goals, self-rated happiness, and overall well-being of Canadian neurosurgery residents. A cross-sectional survey was developed and sent through the Canadian Neurosurgery Research Collaborative to every resident enrolled in a Canadian neurosurgery program as of April 1, 2016. We analyzed 76 completed surveys of 146 eligible residents (52% response rate). The median age was 29 years, with 76% of respondents being males. The most popular subspecialties of interest for fellowship were spine, oncology, and open vascular neurosurgery. The most frequent self-reported number of worked hours per week was the 80- to 89-hour range. The majority of respondents reported a high level of happiness as well as stress. Sense of accomplishment and fatigue were reported as average to high and overall quality of life was low for 19%, average for 49%, and high for 32%. Satisfaction with work-life balance was average for 44% of respondents and was the only tested domain in which significant dissatisfaction was identified (18%). Overall, respondents were highly satisfied with their choice of specialty, choice of program, surgical exposure, and work environment; however, intimidation was reported in 36% of respondents and depression by 17%. Despite a challenging residency and high workload, the majority of Canadian neurosurgery residents are happy and satisfied with their choice of specialty and program. However, work-life balance, employability, resident intimidation, and depression were identified as areas of active concern.

Highly cited works in neurosurgery. Part II: the citation classics.

Science.gov (United States)

Ponce, Francisco A; Lozano, Andres M

2010-02-01

The term "citation classic" has been used in reference to an article that has been cited more than 400 times. The purpose of this study is to identify such articles that pertain to clinical neurosurgery. A list of search phrases relating to neurosurgery was compiled. A topic search was performed using the Institute for Scientific Information Web of Science for phrases. Articles with more than 400 citations were identified, and nonclinical articles were omitted. The journals, year of publication, topics, and study types were analyzed. There were 106 articles with more than 400 citations relating to clinical neurosurgery. These articles appeared in 28 different journals, with more than half appearing in the Journal of Neurosurgery or the New England Journal of Medicine. Fifty-three articles were published since 1990. There were 38 articles on cerebrovascular disease, 21 on stereotactic and functional neurosurgery, 21 on neurooncology, 19 on trauma, 4 on nontraumatic spine, 2 on CSF pathologies, and 1 on infection. There were 29 randomized trials, of which 86% appeared in the New England Journal of Medicine, Lancet, or the Journal of the American Medical Association, and half concerned the prevention or treatment of stroke. In addition, there were 16 prospective studies, 15 classification or grading systems, and 7 reviews. The remaining 39 articles were case series, case reports, or technical notes. More than half of the citation classics identified in this study have been published in the past 20 years. Case series, classifications, and reviews appeared more frequently in neurosurgical journals, while randomized controlled trials tended to be published in general medical journals.

Integrated digital control and man-machine interface for complex remote handing systems

International Nuclear Information System (INIS)

Rowe, J.C.; Spille, R.F.; Zimmermann, S.D.

1987-01-01

The Advanced Integrated Maintenance System (AIMS) is part of a continuing effort within the Consolidated Fuel Reprocessing Program at Oak Ridge National Laboratory to develop and extend the capabilities of remote manipulation and maintenance technology. The AIMS is a totally integrated approach to remote handling in hazardous environments. State-of-the-art computer systems connected through a high-speed distributed control system that supports the flexibility and expandability needed for large integrated maintenance applications. A man-Machine Interface provides high-level human interaction through a powerful color graphics menu-controlled operator console. An auxiliary control system handles the real-time processing needs for a variety of support hardware. A pair of dedicated fiber-optic-linked master/slave computer systems control the Advanced Servomanipulator master/slave arms using powerful distributed digital processing methods. The FORTH language was used as a real-time operating and development environment for the entire system, and all of these components are integrated into a control room concept that represents the latest advancements in the development of remote maintenance facilities for hazardous environments

Integrated digital control and man-machine interface for complex remote handling systems

International Nuclear Information System (INIS)

Rowe, J.C.; Spille, R.F.; Zimmermann, S.D.

1986-12-01

The Advanced Integrated Maintenance System (AIMS) is part of a continuing effort within the Consolidated Fuel Reprocessing Program at Oak Ridge National Laboratory to develop and extend the capabilities of remote manipulation and maintenance technology. The AIMS is a totally integrated approach to remote handling in hazardous environments. State-of-the-art computer systems connected through a high-speed communication network provide a real-time distributed control system that supports the flexibility and expandability needed for large integrated maintenance applications. A Man-Machine Interface provides high-level human interaction through a powerful color graphics menu-controlled operator console. An auxiliary control system handles the real-time processing needs for a variety of support hardware. A pair of dedicated fiber-optic-linked master/slave computer system control the Advanced Servomanipulator master/slave arms using powerful distributed digital processing methods. The FORTH language was used as a real-time operating and development environment for the entire system, and all of these components are integrated into a control room concept that represents the latest advancements in the development of remote maintenance facilities for hazardous environments

INTEGRATION OF SPATIAL INFORMATION WITH COLOR FOR CONTENT RETRIEVAL OF REMOTE SENSING IMAGES

Directory of Open Access Journals (Sweden)

Bikesh Kumar Singh

2010-08-01

Full Text Available There is rapid increase in image databases of remote sensing images due to image satellites with high resolution, commercial applications of remote sensing & high available bandwidth in last few years. The problem of content-based image retrieval (CBIR of remotely sensed images presents a major challenge not only because of the surprisingly increasing volume of images acquired from a wide range of sensors but also because of the complexity of images themselves. In this paper, a software system for content-based retrieval of remote sensing images using RGB and HSV color spaces is presented. Further, we also compare our results with spatiogram based content retrieval which integrates spatial information along with color histogram. Experimental results show that the integration of spatial information in color improves the image analysis of remote sensing data. In general, retrievals in HSV color space showed better performance than in RGB color space.

The prognostic value of histopathology on lingual nerve neurosensory recovery after micro-neurosurgery

DEFF Research Database (Denmark)

Hørberg, Mette; Reibel, Jesper; Kragelund, Camilla

2016-01-01

OBJECTIVE: Micro-neurosurgical repair is considered in permanent nerve damage but the outcome is unpredictable. We examined if histopathologic parameters of traumatic neuromas have a prognostic value for recovery in relation to lingual nerve micro-neurosurgery. MATERIALS AND METHODS: Retrospective...... case study on neurosensory recovery after micro-neurosurgery. Outcome variables were as follows: pain perception, two-point discrimination, and sum score of perception, before and 12 months after micro-neurosurgery. Predictive histopathology variables included size, nerve tissue, and inflammation...

Advanced remote handling for future applications: The advanced integrated maintenance system

International Nuclear Information System (INIS)

Herndon, J.N.; Kring, C.T.; Rowe, J.C.

1986-01-01

The Consolidated Fuel Reprocessing Program at Oak Ridge National Laboratory has been developing advanced techniques for remote maintenance of future US fuel reprocessing plants. The developed technology has a wide spectrum of application for other hazardous environments. These efforts are based on the application of teleoperated, force-reflecting servomanipulators for dexterous remote handling with television viewing for large-volume hazardous applications. These developments fully address the nonrepetitive nature of remote maintenance in the unstructured environments encountered in fuel reprocessing. This paper covers the primary emphasis in the present program; the design, fabrication, installation, and operation of a prototype remote handling system for reprocessing applications, the Advanced Integrated Maintenance System

Smartphone use in neurosurgery? APP-solutely!

Science.gov (United States)

Zaki, Michael; Drazin, Doniel

2014-01-01

A number of smartphone medical apps have recently emerged that may be helpful for the neurosurgical patient, practitioner, and trainee. This study aims to review the current neurosurgery-focused apps available for the iPhone, iPad, and Android platforms as of December 2013. Two of the most popular smartphone app stores (Apple Store and Android Google Play Store) were surveyed for neurosurgery-focused apps in December 2013. Search results were categorized based on their description page. Data were collected on price, rating, app release date, target audience, and medical professional involvement in app design. A review of the top apps in each category was performed. The search resulted in 111 unique apps, divided into these 7 categories: 16 (14%) clinical tools, 17 (15%) conference adjunct, 27 (24%) education, 18 (16%) literature, 15 (14%) marketing, 10 (9%) patient information, and 8 (7%) reference. The average cost of paid apps was $23.06 (range: $0.99-89.99). Out of the 111 apps, 71 (64%) were free, 48 (43%) had reviews, and 14 (13%) had more than 10 reviews. Seventy-three (66%) apps showed evidence of medical professional involvement. The number of apps being released every year has been increasing since 2009. There are a number of neurosurgery-themed apps available to all audiences. There was a lack of patient information apps for nonspinal procedures. Most apps did not have enough reviews to evaluate their quality. There was also a lack of oversight to validate the accuracy of medical information provided in these apps.

From idea to publication: Publication rates of theses in neurosurgery from Turkey.

Science.gov (United States)

Öğrenci, Ahmet; Ekşi, Murat Şakir; Özcan-Ekşi, Emel Ece; Koban, Orkun

2016-01-01

Thesis at the end of residency is considered as the complementary component of postgraduate training. In this respect, thesis helps the residents learn how to ask structured questions, set up the most appropriate study design, conduct the study, retrieve study results and write conclusions with clinical implications. To the best of our knowledge, the publication rates of theses in the field of neurosurgery have not been reported before. Our aim was to find out publication rates of theses in neurosurgery specialty, in this descriptive study. The database of Higher Education Council of Turkey, which includes the theses of residents in only university hospitals, was screened between years 2004 and 2013. After retrieving the theses from the database; we used search engines to find out the theses published in any SCI/SCI-E-indexed journals. For this purpose, the title of the theses and the author names were used as keywords for searching. Data was presented in a descriptive form as absolute numbers and percentages. We retrieved 164 theses written by former residents in neurosurgery using the database. Among 164 theses, 18% (national journals: 9; international journals: 21) were published in SCI/SCI-E indexed journals. Publication rates of theses in neurosurgery are low as they are in the other specialties of medicine. Our study is a descriptive research, to give an idea about publication rates of theses in neurosurgery. Further studies are required to understand the underlying factors, which are responsible for the limited success in publication of theses in neurosurgery. Copyright © 2015 Polish Neurological Society. Published by Elsevier Urban & Partner Sp. z o.o. All rights reserved.

Laser applications in neurosurgery

Science.gov (United States)

Cerullo, Leonard J.

1985-09-01

The "false start" of the laser in neurosurgery should not be misconstrued as a denial of the inherent advantages of precision and gentleness in dealing with neural tissue. Rather, early investigators were frustrated by unrealistic expectations, cumbersome equipment, and a general ignorance of microtechnique. By the early 70s, microneurosurgery was well established, surgical laser equipment for free hand and microlinked application had been developed, and a more realistic view of the limitations of the laser had been established. Consequently, the late 70s really heralded the renaissance of the laser in neurosurgery. Since then, there has been an overwhelming acceptance of the tool in a variety of clinical situations, broadly categorized in five groups. 1)|Perhaps the most generally accepted area is in the removal of extra-axial tumors of the brain and spinal cord. These tumors, benign by histology but treacherous by location, do not present until a significant amount of neurological compensation has already occurred. The application of additional trauma to the neural tissue, whether by further tumor growth or surgical manipulation, frequently results in irreversible damage. Here, the ability of the laser to vaporize tissue, in a fairly hemostatic fashion, without mechanical or thermal damage to sensitive surrounding tissues, is essential. 2)|The ability to incise delicate neural tissue with minimal spread of thermal destruction to adjacent functioning tissue makes the laser the ideal instrument when tumors deep under the surface are encountered in the brain or spinal cord. Thus, the second group of applications is in the transgression of normal neural structures to arrive at deeper pathological tissue. 3)|The third area of benefit for the laser in neurosurgery has been in the performance of neuroablative procedures, calling for deliberate destruction of functioning neural tissue in a controlled fashion. Again, the precision and shape confinement of the destructive

Real remote physics experiments across Internet-- inherent part of Integrated e-Learning

Directory of Open Access Journals (Sweden)

Frantisek Lustig

2008-05-01

Full Text Available Abstract— The implementation of the real remote experiments across the Internet into teaching process, up till now not available, enables introduction of Integrated e-Learning, composed of three components: the real remote experiments across the Internet, the simulation applets and the electronic interactive textbooks. We present here the prospective remote laboratory system with data transfer using Intelligent School Experimental System (ISES as hardware and ISES WEB Control kit as software. This approach enables the simple construction of remote experiments without building any hardware and virtually no programming, only with paste and copy approach of pre-built typical blocks as camera view, controls, graphs, displays etc. In conclusion we summarize the achieved experience with remote experiments.

[Changing the teaching of neurosurgery with information technology].

Science.gov (United States)

Moreau, Jean-Jacques; Caire, François; Kalamarides, Michel; Mireau, Etienne; Dauger, Frédéric; Coignac, Marie-Jo; Charlin, Bernard

2009-10-01

A digital campus is a distance learning site that uses the potential of information and communication technologies to disseminate and improve educational services. This website, with open and free access, is built from free software with Web 2.0 technology. It is hosted at the University of Limoges. It functions as a digital library, containing scanned books, slide shows, more than 200 hours of recorded courses and round tables accessible by streaming video. The site is indexed according to the users' needs, by level of knowledge, specialty, keywords, and supplementary MeSH terms. The campus is organized as the College of Neurosurgery (http://college.neurochirurgie.fr). The durability of this type of training (in existence for 9 years now) is made possible by a powerful and committed consortium: the French Society of Neurosurgery, which has created high-quality intellectual and scientific resources, the University of Limoges, the Dupuytren University Hospital Center in Limoges, the region of Limousin, and the French-language Virtual Medical University, which have provided logistic and financial support. To target appropriate levels at various users, we distinguished four groups: medical students, neurosurgery students, neurosurgeons (continuing medical education), and students in allied health fields. All areas of neurosurgery are concerned. All the courses, including tests for self-evaluation and scientific meetings (organized with information and communication technologies) are digitally recorded for the site. The principles that make it possible for a medical discipline to organize around an online project are: a pedagogical conception of projects built in the form of models reusable by other health specialties; a stronghold within professional societies of the relevant specialties able to create high-quality intellectual and scientific resources; an organization by educational levels that can be extended transversally to other health disciplines; and free

Practical guidelines for setting up neurosurgery skills training cadaver laboratory in India.

Science.gov (United States)

Suri, Ashish; Roy, Tara Sankar; Lalwani, Sanjeev; Deo, Rama Chandra; Tripathi, Manjul; Dhingra, Renu; Bhardwaj, Daya Nand; Sharma, Bhawani Shankar

2014-01-01

Though the necessity of cadaver dissection is felt by the medical fraternity, and described as early as 600 BC, in India, there are no practical guidelines available in the world literature for setting up a basic cadaver dissection laboratory for neurosurgery skills training. Hands-on dissection practice on microscopic and endoscopic procedures is essential in technologically demanding modern neurosurgery training where ethical issues, cost constraints, medico-legal pitfalls, and resident duty time restrictions have resulted in lesser opportunities to learn. Collaboration of anatomy, forensic medicine, and neurosurgery is essential for development of a workflow of cadaver procurement, preservation, storage, dissection, and disposal along with setting up the guidelines for ethical and legal concerns.

Recent Advances in Registration, Integration and Fusion of Remotely Sensed Data: Redundant Representations and Frames

Science.gov (United States)

Czaja, Wojciech; Le Moigne-Stewart, Jacqueline

2014-01-01

In recent years, sophisticated mathematical techniques have been successfully applied to the field of remote sensing to produce significant advances in applications such as registration, integration and fusion of remotely sensed data. Registration, integration and fusion of multiple source imagery are the most important issues when dealing with Earth Science remote sensing data where information from multiple sensors, exhibiting various resolutions, must be integrated. Issues ranging from different sensor geometries, different spectral responses, differing illumination conditions, different seasons, and various amounts of noise need to be dealt with when designing an image registration, integration or fusion method. This tutorial will first define the problems and challenges associated with these applications and then will review some mathematical techniques that have been successfully utilized to solve them. In particular, we will cover topics on geometric multiscale representations, redundant representations and fusion frames, graph operators, diffusion wavelets, as well as spatial-spectral and operator-based data fusion. All the algorithms will be illustrated using remotely sensed data, with an emphasis on current and operational instruments.

Free-access open-source e-learning in comprehensive neurosurgery skills training

OpenAIRE

Payal Jotwani; Vinkle Srivastav; Manjul Tripathi; Rama Chandra Deo; Britty Baby; Natesan Damodaran; Ramandeep Singh; Ashish Suri; Martin Bettag; Tara Sankar Roy; Christoph Busert; Marcus Mehlitz; Sanjeev Lalwani; Kanwaljeet Garg; Kolin Paul

2014-01-01

Background: Since the end of last century, technology has taken a front seat in dispersion of medical education. Advancements of technology in neurosurgery and traditional training methods are now being challenged by legal and ethical concerns of patient safety, resident work-hour restriction and cost of operating-room time. To supplement the existing neurosurgery education pattern, various e-learning platforms are introduced as structured, interactive learning system. Materials and Methods: ...

Prophylactic antibiotics and anticonvulsants in neurosurgery.

Science.gov (United States)

Ratilal, B; Sampaio, C

2011-01-01

The prophylactic administration of antibiotics to prevent infection and the prophylactic administration of anticonvulsants to prevent first seizure episodes are common practice in neurosurgery. If prophylactic medication therapy is not indicated, the patient not only incurs the discomfort and the inconvenience resulting from drug treatment but is also unnecessarily exposed to adverse drug reactions, and incurs extra costs. The main situations in which prophylactic anticonvulsants and antibiotics are used are described and those situations we found controversial in the literature and lack further investigation are identified: anticonvulsants for preventing seizures in patients with chronic subdural hematomas, antiepileptic drugs for preventing seizures in those suffering from brain tumors, antibiotic prophylaxis for preventing meningitis in patients with basilar skull fractures, and antibiotic prophylaxis for the surgical introduction of intracranial ventricular shunts.In the following we present systematic reviews of the literature in accordance with the standard protocol of The Cochrane Collaboration to evaluate the effectiveness of the use of these prophylactic medications in the situations mentioned. Our goal was to efficiently integrate valid information and provide a basis for rational decision-making.

Interstitial laser thermotherapy in neurosurgery: a review

NARCIS (Netherlands)

Menovsky, T.; Beek, J. F.; van Gemert, M. J.; Roux, F. X.; Bown, S. G.

1996-01-01

One of the most recent laser treatment modalities in neurosurgery is interstitial laser thermotherapy (ILTT). In this review, experimental and clinical studies concerning intracranial ILTT are discussed. Two methods for intra-operative control of the laser induced lesions are described; i.e.,

eLearning resources to supplement postgraduate neurosurgery training.

Science.gov (United States)

Stienen, Martin N; Schaller, Karl; Cock, Hannah; Lisnic, Vitalie; Regli, Luca; Thomson, Simon

2017-02-01

In an increasingly complex and competitive professional environment, improving methods to educate neurosurgical residents is key to ensure high-quality patient care. Electronic (e)Learning resources promise interactive knowledge acquisition. We set out to give a comprehensive overview on available eLearning resources that aim to improve postgraduate neurosurgical training and review the available literature. A MEDLINE query was performed, using the search term "electronic AND learning AND neurosurgery". Only peer-reviewed English-language articles on the use of any means of eLearning to improve theoretical knowledge in postgraduate neurosurgical training were included. Reference lists were crosschecked for further relevant articles. Captured parameters were the year, country of origin, method of eLearning reported, and type of article, as well as its conclusion. eLearning resources were additionally searched for using Google. Of n = 301 identified articles by the MEDLINE search, n = 43 articles were analysed in detail. Applying defined criteria, n = 28 articles were excluded and n = 15 included. Most articles were generated within this decade, with groups from the USA, the UK and India having a leadership role. The majority of articles reviewed existing eLearning resources, others reported on the concept, development and use of generated eLearning resources. There was no article that scientifically assessed the effectiveness of eLearning resources (against traditional learning methods) in terms of efficacy or costs. Only one article reported on satisfaction rates with an eLearning tool. All authors of articles dealing with eLearning and the use of new media in neurosurgery uniformly agreed on its great potential and increasing future use, but most also highlighted some weaknesses and possible dangers. This review found only a few articles dealing with the modern aspects of eLearning as an adjunct to postgraduate neurosurgery training. Comprehensive

Neurosurgery and Telemedicine in the United States: Assessment of the Risks and Opportunities.

Science.gov (United States)

Kahn, Elyne N; La Marca, Frank; Mazzola, Catherine A

2016-05-01

Telemedicine has seen substantial growth in the past 20 years, related to technologic advancements and evolving reimbursement policies. The risks and opportunities of neurosurgical telemedicine are nuanced. We reviewed general and peer-reviewed literature as it relates to telemedicine and neurosurgery, with particular attention to best practices, relevant state and federal policy conditions, economic evaluations, and prospective clinical studies. Despite technologic development, growing interest, and increasing reimbursement opportunities, telemedicine's utilization remains limited because of concerns regarding an apparent lack of need for telemedicine services, lack of widespread reimbursement, lack of interstate licensure reciprocity, lack of universal access to necessary technology, concerns about maintaining patient confidentiality, and concerns and limited precedent regarding liability issues. The Veterans Health Administration, a component of the U.S. Department of Veterans Affairs, represents a setting in which these concerns can be largely obviated and is a model for telemedicine best practices. Results from the VA demonstrate substantial cost savings and patient satisfaction with remote care for chronic neurologic conditions. Overall, the economic and clinical benefits of telemedicine will likely come from 1) diminished travel times and lost work time for patients; 2) remote consultation of subspecialty experts, such as neurosurgeons; and 3) remote consultation to assist with triage and care in time-sensitive scenarios, including acute stroke care and "teletrauma." Telemedicine is effective in many health care scenarios and will become more relevant to neurosurgical patient care. We favor proceeding with legislation to reduce barriers to telemedicine's growth. Copyright © 2016 Elsevier Inc. All rights reserved.

Simulating tumour removal in neurosurgery.

Science.gov (United States)

Radetzky, A; Rudolph, M

2001-12-01

In this article the software system ROBO-SIM is described. ROBO-SIM is a planning and simulation tool for minimally invasive neurosurgery. Different to the most other simulation tools, ROBO-SIM is able to use actual patient's datasets for simulation. Same as in real neurosurgery a planning step, which provides more functionality as up-to-date planning systems on the market, is performed before undergoing the simulated operation. The planning steps include the definition of the trepanation point for entry into the skull and the target point within the depth of the brain, checking the surgical track and doing virtual trepanations (virtual craniotomy). For use with an intra-operative active manipulator, which is guided by the surgeon during real surgery (robotic surgery), go- and non-go-areas can be defined. During operation, the robot restricts the surgeon from leaving these go-areas. After planning, an additional simulation system, which is understood as an extension to the planning step, is used to simulate whole surgical interventions directly on the patient's anatomy basing on the planning data and by using the same instruments as for the real intervention. First tests with ROBO-SIM are performed on a phantom developed for this purpose and on actual patient's datasets with ventricular tumours.

Fundamentals of neurosurgery: virtual reality tasks for training and evaluation of technical skills.

Science.gov (United States)

Choudhury, Nusrat; Gélinas-Phaneuf, Nicholas; Delorme, Sébastien; Del Maestro, Rolando

2013-11-01

Technical skills training in neurosurgery is mostly done in the operating room. New educational paradigms are encouraging the development of novel training methods for surgical skills. Simulation could answer some of these needs. This article presents the development of a conceptual training framework for use on a virtual reality neurosurgical simulator. Appropriate tasks were identified by reviewing neurosurgical oncology curricula requirements and performing cognitive task analyses of basic techniques and representative surgeries. The tasks were then elaborated into training modules by including learning objectives, instructions, levels of difficulty, and performance metrics. Surveys and interviews were iteratively conducted with subject matter experts to delimitate, review, discuss, and approve each of the development stages. Five tasks were selected as representative of basic and advanced neurosurgical skill. These tasks were: 1) ventriculostomy, 2) endoscopic nasal navigation, 3) tumor debulking, 4) hemostasis, and 5) microdissection. The complete training modules were structured into easy, intermediate, and advanced settings. Performance metrics were also integrated to provide feedback on outcome, efficiency, and errors. The subject matter experts deemed the proposed modules as pertinent and useful for neurosurgical skills training. The conceptual framework presented here, the Fundamentals of Neurosurgery, represents a first attempt to develop standardized training modules for technical skills acquisition in neurosurgical oncology. The National Research Council Canada is currently developing NeuroTouch, a virtual reality simulator for cranial microneurosurgery. The simulator presently includes the five Fundamentals of Neurosurgery modules at varying stages of completion. A first pilot study has shown that neurosurgical residents obtained higher performance scores on the simulator than medical students. Further work will validate its components and use in a

A Hash Based Remote User Authentication and Authenticated Key Agreement Scheme for the Integrated EPR Information System.

Science.gov (United States)

Li, Chun-Ta; Weng, Chi-Yao; Lee, Cheng-Chi; Wang, Chun-Cheng

2015-11-01

To protect patient privacy and ensure authorized access to remote medical services, many remote user authentication schemes for the integrated electronic patient record (EPR) information system have been proposed in the literature. In a recent paper, Das proposed a hash based remote user authentication scheme using passwords and smart cards for the integrated EPR information system, and claimed that the proposed scheme could resist various passive and active attacks. However, in this paper, we found that Das's authentication scheme is still vulnerable to modification and user duplication attacks. Thereafter we propose a secure and efficient authentication scheme for the integrated EPR information system based on lightweight hash function and bitwise exclusive-or (XOR) operations. The security proof and performance analysis show our new scheme is well-suited to adoption in remote medical healthcare services.

Perioperative complications in endovascular neurosurgery: Anesthesiologist's perspective

Science.gov (United States)

Sharma, Megha U.; Ganjoo, Pragati; Singh, Daljit; Tandon, Monica S.; Agarwal, Jyotsna; Sharma, Durga P.; Jagetia, Anita

2017-01-01

Background: Endovascular neurosurgery is known to be associated with potentially serious perioperative complications that can impact the course and outcome of anesthesia. We present here our institutional experience in the anesthetic management of various endovascular neurosurgical procedures and their related complications over a 10-year period. Methods: Data was obtained in 240 patients pertaining to their preoperative status, details of anesthesia and surgery, perioperative course and surgery-related complications. Information regarding hemodynamic alterations, temperature variability, fluid-electrolyte imbalance, coagulation abnormalities and alterations in the anesthesia course was specifically noted. Results: Among the important complications observed were aneurysm rupture (2.5%), vasospasm (6.67%), thromboembolism (4.16%), contrast reactions, hemodynamic alterations, electrolyte abnormalities, hypothermia, delayed emergence from anesthesia, groin hematomas and early postoperative mortality (5.14%). Conclusion: Awareness of the unique challenges of endovascular neurosurgery and prompt and appropriate management of the associated complications by an experienced neuroanesthesiologist is vital to the outcome of these procedures. PMID:28413524

Simulation training in neurosurgery: advances in education and practice

Directory of Open Access Journals (Sweden)

Konakondla S

2017-07-01

Full Text Available Sanjay Konakondla, Reginald Fong, Clemens M Schirmer Department of Neurosurgery and Neuroscience Institute, Geisinger Medical Center, Geisinger Health System, Danville, PA, USA Abstract: The current simulation technology used for neurosurgical training leaves much to be desired. Significant efforts are thoroughly exhausted in hopes of developing simulations that translate to give learners the “real-life” feel. Though a respectable goal, this may not be necessary as the application for simulation in neurosurgical training may be most useful in early learners. The ultimate uniformly agreeable endpoint of improved outcome and patient safety drives these investments. We explore the development, availability, educational taskforces, cost burdens and the simulation advancements in neurosurgical training. The technologies can be directed at achieving early resident milestones placed by the Accreditation Council for Graduate Medical Education. We discuss various aspects of neurosurgery disciplines with specific technologic advances of simulation software. An overview of the scholarly landscape of the recent publications in the realm of medical simulation and virtual reality pertaining to neurologic surgery is provided. We analyze concurrent concept overlap between PubMed headings and provide a graphical overview of the associations between these terms. Keywords: residency education, simulation, neurosurgery training, virtual reality, haptic feedback, task analysis, ACGME 

Preoperative imaging as the basis for image-guided neurosurgery

International Nuclear Information System (INIS)

Winkler, D.; Strauss, G.; Hesse, S.; Sabri, O.; Goldammer, A.; Meixensberger, J.; Hund-Georgiadis, M.; Richter, A.; Kahn, T.

2004-01-01

With the progressive development of soft- and hardware, the acceptance of image-guided neurosurgery has increased dramatically. Additional image data are required to analyze the nature and the dimensions of pathological processes and the surrounding tissue. In this context, fMRI, SPECT, PET, as well as special modalities of CT and MR imaging, are routinely used. Secondary post-processing options are used to detect intracerebral lesions as well as adjacent functional eloquent regions in the parenchymatous organ pre- and intraoperatively. The integration of different image information guarantees the precise planning and realization of surgical maneuvers. The segmentation of interesting structures and risk structures, as well as their implementation in the neuronavigation systems, help to avoid additional intraoperative traumatization and offer a higher level of safety and precision. In this article the value and limitations of presurgical imaging will be discussed. (orig.) [de

An integrated solution for remote data access

Science.gov (United States)

Sapunenko, Vladimir; D'Urso, Domenico; dell'Agnello, Luca; Vagnoni, Vincenzo; Duranti, Matteo

2015-12-01

Data management constitutes one of the major challenges that a geographically- distributed e-Infrastructure has to face, especially when remote data access is involved. We discuss an integrated solution which enables transparent and efficient access to on-line and near-line data through high latency networks. The solution is based on the joint use of the General Parallel File System (GPFS) and of the Tivoli Storage Manager (TSM). Both products, developed by IBM, are well known and extensively used in the HEP computing community. Owing to a new feature introduced in GPFS 3.5, so-called Active File Management (AFM), the definition of a single, geographically-distributed namespace, characterised by automated data flow management between different locations, becomes possible. As a practical example, we present the implementation of AFM-based remote data access between two data centres located in Bologna and Rome, demonstrating the validity of the solution for the use case of the AMS experiment, an astro-particle experiment supported by the INFN CNAF data centre with the large disk space requirements (more than 1.5 PB).

Guest Editorial: Functional neurosurgery | Enslin | South African ...

African Journals Online (AJOL)

South African Medical Journal. Journal Home · ABOUT · Advanced Search · Current Issue · Archives · Journal Home > Vol 106, No 8 (2016) >. Log in or Register to get access to full text downloads. Username, Password, Remember me, or Register. Guest Editorial: Functional neurosurgery. JMN Enslin. Abstract. No Abstract.

Virtual reality training in neurosurgery: Review of current status and future applications.

Science.gov (United States)

Alaraj, Ali; Lemole, Michael G; Finkle, Joshua H; Yudkowsky, Rachel; Wallace, Adam; Luciano, Cristian; Banerjee, P Pat; Rizzi, Silvio H; Charbel, Fady T

2011-01-01

Over years, surgical training is changing and years of tradition are being challenged by legal and ethical concerns for patient safety, work hour restrictions, and the cost of operating room time. Surgical simulation and skill training offer an opportunity to teach and practice advanced techniques before attempting them on patients. Simulation training can be as straightforward as using real instruments and video equipment to manipulate simulated "tissue" in a box trainer. More advanced virtual reality (VR) simulators are now available and ready for widespread use. Early systems have demonstrated their effectiveness and discriminative ability. Newer systems enable the development of comprehensive curricula and full procedural simulations. A PubMed review of the literature was performed for the MESH words "Virtual reality, "Augmented Reality", "Simulation", "Training", and "Neurosurgery". Relevant articles were retrieved and reviewed. A review of the literature was performed for the history, current status of VR simulation in neurosurgery. Surgical organizations are calling for methods to ensure the maintenance of skills, advance surgical training, and credential surgeons as technically competent. The number of published literature discussing the application of VR simulation in neurosurgery training has evolved over the last decade from data visualization, including stereoscopic evaluation to more complex augmented reality models. With the revolution of computational analysis abilities, fully immersive VR models are currently available in neurosurgery training. Ventriculostomy catheters insertion, endoscopic and endovascular simulations are used in neurosurgical residency training centers across the world. Recent studies have shown the coloration of proficiency with those simulators and levels of experience in the real world. Fully immersive technology is starting to be applied to the practice of neurosurgery. In the near future, detailed VR neurosurgical modules

Neurosurgery for management of severe head injury

International Nuclear Information System (INIS)

Seitz, K.; Richter, H.P.

1998-01-01

Neurosurgery as a treatment of severe head injuries is not restricted to invasive surgery but also includes peri-operative intensive care medicine. Thanks to the technological progress and advanced diagnostic tools, especially drug treatments and their efficiency as well as risks can be far better monitored and analysed today. (orig./CB) [de

Surgical site infections after elective neurosurgery: a survey of 1747 patients.

Science.gov (United States)

Valentini, Laura G; Casali, Cecilia; Chatenoud, Liliane; Chiaffarino, Francesca; Uberti-Foppa, Caterina; Broggi, Giovanni

2008-01-01

To evaluate the incidence and risk factors of postsurgical site infections (SSIs) in elective neurosurgical procedures in patients treated with an ultrashort antibiotic protocol. In this consecutive series of 1747 patients treated with elective neurosurgery and ultrashort prophylactic antibiotic therapy at the Fondazione Istituto Nazionale Neurologico "Carlo Besta" in Milan, the rate of SSIs was 0.7% (13 patients). When only clean neurosurgery was considered, there were 11 such SSIs (1.52%) in 726 craniotomies and one SSI (0.15) in 663 spinal operations. The antibiotic protocol was prolonged in every case of external communication as cerebrospinal fluid leaks or external drainages. The infection rate of the whole series was low (0.72%), and a risk factor identified for SSIs in clean neurosurgery was longer surgery duration. The relative risk estimate was 12.6 for surgeries lasting 2 hours and 24.3 for surgeries lasting 3 or more hours. Patients aged older than 50 years had a lower risk of developing SSI with a relative risk of 0.23 when compared with patients aged younger than 50 years. The present series reports a low incidence of SSIs for elective neurosurgery, even for high-risk complex craniotomies performed for tumor removal. Given that an antibiotic protocol prolongation was used to pretreat any early signs of infection and external communication, the protocol was appropriate for the case mix. The two identified risk factors (surgical duration > 2 hours and middle-aged patients [16-50 yr]) may be indicators of other factors, such as the level of surgical complexity and poor neurological outcome.

Studying Behaviors Among Neurosurgery Residents Using Web 2.0 Analytic Tools.

Science.gov (United States)

Davidson, Benjamin; Alotaibi, Naif M; Guha, Daipayan; Amaral, Sandi; Kulkarni, Abhaya V; Lozano, Andres M

Web 2.0 technologies (e.g., blogs, social networks, and wikis) are increasingly being used by medical schools and postgraduate training programs as tools for information dissemination. These technologies offer the unique opportunity to track metrics of user engagement and interaction. Here, we employ Web 2.0 tools to assess academic behaviors among neurosurgery residents. We performed a retrospective review of all educational lectures, part of the core Neurosurgery Residency curriculum at the University of Toronto, posted on our teaching website (www.TheBrainSchool.net). Our website was developed using publicly available Web 2.0 platforms. Lecture usage was assessed by the number of clicks, and associations were explored with lecturer academic position, timing of examinations, and lecture/subspecialty topic. The overall number of clicks on 77 lectures was 1079. Most of these clicks were occurring during the in-training examination month (43%). Click numbers were significantly higher on lectures presented by faculty (mean = 18.6, standard deviation ± 4.1) compared to those delivered by residents (mean = 8.4, standard deviation ± 2.1) (p = 0.031). Lectures covering topics in functional neurosurgery received the most clicks (47%), followed by pediatric neurosurgery (22%). This study demonstrates the value of Web 2.0 analytic tools in examining resident study behavior. Residents tend to "cram" by downloading lectures in the same month of training examinations and display a preference for faculty-delivered lectures. Copyright © 2017 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

Complications in Endovascular Neurosurgery: Critical Analysis and Classification.

Science.gov (United States)

Ravindra, Vijay M; Mazur, Marcus D; Park, Min S; Kilburg, Craig; Moran, Christopher J; Hardman, Rulon L; Couldwell, William T; Taussky, Philipp

2016-11-01

Precisely defining complications, which are used to measure overall quality, is necessary for critical review of delivery of care and quality improvement in endovascular neurosurgery, which lacks common definitions for complications. Furthermore, in endovascular interventions, events that may be labeled complications may not always negatively affect outcome. Our objective is to provide precise definitions for quality evaluation within endovascular neurosurgery. Thus, we propose an endovascular-specific classification system of complications based on our own patient series. This single-center review included all patients who had endovascular interventions from September 2013 to August 2015. Complication types were analyzed, and a descriptive analysis was undertaken to calculate the incidence of complications overall and in each category. Two hundred and seventy-five endovascular interventions were performed in 245 patients (65% female; mean age, 55 years). Forty complications occurred in 39 patients (15%), most commonly during treatment of intracranial aneurysms (24/40). Mechanical complications (eg, device deployment, catheter, or closure device failure) occurred in 8/40, technical complications (eg, failure to deploy flow diverter, unintended embolization, air emboli, retroperitoneal hemorrhage, dissection) in 11/40, judgment errors (eg, patient or equipment selection) in 9/40, and critical events (eg, groin hematoma, hemorrhagic or thromboembolic complications) in 12/40 patients. Only 12/40 complications (30%) resulted in new neurologic deficits, vessel injury requiring surgery, or blood transfusion. We propose an endovascular-specific classification system of complications with 4 categories: mechanical, technical, judgment errors, and critical events. This system provides a framework for future studies and quality control in endovascular neurosurgery. Copyright © 2016 Elsevier Inc. All rights reserved.

Neurosurgical Skills Assessment: Measuring Technical Proficiency in Neurosurgery Residents Through Intraoperative Video Evaluations.

Science.gov (United States)

Sarkiss, Christopher A; Philemond, Steven; Lee, James; Sobotka, Stanislaw; Holloway, Terrell D; Moore, Maximillian M; Costa, Anthony B; Gordon, Errol L; Bederson, Joshua B

2016-05-01

Although technical skills are fundamental in neurosurgery, there is little agreement on how to describe, measure, or compare skills among surgeons. The primary goal of this study was to develop a quantitative grading scale for technical surgical performance that distinguishes operator skill when graded by domain experts (residents, attendings, and nonsurgeons). Scores provided by raters should be highly reliable with respect to scores from other observers. Neurosurgery residents were fitted with a head-mounted video camera while performing craniotomies under attending supervision. Seven videos, 1 from each postgraduate year (PGY) level (1-7), were anonymized and scored by 16 attendings, 8 residents, and 7 nonsurgeons using a grading scale. Seven skills were graded: incision, efficiency of instrument use, cauterization, tissue handling, drilling/craniotomy, confidence, and training level. A strong correlation was found between skills score and PGY year (P Technical skills of neurosurgery residents recorded during craniotomy can be measured with high interrater reliability. Surgeons and nonsurgeons alike readily distinguish different skill levels. This type of assessment could be used to coach residents, to track performance over time, and potentially to compare skill levels. Developing an objective tool to evaluate surgical performance would be useful in several areas of neurosurgery education. Copyright © 2016 Elsevier Inc. All rights reserved.

Target localization on standard axial images in computed tomography (CT) stereotaxis for functional neurosurgery - a technical note

International Nuclear Information System (INIS)

Patil, A.-A.

1986-01-01

A simple technique for marking functional neurosurgery target on computed tomography (CT) axial image is described. This permits the use of standard axial image for computed tomography (CT) stereotaxis in functional neurosurgery. (Author)

A glance at live interventional neuroradiology and neurosurgery course 2009

International Nuclear Information System (INIS)

Li Qiang; Hong Bo; Liu Jianmin

2010-01-01

The annual Live Interventional Neuroradiology and Neurosurgery Course (LINNC) is one of the most important congresses in the neurosurgery and neuroradiology field. LINNC 2009 was held on May 25th this year and lasted for 3 days. In this article, the authors introduced the main points of the congress. The congress mainly discussed some hot topics at present time, including both the clinical and fundamental studies of cerebral arteriovenous malformation, ischemic cerebral disease and intracranial aneurysm, etc. Both neurological and neuroradiological case demonstrations related to the topics, and the main course of the congress were alternately performed. Recent advances in imaging technique and clinical application, such as Dyna-CT and Xper-CT, were also presented on the congress. (authors)

Cerenkov and radioluminescence imaging of brain tumor specimens during neurosurgery

Science.gov (United States)

Spinelli, Antonello Enrico; Schiariti, Marco P.; Grana, Chiara M.; Ferrari, Mahila; Cremonesi, Marta; Boschi, Federico

2016-05-01

We presented the first example of Cerenkov luminescence imaging (CLI) and radioluminescence imaging (RLI) of human tumor specimens. A patient with a brain meningioma localized in the left parietal region was injected with 166 MBq of Y90-DOTATOC the day before neurosurgery. The specimens of the tumor removed during surgery were imaged using both CLI and RLI using an optical imager prototype developed in our laboratory. The system is based on a cooled electron multiplied charge coupled device coupled with an f/0.95 17-mm C-mount lens. We showed for the first time the possibility of obtaining CLI and RLI images of fresh human brain tumor specimens removed during neurosurgery.

A study on CT-guided stereotactic technique for functional neurosurgery

International Nuclear Information System (INIS)

Uetsuhara, Koichi; Asakura, Tetsuhiko; Hirahara, Kazuho; Gondo, Masazumi; Oda, Hiroshige

1987-01-01

Recently, CT-guided stereotactic surgery has become of major interest, and some authors have discussed its potential in functional neurosurgery. The following is a comparative study of the CT-guided stereotactic technique and the conventional roentogenographic stereotactic technique. The Brown-Roberts-Wells apparatus was used for both types of procedures. 37 stereotactic procedures were performed on 35 patients under local anesthesia; 16 for stereotactic biopsy and 21 for stereotactic functional neurosurgery. Target points for stereotactic biopsy were determined by the CT-guided technique and target points for functional neurosurgery were determined by the conventional roentogenographic technique. The correlation with the position of target point determined by both techniques was investigated in the 21 functional neurosurgical procedures. On these occasions the authors used the reformatted horizontal and sagittal CT through the anterior and posterior commissure to determine the position of target point by the CT-guided technique. Results: It was found that the AC-PC line crossed with Reid's base line at angle of 11 ± 1 deg, and therefore it is important to obtain a CT images including AC-PC line at this angle. When applying the CT guided stereotactic procedure for functional surgery, it should be known that there could be a discrepancy within 2 mm from the conventional target determination. (author)

Cranial nerve functional neurosurgery : Evaluation of surgical practice

NARCIS (Netherlands)

Le Guerinel, C.; Sindou, M.; Auque, J.; Blondet, E.; Brassier, G.; Chazal, J.; Cuny, E.; Devaux, B.; Fontaine, D.; Finiels, P. -J.; Fuentes, J. -M.; D'Haens, J.; Massager, N.; Mercier, Ph.; Mooij, J.; Nuti, C.; Rousseaux, P.; Serrie, A.; Stecken, J.; de Waele, L.; Keravel, Y.

We report the results of an investigation carried out on the activity of functional neurosurgery of the cranial nerves in the French-speaking countries, based on the analysis of a questionnaire addressed to all the members of the SNCLF Eighteen centers responded to this questionnaire., which showed

Development of a Remote Handling System in an Integrated Pyroprocessing Facility

Directory of Open Access Journals (Sweden)

Hyo Jik Lee

2013-10-01

Full Text Available Over the course of a decade-long research programme, the Korea Atomic Energy Research Institute (KAERI has developed several remote handling systems for use in pyroprocessing research facilities. These systems are now used successfully for the operation and maintenance of processing equipment. The most recent remote handling system is the bridge-transported dual arm servo-manipulator system (BDSM, which is used for remote operation at the world's largest pyroprocess integrated inactive demonstration facility (PRIDE. Accurate and reliable servo-control is the basic requirement for the BDSM to accomplish any given tasks successfully in a hotcell environment. To achieve this end, the hardware and software of a digital signal processor-based remote control system were fully custom-developed and implemented to control the BDSM. To reduce the residual vibration of the BDSM, several input profiles, including input shaping, were carefully chosen and evaluated. Furthermore, a time delay controller was employed to achieve good tracking performance and systematic gain tuning. The experimental results demonstrate that the applied control algorithms are more effective than conventional approaches. The BDSM successfully completed its performance tests at a mock-up and was installed at PRIDE for real-world operation. The remote handling system at KAERI is expected to advance the actualization of pyroprocessing.

Challenges in contemporary academic neurosurgery.

Science.gov (United States)

Black, Peter M

2006-03-01

Traditionally, the ideal academic neurosurgeon has been a "quadruple threat," with excellence in clinical work, teaching, research, and administration. This tradition was best exemplified in Harvey Cushing, who developed the field of neurosurgery 90 years ago. This paradigm will probably have to change as academic neurosurgeons face major challenges. In patient care, these include increasing regulatory control, increasing malpractice costs, consolidation of expensive care in academic centers, and decreasing reimbursement; in resident teaching, work hour limitations and a changing resident culture; in research, the increasing dominance of basic scientists in governmental funding decisions and decreased involvement of neurosurgeons in scientific review committees; and in administration, problems of relationships in the workplace, patient safety, and employment compliance in an increasingly bureaucratic system. To meet these challenges, the new academic neurosurgeon will probably not be a quadruple threat personally but will be part of a quadruple threat in a department and institution. Neurosurgeons in such a setting will have to work with hospital, medical school, and national and international groups to address malpractice, reimbursement, subspecialization, and training problems; find supplemental sources of income through grants, development funds, and hospital support; lead in the development of multidisciplinary centers for neuroscience, brain tumor, spine, and other initiatives; and focus on training leaders for hospital, regional, and national groups to reconfigure neurosurgery. Collaboration, flexibility, and leadership will be characteristic of the academic neurosurgeon in this new era.

Remote community electrification program - small wind integration in BC's offgrid communities

Energy Technology Data Exchange (ETDEWEB)

Lafaille, Julien [BC Hydro (Canada)

2011-07-01

The paper presents the Remote Community Electrification (RCE) program and wind integration in BC's off grid communities. The program offers electric utility service to eligible remote communities in BC. Most of them are offered off-grid services although it is cheaper to connect a community to a grid. BC hydro serves some communities that are not connected to the main grid. Local diesel or small hydro-generating stations are used to serve remote communities. The renewable energy program target is to reach 50% of remote communities. The reason that wind is a small part of the renewables is that hydro and biomass are abundant in BC. Some other barriers include high installation costs, durability concerns, and lack of in-house technical expertise. Some small Wind initiatives that have been taken were relatively few and fairly small. It can be concluded that due to a poor wind resource and the relatively low cost of diesel, there is limited potential for wind in BC remote communities.

Augmented-reality integrated robotics in neurosurgery: are we there yet?

Science.gov (United States)

Madhavan, Karthik; Kolcun, John Paul G; Chieng, Lee Onn; Wang, Michael Y

2017-05-01

Surgical robots have captured the interest-if not the widespread acceptance-of spinal neurosurgeons. But successful innovation, scientific or commercial, requires the majority to adopt a new practice. "Faster, better, cheaper" products should in theory conquer the market, but often fail. The psychology of change is complex, and the "follow the leader" mentality, common in the field today, lends little trust to the process of disseminating new technology. Beyond product quality, timing has proven to be a key factor in the inception, design, and execution of new technologies. Although the first robotic surgery was performed in 1985, scant progress was seen until the era of minimally invasive surgery. This movement increased neurosurgeons' dependence on navigation and fluoroscopy, intensifying the drive for enhanced precision. Outside the field of medicine, various technology companies have made great progress in popularizing co-robots ("cobots"), augmented reality, and processor chips. This has helped to ease practicing surgeons into familiarity with and acceptance of these technologies. The adoption among neurosurgeons in training is a "follow the leader" phenomenon, wherein new surgeons tend to adopt the technology used during residency. In neurosurgery today, robots are limited to computers functioning between the surgeon and patient. Their functions are confined to establishing a trajectory for navigation, with task execution solely in the surgeon's hands. In this review, the authors discuss significant untapped technologies waiting to be used for more meaningful applications. They explore the history and current manifestations of various modern technologies, and project what innovations may lie ahead.

Frameless neuronavigation in modern neurosurgery.

Science.gov (United States)

Spetzger, U; Laborde, G; Gilsbach, J M

1995-12-01

A fundamental effort in neurosurgery is to reduce surgical trauma. Microneurosurgical technique combined with precise localization of lesions, can minimize the invasiveness of neurosurgical procedures. This report summarizes the utility of frameless neuronavigator systems and examines their value in reducing operative invasiveness. The basic principle of neuronavigation is the virtual linkage between digitized neuroradiological data and real anatomical structures, allowing an excellent three-dimensional orientation by real-time graphic-anatomic interaction. As frameless graphic interactive neuronavigation is developed further, these devices should become an important component of the modern microneurosurgical armamentarium and reduce surgical morbidity.

Influence of intraoperative magnetic resonance imaging used in neurosurgery on anesthesia

Directory of Open Access Journals (Sweden)

Mao-wei GONG

2011-09-01

Full Text Available Objective To observe the influcences of intraoperative magnetic resonance imaging(iMRI used in neurosurgery on anesthesia.Methods Sixty patients with glioma were randomly divided into two groups(30 each,the patients in iMRI group underwent craniotomy and glioma ablation under the guidance of iMRI and functional neuro-navigation,and in N group with the functional neuro-navigation only.The patients’ general status and concerning parameters were observed and recorded,including anesthesia duration,preparation time for surgery,duration of surgery,blood loss,volume of fluid administration,number of patients who needed blood transfusion,preoperative and postoperative hemoglobin,postoperative body temperature,dosage of muscle relaxant,and the unforeseen incidents related to iMRI and anesthesia.Results No significant differences existed between the two groups(P > 0.05 in patients’ general status,anesthesia duration,blood loss,volume of fluid administration,numbers of patients who needed blood transfusion,preoperative and postoperative hemoglobin,and body temperature.However,the preparation time for and duration of surgery were longer,the dosage of muscle relaxant was larger in iMRI group than in N group(P < 0.05.No inadvertent incident related to iMRI and anesthesia occurred in both groups.Conclusions The application of iMRI in neurosurgery may improve the accuracy in operative manipulation and make the tumor resection more thorough,but it may prolong duration of surgery.Other perimoperative care related to iMRI surgery is similar to that of traditional functional neuro-navigation surgery.Besides the basic rules of neurosurgery anesthetic management for neurosurgery,anesthetist should focus on anesthetic adjustment for a long operation.

The Establishment and Development of Neurosurgery Services in Papua New Guinea.

Science.gov (United States)

Kaptigau, W Matui; Rosenfeld, Jeffrey V; Kevau, Ikau; Watters, David A

2016-02-01

Papua New Guinea (PNG) is a developing Pacific Nation of 7.3 million people. Although neurosurgery training was introduced to PNG in the year 2000, it was in 2003 that a neurosurgery service was established. Prior to this time, neurosurgery in PNG was performed by general surgeons, with some assistance from visiting Australian neurosurgeons. Neurosurgical training was introduced to PNG in 2000. The model involved a further 3 years of training for a surgeon who had already completed 4 years of general surgical training. We aim to review the output, outcomes and impact achieved by training the first national neurosurgeon. The data on activity (output) and outcomes were collected prospectively from 2003–2012. Ongoing mentoring and continuing professional development were provided through annual neurosurgical visits from Australia. There were serious limitations in the provision of equipment, with a lack of computerized tomographic or MR imaging, and adjuvant oncological services. There were 1618 neurosurgery admissions, 1020 neurosurgical procedures with a 5.74 % overall mortality. Seventy percent of cases presented as emergencies. There were improved outcomes, particularly for head injuries, whilst hydrocephalus was managed with an acceptable morbidity and revision rate. The training of a neurosurgeon resulted in PNG patients receiving a better range of surgical services, with a lower mortality. The outcomes able to be delivered were limited by late presentations of patients and lack of resources including imaging. These themes are familiar to all low- and middle-income countries (LMICs) and this may serve as a model for other LMIC neurosurgical services to adopt as they consider whether to establish and develop neurosurgical and other sub-specialist surgical services.

MULTI-SCALE SEGMENTATION OF HIGH RESOLUTION REMOTE SENSING IMAGES BY INTEGRATING MULTIPLE FEATURES

Directory of Open Access Journals (Sweden)

Y. Di

2017-05-01

Full Text Available Most of multi-scale segmentation algorithms are not aiming at high resolution remote sensing images and have difficulty to communicate and use layers’ information. In view of them, we proposes a method of multi-scale segmentation of high resolution remote sensing images by integrating multiple features. First, Canny operator is used to extract edge information, and then band weighted distance function is built to obtain the edge weight. According to the criterion, the initial segmentation objects of color images can be gained by Kruskal minimum spanning tree algorithm. Finally segmentation images are got by the adaptive rule of Mumford–Shah region merging combination with spectral and texture information. The proposed method is evaluated precisely using analog images and ZY-3 satellite images through quantitative and qualitative analysis. The experimental results show that the multi-scale segmentation of high resolution remote sensing images by integrating multiple features outperformed the software eCognition fractal network evolution algorithm (highest-resolution network evolution that FNEA on the accuracy and slightly inferior to FNEA on the efficiency.

Integration of Remote Sensing Data In Operational Flood Forecast In Southwest Germany

Science.gov (United States)

Bach, H.; Appel, F.; Schulz, W.; Merkel, U.; Ludwig, R.; Mauser, W.

Methods to accurately assess and forecast flood discharge are mandatory to minimise the impact of hydrological hazards. However, existing rainfall-runoff models rarely accurately consider the spatial characteristics of the watershed, which is essential for a suitable and physics-based description of processes relevant for runoff formation. Spatial information with low temporal variability like elevation, slopes and land use can be mapped or extracted from remote sensing data. However, land surface param- eters of high temporal variability, like soil moisture and snow properties are hardly available and used in operational forecasts. Remote sensing methods can improve flood forecast by providing information on the actual water retention capacities in the watershed and facilitate the regionalisation of hydrological models. To prove and demonstrate this, the project 'InFerno' (Integration of remote sensing data in opera- tional water balance and flood forecast modelling) has been set up, funded by DLR (50EE0053). Within InFerno remote sensing data (optical and microwave) are thor- oughly processed to deliver spatially distributed parameters of snow properties and soil moisture. Especially during the onset of a flood this information is essential to estimate the initial conditions of the model. At the flood forecast centres of 'Baden- Württemberg' and 'Rheinland-Pfalz' (Southwest Germany) the remote sensing based maps on soil moisture and snow properties will be integrated in the continuously op- erated water balance and flood forecast model LARSIM. The concept is to transfer the developed methodology from the Neckar to the Mosel basin. The major challenges lie on the one hand in the implementation of algorithms developed for a multisensoral synergy and the creation of robust, operationally applicable remote sensing products. On the other hand, the operational flood forecast must be adapted to make full use of the new data sources. In the operational phase of the

Immersive Learning Environment Using 3D Virtual Worlds and Integrated Remote Experimentation

Directory of Open Access Journals (Sweden)

Roderval Marcelino

2013-01-01

Full Text Available This project seeks to demonstrate the use of remote experimentation and 3D virtual environments applied to the teaching-learning in the areas of exact sciences-physics. In proposing the combination of remote experimentation and 3D virtual worlds in teaching-learning process, we intend to achieve greater geographic coverage, contributing to the construction of new methodologies of teaching support, speed of access and foremost motivation for students to continue in scientific study of the technology areas. The proposed architecture is based on a model implemented fully featured open source and open hardware. The virtual world was built in OpenSim software and integrated it a remote physics experiment called "electrical panel". Accessing the virtual world the user has total control of the experiment within the 3D virtual world.

Diabetes insipidus following neurosurgery at a university hospital in Western Saudi Arabia

Directory of Open Access Journals (Sweden)

Faiza A. Qari

2016-02-01

Full Text Available Objectives: To review the incidence, spectrum of clinical manifestation, course, risk factors, as well as treatment of diabetes insipidus (DI following neurosurgery of the pituitary gland. Methods: The files of 24 patients that underwent neurosurgery for sellar lesions, or tumor near the hypothalamus or pituitary gland at the Department of Neurosurgery, King Abdulaziz University Hospital, Jeddah, Kingdom of Saudi Arabia were retrospectively reviewed between January 2011 to December 2014. A total of 24 patients were studied, and were divided into 2 groups namely; DI and non-DI. Patient characteristics were studied using descriptive statistics. The differences in proportion between the 2 groups were found out using Z-test for proportion in 2 populations. The mean differences in the hormonal abnormalities for the 2 groups were assessed using independent t-test. All statistics are considered statistically significant when p less than 0.05. Results: During hospitalization, 13 (54.2% out of 24 patient that underwent neurosurgery had manifestations of DI, which was transient in 5 (38.8% and permanent in 8 (61.2%. The DI subgroup contained higher prevalence of prolactinoma, craniopharyngioma, pre-operative panhypopituitarism, and macroadenoma in MRI imaging and transphenoidal surgery. Furthermore, urine osmolality was significantly lower in the DI group post-operatively with a significant p=0.023. It was recognized that the permanent DI documented more significant numbers than other studies. Conclusion: In our study group, it was recognized that permanent DI meant that our patients needed desmopressin for more than 3 months, which documented a more significant number than other studies.

Smartphone Usage Patterns by Canadian Neurosurgery Residents: A National Cross-Sectional Survey.

Science.gov (United States)

Kameda-Smith, Michelle Masayo; Iorio-Morin, Christian; Winkler-Schwartz, Alexander; Ahmed, Uzair S; Bergeron, David; Bigder, Mark; Dakson, Ayoub; Elliott, Cameron A; Guha, Daipayan; Lavergne, Pascal; Makarenko, Serge; Taccone, Michael S; Tso, Michael; Wang, Bill; Fortin, David

2018-03-01

Smartphones and their apps are used ubiquitously in medical practice. However, in some cases their use can be at odds with current patient data safety regulations such as Canada's Personal Health Information Protection Act of 2004. To assess current practices and inform mobile application development, we sought to better understand mobile device usage patterns among Canadian neurosurgery residents. Through the Canadian Neurosurgery Research Collaborative, an online survey characterizing smartphone ownership and usage patterns was developed and sent to all Canadian neurosurgery resident in April of 2016. Questionnaires were collected and completed surveys analyzed. Of 146 eligible residents, 76 returned completed surveys (52% response rate). Of these 99% of respondents owned a smartphone, with 79% running on Apple's iOS. Four general mobile uses were identified: 1) communication between members of the medical team, 2) decision support, 3) medical reference, and 4) documentation through medical photography. Communication and photography were areas where the most obvious breaches in the Canadian Personal Health Information Protection Act were noted, with 89% of respondents taking pictures of patients' radiologic studies and 75% exchanging them with Short Message System. Hospital policies had no impact on user behaviors. Smartphones are used daily by most neurosurgery residents. Identified usage patterns are associated with perceived gains in efficacy and challenges in privacy and data reliability. We believe creating and improving workflows that address these usage patterns has a greater potential to improve privacy than changing policies and enforcing regulations. Copyright © 2017 Elsevier Inc. All rights reserved.

Diabetes insipidus following neurosurgery at a university hospital in Western Saudi Arabia.

Science.gov (United States)

Qari, Faiza A; AbuDaood, Elaff A; Nasser, Tariq A

2016-02-01

To review the incidence, spectrum of clinical manifestation, course, risk factors, as well as treatment of diabetes insipidus (DI) following neurosurgery of the pituitary gland. The files of 24 patients that underwent neurosurgery for sellar lesions, or tumor near the hypothalamus or pituitary gland at the Department of Neurosurgery, King Abdulaziz University Hospital, Jeddah, Kingdom of Saudi Arabia were retrospectively reviewed between January 2011 to December 2014. A total of 24 patients were studied, and were divided into 2 groups namely; DI and non-DI. Patient characteristics were studied using descriptive statistics. The differences in proportion between the 2 groups were found out using Z-test for proportion in 2 populations. The mean differences in the hormonal abnormalities for the 2 groups were assessed using independent t-test. All statistics are considered statistically significant when p less than 0.05. During hospitalization, 13 (54.2%) out of 24 patient that underwent neurosurgery had manifestations of DI, which was transient in 5 (38.8%) and permanent in 8 (61.2%). The DI subgroup contained higher prevalence of prolactinoma, craniopharyngioma, pre-operative panhypopituitarism, and macroadenoma in MRI imaging and transphenoidal surgery. Furthermore, urine osmolality was significantly lower in the DI group post-operatively with a significant p=0.023. It was recognized that the permanent DI documented more significant numbers than other studies. In our study group, it was recognized that permanent DI meant that our patients needed desmopressin for more than 3 months, which documented a more significant number than other studies.

A systematic review of 30-day readmission after cranial neurosurgery.

Science.gov (United States)

Cusimano, Michael D; Pshonyak, Iryna; Lee, Michael Y; Ilie, Gabriela

2017-08-01

OBJECTIVE The 30-day readmission rate has emerged as an important marker of the quality of in-hospital care in several fields of medicine. This review aims to summarize available research reporting readmission rates after cranial procedures and to establish an association with demographic, clinical, and system-related factors and clinical outcomes. METHODS The authors conducted a systematic review of several databases; a manual search of the Journal of Neurosurgery, Neurosurgery, Acta Neurochirurgica, Canadian Journal of Neurological Sciences; and the cited references of the selected articles. Quality review was performed using the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) criteria. Findings are reported according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. RESULTS A total of 1344 articles published between 1947 and 2015 were identified; 25 were considered potentially eligible, of which 12 met inclusion criteria. The 30-day readmission rates varied from 6.9% to 23.89%. Complications arising during or after neurosurgical procedures were a prime reason for readmission. Race, comorbidities, and longer hospital stay put patients at risk for readmission. CONCLUSIONS Although readmission may be an important indicator for good care for the subset of acutely declining patients, neurosurgery should aim to reduce 30-day readmission rates with improved quality of care through systemic changes in the care of neurosurgical patients that promote preventive measures.

INFORMATION SYSTEM FOR DEPARTMENT OF RECONSTRUCTIVE NEUROSURGERY

Directory of Open Access Journals (Sweden)

V. I. Tsymbaliuk

2015-05-01

Full Text Available This article is about creating information system for the rehabilitation Department of Neurosurgery. To develop the information system needs to explore the work of department, examine the medical documentation and statistical reporting forms which doctors using in their work. Determine the sequence of making records into documentation. And finally make list of requirements for application with help of medical staff. The software was developed by using C# language and the database server MySQL. It has five major systems and several ancillary subsystems. The major systems are: saving personal and clinical patient information, editing inputted data, showing data, ensuring the integrity and accuracy of database, the implementation of access to the same database from different computers. Auxiliary subsystems include: creating medical documentation, blocking form’s elements, searching for patient through database, making statistic over some period of time, creating folders for every patient and others. There was designed user interface that allows doctors to reduce time for learning functionality of application. Information system has positive effect. It saves time for medical staff and reduces the possibility of inputting wrong information. Application does not require high hardware characteristics of computer.

Water balance disorders after neurosurgery: The triphasic response revisited

NARCIS (Netherlands)

E.J. Hoorn (Ewout); R. Zietse (Bob)

2010-01-01

textabstractWater balance disorders after neurosurgery are well recognized, but detailed reports of the triphasic response are scarce. We describe a 55-year-old woman, who developed the triphasic response with severe hyper- and hyponatraemia after resection of a suprasellar meningioma. The case

Statement of Ethics in Neurosurgery of the World Federation of Neurosurgical Societies.

Science.gov (United States)

Umansky, Felix; Black, Peter L; DiRocco, Concenzio; Ferrer, Enrique; Goel, Atul; Malik, Ghaus M; Mathiesen, Tiit; Mendez, Ivar; Palmer, James D; Juanotena, Jorge Rodriguez; Fraifeld, Shifra; Rosenfeld, Jeffrey V

2011-01-01

This Statement of Ethics in Neurosurgery was developed by the Committee for Ethics and Medico-Legal Affairs of the World Federation of Neurosurgical Societies to help neurosurgeons resolve problems in the treatment of individual patients and meet obligations to the larger society. This document is intended as a framework rather than a set of rules. It cannot cover every situation and should be used with flexibility. However, it is our intent that the fundamental principles enunciated here should serve as a guide in the day-to-day practice of neurosurgery. Copyright © 2011 Elsevier Inc. All rights reserved.

Preoperative anemia increases postoperative morbidity in elective cranial neurosurgery

Science.gov (United States)

Bydon, Mohamad; Abt, Nicholas B.; Macki, Mohamed; Brem, Henry; Huang, Judy; Bydon, Ali; Tamargo, Rafael J.

2014-01-01

Background: Preoperative anemia may affect postoperative mortality and morbidity following elective cranial operations. Methods: The American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database was used to identify elective cranial neurosurgical cases (2006-2012). Morbidity was defined as wound infection, systemic infection, cardiac, respiratory, renal, neurologic, and thromboembolic events, and unplanned returns to the operating room. For 30-day postoperative mortality and morbidity, adjusted odds ratios (ORs) were estimated with multivariable logistic regression. Results: Of 8015 patients who underwent elective cranial neurosurgery, 1710 patients (21.4%) were anemic. Anemic patients had an increased 30-day mortality of 4.1% versus 1.3% in non-anemic patients (P neurosurgery was independently associated with an increased risk of 30-day postoperative mortality and morbidity when compared to non-anemic patients. A hematocrit level below 33% (Hgb 11 g/dl) was associated with a significant increase in postoperative morbidity. PMID:25422784

Virtual endoscopy in neurosurgery: a review.

Science.gov (United States)

Neubauer, André; Wolfsberger, Stefan

2013-01-01

Virtual endoscopy is the computerized creation of images depicting the inside of patient anatomy reconstructed in a virtual reality environment. It permits interactive, noninvasive, 3-dimensional visual inspection of anatomical cavities or vessels. This can aid in diagnostics, potentially replacing an actual endoscopic procedure, and help in the preparation of a surgical intervention by bridging the gap between plain 2-dimensional radiologic images and the 3-dimensional depiction of anatomy during actual endoscopy. If not only the endoscopic vision but also endoscopic handling, including realistic haptic feedback, is simulated, virtual endoscopy can be an effective training tool for novice surgeons. In neurosurgery, the main fields of the application of virtual endoscopy are third ventriculostomy, endonasal surgery, and the evaluation of pathologies in cerebral blood vessels. Progress in this very active field of research is achieved through cooperation between the technical and the medical communities. While the technology advances and new methods for modeling, reconstruction, and simulation are being developed, clinicians evaluate existing simulators, steer the development of new ones, and explore new fields of application. This review introduces some of the most interesting virtual reality systems for endoscopic neurosurgery developed in recent years and presents clinical studies conducted either on areas of application or specific systems. In addition, benefits and limitations of single products and simulated neuroendoscopy in general are pointed out.

Novel Networked Remote Laboratory Architecture for Open Connectivity Based on PLC-OPC-LabVIEW-EJS Integration. Application in Remote Fuzzy Control and Sensors Data Acquisition.

Science.gov (United States)

González, Isaías; Calderón, Antonio José; Mejías, Andrés; Andújar, José Manuel

2016-10-31

In this paper the design and implementation of a network for integrating Programmable Logic Controllers (PLC), the Object-Linking and Embedding for Process Control protocol (OPC) and the open-source Easy Java Simulations (EJS) package is presented. A LabVIEW interface and the Java-Internet-LabVIEW (JIL) server complete the scheme for data exchange. This configuration allows the user to remotely interact with the PLC. Such integration can be considered a novelty in scientific literature for remote control and sensor data acquisition of industrial plants. An experimental application devoted to remote laboratories is developed to demonstrate the feasibility and benefits of the proposed approach. The experiment to be conducted is the parameterization and supervision of a fuzzy controller of a DC servomotor. The graphical user interface has been developed with EJS and the fuzzy control is carried out by our own PLC. In fact, the distinctive features of the proposed novel network application are the integration of the OPC protocol to share information with the PLC and the application under control. The user can perform the tuning of the controller parameters online and observe in real time the effect on the servomotor behavior. The target group is engineering remote users, specifically in control- and automation-related tasks. The proposed architecture system is described and experimental results are presented.

Novel Networked Remote Laboratory Architecture for Open Connectivity Based on PLC-OPC-LabVIEW-EJS Integration. Application in Remote Fuzzy Control and Sensors Data Acquisition

Directory of Open Access Journals (Sweden)

Isaías González

2016-10-01

Full Text Available In this paper the design and implementation of a network for integrating Programmable Logic Controllers (PLC, the Object-Linking and Embedding for Process Control protocol (OPC and the open-source Easy Java Simulations (EJS package is presented. A LabVIEW interface and the Java-Internet-LabVIEW (JIL server complete the scheme for data exchange. This configuration allows the user to remotely interact with the PLC. Such integration can be considered a novelty in scientific literature for remote control and sensor data acquisition of industrial plants. An experimental application devoted to remote laboratories is developed to demonstrate the feasibility and benefits of the proposed approach. The experiment to be conducted is the parameterization and supervision of a fuzzy controller of a DC servomotor. The graphical user interface has been developed with EJS and the fuzzy control is carried out by our own PLC. In fact, the distinctive features of the proposed novel network application are the integration of the OPC protocol to share information with the PLC and the application under control. The user can perform the tuning of the controller parameters online and observe in real time the effect on the servomotor behavior. The target group is engineering remote users, specifically in control- and automation-related tasks. The proposed architecture system is described and experimental results are presented.

Novel Networked Remote Laboratory Architecture for Open Connectivity Based on PLC-OPC-LabVIEW-EJS Integration. Application in Remote Fuzzy Control and Sensors Data Acquisition

Science.gov (United States)

González, Isaías; Calderón, Antonio José; Mejías, Andrés; Andújar, José Manuel

2016-01-01

In this paper the design and implementation of a network for integrating Programmable Logic Controllers (PLC), the Object-Linking and Embedding for Process Control protocol (OPC) and the open-source Easy Java Simulations (EJS) package is presented. A LabVIEW interface and the Java-Internet-LabVIEW (JIL) server complete the scheme for data exchange. This configuration allows the user to remotely interact with the PLC. Such integration can be considered a novelty in scientific literature for remote control and sensor data acquisition of industrial plants. An experimental application devoted to remote laboratories is developed to demonstrate the feasibility and benefits of the proposed approach. The experiment to be conducted is the parameterization and supervision of a fuzzy controller of a DC servomotor. The graphical user interface has been developed with EJS and the fuzzy control is carried out by our own PLC. In fact, the distinctive features of the proposed novel network application are the integration of the OPC protocol to share information with the PLC and the application under control. The user can perform the tuning of the controller parameters online and observe in real time the effect on the servomotor behavior. The target group is engineering remote users, specifically in control- and automation-related tasks. The proposed architecture system is described and experimental results are presented. PMID:27809229

Defining Remoteness from Health Care: Integrated Research on Accessing Emergency Maternal Care in Indonesia

Directory of Open Access Journals (Sweden)

Bronwyn A Myers

2015-07-01

Full Text Available The causes of maternal death are well known, and are largely preventable if skilled health care is received promptly. Complex interactions between geographic and socio-cultural factors affect access to, and remoteness from, health care but research on this topic rarely integrates spatial and social sciences. In this study, modeling of travel time was integrated with social science research to refine our understanding of remoteness from health care. Travel time to health facilities offering emergency obstetric care (EmOC and population distribution were modelled for a district in eastern Indonesia. As an index of remoteness, the proportion of the population more than two hours estimated travel time from EmOC was calculated. For the best case scenario (transport by ambulance in the dry season, modelling estimated more than 10,000 fertile aged women were more than two hours from EmOC. Maternal mortality ratios were positively correlated with the remoteness index, however there was considerable variation around this relationship. In a companion study, ethnographic research in a subdistrict with relatively good access to health care and high maternal mortality identified factors influencing access to EmOC, including some that had not been incorporated into the travel time model. Ethnographic research provided information about actual travel involved in requesting and reaching EmOC. Modeled travel time could be improved by incorporating time to deliver request for care. Further integration of social and spatial methods and the development of more dynamic travel time models are needed to develop programs and policies to address these multiple factors to improve maternal health outcomes.

BOOK REVIEW: Neurosurgery in the Tropics: A practical approach ...

African Journals Online (AJOL)

BOOK REVIEW: Neurosurgery in the Tropics: A practical approach to common problems By Jeffrey V. Rosenfeld MBBS, MS, FRACS, FRCS (Ed), FACS, FACTM and David A.K Watters ChM, FRACS, FRCS (Ed) Macmillan Education LTD 2000, Price $ 50 US ISBN 0-333-68412-5.

The application of quality control circle in neurosurgery ICU nurses in raising compliance of the head of a bed

Directory of Open Access Journals (Sweden)

Na LI

2014-11-01

Full Text Available Objective: To explore the application of quality control circle in raising compliance of the head of a bed in neurosurgery ICU nurses. Methods: The quality control circle was made up of 4 ICU nurses, determine the subject in order to improve the neurosurgery ICU nurses in raising compliance of the head of a bed, according to the QCC activity steps to formulate plans, including grasp the current situation, goal setting, through analysis, circle members develop strategy and plan implementation and review, finally compared the situation before and after neurosurgery ICU nurses raised bed activities compliance. Results: After implementation of QCC, neurosurgery ICU nurses raised bed to 30 ~ 45 degrees. After activities, circle members in the team cooperation ability, cohesion, to accept new things ability, and innovative thinking ability and to raise the understanding of the relevant knowledge of the head of a bed has improved significantly. Conclusion: The application of quality management circle activity improves the neurosurgery ICU nurses effectively raise the compliance of the head of a bed, improve the comprehensive quality of the clinical nurses.

[Perceived quality in hospitals of the Andalusia Healthcare System. The case of neurosurgery departments].

Science.gov (United States)

Cordero Tous, N; Horcajadas Almansa, Á; Bermúdez González, G J; Tous Zamora, D

2014-01-01

To analyse the characteristics of the perceived quality in hospitals of the Andalusia healthcare system and compare this with that in Andalusian Neurosurgery departments. Randomised surveys, adjusted for working age, were performed in Andalusia using a telephone questionnaire based on the SERVQUAL model with the appropriate modification, with the subsequent selection of a subgroup associated with neurosurgery. Perceived quality was classified as; technical, functional and infrastructure quality. The overall satisfaction was 76.3%. Frequency analysis found that variables related to the technical quality (good doctors, successful operations, trained staff, etc.) obtained more favourable outcomes. Those related to time (wait, consulting, organizing schedules) obtained worse outcomes. The care of families variables obtained poor results. There was no difference between the overall Andalusian healthcare system and neurosurgery departments. In the mean analysis, women and older people gave more favourable responses, especially for variables related to infrastructure quality. In the "cluster" analysis, there were more favourable responses by elderly people, with no differences in gender (P<.009). There is no difference in perceived quality between the Andalusian healthcare system overall and neurosurgery departments. The perceived quality of the Andalusian healthcare system is higher in the elderly people. The analysis of perceived quality is useful for promoting projects to improve clinical management. Copyright © 2014 SECA. Published by Elsevier Espana. All rights reserved.

Mythological and Prehistorical Origins of Neurosurgery.

Science.gov (United States)

Nanda, Anil; Filis, Andreas; Kalakoti, Piyush

2016-05-01

Mythology has a cultural appeal, and the description of some neurosurgical procedures in the Hindu, Greek, Egyptian, and Chinese mythology has a bearing to the origins of our professions. The traces to some of our modern-day practices also can be linked back to the ancient prehistoric eras of the Siberian, Persian, and the Andean region. In this historical perspective, we briefly dwell into individual accounts through the prism of different cultures to highlight the development of neurosurgery in mythology and prehistoric era. Published by Elsevier Inc.

Integration of Centrifuge Testing in Undergraduate Geotechnical Engineering Education at Remote Campuses

Science.gov (United States)

El Shamy, Usama; Abdoun, Tarek; McMartin, Flora; Pando, Miguel A.

2013-01-01

We report the results of a pilot study aimed at developing, implementing, and assessing an educational module that integrates remote major research instrumentation into undergraduate classes. Specifically, this study employs Internet Web-based technologies to allow for real-time video monitoring and execution of cutting-edge experiments. The…

An Object Model for Integrating Diverse Remote Sensing Satellite Sensors: A Case Study of Union Operation

Directory of Open Access Journals (Sweden)

Chuli Hu

2014-01-01

Full Text Available In the Earth Observation sensor web environment, the rapid, accurate, and unified discovery of diverse remote sensing satellite sensors, and their association to yield an integrated solution for a comprehensive response to specific emergency tasks pose considerable challenges. In this study, we propose a remote sensing satellite sensor object model, based on the object-oriented paradigm and the Open Geospatial Consortium Sensor Model Language. The proposed model comprises a set of sensor resource objects. Each object consists of identification, state of resource attribute, and resource method. We implement the proposed attribute state description by applying it to different remote sensors. A real application, involving the observation of floods at the Yangtze River in China, is undertaken. Results indicate that the sensor inquirer can accurately discover qualified satellite sensors in an accurate and unified manner. By implementing the proposed union operation among the retrieved sensors, the inquirer can further determine how the selected sensors can collaboratively complete a specific observation requirement. Therefore, the proposed model provides a reliable foundation for sharing and integrating multiple remote sensing satellite sensors and their observations.

Capacity Model and Constraints Analysis for Integrated Remote Wireless Sensor and Satellite Network in Emergency Scenarios

Science.gov (United States)

Zhang, Wei; Zhang, Gengxin; Dong, Feihong; Xie, Zhidong; Bian, Dongming

2015-01-01

This article investigates the capacity problem of an integrated remote wireless sensor and satellite network (IWSSN) in emergency scenarios. We formulate a general model to evaluate the remote sensor and satellite network capacity. Compared to most existing works for ground networks, the proposed model is time varying and space oriented. To capture the characteristics of a practical network, we sift through major capacity-impacting constraints and analyze the influence of these constraints. Specifically, we combine the geometric satellite orbit model and satellite tool kit (STK) engineering software to quantify the trends of the capacity constraints. Our objective in analyzing these trends is to provide insights and design guidelines for optimizing the integrated remote wireless sensor and satellite network schedules. Simulation results validate the theoretical analysis of capacity trends and show the optimization opportunities of the IWSSN. PMID:26593919

Capacity Model and Constraints Analysis for Integrated Remote Wireless Sensor and Satellite Network in Emergency Scenarios.

Science.gov (United States)

Zhang, Wei; Zhang, Gengxin; Dong, Feihong; Xie, Zhidong; Bian, Dongming

2015-11-17

This article investigates the capacity problem of an integrated remote wireless sensor and satellite network (IWSSN) in emergency scenarios. We formulate a general model to evaluate the remote sensor and satellite network capacity. Compared to most existing works for ground networks, the proposed model is time varying and space oriented. To capture the characteristics of a practical network, we sift through major capacity-impacting constraints and analyze the influence of these constraints. Specifically, we combine the geometric satellite orbit model and satellite tool kit (STK) engineering software to quantify the trends of the capacity constraints. Our objective in analyzing these trends is to provide insights and design guidelines for optimizing the integrated remote wireless sensor and satellite network schedules. Simulation results validate the theoretical analysis of capacity trends and show the optimization opportunities of the IWSSN.

Constantin N. Arseni (1912-1994) centenary: the birth of modern neurosurgery in Romania.

Science.gov (United States)

Dinca, Eduard B; Banu, Matei; Ciurea, Alexandru V

2014-01-01

Prof. Dr. Constantin N. Arseni and his mentor, Prof. Dr. D. Bagdasar, are revered by later generations of doctors as the forefathers of Romanian neurosurgery. In 2012, we have celebrated 100 years since Prof. Arseni's birth in a small village within a deprived area of the country. Through his talents and perseveration, he rose to be a neurosurgical school creator and one of the most prominent figures in 20th-century Eastern European neurosurgery. This historical vignette is a modest tribute to his legacy and tells the story of his titanic endeavor. Copyright © 2014 Elsevier Inc. All rights reserved.

Genealogy of training in vascular neurosurgery.

Science.gov (United States)

Chowdhry, Shakeel A; Spetzler, Robert F

2014-02-01

Remarkable advances and changes in the landscape of neurovascular disease have occurred recently. Concurrently, a paradigm shift in training and resident education is underway. This crossroad of unique opportunities and pressures necessitates creative change in the training of future vascular neurosurgeons to allow incorporation of surgical advances, new technology, and supplementary treatment modalities in a setting of reduced work hours and increased public scrutiny. This article discusses the changing landscape in neurovascular disease treatment, followed by the recent changes in resident training, and concludes with our view of the future of training in vascular neurosurgery.

Virtual reality training in neurosurgery: Review of current status and future applications

Science.gov (United States)

Alaraj, Ali; Lemole, Michael G.; Finkle, Joshua H.; Yudkowsky, Rachel; Wallace, Adam; Luciano, Cristian; Banerjee, P. Pat; Rizzi, Silvio H.; Charbel, Fady T.

2011-01-01

Background: Over years, surgical training is changing and years of tradition are being challenged by legal and ethical concerns for patient safety, work hour restrictions, and the cost of operating room time. Surgical simulation and skill training offer an opportunity to teach and practice advanced techniques before attempting them on patients. Simulation training can be as straightforward as using real instruments and video equipment to manipulate simulated “tissue” in a box trainer. More advanced virtual reality (VR) simulators are now available and ready for widespread use. Early systems have demonstrated their effectiveness and discriminative ability. Newer systems enable the development of comprehensive curricula and full procedural simulations. Methods: A PubMed review of the literature was performed for the MESH words “Virtual reality, “Augmented Reality”, “Simulation”, “Training”, and “Neurosurgery”. Relevant articles were retrieved and reviewed. A review of the literature was performed for the history, current status of VR simulation in neurosurgery. Results: Surgical organizations are calling for methods to ensure the maintenance of skills, advance surgical training, and credential surgeons as technically competent. The number of published literature discussing the application of VR simulation in neurosurgery training has evolved over the last decade from data visualization, including stereoscopic evaluation to more complex augmented reality models. With the revolution of computational analysis abilities, fully immersive VR models are currently available in neurosurgery training. Ventriculostomy catheters insertion, endoscopic and endovascular simulations are used in neurosurgical residency training centers across the world. Recent studies have shown the coloration of proficiency with those simulators and levels of experience in the real world. Conclusion: Fully immersive technology is starting to be applied to the practice of

Integrating remote sensing, geographic information systems and global positioning system techniques with hydrological modeling

Science.gov (United States)

Thakur, Jay Krishna; Singh, Sudhir Kumar; Ekanthalu, Vicky Shettigondahalli

2017-07-01

Integration of remote sensing (RS), geographic information systems (GIS) and global positioning system (GPS) are emerging research areas in the field of groundwater hydrology, resource management, environmental monitoring and during emergency response. Recent advancements in the fields of RS, GIS, GPS and higher level of computation will help in providing and handling a range of data simultaneously in a time- and cost-efficient manner. This review paper deals with hydrological modeling, uses of remote sensing and GIS in hydrological modeling, models of integrations and their need and in last the conclusion. After dealing with these issues conceptually and technically, we can develop better methods and novel approaches to handle large data sets and in a better way to communicate information related with rapidly decreasing societal resources, i.e. groundwater.

The Spectrum of Altmetrics in Neurosurgery: The Top 100 "Trending" Articles in Neurosurgical Journals.

Science.gov (United States)

Wang, Justin; Alotaibi, Naif M; Ibrahim, George M; Kulkarni, Abhaya V; Lozano, Andres M

2017-07-01

Social media are increasingly used for the dissemination of scientific publications by most medical journals. The role of social media in increasing awareness of published works in neurosurgery has not been previously explored. Here, we present a qualitative analysis of the highest trending works in neurosurgery along with a correlation analysis with their social media metrics. We performed a comprehensive search for neurosurgical publications using the Altmetric database. The Altmetric database provides a weighted total score of all online mentions for an article received on Facebook, Twitter, blogs, and mainstream media sources. Our search was limited to articles published within the social media era (January 2010-January 2017). Descriptive and correlational statistics were performed for all articles. The top 100 articles in altmetrics were selected for qualitative analysis. A total of 5794 articles were included in this study. The average Altmetric score in neurosurgical articles was 4.7 (standard deviation ±22.4). Journals with a social media account had significantly higher Altmetric scores for their articles compared with those without an account (P articles in altmetrics belonged primarily to the Journal of Neurosurgery (33%) followed by Neurosurgery (29%). This is the first study that details the spectrum of Altmetric scores among neurosurgical journals. Social media presence for journals is important for greater outreach and engagement. Prediction of traditional citation using altmetrics data requires a future prospective study. Copyright © 2017 Elsevier Inc. All rights reserved.

Adding New Features to New and Existing Remote Experiments through their Integration in WebLab-Deusto

Directory of Open Access Journals (Sweden)

Diego López-de-Ipiña

2011-10-01

Full Text Available During the last decade, efforts have been made in the development and publishing of remote experiments for educational purposes. In order to reduce the duplicity of work and to improve the common requirements that are shared by different remote laboratories, remote experiment management platforms have been developed, such as MIT iLabs, LabShare Sahara or WebLab-Deusto. In this paper, we describe how the development of experiments is handled in WebLab-Deusto, supporting both managed (developed used the APIs provided by WebLab-Deusto and unmanaged experiments (using Virtual Machines or LabVIEW, and comparing both approaches. It also shows the results of integrating remote experiments under this system, with the use case of VISIR, the electronics remote laboratory developed in BTH.

Patterns in neurosurgical adverse events: endovascular neurosurgery.

Science.gov (United States)

Wong, Judith M; Ziewacz, John E; Panchmatia, Jaykar R; Bader, Angela M; Pandey, Aditya S; Thompson, B Gregory; Frerichs, Kai; Gawande, Atul A

2012-11-01

As part of a project to devise evidence-based safety interventions for specialty surgery, the authors sought to review current evidence in endovascular neurosurgery concerning the frequency of adverse events in practice, their patterns, and current methods of reducing the occurrence of these events. This review represents part of a series of papers written to consolidate information about these events and preventive measures as part of an ongoing effort to ascertain the utility of devising system-wide policies and safety tools to improve neurosurgical practice. Based on a review of the literature, thromboembolic events appeared to be the most common adverse events in endovascular neurosurgery, with a reported incidence ranging from 2% to 61% depending on aneurysm rupture status and mode of detection of the event. Intraprocedural and periprocedural prevention and rescue regimens are advocated to minimize this risk; however, evidence on the optimal use of anticoagulant and antithrombotic agents is limited. Furthermore, it is unknown what proportion of eligible patients receive any prophylactic treatment. Groin-site hematoma is the most common access-related complication. Data from the cardiac literature indicate an overall incidence of 9% to 32%, but data specific to neuroendovascular therapy are scant. Manual compression, compression adjuncts, and closure devices are used with varying rates of success, but no standardized protocols have been tested on a broad scale. Contrast-induced nephropathy is one of the more common causes of hospital-acquired renal insufficiency, with an incidence of 30% in high-risk patients after contrast administration. Evidence from medical fields supports the use of various preventive strategies. Intraprocedural vessel rupture is infrequent, with the reported incidence ranging from 1% to 9%, but it is potentially devastating. Improvements in device technology combined with proper endovascular technique play an important role in reducing

Planning and Executing the Neurosurgery Boot Camp: The Bolivia Experience.

Science.gov (United States)

Ament, Jared D; Kim, Timothy; Gold-Markel, Judah; Germano, Isabelle M; Dempsey, Robert; Weaver, John P; DiPatri, Arthur J; Andrews, Russell J; Sanchez, Mary; Hinojosa, Juan; Moser, Richard P; Glick, Roberta

2017-08-01

The neurosurgical boot camp has been fully incorporated into U.S. postgraduate education. This is the first implementation of the neurosurgical boot in a developing country. To advance neurosurgical education, we developed a similar boot camp program, in collaboration with Bolivian neurosurgeons, to determine its feasibility and effectiveness in an international setting. In a collective effort, the Bolivian Society for Neurosurgery, Foundation for International Education in Neurological Surgery, Solidarity Bridge, and University of Massachusetts organized and executed the first South American neurosurgical boot camp in Bolivia in 2015. Both U.S. and Bolivian faculty led didactic lectures followed by a practicum day using mannequins and simulators. South American residents and faculty were surveyed after the course to determine levels of enthusiasm and their perceived improvement in fund of knowledge and course effectiveness. Twenty-four neurosurgery residents from 5 South American countries participated. Average survey scores ranged between 4.2 and 4.9 out of 5. Five Bolivian neurosurgeons completed the survey with average scores of 4.5-5. This event allowed for Bolivian leaders in the field to unify around education, resulting in the formation of an institute to continue similar initiatives. Total cost was estimated at $40 000 USD; however, significant faculty, industry, and donor support helped offset this amount. The first South American neurosurgical boot camp had significant value and was well received in Bolivia. This humanitarian model provides a sustainable solution to education needs and should be expanded to other regions as a means for standardizing the core competencies in neurosurgery. Copyright © 2017 Elsevier Inc. All rights reserved.

Three-dimensional, computer simulated navigation in endoscopic neurosurgery

Directory of Open Access Journals (Sweden)

Roberta K. Sefcik, BHA

2017-06-01

Conclusion: Three-dimensional, frameless neuronavigation systems are useful in endoscopic neurosurgery to assist in the pre-operative planning of potential trajectories and to help localize the pathology of interest. Neuronavigation appears to be accurate to <1–2 mm without issues related to brain shift. Further work is necessary in the investigation of the effect of neuronavigation on operative time, cost, and patient-centered outcomes.

Study on Method of Geohazard Change Detection Based on Integrating Remote Sensing and GIS

International Nuclear Information System (INIS)

Zhao, Zhenzhen; Yan, Qin; Liu, Zhengjun; Luo, Chengfeng

2014-01-01

Following a comprehensive literature review, this paper looks at analysis of geohazard using remote sensing information. This paper compares the basic types and methods of change detection, explores the basic principle of common methods and makes an respective analysis of the characteristics and shortcomings of the commonly used methods in the application of geohazard. Using the earthquake in JieGu as a case study, this paper proposes a geohazard change detection method integrating RS and GIS. When detecting the pre-earthquake and post-earthquake remote sensing images at different phases, it is crucial to set an appropriate threshold. The method adopts a self-adapting determination algorithm for threshold. We select a training region which is obtained after pixel information comparison and set a threshold value. The threshold value separates the changed pixel maximum. Then we apply the threshold value to the entire image, which could also make change detection accuracy maximum. Finally, we output the result to the GIS system to make change analysis. The experimental results show that this method of geohazard change detection based on integrating remote sensing and GIS information has higher accuracy with obvious advantages compared with the traditional methods

Safeguards equipment of the future: Integrated monitoring systems and remote monitoring

International Nuclear Information System (INIS)

Sonnier, C.S.; Johnson, C.S.

1994-01-01

From the beginning, equipment to support IAEA Safeguards could be characterized as that which is used to measure nuclear material, Destructive Assay (DA) and Non Destructive Assay (NDA), and that which is used to provide continuity of knowledge between inspection intervals, Containment ampersand Surveillance (C/S). C/S equipment has often been thought of as Cameras and Seals, with a limited number of monitors being employed as they became available. In recent years, technology has advanced at an extremely rapid rate, and continues to do so. The traditional film cameras are being replaced by video equipment, and fiber optic and electronic seals have come into rather widespread use. Perhaps the most interesting aspect of this evolution, and that which indicates the wave of the future without much question, is the integration of video surveillance and electronic seals with a variety of monitors. This is demonstrated by safeguards systems which are installed in several nuclear facilities in France, Germany, Japan, the UK, the USA, and elsewhere. The terminology of Integrated Monitoring Systems (IMS) has emerged, with the employment of network technology capable of interconnecting all desired elements in a very flexible manner. Also, the technology for transmission of a wide variety of information to off-site locations, termed Remote Monitoring, is in widespread industrial use, requiring very little adaptation for safeguards use. This paper examines the future of the Integrated Monitoring Systems and Remote Monitoring in International Safeguards, including technical and other related factors

A neurosurgery/stereotactic radiotherapy dedicated PACS for conformal radiotherapy

International Nuclear Information System (INIS)

Lefkopoulos, D.; Bocquiault, P.; Levrier, M.; Merienne, L.; Schlienger, M.

1995-01-01

To realise conformal cerebral stereotactic irradiations we use a Neurosurgery/stereotactic dedicated PACS between two distant hospitals. It connects the stereotactic neurosurgery planification imaging system NEUROAXIS (Sopelem-Sofretec/Ste Anne Hospital) with the dosimetric TPS ARTEMIS-3D/Dosigray (Tenon Hospital). NEUROAXIS is a computer aided stereotactic biopsies and stereo-electroencephalographies, used by surgeons in operating room. The system determines the precise location data for Talairach radiological equipment (X ray source at 5 meters from film) and the geometry of scanner and MRI stereotactical referentials. It provides a full set of features for lesion localization, geometrical computations, surgical planifications, picture archiving, stereotactic angiography, CT and MRI image processing and networking. It sends images through the French public digital network ISDN (NUMERIS/France Telecom : 2x64 Kbits/s) from Ste Anne to Tenon Hospital. Stereotactic angiographic and CT images are reformatted into the DOSIGRAY image processing environment where 3-D dose distributions, displays and DVHs are computed to determine the optimal treatment. ARTEMIS-3D/Dosigray is a TPS for stereotactic radiotherapy devised by the Tenon Hospital for clinical methodology and 3D dose calculations, optimization software development and the Dosigray company for multimodality imaging, (2D(3D)) computer graphics for dose and anatomical representation and data networking. Communication within the radiation oncology department is provided by local area ETHERNET network, linking heterogeneous systems (Vaxstations-3200; Decstation (5000(240))) by means of different protocols. The works in progress are to send back via the same network the 3-D dose matrix to Neurosurgery department NEUROAXIS system. Our PACS is used since six months to treat patients. It has permitted to improve the treatment quality in comparison with our first version TPS ARTEMIS-3D

Remote Lower White Matter Integrity Increases the Risk of Long-Term Cognitive Impairment After Ischemic Stroke in Young Adults.

Science.gov (United States)

Schaapsmeerders, Pauline; Tuladhar, Anil M; Arntz, Renate M; Franssen, Sieske; Maaijwee, Noortje A M; Rutten-Jacobs, Loes C A; Schoonderwaldt, Hennie C; Dorresteijn, Lucille D A; van Dijk, Ewoud J; Kessels, Roy P C; de Leeuw, Frank-Erik

2016-10-01

Poststroke cognitive impairment occurs frequently in young patients with ischemic stroke (18 through 50 years of age). Accumulating data suggest that stroke is associated with lower white matter integrity remote from the stroke impact area, which might explain why some patients have good long-term cognitive outcome and others do not. Given the life expectancy of decades in young patients, we therefore investigated remote white matter in relation to long-term cognitive function. We included all consecutive first-ever ischemic stroke patients, left/right hemisphere, without recurrent stroke or transient ischemic attack during follow-up, aged 18 through 50 years, admitted to our university medical center between 1980 and 2010. One hundred seventeen patients underwent magnetic resonance imaging scanning including a T1-weighted scan, a diffusion tensor imaging scan, and completed a neuropsychological assessment. Patients were compared with a matched stroke-free control group (age, sex, and education matched). Cognitive impairment was defined as >1.5 SD below the mean cognitive index score of controls and no cognitive impairment as ≤1 SD. Tract-Based Spatial Statistics was used to assess the white matter integrity (fractional anisotropy and mean diffusivity). About 11 years after ischemic stroke, lower remote white matter integrity was associated with a worse long-term cognitive performance. A lower remote white matter integrity, even in the contralesional hemisphere, was observed in cognitively impaired patients (n=25) compared with cognitively unimpaired patients (n=71). These findings indicate that although stroke has an acute onset, it might have long lasting effects on remote white matter integrity and thereby increases the risk of long-term cognitive impairment. © 2016 American Heart Association, Inc.

Remote Sensing

CERN Document Server

Khorram, Siamak; Koch, Frank H; van der Wiele, Cynthia F

2012-01-01

Remote Sensing provides information on how remote sensing relates to the natural resources inventory, management, and monitoring, as well as environmental concerns. It explains the role of this new technology in current global challenges. "Remote Sensing" will discuss remotely sensed data application payloads and platforms, along with the methodologies involving image processing techniques as applied to remotely sensed data. This title provides information on image classification techniques and image registration, data integration, and data fusion techniques. How this technology applies to natural resources and environmental concerns will also be discussed.

Evolving virtual reality simulation in neurosurgery.

Science.gov (United States)

Schirmer, Clemens M; Mocco, J; Elder, J Bradley

2013-10-01

Virtual reality (VR) applications promise the safe, efficacious, and valid replication of scenarios encountered in modern neurosurgery, and a number of navigation- or dissection-related and endovascular simulators have been successfully deployed in the last 2 decades. Concurrently, neurosurgical training is changing, and VR simulations are expected to play a part in future training. To give an overview of currently available neurosurgical VR applications in the spectrum of desired applications and the outlook of the requirements to be met by future applications. The available literature was analyzed using structured Medline and PubMed searches. Relevant articles were retrieved and reviewed. When quantitative results were available, effect sizes were collated or estimated to check for publication bias. There has been a significant increase in publications concerning the use of VR in neurosurgery in the last 22 years (P < .001). Thirty-eight of 117 publications (32%) identified reported data regarding the use of a simulator by practitioners; 35 of these were reported as positive trials (92%). Twenty-two of 38 studies (58%) reported quantitative data with mostly small positive effect sizes (median, 1.41; interquartile range, 1.08-2). The use of VR simulators in endovascular surgery has the most robust basis, with 65% of studies reporting quantitative outcomes. Current neurosurgical VR applications focus on basic procedural skill acquisition and are valid and efficacious adjuncts to neurosurgical training. In the future, the development of complex procedural simulators, teamwork, and focus on validated measures will lead to robust framework of the use of VR over the entire career of a neurosurgeon.

Anaesthesia and analgesia in Göttingen minipigs - examples of protocols used for neurosurgery and scanning procedures

DEFF Research Database (Denmark)

Alstrup, Aage Kristian Olsen

Neurosurgery in Göttingen minipigs is often a welfare challenge, and therefore, the main goal of my talk will be to discuss how to improve animal welfare during brain surgery and the days following surgery. A combination of inhalation/infusion anaesthesia with opioids such as injections with bupr......Neurosurgery in Göttingen minipigs is often a welfare challenge, and therefore, the main goal of my talk will be to discuss how to improve animal welfare during brain surgery and the days following surgery. A combination of inhalation/infusion anaesthesia with opioids such as injections......, especially ensuring sufficient analgesia and water/food intake during the first hours and days. Compared to neurosurgery, scanning procedures are normally unproblematic from a welfare point of view. However, anaesthesia may influence the results of brain scans, particularly functional scans, such as positron...

InP HEMT Integrated Circuits for Submillimeter Wave Radiometers in Earth Remote Sensing

Science.gov (United States)

Deal, William R.; Chattopadhyay, Goutam

2012-01-01

The operating frequency of InP integrated circuits has pushed well into the Submillimeter Wave frequency band, with amplification reported as high as 670 GHz. This paper provides an overview of current performance and potential application of InP HEMT to Submillimeter Wave radiometers for earth remote sensing.

The contributions of W.D. Stevenson to the development of neurosurgery in Atlantic Canada.

Science.gov (United States)

Mukhida, K; Mendez, I

1999-08-01

The establishment of a neurosurgical department in Halifax in January 1948 marked the beginnings of the first dedicated neurosurgical service in Atlantic Canada. The development of neurosurgery in Halifax occurred in a receptive place and time. The Victoria General Hospital, the region's largest tertiary care centre, and the Dalhousie University Faculty of Medicine were in a period of growth associated with medical specialization and departmentalization, changes inspired in part by the Flexner Report of 1910. Atlantic Canadians during this period were increasingly looking to specialists for their medical care. Although this social environment encouraged the establishment of surgical specialty services, the development of neurosurgery in Halifax, as in other parts of Canada, was closely associated with the efforts of individual neurosurgeons, such as William D. Stevenson. After training with Kenneth G. McKenzie in Toronto, Stevenson was recruited to Halifax and established the first neurosurgical department in Atlantic Canada. From the outset and over his twenty-six years as Department Head at the Victoria General Hospital and Dalhousie University, Stevenson worked to maintain the department's commitment to clinical practice, medical education, and research. Although Stevenson single-handedly ran the service for several years after its inception, by the time of his retirement in 1974 the neurosurgery department had grown to include five attending staff surgeons who performed over two thousand procedures each year. This paper highlights the importance of Stevenson's contributions to the development of neurosurgery in Atlantic Canada within the context of the social and medical environment of the region.

Integrating remote sensing and ancillary data for regional ecosystem assessment: eucalyptus grandis agro-system in kwazulu-Natal, South Africa

CSIR Research Space (South Africa)

Cho, Moses A

2009-07-01

Full Text Available The study demonstrates that the integration of remote sensing and in situ data could be important in providing more accurate estimates of E. grandis state in KwaZulu Natal, South Africa compared to remote sensing models. Such modelling effort would...

The Current Use of Social Media in Neurosurgery.

Science.gov (United States)

Alotaibi, Naif M; Badhiwala, Jetan H; Nassiri, Farshad; Guha, Daipayan; Ibrahim, George M; Shamji, Mohammed F; Lozano, Andres M

2016-04-01

To measure the presence and popularity of neurosurgical departments, journals, and nonprofit organizations on 3 major social networks. A systematic 2-pronged search strategy was used in June 2015 to identify all accounts on Facebook, Twitter, and YouTube that were relevant to neurosurgery. Online search was conducted by 2 independent authors. All accounts were ranked according to their popularity data. Our search yielded 158 social media accounts (86 Facebook, 59 Twitter, and 13 YouTube) of neurosurgical private and academic practice departments. Of the 158 accounts we retrieved, 117 were for private practice centers (74%). Accounts of academic and private departments had a similar median number of "likes" and "followers" on Facebook and Twitter, respectively. Seven neurosurgical journals only had active Facebook and Twitter accounts (of 20 screened journals). When compared with studies of social media in other medical subspecialties, the use of these networks in neurosurgery followed a similar pattern in their presence and popularity. The current study shows different uses of social media platforms and numbers of users of the online neurosurgical community. Content optimization, advanced metrics of user engagement, and their subsequent effects on academic impact remain unanswered queries and require further prospective study. Copyright © 2016 Elsevier Inc. All rights reserved.

Comment on id-based remote data integrity checking with data privacy preserving

Science.gov (United States)

Zhang, Jianhong; Meng, Hongxin

2017-09-01

Recently, an ID-based remote data integrity checking protocol with perfect data privacy preserving (IEEE Transactions on Information Forensics and Security, doi: 10.1109/TIFS.2016.2615853) was proposed to achieve data privacy protection and integrity checking. Unfortunately, in this letter, we demonstrate that their protocol is insecure. An active hacker can modify the stored data without being detected by the verifier in the auditing. And we also show malicious cloud server can convince the verifier that the stored data are kept intact after the outsourced data blocks are deleted. Finally, the reasons to produce such attacks are given.

Integration of heterogeneous features for remote sensing scene classification

Science.gov (United States)

Wang, Xin; Xiong, Xingnan; Ning, Chen; Shi, Aiye; Lv, Guofang

2018-01-01

Scene classification is one of the most important issues in remote sensing (RS) image processing. We find that features from different channels (shape, spectral, texture, etc.), levels (low-level and middle-level), or perspectives (local and global) could provide various properties for RS images, and then propose a heterogeneous feature framework to extract and integrate heterogeneous features with different types for RS scene classification. The proposed method is composed of three modules (1) heterogeneous features extraction, where three heterogeneous feature types, called DS-SURF-LLC, mean-Std-LLC, and MS-CLBP, are calculated, (2) heterogeneous features fusion, where the multiple kernel learning (MKL) is utilized to integrate the heterogeneous features, and (3) an MKL support vector machine classifier for RS scene classification. The proposed method is extensively evaluated on three challenging benchmark datasets (a 6-class dataset, a 12-class dataset, and a 21-class dataset), and the experimental results show that the proposed method leads to good classification performance. It produces good informative features to describe the RS image scenes. Moreover, the integration of heterogeneous features outperforms some state-of-the-art features on RS scene classification tasks.

Candida infection of the central nervous system following neurosurgery: a 12-year review.

LENUS (Irish Health Repository)

O'Brien, Deirdre

2012-02-01

BACKGROUND: Candida infection of the central nervous system (CNS) following neurosurgery is relatively unusual but is associated with significant morbidity and mortality. We present our experience with this infection in adults and discuss clinical characteristics, treatment options, and outcome. METHODS: All episodes of Candida isolated from the central nervous system were identified by searching our laboratory database. Review of the cases was performed by means of a retrospective chart review. RESULTS: Eleven episodes of Candida CSF infection following neurosurgery were identified over a 12-year period. Candida albicans was the predominant species isolated (n = 8, 73%). All infections were associated with foreign intracranial material, nine with external ventricular drains (82%), one with a ventriculoperitoneal shunt, one with a lumbar drain, and one with Gliadel wafers (1,3-bis [2-chloroethyl]-1-nitrosurea). Fluconazole or liposomal amphotericin B were the most common anti-fungal agents used. The mortality rate identified in our series was 27%. CONCLUSIONS: Candida infection following neurosurgery remains a relatively rare occurrence but one that causes significant mortality. These are complex infections, the management of which benefits from a close liaison between the clinical microbiologist and neurosurgeon. Prompt initiation of antifungal agents and removal of infected devices offers the best hope of a cure.

Evolution in Practice: How has British Neurosurgery Changed in the Last 10 Years?

Science.gov (United States)

Tarnaris, A; Arvin, B; Ashkan, K

2008-01-01

INTRODUCTION Neurosurgery is a fast-evolving surgical subspecialty driven by technological advances, socio-economic factors and patient expectations. In this study, we have compared the work-load volume in a single institution in the years of 1994 and 2004 and commented on the possible reasons for the changes and the impacts they may have for the future. PATIENTS AND METHODS A retrospective, log-book review of all operations performed in the years 1994 and 2004 in a single, tertiary, neurosurgical centre was performed. RESULTS Neurosurgical practice has evolved over this period. Current practice has moved away from clipping of aneurysms and towards coil embolisation performed by interventional radiologists. Electrode stimulation of deep brain regions for movement disorders is the current practice, whereas 10 years ago the same disorders were dealt with by lesioning of the relevant regions. In spinal neurosurgery, instrumentation is increasingly favoured currently. In the field of neuro-oncology, current practice favours minimal access to the target area by the use of stereotactic localisation. CONCLUSIONS Changes were most pronounced in the subspecialties of vascular, functional and spinal neurosurgery within this 10-year period. Knowledge of such dynamics is valuable in health resource management as well as planning for neurosurgical training programmes. PMID:18765031

Aura of technology and the cutting edge: a history of lasers in neurosurgery.

Science.gov (United States)

Ryan, Robert W; Spetzler, Robert F; Preul, Mark C

2009-09-01

In this historical review the authors examine the important developments that have led to the availability of laser energy to neurosurgeons as a unique and sometimes invaluable tool. They review the physical science behind the function of lasers, as well as how and when various lasers based on different lasing mediums were discovered. They also follow the close association between advances in laser technology and their application in biomedicine, from early laboratory experiments to the first clinical experiences. Because opinions on the appropriate role of lasers in neurosurgery vary widely, the historical basis for some of these views is explored. Initial enthusiasm for a technology that appears to have innate advantages for safe resections has often given way to the strict limitations and demands of the neurosurgical operating theater. However, numerous creative solutions to improve laser delivery, power, safety, and ergonomics demonstrate the important role that technological advances in related scientific fields continue to offer neurosurgery. Benefiting from the most recent developments in materials science, current CO(2) laser delivery systems provide a useful addition to the neurosurgical armamentarium when applied in the correct circumstances and reflect the important historical advances that come about from the interplay between neurosurgery and technology.

Augmented Reality in Neurosurgery: A Review of Current Concepts and Emerging Applications.

Science.gov (United States)

Guha, Daipayan; Alotaibi, Naif M; Nguyen, Nhu; Gupta, Shaurya; McFaul, Christopher; Yang, Victor X D

2017-05-01

Augmented reality (AR) superimposes computer-generated virtual objects onto the user's view of the real world. Among medical disciplines, neurosurgery has long been at the forefront of image-guided surgery, and it continues to push the frontiers of AR technology in the operating room. In this systematic review, we explore the history of AR in neurosurgery and examine the literature on current neurosurgical applications of AR. Significant challenges to surgical AR exist, including compounded sources of registration error, impaired depth perception, visual and tactile temporal asynchrony, and operator inattentional blindness. Nevertheless, the ability to accurately display multiple three-dimensional datasets congruently over the area where they are most useful, coupled with future advances in imaging, registration, display technology, and robotic actuation, portend a promising role for AR in the neurosurgical operating room.

Robotic Stereotaxy in Cranial Neurosurgery: A Qualitative Systematic Review.

Science.gov (United States)

Fomenko, Anton; Serletis, Demitre

2017-12-14

Modern-day stereotactic techniques have evolved to tackle the neurosurgical challenge of accurately and reproducibly accessing specific brain targets. Neurosurgical advances have been made in synergy with sophisticated technological developments and engineering innovations such as automated robotic platforms. Robotic systems offer a unique combination of dexterity, durability, indefatigability, and precision. To perform a systematic review of robotic integration for cranial stereotactic guidance in neurosurgery. Specifically, we comprehensively analyze the strengths and weaknesses of a spectrum of robotic technologies, past and present, including details pertaining to each system's kinematic specifications and targeting accuracy profiles. Eligible articles on human clinical applications of cranial robotic-guided stereotactic systems between 1985 and 2017 were extracted from several electronic databases, with a focus on stereotactic biopsy procedures, stereoelectroencephalography, and deep brain stimulation electrode insertion. Cranial robotic stereotactic systems feature serial or parallel architectures with 4 to 7 degrees of freedom, and frame-based or frameless registration. Indications for robotic assistance are diversifying, and include stereotactic biopsy, deep brain stimulation and stereoelectroencephalography electrode placement, ventriculostomy, and ablation procedures. Complication rates are low, and mainly consist of hemorrhage. Newer systems benefit from increasing targeting accuracy, intraoperative imaging ability, improved safety profiles, and reduced operating times. We highlight emerging future directions pertaining to the integration of robotic technologies into future neurosurgical procedures. Notably, a trend toward miniaturization, cost-effectiveness, frameless registration, and increasing safety and accuracy characterize successful stereotactic robotic technologies. Copyright © 2017 by the Congress of Neurological Surgeons

Integrating field sampling, geostatistics and remote sensing to map wetland vegetation in the Pantanal, Brazil

Directory of Open Access Journals (Sweden)

J. Arieira

2011-03-01

Full Text Available Development of efficient methodologies for mapping wetland vegetation is of key importance to wetland conservation. Here we propose the integration of a number of statistical techniques, in particular cluster analysis, universal kriging and error propagation modelling, to integrate observations from remote sensing and field sampling for mapping vegetation communities and estimating uncertainty. The approach results in seven vegetation communities with a known floral composition that can be mapped over large areas using remotely sensed data. The relationship between remotely sensed data and vegetation patterns, captured in four factorial axes, were described using multiple linear regression models. There were then used in a universal kriging procedure to reduce the mapping uncertainty. Cross-validation procedures and Monte Carlo simulations were used to quantify the uncertainty in the resulting map. Cross-validation showed that accuracy in classification varies according with the community type, as a result of sampling density and configuration. A map of uncertainty derived from Monte Carlo simulations revealed significant spatial variation in classification, but this had little impact on the proportion and arrangement of the communities observed. These results suggested that mapping improvement could be achieved by increasing the number of field observations of those communities with a scattered and small patch size distribution; or by including a larger number of digital images as explanatory variables in the model. Comparison of the resulting plant community map with a flood duration map, revealed that flooding duration is an important driver of vegetation zonation. This mapping approach is able to integrate field point data and high-resolution remote-sensing images, providing a new basis to map wetland vegetation and allow its future application in habitat management, conservation assessment and long-term ecological monitoring in wetland

Informed consent in neurosurgery--translating ethical theory into action.

Science.gov (United States)

Schmitz, Dagmar; Reinacher, Peter C

2006-09-01

Although a main principle of medical ethics and law since the 1970s, standards of informed consent are regarded with great scepticism by many clinicans. By reviewing the reactions to and adoption of this principle of medical ethics in neurosurgery, the characteristic conflicts that emerge between theory and everyday clinical experience are emphasised and a modified conception of informed consent is proposed. The adoption and debate of informed consent in neurosurgery took place in two steps. Firstly, respect for patient autonomy was included into the ethical codes of the professional organisations. Secondly, the legal demands of the principle were questioned by clinicians. Informed consent is mainly interpreted in terms of freedom from interference and absolute autonomy. It lacks a constructive notion of physician-patient interaction in its effort to promote the best interest of the patient, which, however, potentially emerges from a reconsideration of the principle of beneficence. To avoid insufficient legal interpretations, informed consent should be understood in terms of autonomy and beneficence. A continuous interaction between the patient and the given physician is considered as an essential prerequisite for the realisation of the standards of informed consent.

Neurosurgery and brain shift: review of the state of the art and main contributions of robotics

Directory of Open Access Journals (Sweden)

Karin Correa-Arana

2017-09-01

Full Text Available This paper presents a review about neurosurgery, robotic assistants in this type of procedure, and the approach to the problem of brain tissue displacement, including techniques for obtaining medical images. It is especially focused on the phenomenon of brain displacement, commonly known as brain shift, which causes a loss of reference between the preoperative images and the volumes to be treated during image-guided surgery. Hypothetically, with brain shift prediction and correction for the neuronavigation system, minimal invasion trajectories could be planned and shortened. This would reduce damage to functional tissues and possibly lower the morbidity and mortality in delicate and demanding medical procedures such as the removal of a brain tumor. This paper also mentions other issues associated with neurosurgery and shows the way robotized systems have helped solve these problems. Finally, it highlights the future perspectives of neurosurgery, a branch of medicine that seeks to treat the ailments of the main organ of the human body from the perspective of many disciplines.

Remote communications technology redefines integrity verification and monitoring of low pressure isolation

Energy Technology Data Exchange (ETDEWEB)

Anon.

2010-01-15

In 2007, a ship collided with the southeast face of a satellite platform jacket in the North Sea, damaging the 12-inch export riser. Emergency shutdown valves immediately shut-in production from the platform, leaving the pressure in the pipeline at approximately 4 barg. The riser had to be repaired before production could resume. TDW Offshore Services (TDW) was hired to develop a low pressure solution to isolate the damaged section of the pipeline riser from the export pipeline gas inventory. TDW used its range of specialist pipeline pigging, pig tracking and remote communications technology to solve the problem. The solution consisted of a custom-designed TDW pig trap and pigging spread; a high friction pig train furnished with the SmartTrack remote tracking and pressure-monitoring system; a SmartTrack subsea remote tracking and pressure-monitoring system; a SmartTrack topside tracking and monitoring system with radio link to the dive support vessel; and a pipeline isolation ball valve. TDW was able to monitor the downstream pressure of each isolation pig continuously throughout the operation using its innovative technology that sends isolation integrity data by radio link to a dive support vessel through pipe wall communications. The use of remote tracking and pressure monitoring technology enabled TDW to make repairs to the damaged riser while maintaining a continuous flow throughout the duration of the operation. 4 figs.

Dynamic integration of remote cloud resources into local computing clusters

Energy Technology Data Exchange (ETDEWEB)

Fleig, Georg; Erli, Guenther; Giffels, Manuel; Hauth, Thomas; Quast, Guenter; Schnepf, Matthias [Institut fuer Experimentelle Kernphysik, Karlsruher Institut fuer Technologie (Germany)

2016-07-01

In modern high-energy physics (HEP) experiments enormous amounts of data are analyzed and simulated. Traditionally dedicated HEP computing centers are built or extended to meet this steadily increasing demand for computing resources. Nowadays it is more reasonable and more flexible to utilize computing power at remote data centers providing regular cloud services to users as they can be operated in a more efficient manner. This approach uses virtualization and allows the HEP community to run virtual machines containing a dedicated operating system and transparent access to the required software stack on almost any cloud site. The dynamic management of virtual machines depending on the demand for computing power is essential for cost efficient operation and sharing of resources with other communities. For this purpose the EKP developed the on-demand cloud manager ROCED for dynamic instantiation and integration of virtualized worker nodes into the institute's computing cluster. This contribution will report on the concept of our cloud manager and the implementation utilizing a remote OpenStack cloud site and a shared HPC center (bwForCluster located in Freiburg).

Checklists in Neurosurgery to Decrease Preventable Medical Errors: A Review

Science.gov (United States)

Enchev, Yavor

2015-01-01

Neurosurgery represents a zero tolerance environment for medical errors, especially preventable ones like all types of wrong site surgery, complications due to the incorrect positioning of patients for neurosurgical interventions and complications due to failure of the devices required for the specific procedure. Following the excellent and encouraging results of the safety checklists in intensive care medicine and in other surgical areas, the checklist was naturally introduced in neurosurgery. To date, the reported world experience with neurosurgical checklists is limited to 15 series with fewer than 20,000 cases in various neurosurgical areas. The purpose of this review was to study the reported neurosurgical checklists according to the following parameters: year of publication; country of origin; area of neurosurgery; type of neurosurgical procedure-elective or emergency; person in charge of the checklist completion; participants involved in completion; whether they prevented incorrect site surgery; whether they prevented complications due to incorrect positioning of the patients for neurosurgical interventions; whether they prevented complications due to failure of the devices required for the specific procedure; their specific aims; educational preparation and training; the time needed for checklist completion; study duration and phases; number of cases included; barriers to implementation; efforts to implementation; team appreciation; and safety outcomes. Based on this analysis, it could be concluded that neurosurgical checklists represent an efficient, reliable, cost-effective and time-saving tool for increasing patient safety and elevating the neurosurgeons’ self-confidence. Every neurosurgical department must develop its own neurosurgical checklist or adopt and modify an existing one according to its specific features and needs in an attempt to establish or develop its safety culture. The world, continental, regional and national neurosurgical societies

Admissions for isolated nonoperative mild head injuries: Sharing the burden among trauma surgery, neurosurgery, and neurology.

Science.gov (United States)

Zhao, Ting; Mejaddam, Ali Y; Chang, Yuchiao; DeMoya, Marc A; King, David R; Yeh, Daniel D; Kaafarani, Haytham M A; Alam, Hasan B; Velmahos, George C

2016-10-01

Isolated nonoperative mild head injuries (INOMHI) occur with increasing frequency in an aging population. These patients often have multiple social, discharge, and rehabilitation issues, which far exceed the acute component of their care. This study was aimed to compare the outcomes of patients with INOMHI admitted to three services: trauma surgery, neurosurgery, and neurology. Retrospective case series (January 1, 2009 to August 31, 2013) at an academic Level I trauma center. According to an institutional protocol, INOMHI patients with Glasgow Coma Scale (GCS) of 13 to 15 were admitted on a weekly rotational basis to trauma surgery, neurosurgery, and neurology. The three populations were compared, and the primary outcomes were survival rate to discharge, neurological status at hospital discharge as measured by the Glasgow Outcome Score (GOS), and discharge disposition. Four hundred eighty-eight INOMHI patients were admitted (trauma surgery, 172; neurosurgery, 131; neurology, 185). The mean age of the study population was 65.3 years, and 58.8% of patients were male. Seventy-seven percent of patients has a GCS score of 15. Age, sex, mechanism of injury, Charlson Comorbidity Index, Injury Severity Score, Abbreviated Injury Scale in head and neck, and GCS were similar among the three groups. Patients who were admitted to trauma surgery, neurosurgery and neurology services had similar proportions of survivors (98.8% vs 95.7% vs 94.7%), and discharge disposition (home, 57.0% vs 61.6% vs 55.7%). The proportion of patients with GOS of 4 or 5 on discharge was slightly higher among patients admitted to trauma (97.7% vs 93.0% vs 92.4%). In a logistic regression model adjusting for Charlson Comorbidity Index CCI and Abbreviated Injury Scale head and neck scores, patients who were admitted to neurology or neurosurgery had significantly lower odds being discharged with GOS 4 or 5. While the trauma group had the lowest proportion of repeats of brain computed tomography (61

Interrupted time-series analysis: studying trends in neurosurgery.

Science.gov (United States)

Wong, Ricky H; Smieliauskas, Fabrice; Pan, I-Wen; Lam, Sandi K

2015-12-01

OBJECT Neurosurgery studies traditionally have evaluated the effects of interventions on health care outcomes by studying overall changes in measured outcomes over time. Yet, this type of linear analysis is limited due to lack of consideration of the trend's effects both pre- and postintervention and the potential for confounding influences. The aim of this study was to illustrate interrupted time-series analysis (ITSA) as applied to an example in the neurosurgical literature and highlight ITSA's potential for future applications. METHODS The methods used in previous neurosurgical studies were analyzed and then compared with the methodology of ITSA. RESULTS The ITSA method was identified in the neurosurgical literature as an important technique for isolating the effect of an intervention (such as a policy change or a quality and safety initiative) on a health outcome independent of other factors driving trends in the outcome. The authors determined that ITSA allows for analysis of the intervention's immediate impact on outcome level and on subsequent trends and enables a more careful measure of the causal effects of interventions on health care outcomes. CONCLUSIONS ITSA represents a significant improvement over traditional observational study designs in quantifying the impact of an intervention. ITSA is a useful statistical procedure to understand, consider, and implement as the field of neurosurgery evolves in sophistication in big-data analytics, economics, and health services research.

Research plan for integrated ecosystem and pollutant monitoring at remote wilderness study sites

International Nuclear Information System (INIS)

Bruns, D.A.; Wiersma, G.B.

1988-03-01

This research plan outlines an approach to the measurement of pollutants and ecosystem parameters at remote, high-elevation, wilderness study sites. A multimedia, systems approach to environmental monitoring is emphasized. The primary purpose of the research is to apply and field test a technical report entitled ''Guidelines for measuring the physical, chemical, and biological condition of wilderness ecosystems.'' This document intended to provide Federal Land Managers with information to establish environmental monitoring programs in wilderness areas. To date, this monitoring document has yet to be evaluated under rigorous field conditions at a remote, high-elevation Rocky Mountain site. For the purpose of field testing approaches to monitoring of pollutants and ecosystems in remote, wilderness areas, evaluation criteria were developed. These include useability, cost-effectiveness, data variability, alternative approaches, ecosystems conceptual approach, and quality assurance. Both the Forest Service and INEL environmental monitoring techniques will be evaluated with these criteria. Another objective of this research plan is to obtain an integrated data base on pollutants and ecosystem structure and function at a remote study site. The methods tested in this project will be used to acquire these data from a systems approach. This includes multimedia monitoring of air and water quality, soils, and forest, stream, and lake ecosystems. 71 refs., 1 fig., 9 tabs

[Virtual reality in neurosurgery].

Science.gov (United States)

Tronnier, V M; Staubert, A; Bonsanto, M M; Wirtz, C R; Kunze, S

2000-03-01

Virtual reality enables users to immerse themselves in a virtual three-dimensional world and to interact in this world. The simulation is different from the kind in computer games, in which the viewer is active but acts in a nonrealistic world, or on the TV screen, where we are passively driven in an active world. In virtual reality elements look realistic, they change their characteristics and have almost real-world unpredictability. Virtual reality is not only implemented in gambling dens and the entertainment industry but also in manufacturing processes (cars, furniture etc.), military applications and medicine. Especially the last two areas are strongly correlated, because telemedicine or telesurgery was originated for military reasons to operate on war victims from a secure distance or to perform surgery on astronauts in an orbiting space station. In medicine and especially neurosurgery virtual-reality methods are used for education, surgical planning and simulation on a virtual patient.

Remote Monitoring Transparency Program

International Nuclear Information System (INIS)

Sukhoruchkin, V.K.; Shmelev, V.M.; Roumiantsev, A.N.

1996-01-01

The objective of the Remote Monitoring Transparency Program is to evaluate and demonstrate the use of remote monitoring technologies to advance nonproliferation and transparency efforts that are currently being developed by Russia and the United States without compromising the national security to the participating parties. Under a lab-to-lab transparency contract between Sandia National Laboratories (SNL) and the Kurchatov Institute (KI RRC), the Kurchatov Institute will analyze technical and procedural aspects of the application of remote monitoring as a transparency measure to monitor inventories of direct- use HEU and plutonium (e.g., material recovered from dismantled nuclear weapons). A goal of this program is to assist a broad range of political and technical experts in learning more about remote monitoring technologies that could be used to implement nonproliferation, arms control, and other security and confidence building measures. Specifically, this program will: (1) begin integrating Russian technologies into remote monitoring systems; (2) develop remote monitoring procedures that will assist in the application of remote monitoring techniques to monitor inventories of HEU and Pu from dismantled nuclear weapons; and (3) conduct a workshop to review remote monitoring fundamentals, demonstrate an integrated US/Russian remote monitoring system, and discuss the impacts that remote monitoring will have on the national security of participating countries

The Preferred Learning Styles of Neurosurgeons, Neurosurgery Residents, and Neurology Residents: Implications in the Neurosurgical Field.

Science.gov (United States)

Lai, Hung-Yi; Lee, Ching-Yi; Chiu, Angela; Lee, Shih-Tseng

2014-01-01

To delineate the learning style that best defines a successful practitioner in the field of neurosurgery by using a validated learning style inventory. The Kolb Learning Style Inventory, a validated assessment tool, was administered to all practicing neurosurgeons, neurosurgical residents, and neurology residents employed at Chang Gung Memorial Hospital, an institution that provides primary and tertiary clinical care in 3 locations, Linkou, Kaohsiung, and Chiayi. There were 81 participants who entered the study, and all completed the study. Neurosurgeons preferred the assimilating learning style (52%), followed by the diverging learning style (39%). Neurosurgery residents were slightly more evenly distributed across the learning styles; however, they still favored assimilating (32%) and diverging (41%). Neurology residents had the most clearly defined preferred learning style with assimilating (76%) obtaining the large majority and diverging (12%) being a distant second. The assimilating and diverging learning styles are the preferred learning styles among neurosurgeons, neurosurgery residents, and neurology residents. The assimilating learning style typically is the primary learning style for neurosurgeons and neurology residents. Neurosurgical residents start off with a diverging learning style and progress toward an assimilating learning style as they work toward becoming practicing neurosurgeons. The field of neurosurgery has limited opportunities for active experimentation, which may explain why individuals who prefer reflective observation are more likely to succeed in this field. Copyright © 2014 Elsevier Inc. All rights reserved.

The Integration of Remote-Sensing Detection Techniques into the Operational Decision-Making of Marine Oil Spills

Science.gov (United States)

Garron, J.; Trainor, S.

2017-12-01

Remotely-sensed data collected from satellites, airplanes and unmanned aerial systems can be used in marine oil spills to identify the overall footprint, estimate fate and transport, and to identify resources at risk. Mandates for the use of best available technology exists for addressing marine oil spills under the jurisdiction of the USCG (33 CFR 155.1050), though clear pathways to familiarization of these technologies during a marine oil spill, or more importantly, between marine oil spills, does not. Similarly, remote-sensing scientists continue to experiment with highly tuned oil detection, fate and transport techniques that can benefit decision-making during a marine oil spill response, but the process of translating these prototypical tools to operational information remains undefined, leading most researchers to describe the "potential" of these new tools in an operational setting rather than their actual use, and decision-makers relying on traditional field observational methods. Arctic marine oil spills are no different in their mandates and the remote-sensing research undertaken, but are unique via the dark, cold, remote, infrastructure-free environment in which they can occur. These conditions increase the reliance of decision-makers in an Arctic oil spill on remotely-sensed data and tools for their manipulation. In the absence of another large-scale oil spill in the US, and limited literature on the subject, this study was undertaken to understand how remotely-sensed data and tools are being used in the Incident Command System of a marine oil spill now, with an emphasis on Arctic implementation. Interviews, oil spill scenario/drill observations and marine oil spill after action reports were collected and analyzed to determine the current state of remote-sensing data use for decision-making during a marine oil spill, and to define a set of recommendations for the process of integrating new remote-sensing tools and information in future oil spill

Improving Remote Sensing Scene Classification by Integrating Global-Context and Local-Object Features

Directory of Open Access Journals (Sweden)

Dan Zeng

2018-05-01

Full Text Available Recently, many researchers have been dedicated to using convolutional neural networks (CNNs to extract global-context features (GCFs for remote-sensing scene classification. Commonly, accurate classification of scenes requires knowledge about both the global context and local objects. However, unlike the natural images in which the objects cover most of the image, objects in remote-sensing images are generally small and decentralized. Thus, it is hard for vanilla CNNs to focus on both global context and small local objects. To address this issue, this paper proposes a novel end-to-end CNN by integrating the GCFs and local-object-level features (LOFs. The proposed network includes two branches, the local object branch (LOB and global semantic branch (GSB, which are used to generate the LOFs and GCFs, respectively. Then, the concatenation of features extracted from the two branches allows our method to be more discriminative in scene classification. Three challenging benchmark remote-sensing datasets were extensively experimented on; the proposed approach outperformed the existing scene classification methods and achieved state-of-the-art results for all three datasets.

Current Applications and Future Perspectives of the Use of 3D Printing in Anatomical Training and Neurosurgery.

Science.gov (United States)

Baskaran, Vivek; Štrkalj, Goran; Štrkalj, Mirjana; Di Ieva, Antonio

2016-01-01

3D printing is a form of rapid prototyping technology, which has led to innovative new applications in biomedicine. It facilitates the production of highly accurate three dimensional objects from substrate materials. The inherent accuracy and other properties of 3D printing have allowed it to have exciting applications in anatomy education and surgery, with the specialty of neurosurgery having benefited particularly well. This article presents the findings of a literature review of the Pubmed and Web of Science databases investigating the applications of 3D printing in anatomy and surgical education, and neurosurgery. A number of applications within these fields were found, with many significantly improving the quality of anatomy and surgical education, and the practice of neurosurgery. They also offered advantages over existing approaches and practices. It is envisaged that the number of useful applications will rise in the coming years, particularly as the costs of this technology decrease and its uptake rises.

Current Applications and Future Perspectives of the Use of 3D Printing in Anatomical Training and Neurosurgery

Science.gov (United States)

Baskaran, Vivek; Štrkalj, Goran; Štrkalj, Mirjana; Di Ieva, Antonio

2016-01-01

3D printing is a form of rapid prototyping technology, which has led to innovative new applications in biomedicine. It facilitates the production of highly accurate three dimensional objects from substrate materials. The inherent accuracy and other properties of 3D printing have allowed it to have exciting applications in anatomy education and surgery, with the specialty of neurosurgery having benefited particularly well. This article presents the findings of a literature review of the Pubmed and Web of Science databases investigating the applications of 3D printing in anatomy and surgical education, and neurosurgery. A number of applications within these fields were found, with many significantly improving the quality of anatomy and surgical education, and the practice of neurosurgery. They also offered advantages over existing approaches and practices. It is envisaged that the number of useful applications will rise in the coming years, particularly as the costs of this technology decrease and its uptake rises. PMID:27445707

Versatile intraoperative MRI in neurosurgery and radiology.

Science.gov (United States)

Yrjänä, S K; Katisko, J P; Ojala, R O; Tervonen, O; Schiffbauer, H; Koivukangas, J

2002-03-01

Several models for the application of intra-operative magnetic resonance imaging (IMRI) have recently been reported, most of them unique. Two fundamental issues need to be addressed: optimal use of the scanner to ensure a wide base for research, development and clinical application, and an organisational model that facilitates such use. While in our setting the IMRI project was initiated by the neurosurgeons, the need for wider use of the facilities was recognised since the beginning of the planning phase in 1996. An organisational model was developed that allowed for development of neurosurgical applications, radiological imaging, and radiological interventions and for the research and development work of the vendor. A resistive 0.23 T MR scanner was installed in a dedicated operating room environment. Unique to this scanner is the ability to turn off the magnet, allowing for normal OR activities and devices, and to turn on the magnet as needed with a relatively short six-minute ramp up time. A staged surgical technique was perfected, allowing for transfer of data to the neuronavigator outside the scanner during surgery. In neurosurgery, IMRI was used as one part of a neuronavigational system that included ultrasound imaging, intra-operative cortical stimulation during awake procedures, electrocorticography and two neuronavigators. 34 neurosurgical cases included 27 brain tumour resections, 5 brain tumour biopsies, 1 extirpation of an arterio-venous malformation, and 1 haematoma evacuation. The scanner could also be used for normal clinical imaging where obese patients, children, claustophobic patients and postoperative control examinations were the major groups. The radiologists performed 110 interventions, including bone and abdominal biopsies, nerve root infiltrations and local pain therapies, with the optical needle tracking system under continuous MRI guidance. The organisational model allowed frequent use of the facilities for both neurosurgery and radiology

Current use of Social Media in Neurosurgery in Spain.

Science.gov (United States)

Mata-Gómez, Jacinto; Gilete-Tejero, Ignacio Javier; Rico-Cotelo, María; Royano-Sánchez, Manuel; Ortega-Martínez, Marta

To analyze the current situation in Spain of the use of Social Media in Neurosurgery. We made an observational transversal study between February and March 2017, with a systematic search of the Facebook, Twitter and Youtube accounts from public and private neurosurgical units, scientific societies, peer-reviewed publications and patients groups in relation with Neurosurgical pathologies. We rank them according their popularity. According of our search only 5 public neurosurgical services have social media accounts, being their popularity inferior to the private units accounts. In relation with the scientific societies and neurosurgical publications their presence in social media is marginal, even more in comparison to the accounts of other medical specialities. The popularity of associations of patients and supporting groups is high, especially among patients, finding there more information about their disease. The use in Spain of Social Media about Neurosurgery is low in comparison to other medical specialities. There is a huge field to improve the popularity of the accounts, making in them promotion of health and extend the diffusion of the scientific society and the peer-reviewed publication Neurocirugía. Copyright © 2018 Sociedad Española de Neurocirugía. Publicado por Elsevier España, S.L.U. All rights reserved.

Integrating IPix immersive video surveillance with unattended and remote monitoring (UNARM) systems

International Nuclear Information System (INIS)

Michel, K.D.; Klosterbuer, S.F.; Langner, D.C.

2004-01-01

Commercially available IPix cameras and software are being researched as a means by which an inspector can be virtually immersed into a nuclear facility. A single IPix camera can provide 360 by 180 degree views with full pan-tilt-zoom capability, and with no moving parts on the camera mount. Immersive video technology can be merged into the current Unattended and Remote Monitoring (UNARM) system, thereby providing an integrated system of monitoring capabilities that tie together radiation, video, isotopic analysis, Global Positioning System (GPS), etc. The integration of the immersive video capability with other monitoring methods already in place provides a significantly enhanced situational awareness to the International Atomic Energy Agency (IAEA) inspectors.

Integration of remotely operated manipulator systems for the nuclear industry

International Nuclear Information System (INIS)

Blight, J.; Cornec, G.

2003-01-01

rectify the situation. The paper has the following structure: Methodology (choice of scenarios, initial status, final status); Phases preceding dismantling operations; Flux of wastes; Processes; Remotely operated manipulators; Development of scenarios; Involvement of CYBERNETIX in dismantling projects; Involvement in 'Upstream phasest'; Supply of remotely operated systems; Validation of processes and remotely operated systems prior to active work; Involvement at site. As a summary, CYBERNETIX recommends, in order to ensure the good development of a project: - to be actively involved in developing/validating processes and scenarios, in order to make sure that constraints from both the remotely operated systems and the environment are taken into consideration; - to amortize amortization of development, integration, refurbishing, maintenance and storage costs on a serial of works/projects; - to provision sufficient time to develop, adapt, fine-tune equipment and processes, as a function of the scenarios; - to validate equipment and processes and confirm operational performances of the system during prior tests in 'non-active' or 'slightly active' conditions before the operational phase; - to be actively involved in site operations, in order to trouble-shout, fine-tune and constantly improve equipment and processes, using their own operators, technicians and engineers in order to guarantee the availability of the system in all circumstances; - to establish with the prime contractor, or other participating companies 'partnering' or 'alliance' agreements during operational phases, in order to motivate all actors

Treatment of malignant brain tumor. Today and tomorrow. Image-guided neurosurgery for brain tumor. A current perspective

International Nuclear Information System (INIS)

Kajita, Yasukazu; Fujii, Masazumi; Yoshida, Jun; Maesawa, Satoshi

2008-01-01

Although usefulness of the image-guided neurosurgery is well documented, there are scarce facilities having the actually operating system in Japan. Since 2006, authors' Nagoya University Hospital has had an operating room named ''Brain THEATER'', where an open MRI system APERTO (Hitachi-Medical Co.) and a navigation system Vector Vision (BrainLAB) are connected to conduct the complete image-guided neurosurgery for brain tumor by using the intraoperative MRI for continuously updating the residual tumor tissue to be dissected out. The room is pre- and intra-operatively supported by Departments of image analysis and of radiation technology in the University, and as well, is connected by net-working with another image-guided surgical room ''Brain Suite'' (Siemens 1.5 T MRI system: BrainLAB) in the neighboring facility, Nagoya Central Hospital. This paper describes the circumstances of the introduction of these systems in the Hospital, details of the image-guided surgery in the operation rooms with illustration of actual photos of the rooms and of pre-, intra- and post-operative images, outcomes of image-guided neurosurgery for brain tumor reported hitherto, image-guided neurosurgery for brain tumor's future perspectives involving robotic surgery and operation on the virtual 3D image including the net-worked one. Efforts should be made to further spread the system for performing the more non-invasive and precise surgery, and for conducting the diagnosis united with treatment. (R.T.)

Tracking and position recognition applied to remote monitoring to be used in integrated safeguards

Energy Technology Data Exchange (ETDEWEB)

Bonino, Anibal D; Perez, Adrian C; Krimer, Mario J; Teira, Ruben O; Vigile, Rodolfo S; Valentino, Lucia I; Giordano, Luis A; Ferro, Juan M [Autoridad Regulatoria Nuclear, Buenos Aires (Argentina)

2001-07-01

In the framework of the Strengthening and integrated Safeguards Systems new measures and tools are available to meet the safeguards objective. The credible assurance on the absence of undeclared nuclear material and activities derived from the implementation of the Additional Protocol has an impact on the current safeguards approach to declared facilities thus their through review is advisable. Among these tools, a more intensive use of unattended systems and remote transmission of safeguards relevant information are considered, specifically for On Load Reactors (ORLs). A Remote Monitoring Systems (RMS) to cover the transfers of spent fuels from the ponds to a dry storage is being tested at Embalse nuclear power plant. In connection with the RMS, this paper describes some of the technologies involved: the Global Position System (GPS) and the Radio Frequency IDentification (RFID), which were implemented due to the requirement to ascertain the position of valuable elements. The main objective of this design aimed at safeguarding the spent fuels transfers from the welding cell to the silos field by a strict surveillance of the whereabouts. The bases for the development were settled by the specifications imposed by the integrated Safeguards of the Nuclear Regulatory Authority in Argentina. The resultant tracking and position recognition system is based on GPS receivers operating in Differential Mode, with the aid of Radio Frequency Identification. In compliance with the safeguard requirement the whole system is able to operate in a continuous and remote mode, what means without human being attention. (author)

Quantum computing: a prime modality in neurosurgery's future.

Science.gov (United States)

Lee, Brian; Liu, Charles Y; Apuzzo, Michael L J

2012-11-01

With each significant development in the field of neurosurgery, our dependence on computers, small and large, has continuously increased. From something as mundane as bipolar cautery to sophisticated intraoperative navigation with real-time magnetic resonance imaging-assisted surgical guidance, both technologies, however simple or complex, require computational processing power to function. The next frontier for neurosurgery involves developing a greater understanding of the brain and furthering our capabilities as surgeons to directly affect brain circuitry and function. This has come in the form of implantable devices that can electronically and nondestructively influence the cortex and nuclei with the purpose of restoring neuronal function and improving quality of life. We are now transitioning from devices that are turned on and left alone, such as vagus nerve stimulators and deep brain stimulators, to "smart" devices that can listen and react to the body as the situation may dictate. The development of quantum computers and their potential to be thousands, if not millions, of times faster than current "classical" computers, will significantly affect the neurosciences, especially the field of neurorehabilitation and neuromodulation. Quantum computers may advance our understanding of the neural code and, in turn, better develop and program implantable neural devices. When quantum computers reach the point where we can actually implant such devices in patients, the possibilities of what can be done to interface and restore neural function will be limitless. Copyright © 2012 Elsevier Inc. All rights reserved.

Robotic and artificial intelligence for keyhole neurosurgery: the ROBOCAST project, a multi-modal autonomous path planner.

Science.gov (United States)

De Momi, E; Ferrigno, G

2010-01-01

The robot and sensors integration for computer-assisted surgery and therapy (ROBOCAST) project (FP7-ICT-2007-215190) is co-funded by the European Union within the Seventh Framework Programme in the field of information and communication technologies. The ROBOCAST project focuses on robot- and artificial-intelligence-assisted keyhole neurosurgery (tumour biopsy and local drug delivery along straight or turning paths). The goal of this project is to assist surgeons with a robotic system controlled by an intelligent high-level controller (HLC) able to gather and integrate information from the surgeon, from diagnostic images, and from an array of on-field sensors. The HLC integrates pre-operative and intra-operative diagnostics data and measurements, intelligence augmentation, multiple-robot dexterity, and multiple sensory inputs in a closed-loop cooperating scheme including a smart interface for improved haptic immersion and integration. This paper, after the overall architecture description, focuses on the intelligent trajectory planner based on risk estimation and human criticism. The current status of development is reported, and first tests on the planner are shown by using a real image stack and risk descriptor phantom. The advantages of using a fuzzy risk description are given by the possibility of upgrading the knowledge on-field without the intervention of a knowledge engineer.

Candida infection of the central nervous system following neurosurgery: a 12-year review.

LENUS (Irish Health Repository)

O'Brien, Deirdre

2011-06-01

Candida infection of the central nervous system (CNS) following neurosurgery is relatively unusual but is associated with significant morbidity and mortality. We present our experience with this infection in adults and discuss clinical characteristics, treatment options, and outcome.

The internal medicine specialist and neurosurgery

Directory of Open Access Journals (Sweden)

A. Pizzini

2013-05-01

Full Text Available BACKGROUND The neurosurgical patient is often a real challenge for the physicians, because of a frequent multimorbidity and a higher risk for severe complications. Cooperation between internal medicine specialist and neurosurgeon is essential to prevent the fatal effects of cranial and spinal injuries. The topic issues of medical interest in neurosurgery are the disorders of sodium balance, the glycemic control, the thromboembolic risk, the intracerebral bleeding management and the infective problems. The neurosurgeons could be worried by treating these complications that are mostly of internal medicine interest and that could unfortunately rise the risk of death or irreversible insults. AIM OF THE REVIEW This review summarizes the modality of diagnosis and therapy of the foremost concerns in neurosurgical field.

Innovations in Functional Neurosurgery and Anesthetic Implications.

Science.gov (United States)

Dunn, Lauren K; Durieux, Marcel E; Elias, W Jeffrey; Nemergut, Edward C; Naik, Bhiken I

2018-01-01

Functional neurosurgery has undergone rapid growth over the last few years fueled by advances in imaging technology and novel treatment modalities. These advances have led to new surgical treatments using minimally invasive and precise techniques for conditions such as Parkinson's disease, essential tremor, epilepsy, and psychiatric disorders. Understanding the goals and technological issues of these procedures is imperative for the anesthesiologist to ensure safe management of patients presenting for functional neurosurgical procedures. In this review, we discuss the advances in neurosurgical techniques for deep brain stimulation, focused ultrasound and minimally invasive laser-based treatment of refractory epilepsy and provide a guideline for anesthesiologists caring for patients undergoing these procedures.

NET remote workstation

International Nuclear Information System (INIS)

Leinemann, K.

1990-10-01

The goal of this NET study was to define the functionality of a remote handling workstation and its hardware and software architecture. The remote handling workstation has to fulfill two basic functions: (1) to provide the man-machine interface (MMI), that means the interface to the control system of the maintenance equipment and to the working environment (telepresence) and (2) to provide high level (task level) supporting functions (software tools) during the maintenance work and in the preparation phase. Concerning the man-machine interface, an important module of the remote handling workstation besides the standard components of man-machine interfacing is a module for graphical scene presentation supplementing viewing by TV. The technique of integrated viewing is well known from JET BOOM and TARM control using the GBsim and KISMET software. For integration of equipment dependent MMI functions the remote handling workstation provides a special software module interface. Task level support of the operator is based on (1) spatial (geometric/kinematic) models, (2) remote handling procedure models, and (3) functional models of the equipment. These models and the related simulation modules are used for planning, programming, execution monitoring, and training. The workstation provides an intelligent handbook guiding the operator through planned procedures illustrated by animated graphical sequences. For unplanned situations decision aids are available. A central point of the architectural design was to guarantee a high flexibility with respect to hardware and software. Therefore the remote handling workstation is designed as an open system based on widely accepted standards allowing the stepwise integration of the various modules starting with the basic MMI and the spatial simulation as standard components. (orig./HP) [de

Launching Effectiveness Research to Guide Practice in Neurosurgery: A National Institute Neurological Disorders and Stroke Workshop Report

Science.gov (United States)

Walicke, Patricia; Abosch, Aviva; Asher, Anthony; Barker, Fred G.; Ghogawala, Zoher; Harbaugh, Robert; Jehi, Lara; Kestle, John; Koroshetz, Walter; Little, Roderick; Rubin, Donald; Valadka, Alex; Wisniewski, Stephen

2017-01-01

Abstract This workshop addressed challenges of clinical research in neurosurgery. Randomized controlled clinical trials (RCTs) have high internal validity, but often insufficiently generalize to real-world practice. Observational studies are inclusive but often lack sufficient rigor. The workshop considered possible solutions, such as (1) statistical methods for demonstrating causality using observational data; (2) characteristics required of a registry supporting effectiveness research; (3) trial designs combining advantages of observational studies and RCTs; and (4) equipoise, an identified challenge for RCTs. In the future, advances in information technology potentially could lead to creation of a massive database where clinical data from all neurosurgeons are integrated and analyzed, ending the separation of clinical research and practice and leading to a new “science of practice.” PMID:28362926

Personnel Selection Influences on Remotely Piloted Aircraft Human-System Integration.

Science.gov (United States)

Carretta, Thomas R; King, Raymond E

2015-08-01

Human-system integration (HSI) is a complex process used to design and develop systems that integrate human capabilities and limitations in an effective and affordable manner. Effective HSI incorporates several domains, including manpower, personnel and training, human factors, environment, safety, occupational health, habitability, survivability, logistics, intelligence, mobility, and command and control. To achieve effective HSI, the relationships among these domains must be considered. Although this integrated approach is well documented, there are many instances where it is not followed. Human factors engineers typically focus on system design with little attention to the skills, abilities, and other characteristics needed by human operators. When problems with fielded systems occur, additional training of personnel is developed and conducted. Personnel selection is seldom considered during the HSI process. Complex systems such as aviation require careful selection of the individuals who will interact with the system. Personnel selection is a two-stage process involving select-in and select-out procedures. Select-in procedures determine which candidates have the aptitude to profit from training and represent the best investment. Select-out procedures focus on medical qualification and determine who should not enter training for medical reasons. The current paper discusses the role of personnel selection in the HSI process in the context of remotely piloted aircraft systems.

Finnish remote environmental monitoring field demonstration

International Nuclear Information System (INIS)

Toivonen, H.; Leppaenen, A.; Ylaetalo, S.; Lehtinen, J.; Hokkinen, J.; Tarvainen, M.; Crawford, T.; Glidewell, D.; Smartt, H.; Torres, J.

1997-10-01

Radiation and Nuclear Safety Authority (STUK), Helsinki, Finland and Sandia National Laboratories (SNL), working under the Finnish Support Program to IAEA Safeguards and the United States Department of Energy (DOE) funded International Remote Monitoring Program (Task FIN E 935), have undertaken a joint effort to demonstrate the use of remote monitoring for environmental air sampling and safeguards applications. The results of the task will be used by the IAEA to identify the feasibility, cost-effectiveness, reliability, advantages, and problems associated with remote environmental monitoring. An essential prerequisite for a reliable remote air sampling system is the protection of samples against tampering. Means must be developed to guarantee that the sampling itself has been performed as designed and the original samples are not substituted with samples produced with other equipment at another site. One such method is to label the samples with an unequivocal tag. In addition, the inspection personnel must have the capability to remotely monitor and access the automated environmental air sampling system through the use of various sensors and video imagery equipment. A unique aspect to this project is the network integration of remote monitoring equipment with a STUK radiation monitoring system. This integration will allow inspectors to remotely view air sampler radiation data and sensor/image data through separate software applications on the same review station. A sensor network and video system will be integrated with the SNL developed Modular Integrated Monitoring System (MIMS) to provide a comprehensive remote monitoring approach for safeguards purposes. This field trial system is being implemented through a multiphase approach for use by STUK, SNL, and for possible future use by the IAEA

State of Global Pediatric Neurosurgery Outreach: Survey by the International Education Subcommittee

Science.gov (United States)

Davis, Matthew C.; Rocque, Brandon G.; Singhal, Ash; Ridder, Tom; Pattisapu, Jogi V.; Johnston, James M.

2017-01-01

Object Neurosurgical services are increasingly recognized as essential components of surgical care worldwide. Degree of interest among neurosurgeons regarding international work, and barriers to involvement in global neurosurgical outreach, are largely unexplored. We distributed a survey to members of the AANS/CNS Joint Section on Pediatric Neurosurgery to assess the state of global outreach among its members and identify barriers to involvement. Methods An internet-based questionnaire was developed by the International Education Subcommittee of the AANS/CNS Joint Section on Pediatric Neurosurgery, and distributed to pediatric neurosurgeons via the AANS/CNS Joint Section email contact list. Participants were surveyed on involvement in global neurosurgical outreach, geographic location, nature of participation, and barriers to further involvement. Results A 35.3% response rate was obtained, with 116 respondents completed the survey. 61% performed or taught neurosurgery in a developing country, 49% traveling at least annually. Africa was the most common region (54%), followed by South America (30%), through 29 separate organizing entities. Hydrocephalus was the most commonly treated condition (88%), followed by spinal dysraphism (74%) and tumor (68%). Most respondents obtained follow-up through communication from local surgeons (77%). 71% believed the international experience improved their practice, and 74% were very or extremely interested in working elsewhere. Interference with current practice (61%), cost (44%), and difficulty identifying international partners (43%) were the most commonly cited barriers to participation. Conclusion Any coordinated effort to expand global neurosurgical capacity begins with appreciation for the current state of outreach efforts. Increasing participation in global outreach will require addressing both real and perceived barriers to involvement. Creation and curation of a centralized online database of ongoing projects to facilitate

Neurosurgery in Egypt: past, present, and future-from pyramids to radiosurgery.

Science.gov (United States)

El Gindi, Sayed

2002-09-01

THE CONTEMPORARY DEVELOPMENT of neurosurgery in Egypt is described, with reference to the ancient past and recent American and European influences. This article traces the steps taken by several leading Egyptian pioneers. Egypt, one of the key countries in the Middle East, has led the development of the specialty in the region and has maintained close ties with the international body of neurological surgeons and surgical societies.

Defining Innovation in Neurosurgery: Results from an International Survey.

Science.gov (United States)

Zaki, Mark M; Cote, David J; Muskens, Ivo S; Smith, Timothy R; Broekman, Marike L

2018-06-01

Innovation is a part of the daily practice of neurosurgery. However, a clear definition of what constitutes innovation is lacking and opinions vary from continent to continent, from hospital to hospital, and from surgeon to surgeon. In this study, we distributed an online survey to neurosurgeons from multiple countries to investigate what neurosurgeons consider innovative, by gathering opinions on several hypothetical cases. The anonymous survey consisted of 52 questions and took approximately 10 minutes to complete. A total of 355 neurosurgeons across all continents excluding Antarctica completed the survey. Neurosurgeons achieved consensus (>75%) in considering specific cases to be innovative, including laser resection of meningioma, focused ultrasonography for tumor, oncolytic virus, deep brain stimulation for addiction, and photodynamic therapy for tumor. Although the new dura substitute case was not considered innovative, there was consensus among neurosurgeons indicating that institutional review board approval was still necessary to maintain ethical standards. Furthermore, although 90% of neurosurgeons considered an oncolytic virus for glioblastoma multiforme to be innovative, only 78% believed that institutional review board approval was necessary before treatment. Our results indicate that innovation is a heterogeneous concept among neurosurgeons that necessitates standardization to ensure appropriate patient safety without stifling progress. We discuss both the ethical drawbacks of not having a clear definition of innovation and the challenges in achieving a unified understanding of innovation in neurosurgery and offer suggestions for uniting the field. Copyright © 2018 Elsevier Inc. All rights reserved.

History of functional neurosurgery.

Science.gov (United States)

Iskandar, B J; Nashold, B S

1995-01-01

Whereas in the early days of evil spirits, electric catfish, and phrenology, functional neurosurgery was based on crude observations and dogma, the progress made in neurophysiology at the turn of the century gave the field a strong scientific foundation. Subsequently, the advent of stereotaxis allowed access to deep brain regions and contributed an element of precision. Future directions include the development of frameless stereotaxy; the use of MRI-generated anatomic data, which would circumvent the serious problem of individual variations seen with standard brain atlases; the introduction of various chemicals into brain structures, in an attempt to influence neurochemically mediated disease processes; and finally, the use of the promising techniques of neural transplantation. On hearing of Penfield's intraoperative brain stimulations, Sherrington commented: "It must be great fun to have the physiological preparation speak to you." The idea of therapeutic neurophysiologic interventions is appealing, especially because many disorders show no obvious treatable pathologic cause (e.g., tumor, vascular malformation). As stereotactic technology becomes less cumbersome and more precise, more sophisticated in vivo neurophysiologic preparations become possible. In turn, as our understanding of nervous system physiology grows, our ability to understand pathophysiology and treat disease processes increases.

The First Neurosurgery Boot Camp in Southeast Asia: Evaluating Impact on Knowledge and Regional Collaboration in Yangon, Myanmar.

Science.gov (United States)

Rock, Jack; Glick, Roberta; Germano, Isabelle M; Dempsey, Robert; Zervos, John; Prentiss, Tyler; Davis, Matthew; Wright, Ernest; Hlaing, Kyi; Thu, Myat; Soe, Zaw Wai; Myaing, Win

2018-05-01

For the first time in Southeast Asia, a Fundamentals of Neurosurgery Boot Camp was held at the University of Medicine 1 in Yangon, Myanmar, February 24-26, 2017. The aim of this course was to teach and train fundamental skills to neurosurgery residents. The Myanmar Neurosurgical Society, Foundation for International Education in Neurosurgery, Society for Neurological Surgeons, The University of Medicine 1 in Yangon, Myanmar, and the Henry Ford Department of Neurosurgery developed a 2-day resident training course. Day 1 activities consisted of lectures by faculty, small group case discussions, and industry-supported demonstrations of surgical techniques. Day 2 activities consisted of hands-on skill stations for common neurosurgical procedures with each station supervised by attending faculty. Written evaluations were distributed before the meeting, immediately after the meeting, and 6 months after the meeting. Boot camp attendees included 40 residents and 24 neurosurgical faculty from Myanmar, Cambodia, Nepal, Singapore, South Korea, Thailand, and Vietnam. There were 35 evaluations completed before the boot camp, 34 completed immediately after boot camp, and 20 completed 6 months after boot camp. Knowledge of participants improved from 62.75% before boot camp to 71.50% 6 months after boot camp (P = 0.046). Boot camps provide fundamental didactic and technical exposure to trainees in developed and developing countries and help standardize training in basic neurosurgical competencies, while exposing local faculty to important teaching methods. This model provides a sustainable solution to educational needs and demonstrates to local neurosurgeons how they can take ownership of the educational process. Copyright © 2018 Elsevier Inc. All rights reserved.

Human factors in remote control engineering development activities

International Nuclear Information System (INIS)

Clarke, M.M.; Hamel, W.R.; Draper, J.V.

1983-01-01

Human factors engineering, which is an integral part of the advanced remote control development activities at the Oak Ridge National Laboratory, is described. First, work at the Remote Systems Development Facility (RSDF) has shown that operators can perform a wide variety of tasks, some of which were not specifically designed for remote systems, with a dextrous electronic force-reflecting servomanipulator and good television remote viewing capabilities. Second, the data collected during mock-up remote maintenance experiments at the RSDF have been analyzed to provide guidelines for the design of human interfaces with an integrated advanced remote maintenance system currently under development. Guidelines have been provided for task allocation between operators, remote viewing systems, and operator controls. 6 references, 5 figures, 2 tables

Investigating the Scope of Resident Patient Care Handoffs within Neurosurgery

OpenAIRE

Babu, Maya A.; Nahed, Brian Vala; Heary, Robert F.

2012-01-01

Introduction: Handoffs are defined as verbal and written communications during patient care transitions. With the passage of recent ACMGE work hour rules further limiting the hours interns can spend in the hospital, many fear that more handoffs will occur, putting patient safety at risk. The issue of handoffs has not been studied in the neurosurgical literature. Methods: A validated, 20-question online-survey was sent to neurosurgical residents in all 98 accredited U.S. neurosurgery programs....

Remote monitoring in international safeguards

International Nuclear Information System (INIS)

Dupree, S.A.; Sonnier, C.S.; Johnson, C.S.

1996-01-01

In recent years, technology that permits the integration of monitoring sensors and instruments into a coherent network has become available. Such integrated monitoring systems provide a means for the automatic collection and assessment of sensor signals and instrument readings and for processing such signals and readings in near real time. To gain experience with the new monitoring system technology, the US Department of energy, through bilateral agreements with its international partners, has initiated a project to emplace demonstration systems in various nuclear facilities and conduct field trials of the technology. This effort is the International Remote Monitoring Project. Under this project, remote monitoring systems are being deployed around the world in an incremental manner. Each deployment is different and each offers lessons for improving the performance and flexibility of the technology. Few problems were encountered with the operation of the installations to date, and much has been learned about the operation and use of the new technology. In the future, the authors believe systems for safeguards applications should be capable of being monitored remotely, emphasize the use of sensors, and utilize selective triggering for recording of images. Remote monitoring across national borders can occur only in the context of a cooperative, nonadversarial implementation regime. However, significant technical and policy work remains to be done before widespread safeguards implementation of remote monitoring should be considered. This paper shows that an abundance of technology supports the implementation of integrated and remote monitoring systems. Current field trials of remote monitoring systems are providing practical data and operational experience to aid in the design of tomorrow's systems

Remote sensing for oil spill detection and response

International Nuclear Information System (INIS)

Engelhardt, F.R.

1999-01-01

This paper focuses on the use of remote sensing for marine oil spill detection and response. The surveillance and monitoring of discharges, and the main elements of effective surveillance are discussed. Tactical emergency response and the requirements for selecting a suitable remote sensing approach, airborne remote sensing systems, and the integration of satellite and airborne imaging are examined. Specifications of satellite surveillance systems potentially usable for oil spill detection, and specifications of airborne remote sensing systems suitable for oil spill detection, monitoring and supplemental actions are tabulated, and a schema of integrated satellite-airborne remote sensing (ISARS) is presented. (UK)

[The woman in neurosurgery at the national institute of neurology and neurosurgery].

Science.gov (United States)

Mejía-Pérez, Sonia Iliana; Cervera-Martínez, Claudia; Sánchez-Correa, Thalía Estefanía; Corona-Vázquezo, Teresa

Women have always had a hard time in the history of medicine; Dr. Isabel Blackwell was the first woman in history to practice medicine. Dr. Diana Beck became the world´s first female neurosurgeon. The first Latin American female neurosurgeon was Dr. María Cristina García Sancho y Álvarez-Tostado. All of these women had to face a large number of social, cultural, and economic obstacles in their path; however, this situation has changed gradually. Dr. Ana Lilia Siordia Karam was the first neurosurgeon to graduate from INNN. Nineteen years later the second female neurosurgeon at this institute was Dr. María Petra Herrera Guerrero. During their time at this institute they endured a lot of difficulties, especially with most of their coworkers; however, some coworkers treated them with respect and no gender distinction. Nowadays, four of the 25 total neurosurgery residents at INNN are women, and even though some of them have had to endure acts of gender discrimination, the general situation has changed. With work and respect, women have managed to have a larger role in the surgical field. We hope that in the near future a gender discrimination-free environment will be achieved in medicine and its specialties.

Health-related quality of life outcomes and level of evidence in pediatric neurosurgery.

Science.gov (United States)

Hansen, Daniel; Vedantam, Aditya; Briceño, Valentina; Lam, Sandi K; Luerssen, Thomas G; Jea, Andrew

2016-10-01

OBJECTIVE The emphasis on health-related quality of life (HRQOL) outcomes is increasing, along with an emphasis on evidence-based medicine. However, there is a notable paucity of validated HRQOL instruments for the pediatric population. Furthermore, no standardization or consensus currently exists concerning which HRQOL outcome measures ought to be used in pediatric neurosurgery. The authors wished to identify HRQOL outcomes used in pediatric neurosurgery research over the past 10 years, their frequency, and usage trends. METHODS Three top pediatric neurosurgical journals were reviewed for the decade from 2005 to 2014 for clinical studies of pediatric neurosurgical procedures that report HRQOL outcomes. Similar studies in the peer-reviewed journal Pediatrics were also used as a benchmark. Publication year, level of evidence, and HRQOL outcomes were collected for each article. RESULTS A total of 31 HRQOL studies were published in the pediatric neurosurgical literature over the study period. By comparison, there were 55 such articles in Pediatrics. The number of publications using HRQOL instruments showed a significant positive trend over time for Pediatrics (B = 0.62, p = 0.02) but did not increase significantly over time for the 3 neurosurgical journals (B = 0.12, p = 0.5). The authors identified a total of 46 different HRQOL instruments used across all journals. Within the neurosurgical journals, the Hydrocephalus Outcome Questionnaire (HOQ) (24%) was the most frequently used, followed by the Health Utilities Index (HUI) (16%), the Pediatric Quality of Life Inventory (PedsQL) (12%), and the 36-Item Short Form Health Survey (SF-36) (12%). Of the 55 articles identified in Pediatrics, 22 (40%) used a version of the PedsQL. No neurosurgical study reached above Level 4 on the Oxford Centre for Evidence-Based Medicine (OCEBM) system. However, multiple studies from Pediatrics achieved OCEBM Level 3, several were categorized as Level 2, and one reached Level 1

Big Data Research in Neurosurgery: A Critical Look at this Popular New Study Design.

Science.gov (United States)

Oravec, Chesney S; Motiwala, Mustafa; Reed, Kevin; Kondziolka, Douglas; Barker, Fred G; Michael, L Madison; Klimo, Paul

2018-05-01

The use of "big data" in neurosurgical research has become increasingly popular. However, using this type of data comes with limitations. This study aimed to shed light on this new approach to clinical research. We compiled a list of commonly used databases that were not specifically created to study neurosurgical procedures, conditions, or diseases. Three North American journals were manually searched for articles published since 2000 utilizing these and other non-neurosurgery-specific databases. A number of data points per article were collected, tallied, and analyzed.A total of 324 articles were identified since 2000 with an exponential increase since 2011 (257/324, 79%). The Journal of Neurosurgery Publishing Group published the greatest total number (n = 200). The National Inpatient Sample was the most commonly used database (n = 136). The average study size was 114 841 subjects (range, 30-4 146 777). The most prevalent topics were vascular (n = 77) and neuro-oncology (n = 66). When categorizing study objective (recognizing that many papers reported more than 1 type of study objective), "Outcomes" was the most common (n = 154). The top 10 institutions by primary or senior author accounted for 45%-50% of all publications. Harvard Medical School was the top institution, using this research technique with 59 representations (31 by primary author and 28 by senior).The increasing use of data from non-neurosurgery-specific databases presents a unique challenge to the interpretation and application of the study conclusions. The limitations of these studies must be more strongly considered in designing and interpreting these studies.

A Framework for Sharing and Integrating Remote Sensing and GIS Models Based on Web Service

Science.gov (United States)

Chen, Zeqiang; Lin, Hui; Chen, Min; Liu, Deer; Bao, Ying; Ding, Yulin

2014-01-01

Sharing and integrating Remote Sensing (RS) and Geographic Information System/Science (GIS) models are critical for developing practical application systems. Facilitating model sharing and model integration is a problem for model publishers and model users, respectively. To address this problem, a framework based on a Web service for sharing and integrating RS and GIS models is proposed in this paper. The fundamental idea of the framework is to publish heterogeneous RS and GIS models into standard Web services for sharing and interoperation and then to integrate the RS and GIS models using Web services. For the former, a “black box” and a visual method are employed to facilitate the publishing of the models as Web services. For the latter, model integration based on the geospatial workflow and semantic supported marching method is introduced. Under this framework, model sharing and integration is applied for developing the Pearl River Delta water environment monitoring system. The results show that the framework can facilitate model sharing and model integration for model publishers and model users. PMID:24901016

A framework for sharing and integrating remote sensing and GIS models based on Web service.

Science.gov (United States)

Chen, Zeqiang; Lin, Hui; Chen, Min; Liu, Deer; Bao, Ying; Ding, Yulin

2014-01-01

Sharing and integrating Remote Sensing (RS) and Geographic Information System/Science (GIS) models are critical for developing practical application systems. Facilitating model sharing and model integration is a problem for model publishers and model users, respectively. To address this problem, a framework based on a Web service for sharing and integrating RS and GIS models is proposed in this paper. The fundamental idea of the framework is to publish heterogeneous RS and GIS models into standard Web services for sharing and interoperation and then to integrate the RS and GIS models using Web services. For the former, a "black box" and a visual method are employed to facilitate the publishing of the models as Web services. For the latter, model integration based on the geospatial workflow and semantic supported marching method is introduced. Under this framework, model sharing and integration is applied for developing the Pearl River Delta water environment monitoring system. The results show that the framework can facilitate model sharing and model integration for model publishers and model users.

Image-guided neurosurgery. Global concept of a surgical tele-assistance using obstacle detection robotics; Neurochirurgie guidee par l'image. Concept global d'une tele-assistance chirurgicale a l'aide d'une robotique d'empechement

Energy Technology Data Exchange (ETDEWEB)

Desgeorges, M.; Bellegou, N.; Faillot, Th.; Cordoliani, Y.S.; Dutertre, G.; Blondet, E.; Soultrait, F. de; Boissy, J.M. [Hopital d' Instruction des Armees du Val-de-Grace, 75 - Paris (France)

2000-12-01

Surgical tele-assistance significantly increases accuracy of surgical gestures, especially in the case of brain tumor neurosurgery. The robotic device is tele-operated through a microscope and the surgeon's gestures are guided by real-time overlaying of the X-ray imagery in the microscope. During the device's progression inside the brain, the focus is ensured by the microscope auto-focus feature. The surgeon can thus constantly check his position on the field workstation. Obstacles to avoid or dangerous areas can be previewed in the operation field. This system is routinely used for 5 years in the neurosurgery division of the Val de Grace hospital. More than 400 brain surgery operations have been done using it. An adaptation is used for rachis surgery. Other military hospitals begin to be equipped with similar systems. It will be possible to link them for data transfer. When it will be operational, such a network it will show what could be, in the future, a medical/surgical remote-assistance system designed to take care of wounded/critical conditions people, including assistance to surgical gestures. (authors)

Quantifying cortical surface harmonic deformation with stereovision during open cranial neurosurgery

Science.gov (United States)

Ji, Songbai; Fan, Xiaoyao; Roberts, David W.; Paulsen, Keith D.

2012-02-01

Cortical surface harmonic motion during open cranial neurosurgery is well observed in image-guided neurosurgery. Recently, we quantified cortical surface deformation noninvasively with synchronized blood pressure pulsation (BPP) from a sequence of stereo image pairs using optical flow motion tracking. With three subjects, we found the average cortical surface displacement can reach more than 1 mm and in-plane principal strains of up to 7% relative to the first image pair. In addition, the temporal changes in deformation and strain were in concert with BPP and patient respiration [1]. However, because deformation was essentially computed relative to an arbitrary reference, comparing cortical surface deformation at different times was not possible. In this study, we extend the technique developed earlier by establishing a more reliable reference profile of the cortical surface for each sequence of stereo image acquisitions. Specifically, fast Fourier transform (FFT) was applied to the dynamic cortical surface deformation, and the fundamental frequencies corresponding to patient respiration and BPP were identified, which were used to determine the number of image acquisitions for use in averaging cortical surface images. This technique is important because it potentially allows in vivo characterization of soft tissue biomechanical properties using intraoperative stereovision and motion tracking.

Graph theory analysis of complex brain networks: new concepts in brain mapping applied to neurosurgery.

Science.gov (United States)

Hart, Michael G; Ypma, Rolf J F; Romero-Garcia, Rafael; Price, Stephen J; Suckling, John

2016-06-01

Neuroanatomy has entered a new era, culminating in the search for the connectome, otherwise known as the brain's wiring diagram. While this approach has led to landmark discoveries in neuroscience, potential neurosurgical applications and collaborations have been lagging. In this article, the authors describe the ideas and concepts behind the connectome and its analysis with graph theory. Following this they then describe how to form a connectome using resting state functional MRI data as an example. Next they highlight selected insights into healthy brain function that have been derived from connectome analysis and illustrate how studies into normal development, cognitive function, and the effects of synthetic lesioning can be relevant to neurosurgery. Finally, they provide a précis of early applications of the connectome and related techniques to traumatic brain injury, functional neurosurgery, and neurooncology.

Integrating remote sensing techniques at Cuprite, Nevada: AVIRIS, Thematic Mapper, and field spectroscopy

Science.gov (United States)

Hill, Bradley; Nash, Greg; Ridd, Merrill; Hauff, Phoebe L.; Ebel, Phil

1992-01-01

The Cuprite mining district in southwestern Nevada has become a test site for remote sensing studies with numerous airborne scanners and ground sensor data sets collected over the past fifteen years. Structurally, the Cuprite region can be divided into two areas with slightly different alteration and mineralogy. These zones lie on either side of a postulated low-angle structural discontinuity that strikes nearly parallel to US Route 95. Hydrothermal alternation at Cuprite was classified into three major zones: silicified, opalized, and argillized. These alteration types form a bulls-eye pattern east of the highway and are more linear on the west side of the highway making a striking contrast from the air and the imagery. Cuprite is therefore an ideal location for remote sensing research as it exhibits easily identified hydrothermal zoning, is relatively devoid of vegetation, and contains a distinctive spectrally diagnostic mineral suite including the ammonium feldspar buddingtonite, several types of alunite, different jarosites, illite, kaolinite, smectite, dickite, and opal. This present study brings a new dimension to these previous remote sensing and ground data sets compiled for Cuprite. The development of a higher resolution field spectrometer now provides the capability to combine extensive in-situ mineralogical data with a new geologic field survey and detailed Airborne Visible/Infrared Imaging Spectrometers (AVIRIS) images. The various data collection methods and the refinement of the integrated techniques are discussed.

Telecommunications networks, home integrated systems and remote control applications; Reseaux de telecommunications, domotique et teleaction

Energy Technology Data Exchange (ETDEWEB)

Cregut, F.; Treheux, M.

1996-12-31

Energy savings in residential sector can be performed by home integrated control systems. Remote controlled interfaces allow electric appliances consumption matching effective needs. Nevertheless, the uses of those techniques are stagnating since several years. The first reason is an awkward human factors engineering, that is now improving. The second reason is an lack of definition of the needs, that lead to commercialization problems. (D.L.)

Evaluation of remote delivery of Passive Integrated Transponder (PIT technology to mark large mammals.

Directory of Open Access Journals (Sweden)

W David Walter

Full Text Available Methods to individually mark and identify free-ranging wildlife without trapping and handling would be useful for a variety of research and management purposes. The use of Passive Integrated Transponder technology could be an efficient method for collecting data for mark-recapture analysis and other strategies for assessing characteristics about populations of various wildlife species. Passive Integrated Transponder tags (PIT have unique numbered frequencies and have been used to successfully mark and identify mammals. We tested for successful injection of PIT and subsequent functioning of PIT into gelatin blocks using 4 variations of a prototype dart. We then selected the prototype dart that resulted in the least depth of penetration in the gelatin block to assess the ability of PIT to be successfully implanted into muscle tissue of white-tailed deer (Odocoileus virginianus post-mortem and long-term in live, captive Rocky Mountain elk (Cervus elaphus. The prototype dart with a 12.7 mm (0.5 inch needle length and no powder charge resulted in the shallowest mean (± SD penetration depth into gelatin blocks of 27.0 mm (± 5.6 mm with 2.0 psi setting on the Dan-Inject CO(2-pressured rifle. Eighty percent of PIT were successfully injected in the muscle mass of white-tailed deer post-mortem with a mean (± SD penetration depth of 22.2 mm (± 3.8 mm; n = 6. We injected PIT successfully into 13 live, captive elk by remote delivery at about 20 m that remained functional for 7 months. We successfully demonstrated that PIT could be remotely delivered in darts into muscle mass of large mammals and remain functional for >6 months. Although further research is warranted to fully develop the technique, remote delivery of PIT technology to large mammals is possible using prototype implant darts.

Incidence of Postoperative Hematomas Requiring Surgical Treatment in Neurosurgery: A Retrospective Observational Study.

Science.gov (United States)

Lillemäe, Kadri; Järviö, Johanna Annika; Silvasti-Lundell, Marja Kaarina; Antinheimo, Jussi Juha-Pekka; Hernesniemi, Juha Antero; Niemi, Tomi Tapio

2017-12-01

We aimed to characterize the occurrence of postoperative hematoma (POH) after neurosurgery overall and according to procedure type and describe the prevalence of possible confounders. Patient data between 2010 and 2012 at the Department of Neurosurgery in Helsinki University Hospital were retrospectively analyzed. A data search was performed according to the type of surgery including craniotomies; shunt procedures, spine surgery, and spinal cord stimulator implantation. We analyzed basic preoperative characteristics, as well as data about the initial intervention, perioperative period, revision operation and neurologic recovery (after craniotomy only). The overall incidence of POH requiring reoperation was 0.6% (n = 56/8783) to 0.6% (n = 26/4726) after craniotomy, 0% (n = 0/928) after shunting procedure, 1.1% (n = 30/2870) after spine surgery, and 0% (n = 0/259) after implantation of a spinal cord stimulator. Craniotomy types with higher POH incidence were decompressive craniectomy (7.9%, n = 7/89), cranioplasty (3.6%, n = 4/112), bypass surgery (1.7%, n = 1/60), and epidural hematoma evacuation (1.6%, n = 1/64). After spinal surgery, POH was observed in 1.1% of cervical and 2.1% of thoracolumbar operations, whereas 46.7% were multilevel procedures. 64.3% of patients with POH and 84.6% of patients undergoing craniotomy had postoperative hypertension (systolic blood pressure >160 mm Hg or lower if indicated). Poor outcome (Glasgow Outcome Scale score 1-3), whereas death at 6 months after craniotomy was detected in 40.9% and 21.7%. respectively, of patients with POH who underwent craniotomy. POH after neurosurgery was rare in this series but was associated with poor outcome. Identification of risk factors of bleeding, and avoiding them, if possible, might decrease the incidence of POH. Copyright © 2017 Elsevier Inc. All rights reserved.

Development of automatic navigation measuring system using template-matching software in image guided neurosurgery

International Nuclear Information System (INIS)

Watanabe, Yohei; Hayashi, Yuichiro; Fujii, Masazumi; Wakabayashi, Toshihiko; Kimura, Miyuki; Tsuzaka, Masatoshi; Sugiura, Akihiro

2010-01-01

An image-guided neurosurgery and neuronavigation system based on magnetic resonance imaging has been used as an indispensable tool for resection of brain tumors. Therefore, accuracy of the neuronavigation system, provided by periodic quality assurance (QA), is essential for image-guided neurosurgery. Two types of accuracy index, fiducial registration error (FRE) and target registration error (TRE), have been used to evaluate navigation accuracy. FRE shows navigation accuracy on points that have been registered. On the other hand, TRE shows navigation accuracy on points such as tumor, skin, and fiducial markers. This study shows that TRE is more reliable than FRE. However, calculation of TRE is a time-consuming, subjective task. Software for QA was developed to compute TRE. This software calculates TRE automatically by an image processing technique, such as automatic template matching. TRE was calculated by the software and compared with the results obtained by manual calculation. Using the software made it possible to achieve a reliable QA system. (author)

The genesis of neurosurgery and the evolution of the neurosurgical operative environment: part II--concepts for future development, 2003 and beyond.

Science.gov (United States)

Liu, Charles Y; Spicer, Mark; Apuzzo, Michael L J

2003-01-01

The future development of the neurosurgical operative environment is driven principally by concurrent development in science and technology. In the new millennium, these developments are taking on a Jules Verne quality, with the ability to construct and manipulate the human organism and its surroundings at the level of atoms and molecules seemingly at hand. Thus, an examination of currents in technology advancement from the neurosurgical perspective can provide insight into the evolution of the neurosurgical operative environment. In the future, the optimal design solution for the operative environment requirements of specialized neurosurgery may take the form of composites of venues that are currently mutually distinct. Advances in microfabrication technology and laser optical manipulators are expanding the scope and role of robotics, with novel opportunities for bionic integration. Assimilation of biosensor technology into the operative environment promises to provide neurosurgeons of the future with a vastly expanded set of physiological data, which will require concurrent simplification and optimization of analysis and presentation schemes to facilitate practical usefulness. Nanotechnology derivatives are shattering the maximum limits of resolution and magnification allowed by conventional microscopes. Furthermore, quantum computing and molecular electronics promise to greatly enhance computational power, allowing the emerging reality of simulation and virtual neurosurgery for rehearsal and training purposes. Progressive minimalism is evident throughout, leading ultimately to a paradigm shift as the nanoscale is approached. At the interface between the old and new technological paradigms, issues related to integration may dictate the ultimate emergence of the products of the new paradigm. Once initiated, however, history suggests that the process of change will proceed rapidly and dramatically, with the ultimate neurosurgical operative environment of the future

Integrated remote sensing and visualization (IRSV) system for transportation infrastructure operations and management, phase one, volume 1 : summary report.

Science.gov (United States)

2009-12-01

The Integrated Remote Sensing and Visualization System (IRSV) is being designed to accommodate the needs of todays Bridge : Engineers at the state and local level from the following aspects: : Better understanding and enforcement of a complex ...

In vivo porcine training model for cranial neurosurgery.

Science.gov (United States)

Regelsberger, Jan; Eicker, Sven; Siasios, Ioannis; Hänggi, Daniel; Kirsch, Matthias; Horn, Peter; Winkler, Peter; Signoretti, Stefano; Fountas, Kostas; Dufour, Henry; Barcia, Juan A; Sakowitz, Oliver; Westermaier, Thomas; Sabel, Michael; Heese, Oliver

2015-01-01

Supplemental education is desirable for neurosurgical training, and the use of human cadaver specimen and virtual reality models is routine. An in vivo porcine training model for cranial neurosurgery was introduced in 2005, and our recent experience with this unique model is outlined here. For the first time, porcine anatomy is illustrated with particular respect to neurosurgical procedures. The pros and cons of this model are described. The aim of the course was to set up a laboratory scenery imitating an almost realistic operating room in which anatomy of the brain and neurosurgical techniques in a mentored environment free from time constraints could be trained. Learning objectives of the course were to learn about the microsurgical techniques in cranial neurosurgery and the management of complications. Participants were asked to evaluate the quality and utility of the programme via standardized questionnaires by a grading scale from A (best) to E (worst). In total, 154 residents have been trained on the porcine model to date. None of the participants regarded his own residency programme as structured. The bleeding and complication management (97%), the realistic laboratory set-up (89%) and the working environment (94%) were favoured by the vast majority of trainees and confirmed our previous findings. After finishing the course, the participants graded that their skills in bone drilling, dissecting the brain and preserving cerebral vessels under microscopic magnification had improved to level A and B. In vivo hands-on courses, fully equipped with microsurgical instruments, offer an outstanding training opportunity in which bleeding management on a pulsating, vital brain represents a unique training approach. Our results have shown that education programmes still lack practical training facilities in which in vivo models may act as a complementary approach in surgical training.

Numerical simulations of clinical focused ultrasound functional neurosurgery

Science.gov (United States)

Pulkkinen, Aki; Werner, Beat; Martin, Ernst; Hynynen, Kullervo

2014-04-01

A computational model utilizing grid and finite difference methods were developed to simulate focused ultrasound functional neurosurgery interventions. The model couples the propagation of ultrasound in fluids (soft tissues) and solids (skull) with acoustic and visco-elastic wave equations. The computational model was applied to simulate clinical focused ultrasound functional neurosurgery treatments performed in patients suffering from therapy resistant chronic neuropathic pain. Datasets of five patients were used to derive the treatment geometry. Eight sonications performed in the treatments were then simulated with the developed model. Computations were performed by driving the simulated phased array ultrasound transducer with the acoustic parameters used in the treatments. Resulting focal temperatures and size of the thermal foci were compared quantitatively, in addition to qualitative inspection of the simulated pressure and temperature fields. This study found that the computational model and the simulation parameters predicted an average of 24 ± 13% lower focal temperature elevations than observed in the treatments. The size of the simulated thermal focus was found to be 40 ± 13% smaller in the anterior-posterior direction and 22 ± 14% smaller in the inferior-superior direction than in the treatments. The location of the simulated thermal focus was off from the prescribed target by 0.3 ± 0.1 mm, while the peak focal temperature elevation observed in the measurements was off by 1.6 ± 0.6 mm. Although the results of the simulations suggest that there could be some inaccuracies in either the tissue parameters used, or in the simulation methods, the simulations were able to predict the focal spot locations and temperature elevations adequately for initial treatment planning performed to assess, for example, the feasibility of sonication. The accuracy of the simulations could be improved if more precise ultrasound tissue properties (especially of the

Integration and Optimization of Alternative Sources of Energy in a Remote Region

Science.gov (United States)

Berberi, Pellumb; Inodnorjani, Spiro; Aleti, Riza

2010-01-01

In a remote coastal region supply of energy from national grid is insufficient for a sustainable development. Integration and optimization of local alternative renewable energy sources is an optional solution of the problem. In this paper we have studied the energetic potential of local sources of renewable energy (water, solar, wind and biomass). A bottom-up energy system optimization model is proposed in order to support planning policies for promoting the use of renewable energy sources. A software, based on multiple factors and constrains analysis for optimization energy flow is proposed, which provides detailed information for exploitation each source of energy, power and heat generation, GHG emissions and end-use sectors. Economical analysis shows that with existing technologies both stand alone and regional facilities may be feasible. Improving specific legislation will foster investments from Central or Local Governments and also from individuals, private companies or small families. The study is carried on the frame work of a FP6 project "Integrated Renewable Energy System."

Overview of intraoperative MRI in neurosurgery

Energy Technology Data Exchange (ETDEWEB)

Shiino, Akihiko; Matsuda, Masayuki [Shiga Univ. of Medical Science, Otsu (Japan)

2002-01-01

This review describes usefulness, prospect and present problems of intraoperative MRI in neurosurgery. MRI equipments for the surgery have to have a wide, open space and have those magnets of short cylindrical, biplanar (clam shell), dual air core superconducting solenoidal (double doughnut) and targeted FOV (field of view) type. Devices required for the surgery are specific and in author's facility, they are classified into 4 zones depending on the region of their use. Application of the surgery involves biopsy, drainage of cyst and abscess, hematoma evacuation, nerve block, thermotherapy (interstitial laser, RF ablation, focused untrasonic and cryosurgery), local drug therapy, chemoablation, vascular intervention and tumor extraction, of which actual procedures and pictures are presented together with, in particular, MR-guided thermotherapy, ablation therapy of brain tumors, endoscopic surgery and minimally invasive therapy of the spine. A navigation software, 3D SlicerTM system, is introduced for interventional imaging. Safety measures are emphasized for the operation. (K.H.)

Overview of intraoperative MRI in neurosurgery

International Nuclear Information System (INIS)

Shiino, Akihiko; Matsuda, Masayuki

2002-01-01

This review describes usefulness, prospect and present problems of intraoperative MRI in neurosurgery. MRI equipments for the surgery have to have a wide, open space and have those magnets of short cylindrical, biplanar (clam shell), dual air core superconducting solenoidal (double doughnut) and targeted FOV (field of view) type. Devices required for the surgery are specific and in author's facility, they are classified into 4 zones depending on the region of their use. Application of the surgery involves biopsy, drainage of cyst and abscess, hematoma evacuation, nerve block, thermotherapy (interstitial laser, RF ablation, focused untrasonic and cryosurgery), local drug therapy, chemoablation, vascular intervention and tumor extraction, of which actual procedures and pictures are presented together with, in particular, MR-guided thermotherapy, ablation therapy of brain tumors, endoscopic surgery and minimally invasive therapy of the spine. A navigation software, 3D SlicerTM system, is introduced for interventional imaging. Safety measures are emphasized for the operation. (K.H.)

The Bandung neurosurgery patient outcomes project, Indonesia (Part II): Patient pathways and feasibility and acceptability of telephone follow-up.

Science.gov (United States)

Sutiono, Agung Budi; Faried, Ahmad; McAllister, Susan; Ganefianty, Amelia; Sarjono, Kalih; Arifin, Muhammad Zafrullah; Derrett, Sarah

2018-01-01

Support of neurosurgery patients following discharge from hospital is important. Currently, little is known about patients' in low- and middle-income countries before and after their hospital treatment. This companion paper reports patients' pathways before and after hospital admission and the feasibility of following up this ill-patient population by telephone. Eligible patients were aged ≥18 years admitted to the Neurosurgery Department in Dr. Hasan Sadikin Hospital-a regional referral hospital in Bandung City, Indonesia. Clinical data were collected on admission by clinicians. In-person interviews were undertaken with a clinical research nurse 1 to 2 days pre-discharge, and telephone follow-up interviews at 1, 2, and 3 months post-discharge. Information was also collected on pathways prior to admission and following discharge. The number of contact attempts for each patient interview was documented, as was the overall acceptability of undertaking a telephone interview. Of 178 patients discharged from hospital, 12 later died. Of the remaining 166 patients, 95% were able to be followed up to 3 months. Two-thirds of patients had been referred from another hospital. Patients came from, and were discharged to, locations throughout the West Java region. At the 1-month interview, 84% participants reported that they had had a follow-up consultation with a health professional-mostly with a neurosurgeon. This study has shown that, with a neurosurgery nurse delegated to the role, it is feasible to conduct follow-up telephone interviews with patients after discharge from a neurosurgery ward and that in fact such follow-up was appreciated by patients. Copyright © 2017 John Wiley & Sons, Ltd.

A Cloud Computing Workflow for Scalable Integration of Remote Sensing and Social Media Data in Urban Studies

Science.gov (United States)

Soliman, A.; Soltani, K.; Yin, J.; Subramaniam, B.; Liu, Y.; Padmanabhan, A.; Riteau, P.; Keahey, K.; Wang, S. W.

2015-12-01

Urban ecosystems are unique earth environments because both their physical and social components contribute to the overall dynamics of the system. Up-to-date, remote sensing data (e.g. optical and LiDAR) allowed researchers to monitor the development of impervious surfaces however, it was not adequate to detect associated social dynamics. Geo-located social media (e.g. Twitter) provides a data source to detect population dynamics and understand the interaction of people with their physical environment. Although, integrating social media with remote sensing data has been hindered by large volumes of data and the lack of models for integrating remote sensing products with unstructured social media data. In this research work, we leveraged the NSF chameleon cloud computing platform to provide virtual clusters and elastic auto-scaling of resources that are needed for the synthesis of landuse and geo-located Twitter data. In this context, data synthesis was used to address research questions related to population dynamics in major metropolitan areas. We provide an overview of a cloud computing workflow comprised of a set of coupled scalable synthesis modules for: a) preprocessing data, which includes storage and query of heterogeneous data streams, b) spatial data integration, which matches geo-located Twitter data with user defined landuse maps based on a conceptual model of human mobility and c) visualization of urban mobility patterns. Our results demonstrate the flexibility to connect data, synthesis methods and computing resources using cloud computing, which would be otherwise very difficult for untrained scientists to setup and control. Furthermore, we demonstrate the capabilities of CyberGIS-based workflow using the case study of comparing commuting distances across major US cities from 2013 through the present. We demonstrate how our workflow will support discoveries in urban ecological studies as well as linking human and physical dimensions in environmental

Mythology and Neurosurgery.

Science.gov (United States)

Ökten, Ali İhsan

2016-06-01

Myths are the keystone of mythology. They are interpretations of events that have been told as stories and legends for thousands of years, inherited from generation to generation, and have reached the present day. Although most myths are considered figments of the imagination or fictitious legends, all of them contain references to facts from the time they occurred. Mythology, which is a collection of figments of imagination concerning nature and human beings, is a product of human effort to perceive, explain, and interpret the universe and the world, much like science. The interaction between mythology and science dates back to the early days of civilization. Mythology, a reflection of human creativity, is extensively used in modern science, particularly in a terminological context. This article aims to reveal the texture of mythology in neurosurgery, by analyzing the birth of medicine in mythology; heroes such as Apollo and Asklepios, the gods of healing and medicine, as well as Hygieia, the goddess of health and hygiene; and mythological terms and phrases such as Achilles tendon, atlas vertebra, gigantism, priapism syndrome, hippocampus, lethargy, syrinx, and arachnoid. Through the use of symbols, mythology has attempted to explain several subjects, such as human nature, disease, birth, and death. In this respect, mythology and medicine dance arm in arm, and this dance has been going on for centuries. As a result, mythology has manifested itself in many fields within medicine, either anatomically or by giving names to various diseases. Copyright © 2016 Elsevier Inc. All rights reserved.

Operative volume and outcomes of cerebrovascular neurosurgery in children.

Science.gov (United States)

Bekelis, Kimon; Connolly, Ian D; Do, Huy M; Choudhri, Omar

2016-11-01

OBJECTIVE The impact of procedural volume on the outcomes of cerebrovascular surgery in children has not been determined. In this study, the authors investigated the association of operative volume on the outcomes of cerebrovascular neurosurgery in pediatric patients. METHODS The authors performed a cohort study of all pediatric patients who underwent a cerebrovascular procedure between 2003 and 2012 and were registered in the Kids' Inpatient Database (KID). To control for confounding, the authors used multivariable regression models, propensity-score conditioning, and mixed-effects analysis to account for clustering at the hospital level. RESULTS During the study period, 1875 pediatric patients in the KID underwent cerebrovascular neurosurgery and met the inclusion criteria for the study; 204 patients (10.9%) underwent aneurysm clipping, 446 (23.8%) underwent coil insertion for an aneurysm, 827 (44.1%) underwent craniotomy for arteriovenous malformation resection, and 398 (21.2%) underwent bypass surgery for moyamoya disease. Mixed-effects multivariable regression analysis revealed that higher procedural volume was associated with fewer inpatient deaths (OR 0.58; 95% CI 0.40-0.85), a lower rate of discharges to a facility (OR 0.87; 95% CI 0.82-0.92), and shorter length of stay (adjusted difference -0.22; 95% CI -0.32 to -0.12). The results in propensity-adjusted multivariable models were robust. CONCLUSIONS In a national all-payer cohort of pediatric patients who underwent a cerebrovascular procedure, the authors found that higher procedural volume was associated with fewer deaths, a lower rate of discharges to a facility, and decreased lengths of stay. Regionalization initiatives should include directing children with such rare pathologies to a center of excellence.

Roots of neuroanatomy, neurology, and neurosurgery as found in the Bible and Talmud.

Science.gov (United States)

Tubbs, R Shane; Loukas, Marios; Shoja, Mohammadali M; Cohen-Gadol, Aaron A; Wellons, John C; Oakes, W Jerry

2008-07-01

Historical observations and interpretations regarding the treatment of components of the nervous system can be found in the writings of the Bible and Talmud. A review of topics germane to modern neuroanatomy, neurology, and neurosurgery from these early, rich writings is presented herein. These historic writings provide a glimpse into the early understanding, description, and treatment of pathologies of the nervous system.

Mapping multi-scale vascular plant richness in a forest landscape with integrated LiDAR and hyperspectral remote-sensing.

Science.gov (United States)

Hakkenberg, C R; Zhu, K; Peet, R K; Song, C

2018-02-01

The central role of floristic diversity in maintaining habitat integrity and ecosystem function has propelled efforts to map and monitor its distribution across forest landscapes. While biodiversity studies have traditionally relied largely on ground-based observations, the immensity of the task of generating accurate, repeatable, and spatially-continuous data on biodiversity patterns at large scales has stimulated the development of remote-sensing methods for scaling up from field plot measurements. One such approach is through integrated LiDAR and hyperspectral remote-sensing. However, despite their efficiencies in cost and effort, LiDAR-hyperspectral sensors are still highly constrained in structurally- and taxonomically-heterogeneous forests - especially when species' cover is smaller than the image resolution, intertwined with neighboring taxa, or otherwise obscured by overlapping canopy strata. In light of these challenges, this study goes beyond the remote characterization of upper canopy diversity to instead model total vascular plant species richness in a continuous-cover North Carolina Piedmont forest landscape. We focus on two related, but parallel, tasks. First, we demonstrate an application of predictive biodiversity mapping, using nonparametric models trained with spatially-nested field plots and aerial LiDAR-hyperspectral data, to predict spatially-explicit landscape patterns in floristic diversity across seven spatial scales between 0.01-900 m 2 . Second, we employ bivariate parametric models to test the significance of individual, remotely-sensed predictors of plant richness to determine how parameter estimates vary with scale. Cross-validated results indicate that predictive models were able to account for 15-70% of variance in plant richness, with LiDAR-derived estimates of topography and forest structural complexity, as well as spectral variance in hyperspectral imagery explaining the largest portion of variance in diversity levels. Importantly

Unplanned readmission within 90 days after pediatric neurosurgery.

Science.gov (United States)

Chotai, Silky; Guidry, Bradley S; Chan, Emily W; Sborov, Katherine D; Gannon, Stephen; Shannon, Chevis; Bonfield, Christopher M; Wellons, John C; Naftel, Robert P

2017-12-01

OBJECTIVE Readmission and return to operating room after surgery are increasingly being used as a proxy for quality of care. Nearly 60% of these readmissions are unplanned, which translates into billions of dollars in health care costs. The authors set out to analyze the incidence of readmission at their center, to define causes of unplanned readmission, and to determine the preoperative and surgical variables associated with readmissions following pediatric neurosurgery. METHODS A total of 536 children who underwent operations for neurosurgical diagnoses between 2012 and 2015 and who were later readmitted were included in the final analysis. Unplanned readmissions were defined to have occurred as a result of complications within 90 days after index surgery. Patient records were retrospectively reviewed to determine the primary diagnosis, surgery indication, and cause of readmission and return to operating room. The cost for index hospitalization, readmission episode, and total cost were derived based on the charges obtained from administrative data. Bivariate and multivariable analyses were conducted. RESULTS Of 536 patients readmitted in total, 17.9% (n = 96) were readmitted within 90 days. Of the overall readmissions, 11.9% (n = 64) were readmitted within 30 days, and 5.97% (n = 32) were readmitted between 31 and 90 days. The median duration between discharge and readmission was 20 days (first quartile [Q1]: 9 days, third quartile [Q3]: 36 days). The most common reason for readmission was shunt related (8.2%, n = 44), followed by wound infection (4.7%, n = 25). In the risk-adjusted multivariable logistic regression model for total 90-day readmission, patients with the following characteristics: younger age (p = 0.001, OR 0.886, 95% CI 0.824-0.952); "other" (nonwhite, nonblack) race (p = 0.024, OR 5.49, 95% CI 1.246-24.2); and those born preterm (p = 0.032, OR 2.1, 95% CI 1.1-4.12) had higher odds of being readmitted within 90 days after discharge. The total

Integrated remote sensing and visualization (IRSV) system for transportation infrastructure operations and management, phase one, volume 3 : use of scanning LiDAR in structural evaluation of bridges.

Science.gov (United States)

2009-12-01

This volume introduces several applications of remote bridge inspection technologies studied in : this Integrated Remote Sensing and Visualization (IRSV) study using ground-based LiDAR : systems. In particular, the application of terrestrial LiDAR fo...

Analysis of Electronic Densities and Integrated Doses in Multiform Glioblastomas Stereotactic Radiotherapy

International Nuclear Information System (INIS)

Baron-Aznar, C.; Moreno-Jimenez, S.; Celis, M. A.; Ballesteros-Zebadua, P.; Larraga-Gutierrez, J. M.

2008-01-01

Integrated dose is the total energy delivered in a radiotherapy target. This physical parameter could be a predictor for complications such as brain edema and radionecrosis after stereotactic radiotherapy treatments for brain tumors. Integrated Dose depends on the tissue density and volume. Using CT patients images from the National Institute of Neurology and Neurosurgery and BrainScan(c) software, this work presents the mean density of 21 multiform glioblastomas, comparative results for normal tissue and estimated integrated dose for each case. The relationship between integrated dose and the probability of complications is discussed

Remote lower white matter integrity increases the risk of long-term cognitive impairment after ischemic stroke in young adults

NARCIS (Netherlands)

Schaapsmeerders, P.; Tuladhar, A.M.; Arntz, R.M.; Franssen, S.; Maaijwee, N.A.M.M.; Rutten-Jacobs, L.C.A.; Schoonderwaldt, H.C.; Dorresteijn, L.D.A.; Dijk, E.J. van; Kessels, R.P.C.; Leeuw, H.F. de

2016-01-01

Background and Purpose: Poststroke cognitive impairment occurs frequently in young patients with ischemic stroke (18 through 50 years of age). Accumulating data suggest that stroke is associated with lower white matter integrity remote from the stroke impact area, which might explain why some

Remote lower white matter integrity increases the risk of long-term cognitive impairment after ischemic stroke in young adults

NARCIS (Netherlands)

Schaapsmeerders, P.; Tuladhar, A.M.; Arntz, R.M.; Franssen, S.; Maaijwee, N.A.M.M.; Rutten-Jacobs, L.C.A.; Schoonderwaldt, H.C.; Dorresteijn, L.D.A.; Dijk, E.J. van; Kessels, R.P.C.; Leeuw, F.E. de

2016-01-01

BACKGROUND AND PURPOSE: Poststroke cognitive impairment occurs frequently in young patients with ischemic stroke (18 through 50 years of age). Accumulating data suggest that stroke is associated with lower white matter integrity remote from the stroke impact area, which might explain why some

Introduction: military neurosurgery, past and present.

Science.gov (United States)

Klimo, Paul; Ragel, Brian T

2010-05-01

For a physician has the worth of many other warriors, both for the excision of arrows and for the administration of soothing drugs. Homer, Iliad XI.514-515 Ever since armed conflict has been used as a means to settle disputes among men, there have been those who have been tasked to mend the wounds that ravage a soldier's body from the weapons of war. The Iliad portrays the pivotal 10th year of the legendary Trojan War, during which a schism in the Greek leadership prolongs the extended siege of the city of Troy. In the midst of this martial epic come the lines quoted above, quietly attesting to the value of the military physician, even under the crude conditions of the Greek Dark Age. They are uttered by Idomeneus, one of the foremost Greeks, when he is enjoining one of his comrades, Nestor, to rescue the injured Greek physician Machaon and take him back from the line to treat his wounds. He is afraid that Machaon will be captured by the Trojans, a loss far greater than that of any other single warrior. Duty to country has helped shape the careers of many neurosurgeons, including iconic US figures such as Harvey Cushing and Donald Matson. This issue of Neurosurgical Focus celebrates the rich history of military neurosurgery from the wars of yesterday to the conflicts of today. We have been humbled by the tremendous response to this topic. The 25 articles within this issue will provide the reader with both a broad and an in-depth look at the many facets of military neurosurgery. We have attempted to group articles based on their predominant topic. We also encourage our audience to read other recently published articles. The first 8 articles relate to the current conflicts in Afghanistan and Iraq. The lead article, written by Randy Bell and colleagues from the National Naval Medical Center and Walter Reed Army Medical Center, discusses what is arguably one of the most important contributions by military neurosurgeons from these 2 conflicts: the rapid and aggressive

In Situ/Remote Sensing Integration to Assess Forest Health—A Review

Directory of Open Access Journals (Sweden)

Marion Pause

2016-06-01

Full Text Available For mapping, quantifying and monitoring regional and global forest health, satellite remote sensing provides fundamental data for the observation of spatial and temporal forest patterns and processes. While new remote-sensing technologies are able to detect forest data in high quality and large quantity, operational applications are still limited by deficits of in situ verification. In situ sampling data as input is required in order to add value to physical imaging remote sensing observations and possibilities to interlink the forest health assessment with biotic and abiotic factors. Numerous methods on how to link remote sensing and in situ data have been presented in the scientific literature using e.g. empirical and physical-based models. In situ data differs in type, quality and quantity between case studies. The irregular subsets of in situ data availability limit the exploitation of available satellite remote sensing data. To achieve a broad implementation of satellite remote sensing data in forest monitoring and management, a standardization of in situ data, workflows and products is essential and necessary for user acceptance. The key focus of the review is a discussion of concept and is designed to bridge gaps of understanding between forestry and remote sensing science community. Methodological approaches for in situ/remote-sensing implementation are organized and evaluated with respect to qualifying for forest monitoring. Research gaps and recommendations for standardization of remote-sensing based products are discussed. Concluding the importance of outstanding organizational work to provide a legally accepted framework for new information products in forestry are highlighted.

Remote Sensing of Vegetation Species Diversity: The Utility of Integrated Airborne Hyperspectral and Lidar Data

Science.gov (United States)

Krause, Keith Stuart

The change, reduction, or extinction of species is a major issue currently facing the Earth. Efforts are underway to measure, monitor, and protect habitats that contain high species diversity. Remote sensing technology shows extreme value for monitoring species diversity by mapping ecosystems and using those land cover maps or other derived data as proxies to species number and distribution. The National Ecological Observatory Network (NEON) Airborne Observation Platform (AOP) consists of remote sensing instruments such as an imaging spectrometer, a full-waveform lidar, and a high-resolution color camera. AOP collected data over the Ordway-Swisher Biological Station (OSBS) in May 2014. A majority of the OSBS site is covered by the Sandhill ecosystem, which contains a very high diversity of vegetation species and is a native habitat for several threatened fauna species. The research presented here investigates ways to analyze the AOP data to map ecosystems at the OSBS site. The research attempts to leverage the high spatial resolution data and study the variability of the data within a ground plot scale along with integrating data from the different sensors. Mathematical features are derived from the data and brought into a decision tree classification algorithm (rpart), in order to create an ecosystem map for the site. The hyperspectral and lidar features serve as proxies for chemical, functional, and structural differences in the vegetation types for each of the ecosystems. K-folds cross validation shows a training accuracy of 91%, a validation accuracy of 78%, and a 66% accuracy using independent ground validation. The results presented here represent an important contribution to utilizing integrated hyperspectral and lidar remote sensing data for ecosystem mapping, by relating the spatial variability of the data within a ground plot scale to a collection of vegetation types that make up a given ecosystem.

The Practice of Cranial Neurosurgery and the Malpractice Liability Environment in the United States

Science.gov (United States)

Wong, Kendrew; MacKenzie, Todd A.

2015-01-01

Object The potential imbalance between malpractice liability cost and quality of care has been an issue of debate. We investigated the association of malpractice liability with unfavorable outcomes and increased hospitalization charges in cranial neurosurgery. Methods We performed a retrospective cohort study involving patients who underwent cranial neurosurgical procedures from 2005-2010, and were registered in the National Inpatient Sample (NIS) database. We used data from the National Practitioner Data Bank (NPDB) from 2005 to 2010 to create measures of volume and size of malpractice claim payments. The association of the latter with the state-level mortality, length of stay (LOS), unfavorable discharge, and hospitalization charges for cranial neurosurgery was investigated. Results During the study period, there were 189,103 patients (mean age 46.4 years, with 48.3% females) who underwent cranial neurosurgical procedures, and were registered in NIS. In a multivariable regression, higher number of claims per physician in a state was associated with increased ln-transformed hospitalization charges (beta 0.18; 95% CI, 0.17 to 0.19). On the contrary, there was no association with mortality (OR 1.00; 95% CI, 0.94 to 1.06). We observed a small association with unfavorable discharge (OR 1.09; 95% CI, 1.06 to 1.13), and LOS (beta 0.01; 95% CI, 0.002 to 0.03). The size of the awarded claims demonstrated similar relationships. The average claims payment size (ln-transformed) (Pearson’s rho=0.435, P=0.01) demonstrated a positive correlation with the risk-adjusted hospitalization charges but did not demonstrate a correlation with mortality, unfavorable discharge, or LOS. Conclusions In the present national study, aggressive malpractice environment was not correlated with mortality but was associated with higher hospitalization charges after cranial neurosurgery. In view of the association of malpractice with the economics of healthcare, further research on its impact is

Remote and terrestrial ground monitoring techniques integration for hazard assessment in mountain areas

Science.gov (United States)

Chinellato, Giulia; Kenner, Robert; Iasio, Christian; Mair, Volkmar; Mosna, David; Mulas, Marco; Phillips, Marcia; Strada, Claudia; Zischg, Andreas

2014-05-01

In high mountain regions the choice of appropriate sites for infrastructure such as roads, railways, cable cars or hydropower dams is often very limited. In parallel, the increasing demand for supply infrastructure in the Alps induces a continuous transformation of the territory. The new role played by the precautionary monitoring in the risk governance becomes fundamental and may overcome the modeling of future events, which represented so far the predominant approach to these sort of issues. Furthermore the consequence of considering methodologies alternative to those more exclusive allow to reduce costs and increasing the frequency of measurements, updating continuously the cognitive framework of existing hazard condition in most susceptible territories. The scale factor of the observed area and the multiple purpose of such regional ordinary surveys make it convenient to adopt Radar Satellite-based systems, but they need to be integrated with terrestrial systems for validation and eventual early warning purposes. Significant progress over the past decade in Remote Sensing (RS), Proximal Sensing and integration-based sensor networks systems now provide technologies, that allow to implement monitoring systems for ordinary surveys of extensive areas or regions, which are affected by active natural processes and slope instability. The Interreg project SloMove aims to provide solutions for such challenges and focuses on using remote sensing monitoring techniques for the monitoring of mass movements in two test sites, in South Tyrol (Italy) and in Grisons Canton (Switzerland). The topics faced in this project concern mass movements and slope deformation monitoring techniques, focusing mainly on the integration of multi-temporal interferometry, new generation of terrestrial technologies for differential digital terrain model elaboration provided by laser scanner (TLS), and GNSS-based topographic surveys, which are used not only for validation purpose, but also for

[New approaches in neurosurgery and hyperbaric medicine--the importance of preventive and industrial medicine].

Science.gov (United States)

Kohshi, K; Munaka, M; Abe, H; Tosaki, T

1999-12-01

Neurosurgical patients have been mainly treated by surgical procedures over the past decades. In addition, hyperbaric oxygen (HBO) therapy in neurosurgery has been used in patients with ischemic cerebrovascular diseases, head trauma, spinal damage, postoperative brain edema and others. However, the main therapeutic methods for neurosurgical diseases have changed dramatically due to developments in radiological techniques, such as radiosurgery and intravascular surgery. With changes in therapeutic methods, HBO therapy may become a very important treatment option for neurosurgical patients. For example, HBO therapy combined with radiotherapy (UOEH regimen) and anticoagulant therapy appear to be very effective in the treatments of malignant brain tumors and ischemic cerebrovascular diseases, respectively. On the other hand, medical examinations under hyper- and hypobaric environments have not yet been fully studied in the central nervous system compared to those in the cardiopulmonary systems. Moreover, the mechanisms of cerebral lesions in decompression sickness and acute mountain sickness remain unclear. Clinical neurologic approaches are very important in these fields. Hence, clinicians and researchers skilled in both neurosurgery and hyperbaric medicine will be required for advanced treatment and preventive and industrial medicine.

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

Science.gov (United States)

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

2015-04-01

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

Thin-film electroencephalographic electrodes using multi-walled carbon nanotubes are effective for neurosurgery.

Science.gov (United States)

Awara, Kousuke; Kitai, Ryuhei; Isozaki, Makoto; Neishi, Hiroyuki; Kikuta, Kenichiro; Fushisato, Naoki; Kawamoto, Akira

2014-12-15

Intraoperative morphological and functional monitoring is essential for safe neurosurgery. Functional monitoring is based on electroencephalography (EEG), which uses silver electrodes. However, these electrodes generate metal artifacts as silver blocks X-rays, creating white radial lines on computed tomography (CT) images during surgery. Thick electrodes interfere with surgical procedures. Thus, thinner and lighter electrodes are ideal for intraoperative use. The authors developed thin brain electrodes using carbon nanotubes that were formed into thin sheets and connected to electrical wires. The nanotube sheets were soft and fitted the curve of the head very well. When attached to the head using paste, the impedance of the newly developed electrodes was 5 kΩ or lower, which was similar to that of conventional metal electrodes. These electrodes can be used in combination with intraoperative CT, magnetic resonance imaging (MRI), or cerebral angiography. Somatosensory-evoked potentials, auditory brainstem responses, and visually evoked potentials were clearly identified in ten volunteers. The electrodes, without any artifacts that distort images, did not interfere with X-rays, CT, or MR images. They also did not cause skin damage. Carbon nanotube electrodes may be ideal for neurosurgery.

Integrating Remote Sensing Information Into A Distributed Hydrological Model for Improving Water Budget Predictions in Large-scale Basins through Data Assimilation

Science.gov (United States)

Qin, Changbo; Jia, Yangwen; Su, Z.(Bob); Zhou, Zuhao; Qiu, Yaqin; Suhui, Shen

2008-01-01

This paper investigates whether remote sensing evapotranspiration estimates can be integrated by means of data assimilation into a distributed hydrological model for improving the predictions of spatial water distribution over a large river basin with an area of 317,800 km2. A series of available MODIS satellite images over the Haihe River basin in China are used for the year 2005. Evapotranspiration is retrieved from these 1×1 km resolution images using the SEBS (Surface Energy Balance System) algorithm. The physically-based distributed model WEP-L (Water and Energy transfer Process in Large river basins) is used to compute the water balance of the Haihe River basin in the same year. Comparison between model-derived and remote sensing retrieval basin-averaged evapotranspiration estimates shows a good piecewise linear relationship, but their spatial distribution within the Haihe basin is different. The remote sensing derived evapotranspiration shows variability at finer scales. An extended Kalman filter (EKF) data assimilation algorithm, suitable for non-linear problems, is used. Assimilation results indicate that remote sensing observations have a potentially important role in providing spatial information to the assimilation system for the spatially optical hydrological parameterization of the model. This is especially important for large basins, such as the Haihe River basin in this study. Combining and integrating the capabilities of and information from model simulation and remote sensing techniques may provide the best spatial and temporal characteristics for hydrological states/fluxes, and would be both appealing and necessary for improving our knowledge of fundamental hydrological processes and for addressing important water resource management problems. PMID:27879946

Experiential Learning of Robotics Fundamentals Based on a Case Study of Robot-Assisted Stereotactic Neurosurgery

Science.gov (United States)

Faria, Carlos; Vale, Carolina; Machado, Toni; Erlhagen, Wolfram; Rito, Manuel; Monteiro, Sérgio; Bicho, Estela

2016-01-01

Robotics has been playing an important role in modern surgery, especially in procedures that require extreme precision, such as neurosurgery. This paper addresses the challenge of teaching robotics to undergraduate engineering students, through an experiential learning project of robotics fundamentals based on a case study of robot-assisted…

Review of 3-Dimensional Printing on Cranial Neurosurgery Simulation Training.

Science.gov (United States)

Vakharia, Vejay N; Vakharia, Nilesh N; Hill, Ciaran S

2016-04-01

Shorter working times, reduced operative exposure to complex procedures, and increased subspecialization have resulted in training constraints within most surgical fields. Simulation has been suggested as a possible means of acquiring new surgical skills without exposing patients to the surgeon's operative "learning curve." Here we review the potential impact of 3-dimensional printing on simulation and training within cranial neurosurgery and its implications for the future. In accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines, a comprehensive search of PubMed, OVID MEDLINE, Embase, and the Cochrane Database of Systematic Reviews was performed. In total, 31 studies relating to the use of 3-dimensional (3D) printing within neurosurgery, of which 16 were specifically related to simulation and training, were identified. The main impact of 3D printing on neurosurgical simulation training was within vascular surgery, where patient-specific replication of vascular anatomy and pathologies can aid surgeons in operative planning and clip placement for reconstruction of vascular anatomy. Models containing replicas of brain tumors have also been reconstructed and used for training purposes, with some providing realistic representations of skin, subcutaneous tissue, bone, dura, normal brain, and tumor tissue. 3D printing provides a unique means of directly replicating patient-specific pathologies. It can identify anatomic variation and provide a medium in which training models can be generated rapidly, allowing the trainee and experienced neurosurgeon to practice parts of operations preoperatively. Future studies are required to validate this technology in comparison with current simulators and show improved patient outcomes. Copyright © 2016 Elsevier Inc. All rights reserved.

International remote monitoring project Argentina Nuclear Power Station Spent Fuel Transfer Remote Monitoring System

International Nuclear Information System (INIS)

Schneider, S.; Lucero, R.; Glidewell, D.

1997-01-01

The Autoridad Regulataria Nuclear (ARN) and the United States Department of Energy (DOE) are cooperating on the development of a Remote Monitoring System for nuclear nonproliferation efforts. A Remote Monitoring System for spent fuel transfer will be installed at the Argentina Nuclear Power Station in Embalse, Argentina. The system has been designed by Sandia National Laboratories (SNL), with Los Alamos National Laboratory (LANL) and Oak Ridge National Laboratory (ORNL) providing gamma and neutron sensors. This project will test and evaluate the fundamental design and implementation of the Remote Monitoring System in its application to regional and international safeguards efficiency. This paper provides a description of the monitoring system and its functions. The Remote Monitoring System consists of gamma and neutron radiation sensors, RF systems, and video systems integrated into a coherent functioning whole. All sensor data communicate over an Echelon LonWorks Network to a single data logger. The Neumann DCM 14 video module is integrated into the Remote Monitoring System. All sensor and image data are stored on a Data Acquisition System (DAS) and archived and reviewed on a Data and Image Review Station (DIRS). Conventional phone lines are used as the telecommunications link to transmit on-site collected data and images to remote locations. The data and images are authenticated before transmission. Data review stations will be installed at ARN in Buenos Aires, Argentina, ABACC in Rio De Janeiro, IAEA Headquarters in Vienna, and Sandia National Laboratories in Albuquerque, New Mexico. 2 refs., 2 figs

Role of gamma knife radiosurgery in neurosurgery. Past and future perspectives

International Nuclear Information System (INIS)

Koga, Tomoyuki; Shin, Masahiro; Saito, Nobuhito

2010-01-01

The gamma knife was the first radiosurgical device developed at the Karolinska Institute in 1967. Stereotactic radiosurgery using the gamma knife has been widely accepted in clinical practice and has contributed to the development of neurosurgery. More than 500,000 patients have been treated by gamma knife stereotactic radiosurgery so far, and the method is now an indispensable neurosurgical tool. Here we review long-term outcomes and development of stereotactic radiosurgery using the gamma knife and discuss its future perspectives. The primary role of stereotactic radiosurgery is to control small well-demarcated lesions such as metastatic brain tumors, meningiomas, schwannomas, and pituitary adenomas while preserving the function of surrounding brain tissue. The gamma knife has been used as a primary treatment or in combination with surgery, and some applications have been accepted as standard treatment in the field of neurosurgery. Treatment of cerebral arteriovenous malformations has also been drastically changed after emergence of this technology. Controlling functional disorders is another role of stereotactic radiosurgery. There is a risk of radiation-induced adverse events, which are usually mild and less frequent. However, especially in large or invasive lesions, those risks are not negligible and pose limitations. Advancement of irradiation technology and dose planning software have enabled more sophisticated and safer treatment, and further progress will contribute to better treatment outcomes not only for brain lesions but also for cervical lesions with less invasive treatment. (author)

Readiness for practice: a survey of neurosurgery graduates and program directors.

Science.gov (United States)

Haji, Faizal A; Steven, David A

2014-11-01

Postgraduate neurosurgical education is undergoing significant reform, including transition to a competency-based training model. To support these efforts, the purpose of this study was to determine neurosurgical graduates' and program directors' (PDs) opinions about graduates' level of competence in reference to the 2010 Royal College Objectives of Training in Neurosurgery. An electronic survey was distributed to Canadian neurosurgery PDs and graduates from 2011. The questionnaire addressed graduates' abilities in nonprocedural knowledge and skills, CanMEDS roles, proficiency with core neurosurgical procedures and knowledge of complex neurosurgical techniques. Thirteen of 22 (59%) graduate and 17/25 (65%) PD surveys were completed. There were no significant differences between PD and graduate responses. Most respondents agreed that these graduates possess the knowledge and skills expected of an independently practicing neurosurgeon across current objectives of training. A small proportion felt some graduates did not achieve this level of proficiency on specific vascular, functional, peripheral nerve and endoscopic procedures. This was partially attributed to limited exposure to these procedures during training and perceptions that some techniques required fellowship-level training. Graduating neurosurgical residents are perceived to possess a high level of proficiency in the majority of neurosurgical practice domains. Inadequate exposure during training or a perception that subspecialists should perform some procedures may contribute to cases where proficiency is not as high. The trends identified in this study could be monitored on an ongoing basis to provide supplemental data to guide curricular decisions in Canadian neurosurgical training.

Neurosurgery simulation using non-linear finite element modeling and haptic interaction

Science.gov (United States)

Lee, Huai-Ping; Audette, Michel; Joldes, Grand R.; Enquobahrie, Andinet

2012-02-01

Real-time surgical simulation is becoming an important component of surgical training. To meet the realtime requirement, however, the accuracy of the biomechancial modeling of soft tissue is often compromised due to computing resource constraints. Furthermore, haptic integration presents an additional challenge with its requirement for a high update rate. As a result, most real-time surgical simulation systems employ a linear elasticity model, simplified numerical methods such as the boundary element method or spring-particle systems, and coarse volumetric meshes. However, these systems are not clinically realistic. We present here an ongoing work aimed at developing an efficient and physically realistic neurosurgery simulator using a non-linear finite element method (FEM) with haptic interaction. Real-time finite element analysis is achieved by utilizing the total Lagrangian explicit dynamic (TLED) formulation and GPU acceleration of per-node and per-element operations. We employ a virtual coupling method for separating deformable body simulation and collision detection from haptic rendering, which needs to be updated at a much higher rate than the visual simulation. The system provides accurate biomechancial modeling of soft tissue while retaining a real-time performance with haptic interaction. However, our experiments showed that the stability of the simulator depends heavily on the material property of the tissue and the speed of colliding objects. Hence, additional efforts including dynamic relaxation are required to improve the stability of the system.

Integrating SAR with Optical and Thermal Remote Sensing for Operational Near Real-Time Volcano Monitoring

Science.gov (United States)

Meyer, F. J.; Webley, P.; Dehn, J.; Arko, S. A.; McAlpin, D. B.

2013-12-01

Volcanic eruptions are among the most significant hazards to human society, capable of triggering natural disasters on regional to global scales. In the last decade, remote sensing techniques have become established in operational forecasting, monitoring, and managing of volcanic hazards. Monitoring organizations, like the Alaska Volcano Observatory (AVO), are nowadays heavily relying on remote sensing data from a variety of optical and thermal sensors to provide time-critical hazard information. Despite the high utilization of these remote sensing data to detect and monitor volcanic eruptions, the presence of clouds and a dependence on solar illumination often limit their impact on decision making processes. Synthetic Aperture Radar (SAR) systems are widely believed to be superior to optical sensors in operational monitoring situations, due to the weather and illumination independence of their observations and the sensitivity of SAR to surface changes and deformation. Despite these benefits, the contributions of SAR to operational volcano monitoring have been limited in the past due to (1) high SAR data costs, (2) traditionally long data processing times, and (3) the low temporal sampling frequencies inherent to most SAR systems. In this study, we present improved data access, data processing, and data integration techniques that mitigate some of the above mentioned limitations and allow, for the first time, a meaningful integration of SAR into operational volcano monitoring systems. We will introduce a new database interface that was developed in cooperation with the Alaska Satellite Facility (ASF) and allows for rapid and seamless data access to all of ASF's SAR data holdings. We will also present processing techniques that improve the temporal frequency with which hazard-related products can be produced. These techniques take advantage of modern signal processing technology as well as new radiometric normalization schemes, both enabling the combination of

Moments of Inertia: Uninhabited Aerial Vehicle (UAV) Dryden Remotely Operated Integrated Drone (DROID)

Science.gov (United States)

Haro, Helida C.

2010-01-01

The objective of this research effort is to determine the most appropriate, cost efficient, and effective method to utilize for finding moments of inertia for the Uninhabited Aerial Vehicle (UAV) Dryden Remotely Operated Integrated Drone (DROID). A moment is a measure of the body's tendency to turn about its center of gravity (CG) and inertia is the resistance of a body to changes in its momentum. Therefore, the moment of inertia (MOI) is a body's resistance to change in rotation about its CG. The inertial characteristics of an UAV have direct consequences on aerodynamics, propulsion, structures, and control. Therefore, it is imperative to determine the precise inertial characteristics of the DROID.

Moments of Inertia - Uninhabited Aerial Vehicle (UAV) Dryden Remotely Operated Integrated Drone (DROID)

Science.gov (United States)

Haro, Helida C.

2010-01-01

The objective of this research effort is to determine the most appropriate, cost efficient, and effective method to utilize for finding moments of inertia for the Uninhabited Aerial Vehicle (UAV) Dryden Remotely Operated Integrated Drone (DROID). A moment is a measure of the body's tendency to turn about its center of gravity (CG) and inertia is the resistance of a body to changes in its momentum. Therefore, the moment of inertia (MOI) is a body's resistance to change in rotation about its CG. The inertial characteristics of an UAV have direct consequences on aerodynamics, propulsion, structures, and control. Therefore, it is imperative to determine the precise inertial characteristics of the DROID.

Creation of computerized 3D MRI-integrated atlases of the human basal ganglia and thalamus

Directory of Open Access Journals (Sweden)

Abbas F. Sadikot

2011-09-01

Full Text Available Functional brain imaging and neurosurgery in subcortical areas often requires visualization of brain nuclei beyond the resolution of current Magnetic Resonance Imaging (MRI methods. We present techniques used to create: 1 a lower resolution 3D atlas, based on the Schaltenbrand and Wahren print atlas, which was integrated into a stereotactic neurosurgery planning and visualization platform (VIPER; and 2 a higher resolution 3D atlas derived from a single set of manually segmented histological slices containing nuclei of the basal ganglia, thalamus, basal forebrain and medial temporal lobe. Both atlases were integrated to a canonical MRI (Colin27 from a young male participant by manually identifying homologous landmarks. The lower resolution atlas was then warped to fit the MRI based on the identified landmarks. A pseudo-MRI representation of the high-resolution atlas was created, and a nonlinear transformation was calculated in order to match the atlas to the template MRI. The atlas can then be warped to match the anatomy of Parkinson’s disease surgical candidates by using 3D automated nonlinear deformation methods. By way of functional validation of the atlas, the location of the sensory thalamus was correlated with stereotactic intraoperative physiological data. The position of subthalamic electrode positions in patients with Parkinson’s disease was also evaluated in the atlas-integrated MRI space. Finally, probabilistic maps of subthalamic stimulation electrodes were developed, in order to allow group analysis of the location of contacts associated with the best motor outcomes. We have therefore developed, and are continuing to validate, a high-resolution computerized MRI-integrated 3D histological atlas, which is useful in functional neurosurgery, and for functional and anatomical studies of the human basal ganglia, thalamus and basal forebrain.

Cooperative Remote Monitoring, Arms control and nonproliferation technologies: Fourth quarter 1995

Energy Technology Data Exchange (ETDEWEB)

Alonzo, G M [ed.

1995-01-01

The DOE`s Cooperative Remote Monitoring programs integrate elements from research and development and implementation to achieve DOE`s objectives in arms control and nonproliferation. The contents of this issue are: cooperative remote monitoring--trends in arms control and nonproliferation; Modular Integrated Monitoring System (MIMS); Authenticated Tracking and Monitoring Systems (ATMS); Tracking and Nuclear Materials by Wide-Area Nuclear Detection (WAND); Cooperative Monitoring Center; the International Remote Monitoring Project; international US and IAEA remote monitoring field trials; Project Dustcloud: monitoring the test stands in Iraq; bilateral remote monitoring: Kurchatov-Argonne-West Demonstration; INSENS Sensor System Project.

Remote sensing and eLearning 2.0 for school education

Science.gov (United States)

Voss, Kerstin; Goetzke, Roland; Hodam, Henryk

2010-10-01

The "Remote Sensing in Schools" project aims at improving the integration of "Satellite remote sensing" into school teaching. Therefore, it is the project's overall objective to teach students in primary and secondary schools the basics and fields of application of remote sensing. Existing results show that many teachers are interested in remote sensing and at same time motivated to integrate it into their teaching. Despite the good intention, in the end, the implementation often fails due to the complexity and poor set-up of the information provided. Therefore, a comprehensive and well-structured learning platform on the topic of remote sensing is developed. The platform shall allow a structured introduction to the topic.

Remote RemoteRemoteRemote sensing potential for sensing ...

African Journals Online (AJOL)

Remote RemoteRemoteRemote sensing potential for sensing potential for sensing potential for sensing potential for sensing potential for sensing potential for sensing potential for sensing potential for sensing potential for sensing potential for sensing p. A Ngie, F Ahmed, K Abutaleb ...

Innovation in Neurosurgery: Intellectual Property Strategy and Academia/Industrial Collaboration.

Science.gov (United States)

Murayama, Yuichi

2016-09-15

Neurosurgery has tremendous possibilities for development of innovative medical devices. However, most of the neurosurgical devices used in Japan are imported products. Promotion and development of domestic medical devices is highly encouraged and it is one of the pillars of Prime Minister Shinzo Abe's growth strategy of Japanese economy. Innovative "Made in Japan" medical devices can be developed by interdisciplinary collaboration between industries and academic institutions. Proper orientation of medical and engineering education, social and administrative awareness of the need of facilitating the medical devices creative process with corresponding regulatory changes, and appropriate medical and technological infrastructure establishment are needed for stimulating medical device innovation.

NN-SITE: A remote monitoring testbed facility

International Nuclear Information System (INIS)

Kadner, S.; White, R.; Roman, W.; Sheely, K.; Puckett, J.; Ystesund, K.

1997-01-01

DOE, Aquila Technologies, LANL and SNL recently launched collaborative efforts to create a Non-Proliferation Network Systems Integration and Test (NN-Site, pronounced N-Site) facility. NN-Site will focus on wide area, local area, and local operating level network connectivity including Internet access. This facility will provide thorough and cost-effective integration, testing and development of information connectivity among diverse operating systems and network topologies prior to full-scale deployment. In concentrating on instrument interconnectivity, tamper indication, and data collection and review, NN-Site will facilitate efforts of equipment providers and system integrators in deploying systems that will meet nuclear non-proliferation and safeguards objectives. The following will discuss the objectives of ongoing remote monitoring efforts, as well as the prevalent policy concerns. An in-depth discussion of the Non-Proliferation Network Systems Integration and Test facility (NN-Site) will illuminate the role that this testbed facility can perform in meeting the objectives of remote monitoring efforts, and its potential contribution in promoting eventual acceptance of remote monitoring systems in facilities worldwide

Integrating Dendrochronology, Climate and Satellite Remote Sensing to Better Understand Savanna Landscape Dynamics in the Okavango Delta, Botswana

Directory of Open Access Journals (Sweden)

Jane Southworth

2013-11-01

Full Text Available This research examines the integration and potential uses of linkages between climate dynamics, savanna vegetation and landscape level processes within a highly vulnerable region, both in terms of climate variability and social systems. We explore the combined applications of two time-series methodologies: (1 climate signals detected in tree ring growth, from published literature, chronologies from the International Tree-Ring Data Bank, and minimal preliminary field data; and (2 new primary production (NPP data of vegetation cover over time derived from remotely sensed analyses. Both time-series are related to the regional patterns of precipitation, the principle driver of plant growth in the area. The approach is temporally and spatially multiscalar and examines the relationships between vegetation cover, type and amount, and precipitation shifts. We review literature linking dendrochronology, climate, and remotely sensed imagery, and, in addition, provide unique preliminary analyses from a dry study site located on the outer limit of the Okavango Delta. The work demonstrates integration across the different data sources, to provide a more holistic view of landscape level processes occurring in the last 30-50 years. These results corroborate the water-limited nature of the region and the dominance of precipitation in controlling vegetation growth. We present this integrative analysis of vegetation and climate change, as a prospective approach to facilitate the development of long-term climate/vegetation change records across multiple scales.

Medical Department, United States Army. Surgery in World War 2. Neurosurgery. Volume 2

Science.gov (United States)

1959-01-01

extension, without respect for such anatonlic barriers as fascia , peri- osteuni, or the serosal mnenmbranes or the capsules of viscera. T[ie appearance...NEUROSURGERY a bilateral atypical plantar response was obtained in complete lesions, in the form of a delayed, weak, slow, vermicular type of plantar ...wound after closure of the dura, and closure was effected in layers. Because this was a re- opened wound, a slip drain was left beneath the fascia for

Rapid Prototyping Modules for Remote Engineering Applications

Directory of Open Access Journals (Sweden)

Karsten Henke

2008-07-01

Full Text Available This contribution describes the concept and implementation for an integration of microcontroller and FPGA based Rapid Prototyping modules into a Remote Lab system. This implementation enables a Web-based access to electro-mechanical models. A student uploads a source file implementation to the Remote Lab server in order to test an implementation directly within a hardware environment. The Remote Lab server offers the interfaces to integrate specific project and hardware plug-ins. These plug-ins access a hardware specific software environment to automatically compile and program the resulting firmware. To stimulate this design, the Remote Lab server exchanges digital signals via a serial interface. To allow the student to compare architectures of different designs using the same hardware model, a specific controller (using the Remote Lab interface can be selected. For this, an IP-based multiplexer provides the control connection between the respective controller and the hardware model. In our contribution we would like to give examples of such a complex design task and how the students can use different tools during several design steps.

Integrating remote sensing with GIS-based multi-criteria evaluation approach for Karst rocky desertification assessment in Southwest of China

International Nuclear Information System (INIS)

Zhang, Z; Xu, W; Zhou, W; Zhang, L; Xiao, Y; Ouyang, Z; Ou, X

2014-01-01

The increasing exploitation of Karst resources is leading to severe environmental impacts, as Karst frequently occurs in the most fragile and vulnerable environments. This paper presents a multi-criteria evaluation (MCE) approach in a spatial context to support Karst rocky desertification (KRD) assessment by integrating remote sensing data with GIS. The study area is located in Wenshan Prefecture, Yunnan Province, Southwest of China. Criteria and impact factors for KRD first were identified and weighted through pairwise comparison method. A GIS fuzzy set membership function was then used to generate gradient effects of each criterion, and a clustering method based on K-mean algorithms was used to classify KRD into several descending rank zones (or levels). Both ROC and error matrix assessments indicated that the MCE approach is better than the NDVI approach. In addition, we found it is useful to integrate the topographic and human disturbance factors into KRD mapping and assessment, compared with most of the previous KRD assessment studies mainly focused on developing vegetation or land cover information in karst regions by using remote sensing alone. Furthermore, the integrated MCE approach is robust, flexible, and easy to be implemented. It also explicitly includes the quantitative and qualitative information, for instance, opinions of decision makers and experts as well as characteristics of the landscape

Geophysics, Remote Sensing, and the Comprehensive Nuclear-Test-Ban Treaty (CTBT) Integrated Field Exercise 2014

Science.gov (United States)

Sussman, A. J.; Macleod, G.; Labak, P.; Malich, G.; Rowlands, A. P.; Craven, J.; Sweeney, J. J.; Chiappini, M.; Tuckwell, G.; Sankey, P.

2015-12-01

The Integrated Field Exercise of 2014 (IFE14) was an event held in the Hashemite Kingdom of Jordan (with concurrent activities in Austria) that tested the operational and technical capabilities of an on-site inspection (OSI) within the CTBT verification regime. During an OSI, up to 40 international inspectors will search an area for evidence of a nuclear explosion. Over 250 experts from ~50 countries were involved in IFE14 (the largest simulation of a real OSI to date) and worked from a number of different directions, such as the Exercise Management and Control Teams (which executed the scenario in which the exercise was played) and those participants performing as members of the Inspection Team (IT). One of the main objectives of IFE14 was to test and integrate Treaty allowed inspection techniques, including a number of geophysical and remote sensing methods. In order to develop a scenario in which the simulated exercise could be carried out, suites of physical features in the IFE14 inspection area were designed and engineered by the Scenario Task Force (STF) that the IT could detect by applying the geophysical and remote sensing inspection technologies, in addition to other techniques allowed by the CTBT. For example, in preparation for IFE14, the STF modeled a seismic triggering event that was provided to the IT to prompt them to detect and localize aftershocks in the vicinity of a possible explosion. Similarly, the STF planted shallow targets such as borehole casings and pipes for detection using other geophysical methods. In addition, airborne technologies, which included multi-spectral imaging, were deployed such that the IT could identify freshly exposed surfaces, imported materials, and other areas that had been subject to modification. This presentation will introduce the CTBT and OSI, explain the IFE14 in terms of the goals specific to geophysical and remote sensing methods, and show how both the preparation for and execution of IFE14 meet those goals.

Neurosurgery and prognosis in patients with radiation-induced brain injury after nasopharyngeal carcinoma radiotherapy: a follow-up study

International Nuclear Information System (INIS)

Li, Yi; Shi, Xiaolei; Rong, Xiaoming; Peng, Ying; Tang, Yamei

2013-01-01

Radiotherapy is the standard radical treatment for nasopharyngeal carcinoma (NPC) and may cause radiation-induced brain injury (RI). Treatment for RI remains a challenge. We conducted this study to investigate the indications of neurosurgery, operation time and prognosis of patients with RI after NPC radiotherapy who underwent neurosurgical management. This was a follow-up study between January 2005 and July 2011. Fifteen NPC cases of RI who underwent neurosurgery were collected. Brain Magnetic resonance imaging (MRI), surgery and histology were studied. The outcome was assessed by LENT/SOMA scales and modified Rankin scale. Brain lesion resection (86.7%) was more common than decompressive craniotomy (13.3%). According to LENT/SOMA scale before and six months after surgery, 13 of 15, 12 of 15, 14 of 15, and 14 of 15 cases showed improvement at subjective, objective, management and analytic domains, respectively. 12 of 15 patients showed improvement of modified Rankin scale after surgery. Three patients who underwent emergency surgery showed significant improvement (average score increment of 2, 2.7, 2.7, 3 and 2 at LENT/SOMA scale subjective, objective, management, analytic, and modified Rankin scale, respectively), as compared with 12 cases underwent elective surgery (average score increment of 1, 1, 1.4, 1.8 and 1 at LENT SOMA scale subjective, objective, management, analytic, and modified Rankin scale, respectively). Neurosurgery, including brain necrotic tissue resection and decompressive craniotomy, improves the prognosis for RI patients, especially for those with indications of emergency surgery

Control and robotics remote laboratory for engineering education

Directory of Open Access Journals (Sweden)

Gregor Pačnik

2005-06-01

Full Text Available The new tools for education of engineering emerged and one of the most promising is a remote rapid control prototyping (RRCP, which is very useful also for control and robotics development in industry and in education. Examples of introductory remote control and simple robotics courses with integrated hands on experiments are presented in the paper. The aim of integration of remote hands on experiments into control and/or robotics course is to minimize the gap between the theory and practice to teach students the use of RRCP and to decrease the education costs. Developed RRCP experiments are based on MATLAB/Simulink, xPC target, custom developed embedded target

From Structure to Circuits: The Contribution of MEG Connectivity Studies to Functional Neurosurgery.

Science.gov (United States)

Pang, Elizabeth W; Snead Iii, O C

2016-01-01

New advances in structural neuroimaging have revealed the intricate and extensive connections within the brain, data which have informed a number of ambitious projects such as the mapping of the human connectome. Elucidation of the structural connections of the brain, at both the macro and micro levels, promises new perspectives on brain structure and function that could translate into improved outcomes in functional neurosurgery. The understanding of neuronal structural connectivity afforded by these data now offers a vista on the brain, in both healthy and diseased states, that could not be seen with traditional neuroimaging. Concurrent with these developments in structural imaging, a complementary modality called magnetoencephalography (MEG) has been garnering great attention because it too holds promise for being able to shed light on the intricacies of functional brain connectivity. MEG is based upon the elemental principle of physics that an electrical current generates a magnetic field. Hence, MEG uses highly sensitive biomagnetometers to measure extracranial magnetic fields produced by intracellular neuronal currents. Put simply then, MEG is a measure of neurophysiological activity, which captures the magnetic fields generated by synchronized intraneuronal electrical activity. As such, MEG recordings offer exquisite resolution in the time and oscillatory domain and, as well, when co-registered with magnetic resonance imaging (MRI), offer excellent resolution in the spatial domain. Recent advances in MEG computational and graph theoretical methods have led to studies of connectivity in the time-frequency domain. As such, MEG can elucidate a neurophysiological-based functional circuitry that may enhance what is seen with MRI connectivity studies. In particular, MEG may offer additional insight not possible by MRI when used to study complex eloquent function, where the precise timing and coordination of brain areas is critical. This article will review the

The historical origin of the term "meningioma" and the rise of nationalistic neurosurgery.

Science.gov (United States)

Barthélemy, Ernest Joseph; Sarkiss, Christopher A; Lee, James; Shrivastava, Raj K

2016-11-01

The historical origin of the meningioma nomenclature unravels interesting social and political aspects about the development of neurosurgery in the late 19th century. The meningioma terminology itself was the subject of nationalistic pride and coincided with the advancement in the rise of medicine in Continental Europe as a professional social enterprise. Progress in naming and understanding these types of tumor was most evident in the nations that successively assumed global leadership in medicine and biomedical science throughout the 19th and 20th centuries, that is, France, Germany, and the United States. In this vignette, the authors delineate the uniqueness of the term "meningioma" as it developed within the historical framework of Continental European concepts of tumor genesis, disease states, and neurosurgery as an emerging discipline culminating in Cushing's Meningiomas text. During the intellectual apogee of the French Enlightenment, Antoine Louis published the first known scientific treatise on meningiomas. Like his father, Jean-Baptiste Louis, Antoine Louis was a renowned military surgeon whose accomplishments were honored with an admission to the Académie royale de chirurgie in 1749. His treatise, Sur les tumeurs fongueuses de la duremère, appeared in 1774. Following this era, growing economic depression affecting a frustrated bourgeoisie triggered a tumultuous revolutionary period that destroyed France's Ancien Régime and abolished its university and medical systems. The resulting anarchy was eventually quelled through legislation aiming to satisfy Napoleon's need for qualified military professionals, including physicians and surgeons. These laws laid the foundations for the subsequent flourishing of French medicine throughout the mid-19th century. Subsequent changes to the meningioma nomenclature were authored by intellectual giants of this postrevolutionary period, for example, by the Limogesborn pathologist Jean Cruveilhier known for the term

Risk factors for local failure requiring salvage neurosurgery after radiosurgery for brain metastases

International Nuclear Information System (INIS)

Weltman, Eduardo; Hanriot, Rodrigo de Morais; Prisco, Flavio Eduardo; Nadalin, Wladimir; Brandt, Reynaldo Andre; Moreira, Frederico Rafael

2004-01-01

Objective: the aim of this study is to select the risk factors for local failure requiring salvage neurosurgery in patients with brain metastases treated with stereotactic radiosurgery in a single institution. Methods: the follow-up of 123 patients, with 255 brain metastases treated with radiosurgery at the Radiation Oncology Department of the Hospital Israelita Albert Einstein from July 1993 to August 2001, was retrospectively analyzed. The criteria for salvage neurosurgery were tumor volume enlargement, or tumor persistence leading to severe neurological symptoms, life threatening situation or critical steroid dependence. We considered the case as local failure when the histopathologic evaluation showed morphologically preserved cancer cells (tumor recurrence, persistence or progression). We applied the Fisher's exact test to evaluate the statistical correlation between local failure and primary tumor histology, volume of the brain metastases, prescribed radiosurgery dose, and whole brain radiotherapy. Results: fourteen of 123 patients (11%) underwent salvage neurosurgery. Histology showed preserved cancer cells with necrosis and/or bleeding in 11 cases (9% of the total accrual), and only necrosis with or without bleeding (without preserved cancer cells) in three cases. The primary tumor histology among the 11 patients considered with active neoplasia was malignant melanoma in five cases (21% of the patients with melanoma), breast adenocarcinoma in three (16% of the patients with breast cancer), and other histology in the remaining three. Breast cancer diagnosis, non-elective whole brain irradiation, volume of the brain metastases, and the prescribed radiosurgery dose did not correlate with the risk of local failure. Patients treated with elective whole brain radiotherapy showed fewer local failures, when compared to all patients receiving whole brain radiotherapy, and to the patients not receiving this treatment, with incidence of failure in 4%,7% and 14

The international remote monitoring project and implication

International Nuclear Information System (INIS)

Sonnier, C.S.; Johnson, C.S.

1994-01-01

The future of remote monitoring in International Safeguards system is analyzed. Problems of an update on the International Remote Monitoring Project are considered. The Project allows to remotely transmit safeguards-relevant data directly to IAEA from nuclear facilities worldwide. Description of integrated monitoring system (IMS) is given. A key element of state-of-art of IMS is modular nodal system which accepts information from sensors and provides information to both a data storage unit and a transmitter. Remote Monitoring Systems of Australia and Sweden are presented. 3 figs

Developing status of satellite remote sensing and its application

International Nuclear Information System (INIS)

Zhang Wanliang; Liu Dechang

2005-01-01

This paper has discussed the latest development of satellite remote sensing in sensor resolutions, satellite motion models, load forms, data processing and its application. The authors consider that sensor resolutions of satellite remote sensing have increased largely. Valid integration of multisensors is a new idea and technology of satellite remote sensing in the 21st century, and post-remote sensing application technology is the important part of deeply applying remote sensing information and has great practical significance. (authors)

Remote Sensing of Ecology, Biodiversity and Conservation: A Review from the Perspective of Remote Sensing Specialists

Directory of Open Access Journals (Sweden)

Marc Cattet

2010-11-01

Full Text Available Remote sensing, the science of obtaining information via noncontact recording, has swept the fields of ecology, biodiversity and conservation (EBC. Several quality review papers have contributed to this field. However, these papers often discuss the issues from the standpoint of an ecologist or a biodiversity specialist. This review focuses on the spaceborne remote sensing of EBC from the perspective of remote sensing specialists, i.e., it is organized in the context of state-of-the-art remote sensing technology, including instruments and techniques. Herein, the instruments to be discussed consist of high spatial resolution, hyperspectral, thermal infrared, small-satellite constellation, and LIDAR sensors; and the techniques refer to image classification, vegetation index (VI, inversion algorithm, data fusion, and the integration of remote sensing (RS and geographic information system (GIS.

Remote sensing of ecology, biodiversity and conservation: a review from the perspective of remote sensing specialists.

Science.gov (United States)

Wang, Kai; Franklin, Steven E; Guo, Xulin; Cattet, Marc

2010-01-01

Remote sensing, the science of obtaining information via noncontact recording, has swept the fields of ecology, biodiversity and conservation (EBC). Several quality review papers have contributed to this field. However, these papers often discuss the issues from the standpoint of an ecologist or a biodiversity specialist. This review focuses on the spaceborne remote sensing of EBC from the perspective of remote sensing specialists, i.e., it is organized in the context of state-of-the-art remote sensing technology, including instruments and techniques. Herein, the instruments to be discussed consist of high spatial resolution, hyperspectral, thermal infrared, small-satellite constellation, and LIDAR sensors; and the techniques refer to image classification, vegetation index (VI), inversion algorithm, data fusion, and the integration of remote sensing (RS) and geographic information system (GIS).

[Brain metastasis from breast cancer: who?, when? and special considerations about the role of technology in neurosurgery].

Science.gov (United States)

Dutertre, Guillaume; Pouit, Bruno

2011-04-01

Questions about both the place and the role of surgery on brain metastasis from breast cancer are arising more and more frequently in practice due to the increase of brain metastasis in patients suffering from a form of cancer recognized as one of the most recurrent cancers in adults but also one of the most sensitive to general treatments of the systemic disease. With improvements in anaesthesia, in surgical instruments, and in global care, neurosurgery has taken advantage of new techniques such as pre- and even per-operative imagery and also neuronavigation. These techniques enable radical and effective surgical intervention with a high level of safety for the patient, making neurosurgery perfectly competitive with other therapeutic modalities, particularly on functional grounds. As for symptomatic treatments or other anti-metastasis treatments, most situations allow a reflection on the global therapeutic strategy which can be adapted to individual cases depending on the patient's general prognosis. In developing this global therapeutic strategy, surgical treatment is still as relevant as ever.

[In the 100 birth anniversary of the pioneer of stereotactic brain surgery in Poland professor Oskar Liszka. Functional neurosurgery in Poland and in Krakow].

Science.gov (United States)

Stachura, Krzysztof

2016-01-01

This article is the report from the meeting of the Medical Society of Cracow, that has been devoted to the 100 birth anniversary of Oskar Liszka, Assoc. Prof., MD. In the course of the meeting Professor Oskar Liszka's figure has been reminded and his work as a pioneer of stereotactic surgery in Poland has been discussed. In the next two sections, the development of functional neurosurgery in Poland and achievements in this field in the Department of Neurosurgery and Neurotraumatology of Jagiellonian University Collegium Medicum in Krakow have been presented.

Paediatric day-case neurosurgery in a resource challenged setting: Pattern and practice

Science.gov (United States)

Owojuyigbe, Afolabi Muyiwa; Komolafe, Edward O.; Adenekan, Anthony T.; Dada, Muyiwa A.; Onyia, Chiazor U.; Ogunbameru, Ibironke O.; Owagbemi, Oluwafemi F.; Talabi, Ademola O.; Faponle, Fola A.

2016-01-01

Background: It has been generally observed that children achieve better convalescence in the home environment especially if discharged same day after surgery. This is probably due to the fact that children generally tend to feel more at ease in the home environment than in the hospital setting. Only few tertiary health institutions provide routine day-case surgery for paediatric neurosurgical patients in our sub-region. Objective: To review the pattern and practice of paediatric neurosurgical day-cases at our hospital. Patients and Methods: A prospective study of all paediatric day-case neurosurgeries carried out between June 2011 and June 2014. Results: A total of 53 patients (34 males and 19 females) with age ranging from 2 days to 14 years were seen. Majority of the patients (77.4%) presented with congenital lesions, and the most common procedure carried out was spina bifida repair (32%) followed by ventriculoperitoneal shunt insertion (26.4%) for hydrocephalus. Sixty-eight percentage belonged to the American Society of Anesthesiologists physical status class 2, whereas the rest (32%) belonged to class 1. General anaesthesia was employed in 83% of cases. Parenteral paracetamol was used for intra-operative analgesia for most of the patients. Two patients had post-operative nausea and vomiting and were successfully managed. There was no case of emergency re-operation, unplanned admission, cancellation or mortality. Conclusion: Paediatric day-case neurosurgery is feasible in our environment. With careful patient selection and adequate pre-operative preparation, good outcome can be achieved. PMID:27251657

Integrated remote sensing and visualization (IRSV) system for transportation infrastructure operations and management, phase one, volume 2 : knowledge modeling and database development.

Science.gov (United States)

2009-12-01

The Integrated Remote Sensing and Visualization System (IRSV) is being designed to accommodate the needs of todays Bridge Engineers at the : state and local level from several aspects that were documented in Volume One, Summary Report. The followi...

Patients' views on priority setting in neurosurgery: A qualitative study.

Science.gov (United States)

Gunaratnam, Caroline; Bernstein, Mark

2016-01-01

Accountability for Reasonableness is an ethical framework which has been implemented in various health care systems to improve and evaluate the fairness of priority setting. This framework is grounded on four mandatory conditions: relevance, publicity, appeals, and enforcement. There have been few studies which have evaluated the patient stakeholders' acceptance of this framework; certainly no studies have been done on patients' views on the prioritization system for allocating patients for operating time in a system with pressure on the resource of inpatient beds. The aim of this study is to examine neurosurgical patients' views on the prioritization of patients for operating theater (OT) time on a daily basis at a tertiary and quaternary referral neurosurgery center. Semi-structured face-to-face interviews were conducted with thirty-seven patients, recruited from the neurosurgery clinic at Toronto Western Hospital. Family members and friends who accompanied the patient to their clinic visit were encouraged to contribute to the discussion. Interviews were audio recorded, transcribed verbatim, and subjected to thematic analysis using open and axial coding. Overall, patients are supportive of the concept of a priority-setting system based on fairness, but felt that a few changes would help to improve the fairness of the current system. These changes include lowering the level of priority given to volume-funded cases and providing scheduled surgeries that were previously canceled a higher level of prioritization. Good communication, early notification, and rescheduling canceled surgeries as soon as possible were important factors that directly reflected the patients' confidence level in their doctor, the hospital, and the health care system. This study is the first clinical qualitative study of patients' perspective on a prioritization system used for allocating neurosurgical patients for OT time on a daily basis in a socialized not-for-profit health care system with

Innovative Performance Measurement: an Integrative Perspective of Stakeholder's View

Directory of Open Access Journals (Sweden)

López-Fresno Palmira

2014-11-01

Full Text Available Business Process Management (BPM has been increasingly focused as an holistic approach to manage organizations for better organizational effectiveness. BPM involves the use of innovative performance measurement systems to follow up, coordinate, control and improve processes and overall business efficacy and efficiency. In this paper we propose a global holistic perspective of integrated information, combining the view of all stakeholders and both qualitative and quantitative information, as a basic prerequisite for quality of information for better decision making. The paper includes findings from an empirical case study of measuring Parkinson's Disease Neurosurgery process, including stakeholder's view with an integrative perspective.

Academic Productivity of US Neurosurgery Residents as Measured by H-Index: Program Ranking with Correlation to Faculty Productivity.

Science.gov (United States)

Sarkiss, Christopher A; Riley, Kyle J; Hernandez, Christopher M; Oermann, Eric K; Ladner, Travis R; Bederson, Joshua B; Shrivastava, Raj K

2017-06-01

Engagement in research and academic productivity are crucial components in the training of a neurosurgeon. This process typically begins in residency training. In this study, we analyzed individual resident productivity as it correlated to publications across all Accreditation Council for Graduate Medical Education (ACGME)-accredited neurosurgery training programs in an attempt to identify how programs have developed and fostered a research culture and environment. We obtained a list of current neurosurgery residents in ACGME-accredited programs from the American Association of Neurological Surgeons database. An expanded PubMed and Scopus search was conducted for each resident through the present time. We tabulated all articles attributed to each resident. We then categorized the publications based on each neurosurgical subspecialty while in residency. A spreadsheet-based statistical analysis was performed. This formulated the average number of resident articles, h-indices, and most common subspecialty categories by training program. We analyzed 1352 current neurosurgery residents in 105 programs. There were a total of 10 645 publications, of which 3985 were resident first-author publications during the period of study. The most common subspecialties among all resident publications were vascular (24.9%), spine (16.9%), oncology (16.1%), pediatric (5.6%), functional (4.9%), and trauma (3.8%). The average resident published 2.9 first-author papers with average of 38.0 first-author publications by total residents at each program (range 0-241). The average h-index per resident is 2.47 ± 3.25. When comparing previously published faculty h-index program rankings against our resident h-index rankings, there is a strong correlation between the 2 datasets with a clear delineation between Top-20 productivity and that of other programs (average h-index 4.2 vs 1.7, respectively, P productivity on both the resident and faculty level (average h-index 1.6, 1.9, 3.9 for 1, 2, and

MR-guided stereotactic neurosurgery-comparison of fiducial-based and anatomical landmark transformation approaches

International Nuclear Information System (INIS)

Hunsche, S; Sauner, D; Maarouf, M; Hoevels, M; Luyken, K; Schulte, O; Lackner, K; Sturm, V; Treuer, H

2004-01-01

For application in magnetic resonance (MR) guided stereotactic neurosurgery, two methods for transformation of MR-image coordinates in stereotactic, frame-based coordinates exist: the direct stereotactic fiducial-based transformation method and the indirect anatomical landmark method. In contrast to direct stereotactic MR transformation, indirect transformation is based on anatomical landmark coregistration of stereotactic computerized tomography and non-stereotactic MR images. In a patient study, both transformation methods have been investigated with visual inspection and mutual information analysis. Comparison was done for our standard imaging protocol, including t2-weighted spin-echo as well as contrast enhanced t1-weighted gradient-echo imaging. For t2-weighted spin-echo imaging, both methods showed almost similar and satisfying performance with a small, but significant advantage for fiducial-based transformation. In contrast, for t1-weighted gradient-echo imaging with more geometric distortions due to field inhomogenities and gradient nonlinearity than t2-weighted spin-echo imaging, mainly caused by a reduced bandwidth per pixel, anatomical landmark transformation delivered markedly better results. Here, fiducial-based transformation yielded results which are intolerable for stereotactic neurosurgery. Mean Euclidian distances between both transformation methods were 0.96 mm for t2-weighted spin-echo and 1.67 mm for t1-weighted gradient-echo imaging. Maximum deviations were 1.72 mm and 3.06 mm, respectively

[An automatic system for anatomophysiological correlation in three planes simultaneously during functional neurosurgery].

Science.gov (United States)

Teijeiro, E J; Macías, R J; Morales, J M; Guerra, E; López, G; Alvarez, L M; Fernández, F; Maragoto, C; Seijo, F; Alvarez, E

The Neurosurgical Deep Recording System (NDRS) using a personal computer takes the place of complex electronic equipment for recording and processing deep cerebral electrical activity, as a guide in stereotaxic functional neurosurgery. It also permits increased possibilities of presenting information in direct graphic form with automatic management and sufficient flexibility to implement different analyses. This paper describes the possibilities of automatic simultaneous graphic representation in three almost orthogonal planes, available with the new 5.1 version of NDRS so as to facilitate the analysis of anatomophysiological correlation in the localization of deep structures of the brain during minimal access surgery. This new version can automatically show the spatial behaviour of signals registered throughout the path of the electrode inside the brain, superimposed simultaneously on sagittal, coronal and axial sections of an anatomical atlas of the brain, after adjusting the scale automatically according to the dimensions of the brain of each individual patient. This may also be shown in a tridimensional representation of the different planes themselves intercepting. The NDRS system has been successfully used in Spain and Cuba in over 300 functional neurosurgery operations. The new version further facilitates analysis of spatial anatomophysiological correlation for the localization of brain structures. This system has contributed to increase the precision and safety in selecting surgical targets in the control of Parkinson s disease and other disorders of movement.

MR-guided stereotactic neurosurgery-comparison of fiducial-based and anatomical landmark transformation approaches

Energy Technology Data Exchange (ETDEWEB)

Hunsche, S [Department of Stereotaxy and Functional Neurosurgery, University of Cologne, Cologne (Germany); Sauner, D [Institute for Diagnostic and Interventional Radiology, Friedrich-Schiller-University of Jena, Jena (Germany); Maarouf, M [Department of Stereotaxy and Functional Neurosurgery, University of Cologne, Cologne (Germany); Hoevels, M [Department of Stereotaxy and Functional Neurosurgery, University of Cologne, Cologne (Germany); Luyken, K [Department of Stereotaxy and Functional Neurosurgery, University of Cologne, Cologne (Germany); Schulte, O [Department of Radiology, University of Cologne, Cologne (Germany); Lackner, K [Department of Radiology, University of Cologne, Cologne (Germany); Sturm, V [Department of Stereotaxy and Functional Neurosurgery, University of Cologne, Cologne (Germany); Treuer, H [Department of Stereotaxy and Functional Neurosurgery, University of Cologne, Cologne (Germany)

2004-06-21

For application in magnetic resonance (MR) guided stereotactic neurosurgery, two methods for transformation of MR-image coordinates in stereotactic, frame-based coordinates exist: the direct stereotactic fiducial-based transformation method and the indirect anatomical landmark method. In contrast to direct stereotactic MR transformation, indirect transformation is based on anatomical landmark coregistration of stereotactic computerized tomography and non-stereotactic MR images. In a patient study, both transformation methods have been investigated with visual inspection and mutual information analysis. Comparison was done for our standard imaging protocol, including t2-weighted spin-echo as well as contrast enhanced t1-weighted gradient-echo imaging. For t2-weighted spin-echo imaging, both methods showed almost similar and satisfying performance with a small, but significant advantage for fiducial-based transformation. In contrast, for t1-weighted gradient-echo imaging with more geometric distortions due to field inhomogenities and gradient nonlinearity than t2-weighted spin-echo imaging, mainly caused by a reduced bandwidth per pixel, anatomical landmark transformation delivered markedly better results. Here, fiducial-based transformation yielded results which are intolerable for stereotactic neurosurgery. Mean Euclidian distances between both transformation methods were 0.96 mm for t2-weighted spin-echo and 1.67 mm for t1-weighted gradient-echo imaging. Maximum deviations were 1.72 mm and 3.06 mm, respectively.

Ground observations and remote sensing data for integrated modelisation of water budget in the Merguellil catchment, Tunisia

Science.gov (United States)

Mougenot, Bernard

2016-04-01

The Mediterranean region is affected by water scarcity. Some countries as Tunisia reached the limit of 550 m3/year/capita due overexploitation of low water resources for irrigation, domestic uses and industry. A lot of programs aim to evaluate strategies to improve water consumption at regional level. In central Tunisia, on the Merguellil catchment, we develop integrated water resources modelisations based on social investigations, ground observations and remote sensing data. The main objective is to close the water budget at regional level and to estimate irrigation and water pumping to test scenarios with endusers. Our works benefit from French, bilateral and European projects (ANR, MISTRALS/SICMed, FP6, FP7…), GMES/GEOLAND-ESA) and also network projects as JECAM and AERONET, where the Merguellil site is a reference. This site has specific characteristics associating irrigated and rainfed crops mixing cereals, market gardening and orchards and will be proposed as a new environmental observing system connected to the OMERE, TENSIFT and OSR systems respectively in Tunisia, Morocco and France. We show here an original and large set of ground and remote sensing data mainly acquired from 2008 to present to be used for calibration/validation of water budget processes and integrated models for present and scenarios: - Ground data: meteorological stations, water budget at local scale: fluxes tower, soil fluxes, soil and surface temperature, soil moisture, drainage, flow, water level in lakes, aquifer, vegetation parameters on selected fieds/month (LAI, height, biomass, yield), land cover: 3 times/year, bare soil roughness, irrigation and pumping estimations, soil texture. - Remote sensing data: remote sensing products from multi-platform (MODIS, SPOT, LANDSAT, ASTER, PLEIADES, ASAR, COSMO-SkyMed, TerraSAR X…), multi-wavelength (solar, micro-wave and thermal) and multi-resolution (0.5 meters to 1 km). Ground observations are used (1) to calibrate soil

The incidentaloma of the pituitary gland: Is neurosurgery required

Energy Technology Data Exchange (ETDEWEB)

Reincke, M.; Allolio, B.; Saeger, W.; Menzel, J.; Winkelmann, W. (Univ. of Cologne (West Germany))

1990-05-23

The authors describe a series of 18 patients with an intrasellar mass incidentally discovered by computed tomography or magnetic resonance imaging. The average size of the mass was 13 mm, with a range from 5 to 25 mm. Initial ophthalmologic examination revealed bitemporal hemianopia in 2 patients. Results of routine endocrine testing showed partial hypopituitarism in 5 patients and growth hormone hypersecretion without signs and symptoms of acromegaly in 1 patient. Four patients underwent neurosurgery. Histologically, one chondroid chordoma and three pituitary adenomas were found. In the remaining 14 patients treated conservatively, repeated computed tomography and magnetic resonance imaging revealed no significant change in tumor size at the time of follow-up. The results suggest that the incidentaloma of the pituitary gland is a benign condition that does not necessarily require neurosurgical intervention.

The incidentaloma of the pituitary gland: Is neurosurgery required?

International Nuclear Information System (INIS)

Reincke, M.; Allolio, B.; Saeger, W.; Menzel, J.; Winkelmann, W.

1990-01-01

The authors describe a series of 18 patients with an intrasellar mass incidentally discovered by computed tomography or magnetic resonance imaging. The average size of the mass was 13 mm, with a range from 5 to 25 mm. Initial ophthalmologic examination revealed bitemporal hemianopia in 2 patients. Results of routine endocrine testing showed partial hypopituitarism in 5 patients and growth hormone hypersecretion without signs and symptoms of acromegaly in 1 patient. Four patients underwent neurosurgery. Histologically, one chondroid chordoma and three pituitary adenomas were found. In the remaining 14 patients treated conservatively, repeated computed tomography and magnetic resonance imaging revealed no significant change in tumor size at the time of follow-up. The results suggest that the incidentaloma of the pituitary gland is a benign condition that does not necessarily require neurosurgical intervention

E-WIN Project 2016: Evaluating the Current Gender Situation in Neurosurgery Across Europe-An Interactive, Multiple-Level Survey.

Science.gov (United States)

Steklacova, Anna; Bradac, Ondrej; de Lacy, Patricia; Benes, Vladimir

2017-08-01

The proportion of women among neurosurgeons appears to be growing worldwide with time. Official data concerning the current situation across Europe have not yet been published. Thus, there are still concerns about gender inequality. The European Women in Neurosurgery Project 2016 was designed to recognize the current situation across Europe. The office holders of the national neurosurgical societies of 39 countries forming the European Association of Neurosurgical Societies were contacted to provide data stating the proportion of women in neurosurgery. Obtained data were supplied with the results of an online survey. The response rate of national office holders was 90%. The number of reported neurosurgeons was 12,985, and overall proportion of women represented was 12%. Two hundred thirty-seven responses to online questionnaire were taken into account. The overall proportion of female respondents was 30%. There was no intergender variability in responses regarding amount of working time per week, exposure to surgeries, or administrative work. Male respondents reported dedicating significantly more time to scientific work and feeling more confident dictating own career direction. Female respondents reported being less often married, having fewer children, a stronger perception of gender significance level, and a higher appreciation of personal qualities. Neurosurgery is a challenging field of medicine. The results of our survey did not imply an overall feeling of gender inequality among European respondents, although women believe that the gender issue to be more important than men do and that they have to sacrifice more of their personal lives. Copyright © 2017 Elsevier Inc. All rights reserved.

Advanced remote handling developments for high radiation applications

International Nuclear Information System (INIS)

Herndon, J.N.; Kring, C.T.; Feldman, M.J.; Kuban, D.P.; Martin, H.L.; Rowe, J.C.; Hamel, W.R.

1985-01-01

The Remote Control Engineering Task of the Consolidated Fuel Reprocessing Program at Oak Ridge National Laboratory has been developing advanced techniques for remote maintenance of future US fuel reprocessing plants. These efforts are based on the application of teleoperated, force-reflecting servomanipulators for dexterous remote handling with television viewing for large-volume hazardous applications. These developments fully address the nonrepetitive nature of remote maintenance in the unstructured environments encountered in fuel reprocessing. This paper covers the primary emphasis in the present program; the design, fabrication, and installation of a prototype remote handling system for reprocessing applications, the Advanced Integrated Maintenance System

Remote sensing image fusion

CERN Document Server

Alparone, Luciano; Baronti, Stefano; Garzelli, Andrea

2015-01-01

A synthesis of more than ten years of experience, Remote Sensing Image Fusion covers methods specifically designed for remote sensing imagery. The authors supply a comprehensive classification system and rigorous mathematical description of advanced and state-of-the-art methods for pansharpening of multispectral images, fusion of hyperspectral and panchromatic images, and fusion of data from heterogeneous sensors such as optical and synthetic aperture radar (SAR) images and integration of thermal and visible/near-infrared images. They also explore new trends of signal/image processing, such as

Safeguards equipment of the future integrated monitoring systems and remote monitoring

International Nuclear Information System (INIS)

Sonnier, C.S.; Johnson, C.S.

1994-01-01

Becoming aware of the significant events of the past four years and their effect on the expectations to international safeguards, it is necessary to reflect on which direction the development of nuclear safeguards in a new era needs to take and the implications. The lime proven monitoring techniques, based on quantitative factor's and demonstrated universal application, have shown their merit. However, the new expectations suggest a possibility that a future IAEA safeguards system could rely more heavily on the value of a comprehensive, transparent and open implementation regime. Within such a regime, the associated measures need to be determined and technological support identified. This paper will identify the proven techniques which, with appropriate implementation support, could most quickly make available additional measures for a comprehensive, transparent and open implementation regime. In particular, it will examine the future of Integrated Monitoring Systems and Remote Monitoring in international safeguards, including technical and other related factors

A Survey of a Remote Diagnosis Center for Nuclear Power Plants

International Nuclear Information System (INIS)

Choi, Yoo Rark; Lee, Jae Cheol; Kim, Jae Hee

2005-01-01

Methodologies for remote diagnosis have been developed and applied to medical care and lots of industrial fields. Modern science technologies such as a fast network, high computing power, sensing technology and advanced robot engineering make it possible to diagnose remote targets. Nuclear power plant(NPP) has highly connected network enabling systems. The systems (accumulated data analysis systems, alarm systems, main control panel, NPP database systems and so on) are connected with each other through a network. But remote diagnosis researches for a NPP have been developed individually. Efficient monitoring power, convenient management and a costcutting of the diagnosis will be provided through integration of the remote diagnosis technologies. The result of the integration can be represented as a remote diagnosis center. We propose an architecture of the remote diagnosis center for a NPP in this paper

Automated location detection of injection site for preclinical stereotactic neurosurgery procedure

Science.gov (United States)

Abbaszadeh, Shiva; Wu, Hemmings C. H.

2017-03-01

Currently, during stereotactic neurosurgery procedures, the manual task of locating the proper area for needle insertion or implantation of electrode/cannula/optic fiber can be time consuming. The requirement of the task is to quickly and accurately find the location for insertion. In this study we investigate an automated method to locate the entry point of region of interest. This method leverages a digital image capture system, pattern recognition, and motorized stages. Template matching of known anatomical identifiable regions is used to find regions of interest (e.g. Bregma) in rodents. For our initial study, we tackle the problem of automatically detecting the entry point.

The JOYO remote monitoring system

International Nuclear Information System (INIS)

Damico, Joseph P.; Hashimoto, Yu

2000-01-01

The evolution of the personal computer, operating systems and applications software and the Internet has brought drastic change and many benefits worldwide. Remote monitoring systems benefit from computer network and other modern software technologies. The availability of fast, inexpensive and secure communications enables new solutions for monitoring system applications. The JOYO Remote Monitoring System (RMS) utilizes computer network communications and modular software design to provide a distributed integrated solution for monitoring multiple storage locations. This paper describes the remote monitoring system installed at the JOYO Fast Reactor. The system combines sensors, software, and computer network technologies to create a powerful data collection, storage and dissemination capability. The RMS provides a flexible, scalable solution for a variety of applications. The RMS integrates a variety of state of the art technologies from several sources and serves as a test bed for cutting edge technologies that can be shared with outside users. This paper describes the system components and their operation and discusses system benefits. Current activities and future plants for the JOYO RMS will be discussed. (author)

Paediatric day-case neurosurgery in a resource challenged setting: Pattern and practice

Directory of Open Access Journals (Sweden)

Afolabi Muyiwa Owojuyigbe

2016-01-01

Full Text Available Background: It has been generally observed that children achieve better convalescence in the home environment especially if discharged same day after surgery. This is probably due to the fact that children generally tend to feel more at ease in the home environment than in the hospital setting. Only few tertiary health institutions provide routine day-case surgery for paediatric neurosurgical patients in our sub-region. Objective: To review the pattern and practice of paediatric neurosurgical day-cases at our hospital. Patients and Methods: A prospective study of all paediatric day-case neurosurgeries carried out between June 2011 and June 2014. Results: A total of 53 patients (34 males and 19 females with age ranging from 2 days to 14 years were seen. Majority of the patients (77.4% presented with congenital lesions, and the most common procedure carried out was spina bifida repair (32% followed by ventriculoperitoneal shunt insertion (26.4% for hydrocephalus. Sixty-eight percentage belonged to the American Society of Anesthesiologists physical status class 2, whereas the rest (32% belonged to class 1. General anaesthesia was employed in 83% of cases. Parenteral paracetamol was used for intra-operative analgesia for most of the patients. Two patients had post-operative nausea and vomiting and were successfully managed. There was no case of emergency re-operation, unplanned admission, cancellation or mortality. Conclusion: Paediatric day-case neurosurgery is feasible in our environment. With careful patient selection and adequate pre-operative preparation, good outcome can be achieved.

Mapping Cropland in Smallholder-Dominated Savannas: Integrating Remote Sensing Techniques and Probabilistic Modeling

Directory of Open Access Journals (Sweden)

Sean Sweeney

2015-11-01

Full Text Available Traditional smallholder farming systems dominate the savanna range countries of sub-Saharan Africa and provide the foundation for the region’s food security. Despite continued expansion of smallholder farming into the surrounding savanna landscapes, food insecurity in the region persists. Central to the monitoring of food security in these countries, and to understanding the processes behind it, are reliable, high-quality datasets of cultivated land. Remote sensing has been frequently used for this purpose but distinguishing crops under certain stages of growth from savanna woodlands has remained a major challenge. Yet, crop production in dryland ecosystems is most vulnerable to seasonal climate variability, amplifying the need for high quality products showing the distribution and extent of cropland. The key objective in this analysis is the development of a classification protocol for African savanna landscapes, emphasizing the delineation of cropland. We integrate remote sensing techniques with probabilistic modeling into an innovative workflow. We present summary results for this methodology applied to a land cover classification of Zambia’s Southern Province. Five primary land cover categories are classified for the study area, producing an overall map accuracy of 88.18%. Omission error within the cropland class is 12.11% and commission error 9.76%.

Systems design for remote healthcare

CERN Document Server

Bonfiglio, Silvio

2014-01-01

This book provides a multidisciplinary overview of the design and implementation of systems for remote patient monitoring and healthcare. Readers are guided step-by-step through the components of such a system and shown how they could be integrated in a coherent framework for deployment in practice. The authors explain planning from subsystem design to complete integration and deployment, given particular application constraints. Readers will benefit from descriptions of the clinical requirements underpinning the entire application scenario, physiological parameter sensing techniques, information processing approaches and overall, application dependent system integration. Each chapter ends with a discussion of practical design challenges and two case studies are included to provide practical examples and design methods for two remote healthcare systems with different needs. ·         Provides a multi-disciplinary overview of next-generation mobile healthcare system design; ·         Includes...

Integrated visualization of remote sensing data using Google Earth

Science.gov (United States)

Castella, M.; Rigo, T.; Argemi, O.; Bech, J.; Pineda, N.; Vilaclara, E.

2009-09-01

The need for advanced visualization tools for meteorological data has lead in the last years to the development of sophisticated software packages either by observing systems manufacturers or by third-party solution providers. For example, manufacturers of remote sensing systems such as weather radars or lightning detection systems include zoom, product selection, archive access capabilities, as well as quantitative tools for data analysis, as standard features which are highly appreciated in weather surveillance or post-event case study analysis. However, the fact that each manufacturer has its own visualization system and data formats hampers the usability and integration of different data sources. In this context, Google Earth (GE) offers the possibility of combining several graphical information types in a unique visualization system which can be easily accessed by users. The Meteorological Service of Catalonia (SMC) has been evaluating the use of GE as a visualization platform for surveillance tasks in adverse weather events. First experiences are related to the integration in real-time of remote sensing data: radar, lightning, and satellite. The tool shows the animation of the combined products in the last hour, giving a good picture of the meteorological situation. One of the main advantages of this product is that is easy to be installed in many computers and does not need high computational requirements. Besides this, the capability of GE provides information about the most affected areas by heavy rain or other weather phenomena. On the opposite, the main disadvantage is that the product offers only qualitative information, and quantitative data is only available though the graphical display (i.e. trough color scales but not associated to physical values that can be accessed by users easily). The procedure developed to run in real time is divided in three parts. First of all, a crontab file launches different applications, depending on the data type

The impact of several craniotomies on transcranial motor evoked potential monitoring during neurosurgery.

Science.gov (United States)

Tomio, Ryosuke; Akiyama, Takenori; Toda, Masahiro; Ohira, Takayuki; Yoshida, Kazunari

2017-09-01

OBJECTIVE Transcranial motor evoked potential (tMEP) monitoring is popular in neurosurgery; however, the accuracy of tMEP can be impaired by craniotomy. Each craniotomy procedure and changes in the CSF levels affects the current spread. The aim of this study was to investigate the influence of several craniotomies on tMEP monitoring by using C3-4 transcranial electrical stimulation (TES). METHODS The authors used the finite element method to visualize the electric field in the brain, which was generated by TES, using realistic 3D head models developed from T1-weighted MR images. Surfaces of 5 layers of the head (brain, CSF, skull, subcutaneous fat, and skin layer) were separated as accurately as possible. The authors created 5 models of the head, as follows: normal head; frontotemporal craniotomy; parietal craniotomy; temporal craniotomy; and occipital craniotomy. The computer simulation was investigated by finite element methods, and clinical recordings of the stimulation threshold level of upper-extremity tMEP (UE-tMEP) during neurosurgery were also studied in 30 patients to validate the simulation study. RESULTS Bone removal during the craniotomy positively affected the generation of the electric field in the motor cortex if the motor cortex was just under the bone at the margin of the craniotomy window. This finding from the authors' simulation study was consistent with clinical reports of frontotemporal craniotomy cases. A major decrease in CSF levels during an operation had a significantly negative impact on the electric field when the motor cortex was exposed to air. The CSF surface level during neurosurgery depends on the body position and location of the craniotomy. The parietal craniotomy and temporal craniotomy were susceptible to the effect of the changing CSF level, based on the simulation study. A marked increase in the threshold following a decrease in CSF was actually recorded in clinical reports of the UE-tMEP threshold from a temporal craniotomy

Integrated remote sensing and visualization (IRSV) system for transportation infrastructure operations and management, phase two, volume 1 : outreach and commercialization of IRSV prototype.

Science.gov (United States)

2012-03-01

The Integrated Remote Sensing and Visualization System (IRSV) was developed in Phase One of this project in order to : accommodate the needs of todays Bridge Engineers at the state and local level. Overall goals of this project are: : Better u...

A comparative cost analysis of polytrauma and neurosurgery Intensive Care Units at an apex trauma care facility in India.

Science.gov (United States)

Kumar, Parmeshwar; Jithesh, V; Gupta, Shakti Kumar

2016-07-01

Although Intensive Care Units (ICUs) only account for 10% of the hospital beds, they consume nearly 22% of the hospital resources. Few definitive costing studies have been conducted in Indian settings that would help determine appropriate resource allocation. The aim of this study was to evaluate and compare the cost of intensive care delivery between multispecialty and neurosurgery ICUs at an apex trauma care facility in India. The study was conducted in a polytrauma and neurosurgery ICU at a 203-bedded Level IV trauma care facility in New Delhi, India, from May 1, 2012 to June 30, 2012. The study was cross-sectional, retrospective, and record-based. Traditional costing was used to arrive at the cost for both direct and indirect cost estimates. The cost centers included in the study were building cost, equipment cost, human resources, materials and supplies, clinical and nonclinical support services, engineering maintenance cost, and biomedical waste management. Statistical analysis was performed by Fisher's two tailed t-test. Total cost/bed/day for the multispecialty ICU was Rs. 14,976.9/- and for the neurosurgery ICU, it was Rs. 14,306.7/-, workforce constituting nearly half of the expenditure in both ICUs. The cost center wise and overall difference in the cost among the ICUs were statistically significant. Quantification of expenditure in running an ICU in a trauma center would assist health-care decision makers in better allocation of resources. Although multispecialty ICUs are more cost-effective, other factors will also play a role in defining the kind of ICU that needs to be designed.

Integrated remotely sensed datasets for disaster management

OpenAIRE

McCarthy, Tim; Farrell, Ronan; Curtis, Andrew; Fotheringham, A. Stewart

2008-01-01

Video imagery can be acquired from aerial, terrestrial and marine based platforms and has been exploited for a range of remote sensing applications over the past two decades. Examples include coastal surveys using aerial video, routecorridor infrastructures surveys using vehicle mounted video cameras, aerial surveys over forestry and agriculture, underwater habitat mapping and disaster management. Many of these video systems are based on interlaced, television standards such as North...

Factors associated with burnout among US neurosurgery residents: a nationwide survey.

Science.gov (United States)

Attenello, Frank J; Buchanan, Ian A; Wen, Timothy; Donoho, Daniel A; McCartney, Shirley; Cen, Steven Y; Khalessi, Alexander A; Cohen-Gadol, Aaron A; Cheng, Joseph S; Mack, William J; Schirmer, Clemens M; Swartz, Karin R; Prall, J Adair; Stroink, Ann R; Giannotta, Steven L; Klimo, Paul

2018-02-09

OBJECTIVE Excessive dissatisfaction and stress among physicians can precipitate burnout, which results in diminished productivity, quality of care, and patient satisfaction and treatment adherence. Given the multiplicity of its harms and detriments to workforce retention and in light of the growing physician shortage, burnout has garnered much attention in recent years. Using a national survey, the authors formally evaluated burnout among neurosurgery trainees. METHODS An 86-item questionnaire was disseminated to residents in the American Association of Neurological Surgeons database between June and November 2015. Questions evaluated personal and workplace stressors, mentorship, career satisfaction, and burnout. Burnout was assessed using the previously validated Maslach Burnout Inventory. Factors associated with burnout were determined using univariate and multivariate logistic regression. RESULTS The response rate with completed surveys was 21% (346/1643). The majority of residents were male (78%), 26-35 years old (92%), in a stable relationship (70%), and without children (73%). Respondents were equally distributed across all residency years. Eighty-one percent of residents were satisfied with their career choice, although 41% had at some point given serious thought to quitting. The overall burnout rate was 67%. In the multivariate analysis, notable factors associated with burnout included inadequate operating room exposure (OR 7.57, p = 0.011), hostile faculty (OR 4.07, p = 0.008), and social stressors outside of work (OR 4.52, p = 0.008). Meaningful mentorship was protective against burnout in the multivariate regression models (OR 0.338, p = 0.031). CONCLUSIONS Rates of burnout and career satisfaction are paradoxically high among neurosurgery trainees. While several factors were predictive of burnout, including inadequate operative exposure and social stressors, meaningful mentorship proved to be protective against burnout. The documented negative effects of

Preresidency Publication Number Does Not Predict Academic Career Placement in Neurosurgery.

Science.gov (United States)

Daniels, Marcus; Garzon-Muvdi, Tomas; Maxwell, Russell; Tamargo, Rafael J; Huang, Judy; Witham, Tim; Bettegowda, Chetan; Chaichana, Kaisorn L

2017-05-01

It is unclear if preresidency and/or residency research work impacts academic neurosurgery placement post residency. The goal of this study is to evaluate the impact that preresidency and residency research publication has on attaining academic faculty positions. Alumni information was collected from 65 of the 108 (60%) neurosurgery residency websites. Graduates from these programs between 2005 and 2015 (n = 949) were analyzed to determine factors associated with an academic career. Information on publications, citations, and H-index were obtained from Web of Science. Current position was designated as academic if the physician had a teaching position at a university hospital and private if the physician was not affiliated with a university hospital. Univariate and multivariate logistic regression models were used to identify factors associated with academic faculty positions post residency. Of the 949 physicians included in the analysis, 339 (36%) were in academic positions, 518 (55%) in private practice, and 92 (10%) were still in training. More than a fifth (212, or 22%) of physicians performed a research fellowship (8.2%) or attained a Ph.D. (14.1%) during medical school. Among those who had completed training, an academic career was associated with having 2 or more publications during residency (odds ratio [OR] [95% confidence interval, CI]: 3.87 [1.59-9.45]; P < 0.003), H-index ≥ 2 during residency (OR [95% CI]: 2.32 [1.40-1.69]; P < 0.0001) and having devoted research time before residency (OR [95% CI]: 1.56 [1.10-2.22]; P < 0.012). Notably, publications before residency were not an independent indicator of academic placement. These findings may help guide residency programs to identify and/or cultivate neurosurgeons to become academic neurosurgeons. Copyright © 2017 Elsevier Inc. All rights reserved.

Kazan period of life-sustaining activity of professor V.I. Ra-zumovsky — a pioneer of Russian neurosurgery

Directory of Open Access Journals (Sweden)

Danilov V.I.

2012-06-01

Full Text Available There were presented historical data of life-sustaining activity of professor V. I. Razumovsky — a pioneer of Russian neurosurgery, who began to perform and then was performing systematically neurosurgical operations in the Kazan clinic under the guidance of outstanding neurologists V. M. Bekhterev and L. O. Darkshevich.

Methods of training the graduate level and professional geologist in remote sensing technology

Science.gov (United States)

Kolm, K. E.

1981-01-01

Requirements for a basic course in remote sensing to accommodate the needs of the graduate level and professional geologist are described. The course should stress the general topics of basic remote sensing theory, the theory and data types relating to different remote sensing systems, an introduction to the basic concepts of computer image processing and analysis, the characteristics of different data types, the development of methods for geological interpretations, the integration of all scales and data types of remote sensing in a given study, the integration of other data bases (geophysical and geochemical) into a remote sensing study, and geological remote sensing applications. The laboratories should stress hands on experience to reinforce the concepts and procedures presented in the lecture. The geologist should then be encouraged to pursue a second course in computer image processing and analysis of remotely sensed data.

Severe Vertex Epidural Hematoma in a Child: A Case Report of a Management without Expert Neurosurgical Care

Directory of Open Access Journals (Sweden)

Christophe Brévart

2011-01-01

Full Text Available Vertex epidural hematomas (VEDHs are an uncommon situation and difficulties may be encountered in their diagnosis and management. This is more complicated when the surgical management has to be performed by general surgeons, not specialized in neurosurgery, in a remote location. It was in this context that we were brought to care in charge a 2-year-old boy who required a neurosurgical emergency rescue for a severe VEDH in Djibouti. Through the description of this case, we want to emphasize the value of developing a network of teleconsultation for the benefit of remote and isolated locations and learning basic techniques of emergency neurosurgery.

Integrated Gis-remote sensing processing applied to vegetation ...

African Journals Online (AJOL)

A remotely sensed digital image of SPOT by its linear enhancement on a large memory, high speed, and digital electronic computer revealed from false colour composite that vegetation is expressed as red. Further processing of SPOT digital image for arithmetic banding of Normalized Differential Vegetation Index (NDVI) ...

[Establishment of diagnosis and treatment patterns of holistic integrated medicine for neuro-ophthalmology].

Science.gov (United States)

Wang, Yanling

2014-12-01

Neuro-ophthalmology, as an interdisciplinary, covers at least three disciplines- ophthalmology, neurology and neurosurgery. With limited knowledge in each discipline, doctors often make misdiagnoses for neuro-ophthalmology diseases. Therefore, it is imperative to abandon the distinction between disciplines and combine all the knowledge to diagnose and treat patients in patterns of holistic integrated medicine in order to effectively improve the diagnosis and treatment of neuro-ophthalmology.

Remote handling technology for nuclear fuel cycle facilities

International Nuclear Information System (INIS)

Sakai, Akira; Maekawa, Hiromichi; Ohmura, Yutaka

1997-01-01

Design and R and D on nuclear fuel cycle facilities has intended development of remote handling and maintenance technology since 1977. IHI has completed the design and construction of several facilities with remote handling systems for Power Reactor and Nuclear Fuel Development Corporation (PNC), Japan Atomic Energy Research Institute (JAERI), and Japan Nuclear Fuel Ltd. (JNFL). Based on the above experiences, IHI is now undertaking integration of specific technology and remote handling technology for application to new fields such as fusion reactor facilities, decommissioning of nuclear reactors, accelerator testing facilities, and robot simulator-aided remote operation systems in the future. (author)

Sir Charles Bell (1774-1842) and his contributions to early neurosurgery.

Science.gov (United States)

Tubbs, R Shane; Riech, Sheryl; Verma, Ketan; Mortazavi, Martin M; Loukas, Marios; Benninger, Brion; Cohen-Gadol, Aaron A

2012-03-01

The renowned surgeon, neuroanatomist, and artist Sir Charles Bell not only impacted the lives of his peers through his creative endeavors and passion for art, but also sparked noteworthy breakthroughs in the field of neuroscience. His empathetic nature and zest for life enabled him to develop an early proclivity for patient care. As a result of his innovative findings regarding sensory and motor nerves and the anatomical makeup of the brain, he accepted some of the most prestigious awards and received an honorable reputation in society. Bell is recognized for his diligence, perseverance, and his remarkable contributions to surgery. The present review will explore his contributions to the discipline now known as neurosurgery.

Misclassification of Case-Control Studies in Neurosurgery and Proposed Solutions.

Science.gov (United States)

Esene, Ignatius Ngene; Mbuagbaw, Lawrence; Dechambenoit, Gilbert; Reda, Wael; Kalangu, Kazadi K

2018-04-01

Case-control studies (CCS) and cohort studies (CS) are common research designs in neurosurgery. But the term case-control study is frequently misused in the neurosurgical literature, with many articles reported as CCS, even although their methodology does not respect the basic components of a CCS. We sought to estimate the extent of these discrepancies in neurosurgical literature, explore factors contributing to mislabeling, and shed some light on study design reporting. We identified 31 top-ranking pure neurosurgical journals and searched them for articles reported as CCS, either in the title or in the abstract. The articles were read to determine if they really were CCS according to STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) guidelines. Article assessment was conducted in duplicate (agreement [κ statistics] = 99.82%). Two hundred and twenty-four articles met our inclusion criteria, 133 of which (59.38%) correctly labeled the case-control design, whereas 91 (40.62%) misclassified this study design. Cohort studies (CS) were the most common design mislabeled as case-control studies in 76 articles (33.93%), 57 of which (25.45%) were retrospective CS. The mislabeling of CCS impairs the appropriate indexing, classification, and sorting of evidence. Mislabeling CS for CCS leads to a downgrading of evidence as CS represent the highest level of evidence for observational studies. Odds ratios instead of relative risk are reported for these studies, resulting in a distortion of the measurement of the effect size, compounded when these are summarized in systematic reviews and pooled in meta-analyses. Many studies reported as CCS are not true CCS. Reporting guidelines should include items that ensure that studies are labeled correctly. STROBE guidelines should be implemented in assessment of observational studies. Researchers in neurosurgery need better training in research methods and terminology. We also recommend accrued vigilance from

Reoperations within 48 hours following 7942 pediatric neurosurgery procedures.

Science.gov (United States)

Roy, Anil K; Chu, Jason; Bozeman, Caroline; Sarda, Samir; Sawvel, Michael; Chern, Joshua J

2017-06-01

OBJECTIVE Various indicators are used to evaluate the quality of care delivered by surgical services, one of which is early reoperation rate. The indications and rate of reoperations within a 48-hour time period have not been previously reported for pediatric neurosurgery. METHODS Between May 1, 2009, and December 30, 2014, 7942 surgeries were performed by the pediatric neurosurgery service in the operating rooms at a single institution. Demographic, socioeconomic, and clinical characteristics associated with each of the operations were prospectively collected. The procedures were grouped into 31 categories based on the nature of the procedure and underlying diseases. Reoperations within 48 hours at the conclusion of the index surgery were reviewed to determine whether the reoperation was planned or unplanned. Multivariate logistic regression was employed to analyze risk factors associated with unplanned reoperations. RESULTS Cerebrospinal fluid shunt-and hydrocephalus-related surgeries accounted for 3245 (40.8%) of the 7942 procedures. Spinal procedures, craniotomy for tumor resections, craniotomy for traumatic injury, and craniofacial reconstructions accounted for an additional 8.7%, 6.8%, 4.5%, and 4.5% of surgical volume. There were 221 reoperations within 48 hours of the index surgery, yielding an overall incidence of 2.78%; 159 of the reoperation were unplanned. Of these 159 unplanned reoperations, 121 followed index operations involving shunt manipulations. Using unplanned reoperations as the dependent variable (n = 159), index operations with a starting time after 3 pm and admission through the emergency department (ED) were associated with a two- to threefold increase in the likelihood of reoperations (after-hour surgery, odds ratio [OR] 2.01 [95% CI 1.43-2.83, p < 0.001]; ED admission, OR 1.97 (95% CI 1.32-2.96, p < 0.05]). CONCLUSIONS Approximately 25% of the reoperations within 48 hours of a pediatric neurosurgical procedure were planned. When

"O.K. Where's the Remote?" Children, Families, and Remote Control Devices.

Science.gov (United States)

Krendl, Kathy A.; And Others

This paper, part of a larger study of new television technologies, examines how preschool children integrate remote control devices (RCDs) into their television viewing behavior, preschoolers' competence with and knowledge of RCDs, and the role of the RCD in shaping family viewing styles. Subjects, 50 children aged 4 to 6 years attending 3…

Human systems integration in remotely piloted aircraft operations.

Science.gov (United States)

Tvaryanas, Anthony P

2006-12-01

The role of humans in remotely piloted aircraft (RPAs) is qualitatively different from manned aviation, lessening the applicability of aerospace medicine human factors knowledge derived from traditional cockpits. Aerospace medicine practitioners should expect to be challenged in addressing RPA crewmember performance. Human systems integration (HSI) provides a model for explaining human performance as a function of the domains of: human factors engineering; personnel; training; manpower; environment, safety, and occupational health (ESOH); habitability; and survivability. RPA crewmember performance is being particularly impacted by issues involving the domains of human factors engineering, personnel, training, manpower, ESOH, and habitability. Specific HSI challenges include: 1) changes in large RPA operator selection and training; 2) human factors engineering deficiencies in current RPA ground control station design and their impact on human error including considerations pertaining to multi-aircraft control; and 3) the combined impact of manpower shortfalls, shiftwork-related fatigue, and degraded crewmember effectiveness. Limited experience and available research makes it difficult to qualitatively or quantitatively predict the collective impact of these issues on RPA crewmember performance. Attending to HSI will be critical for the success of current and future RPA crewmembers. Aerospace medicine practitioners working with RPA crewmembers should gain first-hand knowledge of their task environment while the larger aerospace medicine community needs to address the limited information available on RPA-related aerospace medicine human factors. In the meantime, aeromedical decisions will need to be made based on what is known about other aerospace occupations, realizing this knowledge may have only partial applicability.

A new operational method of functional neurosurgery combining micro-recording and MRI stereotaxy for the treatment of Parkinson's disease

International Nuclear Information System (INIS)

Nishimura, Hiroyuki; Hirai, Tatsuo.

1993-01-01

We have developed a new operational method for stereotactic functional neurosurgery using MRI stereotaxy combined with microelectrode recording. MRI stereotaxy shows us the individual variations of thalamic configurations. The tentative target points were determined using the MRI stereotaxy assisted software system which revised the distortion of MRI images. Consequently, the accuracy and safety of the microelectrode recording were increased. This, in turn, increased the accuracy and stereotactic thalamotomy while producing encouraging operational outcomes. The effectiveness of stereotactic thalamotomy for Parkinson's disease was confirmed by these excellent operative results. The symptoms improved and the dosage of medications, including L-DOPA, decreased. Furthermore, our results indicate that the distributing area of deep sensory neurons in the thalamus extended more posteriorly and upward than previously expected. Therefore, the functional and anatomical similarity between the human and monkey thalamus was reaffirmed. In this report, based on the above data, we reevaluated the neural mechanism of tremor and the role of stereotactic functional neurosurgery for Parkinson's disease. (author)

A new operational method of functional neurosurgery combining micro-recording and MRI stereotaxy for the treatment of Parkinson's disease

Energy Technology Data Exchange (ETDEWEB)

Nishimura, Hiroyuki [Kochi Medical School, Nankoku (Japan); Hirai, Tatsuo

1993-02-01

We have developed a new operational method for stereotactic functional neurosurgery using MRI stereotaxy combined with microelectrode recording. MRI stereotaxy shows us the individual variations of thalamic configurations. The tentative target points were determined using the MRI stereotaxy assisted software system which revised the distortion of MRI images. Consequently, the accuracy and safety of the microelectrode recording were increased. This, in turn, increased the accuracy and stereotactic thalamotomy while producing encouraging operational outcomes. The effectiveness of stereotactic thalamotomy for Parkinson's disease was confirmed by these excellent operative results. The symptoms improved and the dosage of medications, including L-DOPA, decreased. Furthermore, our results indicate that the distributing area of deep sensory neurons in the thalamus extended more posteriorly and upward than previously expected. Therefore, the functional and anatomical similarity between the human and monkey thalamus was reaffirmed. In this report, based on the above data, we reevaluated the neural mechanism of tremor and the role of stereotactic functional neurosurgery for Parkinson's disease. (author).

Development of nuclear fuel cycle remote handling technology

International Nuclear Information System (INIS)

Kim, K. H.; Park, B. S.; Kim, S. H.

2012-04-01

This report presents the development of remote handling systems and remote equipment for use in the pyprocessing verification at the PRIDE (PyRoprocess Integrated inactive Demonstration facility). There are four areas conducted in this work. In first area, the prototypes of an engineering-scale high-throughput decladding voloxidizer which is capable of separating spent fuel rod-cuts into hulls and powder and collecting them separately, and an automatic equipment which is capable of collecting residual powder remaining on separated hulls were developed. In second area, a servo-manipulator system was developed to operate and maintain pyroprocess equipment located at the argon cell of the PRIDE in a remote manner. A servo-manipulator with dual arm that is mounted on the lower part of a bridge transporter will be installed on the ceiling of the in-cell and can travel the length of the ceiling. In third area, a digital mock-up and a remote handling evaluation mock-up were constructed to evaluate the pyroprocess equipments from the in-cell arrangements, remote operability and maintainability viewpoint before they are installed in the PRIDE. In last area, a base technology for remote automation of integrated pyroprocess was developed. The developed decladding voloxidizer and automatic equipment will be utilized in the development of a head-end process for pyroprocessing. In addition, the developed servo-manipulator will be used for remote operation and maintenance of the pyroprocess equipments in the PRIDE. The constructed digital mock-up and remote handling evaluation mock-up will be also used to verify and improve the pyroprocess equipments for the PRIDE application. Moreover, these remote technologies described above can be directly used in the PRIDE and applied for the KAPF (Korea Advanced Pyroprocess Facility) development

Use of a formal assessment instrument for evaluation of resident operative skills in pediatric neurosurgery.

Science.gov (United States)

Hadley, Caroline; Lam, Sandi K; Briceño, Valentina; Luerssen, Thomas G; Jea, Andrew

2015-08-28

OBJECT Currently there is no standardized tool for assessment of neurosurgical resident performance in the operating room. In light of enhanced requirements issued by the Accreditation Council for Graduate Medical Education's Milestone Project and the Matrix Curriculum Project from the Society of Neurological Surgeons, the implementation of such a tool seems essential for objective evaluation of resident competence. Beyond compliance with governing body guidelines, objective assessment tools may be useful to direct early intervention for trainees performing below the level of their peers so that they may be given more hands-on teaching, while strong residents can be encouraged by faculty members to progress to conducting operations more independently with passive supervision. The aims of this study were to implement a validated assessment tool for evaluation of operative skills in pediatric neurosurgery and determine its feasibility and reliability. METHODS All neurosurgery residents completing their pediatric rotation over a 6-month period from January 1, 2014, to June 30, 2014, at the authors' institution were enrolled in this study. For each procedure, residents were evaluated by means of a form, with one copy being completed by the resident and a separate copy being completed by the attending surgeon. The evaluation form was based on the validated Objective Structured Assessment of Technical Skills for Surgery (OSATS) and used a 5-point Likert-type scale with 7 categories: respect for tissue; time and motion; instrument handling; knowledge of instruments; flow of operation; use of assistants; and knowledge of specific procedure. Data were then stratified by faculty versus resident (self-) assessment; postgraduate year level; and difficulty of procedure. Descriptive statistics (means and SDs) were calculated, and the results were compared using the Wilcoxon signed-rank test and Student t-test. A p value assessment scores overall or in any of the 7 domains scores

Impact of a Vascular Neurosurgery Simulation-Based Course on Cognitive Knowledge and Technical Skills in European Neurosurgical Trainees.

Science.gov (United States)

Zammar, Samer G; El Tecle, Najib E; El Ahmadieh, Tarek Y; Adelson, P David; Veznedaroglu, Erol; Surdell, Daniel L; Harrop, James S; Benes, Vladimir; Rezai, Ali R; Resnick, Daniel K; Bendok, Bernard R

2015-08-01

To assess microsurgical and diagnostic cerebral angiography modules and their corresponding objective assessment scales as educational tools for European neurosurgical residents at the European Association of Neurosurgical Societies Resident Vascular Neurosurgery course, which was held in Prague, Czech Republic, on September 2013. Microsurgical skills and cerebral angiography are fundamental skills in vascular neurosurgery. There is a need to develop a simulation-based curriculum focusing on these skills for neurosurgical trainees worldwide. The course consisted of 2 modules: microanastomosis and diagnostic cerebral angiography. In addition to an initial screening survey, each module was divided into 3 components: 1) a before didactic cognitive knowledge and technical skills testing, 2) a didactic lecture, and 3) an after didactic cognitive knowledge and technical skills testing. We compared the trainees' cognitive and technical scores from the before and after testing phases. Wilcoxon sum rank test was used to test statistical significance. The knowledge test median scores increased from 63% and 68% to 80% and 88% (P technical proficiency. Copyright © 2015. Published by Elsevier Inc.

Securing remote services by integrating SecurID strong authentication technology in EFDA-Federation infrastructure

Energy Technology Data Exchange (ETDEWEB)

Castro, R., E-mail: rodrigo.castro@visite.es [Asociacion EURATOM/CIEMAT para Fusion, Madrid (Spain); Barbato, P. [Consorzio RFX, Euratom ENEA Association, Corso Stati Uniti 4, 35127 Padova (Italy); Vega, J. [Asociacion EURATOM/CIEMAT para Fusion, Madrid (Spain); Taliercio, C. [Consorzio RFX, Euratom ENEA Association, Corso Stati Uniti 4, 35127 Padova (Italy)

2011-10-15

Remote participation facilities among fusion laboratories require access control solutions with two main objectives: to preserve the usability of the systems and to guaranty the required level of security for accessing to shared services. On one hand, this security solution has to be: single-sign-on, transparent for users, compatible with user mobility, and compatible with used client applications. On the other hand, it has to be compatible with shared services and resources among organisations, providing in each case the required access security level. EFDA-Federation is a security infrastructure that integrates a set of fusion laboratories and enables to share resources and services fulfilling the requirements previously described. In EFDA community, JET and RFX have security access policies to some of their services that require strong authentication mechanisms. In both cases, strong authentication is based on RSA SecurID tokens. This is a hardware device that is supplied to and generates a new password every minute. The job presents two main results. The first one is the integration of RSA SecurID into EFDA-Federation. Thanks to it, federated organisations are able to offer SecurID to their users as an alternative strong authentication mechanism, with the corresponding increase of security level. The second result is the development of a new access control mechanism based on port knocking techniques and its integration into EFDA-Federation. Additionally, a real application in RFX is presented and includes the integration of its SecurID infrastructure as federated authentication mechanism, and the application of the new access control mechanism to its MDSplus server.

Securing remote services by integrating SecurID strong authentication technology in EFDA-Federation infrastructure

International Nuclear Information System (INIS)

Castro, R.; Barbato, P.; Vega, J.; Taliercio, C.

2011-01-01

Remote participation facilities among fusion laboratories require access control solutions with two main objectives: to preserve the usability of the systems and to guaranty the required level of security for accessing to shared services. On one hand, this security solution has to be: single-sign-on, transparent for users, compatible with user mobility, and compatible with used client applications. On the other hand, it has to be compatible with shared services and resources among organisations, providing in each case the required access security level. EFDA-Federation is a security infrastructure that integrates a set of fusion laboratories and enables to share resources and services fulfilling the requirements previously described. In EFDA community, JET and RFX have security access policies to some of their services that require strong authentication mechanisms. In both cases, strong authentication is based on RSA SecurID tokens. This is a hardware device that is supplied to and generates a new password every minute. The job presents two main results. The first one is the integration of RSA SecurID into EFDA-Federation. Thanks to it, federated organisations are able to offer SecurID to their users as an alternative strong authentication mechanism, with the corresponding increase of security level. The second result is the development of a new access control mechanism based on port knocking techniques and its integration into EFDA-Federation. Additionally, a real application in RFX is presented and includes the integration of its SecurID infrastructure as federated authentication mechanism, and the application of the new access control mechanism to its MDSplus server.

Hybrid Decentralised Energy for Remote Communities: Case Studies and the Analysis of the Potential Integration of Rain Energy

Directory of Open Access Journals (Sweden)

Ying Miao

2014-09-01

Full Text Available For remote underdeveloped and sparsely populated regions, the use of national power grids to provide electricity can be both unsustainable and impractical. In recent years, decentralised renewable power has gained popularity, endowing social benefits to the local inhabitants through clean rural electrification. However, power reliability and system autonomy are often the primary technical concerns as current systems are largely single source reliant. Hybrid power systems that utilise multiple complementary renewables can help to reduce the dependency on conventional unclean options. A few selected case studies for both single source and hybrid power systems are reviewed, analysing critical success factors and evaluating existing difficulties. The additional integration of the novel rain-powered kinetic-to-electric generator technology to the existing hybrid model is analysed. As with development in general, there is no one-size-fits-all solution to bringing power to remote communities and the most sustainable solution should be found through analysing local resources, environmental conditions and maximising local involvement.

Augmented reality-guided neurosurgery: accuracy and intraoperative application of an image projection technique.

Science.gov (United States)

Besharati Tabrizi, Leila; Mahvash, Mehran

2015-07-01

An augmented reality system has been developed for image-guided neurosurgery to project images with regions of interest onto the patient's head, skull, or brain surface in real time. The aim of this study was to evaluate system accuracy and to perform the first intraoperative application. Images of segmented brain tumors in different localizations and sizes were created in 10 cases and were projected to a head phantom using a video projector. Registration was performed using 5 fiducial markers. After each registration, the distance of the 5 fiducial markers from the visualized tumor borders was measured on the virtual image and on the phantom. The difference was considered a projection error. Moreover, the image projection technique was intraoperatively applied in 5 patients and was compared with a standard navigation system. Augmented reality visualization of the tumors succeeded in all cases. The mean time for registration was 3.8 minutes (range 2-7 minutes). The mean projection error was 0.8 ± 0.25 mm. There were no significant differences in accuracy according to the localization and size of the tumor. Clinical feasibility and reliability of the augmented reality system could be proved intraoperatively in 5 patients (projection error 1.2 ± 0.54 mm). The augmented reality system is accurate and reliable for the intraoperative projection of images to the head, skull, and brain surface. The ergonomic advantage of this technique improves the planning of neurosurgical procedures and enables the surgeon to use direct visualization for image-guided neurosurgery.

Straight trajectory planning for keyhole neurosurgery in sheep with automatic brain structures segmentation

Science.gov (United States)

Favaro, Alberto; Lad, Akash; Formenti, Davide; Zani, Davide Danilo; De Momi, Elena

2017-03-01

In a translational neuroscience/neurosurgery perspective, sheep are considered good candidates to study because of the similarity between their brain and the human one. Automatic planning systems for safe keyhole neurosurgery maximize the probe/catheter distance from vessels and risky structures. This work consists in the development of a trajectories planner for straight catheters placement intended to be used for investigating the drug diffusivity mechanisms in sheep brain. Automatic brain segmentation of gray matter, white matter and cerebrospinal fluid is achieved using an online available sheep atlas. Ventricles, midbrain and cerebellum segmentation have been also carried out. The veterinary surgeon is asked to select a target point within the white matter to be reached by the probe and to define an entry area on the brain cortex. To mitigate the risk of hemorrhage during the insertion process, which can prevent the success of the insertion procedure, the trajectory planner performs a curvature analysis of the brain cortex and wipes out from the poll of possible entry points the sulci, as part of brain cortex where superficial blood vessels are naturally located. A limited set of trajectories is then computed and presented to the surgeon, satisfying an optimality criteria based on a cost function which considers the distance from critical brain areas and the whole trajectory length. The planner proved to be effective in defining rectilinear trajectories accounting for the safety constraints determined by the brain morphology. It also demonstrated a short computational time and good capability in segmenting gyri and sulci surfaces.

Integrated remote sensing imagery and two-dimensional hydraulic modeling approach for impact evaluation of flood on crop yields

Science.gov (United States)

Chen, Huili; Liang, Zhongyao; Liu, Yong; Liang, Qiuhua; Xie, Shuguang

2017-10-01

The projected frequent occurrences of extreme flood events will cause significant losses to crops and will threaten food security. To reduce the potential risk and provide support for agricultural flood management, prevention, and mitigation, it is important to account for flood damage to crop production and to understand the relationship between flood characteristics and crop losses. A quantitative and effective evaluation tool is therefore essential to explore what and how flood characteristics will affect the associated crop loss, based on accurately understanding the spatiotemporal dynamics of flood evolution and crop growth. Current evaluation methods are generally integrally or qualitatively based on statistic data or ex-post survey with less diagnosis into the process and dynamics of historical flood events. Therefore, a quantitative and spatial evaluation framework is presented in this study that integrates remote sensing imagery and hydraulic model simulation to facilitate the identification of historical flood characteristics that influence crop losses. Remote sensing imagery can capture the spatial variation of crop yields and yield losses from floods on a grid scale over large areas; however, it is incapable of providing spatial information regarding flood progress. Two-dimensional hydraulic model can simulate the dynamics of surface runoff and accomplish spatial and temporal quantification of flood characteristics on a grid scale over watersheds, i.e., flow velocity and flood duration. The methodological framework developed herein includes the following: (a) Vegetation indices for the critical period of crop growth from mid-high temporal and spatial remote sensing imagery in association with agricultural statistics data were used to develop empirical models to monitor the crop yield and evaluate yield losses from flood; (b) The two-dimensional hydraulic model coupled with the SCS-CN hydrologic model was employed to simulate the flood evolution process

Lighting for remote viewing systems

International Nuclear Information System (INIS)

Draper, J.V.

1984-01-01

Scenes viewed by television do not provide the same channels of information for judgment of distances as scenes viewed directly, since television eliminates or degrades several depth perception cues. However, it may be possible to improve depth perception of televised scenes by enhancing the information available through depth cues that are available from lighting. A literature survey and expert opinions were integrated to design a remote lighting arrangement which could enhance depth perception of operators performing remote handling operations. This paper describes the lighting arrangement and discusses some of its advantages and disadvantages

Integrated ancillary and remote sensing data for land use ...

African Journals Online (AJOL)

Full Name

The application of GMM to remote sensing image classification ... A . The boundary that has a Mahalanobis distance to the centre ... yields the Baye's theorem: ..... bands were extracted using the layer properties tool and visualised in MATLAB ...

Improvements in remote equipment torquing and fastening

International Nuclear Information System (INIS)

Garin, J.

1978-01-01

Remote torquing and fastening is a requirement of generic interest for application in an environment not readily accessible to man. The developments over the last 30 years in torque-controlled equipment above 200 nm (150 ft/lb) have not been emphasized. The development of specialized subassemblies to torque and fasten equipment in a remotely controlled environment is an integral part of the Advanced Fuel Recycle Program at Oak Ridge National Laboratory. Commercially available subassemblies have been adapted into a system that would provide remote torquing and fastening in the range of 200 to 750 nm (150 to 550 ft/lb). 9 figures

Variable acuity remote viewing system flight demonstration

Science.gov (United States)

Fisher, R. W.

1983-01-01

The Variable Acuity Remote Viewing System (VARVS), originally developed under contract to the Navy (ONR) as a laboratory brassboard, was modified for flight demonstration. The VARVS system was originally conceived as a technique which could circumvent the acuity/field of view/bandwidth tradeoffs that exists in remote viewing to provide a nearly eye limited display in both field of view (160 deg) and resolution (2 min arc) while utilizing conventional TV sensing, transmission, and display equipment. The modifications for flight demonstration consisted of modifying the sensor so it could be installed and flow in a Piper PA20 aircraft, equipped for remote control and modifying the display equipment so it could be integrated with the NASA Research RPB (RPRV) remote control cockpit.

Tissue Factor and Tissue Factor Pathway Inhibitor in the Wound-Healing Process After Neurosurgery.

Science.gov (United States)

Ślusarz, Robert; Głowacka, Mariola; Biercewicz, Monika; Barczykowska, Ewa; Haor, Beata; Rość, Danuta; Gadomska, Grażyna

2016-03-01

The aim of the study was to assess the concentrations of tissue factor (TF) and tissue factor pathway inhibitor (TFPI) in the blood of patients with a postoperative wound after neurosurgery. Participants included 20 adult patients who underwent neurosurgery because of degenerative spine changes. The concentration of TF and TFPI in the patients' blood serum was measured 3 times: before surgery, during the first 24 hr after surgery, and between the 5th and 7th days after surgery. The control group comprised 20 healthy volunteers similar to the patient group with respect to gender and age. A statistically significant difference was observed between TF concentration at all three measurement time points in the research group and TF concentration in the control group (p = .018, p = .010, p = .001). A statistically significant difference was found between TFPI concentration at the second time point in the research group and TFPI concentration in the control group (p = .041). No statistically significant within-subject difference was found between TF concentrations before and after surgery. A statistically significant within-subject difference was found between TFPI concentrations within 24 hr after surgery and 5-7 days after surgery (p = .004). High perioperative concentrations of TF indicate not only the presence of thrombophilia but also the importance of TF in the wound-healing process. Perioperative changes in TFPI concentrations are related to its compensatory influence on hemostasis in thrombophilic conditions. © The Author(s) 2015.

Various irrigation fluids affect postoperative brain edema and cellular damage during experimental neurosurgery in rats.

Science.gov (United States)

Doi, Kazuhisa; Kawano, Takeshi; Morioka, Yujiro; Fujita, Yasutaka; Nishimura, Masuhiro

2006-12-01

This study was conducted to investigate how various irrigation fluids used during neurosurgical procedures affect the degree of postoperative brain edema and cellular damage during experimental neurosurgery in rats. The cerebral cortex was exposed and incised crosswise with a surgical knife under irrigation with an artificial CSF, lactated Ringer's solution, or normal saline. Four hours after injury, irrigation was stopped and brain tissue samples were obtained from injured and uninjured sites. Specific gravity, cerebrovascular permeability, and TTC staining of the samples were evaluated. Incision and irrigation of the brain were not performed on the control group. At the injured site, specific gravities of the samples in the normal saline group and the lactated Ringer's solution group were significantly lower than the specific gravity in the artificial CSF group. The EB concentration was significantly higher in the lactated Ringer's solution group and relatively high in the normal saline group as compared with the artificial CSF group. TTC staining did not differ significantly between the artificial CSF group and the control group. It was significantly lower in the lactated Ringer's solution group and the normal saline group than in the control group and the artificial CSF group. As compared with normal saline and lactated Ringer's solution, artificial CSF reduced postoperative brain edema, cerebrovascular permeability, and cellular damage in sites injured by experimental neurosurgery in rats.

Simulation training in neurosurgery: advances in education and practice

Science.gov (United States)

Konakondla, Sanjay; Fong, Reginald; Schirmer, Clemens M

2017-01-01

The current simulation technology used for neurosurgical training leaves much to be desired. Significant efforts are thoroughly exhausted in hopes of developing simulations that translate to give learners the “real-life” feel. Though a respectable goal, this may not be necessary as the application for simulation in neurosurgical training may be most useful in early learners. The ultimate uniformly agreeable endpoint of improved outcome and patient safety drives these investments. We explore the development, availability, educational taskforces, cost burdens and the simulation advancements in neurosurgical training. The technologies can be directed at achieving early resident milestones placed by the Accreditation Council for Graduate Medical Education. We discuss various aspects of neurosurgery disciplines with specific technologic advances of simulation software. An overview of the scholarly landscape of the recent publications in the realm of medical simulation and virtual reality pertaining to neurologic surgery is provided. We analyze concurrent concept overlap between PubMed headings and provide a graphical overview of the associations between these terms. PMID:28765716

Hierarchical remote data possession checking method based on massive cloud files

Directory of Open Access Journals (Sweden)

Ma Haifeng

2017-06-01

Full Text Available Cloud storage service enables users to migrate their data and applications to the cloud, which saves the local data maintenance and brings great convenience to the users. But in cloud storage, the storage servers may not be fully trustworthy. How to verify the integrity of cloud data with lower overhead for users has become an increasingly concerned problem. Many remote data integrity protection methods have been proposed, but these methods authenticated cloud files one by one when verifying multiple files. Therefore, the computation and communication overhead are still high. Aiming at this problem, a hierarchical remote data possession checking (hierarchical-remote data possession checking (H-RDPC method is proposed, which can provide efficient and secure remote data integrity protection and can support dynamic data operations. This paper gives the algorithm descriptions, security, and false negative rate analysis of H-RDPC. The security analysis and experimental performance evaluation results show that the proposed H-RDPC is efficient and reliable in verifying massive cloud files, and it has 32–81% improvement in performance compared with RDPC.

Fuel cell/photovoltaic integrated power system for a remote telecommunications repeater

Energy Technology Data Exchange (ETDEWEB)

Lehman, P.; Chamberlin, C.; Zoellick, J.; Engel, R.; Rommel, D. [Humbolt State University, Arcata, CA (United States). Schatz Energy Research Center

2002-07-01

There is a special energy supply challenge associated with remote telecommunication systems, as they require reliable, unattended power system operation in areas and locations where there is no grid power. To supply back-up power to the Schoolhouse Peak remote photovoltaic-powered radio-telephone repeater located in Redwood National Park in northwestern California, the Schatz Energy Research Center built and operated a proton exchange membrane (PEM) fuel cell power system. In those instances where solar insolation is insufficient to maintain state-of-charge of the system's battery, the fuel cell automatically starts. Remote monitoring and control is made possible with the use of a cellular modem. The original fuel cell stack logged 3239 hours of run time in 229 days of operation. Subsequent to improvements and a rebuilt fuel cell stack, it operated for 3836 hours during 269 days. In this paper, system performance, long-term fuel cell voltage decay, and lessons learned and applied in system refurbishment were discussed. During this trial, the flawless performance of the hydrogen storage and delivery subsystem, the battery voltage-sensing relay, the safety shutdowns, and the remote data acquisition and control equipment was noted. To protect the stack from sudden temperature increases while minimizing unneeded parasitic loads, experience showed that a temperature-controlled fan switch, despite its additional complexity, was justified. 4 refs., 10 figs.

Morbidity associated with 30-day surgical site infection following nonshunt pediatric neurosurgery

Science.gov (United States)

Sherrod, Brandon A.; Rocque, Brandon G.

2017-01-01

Objective Morbidity associated with surgical site infection (SSI) following nonshunt pediatric neurosurgical procedures is poorly understood. The purpose of this study was to analyze acute morbidity and mortality associated with SSI after nonshunt pediatric neurosurgery using a nationwide cohort. Methods The authors reviewed data from the American College of Surgeons National Surgical Quality Improvement Program Pediatric (NSQIP-P) 2012–2014 database, including all neurosurgical procedures performed on pediatric patients. Procedures were categorized by Current Procedural Terminology (CPT) codes. CSF shunts were excluded. Deep and superficial SSIs occurring within 30 days of an index procedure were identified. Deep SSIs included deep wound infections, intracranial abscesses, meningitis, osteomyelitis, and ventriculitis. The following outcomes occurring within 30 days of an index procedure were analyzed, along with postoperative time to complication development: sepsis, wound disruption, length of postoperative stay, readmission, reoperation, and death. Results A total of 251 procedures associated with a 30-day SSI were identified (2.7% of 9296 procedures). Superficial SSIs were more common than deep SSIs (57.4% versus 42.6%). Deep SSIs occurred more frequently after epilepsy or intracranial tumor procedures. Superficial SSIs occurred more frequently after skin lesion, spine, Chiari decompression, craniofacial, and myelomeningocele closure procedures. The mean (± SD) postoperative length of stay for patients with any SSI was 9.6 ± 14.8 days (median 4 days). Post-SSI outcomes significantly associated with previous SSI included wound disruption (12.4%), sepsis (15.5%), readmission (36.7%), and reoperation (43.4%) (p neurosurgery. Rates of SSI-associated complications are significantly lower in patients with superficial infection than in those with deep infection. There were no cases of SSI-related mortality within 30 days of the index procedure. PMID:28186474

Developing a new model for the invention and translation of neurotechnologies in academic neurosurgery.

Science.gov (United States)

Leuthardt, Eric C

2013-01-01

There is currently an acceleration of new scientific and technical capabilities that create new opportunities for academic neurosurgery. To engage these changing dynamics, the Center for Innovation in Neuroscience and Technology (CINT) was created on the premise that successful innovation of device-related ideas relies on collaboration between multiple disciplines. The CINT has created a unique model that integrates scientific, medical, engineering, and legal/business experts to participate in the continuum from idea generation to translation. To detail the method by which this model has been implemented in the Department of Neurological Surgery at Washington University in St. Louis and the experience that has been accrued thus far. The workflow is structured to enable cross-disciplinary interaction, both intramurally and extramurally between academia and industry. This involves a structured method for generating, evaluating, and prototyping promising device concepts. The process begins with the "invention session," which consists of a structured exchange between inventors from diverse technical and medical backgrounds. Successful ideas, which pass a separate triage mechanism, are then sent to industry-sponsored multidisciplinary fellowships to create functioning prototypes. After 3 years, the CINT has engaged 32 clinical and nonclinical inventors, resulting in 47 ideas, 16 fellowships, and 12 patents, for which 7 have been licensed to industry. Financial models project that if commercially successful, device sales could have a notable impact on departmental revenue. The CINT is a model that supports an integrated approach from the time an idea is created through its translational development. To date, the approach has been successful in creating numerous concepts that have led to industry licenses. In the long term, this model will create a novel revenue stream to support the academic neurosurgical mission.

Assessing the Downstream Impact of the Integrated Use of Socioeconomic and Remote Sensing Data

Science.gov (United States)

Chen, R. S.; Downs, R. R.; Schumacher, J.

2014-12-01

The interdisciplinary use of data from multiple disciplines to address both research and applied problems has received increasing attention in the sciences, but understanding remains limited on the specific modalities of data use and their impact not only in enabling new research insights but also in facilitating the application of research to societal problems. In our previous work, we used citation analysis to investigate the use of data from the NASA Socioeconomic Data and Applications Center (SEDAC) and identify the extent of interdisciplinary use, based on the subject classifications of citing journals. We also proposed and tested a taxonomy of data integration and use on a selection of peer-reviewed scientific articles that cited both remote sensing data and socioeconomic data from SEDAC. We extend both of these analyses here. We analyze the interdisciplinary use of SEDAC data over a seven-year period including the types and topical areas of application observed. We also explore the degree to which different types of data integration and use are leading to further "downstream" research and applications, and if objective measures can be developed using bibliometric methods to quantify downstream use and impact in meaningful ways. These methods include both traditional citation analysis and searches of the informal literature and online resources. Better understanding of how disparate data and information has been utilized to address new interdisciplinary problems will help the data user and provider communities improve the effectiveness and efficiency of their efforts. It should also provide justification for further investments in linking different data resources and networks across scientific fields, in methods of interdisciplinary data integration, and in application of integrated data to societal problems.

An integrated approach to the remote sensing of floating ice

Science.gov (United States)

Campbell, W. J.; Ramseier, R. O.; Weeks, W. F.; Gloersen, P.

1976-01-01

Review article on remote sensing applications to glaciology. Ice parameters sensed include: ice cover vs open water, ice thickness, distribution and morphology of ice formations, vertical resolution of ice thickness, ice salinity (percolation and drainage of brine; flushing of ice body with fresh water), first-year ice and multiyear ice, ice growth rate and surface heat flux, divergence of ice packs, snow cover masking ice, behavior of ice shelves, icebergs, lake ice and river ice; time changes. Sensing techniques discussed include: satellite photographic surveys, thermal IR, passive and active microwave studies, microwave radiometry, microwave scatterometry, side-looking radar, and synthetic aperture radar. Remote sensing of large aquatic mammals and operational ice forecasting are also discussed.

Lighting for remote viewing systems

International Nuclear Information System (INIS)

Draper, J.V.

1984-01-01

Scenes viewed by television do not provide the same channels of information for judgment of distances as scenes viewed directly, since television eliminates or degrades several depth perception cues. However, it may be possible to improve depth perception of televised scenes by enhancing the information available through depth cues that are available from lighting. A literature survey and expert opinions were integrated to design a remote lighting arrangement which could enhance depth perception of operators performing remote handling operations. This paper describes the lighting arrangement and discusses some of its advantages and disadvantages. 10 references, 2 figures

Lighting for remote viewing systems

International Nuclear Information System (INIS)

Draper, J.V.

1984-01-01

Scenes viewed by television do not provide the same channels of information for judgement of distances as scenes viewed directly, since television eliminates or degrades several depth perception cues. However, it may be possible to improve depth perception of televised scenes by enhancing the information available through depth cues that are available from lighting. A literature survey and expert opinions were integrated to design a remote lighting arrangement which could enhance depth perception of operators performing remote handling operations. This paper describes the lighting arrangement and discusses some of its advantages and disadvantages. 10 references, 2 figures

Lighting for remote viewing systems

Energy Technology Data Exchange (ETDEWEB)

Draper, J.V.

1984-01-01

Scenes viewed by television do not provide the same channels of information for judgment of distances as scenes viewed directly, since television eliminates or degrades several depth perception cues. However, it may be possible to improve depth perception of televised scenes by enhancing the information available through depth cues that are available from lighting. A literature survey and expert opinions were integrated to design a remote lighting arrangement which could enhance depth perception of operators performing remote handling operations. This paper describes the lighting arrangement and discusses some of its advantages and disadvantages. 10 references, 2 figures.

Lighting for remote viewing systems

Energy Technology Data Exchange (ETDEWEB)

Draper, J.V.

1984-01-01

Scenes viewed by television do not provide the same channels of information for judgement of distances as scenes viewed directly, since television eliminates or degrades several depth perception cues. However, it may be possible to improve depth perception of televised scenes by enhancing the information available through depth cues that are available from lighting. A literature survey and expert opinions were integrated to design a remote lighting arrangement which could enhance depth perception of operators performing remote handling operations. This paper describes the lighting arrangement and discusses some of its advantages and disadvantages. 10 references, 2 figures.

Integrated remote sensing and visualization (IRSV) system for transportation infrastructure operations and management, phase two, volume 4 : web-based bridge information database--visualization analytics and distributed sensing.

Science.gov (United States)

2012-03-01

This report introduces the design and implementation of a Web-based bridge information visual analytics system. This : project integrates Internet, multiple databases, remote sensing, and other visualization technologies. The result : combines a GIS ...

Minimally invasive neurosurgery with interventional magnetic resonance. Its present and future

International Nuclear Information System (INIS)

Hashimoto, Takuo

2000-01-01

We have used X-ray fluoroscopy, ultrasonography, and computed tomography in treatment. However, these methods do not provide precise image. Since magnetic resonance (MR) provides high-resolution images, it is more suitable in treatment. Recently open-type MR has been introduced for clinical diagnosis and treatment. Interventional MR provides a real-time images, high-resolutional images, and thermal distribution. Open MR can be used for minimally invasive neurosurgery. Interventional MR (I-MR) can be used in treatment and is extremely useful for minimally invasive surgery of the brain and spinal cord. We have used an open-type permanent MR scanner (Airis, Hitachi), for minimally invasive neurosurgery. Stereotactic brain tumor biopsy, aspiration of intracerebral hematoma, and percutaneous laser disc hernia ablation under MR guidance has been performed in our department. I-MR provided precise, and less-invasive treatment. Stereotactic biopsy was done in 12 patients with brain tumors. Precise, accurate biopsy is possible with MR fluoroscopic guidance. Hematomas were also aspirated safely and precisely by monitoring real-time image. Percutaneous laser disc hernia ablation (PLDA) was done in 201 patients with lumbar disc herniation (127 at L4/5 and 48 at L5/S1). Patients ranged in age from 17 to 72 years. A MR-compatible 18-gauge 15-cm-long titanium needle was clearly visualized and safety and accurately inserted into the disc herniation from multiple directions. Laser ablation was done (mean, 1,000 J). Signs and symptoms improved immediately after ablation. The overall success rate was 90.5% (MacNab's criteria). Two patients (1.0%) had discitis after PLDA. I-MR and fluoroscopy provide near-real-time images for treatment of brain tumors and hematoma. Precise treatment can be performed with the Patil MR-compatible stereotactic system. PLDA was performed safety and accurately with I-MR. The results were satisfactory. I-MR-PLDA is a safe, precise, and minimally invasive

Minimally invasive neurosurgery with interventional magnetic resonance. Its present and future

Energy Technology Data Exchange (ETDEWEB)

Hashimoto, Takuo [Jikei Univ., Tokyo (Japan). School of Medicine

2000-01-01

We have used X-ray fluoroscopy, ultrasonography, and computed tomography in treatment. However, these methods do not provide precise image. Since magnetic resonance (MR) provides high-resolution images, it is more suitable in treatment. Recently open-type MR has been introduced for clinical diagnosis and treatment. Interventional MR provides a real-time images, high-resolutional images, and thermal distribution. Open MR can be used for minimally invasive neurosurgery. Interventional MR (I-MR) can be used in treatment and is extremely useful for minimally invasive surgery of the brain and spinal cord. We have used an open-type permanent MR scanner (Airis, Hitachi), for minimally invasive neurosurgery. Stereotactic brain tumor biopsy, aspiration of intracerebral hematoma, and percutaneous laser disc hernia ablation under MR guidance has been performed in our department. I-MR provided precise, and less-invasive treatment. Stereotactic biopsy was done in 12 patients with brain tumors. Precise, accurate biopsy is possible with MR fluoroscopic guidance. Hematomas were also aspirated safely and precisely by monitoring real-time image. Percutaneous laser disc hernia ablation (PLDA) was done in 201 patients with lumbar disc herniation (127 at L4/5 and 48 at L5/S1). Patients ranged in age from 17 to 72 years. A MR-compatible 18-gauge 15-cm-long titanium needle was clearly visualized and safety and accurately inserted into the disc herniation from multiple directions. Laser ablation was done (mean, 1,000 J). Signs and symptoms improved immediately after ablation. The overall success rate was 90.5% (MacNab's criteria). Two patients (1.0%) had discitis after PLDA. I-MR and fluoroscopy provide near-real-time images for treatment of brain tumors and hematoma. Precise treatment can be performed with the Patil MR-compatible stereotactic system. PLDA was performed safety and accurately with I-MR. The results were satisfactory. I-MR-PLDA is a safe, precise, and minimally

Risk and cost tradeoffs for remote retrieval of buried waste

International Nuclear Information System (INIS)

Hyde, R.A.; Grienbenow, B.E.; Nickelson, D.F.

1994-01-01

The Buried Waste Integrated Demonstration is supporting the development, demonstration, testing, and evaluation of a suite of technologies that, when integrated with commercially available technologies, form a comprehensive system for the remediation of radioactive and hazardous buried waste. As a part of the program's technology development, remote retrieval equipment is being developed and tested for the remediation of buried waste. During remedial planning, several factors are considered when choosing remote versus manual retrieval systems. Time that workers are exposed to radioactivity, chemicals, air particulate, and industrial hazards is one consideration. The generation of secondary waste is also a consideration because it amounts to more waste to treat and some wastes may require special handling or treatment. Cost is also a big factor in determining whether remote or manual operations will be used. Other considerations include implementability, effectiveness, and the number of required personnel. This paper investigates each of these areas to show the risk and cost benefits and limitations for remote versus manual retrieval of buried waste

Remote handling systems for the Pride application

International Nuclear Information System (INIS)

Kim, K.; Lee, J.; Lee, H.; Kim, S.; Kim, H.

2010-10-01

In this paper is described the development of remote handling systems for use in the pyro processing technology development. Remote handling systems mainly include a BDSM (Bridge transported Dual arm Servo-Manipulator) and a simulator, all of which will be applied to the Pride (Pyro process integrated inactive demonstration facility) that is under construction at KAERI. BDMS that will traverse the length of the ceiling is designed to have two pairs of master-slave manipulators of which each pair of master-slave manipulators has a kinematic similarity and a force reflection. A simulator is also designed to provide an efficient means for simulating and verifying the conceptual design, developments, arrangements, and rehearsal of the pyro processing equipment and relevant devices from the viewpoint of remote operation and maintenance. In our research is presented activities and progress made in developing remote handling systems to be used for the remote operation and maintenance of the pyro processing equipment and relevant devices in the Pride. (Author)

Feasibility of Protective Ventilation During Elective Supratentorial Neurosurgery: A Randomized, Crossover, Clinical Trial.

Science.gov (United States)

Ruggieri, Francesco; Beretta, Luigi; Corno, Laura; Testa, Valentina; Martino, Enrico A; Gemma, Marco

2017-06-30

Traditional ventilation approaches, providing high tidal volumes (Vt), produce excessive alveolar distention and lung injury. Protective ventilation, employing lower Vt and positive end-expiratory pressure (PEEP), is an attractive alternative also for neuroanesthesia, when prolonged mechanical ventilation is needed. Nevertheless, protective ventilation during intracranial surgery may exert dangerous effects on intracranial pressure (ICP). We tested the feasibility of a protective ventilation strategy in neurosurgery. Our monocentric, double-blind, 1:1 randomized, 2×2 crossover study aimed at studying the effect size and variability of ICP in patients undergoing elective supratentorial brain tumor removal and alternatively ventilated with Vt 9 mL/kg-PEEP 0 mm Hg and Vt 7 mL/kg-PEEP 5 mm Hg. Respiratory rate was adjusted to maintain comparable end-tidal carbon dioxide between ventilation modes. ICP was measured through a subdural catheter inserted before dural opening. Forty patients were enrolled; 8 (15%) were excluded after enrollment. ICP did not differ between traditional and protective ventilation (11.28±5.37, 11 [7 to 14.5] vs. 11.90±5.86, 11 [8 to 15] mm Hg; P=0.541). End-tidal carbon dioxide (28.91±2.28, 29 [28 to 30] vs. 28.00±2.17, 28 [27 to 29] mm Hg; Pprotective ventilation. Blood pressure, heart rate, and body temperature did not differ between ventilation modes. Dural tension was "acceptable for surgery" in all cases. ICP differences between ventilation modes were not affected by ICP values under traditional ventilation (coefficient=0.067; 95% confidence interval, -0.278 to 0.144; P=0.523). Protective ventilation is a feasible alternative to traditional ventilation during elective neurosurgery.

Integrated Decision Tools for Sustainable Watershed/Ground Water and Crop Health using Predictive Weather, Remote Sensing, and Irrigation Decision Tools

Science.gov (United States)

Jones, A. S.; Andales, A.; McGovern, C.; Smith, G. E. B.; David, O.; Fletcher, S. J.

2017-12-01

US agricultural and Govt. lands have a unique co-dependent relationship, particularly in the Western US. More than 30% of all irrigated US agricultural output comes from lands sustained by the Ogallala Aquifer in the western Great Plains. Six US Forest Service National Grasslands reside within the aquifer region, consisting of over 375,000 ha (3,759 km2) of USFS managed lands. Likewise, National Forest lands are the headwaters to many intensive agricultural regions. Our Ogallala Aquifer team is enhancing crop irrigation decision tools with predictive weather and remote sensing data to better manage water for irrigated crops within these regions. An integrated multi-model software framework is used to link irrigation decision tools, resulting in positive management benefits on natural water resources. Teams and teams-of-teams can build upon these multi-disciplinary multi-faceted modeling capabilities. For example, the CSU Catalyst for Innovative Partnerships program has formed a new multidisciplinary team that will address "Rural Wealth Creation" focusing on the many integrated links between economic, agricultural production and management, natural resource availabilities, and key social aspects of govt. policy recommendations. By enhancing tools like these with predictive weather and other related data (like in situ measurements, hydrologic models, remotely sensed data sets, and (in the near future) linking to agro-economic and life cycle assessment models) this work demonstrates an integrated data-driven future vision of inter-meshed dynamic systems that can address challenging multi-system problems. We will present the present state of the work and opportunities for future involvement.

Project implementation plan: ASTD remote deployment

International Nuclear Information System (INIS)

CRASS, D.W.

1999-01-01

This document is the project implementation plan for the ASTD Remote Deployment Project. The Plan identifies the roles and responsibilities for the project and defines the integration between the ASTD Project and the B-Cell Cleanout Project

Remote Experiments and Online Games: How to Merge them?

Directory of Open Access Journals (Sweden)

Olga Dziabenko

2011-04-01

Full Text Available Online games fulfill the basic requirements of learning environments and can provide engaging learning experience for students. The remote experimentations bring to STEM (science, technology, engineering and mathematics students the ability to practice configuration, deployment, and troubleshooting scenarios in real-life environment on real equipment. These two teaching methodologies are well known, developed and described in the literature. However, the concepts of integration of the remote experimentations and the game setting are yet to be developed. This paper discusses the guidelines for such integrations. The emphasis is made on the educational game design and the flow as a positive impact on learning and attitude of the players. Besides the challenges of balancing attractive elements (graphics, sounds and educational objectives, the design of the games related to remote laboratories needs to be adjusted to contemporary technological conditions.

An integrated nuclear reactor unit for a floating low capacity nuclear power plant designed for power supply in remote areas with difficult access

International Nuclear Information System (INIS)

Achkasov, A.N.; Grechko, G.I.; Gladkov, O.G.; Pavlov, V.L.; Pepa, V.N.; Shishkin, V.A.

1997-01-01

The paper describes the conceptual design of an integrated advanced safety nuclear reactor unit for a low capacity floating, NPP designed for power supply in areas which are remote with difficult access. The paper describes the major structural and lay-out components of the steam generator and reactor units with main technical characteristics. (author)

An integrated photogrammetric and spatial database management system for producing fully structured data using aerial and remote sensing images.

Science.gov (United States)

Ahmadi, Farshid Farnood; Ebadi, Hamid

2009-01-01

3D spatial data acquired from aerial and remote sensing images by photogrammetric techniques is one of the most accurate and economic data sources for GIS, map production, and spatial data updating. However, there are still many problems concerning storage, structuring and appropriate management of spatial data obtained using these techniques. According to the capabilities of spatial database management systems (SDBMSs); direct integration of photogrammetric and spatial database management systems can save time and cost of producing and updating digital maps. This integration is accomplished by replacing digital maps with a single spatial database. Applying spatial databases overcomes the problem of managing spatial and attributes data in a coupled approach. This management approach is one of the main problems in GISs for using map products of photogrammetric workstations. Also by the means of these integrated systems, providing structured spatial data, based on OGC (Open GIS Consortium) standards and topological relations between different feature classes, is possible at the time of feature digitizing process. In this paper, the integration of photogrammetric systems and SDBMSs is evaluated. Then, different levels of integration are described. Finally design, implementation and test of a software package called Integrated Photogrammetric and Oracle Spatial Systems (IPOSS) is presented.

An Integrated Photogrammetric and Spatial Database Management System for Producing Fully Structured Data Using Aerial and Remote Sensing Images

Directory of Open Access Journals (Sweden)

Farshid Farnood Ahmadi

2009-03-01

Full Text Available 3D spatial data acquired from aerial and remote sensing images by photogrammetric techniques is one of the most accurate and economic data sources for GIS, map production, and spatial data updating. However, there are still many problems concerning storage, structuring and appropriate management of spatial data obtained using these techniques. According to the capabilities of spatial database management systems (SDBMSs; direct integration of photogrammetric and spatial database management systems can save time and cost of producing and updating digital maps. This integration is accomplished by replacing digital maps with a single spatial database. Applying spatial databases overcomes the problem of managing spatial and attributes data in a coupled approach. This management approach is one of the main problems in GISs for using map products of photogrammetric workstations. Also by the means of these integrated systems, providing structured spatial data, based on OGC (Open GIS Consortium standards and topological relations between different feature classes, is possible at the time of feature digitizing process. In this paper, the integration of photogrammetric systems and SDBMSs is evaluated. Then, different levels of integration are described. Finally design, implementation and test of a software package called Integrated Photogrammetric and Oracle Spatial Systems (IPOSS is presented.

NASA Fluid Lensing & MiDAR: Next-Generation Remote Sensing Technologies for Aquatic Remote Sensing

Science.gov (United States)

Chirayath, Ved

2018-01-01

We present two recent instrument technology developments at NASA, Fluid Lensing and MiDAR, and their application to remote sensing of Earth's aquatic systems. Fluid Lensing is the first remote sensing technology capable of imaging through ocean waves in 3D at sub-cm resolutions. MiDAR is a next-generation active hyperspectral remote sensing and optical communications instrument capable of active fluid lensing. Fluid Lensing has been used to provide 3D multispectral imagery of shallow marine systems from unmanned aerial vehicles (UAVs, or drones), including coral reefs in American Samoa and stromatolite reefs in Hamelin Pool, Western Australia. MiDAR is being deployed on aircraft and underwater remotely operated vehicles (ROVs) to enable a new method for remote sensing of living and nonliving structures in extreme environments. MiDAR images targets with high-intensity narrowband structured optical radiation to measure an objectâ€"TM"s non-linear spectral reflectance, image through fluid interfaces such as ocean waves with active fluid lensing, and simultaneously transmit high-bandwidth data. As an active instrument, MiDAR is capable of remotely sensing reflectance at the centimeter (cm) spatial scale with a signal-to-noise ratio (SNR) multiple orders of magnitude higher than passive airborne and spaceborne remote sensing systems with significantly reduced integration time. This allows for rapid video-frame-rate hyperspectral sensing into the far ultraviolet and VNIR wavelengths. Previously, MiDAR was developed into a TRL 2 laboratory instrument capable of imaging in thirty-two narrowband channels across the VNIR spectrum (400-950nm). Recently, MiDAR UV was raised to TRL4 and expanded to include five ultraviolet bands from 280-400nm, permitting UV remote sensing capabilities in UV A, B, and C bands and enabling mineral identification and stimulated fluorescence measurements of organic proteins and compounds, such as green fluorescent proteins in terrestrial and

Intraoperative magnetic resonance imaging for neurosurgery – An anaesthesiologist's challenge

Directory of Open Access Journals (Sweden)

Rajashree U Gandhe

2018-01-01

Full Text Available Intraoperative magnetic resonance imaging (MRI-guided neurosurgery has gained popularity over the years globally. These surgeries require a dedicated operating room and MRI-compatible anaesthesia equipment. The anaesthesiologist providing care in this setup needs to be experienced and vigilant to ensure patient safety. Strict adherence to MRI safety checklists and regular personnel training would avoid potential accidents and life-threatening emergencies. Teamwork, good communication, preprocedure planning, and familiarity with the surroundings are very important for safe care and good outcomes. We performed a literature search in Google Scholar, PubMed and Cochrane databases for original and reviewed articles for the origins, development and applications of intraoperative MRI in neurosurgical procedures. Much of the research has emphasised on the surgical indications than the anaesthetic challenges faced during intraoperative MRI guided surgery. The purpose of this review is to discuss the anaesthetic concerns specific to this unique environment.

Simulation and augmented reality in endovascular neurosurgery: lessons from aviation.

Science.gov (United States)

Mitha, Alim P; Almekhlafi, Mohammed A; Janjua, Major Jameel J; Albuquerque, Felipe C; McDougall, Cameron G

2013-01-01

Endovascular neurosurgery is a discipline strongly dependent on imaging. Therefore, technology that improves how much useful information we can garner from a single image has the potential to dramatically assist decision making during endovascular procedures. Furthermore, education in an image-enhanced environment, especially with the incorporation of simulation, can improve the safety of the procedures and give interventionalists and trainees the opportunity to study or perform simulated procedures before the intervention, much like what is practiced in the field of aviation. Here, we examine the use of simulators in the training of fighter pilots and discuss how similar benefits can compensate for current deficiencies in endovascular training. We describe the types of simulation used for endovascular procedures, including virtual reality, and discuss the relevant data on its utility in training. Finally, the benefit of augmented reality during endovascular procedures is discussed, along with future computerized image enhancement techniques.

Remote Experiments in Control Engineering Education Laboratory

Directory of Open Access Journals (Sweden)

Milica B Naumović

2008-05-01

Full Text Available This paper presents Automatic Control Engineering Laboratory (ACEL - WebLab, an under-developed, internet-based remote laboratory for control engineering education at the Faculty of Electronic Engineering in Niš. Up to now, the remote laboratory integrates two physical systems (velocity servo system and magnetic levitation system and enables some levels of measurement and control. To perform experiments in ACEL-WebLab, the "LabVIEW Run Time Engine"and a standard web browser are needed.

Remote system for counting of nuclear pulses

International Nuclear Information System (INIS)

Nieves V, J.A.; Garcia H, J.M.; Aguilar B, M.A.

1999-01-01

In this work, it is describe technically the remote system for counting of nuclear pulses, an integral system of the project radiological monitoring in a petroleum distillation tower. The system acquires the counting of incident nuclear particles in a nuclear detector which process this information and send it in serial form, using the RS-485 toward a remote receiver, which can be a Personal computer or any other device capable to interpret the communication protocol. (Author)

Pre-operative planning and intra-operative guidance in modern neurosurgery: a review of 300 cases.

Science.gov (United States)

Wadley, J.; Dorward, N.; Kitchen, N.; Thomas, D.

1999-01-01

Operative neurosurgery has recently entered an exciting era of image guided surgery or neuronavigation and application of this novel technology is beginning to have a significant impact in many ways in a variety of intracranial procedures. In order to fully assess the advantages of image guided techniques over conventional planning and surgery in selected cases, detailed prospective evaluation has been carried out during the advanced development of an optically tracked neuronavigation system. Over a 2-year period, 300 operative neurosurgical procedures have been performed with the assistance of interactive image guidance, as well as the development of new software applications and hardware tools. A broad range of intracranial neurosurgical procedures were seen to benefit from image guidance, including 163 craniotomies, 53 interactive stereotactic biopsies, 7 tracked neuroendoscopies and 37 complex skull base procedures. The most common pathological diagnoses were cerebral glioma in 98 cases, meningioma in 64 and metastasis in 23. Detailed analysis of a battery of postoperative questions revealed benefits in operative planning, appreciation of anatomy, lesion location, safety of surgery and greatly enhanced surgical confidence. The authors believe that image guided surgical technology, with new developments such as those described, has a significant role to play in contemporary neurosurgery and its widespread adoption in practice will be realised in the near future. Images Figure 1 Figure 2 Figure 3 Figure 4 Figure 5 Figure 6 Figure 7 Figure 8 Figure 9 PMID:10615186

Synthesis of integrated primary production in the Arctic Ocean: II. In situ and remotely sensed estimates

Science.gov (United States)

Hill, Victoria J.; Matrai, Patricia A.; Olson, Elise; Suttles, S.; Steele, Mike; Codispoti, L. A.; Zimmerman, Richard C.

2013-03-01

Recent warming of surface waters, accompanied by reduced ice thickness and extent may have significant consequences for climate-driven changes of primary production (PP) in the Arctic Ocean (AO). However, it has been difficult to obtain a robust benchmark estimate of pan-Arctic PP necessary for evaluating change. This paper provides an estimate of pan-Arctic PP prior to significant warming from a synthetic analysis of the ARCSS-PP database of in situ measurements collected from 1954 to 2007 and estimates derived from satellite-based observations from 1998 to 2007. Vertical profiles of in situ chlorophyll a (Chl a) and PP revealed persistent subsurface peaks in biomass and PP throughout the AO during most of the summer period. This was contradictory with the commonly assumed exponential decrease in PP with depth on which prior satellite-derived estimates were based. As remotely sensed Chl a was not a good predictor of integrated water column Chl a, accurate satellite-based modeling of vertically integrated primary production (IPPsat), requires knowledge of the subsurface distribution of phytoplankton, coincident with the remotely sensed ocean color measurements. We developed an alternative approach to modeling PP from satellite observations by incorporating climatological information on the depths of the euphotic zone and the mixed layer that control the distribution of phytoplankton that significantly improved the fidelity of satellite derived PP to in situ observations. The annual IPP of the Arctic Ocean combining both in situ and satellite based estimates was calculated here to be a minimum of 466 ± 94 Tg C yr-1 and a maximum of 993 ± 94 Tg C yr-1, when corrected for subsurface production. Inflow shelf seas account for 75% of annual IPP, while the central basin and Beaufort northern sea were the regions with the lowest annual integrated productivity, due to persistently stratified, oligotrophic and ice-covered conditions. Although the expansion of summertime

ITER Remote Maintenance System (IRMS) lifecycle management

Energy Technology Data Exchange (ETDEWEB)

Tesini, Alessandro, E-mail: alessandro.tesini@iter.org [ITER Organization, CS 90 046, 13067 St. Paul Lez Durance Cedex (France); Otto' , Bede [Oxford Technologies Ltd, 7, Nuffield Way, Abingdon, Oxon OX14 1RJ (United Kingdom); Blight, John [FAAST 31c Allee de la Granette, 13600 Ceyreste (France); Choi, Chang-Hwan; Friconneau, Jean-Pierre; Gotewal, Krishan Kumar; Hamilton, David [ITER Organization, CS 90 046, 13067 St. Paul Lez Durance Cedex (France); Heckendorn, Frank [FD Technologies, PO Box 6686, Aiken, SC (United States); Martins, Jean-Pierre [ITER Organization, CS 90 046, 13067 St. Paul Lez Durance Cedex (France); Marty, Thomas [Westinghouse, 122, avenue de Hambourg, 13008 Marseille (France); Nakahira, Masataka; Palmer, Jim; Subramanian, Rajendran [ITER Organization, CS 90 046, 13067 St. Paul Lez Durance Cedex (France)

2011-10-15

The availability of the ITER machine to perform its scientific program is strongly dependent on the performance of the different Remote Handling (RH) systems constituting the ITER Remote Maintenance System (IRMS). The lifecycle of the IRMS will largely exceed 40 years from initial concept design and proof testing through to machine decommissioning. Such a long lifecycle requires that a rigorous approach is put in place to guarantee the technical capabilities of the highly innovative IRMS, its efficiency and its availability. For this purpose, an IRMS System Engineering and IRMS lifecycle management approach has been adopted by ITER. The approach aims at ensuring the IRMS full operability and availability at an acceptable cost of ownership over the full ITER machine assembly and operations period. The IRMS lifecycle management method described in this paper covers such subjects as specific requirements for IRMS design reviews, monitoring during manufacture, factory and site acceptance testing, integrated commissioning, decontamination, maintenance and re-qualification strategies, requirements for Integrated Logistical Support during operations. The updating and implementation of the IRMS lifecycle strategy and this procedure will be managed and monitored by the Remote Handling Integrated Product Team (RH-IPT). Although developed for the IRMS, the basic principles and procedures of lifecycle management could be applied to other ITER plant systems whose reliability and availability will be essential for the continued operation of the ITER machine.

ITER Remote Maintenance System (IRMS) lifecycle management

International Nuclear Information System (INIS)

Tesini, Alessandro; Otto', Bede; Blight, John; Choi, Chang-Hwan; Friconneau, Jean-Pierre; Gotewal, Krishan Kumar; Hamilton, David; Heckendorn, Frank; Martins, Jean-Pierre; Marty, Thomas; Nakahira, Masataka; Palmer, Jim; Subramanian, Rajendran

2011-01-01

The availability of the ITER machine to perform its scientific program is strongly dependent on the performance of the different Remote Handling (RH) systems constituting the ITER Remote Maintenance System (IRMS). The lifecycle of the IRMS will largely exceed 40 years from initial concept design and proof testing through to machine decommissioning. Such a long lifecycle requires that a rigorous approach is put in place to guarantee the technical capabilities of the highly innovative IRMS, its efficiency and its availability. For this purpose, an IRMS System Engineering and IRMS lifecycle management approach has been adopted by ITER. The approach aims at ensuring the IRMS full operability and availability at an acceptable cost of ownership over the full ITER machine assembly and operations period. The IRMS lifecycle management method described in this paper covers such subjects as specific requirements for IRMS design reviews, monitoring during manufacture, factory and site acceptance testing, integrated commissioning, decontamination, maintenance and re-qualification strategies, requirements for Integrated Logistical Support during operations. The updating and implementation of the IRMS lifecycle strategy and this procedure will be managed and monitored by the Remote Handling Integrated Product Team (RH-IPT). Although developed for the IRMS, the basic principles and procedures of lifecycle management could be applied to other ITER plant systems whose reliability and availability will be essential for the continued operation of the ITER machine.

The Role of Neurosurgery in Countries with Limited Facilities: Facts and Challenges.

Science.gov (United States)

Servadei, Franco; Rossini, Zefferino; Nicolosi, Federico; Morselli, Carlotta; Park, Kee B

2018-04-01

The Lancet Commission on Global Surgery has recently focused its attention on the lack of surgical care worldwide. Like other surgical subspecialties, neurosurgical care needs to be better distributed around the world, with a major focus on low- to middle-income countries. Neurosurgical diseases like hydrocephalus, traumatic brain injury, and brain tumors have a high impact on families, individual quality of life, and cost for the society. Implementation of neurosurgical care in poor settings is not easy. More than other surgeries, neurosurgery requires great amounts of human resources, dedicated environments, and specialized postoperative care. It is responsibility of the neurosurgical community to identify major areas of current gaps and outline strategies for intervention. Copyright © 2018 Elsevier Inc. All rights reserved.

Digface characterization test plan (remote testing)

International Nuclear Information System (INIS)

Croft, K.; Hyde, R.; Allen, S.

1993-08-01

The objective of the Digface Characterization (DFC) Remote Testing project is to remotely deploy a sensor head (Mini-Lab) across a digface to determine if it can characterize the contents below the surface. The purpose of this project is to provide a robotics technology that allows removal of workers from hazards, increases speed of operations, and reduces life cycle costs compared to alternate methods and technologies. The Buried Waste Integrated Demonstration (BWID) is funding the demonstration, testing, and evaluation of DFC. This document describes the test plan for the DFC remote deployment demonstration for the BWID. The purposes of the test plan are to establish test parameters so that the demonstration results are deemed useful and usable and perform the demonstration in a safe manner and within all regulatory requirements

Phantom study and accuracy evaluation of an image-to-world registration approach used with electro-magnetic tracking system for neurosurgery

Science.gov (United States)

Li, Senhu; Sarment, David

2015-12-01

Minimally invasive neurosurgery needs intraoperative imaging updates and high efficient image guide system to facilitate the procedure. An automatic image guided system utilized with a compact and mobile intraoperative CT imager was introduced in this work. A tracking frame that can be easily attached onto the commercially available skull clamp was designed. With known geometry of fiducial and tracking sensor arranged on this rigid frame that was fabricated through high precision 3D printing, not only was an accurate, fully automatic registration method developed in a simple and less-costly approach, but also it helped in estimating the errors from fiducial localization in image space through image processing, and in patient space through the calibration of tracking frame. Our phantom study shows the fiducial registration error as 0.348+/-0.028mm, comparing the manual registration error as 1.976+/-0.778mm. The system in this study provided a robust and accurate image-to-patient registration without interruption of routine surgical workflow and any user interactions involved through the neurosurgery.

A secure and robust password-based remote user authentication scheme using smart cards for the integrated EPR information system.

Science.gov (United States)

Das, Ashok Kumar

2015-03-01

An integrated EPR (Electronic Patient Record) information system of all the patients provides the medical institutions and the academia with most of the patients' information in details for them to make corrective decisions and clinical decisions in order to maintain and analyze patients' health. In such system, the illegal access must be restricted and the information from theft during transmission over the insecure Internet must be prevented. Lee et al. proposed an efficient password-based remote user authentication scheme using smart card for the integrated EPR information system. Their scheme is very efficient due to usage of one-way hash function and bitwise exclusive-or (XOR) operations. However, in this paper, we show that though their scheme is very efficient, their scheme has three security weaknesses such as (1) it has design flaws in password change phase, (2) it fails to protect privileged insider attack and (3) it lacks the formal security verification. We also find that another recently proposed Wen's scheme has the same security drawbacks as in Lee at al.'s scheme. In order to remedy these security weaknesses found in Lee et al.'s scheme and Wen's scheme, we propose a secure and efficient password-based remote user authentication scheme using smart cards for the integrated EPR information system. We show that our scheme is also efficient as compared to Lee et al.'s scheme and Wen's scheme as our scheme only uses one-way hash function and bitwise exclusive-or (XOR) operations. Through the security analysis, we show that our scheme is secure against possible known attacks. Furthermore, we simulate our scheme for the formal security verification using the widely-accepted AVISPA (Automated Validation of Internet Security Protocols and Applications) tool and show that our scheme is secure against passive and active attacks.

Range-Gated Laser Stroboscopic Imaging for Night Remote Surveillance

International Nuclear Information System (INIS)

Xin-Wei, Wang; Yan, Zhou; Song-Tao, Fan; Jun, He; Yu-Liang, Liu

2010-01-01

For night remote surveillance, we present a method, the range-gated laser stroboscopic imaging(RGLSI), which uses a new kind of time delay integration mode to integrate target signals so that night remote surveillance can be realized by a low-energy illuminated laser. The time delay integration in this method has no influence on the video frame rate. Compared with the traditional range-gated laser imaging, RGLSI can reduce scintillation and target speckle effects and significantly improve the image signal-to-noise ratio analyzed. Even under low light level and low visibility conditions, the RGLSI system can effectively work. In a preliminary experiment, we have detected and recognized a railway bridge one kilometer away under a visibility of six kilometers, when the effective illuminated energy is 29.5 μJ

Remote sensing for industrial applications in the energy business: digital territorial data integration for planning of overhead power transmission lines (OHTLs)

Science.gov (United States)

Terrazzino, Alfonso; Volponi, Silvia; Borgogno Mondino, Enrico

2001-12-01

An investigation has been carried out, concerning remote sensing techniques, in order to assess their potential application to the energy system business: the most interesting results concern a new approach, based on digital data from remote sensing, to infrastructures with a large territorial distribution: in particular OverHead Transmission Lines, for the high voltage transmission and distribution of electricity on large distances. Remote sensing could in principle be applied to all the phases of the system lifetime, from planning to design, to construction, management, monitoring and maintenance. In this article, a remote sensing based approach is presented, targeted to the line planning: optimization of OHTLs path and layout, according to different parameters (technical, environmental and industrial). Planning new OHTLs is of particular interest in emerging markets, where typically the cartography is missing or available only on low accuracy scale (1:50.000 and lower), often not updated. Multi- spectral images can be used to generate thematic maps of the region of interest for the planning (soil coverage). Digital Elevation Models (DEMs), allow the planners to easily access the morphologic information of the surface. Other auxiliary information from local laws, environmental instances, international (IEC) standards can be integrated in order to perform an accurate optimized path choice and preliminary spotting of the OHTLs. This operation is carried out by an ABB proprietary optimization algorithm: the output is a preliminary path that bests fits the optimization parameters of the line in a life cycle approach.

The remote handling systems for ITER

Energy Technology Data Exchange (ETDEWEB)

Ribeiro, Isabel, E-mail: mir@isr.ist.utl.pt [Institute for Systems and Robotics/Instituto Superior Tecnico, Lisboa (Portugal); Damiani, Carlo [Fusion for Energy, Barcelona (Spain); Tesini, Alessandro [ITER Organization, Cadarache (France); Kakudate, Satoshi [ITER Tokamak Device Group, Japan Atomic Energy Agency, Ibaraki (Japan); Siuko, Mikko [VTT Systems Engineering, Tampere (Finland); Neri, Carlo [Associazione EURATOM ENEA, Frascati (Italy)

2011-10-15

The ITER remote handling (RH) maintenance system is a key component in ITER operation both for scheduled maintenance and for unexpected situations. It is a complex collection and integration of numerous systems, each one at its turn being the integration of diverse technologies into a coherent, space constrained, nuclearised design. This paper presents an integrated view and recent results related to the Blanket RH System, the Divertor RH System, the Transfer Cask System (TCS), the In-Vessel Viewing System, the Neutral Beam Cell RH System, the Hot Cell RH and the Multi-Purpose Deployment System.

The Richard C. Schneider Lecture. New dimensions of neurosurgery in the realm of high technology: possibilities, practicalities, realities.

Science.gov (United States)

Apuzzo, M L

1996-04-01

Fueled by a buoyant economy, popular attitudes and demands, and parallel progress in transferable technical and biological areas, neurosurgery has enjoyed a remarkable quarter of a century of progress. Developmental trends in the discipline have included the following: 1) a refinement of preoperative definition of the structural substrate, 2) miniaturization of operative corridors, 3) reduction of operative trauma, 4) increased effectiveness at the target site, and 5) incorporation of improved technical adjuvants and physical operative tools into treatment protocols. In particular, the computer has become a formidable ally in diagnostic and surgical events. Trends in technical development indicate that we are entering an exciting era of advanced surgery of the human cerebrum, which is heralded by the following: 1) current developments in areas of imaging, sensors, and visualization; 2) new devices for localization and navigation; 3) new capabilities for action at the target point; and 4) innovative concepts related to advanced operative venues. Imaging has provided structurally based surgical maps, which now are being given the new dimension of function in complex and integrated formats for preoperative planning and intraoperative tactical direction. Cerebral localization and navigation based on these advances promise to provide further refinement to the field of stereotactic neurosurgery, as linked systems are superseded by more flexible nonlinked methodologies in functionally defined volume-oriented navigational databases. Target point action now includes not only ablative capabilities through micro-operative methods and the use of stereotactically directed high-energy forms but also the emergence of restorative capabilities through applications of principles of genetic engineering in the areas of molecular and cellular neurosurgery. Complex, dedicated, and self-contained operative venues will be required to optimize the emergence and development of these

Progress on ITER remote experimentation centre

International Nuclear Information System (INIS)

Ozeki, Takahisa; Clement-Lorenzo, Susana; Nakajima, Noriyoshi

2016-01-01

Construction of ITER remote experimentation centre (REC) based on the broader approach (BA) activity of the joint program of Japan and Europe (EU) is progressing. In order to make the future experiments of ITER and JT-60SA effectively and efficiently implemented, development of a remote experiment system by using the Satellite Tokamak (JT-60SA) facilities was planned and the development of software for the remote experiment is ongoing, including the systems for the remote connection and the communication between the remote site and the on-site facility. The network system from REC in Rokkasho-site of Japan to the network in EU was established in collaboration with the National Institute of Informatics (NII). Effective data transfer method that is capable of fast transfer speeds in the gigabit range is investigated. Data transfer at the rate of several Gbps was successfully obtained between the institutes in Japan. The preliminary versions of the software for data analysis are developed, such as for visualization of time dependent experimental data and transport simulations, visualization of plasma boundary/equilibrium and spatial profiles of diagnostic data. The remote data access program and an integrated platform for Documentation and Experiment Management are also being developed. A remote experiment room in the Rokkasho-site in Japan was designed and the construction started. The function of REC will be tested and the total system will be demonstrated by the middle of 2017.

Progress on ITER remote experimentation centre

Energy Technology Data Exchange (ETDEWEB)

Ozeki, Takahisa, E-mail: ozeki.takahisa@jaea.go.jp [Japan Atomic Energy Agency, 2-166 Obuchi Rokkasho, Kitakami-gun, Aomori 039-3212 (Japan); Clement-Lorenzo, Susana [Fusion for Energy, Torres Diagonal Litoral, B3, 13/03, Barcelona 08019 (Spain); Nakajima, Noriyoshi [National institute for Fusion Science and Project leader of IFERC, 2-166 Obuchi, Rokkasho, Kamikita-gun, Aomori 039-3212 (Japan)

2016-11-15

Construction of ITER remote experimentation centre (REC) based on the broader approach (BA) activity of the joint program of Japan and Europe (EU) is progressing. In order to make the future experiments of ITER and JT-60SA effectively and efficiently implemented, development of a remote experiment system by using the Satellite Tokamak (JT-60SA) facilities was planned and the development of software for the remote experiment is ongoing, including the systems for the remote connection and the communication between the remote site and the on-site facility. The network system from REC in Rokkasho-site of Japan to the network in EU was established in collaboration with the National Institute of Informatics (NII). Effective data transfer method that is capable of fast transfer speeds in the gigabit range is investigated. Data transfer at the rate of several Gbps was successfully obtained between the institutes in Japan. The preliminary versions of the software for data analysis are developed, such as for visualization of time dependent experimental data and transport simulations, visualization of plasma boundary/equilibrium and spatial profiles of diagnostic data. The remote data access program and an integrated platform for Documentation and Experiment Management are also being developed. A remote experiment room in the Rokkasho-site in Japan was designed and the construction started. The function of REC will be tested and the total system will be demonstrated by the middle of 2017.

Remote monitoring for international safeguards

International Nuclear Information System (INIS)

Dupree, S.A.; Sonnier, C.S.

1999-01-01

Remote monitoring is not a new technology, and its application to safeguards-relevant activities has been examined for a number of years. On behalf of the U.S. Department of Energy and international partners, remote monitoring systems have been emplaced in nuclear facilities and laboratories in various parts of the world. The experience gained from these Geld trials of remote monitoring systems has shown the viability of the concept of using integrated monitoring systems. Although a wide variety of sensors has been used in the remote monitoring field trials conducted to date, the possible range of instrumentation that might be used has scarcely been touched. As the technology becomes widespread, large amounts of data will become available to inspectors responsible for safeguards activities at the sites. Effective use of remote monitoring will require processing, archiving, presenting, and assessing of these data. To provide reasonable efficiency in the application of this technology, data processing should be done in a careful and organized manner. The problem will be not an issue of poring over scant records but of surviving under a deluge of information made possible by modern technology Fortunately, modem technology, which created the problem of the data glut, is available to come to the assistance of those inundated by data. Apart from the technological problems, one of the most important aspects of remote monitoring is the potential constraint related to the transmission of data out of a facility or beyond national borders. Remote monitoring across national borders can be seriously considered only in the context of a comprehensive, transparent, and open implementation regime. (author)

Easily Integrable Platform for the Deployment of a Remote Laboratory for Microcontrollers

Directory of Open Access Journals (Sweden)

Elio San-Cristobal

2010-08-01

Full Text Available Remote laboratories are the natural solution in order to perform real experimentation under e-learning tools. Nevertheless these tools are the result of the research developed by the universities to cover their own needs without having in consideration the deployment of this technology by other institutions. This paper presents a hw prototype for a Remote Lab for microcontrollers that tries to solve these problems contributing new possibilities from the commercial and professional point of view.

Risk and cost tradeoffs for remote retrieval of buried waste

Energy Technology Data Exchange (ETDEWEB)

Hyde, R.A.; Grienbenow, B.E.; Nickelson, D.F.

1994-12-31

The Buried Waste Integrated Demonstration is supporting the development, demonstration, testing, and evaluation of a suite of technologies that, when integrated with commercially available technologies, form a comprehensive system for the remediation of radioactive and hazardous buried waste. As a part of the program`s technology development, remote retrieval equipment is being developed and tested for the remediation of buried waste. During remedial planning, several factors are considered when choosing remote versus manual retrieval systems. Time that workers are exposed to radioactivity, chemicals, air particulate, and industrial hazards is one consideration. The generation of secondary waste is also a consideration because it amounts to more waste to treat and some wastes may require special handling or treatment. Cost is also a big factor in determining whether remote or manual operations will be used. Other considerations include implementability, effectiveness, and the number of required personnel. This paper investigates each of these areas to show the risk and cost benefits and limitations for remote versus manual retrieval of buried waste.

Remote object authentication: confidence model, cryptosystem and protocol

Science.gov (United States)

Lancrenon, Jean; Gillard, Roland; Fournel, Thierry

2009-04-01

This paper follows a paper by Bringer et al.3 to adapt a security model and protocol used for remote biometric authentication to the case of remote morphometric object authentication. We use a different type of encryption technique that requires smaller key sizes and has a built-in mechanism to help control the integrity of the messages received by the server. We also describe the optical technology used to extract the morphometric templates.

Development of airborne remote sensing data assimilation system

International Nuclear Information System (INIS)

Gudu, B R; Bi, H Y; Wang, H Y; Qin, S X; Ma, J W

2014-01-01

In this paper, an airborne remote sensing data assimilation system for China Airborne Remote Sensing System is introduced. This data assimilation system is composed of a land surface model, data assimilation algorithms, observation data and fundamental parameters forcing the land surface model. In this data assimilation system, Variable Infiltration Capacity hydrologic model is selected as the land surface model, which also serves as the main framework of the system. Three-dimensional variation algorithm, four-dimensional variation algorithms, ensemble Kalman filter and Particle filter algorithms are integrated in this system. Observation data includes ground observations and remotely sensed data. The fundamental forcing parameters include soil parameters, vegetation parameters and the meteorological data

Proceedings of the eighth thematic conference on geologic remote sensing

International Nuclear Information System (INIS)

Balmer, M.L.; Lange, F.F.; Levi, C.G.

1991-01-01

These proceedings contain papers presented at the Eighth Thematic Conference on Geologic Remote Sensing. This meeting was held April 29-May 2, 1991, in Denver, Colorado, USA. The conference was organized by the Environmental Research Institute of Michigan, in Cooperation with an international program committee composed primarily of geologic remote sensing specialists. The meeting was convened to discuss state-of-the-art exploration, engineering, and environmental applications of geologic remote sensing as well as research and development activities aimed at increasing the future capabilities of this technology. The presentations in these volumes address the following topics: Spectral Geology; U.S. and International Hydrocarbon Exploration; Radar and Thermal Infrared Remote Sensing; Engineering Geology and Hydrogeology; Minerals Exploration; Remote Sensing for Marine and Environmental Applications; Image Processing and Analysis; Geobotanical Remote Sensing; Data Integration and Geographic Information Systems

Real-Time Remote Diagnostic Monitoring Test-bed in JET

Energy Technology Data Exchange (ETDEWEB)

Castro, R. [Asociation Euratom/CIEMAT para Fusion, Madrid (Spain); Kneupner, K.; Purahoo, K. [EURATOM/UKAEA Fusion Association, Abingdon (United Kingdom); Vega, J.; Pereira, A.; Portas, A. [Association EuratomCIEMAT para Fusion, Madrid (Spain); De Arcas, G.; Lopez, J.M. [Universidad Politecnica de Madrid (Spain); Murari, A. [Consorzio RFX, Padova (Italy); Fonseca, A. [Associacao URATOM/IST, Lisboa (Portugal); Contributors, J.E. [JET-EFDA, Abingdon (United Kingdom)

2009-07-01

Based on the remote experimentation concept oriented to long pulse shots, a test-bed system has been implemented in JET. It integrates 2 functionalities. The first one is the real-time monitoring, on remote, of a reflectometer diagnostic, to visualize different data outputs and status information. The second one is the integration of dotJET (Diagnostic Overview Tool for JET), which internally provides at JET an overview about the current diagnostic systems state, in order to monitor, on remote, JET diagnostics status. The architecture of the system is formed by: the data generator components, the data distribution system, an access control service, and the client applications. In the test-bed there are two data generators: the acquisition equipment associated with the reflectometer diagnostic that generates data and status information, and dotJET server that centralize the access to the status information of JET diagnostics. The data distribution system has been implemented using a publishing-subscribing technology that receives data from data generators and redistributes them to client applications. And finally, for monitoring, a client application based on Java Web Start technology, and a dotJET client application have been used. There are 3 interesting results from this project. The first one is the analysis of different aspects (data formats, data frame rate, data resolution, etc) related with remote real-time diagnostic monitoring oriented to long pulse experiments. The second one is the definition and implementation of a flexible enough architecture, to be applied to different types of data generated from other diagnostics, and that fits with remote access requirements; and the third one is to have achieved a secure system, taking into account internal networks and firewalls aspects in JET, and securing the access from remote users. For this last issue, PAPI technology has been used, enabling access control based on user attributes, enabling mobile users to

Design of Remote Heat-Meter System Based on Trusted Technology

Science.gov (United States)

Yu, Changgeng; Lai, Liping

2018-03-01

This article presents a proposal of a heat meter and remote meter reading system for the disadvantages of the hackers very easily using eavesdropping, tampering, replay attack of traditional remote meter reading system. The system selects trusted technology such as, the identity authentication, integrity verifying, and data protection. By the experiments, it is proved that the remote meter reading system of the heat meter can be used to verify the feasibility of the technology, and verify the practicability and operability of data protection technology.

Environmental impact assessment of transportation projects: An analysis using an integrated GIS, remote sensing, and spatial modeling approach

Science.gov (United States)

El-Gafy, Mohamed Anwar

Transportation projects will have impact on the environment. The general environmental pollution and damage caused by roads is closely associated with the level of economic activity. Although Environmental Impact Assessments (EIAs) are dependent on geo-spatial information in order to make an assessment, there are no rules per se how to conduct an environmental assessment. Also, the particular objective of each assessment is dictated case-by-case, based on what information and analyses are required. The conventional way of Environmental Impact Assessment (EIA) study is a time consuming process because it has large number of dependent and independent variables which have to be taken into account, which also have different consequences. With the emergence of satellite remote sensing technology and Geographic Information Systems (GIS), this research presents a new framework for the analysis phase of the Environmental Impact Assessment (EIA) for transportation projects based on the integration between remote sensing technology, geographic information systems, and spatial modeling. By integrating the merits of the map overlay method and the matrix method, the framework analyzes comprehensively the environmental vulnerability around the road and its impact on the environment. This framework is expected to: (1) improve the quality of the decision making process, (2) be applied both to urban and inter-urban projects, regardless of transport mode, and (3) present the data and make the appropriate analysis to support the decision of the decision-makers and allow them to present these data to the public hearings in a simple manner. Case studies, transportation projects in the State of Florida, were analyzed to illustrate the use of the decision support framework and demonstrate its capabilities. This cohesive and integrated system will facilitate rational decisions through cost effective coordination of environmental information and data management that can be tailored to

A Study on Integrated Community Based Flood Mitigation with Remote Sensing Technique in Kota Bharu, Kelantan

International Nuclear Information System (INIS)

Ainullotfi, A A; Ibrahim, A L; Masron, T

2014-01-01

This study is conducted to establish a community based flood management system that is integrated with remote sensing technique. To understand local knowledge, the demographic of the local society is obtained by using the survey approach. The local authorities are approached first to obtain information regarding the society in the study areas such as the population, the gender and the tabulation of settlement. The information about age, religion, ethnic, occupation, years of experience facing flood in the area, are recorded to understand more on how the local knowledge emerges. Then geographic data is obtained such as rainfall data, land use, land elevation, river discharge data. This information is used to establish a hydrological model of flood in the study area. Analysis were made from the survey approach to understand the pattern of society and how they react to floods while the analysis of geographic data is used to analyse the water extent and damage done by the flood. The final result of this research is to produce a flood mitigation method with a community based framework in the state of Kelantan. With the flood mitigation that involves the community's understanding towards flood also the techniques to forecast heavy rainfall and flood occurrence using remote sensing, it is hope that it could reduce the casualties and damage that might cause to the society and infrastructures in the study area

Does peroperative external pneumatic leg muscle compression prevent post-operative venous thrombosis in neurosurgery?

Science.gov (United States)

Bynke, O; Hillman, J; Lassvik, C

1987-01-01

Post-operative deep venous thrombosis (DVT) is a frequent and potentially life-threatening complication in neurosurgery. In this field of surgery, with its special demands for exact haemostasis, prophylaxis against deep venous thrombosis with anticoagulant drugs has been utilized only reluctantly. Postoperative pneumatic muscle compression (EPC) has been shown to be effective, although there are several practical considerations involved with this method which limit its clinical applicability. In the present study per-operative EPC was evaluated and was found to provide good protection against DVT in patients with increased risk from this complication. This method has the advantage of being effective, safe, inexpensive and readily practicable.

Evaluation of Sensory and Motor Skills in Neurosurgery Applicants Using a Virtual Reality Neurosurgical Simulator: The Sensory-Motor Quotient.

Science.gov (United States)

Roitberg, Ben Z; Kania, Patrick; Luciano, Cristian; Dharmavaram, Naga; Banerjee, Pat

2015-01-01

Manual skill is an important attribute for any surgeon. Current methods to evaluate sensory-motor skills in neurosurgical residency applicants are limited. We aim to develop an objective multifaceted measure of sensory-motor skills using a virtual reality surgical simulator. A set of 3 tests of sensory-motor function was performed using a 3-dimensional surgical simulator with head and arm tracking, collocalization, and haptic feedback. (1) Trajectory planning: virtual reality drilling of a pedicle. Entry point, target point, and trajectory were scored-evaluating spatial memory and orientation. (2) Motor planning: sequence, timing, and precision: hemostasis in a postresection cavity in the brain. (3) Haptic perception: touching virtual spheres to determine which is softest of the group, with progressive difficulty. Results were analyzed individually and for a combined score of all the tasks. The University of Chicago Hospital's tertiary care academic center. A total of 95 consecutive applicants interviewed at a neurosurgery residency program over 2 years were offered anonymous participation in the study; in 2 cohorts, 36 participants in year 1 and 27 participants in year 2 (validation cohort) agreed and completed all the tasks. We also tested 10 first-year medical students and 4 first- and second-year neurosurgery residents. A cumulative score was generated from the 3 tests. The mean score was 14.47 (standard deviation = 4.37), median score was 13.42, best score was 8.41, and worst score was 30.26. Separate analysis of applicants from each of 2 years yielded nearly identical results. Residents tended to cluster on the better performance side, and first-year students were not different from applicants. (1) Our cumulative score measures sensory-motor skills in an objective and reproducible way. (2) Better performance by residents hints at validity for neurosurgery. (3) We were able to demonstrate good psychometric qualities and generate a proposed sensory

Use of Remote Sensing for Decision Support in Africa

Science.gov (United States)

Policelli, Frederick S.

2007-01-01

Over the past 30 years, the scientific community has learned a great deal about the Earth as an integrated system. Much of this research has been enabled by the development of remote sensing technologies and their operation from space. Decision makers in many nations have begun to make use of remote sensing data for resource management, policy making, and sustainable development planning. This paper makes an attempt to provide a survey of the current state of the requirements and use of remote sensing for sustainable development in Africa. This activity has shown that there are not many climate data ready decision support tools already functioning in Africa. There are, however, endusers with known requirements who could benefit from remote sensing data.

Health impact and economic analysis of NGO-supported neurosurgery in Bolivia.

Science.gov (United States)

Ament, Jared D; Greene, Kevin R; Flores, Ivan; Capobianco, Fernando; Salas, Gueider; Uriona, Maria Ines; Weaver, John P; Moser, Richard

2014-04-01

Bolivia, one of the poorest countries in the world, ranks 108th on the 2013 Human Development Index. With approximately 1 neurosurgeon per 200,000 people, access to neurosurgery in Bolivia is a growing health concern. Furthermore, neurosurgery in nonindustrialized countries has been considered both cost-prohibitive and lacking in outcomes evaluation. A non-governmental organization (NGO) supports spinal procedures in Bolivia (Solidarity Bridge), and the authors sought to determine its impact and cost-effectiveness. In a retrospective review of prospectively collected data, 19 patients were identified prior to spinal instrumentation and followed over 12 months. For inclusion, patients required interviewing prior to surgery and during at least 2 follow-up visits. All causes of spinal pathology were included. Sixteen patients met inclusion criteria and were therefore part of the analysis. Outcomes measured included assessment of activities of daily living, pain, ambulation, return to work/school, and satisfaction. Cost-effectiveness was determined by cost-utility analysis. Utilities were derived using the Health Utilities Index. Complications were incorporated into an expected value decision tree. Median (± SD) preoperative satisfaction was 2.0 ± 0.3 (on a scale of 0-10), while 6-month postoperative satisfaction was 7 ± 1.4 (p Bolivia appears to be cost-effective, especially when compared with the conventional $50,000/QALY benchmark and the WHO endorsed country-specific threshold of $16,026/QALY. However, with a gross domestic product per capita in Bolivia equaling $4800 per year and 30.3% of the population living on less than $2 per day, this cost continues to appear unrealistic. Additionally, the study has several significant limitations, namely its limited sample size, follow-up period, the assumption that patients not receiving surgical intervention would not make any clinical improvement, the reliance on the NGO for patient selection and sustainable practices

The Reasons Of Patients With Headache Chosing The Neurosurgery Outpatient Clinic

Directory of Open Access Journals (Sweden)

Halil Murat Şen

2014-09-01

Full Text Available OBJECTIVE: We aimed to investigate the preference causes of the patients who were admitted to the neurosurgery clinic with complaints of headache for admission in this clinic. METHODS: The study population has been selected from brain surgery department outpatient clinic. One hundred patients with complaints of headache were enrolled in this study. RESULTS: Questioned the reasons for choosing the neurosurgical and most preferred cause of including word for brain surgery of the brain named (n=54, 54%. Patients were questioned about the information of the neurology and demostrated that there was not any knowledge about neurology (n=66, 66%. CONCLUSION: Headache causes loss of the financial and workforce. Preferences in the wrong departments of the patients, as a result of misdiagnosis and inadequate treatment, increasing the number of hospital admissions. This shows that how important names and introduction of the departments

Modified Brokk Demolition Machine with Remote Operator Console. Innovative Technology Summary Report

International Nuclear Information System (INIS)

2001-01-01

The Low-Cost D and D System modifies a commercially available BROKK demolition system for remote viewing and long tether remote operation that provides a portable facility camera pod and interfaces with the Compact Remote Operator Console (TMS Tech ID 2180) to extend the applicability of the BROKK system to projects that require removal of the operator from the work area due to exposure to radiological, chemical, or industrial hazards. The modified BROKK has been integrated with the Compact Remote Operator Console to provide a true remotely operated low-cost D and D system applicable to a wide range of small D and D demolition tasks across the DOE complex

Remote handling demonstration of ITER blanket module replacement

International Nuclear Information System (INIS)

Kakudate, S.; Nakahira, M.; Oka, K.; Taguchi, K.; Obara, K.; Tada, E.; Shibanuma, K.; Tesini, A.; Haange, R.; Maisonnier, D.

2001-01-01

In ITER, the in-vessel components such as blanket are to be maintained or replaced remotely since they will be activated by 14 MeV neutrons, and a complete exchange of shielding blanket with breeding blanket is foreseen after the Basic Performance Phase. The blanket is segmented into about seven hundred modules to facilitate remote maintainability and allow individual module replacement. For this, the remote handing equipment for blanket maintenance is required to handle a module with a dead weight of about 4 tonne within a positioning accuracy of a few mm under intense gamma radiation. According to the ITER R and D program, a rail-mounted vehicle manipulator system was developed and the basic feasibility of this system was verified through prototype testing. Following this, development of full-scale remote handling equipment has been conducted as one of the ITER Seven R and D Projects aiming at a remote handling demonstration of the ITER blanket. As a result, the Blanket Test Platform (BTP) composed of the full-scale remote handling equipment has been completed and the first integrated performance test in March 1998 has shown that the fabricate remote handling equipment satisfies the main requirements of ITER blanket maintenance. (author)

Recent Directions in Remote Engineering and Virtual Instrumentation

Directory of Open Access Journals (Sweden)

Tarek M. Sobh

2009-08-01

Full Text Available The 6th Remote Engineering and Virtual instrumentation Conference (REV 2009 was held at the University of Bridgeport in Bridgeport, Connecticut, USA during the period of June 22 – 25, 2009. The conference brought together engineering researchers, educators, and professionals to explore the fundamentals, future, and application of remote engineering in both industry and academia. Participants delivered papers, presented demonstrations, research posters, and shared experiences in virtual engineering. REV’09 drew more than 100 engineers, scientists and educators from around the world. Most of the participants were from Europe, but many came from Asia, North and South America, the Middle East and as far as Australia. More than 60 papers were presented on topics ranging from Telerobotics to Virtual and Remote Labs. Workshops and Tutorials drew widespread interest and exhibitors displayed their products for integrating remote engineering into academia. Poster sessions discussed topics such as Robotic Surgery and Development of Remote Labs in Physics. The general objective of REV 2009 was to discuss fundamentals, applications and experiences within the field of online engineering, both in industry and academia. The conference presentations and papers addressed several emerging trends in online engineering, remote laboratories, virtual instrumentation and educational applications of remote engineering.

Prospecting for coal in China with remote sensing

Energy Technology Data Exchange (ETDEWEB)

Ke-long Tan; Yu-qing Wan; Sun-xin Sun; Gui-bao Bao; Jing-shui Kuang [Aerophotogrammetry and Remote Sensing Center of China Coal, Xi' an (China)

2008-12-15

In China it is important to explore coal prospecting by taking advantage of modern remote sensing and geographic information system technologies. Given a theoretical basis for coal prospecting by remote sensing, the methodologies and existing problems are demonstrated systematically by summarizing past practices of coal prospecting with remote sensing. A new theory of coal prospecting with remote sensing is proposed. In uncovered areas, coal resources can be prospected by direct interpretation. In coal bearing strata of developed areas covered by thin Quaternary strata or vegetation, prospecting for coal can be carried out by indirect interpretation of geomorphology and vegetation. For deeply buried underground deposits, coal prospecting can rely on tectonic structures, interpretation and analysis of new tectonic clues and regularity of coal formation and preservation controlled by tectonic structures. By applying newly hyper-spectral, multi-polarization, multi-angle, multi-temporal and multi-resolution remote sensing data and carrying out integrated analysis of geographic attributes, ground attributes, geophysical exploration results, geochemical exploration results, geological drilling results and remote sensing data by GIS tools, coal geology resources and mineralogical regularities can be explored and coal resource information can be acquired with some confidence. 12 refs., 4 figs., 3 tabs.

Remote monitoring: A global partnership for safeguards

International Nuclear Information System (INIS)

Bardsley, J.

1996-01-01

With increased awareness of the significant changes of the past several years and their effect on the expectations to international safeguards, it is necessary to reflect on the direction for development of nuclear safeguards in a new era and the resulting implications. The time proven monitoring techniques, based on quantitative factors and demonstrated universal application, have shown their merit. However, the new expectations suggest a possibility that a future IAEA safeguards system could rely more heavily on the value of a comprehensive, transparent, and open implementation regime. With the establishment of such a regime, it is highly likely that remote monitoring will play a significant role. Several states have seen value in cooperating with each other to address the many problems associated with the remote interrogation of integrated monitoring systems. As a consequence the International Remote Monitoring Project was organized to examine the future of remote monitoring in International Safeguards. This paper provides an update on the technical issues, the future plans, and the safeguards implications of cooperative programs relating to remote monitoring. Without providing answers to the policy questions involved, it suggests that it is timely to begin addressing these issues

Robot-assisted procedures in pediatric neurosurgery.

Science.gov (United States)

De Benedictis, Alessandro; Trezza, Andrea; Carai, Andrea; Genovese, Elisabetta; Procaccini, Emidio; Messina, Raffaella; Randi, Franco; Cossu, Silvia; Esposito, Giacomo; Palma, Paolo; Amante, Paolina; Rizzi, Michele; Marras, Carlo Efisio

2017-05-01

OBJECTIVE During the last 3 decades, robotic technology has rapidly spread across several surgical fields due to the continuous evolution of its versatility, stability, dexterity, and haptic properties. Neurosurgery pioneered the development of robotics, with the aim of improving the quality of several procedures requiring a high degree of accuracy and safety. Moreover, robot-guided approaches are of special interest in pediatric patients, who often have altered anatomy and challenging relationships between the diseased and eloquent structures. Nevertheless, the use of robots has been rarely reported in children. In this work, the authors describe their experience using the ROSA device (Robotized Stereotactic Assistant) in the neurosurgical management of a pediatric population. METHODS Between 2011 and 2016, 116 children underwent ROSA-assisted procedures for a variety of diseases (epilepsy, brain tumors, intra- or extraventricular and tumor cysts, obstructive hydrocephalus, and movement and behavioral disorders). Each patient received accurate preoperative planning of optimal trajectories, intraoperative frameless registration, surgical treatment using specific instruments held by the robotic arm, and postoperative CT or MR imaging. RESULTS The authors performed 128 consecutive surgeries, including implantation of 386 electrodes for stereo-electroencephalography (36 procedures), neuroendoscopy (42 procedures), stereotactic biopsy (26 procedures), pallidotomy (12 procedures), shunt placement (6 procedures), deep brain stimulation procedures (3 procedures), and stereotactic cyst aspiration (3 procedures). For each procedure, the authors analyzed and discussed accuracy, timing, and complications. CONCLUSIONS To the best their knowledge, the authors present the largest reported series of pediatric neurosurgical cases assisted by robotic support. The ROSA system provided improved safety and feasibility of minimally invasive approaches, thus optimizing the surgical

Putting Reusability First: A Paradigm Switch in Remote Laboratories Engineering

Directory of Open Access Journals (Sweden)

Romain Vérot

2009-02-01

Full Text Available In this paper, we present a new devices brought online thanks to our Collaborative Remote Laboratories framework. Whereas previous devices integrated in our remote laboratory belongs to the domain of electronics, such as Vector Network Analyzers, the devices at the concern in this paper are, on one hand, an antenna workbench, and on the other, an homemade switching device, which embeds several electronic components. Because the middleware and framework for our environment were designed to be reusable, we wanted to put it to the test by integrating new and different devices in our Online Engineering catalog. After presenting the devices to be put online, we will expose the software development efforts required in regards to the reusability of the solution. As a consequence, the expose work and results tend to make the Online Engineering software architects to think reusability first, breaking with the current trends to implement Remote Labs one after the other, without much reusability, apart the capitalized experience. In this, we defend a paradigm switch in our current engineering approaches for Remote Laboratories implementations: Reusability should be thought first.

Remote Sensing Terminology in a Global and Knowledge-Based World

Science.gov (United States)

Kancheva, Rumiana

The paper is devoted to terminology issues related to all aspects of remote sensing research and applications. Terminology is the basis for a better understanding among people. It is crucial to keep up with the latest developments and novelties of the terminology in advanced technology fields such as aerospace science and industry. This is especially true in remote sensing and geoinformatics which develop rapidly and have ever extending applications in various domains of science and human activities. Remote sensing terminology issues are directly relevant to the contemporary worldwide policies on information accessibility, dissemination and utilization of research results in support of solutions to global environmental challenges and sustainable development goals. Remote sensing and spatial information technologies are an integral part of the international strategies for cooperation in scientific, research and application areas with a particular accent on environmental monitoring, ecological problems natural resources management, climate modeling, weather forecasts, disaster mitigation and many others to which remote sensing data can be put. Remote sensing researchers, professionals, students and decision makers of different counties and nationalities should fully understand, interpret and translate into their native language any term, definition or acronym found in papers, books, proceedings, specifications, documentation, and etc. The importance of the correct use, precise definition and unification of remote sensing terms refers not only to people working in this field but also to experts in a variety of disciplines who handle remote sensing data and information products. In this paper, we draw the attention on the specifics, peculiarities and recent needs of compiling specialized dictionaries in the area of remote sensing focusing on Earth observations and the integration of remote sensing with other geoinformation technologies such as photogrammetry, geodesy

Functional neurosurgery for movement disorders: a historical perspective.

Science.gov (United States)

Benabid, Alim Louis; Chabardes, Stephan; Torres, Napoleon; Piallat, Brigitte; Krack, Paul; Fraix, Valerie; Pollak, Pierre

2009-01-01

Since the 1960s, deep brain stimulation and spinal cord stimulation at low frequency (30 Hz) have been used to treat intractable pain of various origins. For this purpose, specific hardware have been designed, including deep brain electrodes, extensions, and implantable programmable generators (IPGs). In the meantime, movement disorders, and particularly parkinsonian and essential tremors, were treated by electrolytic or mechanic lesions in various targets of the basal ganglia, particularly in the thalamus and in the internal pallidum. The advent in the 1960s of levodopa, as well as the side effects and complications of ablative surgery (e.g., thalamotomy and pallidotomy), has sent functional neurosurgery of movement disorders to oblivion. In 1987, the serendipitous discovery of the effect of high-frequency stimulation (HFS), mimicking lesions, allowed the revival of the surgery of movement disorders by stimulation of the thalamus, which treated tremors with limited morbidity, and adaptable and reversible results. The stability along time of these effects allowed extending it to new targets suggested by basic research in monkeys. The HFS of the subthalamic nucleus (STN) has profoundly challenged the practice of functional surgery as the effect on the triad of dopaminergic symptoms was very significant, allowing to decrease the drug dosage and therefore a decrease of their complications, the levodopa-induced dyskinesias. In the meantime, based on the results of previous basic research in various fields, HFS has been progressively extended to potentially treat epilepsy and, more recently, psychiatric disorders, such as obsessive-compulsive disorders, Gilles de la Tourette tics, and severe depression. Similarly, suggested by the observation of changes in PET scan, applications have been extended to cluster headaches by stimulation of the posterior hypothalamus and even more recently, to obesity and drug addiction. In the field of movement disorders, it has become

Integrating remote sensing and spatially explicit epidemiological modeling

Science.gov (United States)

Finger, Flavio; Knox, Allyn; Bertuzzo, Enrico; Mari, Lorenzo; Bompangue, Didier; Gatto, Marino; Rinaldo, Andrea

2015-04-01

Spatially explicit epidemiological models are a crucial tool for the prediction of epidemiological patterns in time and space as well as for the allocation of health care resources. In addition they can provide valuable information about epidemiological processes and allow for the identification of environmental drivers of the disease spread. Most epidemiological models rely on environmental data as inputs. They can either be measured in the field by the means of conventional instruments or using remote sensing techniques to measure suitable proxies of the variables of interest. The later benefit from several advantages over conventional methods, including data availability, which can be an issue especially in developing, and spatial as well as temporal resolution of the data, which is particularly crucial for spatially explicit models. Here we present the case study of a spatially explicit, semi-mechanistic model applied to recurring cholera outbreaks in the Lake Kivu area (Democratic Republic of the Congo). The model describes the cholera incidence in eight health zones on the shore of the lake. Remotely sensed datasets of chlorophyll a concentration in the lake, precipitation and indices of global climate anomalies are used as environmental drivers. Human mobility and its effect on the disease spread is also taken into account. Several model configurations are tested on a data set of reported cases. The best models, accounting for different environmental drivers, and selected using the Akaike information criterion, are formally compared via cross validation. The best performing model accounts for seasonality, El Niño Southern Oscillation, precipitation and human mobility.

A comprehensive remote automated mobile robot framework for deployment of compact radiation sensors and campaign management

International Nuclear Information System (INIS)

Mukherjee, J.K.

2005-01-01

Remote controlled on-line sensing with compact radiation sensors for interactive, fast contamination mapping and source localization needs integrated command control and machine intelligence supported operation. The combination of remote operation capability and automation of sensing needs a comprehensive framework encompassing precision real-time remote controlled agent, reliable remote communication techniques for unified command and sensory data exchange with optimized bandwidth allocation between the real time low volume as well as moderate speed bulk data transfer and data abstraction for seamless multi-domain abstraction in single environment. The paper describes an indigenously developed comprehensive framework that achieves vertical integration of layered services complex functions, explains its implementation and details its operation with examples of on-line application sessions. Several important features like precise remote control of sensor trajectory generation in real time by digital signal processing, prediction and visualization of remote agent locus and attitude, spatial modeling of fixed features of the monitored region and localization of activity source over mapped region have been dealt with. (author)

Performance Issues Related to Web Service Usage for Remote Data Access

International Nuclear Information System (INIS)

Pais, V. F.; Stancalie, V.; Mihailescu, F. A.; Totolici, M. C.

2008-01-01

Web services are starting to be widely used in applications for remotely accessing data. This is of special interest for research based on small and medium scale fusion devices, since scientists participating remotely to experiments are accessing large amounts of data over the Internet. Recent tests were conducted to see how the new network traffic, generated by the use of web services, can be integrated in the existing infrastructure and what would be the impact over existing applications, especially those used in a remote participation scenario

Integration of leprosy services into the General Health Service in Sri Lanka: overcoming challenges to implementation in a remote district.

Science.gov (United States)

Wijesinghe, Thushanthi S; Wijesinghe, Pushpa Ranjan

2013-01-01

Sri Lanka took a policy decision to integrate leprosy services into the general health services (GHS) in 1999. This paper aims to summarize the emergence of new, specific challenges and how they were overcome during the integration of leprosy services to the GHS in a remote, leprosy endemic district in Sri Lanka. In this article, the regional epidemiologist as the team leader describes the principles used for transition to an effective integrated model of leprosy services from a centralized leprosy control model in the district. In addition, rationale for integration is viewed from the epidemiological and operational perspectives. National and district leprosy epidemiological data from secondary sources are also reviewed for corroborating the effectiveness of integration. Challenges surfaced were mainly related to the transfer of ownership of the programme, selection of appropriate service providing institutions easily accessible to clients, sustainability of leprosy services at the GHS, ensuring participation of all stakeholders in capacity building programmes and co-ordination of patient care in the absence of a dermatologist in the district. An empowered district team leader with specified roles and responsibilities, his sound technical and managerial know how and ability to translate 'team work' concept to practice were found to be essential for successful implementation of integration. Decision-making powers at the district level and flexibility to introduce new, area-specific changes to the centrally prepared core activities of integration were also vital to overcome locally surfaced challenges.

Non-rigid registration of 3D ultrasound for neurosurgery using automatic feature detection and matching.

Science.gov (United States)

Machado, Inês; Toews, Matthew; Luo, Jie; Unadkat, Prashin; Essayed, Walid; George, Elizabeth; Teodoro, Pedro; Carvalho, Herculano; Martins, Jorge; Golland, Polina; Pieper, Steve; Frisken, Sarah; Golby, Alexandra; Wells, William

2018-06-04

The brain undergoes significant structural change over the course of neurosurgery, including highly nonlinear deformation and resection. It can be informative to recover the spatial mapping between structures identified in preoperative surgical planning and the intraoperative state of the brain. We present a novel feature-based method for achieving robust, fully automatic deformable registration of intraoperative neurosurgical ultrasound images. A sparse set of local image feature correspondences is first estimated between ultrasound image pairs, after which rigid, affine and thin-plate spline models are used to estimate dense mappings throughout the image. Correspondences are derived from 3D features, distinctive generic image patterns that are automatically extracted from 3D ultrasound images and characterized in terms of their geometry (i.e., location, scale, and orientation) and a descriptor of local image appearance. Feature correspondences between ultrasound images are achieved based on a nearest-neighbor descriptor matching and probabilistic voting model similar to the Hough transform. Experiments demonstrate our method on intraoperative ultrasound images acquired before and after opening of the dura mater, during resection and after resection in nine clinical cases. A total of 1620 automatically extracted 3D feature correspondences were manually validated by eleven experts and used to guide the registration. Then, using manually labeled corresponding landmarks in the pre- and post-resection ultrasound images, we show that our feature-based registration reduces the mean target registration error from an initial value of 3.3 to 1.5 mm. This result demonstrates that the 3D features promise to offer a robust and accurate solution for 3D ultrasound registration and to correct for brain shift in image-guided neurosurgery.

A real-time artifact reduction algorithm based on precise threshold during short-separation optical probe insertion in neurosurgery

Directory of Open Access Journals (Sweden)

Weitao Li

2017-01-01

Full Text Available During neurosurgery, an optical probe has been used to guide the micro-electrode, which is punctured into the globus pallidus (GP to create a lesion that can relieve the cardinal symptoms. Accurate target localization is the key factor to affect the treatment. However, considering the scattering nature of the tissue, the “look ahead distance (LAD” of optical probe makes the boundary between the different tissues blurred and difficult to be distinguished, which is defined as artifact. Thus, it is highly desirable to reduce the artifact caused by LAD. In this paper, a real-time algorithm based on precise threshold was proposed to eliminate the artifact. The value of the threshold was determined by the maximum error of the measurement system during the calibration procession automatically. Then, the measured data was processed sequentially only based on the threshold and the former data. Moreover, 100μm double-fiber probe and two-layer and multi-layer phantom models were utilized to validate the precision of the algorithm. The error of the algorithm is one puncture step, which was proved in the theory and experiment. It was concluded that the present method could reduce the artifact caused by LAD and make the real boundary sharper and less blurred in real-time. It might be potentially used for the neurosurgery navigation.

A Multi-User Remote Academic Laboratory System

Science.gov (United States)

Barrios, Arquimedes; Panche, Stifen; Duque, Mauricio; Grisales, Victor H.; Prieto, Flavio; Villa, Jose L.; Chevrel, Philippe; Canu, Michael

2013-01-01

This article describes the development, implementation and preliminary operation assessment of Multiuser Network Architecture to integrate a number of Remote Academic Laboratories for educational purposes on automatic control. Through the Internet, real processes or physical experiments conducted at the control engineering laboratories of four…

An autonomous nuclear power plant with integrated nuclear steam supply system designed for electric power and heat supply in remote areas with difficult access

International Nuclear Information System (INIS)

Adamovich, L.A.; Grechko, G.I.; Lapin, B.D.; Ulasevich, V.K.; Shishkin, V.A.

1997-01-01

The paper contains basic conceptual principles used to develop the technical assignment for an autonomous nuclear power plant with integrated nuclear steam supply system (NSSS) designed to provide heat and electricity for areas which are remote with difficult access. The paper also describes technical procedures and equipment, NPP thermal hydraulic flow chart, steam generator design, safety aspects as well as operational and maintenance procedures. (author)

Elements of an advanced integrated operator control station

International Nuclear Information System (INIS)

Clarke, M.M.; Kreifeldt, J.G.

1984-01-01

One of the critical determinants of peformance for any remotely operated maintenance system is the compatibility achieved between elements of the man/machine interface (e.g., master manipulator controller, controls, displays, etc.) and the human operator. In the Remote Control Engineering task of the Consolidated Fuel Reprocessing Program, considerable attention has been devoted to optimizing the man/machine interface of the operator control station. This system must be considered an integral element of the overall maintenance work system which includes transporters, manipulators, remote viewing, and other parts. The control station must reflect the integration of the operator team, control/display panels, manipulator master controllers, and remote viewing monitors. Human factors principles and experimentation have been used in the development of an advanced integrated operator control station designed for the advance servomanipulator. Key features of this next-generation design are summarized in this presentation. 7 references, 4 figures

Elements of an advanced integrated operator control station

International Nuclear Information System (INIS)

Clarke, M.M.; Kreifeldt, J.G.

1984-01-01

One of the critical determinants of performance for any remotely operated maintenance system is the compatibility achieved between elements of the man/machine interface (e.g., master manipulator controller, controls, displays) and the human operator. In the remote control engineering task of the Consolidated Fuel Reprocessing Program, considerable attention has been devoted to optimizing the man/machine interface of the operator control station. This system must be considered an integral element of the overall maintenance work system which includes transporters, manipulators, remote viewing, and other parts. The control station must reflect the integration of the operator team, control/display panels, manipulator master controllers, and remote viewing monitors. Human factors principles and experimentation have been used in the development of an advanced integrated operator control station designed for the advance servomanipulator. Key features of this next-generation design are summarized in this presentation. 7 references, 4 figures

Investigating chlorophyll and nitrogen levels of mangroves at Al-Khor, Qatar: an integrated chemical analysis and remote sensing approach.

Science.gov (United States)

Al-Naimi, Noora; Al-Ghouti, Mohammad A; Balakrishnan, Perumal

2016-05-01

Mangroves are unique ecosystems that dominate tropical and subtropical coastlines around the world. They provide shelter and nursery to wide variety of species such as fish and birds. Around 73 species of mangroves were recognized around the world. In Qatar, there is only one mangrove species Avicennia marina that is predominant along the northeastern coast. Assessing the health of these valuable ecosystems is vital for protection, management, and conservation of those resources. In this study, an integrated approach of chemical and remote sensing analysis was implemented to investigate the current status of the mangrove trees in Al-Khor, Qatar. Fifteen different A. marina trees from different locations in the mangrove forest were examined for their chlorophyll and nitrogen content levels. Soil analysis was also conducted to understand the effect of moisture on nitrogen availability. Results shows that currently, mangroves are in a good status in terms of nitrogen availability and chlorophyll levels which are related and both are key factors for photosynthesis. Remote sensing techniques were used for chlorophyll prediction. The results showed that these methods have the potential to be used for chlorophyll prediction and estimation.

Linking climate change education through the integration of a kite-borne remote sensing system

Directory of Open Access Journals (Sweden)

Yichun Xie

2014-09-01

Full Text Available A majority of secondary science teachers are found to include the topic of climate change in their courses. However, teachers informally and sporadically discuss climate change and students rarely understand the underlying scientific concepts. The project team developed an innovative pedagogical approach, in which teachers and students learn climate change concepts by analyzing National Aeronautics and Space Administration (NASA global data collected through satellites and by imitating the NASA data collection process through NASA Airborne Earth Research Observation Kites And Tethered Systems (AEROKATS, a kite-borne remote sensing system. Besides AEROKATS, other major components of this system include a web-collection of NASA and remote sensing data and related educational resources, project-based learning for teacher professional development, teacher and student field trips, iOS devices, smart field data collector apps, portable weather stations, probeware, and a virtual teacher collaboratory supported with a GIS-enabled mapping portal. Three sets of research instruments, the NASA Long-Term Experience –Educator End of Event Survey, the Teacher End of Project Survey, and the pre-and-post-Investigating Climate Change and Remote Sensing (ICCARS project student exams, are adapted to study the pedagogical impacts of the NASA AEROKATS remote sensing system. These findings confirm that climate change education is more effective when both teachers and students actively participate in authentic scientific inquiry by collecting and analyzing remote sensing data, developing hypotheses, designing experiments, sharing findings, and discussing results.

Assessing regional environmental quality by integrated use of remote sensing, GIS, and spatial multi-criteria evaluation for prioritization of environmental restoration.

Science.gov (United States)

Rahman, Md Rejaur; Shi, Z H; Chongfa, Cai

2014-11-01

This study was an attempt to analyse the regional environmental quality with the application of remote sensing, geographical information system, and spatial multiple criteria decision analysis and, to project a quantitative method applicable to identify the status of the regional environment of the study area. Using spatial multi-criteria evaluation (SMCE) approach with expert knowledge in this study, an integrated regional environmental quality index (REQI) was computed and classified into five levels of regional environment quality viz. worse, poor, moderate, good, and very good. During the process, a set of spatial criteria were selected (here, 15 criterions) together with the degree of importance of criteria in sustainability of the regional environment. Integrated remote sensing and GIS technique and models were applied to generate the necessary factors (criterions) maps for the SMCE approach. The ranking, along with expected value method, was used to standardize the factors and on the other hand, an analytical hierarchy process (AHP) was applied for calculating factor weights. The entire process was executed in the integrated land and water information system (ILWIS) software tool that supports SMCE. The analysis showed that the overall regional environmental quality of the area was at moderate level and was partly determined by elevation. Areas under worse and poor quality of environment indicated that the regional environmental status showed decline in these parts of the county. The study also revealed that the human activities, vegetation condition, soil erosion, topography, climate, and soil conditions have serious influence on the regional environment condition of the area. Considering the regional characteristics of environmental quality, priority, and practical needs for environmental restoration, the study area was further regionalized into four priority areas which may serve as base areas of decision making for the recovery, rebuilding, and

Using Electronic Noses to Detect Tumors During Neurosurgery

Science.gov (United States)

Homer, Margie L.; Ryan, Margaret A.; Lara, Liana M.; Kateb, Babak; Chen, Mike

2008-01-01

It has been proposed to develop special-purpose electronic noses and algorithms for processing the digitized outputs of the electronic noses for determining whether tissue exposed during neurosurgery is cancerous. At present, visual inspection by a surgeon is the only available intraoperative technique for detecting cancerous tissue. Implementation of the proposal would help to satisfy a desire, expressed by some neurosurgeons, for an intraoperative technique for determining whether all of a brain tumor has been removed. The electronic-nose technique could complement multimodal imaging techniques, which have also been proposed as means of detecting cancerous tissue. There are also other potential applications of the electronic-nose technique in general diagnosis of abnormal tissue. In preliminary experiments performed to assess the viability of the proposal, the problem of distinguishing between different types of cultured cells was substituted for the problem of distinguishing between normal and abnormal specimens of the same type of tissue. The figure presents data from one experiment, illustrating differences between patterns that could be used to distinguish between two types of cultured cancer cells. Further development can be expected to include studies directed toward answering questions concerning not only the possibility of distinguishing among various types of normal and abnormal tissue but also distinguishing between tissues of interest and other odorous substances that may be present in medical settings.

Remote sensing and GIS for land use/cover mapping and integrated land management: case from the middle Ganga plain

Science.gov (United States)

Singh, R. B.; Kumar, Dilip

2012-06-01

In India, land resources have reached a critical stage due to the rapidly growing population. This challenge requires an integrated approach toward harnessing land resources, while taking into account the vulnerable environmental conditions. Remote sensing and Geographical Information System (GIS) based technologies may be applied to an area in order to generate a sustainable development plan that is optimally suited to the terrain and to the productive potential of the local resources. The present study area is a part of the middle Ganga plain, known as Son-Karamnasa interfluve, in India. Alternative land use systems and the integration of livestock enterprises with the agricultural system have been suggested for land resources management. The objective of this paper is to prepare a land resource development plan in order to increase the productivity of land for sustainable development. The present study will contribute necessary input for policy makers to improve the socio-economic and environmental conditions of the region.

Remote control of data acquisition devices by means of message oriented middleware

International Nuclear Information System (INIS)

Sanchez, E.; Portas, A.; Pereira, A.; Vega, J.; Kirpitchev, I.

2007-01-01

The TJ-II autonomous acquisition systems are computers running dedicated applications for programming and controlling data acquisition channels and also integrating acquired data into the central database. These computers are located in the experimental hall and have to be remotely controlled during plasma discharges. A remote control for these systems has been implemented by taking advantage of the message-oriented middleware recently introduced into the TJ-II data acquisition system. Java Message Service (JMS) is used as the messaging application program interface. All the acquisition actions that are available through the system console of the data acquisition computers (starting or aborting an acquisition, restarting the system or updating the acquisition application) can now be initiated remotely. Command messages are sent to the acquisition systems located in the experimental hall close to the TJ-II device by using the messaging software, without having to use a remote desktop application that produces heavy network traffic and requires manual operation. Action commands can be sent to only one or to several/many acquisition systems at the same time. This software is integrated into the TJ-II remote participation system and the acquisition systems can be commanded from inside or outside the laboratory. All this software is integrated into the security framework provided by PAPI, thus preventing non-authorized users commanding the acquisition computers. In order to dimension and distribute messaging services some performance tests of the message oriented middleware software have been carried out. Results of the tests are presented. As suggested by the tests results different transport connectors are used: TCP transport protocol is used for the local environment, while HTTP protocol is used for remote accesses, thereby allowing the system performance to be optimized

Remote control of data acquisition devices by means of message oriented middleware

Energy Technology Data Exchange (ETDEWEB)

Sanchez, E. [Asociacion EURATOM/CIEMAT para Fusion, Madrid (Spain)], E-mail: edi.sanchez@ciemat.es; Portas, A.; Pereira, A.; Vega, J.; Kirpitchev, I. [Asociacion EURATOM/CIEMAT para Fusion, Madrid (Spain)

2007-10-15

The TJ-II autonomous acquisition systems are computers running dedicated applications for programming and controlling data acquisition channels and also integrating acquired data into the central database. These computers are located in the experimental hall and have to be remotely controlled during plasma discharges. A remote control for these systems has been implemented by taking advantage of the message-oriented middleware recently introduced into the TJ-II data acquisition system. Java Message Service (JMS) is used as the messaging application program interface. All the acquisition actions that are available through the system console of the data acquisition computers (starting or aborting an acquisition, restarting the system or updating the acquisition application) can now be initiated remotely. Command messages are sent to the acquisition systems located in the experimental hall close to the TJ-II device by using the messaging software, without having to use a remote desktop application that produces heavy network traffic and requires manual operation. Action commands can be sent to only one or to several/many acquisition systems at the same time. This software is integrated into the TJ-II remote participation system and the acquisition systems can be commanded from inside or outside the laboratory. All this software is integrated into the security framework provided by PAPI, thus preventing non-authorized users commanding the acquisition computers. In order to dimension and distribute messaging services some performance tests of the message oriented middleware software have been carried out. Results of the tests are presented. As suggested by the tests results different transport connectors are used: TCP transport protocol is used for the local environment, while HTTP protocol is used for remote accesses, thereby allowing the system performance to be optimized.

Parental Evaluation of a Nurse Practitioner-Developed Pediatric Neurosurgery Website.

Science.gov (United States)

Vogel, Tina Kovacs; Kleib, Manal; Davidson, Sandra J; Scott, Shannon D

2016-04-12

Parents often turn to the Internet to seek health information about their child's diagnosis and condition. Information, support, and resources regarding pediatric neurosurgery are scarce, hard to find, and difficult to comprehend. To address this gap, a pediatric nurse practitioner designed a website called the Neurosurgery Kids Fund (NKF). Analyzing the legitimacy of the NKF website for parents seeking health information and fulfilling their social and resource needs is critical to the website's future development and success. To explore parental usage of the NKF website, track visitor behavior, evaluate usability and design, establish ways to improve user experience, and identify ways to redesign the website. The aim of this study was to assess and evaluate whether a custom-designed health website could meet parents' health information, support, and resource needs. A multimethod approach was used. Google Analytic usage reports were collected and analyzed for the period of April 23, 2013, to November 30, 2013. Fifty-two online questionnaires that targeted the website's usability were collected between June 18, 2014, and July 30, 2014. Finally, a focus group was conducted on August 20, 2014, to explore parents' perceptions and user experiences. Findings were analyzed using an inductive content analysis approach. There were a total of 2998 sessions and 8818 page views, with 2.94 pages viewed per session, a 56.20% bounce rate, an average session duration of 2 minutes 24 seconds, and a 56.24% new sessions rate. Results from 52 eligible surveys included that the majority of NKF users were Caucasian (90%), females (92%), aged 36-45 years (48%), with a university or college degree or diploma (69%). Half plan to use the health information. Over half reported turning to the Internet for health information and spending 2 to 4 hours a day online. The most common reasons for using the NKF website were to (1) gather information about the 2 summer camps, (2) explore the Media

Augmented reality in neurosurgery: a systematic review.

Science.gov (United States)

Meola, Antonio; Cutolo, Fabrizio; Carbone, Marina; Cagnazzo, Federico; Ferrari, Mauro; Ferrari, Vincenzo

2017-10-01

Neuronavigation has become an essential neurosurgical tool in pursuing minimal invasiveness and maximal safety, even though it has several technical limitations. Augmented reality (AR) neuronavigation is a significant advance, providing a real-time updated 3D virtual model of anatomical details, overlaid on the real surgical field. Currently, only a few AR systems have been tested in a clinical setting. The aim is to review such devices. We performed a PubMed search of reports restricted to human studies of in vivo applications of AR in any neurosurgical procedure using the search terms "Augmented reality" and "Neurosurgery." Eligibility assessment was performed independently by two reviewers in an unblinded standardized manner. The systems were qualitatively evaluated on the basis of the following: neurosurgical subspecialty of application, pathology of treated lesions and lesion locations, real data source, virtual data source, tracking modality, registration technique, visualization processing, display type, and perception location. Eighteen studies were included during the period 1996 to September 30, 2015. The AR systems were grouped by the real data source: microscope (8), hand- or head-held cameras (4), direct patient view (2), endoscope (1), and X-ray fluoroscopy (1) head-mounted display (1). A total of 195 lesions were treated: 75 (38.46 %) were neoplastic, 77 (39.48 %) neurovascular, and 1 (0.51 %) hydrocephalus, and 42 (21.53 %) were undetermined. Current literature confirms that AR is a reliable and versatile tool when performing minimally invasive approaches in a wide range of neurosurgical diseases, although prospective randomized studies are not yet available and technical improvements are needed.

Integration of Remote Sensing and Geophysical Applications for Delineation of Geological Structures: Implication for Water Resources in Egypt

Science.gov (United States)

Mohamed, L.; Farag, A. Z. A.

2017-12-01

North African countries struggle with insufficient, polluted, oversubscribed, and increasingly expensive water. This natural water shortage, in addition to the lack of a comprehensive scheme for the identification of new water resources challenge the political settings in north Africa. Groundwater is one of the main water resources and its occurrence is controlled by the structural elements which are still poorly understood. Integration of remote sensing images and geophysical tools enable us to delineate the surface and subsurface structures (i.e. faults, joints and shear zones), identify the role of these structures on groundwater flow and then to define the proper locations for groundwater wells. This approach were applied to three different areas in Egypt; southern Sinai, north eastern Sinai and the Eastern Desert using remote sensing, geophysical and hydrogeological datasets as follows: (1) identification of the spatial and temporal rainfall events using meteorological station data and Tropical Rainfall Measuring Mission data; (2) delineation of major faults and shear zones using ALOS Palsar, Landsat 8 and ASTER images, geological maps and field investigation; (3) generation of a normalized difference ratio image using Envisat radar images before and after the rain events to identify preferential water-channeling discontinuities in the crystalline terrain; (4) analysis of well data and derivations of hydrological parameters; (5) validation of the water-channeling discontinuities using Very Low Frequency, testing the structural elements (pre-delineated by remote sensing data) and their depth using gravity, magnetic and Vertical Electrical Sounding methods; (6) generation of regional groundwater flow and isotopic (18O and 2H) distribution maps for the sedimentary aquifer and an approximation flow map for the crystalline aquifer. The outputs include: (1) a conceptual/physical model for the groundwater flow in fractured crystalline and sedimentary aquifers; (2

Internet-based remote consultations - general practitioner experience and attitudes in Norway and Germany.

Science.gov (United States)

Kampik, Timotheus; Larsen, Frank; Bellika, Johan Gustav

2015-01-01

The objective of the study was to identify experiences and attitudes of German and Norwegian general practitioners (GPs) towards Internet-based remote consultation solutions supporting communication between GPs and patients in the context of the German and Norwegian healthcare systems. Interviews with four German and five Norwegian GPs were conducted. The results were qualitatively analyzed. All interviewed GPs stated they would like to make use of Internet-based remote consultations in the future. Current experiences with remote consultations are existent to a limited degree. No GP reported to use a comprehensive remote consultation solution. The main features GPs would like to see in a remote consultation solution include asynchronous exchange of text messages, video conferencing with text chat, scheduling of remote consultation appointments, secure login and data transfer and the integration of the remote consultation solution into the GP's EHR system.

Energy-Efficient Transmissions for Remote Wireless Sensor Networks: An Integrated HAP/Satellite Architecture for Emergency Scenarios.

Science.gov (United States)

Dong, Feihong; Li, Hongjun; Gong, Xiangwu; Liu, Quan; Wang, Jingchao

2015-09-03

A typical application scenario of remote wireless sensor networks (WSNs) is identified as an emergency scenario. One of the greatest design challenges for communications in emergency scenarios is energy-efficient transmission, due to scarce electrical energy in large-scale natural and man-made disasters. Integrated high altitude platform (HAP)/satellite networks are expected to optimally meet emergency communication requirements. In this paper, a novel integrated HAP/satellite (IHS) architecture is proposed, and three segments of the architecture are investigated in detail. The concept of link-state advertisement (LSA) is designed in a slow flat Rician fading channel. The LSA is received and processed by the terminal to estimate the link state information, which can significantly reduce the energy consumption at the terminal end. Furthermore, the transmission power requirements of the HAPs and terminals are derived using the gradient descent and differential equation methods. The energy consumption is modeled at both the source and system level. An innovative and adaptive algorithm is given for the energy-efficient path selection. The simulation results validate the effectiveness of the proposed adaptive algorithm. It is shown that the proposed adaptive algorithm can significantly improve energy efficiency when combined with the LSA and the energy consumption estimation.

Energy-Efficient Transmissions for Remote Wireless Sensor Networks: An Integrated HAP/Satellite Architecture for Emergency Scenarios

Science.gov (United States)

Dong, Feihong; Li, Hongjun; Gong, Xiangwu; Liu, Quan; Wang, Jingchao

2015-01-01

A typical application scenario of remote wireless sensor networks (WSNs) is identified as an emergency scenario. One of the greatest design challenges for communications in emergency scenarios is energy-efficient transmission, due to scarce electrical energy in large-scale natural and man-made disasters. Integrated high altitude platform (HAP)/satellite networks are expected to optimally meet emergency communication requirements. In this paper, a novel integrated HAP/satellite (IHS) architecture is proposed, and three segments of the architecture are investigated in detail. The concept of link-state advertisement (LSA) is designed in a slow flat Rician fading channel. The LSA is received and processed by the terminal to estimate the link state information, which can significantly reduce the energy consumption at the terminal end. Furthermore, the transmission power requirements of the HAPs and terminals are derived using the gradient descent and differential equation methods. The energy consumption is modeled at both the source and system level. An innovative and adaptive algorithm is given for the energy-efficient path selection. The simulation results validate the effectiveness of the proposed adaptive algorithm. It is shown that the proposed adaptive algorithm can significantly improve energy efficiency when combined with the LSA and the energy consumption estimation. PMID:26404292

Energy-Efficient Transmissions for Remote Wireless Sensor Networks: An Integrated HAP/Satellite Architecture for Emergency Scenarios

Directory of Open Access Journals (Sweden)

Feihong Dong

2015-09-01

Full Text Available A typical application scenario of remote wireless sensor networks (WSNs is identified as an emergency scenario. One of the greatest design challenges for communications in emergency scenarios is energy-efficient transmission, due to scarce electrical energy in large-scale natural and man-made disasters. Integrated high altitude platform (HAP/satellite networks are expected to optimally meet emergency communication requirements. In this paper, a novel integrated HAP/satellite (IHS architecture is proposed, and three segments of the architecture are investigated in detail. The concept of link-state advertisement (LSA is designed in a slow flat Rician fading channel. The LSA is received and processed by the terminal to estimate the link state information, which can significantly reduce the energy consumption at the terminal end. Furthermore, the transmission power requirements of the HAPs and terminals are derived using the gradient descent and differential equation methods. The energy consumption is modeled at both the source and system level. An innovative and adaptive algorithm is given for the energy-efficient path selection. The simulation results validate the effectiveness of the proposed adaptive algorithm. It is shown that the proposed adaptive algorithm can significantly improve energy efficiency when combined with the LSA and the energy consumption estimation.

Modular remote radiation monitor

International Nuclear Information System (INIS)

Lacerda, Fabio; Farias, Marcos S.; Aghina, Mauricio A.C.; Oliveira, Mauro V.

2013-01-01

The Modular Remote Radiation Monitor (MRRM) is a novel radiation monitor suitable for monitoring environmental exposure to ionizing radiation. It is a portable compact-size low-power microprocessor-based electronic device which provides its monitoring data to other electronic systems, physically distant from it, by means of an electronic communication channel, which can be wired or wireless according to the requirements of each application. Besides its low-power highly-integrated circuit design, the Modular Remote Radiation Monitor is presented in a modular architecture, which promotes full compliance to the technical requirements of different applications while minimizing cost, size and power consumption. Its communication capability also supports the implementation of a network of multiple radiation monitors connected to a supervisory system, capable of remotely controlling each monitor independently as well as visualizing the radiation levels from all monitors. A prototype of the MRRM, functionally equivalent to the MRA-7027 radiation monitor, was implemented and connected to a wired MODBUS network of MRA-7027 monitors, responsible for monitoring ionizing radiation inside Argonauta reactor room at Instituto de Engenharia Nuclear. Based on the highly positive experimental results obtained, further design is currently underway in order to produce a consumer version of the MRRM. (author)

Remote information service access system based on a client-server-service model

Science.gov (United States)

Konrad, A.M.

1996-08-06

A local host computing system, a remote host computing system as connected by a network, and service functionalities: a human interface service functionality, a starter service functionality, and a desired utility service functionality, and a Client-Server-Service (CSS) model is imposed on each service functionality. In one embodiment, this results in nine logical components and three physical components (a local host, a remote host, and an intervening network), where two of the logical components are integrated into one Remote Object Client component, and that Remote Object Client component and the other seven logical components are deployed among the local host and remote host in a manner which eases compatibility and upgrade problems, and provides an illusion to a user that a desired utility service supported on a remote host resides locally on the user`s local host, thereby providing ease of use and minimal software maintenance for users of that remote service. 16 figs.

A Web-Based Airborne Remote Sensing Telemetry Server, Phase I

Data.gov (United States)

National Aeronautics and Space Administration — A Web-based Airborne Remote Sensing Telemetry Server (WARSTS) is proposed to integrate UAV telemetry and web-technology into an innovative communication, command,...

Integrated remote sensing techniques for the detection of buried archaeological adobe structures: preliminary results in Cahuachi (Peru)

Science.gov (United States)

Masini, N.; Rizzo, E.; Lasaponara, R.; Orefici, G.

2008-11-01

This paper is focused on the jointly use of satellite Quickbird (QB) images and Ground Probing Radar (GPR) for assessing their capability in the detection of archaeological adobe structures (sun-dried earth material). Such detection is particularly complex. due to the low contrast generally existing between the archaeological features and the background. Two significant test areas were investigated in the Ceremonial Centre of Cahuachi (in the Nasca territory, Southern Peru) dating back to 6th century BC to 4th century AD. Our results showed that both satellite and GPR data provided valuable indications for unearthing precious ancient remains. Our preliminary analyses pointed out that the integrated use of non destructive remote sensing techniques has high potentiality for its important scientific implications and for its significant contributions to cultural resource management.

Application of remote sensing technique in biomass change detection

African Journals Online (AJOL)

Ethiopian Journal of Environmental Studies and Management ... technology provides an efficient avenue of assessment of biomass content of any area. ... use data, can be integrated into GIS together with results from remote sensing analysis ...

FY 2000 report on the investigational study on the application of remote controlled robot to the field of treatment of toxic substances, etc.; 2000 nendo chosa hokokusho. Enkaku sosa robot no yugai busshitsu to shori bunya heno oyo ni kansuru chosa kenkyu

Energy Technology Data Exchange (ETDEWEB)

NONE

2001-03-01

The paper studied a combination of the advanced robot remote controlled technology and the latest sensing/monitoring/failure diagnosis technology and investigated the application field of the integrated remote technology and items for the R and D. As to the construction of the common platform in the integrated remote technology making full use of the most up-to-date IT, extraction of element technology and study of developmental subjects were carried out for man-machine interface, remote control, sensing/monitoring, movement on nonlevel land, etc. Concerning the integrated remote technology in application fields, concepts for the development of the following technologies were constructed: integrated remote technology in the field of treatment of toxic substances/hazardous materials; integrated remote technology in the field of places to which personnel access is an impossibility; integrated remote technology in the field of remote/simultaneous treatment; integrated remote technology in the field of man substitution; integrated remote technology in the field of work at dangerous places. (NEDO)

Rapidly photo-cross-linkable chitosan hydrogel for peripheral neurosurgeries.

Science.gov (United States)

Rickett, Todd A; Amoozgar, Zohreh; Tuchek, Chad A; Park, Joonyoung; Yeo, Yoon; Shi, Riyi

2011-01-10

Restoring continuity to severed peripheral nerves is crucial to regeneration and enables functional recovery. However, the two most common agents for coaptation, sutures and fibrin glues, have drawbacks such as inflammation, pathogenesis, and dehiscence. Chitosan-based adhesives are a promising alternative, reported to have good cytocompatibility and favorable immunogenicity. A photo-cross-linkable hydrogel based on chitosan is proposed as a new adhesive for peripheral nerve anastomosis. Two Az-chitosans were synthesized by conjugating 4-azidobenzoic acid with low (LMW, 15 kDa) and high (HMW, 50-190 kDa) molecular weight chitosans. These solutions formed a hydrogel in less than 1 min under UV light. The LMW Az-chitosan was more tightly cross-linked than the HMW variant, undergoing significantly less swelling and possessing a higher rheological storage modulus, and both Az-chitosan gels were stiffer than commercial fibrin glue. Severed nerves repaired by Az-chitosan adhesives tolerated longitudinal forces comparable or superior to fibrin glue. Adhesive exposure to intact nerves and neural cell culture showed both Az-chitosans to be nontoxic in the acute (minutes) and chronic (days) time frames. These results demonstrate that Az-chitosan hydrogels are cytocompatible and mechanically suitable for use as bioadhesives in peripheral neurosurgeries.

Remote Communication Engineering Experiments Through Internet

Directory of Open Access Journals (Sweden)

A. K. Gogoi

2006-02-01

Full Text Available In technical education, laboratory components comprise an essential and integral part without which engineering education remains incomplete. Experiments conducted on laboratory equipments lend a practical touch to the theoretical knowledge acquired by the students. However, setting up a specialized laboratory consisting of sophisticated and expensive equipments such as Digital Storage Oscilloscope, Signal Generator, Spectrum Analyzer and Network Analyzer is an expensive and unaffordable proposition for many universities and engineering colleges. Sophisticated technologies incorporated in recent models of such high-end equipments enable remote access through Internet to the instruments. This concept of accessing these expensive instruments over the Internet can be exploited by setting up a Remote Laboratory. This remote laboratory system aims at not only providing an opportunity to students from distant places to conduct hardware experiments but also to take the corresponding measurements. In this work, real-time hardware experiments have been designed and implemented. These are based on modulation techniques widely employed in Communication Engineering. An interactive Graphical User Interface (GUI environment has also been developed using Microsoft Visual Basic. This GUI is provided at the user end to facilitate the remote control and access of various instruments and experiment setups. It has been specifically designed and optimized for a low-bandwidth remote access link. The above mentioned system, as a whole, uses real-time capture of images and data from the instruments to perform experiment-related measurements.

Remote I/O : fast access to distant storage.

Energy Technology Data Exchange (ETDEWEB)

Foster, I.; Kohr, D., Jr.; Krishnaiyer, R.; Mogill, J.

1997-12-17

As high-speed networks make it easier to use distributed resources, it becomes increasingly common that applications and their data are not colocated. Users have traditionally addressed this problem by manually staging data to and from remote computers. We argue instead for a new remote I/O paradigm in which programs use familiar parallel I/O interfaces to access remote file systems. In addition to simplifying remote execution, remote I/O can improve performance relative to staging by overlapping computation and data transfer or by reducing communication requirements. However, remote I/O also introduces new technical challenges in the areas of portability, performance, and integration with distributed computing systems. We propose techniques designed to address these challenges and describe a remote I/O library called RIO that we have developed to evaluate the effectiveness of these techniques. RIO addresses issues of portability by adopting the quasi-standard MPI-IO interface and by defining a RIO device and RIO server within the ADIO abstract I/O device architecture. It addresses performance issues by providing traditional I/O optimizations such as asynchronous operations and through implementation techniques such as buffering and message forwarding to off load communication overheads. RIO uses the Nexus communication library to obtain access to configuration and security mechanisms provided by the Globus wide area computing tool kit. Microbenchmarks and application experiments demonstrate that our techniques achieve acceptable performance in most situations and can improve turnaround time relative to staging.

Integration of remotely sensed data and hydrodynamic modeling into a GIS to assess the impacts of thermal effluent in an estuary

International Nuclear Information System (INIS)

Mustard, J.F.; Sen, A.; Swanson, C.; Mendelsohn, D.

1997-01-01

A project to assess the effects of thermal effluent from a electrical generating facility on an estuary is described. The project is designed to integrate remote sensing observations with in situ field data and a computer model system to provide continuous, estuary-wide predictions of the effluent plume location and configurations. Remote sensing data was acquired over the ebb tide cycle by an aircraft-mounted multi-channel imaging spectrometer. A ground truth field program measured water temperature on a series of transects during the overflights. Moored instruments continuously acquired data on currents, salinity, temperature and dissolved oxygen before, during and after the day of the overflight. A hydrodynamic model was used to predict the three-dimensional structure of the currents, temperature and salinity in the estuary. A Lagrangian particle-based trajectory model was used to predict the small scale surface features seen in the overflight images. Results indicate that such a system can provide useful data in support of analyses of thermal effects of the ecology of estuarine environments

Adding New Features to New and Existing Remote Experiments through their Integration in WebLab-Deusto

OpenAIRE

Diego López-de-Ipiña; Fabricio Gazzola; Javier Garcia-Zubia; Luis Rodriguez-Gil; Jaime Irurzun; Pablo Orduña

2011-01-01

During the last decade, efforts have been made in the development and publishing of remote experiments for educational purposes. In order to reduce the duplicity of work and to improve the common requirements that are shared by different remote laboratories, remote experiment management platforms have been developed, such as MIT iLabs, LabShare Sahara or WebLab-Deusto. In this paper, we describe how the development of experiments is handled in WebLab-Deusto, supporting both managed (developed...

Standardizing the evaluation of scientific and academic performance in neurosurgery--critical review of the "h" index and its variants.

Science.gov (United States)

Aoun, Salah G; Bendok, Bernard R; Rahme, Rudy J; Dacey, Ralph G; Batjer, H Hunt

2013-11-01

Assessing the academic impact and output of scientists and physicians is essential to the academic promotion process and has largely depended on peer review. The inherent subjectivity of peer review, however, has led to an interest to incorporate objective measures into more established methods of academic assessment and promotion. Journal impact factor has been used to add objectivity to the process but this index alone does not capture all aspects of academic impact and achievement. The "h" index and its variants have been designed to compensate for these shortcomings, and have been successfully used in the fields of physics, mathematics, and biology, and more recently in medicine. Leaders in academic neurosurgery should be aware of the advantages offered by each of these indices, as well as of their individual shortcomings, to be able to efficiently use them to refine the peer-review process. This review critically analyzes indices that are currently available to evaluate the academic impact of scientists and physicians. These indices include the total citation count, the total number of papers, the impact factor, as well as the "h" index with eight of its most common variants. The analysis focuses on their use in the field of academic neurosurgery, and discusses means to implement them in current review processes. Copyright © 2013 Elsevier Inc. All rights reserved.

Stereotactic imaging in functional neurosurgery

Energy Technology Data Exchange (ETDEWEB)

Hirabayashi, Hidehiro

2012-07-01

Background: The birth of stereotactic functional neurosurgery in 1947 was to a great extent dependent on the development of ventriculography. The last decades have witnessed a renaissance of functional stereotactic neurosurgery in the treatment of patients with movement disorders. Initially, these procedures were largely based on the same imaging technique that had been used since the birth of this technique, and that is still used in some centers. The introduction of new imaging modalities such as Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) provided new potentials, but also new challenges for accurate identification and visualisation of the targets in the basal ganglia and the thalamus with an urge to thoroughly evaluate and optimize the stereotactic targeting technique, as well as evaluate accurately in stereotactic space the location and extent of stereotactic Radiofrequency (RF) lesions and the position of deep brain stimulation (DBS) electrodes. Aims: To study the differences between CT and MRI regarding indirect atlas coordinates in thalamic and pallidal procedures and to evaluate and validate visualisation of the pallidum and the subthalamic nucleus in view of direct targeting irrespective of atlas-derived coordinates. Furthermore, to evaluate the contribution of RF parameters on the size of stereotactic lesions, as well as the impact of size and location on clinical outcome. Method: The coordinates in relation to the landmarks of the 3{sup rd} ventricle of the targets in the pallidum and ventrolateral thalamus were compared between CT and MRI in 34 patients. In another 48 patients direct visualization of the pallidum was evaluated and compared to indirect atlas based targeting. The possibility and versatility of visualizing the Subthalamic Nucleus (STN) on short acquisition MRI were evaluated in a multicentre study, and the use of alternative landmarks in identification of the STN was demonstrated in another study. In 46 patients CT and

Stereotactic imaging in functional neurosurgery

International Nuclear Information System (INIS)

Hirabayashi, Hidehiro

2012-01-01

Background: The birth of stereotactic functional neurosurgery in 1947 was to a great extent dependent on the development of ventriculography. The last decades have witnessed a renaissance of functional stereotactic neurosurgery in the treatment of patients with movement disorders. Initially, these procedures were largely based on the same imaging technique that had been used since the birth of this technique, and that is still used in some centers. The introduction of new imaging modalities such as Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) provided new potentials, but also new challenges for accurate identification and visualisation of the targets in the basal ganglia and the thalamus with an urge to thoroughly evaluate and optimize the stereotactic targeting technique, as well as evaluate accurately in stereotactic space the location and extent of stereotactic Radiofrequency (RF) lesions and the position of deep brain stimulation (DBS) electrodes. Aims: To study the differences between CT and MRI regarding indirect atlas coordinates in thalamic and pallidal procedures and to evaluate and validate visualisation of the pallidum and the subthalamic nucleus in view of direct targeting irrespective of atlas-derived coordinates. Furthermore, to evaluate the contribution of RF parameters on the size of stereotactic lesions, as well as the impact of size and location on clinical outcome. Method: The coordinates in relation to the landmarks of the 3 rd ventricle of the targets in the pallidum and ventrolateral thalamus were compared between CT and MRI in 34 patients. In another 48 patients direct visualization of the pallidum was evaluated and compared to indirect atlas based targeting. The possibility and versatility of visualizing the Subthalamic Nucleus (STN) on short acquisition MRI were evaluated in a multicentre study, and the use of alternative landmarks in identification of the STN was demonstrated in another study. In 46 patients CT and MRI

Visual Data Analysis in the TJ-II Remote Participation System

Energy Technology Data Exchange (ETDEWEB)

Sanchez, E.; Porta, A.; Pereira, A.; Vega, J.

2007-07-20

A general-purpose data visualization tool has been developed to provide the TJ-II remote participation system with the same visualization capabilities already available in the TJ-II local environment. The visualization software has been developed in the Java language. It provides a user-friendly graphical interface that permits users on-demand plotting of time traces in a very flexible manner. In order to facilitate on-line tracking of experimental operation, the application also allows automatic refreshing of data. This software has been integrated into the TJ-II remote participation system distributed environment. Data are accessed remotely using web technologies and HTTP protocol and are transferred in a compressed format, which reduces bandwidth requirements. Both metadata and binary compressed data are transported in multi part messages. Message oriented middle ware software is used to distribute information on-line, in particular notifications of data availability for automatic data refreshing or local events. Plot layouts can be stored in a centralized database for subsequent recovery from anywhere. Finally, this software is integrated into the general security framework provided by the PAPI system. (Author) 16 refs.

Visual Data Analysis in the TJ-II Remote Participation System

International Nuclear Information System (INIS)

Sanchez, E.; Porta, A.; Pereira, A.; Vega, J.

2007-01-01

A general-purpose data visualization tool has been developed to provide the TJ-II remote participation system with the same visualization capabilities already available in the TJ-II local environment. The visualization software has been developed in the Java language. It provides a user-friendly graphical interface that permits users on-demand plotting of time traces in a very flexible manner. In order to facilitate on-line tracking of experimental operation, the application also allows automatic refreshing of data. This software has been integrated into the TJ-II remote participation system distributed environment. Data are accessed remotely using web technologies and HTTP protocol and are transferred in a compressed format, which reduces bandwidth requirements. Both metadata and binary compressed data are transported in multi part messages. Message oriented middle ware software is used to distribute information on-line, in particular notifications of data availability for automatic data refreshing or local events. Plot layouts can be stored in a centralized database for subsequent recovery from anywhere. Finally, this software is integrated into the general security framework provided by the PAPI system. (Author) 16 refs

Visual Data Analysis in the TJ-II Remote Participation System

Energy Technology Data Exchange (ETDEWEB)

Sanchez, E.; Portas, A.; Pereira, A.; Vega, J.

2006-07-01

A general-purpose data visualization tool has been developed to provide the TJ-II remote participation system with the same visualization capabilities already available in the TJ-II local environment. The visualization software has been developed in the Java language. It provides a user-friendly graphical interface that permits users on-demand plotting of time traces in a very flexible manner. In order to facilitate on-line tracking of experimental operation, the application also allows automatic refreshing of data. This software has been integrated into the TJ-II remote participation system distributed environment. Data are accessed remotely using web technologies and HTTP protocol and are transferred in a compressed format, which reduces bandwidth requirements. Both metadata and binary compressed data are transported in multipart messages. Message oriented middleware software is used to distribute information on-line, in particular notifications of data availability for automatic data refreshing or local events. Plot layouts can be stored in a centralized database for subsequent recovery from anywhere. Finally, this software is integrated into the general security framework provided by the PAPI system. (Author)

Visual Data Analysis in the TJ-II Remote Participation System

International Nuclear Information System (INIS)

Sanchez, E.; Portas, A.; Pereira, A.; Vega, J.

2006-01-01

A general-purpose data visualization tool has been developed to provide the TJ-II remote participation system with the same visualization capabilities already available in the TJ-II local environment. The visualization software has been developed in the Java language. It provides a user-friendly graphical interface that permits users on-demand plotting of time traces in a very flexible manner. In order to facilitate on-line tracking of experimental operation, the application also allows automatic refreshing of data. This software has been integrated into the TJ-II remote participation system distributed environment. Data are accessed remotely using web technologies and HTTP protocol and are transferred in a compressed format, which reduces bandwidth requirements. Both metadata and binary compressed data are transported in multipart messages. Message oriented middleware software is used to distribute information on-line, in particular notifications of data availability for automatic data refreshing or local events. Plot layouts can be stored in a centralized database for subsequent recovery from anywhere. Finally, this software is integrated into the general security framework provided by the PAPI system. (Author)

Institutional issues affecting the integration and use of remotely sensed data and geographic information systems

Science.gov (United States)

Lauer, D.T.; Estes, J.E.; Jensen, J.R.; Greenlee, D.D.

1991-01-01

The developers as well as the users of remotely sensed data and geographic information system (GIS) techniques are associated with nearly all types of institutions in government, industry, and academia. Individuals in these various institutions often find the barriers to accepting remote sensing and GIS are not necessarily technical in nature, but can be attributed to the institutions themselves. Several major institutional issues that affect the technologies of remote sensing and GIS are data availability, data marketing and costs, equipment availability and costs, standards and practices, education and training, and organizational infrastructures. Not only are problems associated with these issues identified, but needs and opportunities also are discussed. -from Authors

Integrating remotely sensed surface water extent into continental scale hydrology.

Science.gov (United States)

Revilla-Romero, Beatriz; Wanders, Niko; Burek, Peter; Salamon, Peter; de Roo, Ad

2016-12-01

In hydrological forecasting, data assimilation techniques are employed to improve estimates of initial conditions to update incorrect model states with observational data. However, the limited availability of continuous and up-to-date ground streamflow data is one of the main constraints for large-scale flood forecasting models. This is the first study that assess the impact of assimilating daily remotely sensed surface water extent at a 0.1° × 0.1° spatial resolution derived from the Global Flood Detection System (GFDS) into a global rainfall-runoff including large ungauged areas at the continental spatial scale in Africa and South America. Surface water extent is observed using a range of passive microwave remote sensors. The methodology uses the brightness temperature as water bodies have a lower emissivity. In a time series, the satellite signal is expected to vary with changes in water surface, and anomalies can be correlated with flood events. The Ensemble Kalman Filter (EnKF) is a Monte-Carlo implementation of data assimilation and used here by applying random sampling perturbations to the precipitation inputs to account for uncertainty obtaining ensemble streamflow simulations from the LISFLOOD model. Results of the updated streamflow simulation are compared to baseline simulations, without assimilation of the satellite-derived surface water extent. Validation is done in over 100 in situ river gauges using daily streamflow observations in the African and South American continent over a one year period. Some of the more commonly used metrics in hydrology were calculated: KGE', NSE, PBIAS%, R 2 , RMSE, and VE. Results show that, for example, NSE score improved on 61 out of 101 stations obtaining significant improvements in both the timing and volume of the flow peaks. Whereas the validation at gauges located in lowland jungle obtained poorest performance mainly due to the closed forest influence on the satellite signal retrieval. The conclusion is that

Quantifying Freshwater Mass Balance in the Central Tibetan Plateau by Integrating Satellite Remote Sensing, Altimetry, and Gravimetry

Directory of Open Access Journals (Sweden)

Kuo-Hsin Tseng

2016-05-01

Full Text Available The Tibetan Plateau (TP has been observed by satellite optical remote sensing, altimetry, and gravimetry for a variety of geophysical parameters, including water storage change. However, each of these sensors has its respective limitation in the parameters observed, accuracy and spatial-temporal resolution. Here, we utilized an integrated approach to combine remote sensing imagery, digital elevation model, and satellite radar and laser altimetry data, to quantify freshwater storage change in a twin lake system named Chibuzhang Co and Dorsoidong Co in the central TP, and compared that with independent observations including mass changes from the Gravity Recovery and Climate Experiment (GRACE data. Our results show that this twin lake, located within the Tanggula glacier system, remained almost steady during 1973–2000. However, Dorsoidong Co has experienced a significant lake level rise since 2000, especially during 2000–2005, that resulted in the plausible connection between the two lakes. The contemporary increasing lake level signal at a rate of 0.89 ± 0.05 cm·yr−1, in a 2° by 2° grid equivalent water height since 2002, is higher than the GRACE observed trend at 0.41 ± 0.17 cm·yr−1 during the same time span. Finally, a down-turning trend or inter-annual variability shown in the GRACE signal is observed after 2012, while the lake level is still rising at a consistent rate.

Center of excellence in research reporting in neurosurgery--diagnostic ontology.

Directory of Open Access Journals (Sweden)

Amrapali Zaveri

Full Text Available MOTIVATION: Evidence-based medicine (EBM, in the field of neurosurgery, relies on diagnostic studies since Randomized Controlled Trials (RCTs are uncommon. However, diagnostic study reporting is less standardized which increases the difficulty in reliably aggregating results. Although there have been several initiatives to standardize reporting, they have shown to be sub-optimal. Additionally, there is no central repository for storing and retrieving related articles. RESULTS: In our approach we formulate a computational diagnostic ontology containing 91 elements, including classes and sub-classes, which are required to conduct Systematic Reviews-Meta Analysis (SR-MA for diagnostic studies, which will assist in standardized reporting of diagnostic articles. SR-MA are studies that aggregate several studies to come to one conclusion for a particular research question. We also report high percentage of agreement among five observers as a result of the interobserver agreement test that we conducted among them to annotate 13 articles using the diagnostic ontology. Moreover, we extend our existing repository CERR-N to include diagnostic studies. AVAILABILITY: The ontology is available for download as an.owl file at: http://bioportal.bioontology.org/ontologies/3013.

Dexterous Manipulation: Making Remote Manipulators Easy to Use

International Nuclear Information System (INIS)

HARRIGAN, RAYMOND W.; BENNETT, PHIL C.

2001-01-01

Perhaps the most basic barrier to the widespread deployment of remote manipulators is that they are very difficult to use. Remote manual operations are fatiguing and tedious, while fully autonomous systems are seldom able to function in changing and unstructured environments. An alternative approach to these extremes is to exploit computer control while leaving the operator in the loop to take advantage of the operator's perceptual and decision-making capabilities. This report describes research that is enabling gradual introduction of computer control and decision making into operator-supervised robotic manipulation systems, and its integration on a commercially available, manually controlled mobile manipulator

A medical application integrating remote 3D visualization tools to access picture archiving and communication system on mobile devices.

Science.gov (United States)

He, Longjun; Ming, Xing; Liu, Qian

2014-04-01

With computing capability and display size growing, the mobile device has been used as a tool to help clinicians view patient information and medical images anywhere and anytime. However, for direct interactive 3D visualization, which plays an important role in radiological diagnosis, the mobile device cannot provide a satisfactory quality of experience for radiologists. This paper developed a medical system that can get medical images from the picture archiving and communication system on the mobile device over the wireless network. In the proposed application, the mobile device got patient information and medical images through a proxy server connecting to the PACS server. Meanwhile, the proxy server integrated a range of 3D visualization techniques, including maximum intensity projection, multi-planar reconstruction and direct volume rendering, to providing shape, brightness, depth and location information generated from the original sectional images for radiologists. Furthermore, an algorithm that changes remote render parameters automatically to adapt to the network status was employed to improve the quality of experience. Finally, performance issues regarding the remote 3D visualization of the medical images over the wireless network of the proposed application were also discussed. The results demonstrated that this proposed medical application could provide a smooth interactive experience in the WLAN and 3G networks.

Supervision, support and mentoring interventions for health practitioners in rural and remote contexts: an integrative review and thematic synthesis of the literature to identify mechanisms for successful outcomes.

Science.gov (United States)

Moran, Anna M; Coyle, Julia; Pope, Rod; Boxall, Dianne; Nancarrow, Susan A; Young, Jennifer

2014-02-13

To identify mechanisms for the successful implementation of support strategies for health-care practitioners in rural and remote contexts. This is an integrative review and thematic synthesis of the empirical literature that examines support interventions for health-care practitioners in rural and remote contexts. This review includes 43 papers that evaluated support strategies for the rural and remote health workforce. Interventions were predominantly training and education programmes with limited evaluations of supervision and mentoring interventions. The mechanisms associated with successful outcomes included: access to appropriate and adequate training, skills and knowledge for the support intervention; accessible and adequate resources; active involvement of stakeholders in programme design, implementation and evaluation; a needs analysis prior to the intervention; external support, organisation, facilitation and/or coordination of the programme; marketing of the programme; organisational commitment; appropriate mode of delivery; leadership; and regular feedback and evaluation of the programme. Through a synthesis of the literature, this research has identified a number of mechanisms that are associated with successful support interventions for health-care practitioners in rural and remote contexts. This research utilised a methodology developed for studying complex interventions in response to the perceived limitations of traditional systematic reviews. This synthesis of the evidence will provide decision-makers at all levels with a collection of mechanisms that can assist the development and implementation of support strategies for staff in rural and remote contexts.

A remotely operated drug delivery system with dose control

KAUST Repository

Yi, Ying; Kosel, Jü rgen

2017-01-01

include an effective actuation stimulus and a controllable dose release mechanism. This work focuses on remotely powering an implantable drug delivery system and providing a high degree of control over the released dose. This is accomplished by integration

1991 ACSM-ASPRS Annual Convention, Baltimore, MD, Mar. 25-29, 1991, Technical Papers. Vol. 3 - Remote Sensing

International Nuclear Information System (INIS)

Mcdonald, A.J.

1991-01-01

The present volume on remote sensing discusses a system of integrated acquisition procedures with satellite data, photointerpretation and ground measurements of forest structure, Landsat TM image classification with an artificial neural network, and the use of transputers to reduce maximum likelihood classification time. Attention is given to the automated extraction of metadata from remotely sensed satellite imagery, oceanographic analysis with NASA's Seapak software, strategies for coordinating natural resource information management programs, and an integrative approach to research of deforestation under concession management. Topics addressed include semiautomated point and search signature selection, information management challenges of the EOS Data and Information System, an integrating remote sensing/GIS approach for resource assessment in the National Park Service, and the development of land data sets for studies of global climate change

Rivaling paradigms in psychiatric neurosurgery: adjustability versus quick fix versus minimal-invasiveness.

Science.gov (United States)

Müller, Sabine; Riedmüller, Rita; van Oosterhout, Ansel

2015-01-01

In the wake of deep brain stimulation (DBS) development, ablative neurosurgical procedures are seeing a comeback, although they had been discredited and nearly completely abandoned in the 1970s because of their unethical practice. Modern stereotactic ablative procedures as thermal or radiofrequency ablation, and particularly radiosurgery (e.g., Gamma Knife) are much safer than the historical procedures, so that a re-evaluation of this technique is required. The different approaches of modern psychiatric neurosurgery refer to different paradigms: microsurgical ablative procedures is based on the paradigm 'quick fix,' radiosurgery on the paradigm 'minimal-invasiveness,' and DBS on the paradigm 'adjustability.' From a mere medical perspective, none of the procedures is absolutely superior; rather, they have different profiles of advantages and disadvantages. Therefore, individual factors are crucial in decision-making, particularly the patients' social situation, individual preferences, and individual attitudes. The different approaches are not only rivals, but also enriching mutually. DBS is preferable for exploring new targets, which may become candidates for ablative microsurgery or radiosurgery.

CT-MR image data fusion for computer assisted navigated neurosurgery of temporal bone tumors

International Nuclear Information System (INIS)

Nemec, Stefan Franz; Donat, Markus Alexander; Mehrain, Sheida; Friedrich, Klaus; Krestan, Christian; Matula, Christian; Imhof, Herwig; Czerny, Christian

2007-01-01

Purpose: To demonstrate the value of multi detector computed tomography (MDCT) and magnetic resonance imaging (MRI) in the preoperative work up of temporal bone tumors and to present, especially, CT and MR image fusion for surgical planning and performance in computer assisted navigated neurosurgery of temporal bone tumors. Materials and methods: Fifteen patients with temporal bone tumors underwent MDCT and MRI. MDCT was performed in high-resolution bone window level setting in axial plane. The reconstructed MDCT slice thickness was 0.8 mm. MRI was performed in axial and coronal plane with T2-weighted fast spin-echo (FSE) sequences, un-enhanced and contrast-enhanced T1-weighted spin-echo (SE) sequences, and coronal T1-weighted SE sequences with fat suppression and with 3D T1-weighted gradient-echo (GE) contrast-enhanced sequences in axial plane. The 3D T1-weighted GE sequence had a slice thickness of 1 mm. Image data sets of CT and 3D T1-weighted GE sequences were merged utilizing a workstation to create CT-MR fusion images. MDCT and MR images were separately used to depict and characterize lesions. The fusion images were utilized for interventional planning and intraoperative image guidance. The intraoperative accuracy of the navigation unit was measured, defined as the deviation between the same landmark in the navigation image and the patient. Results: Tumorous lesions of bone and soft tissue were well delineated and characterized by CT and MR images. The images played a crucial role in the differentiation of benign and malignant pathologies, which consisted of 13 benign and 2 malignant tumors. The CT-MR fusion images supported the surgeon in preoperative planning and improved surgical performance. The mean intraoperative accuracy of the navigation system was 1.25 mm. Conclusion: CT and MRI are essential in the preoperative work up of temporal bone tumors. CT-MR image data fusion presents an accurate tool for planning the correct surgical procedure and is a

Noninvasive Remote Sensing Techniques for Infrastructures Diagnostics

Directory of Open Access Journals (Sweden)

Angelo Palombo

2011-01-01

Full Text Available The present paper aims at analyzing the potentialities of noninvasive remote sensing techniques used for detecting the conservation status of infrastructures. The applied remote sensing techniques are ground-based microwave radar interferometer and InfraRed Thermography (IRT to study a particular structure planned and made in the framework of the ISTIMES project (funded by the European Commission in the frame of a joint Call “ICT and Security” of the Seventh Framework Programme. To exploit the effectiveness of the high-resolution remote sensing techniques applied we will use the high-frequency thermal camera to measure the structures oscillations by high-frequency analysis and ground-based microwave radar interferometer to measure the dynamic displacement of several points belonging to a large structure. The paper describes the preliminary research results and discusses on the future applicability and techniques developments for integrating high-frequency time series data of the thermal imagery and ground-based microwave radar interferometer data.

Study of Galfenol direct cytotoxicity and remote microactuation in cells.

Science.gov (United States)

Vargas-Estevez, Carolina; Blanquer, Andreu; Dulal, Prabesh; Pérez Del Real, Rafael; Duch, Marta; Ibáñez, Elena; Barrios, Leonardo; Murillo, Gonzalo; Torras, Núria; Nogués, Carme; Stadler, Bethanie J H; Plaza, José A; Esteve, Jaume

2017-09-01

Remote microactuators are of great interest in biology and medicine as minimally-invasive tools for cellular stimulation. Remote actuation can be achieved by active magnetostrictive transducers which are capable of changing shape in response to external magnetic fields thereby creating controlled displacements. Among the magnetostrictive materials, Galfenol, the multifaceted iron-based smart material, offers high magnetostriction with robust mechanical properties. In order to explore these capabilities for biomedical applications, it is necessary to study the feasibility of material miniaturization in standard fabrication processes as well as evaluate the biocompatibility. Here we develop a technology to fabricate, release, and suspend Galfenol-based microparticles, without affecting the integrity of the material. The morphology, composition and magnetic properties of the material itself are characterized. The direct cytotoxicity of Galfenol is evaluated in vitro using human macrophages, osteoblast and osteosarcoma cells. In addition, cytotoxicity and actuation of Galfenol microparticles in suspension are evaluated using human macrophages. The biological parameters analyzed indicate that Galfenol is not cytotoxic, even after internalization of some of the particles by macrophages. The microparticles were remotely actuated forming intra- and extracellular chains that did not impact the integrity of the cells. The results propose Galfenol as a suitable material to develop remote microactuators for cell biology studies and intracellular applications. Copyright © 2017 Elsevier Ltd. All rights reserved.

Microvascular Anastomosis Training in Neurosurgery: A Review

Directory of Open Access Journals (Sweden)

Vadim A. Byvaltsev

2018-01-01

Full Text Available Cerebrovascular diseases are among the most widespread diseases in the world, which largely determine the structure of morbidity and mortality rates. Microvascular anastomosis techniques are important for revascularization surgeries on brachiocephalic and carotid arteries and complex cerebral aneurysms and even during resection of brain tumors that obstruct major cerebral arteries. Training in microvascular surgery became even more difficult with less case exposure and growth of the use of endovascular techniques. In this text we will briefly discuss the history of microvascular surgery, review current literature on simulation models with the emphasis on their merits and shortcomings, and describe the views and opinions on the future of the microvascular training in neurosurgery. In “dry” microsurgical training, various models created from artificial materials that simulate biological tissues are used. The next stage in training more experienced surgeons is to work with nonliving tissue models. Microvascular training using live models is considered to be the most relevant due to presence of the blood flow. Training on laboratory animals has high indicators of face and constructive validity. One of the future directions in the development of microsurgical techniques is the use of robotic systems. Robotic systems may play a role in teaching future generations of microsurgeons. Modern technologies allow access to highly accurate learning environments that are extremely similar to real environment. Additionally, assessment of microsurgical skills should become a fundamental part of the current evaluation of competence within a microneurosurgical training program. Such an assessment tool could be utilized to ensure a constant level of surgical competence within the recertification process. It is important that this evaluation be based on validated models.

Robotic System for MRI-Guided Stereotactic Neurosurgery

Science.gov (United States)

Li, Gang; Cole, Gregory A.; Shang, Weijian; Harrington, Kevin; Camilo, Alex; Pilitsis, Julie G.; Fischer, Gregory S.

2015-01-01

Stereotaxy is a neurosurgical technique that can take several hours to reach a specific target, typically utilizing a mechanical frame and guided by preoperative imaging. An error in any one of the numerous steps or deviations of the target anatomy from the preoperative plan such as brain shift (up to 20 mm), may affect the targeting accuracy and thus the treatment effectiveness. Moreover, because the procedure is typically performed through a small burr hole opening in the skull that prevents tissue visualization, the intervention is basically “blind” for the operator with limited means of intraoperative confirmation that may result in reduced accuracy and safety. The presented system is intended to address the clinical needs for enhanced efficiency, accuracy, and safety of image-guided stereotactic neurosurgery for Deep Brain Stimulation (DBS) lead placement. The work describes a magnetic resonance imaging (MRI)-guided, robotically actuated stereotactic neural intervention system for deep brain stimulation procedure, which offers the potential of reducing procedure duration while improving targeting accuracy and enhancing safety. This is achieved through simultaneous robotic manipulation of the instrument and interactively updated in situ MRI guidance that enables visualization of the anatomy and interventional instrument. During simultaneous actuation and imaging, the system has demonstrated less than 15% signal-to-noise ratio (SNR) variation and less than 0.20% geometric distortion artifact without affecting the imaging usability to visualize and guide the procedure. Optical tracking and MRI phantom experiments streamline the clinical workflow of the prototype system, corroborating targeting accuracy with 3-axis root mean square error 1.38 ± 0.45 mm in tip position and 2.03 ± 0.58° in insertion angle. PMID:25376035

Remote sensing strategies for global resource exploration and environmental management

Science.gov (United States)

Henderson, Frederick B.

Since 1972, satellite remote sensing, when integrated with other exploration techniques, has demonstrated operational exploration and engineering cost savings and reduced exploration risks through improved geological mapping. Land and ocean remote sensing satellite systems under development for the 1990's by the United States, France, Japan, Canada, ESA, Russia, China, and others, will significantly increase our ability to explore for, develop, and manage energy and mineral resources worldwide. A major difference between these systems is the "Open Skies" and "Non-Discriminatory Access to Data" policies as have been practiced by the U.S. and France and the restrictive nationalistic data policies as have been practiced by Russia and India. Global exploration will use satellite remote sensing to better map regional structural and basin-like features that control the distribution of energy and mineral resources. Improved sensors will better map lithologic and stratigraphic units and identify alteration effects in rocks, soils, and vegetation cover indicative of undiscovered subsurface resources. These same sensors will also map and monitor resource development. The use of satellite remote sensing data will grow substantially through increasing integration with other geophysical, geochemical, and geologic data using improved geographic information systems (GIS). International exploration will focus on underdeveloped countries rather than on mature exploration areas such as the United States, Europe, and Japan. Energy and mineral companies and government agencies in these countries and others will utilize available remote sensing data to acquire economic intelligence on global resources. If the "Non-Discriminatory Access to Data" principle is observed by satellite producing countries, exploration will remain competitive "on the ground". In this manner, remote sensing technology will continue to be developed to better explore for and manage the world's needed resources

Development of mathematical techniques for the assimilation of remote sensing data into atmospheric models

International Nuclear Information System (INIS)

Seinfeld, J.H.

1982-01-01

The problem of the assimilation of remote sensing data into mathematical models of atmospheric pollutant species was investigated. The data assimilation problem is posed in terms of the matching of spatially integrated species burden measurements to the predicted three-dimensional concentration fields from atmospheric diffusion models. General conditions were derived for the reconstructability of atmospheric concentration distributions from data typical of remote sensing applications, and a computational algorithm (filter) for the processing of remote sensing data was developed

Development of mathematical techniques for the assimilation of remote sensing data into atmospheric models

International Nuclear Information System (INIS)

Seinfeld, J.H.

1982-01-01

The problem of the assimilation of remote sensing data into mathematical models of atmospheric pollutant species was investigated. The problem is posed in terms of the matching of spatially integrated species burden measurements to the predicted three dimensional concentration fields from atmospheric diffusion models. General conditions are derived for the reconstructability of atmospheric concentration distributions from data typical of remote sensing applications, and a computational algorithm (filter) for the processing of remote sensing data is developed

Remote Excavation of Heavily Contaminated UXO Sites. The Range Master

National Research Council Canada - National Science Library

Crandall, Alan L

2007-01-01

USA Environmental, Inc., and Timberline Environmental Services, Inc., developed the Range Master, a remote controlled scraper with an integrated power screen, to excavate and sift the top 12 inches of heavily contaminated UXO sites...

Workshop on New Views of the Moon: Integrated Remotely Sensed, Geophysical, and Sample Datasets

Science.gov (United States)

Jolliff, Brad L.; Ryder, Graham

1998-01-01

It has been more than 25 years since Apollo 17 returned the last of the Apollo lunar samples. Since then, a vast amount of data has been obtained from the study of rocks and soils from the Apollo and Luna sample collections and, more recently, on a set of about a dozen lunar meteorites collected on Earth. Based on direct studies of the samples, many constraints have been established for the age, early differentiation, crust and mantle structure, and subsequent impact modification of the Moon. In addition, geophysical experiments at the surface, as well as remote sensing from orbit and Earth-based telescopic studies, have provided additional datasets about the Moon that constrain the nature of its surface and internal structure. Some might be tempted to say that we know all there is to know about the Moon and that it is time to move on from this simple satellite to more complex objects. However, the ongoing Lunar Prospector mission and the highly successful Clementine mission have provided important clues to the real geological complexity of the Moon, and have shown us that we still do not yet adequately understand the geologic history of Earth's companion. These missions, like Galileo during its lunar flyby, are providing global information viewed through new kinds of windows, and providing a fresh context for models of lunar origin, evolution, and resources, and perhaps even some grist for new questions and new hypotheses. The probable detection and characterization of water ice at the poles, the extreme concentration of Th and other radioactive elements in the Procellarum-Imbrium-Frigon's resurfaced areas of the nearside of the Moon, and the high-resolution gravity modeling enabled by these missions are examples of the kinds of exciting new results that must be integrated with the extant body of knowledge based on sample studies, in situ experiments, and remote-sensing missions to bring about the best possible understanding of the Moon and its history.

An integrated framework to support remote IEEE 1149.1 / 1149.4 design for test experiments

Directory of Open Access Journals (Sweden)

Antonio M. Cardoso

2006-08-01

Full Text Available Remote experiments for academic purposes can only achieve their educational goals if an appropriate framework is able to provide a basic set of features, namely remote laboratory management, collaborative learning tools and content management and delivery. This paper presents a framework developed to support remote experiments in a design for test class offered to final year students at the Electrical and Computer Engineering degree at the University of Porto. The proposed solution combines a test language command interpreter and various virtual instruments (VIs, with a demonstration board that comprises a boundary-scan IEEE 1149.1 / 1149.4 test infrastructure. The experiments are presented as embedded learning objects, with no distinction from other e-learning contents (e.g. lessons, lecture notes, etc..

Critical assessment of pediatric neurosurgery patient/parent educational information obtained via the Internet.

Science.gov (United States)

Garcia, Michael; Daugherty, Christopher; Ben Khallouq, Bertha; Maugans, Todd

2018-05-01

OBJECTIVE The Internet is used frequently by patients and family members to acquire information about pediatric neurosurgical conditions. The sources, nature, accuracy, and usefulness of this information have not been examined recently. The authors analyzed the results from searches of 10 common pediatric neurosurgical terms using a novel scoring test to assess the value of the educational information obtained. METHODS Google and Bing searches were performed for 10 common pediatric neurosurgical topics (concussion, craniosynostosis, hydrocephalus, pediatric brain tumor, pediatric Chiari malformation, pediatric epilepsy surgery, pediatric neurosurgery, plagiocephaly, spina bifida, and tethered spinal cord). The first 10 "hits" obtained with each search engine were analyzed using the Currency, Relevance, Authority, Accuracy, and Purpose (CRAAP) test, which assigns a numerical score in each of 5 domains. Agreement between results was assessed for 1) concurrent searches with Google and Bing; 2) Google searches over time (6 months apart); 3) Google searches using mobile and PC platforms concurrently; and 4) searches using privacy settings. Readability was assessed with an online analytical tool. RESULTS Google and Bing searches yielded information with similar CRAAP scores (mean 72% and 75%, respectively), but with frequently differing results (58% concordance/matching results). There was a high level of agreement (72% concordance) over time for Google searches and also between searches using general and privacy settings (92% concordance). Government sources scored the best in both CRAAP score and readability. Hospitals and universities were the most prevalent sources, but these sources had the lowest CRAAP scores, due in part to an abundance of self-marketing. The CRAAP scores for mobile and desktop platforms did not differ significantly (p = 0.49). CONCLUSIONS Google and Bing searches yielded useful educational information, using either mobile or PC platforms. Most

Long Pulse Integrator of Variable Integral Time Constant

International Nuclear Information System (INIS)

Wang Yong; Ji Zhenshan; Du Xiaoying; Wu Yichun; Li Shi; Luo Jiarong

2010-01-01

A kind of new long pulse integrator was designed based on the method of variable integral time constant and deducting integral drift by drift slope. The integral time constant can be changed by choosing different integral resistors, in order to improve the signal-to-noise ratio, and avoid output saturation; the slope of integral drift of a certain period of time can be calculated by digital signal processing, which can be used to deduct the drift of original integral signal in real time to reduce the integral drift. The tests show that this kind of long pulse integrator is good at reducing integral drift, which also can eliminate the effects of changing integral time constant. According to experiments, the integral time constant can be changed by remote control and manual adjustment of integral drift is avoided, which can improve the experiment efficiency greatly and can be used for electromagnetic measurement in Tokamak experiment. (authors)

Making an Informed Decision on Freshwater Management by Integrating Remote Sensing Data with Traditional Data

Science.gov (United States)

Hyon, Jason J.

2012-01-01

The US National Research Council (NRC) recommended that: "The U.S. government, working in concert with the private sector, academe, the public, and its international partners, should renew its investment in Earth-observing systems and restore its leadership in Earth science and applications." in response to the NASA Earth Science Division's request to prioritize research areas, observations, and notional missions to make those objectives. In this presentation, we will discuss our approach to connect remote sensing science to decision support applications by establishing a framework to integrate direct measurements, earth system models, inventories, and other information to accurately estimate fresh water resources in global, regional, and local scales. We will discuss our demonstration projects and lessons learned from the experience. Deploying a monitoring system that offers sustained, accurate, transparent and relevant information represents a challenge and opportunity to a broad community spanning earth science, water resource accounting and public policy. An introduction to some of the scientific and technical infrastructure issues associated with monitoring systems is offered here to encourage future treatment of these topics by other contributors as a concluding remark.

Remote Sensing Information Sciences Research Group, Santa Barbara Information Sciences Research Group, year 3

Science.gov (United States)

Estes, J. E.; Smith, T.; Star, J. L.

1986-01-01

Research continues to focus on improving the type, quantity, and quality of information which can be derived from remotely sensed data. The focus is on remote sensing and application for the Earth Observing System (Eos) and Space Station, including associated polar and co-orbiting platforms. The remote sensing research activities are being expanded, integrated, and extended into the areas of global science, georeferenced information systems, machine assissted information extraction from image data, and artificial intelligence. The accomplishments in these areas are examined.

1999 IEEE international geoscience and remote sensing symposium

Energy Technology Data Exchange (ETDEWEB)

NONE

1999-07-01

The theme of IGARSS'99, ``Remote Sensing of the System Earth--A Challenge for the 21st Century,'' shows how earth observation based on satellite remote sensing can significantly contribute to the future study of the environment and the changes it is undergoing, whether from natural causes or human activities. The wide range of topics offers an interdisciplinary approach and suggests integrated techniques and theory in remote sensing are essential for modeling and understanding the environment. Topics covered include: new instrumentation and future systems; high resolution SAR/InSAR; earth system science educational initiative; data fusion; radar sensing of ice sheets; image processing techniques; clouds and ice particles; internal waves; natural hazards and disaster monitoring; advanced passive and active sensors and sensor calibration; radar assessment of rain, oil spills and natural slicks; data standards and distribution; and vegetation monitoring using BRDF approaches.

A systematic framework for Monte Carlo simulation of remote sensing errors map in carbon assessments

Science.gov (United States)

S. Healey; P. Patterson; S. Urbanski

2014-01-01

Remotely sensed observations can provide unique perspective on how management and natural disturbance affect carbon stocks in forests. However, integration of these observations into formal decision support will rely upon improved uncertainty accounting. Monte Carlo (MC) simulations offer a practical, empirical method of accounting for potential remote sensing errors...

Three-dimensional printing: technologies, applications, and limitations in neurosurgery.

Science.gov (United States)

Pucci, Josephine U; Christophe, Brandon R; Sisti, Jonathan A; Connolly, Edward S

2017-09-01

Three-dimensional (3D) printers are a developing technology penetrating a variety of markets, including the medical sector. Since its introduction to the medical field in the late 1980s, 3D printers have constructed a range of devices, such as dentures, hearing aids, and prosthetics. With the ultimate goals of decreasing healthcare costs and improving patient care and outcomes, neurosurgeons are utilizing this dynamic technology, as well. Digital Imaging and Communication in Medicine (DICOM) can be translated into Stereolithography (STL) files, which are then read and methodically built by 3D Printers. Vessels, tumors, and skulls are just a few of the anatomical structures created in a variety of materials, which enable surgeons to conduct research, educate surgeons in training, and improve pre-operative planning without risk to patients. Due to the infancy of the field and a wide range of technologies with varying advantages and disadvantages, there is currently no standard 3D printing process for patient care and medical research. In an effort to enable clinicians to optimize the use of additive manufacturing (AM) technologies, we outline the most suitable 3D printing models and computer-aided design (CAD) software for 3D printing in neurosurgery, their applications, and the limitations that need to be overcome if 3D printers are to become common practice in the neurosurgical field. Copyright © 2017 Elsevier Inc. All rights reserved.

Novel remote monitoring platform for RES-hydrogen based smart microgrid

International Nuclear Information System (INIS)

González, I.; Calderón, A.J.; Andújar, J.M.

2017-01-01

Highlights: • A remote monitoring platform is developed to monitor an experimental smart microgrid. • Smart microgrid integrates renewable energy sources (solar and wind) and hydrogen. • The platform is implemented using open-source tool Easy Java/Javascript Simulations. • Remote user accesses online to graphical/numerical information of all components. • Results show proper operation of the SMG and prove effective real-time monitoring. - Abstract: In the context of the future power grids – Smart Grids (SGs) – Smart MicroGrids (SMGs) play a paramount role. These ones are very specific portions of the SGs that deal with integration of small-rated distributed energy and storage resources closer to the loads – chiefly within the distribution domain. Data acquisition and monitoring tasks are vital functions that must be developed at every stage of the grid for a proper operation. This paper presents a remote monitoring platform (RMP) to monitor an experimental SMG. It integrates Renewable Energy Sources (RESs) (solar and wind) and hydrogen to operate in isolated regime. The RMP has been developed using the open-source authoring tool Easy Java/Javascript Simulations (EJsS). The interface has been designed to be intuitive and easy-to-use, providing real-time information of all the involved magnitudes over the network. Scalability, easy development, portability and cost effective are the main features of the proposed framework. The microgrid and the proposed monitoring platform are described and the successful results are reported. The remote user executes a ready-to-use file with low computational requirements and is enabled to graphically and numerically track the SMG behaviour. These results prove the suitability of the RMP as an effective means for continuous visualization of the coordinated energy flows of a real SMG.

Service-Oriented Security Framework for Remote Medical Services in the Internet of Things Environment

Science.gov (United States)

Lee, Jae Dong; Yoon, Tae Sik; Chung, Seung Hyun

2015-01-01

Objectives Remote medical services have been expanding globally, and this is expansion is steadily increasing. It has had many positive effects, including medical access convenience, timeliness of service, and cost reduction. The speed of research and development in remote medical technology has been gradually accelerating. Therefore, it is expected to expand to enable various high-tech information and communications technology (ICT)-based remote medical services. However, the current state lacks an appropriate security framework that can resolve security issues centered on the Internet of things (IoT) environment that will be utilized significantly in telemedicine. Methods This study developed a medical service-oriented frame work for secure remote medical services, possessing flexibility regarding new service and security elements through its service-oriented structure. First, the common architecture of remote medical services is defined. Next medical-oriented secu rity threats and requirements within the IoT environment are identified. Finally, we propose a "service-oriented security frame work for remote medical services" based on previous work and requirements for secure remote medical services in the IoT. Results The proposed framework is a secure framework based on service-oriented cases in the medical environment. A com parative analysis focusing on the security elements (confidentiality, integrity, availability, privacy) was conducted, and the analysis results demonstrate the security of the proposed framework for remote medical services with IoT. Conclusions The proposed framework is service-oriented structure. It can support dynamic security elements in accordance with demands related to new remote medical services which will be diversely generated in the IoT environment. We anticipate that it will enable secure services to be provided that can guarantee confidentiality, integrity, and availability for all, including patients, non-patients, and medical

Service-Oriented Security Framework for Remote Medical Services in the Internet of Things Environment.

Science.gov (United States)

Lee, Jae Dong; Yoon, Tae Sik; Chung, Seung Hyun; Cha, Hyo Soung

2015-10-01

Remote medical services have been expanding globally, and this is expansion is steadily increasing. It has had many positive effects, including medical access convenience, timeliness of service, and cost reduction. The speed of research and development in remote medical technology has been gradually accelerating. Therefore, it is expected to expand to enable various high-tech information and communications technology (ICT)-based remote medical services. However, the current state lacks an appropriate security framework that can resolve security issues centered on the Internet of things (IoT) environment that will be utilized significantly in telemedicine. This study developed a medical service-oriented frame work for secure remote medical services, possessing flexibility regarding new service and security elements through its service-oriented structure. First, the common architecture of remote medical services is defined. Next medical-oriented secu rity threats and requirements within the IoT environment are identified. Finally, we propose a "service-oriented security frame work for remote medical services" based on previous work and requirements for secure remote medical services in the IoT. The proposed framework is a secure framework based on service-oriented cases in the medical environment. A com parative analysis focusing on the security elements (confidentiality, integrity, availability, privacy) was conducted, and the analysis results demonstrate the security of the proposed framework for remote medical services with IoT. The proposed framework is service-oriented structure. It can support dynamic security elements in accordance with demands related to new remote medical services which will be diversely generated in the IoT environment. We anticipate that it will enable secure services to be provided that can guarantee confidentiality, integrity, and availability for all, including patients, non-patients, and medical staff.

Supervision, support and mentoring interventions for health practitioners in rural and remote contexts: an integrative review and thematic synthesis of the literature to identify mechanisms for successful outcomes

Science.gov (United States)

2014-01-01

Objective To identify mechanisms for the successful implementation of support strategies for health-care practitioners in rural and remote contexts. Design This is an integrative review and thematic synthesis of the empirical literature that examines support interventions for health-care practitioners in rural and remote contexts. Results This review includes 43 papers that evaluated support strategies for the rural and remote health workforce. Interventions were predominantly training and education programmes with limited evaluations of supervision and mentoring interventions. The mechanisms associated with successful outcomes included: access to appropriate and adequate training, skills and knowledge for the support intervention; accessible and adequate resources; active involvement of stakeholders in programme design, implementation and evaluation; a needs analysis prior to the intervention; external support, organisation, facilitation and/or coordination of the programme; marketing of the programme; organisational commitment; appropriate mode of delivery; leadership; and regular feedback and evaluation of the programme. Conclusion Through a synthesis of the literature, this research has identified a number of mechanisms that are associated with successful support interventions for health-care practitioners in rural and remote contexts. This research utilised a methodology developed for studying complex interventions in response to the perceived limitations of traditional systematic reviews. This synthesis of the evidence will provide decision-makers at all levels with a collection of mechanisms that can assist the development and implementation of support strategies for staff in rural and remote contexts. PMID:24521004

Use of Geophysical and Remote Sensing Techniques During the Comprehensive Test Ban Treaty Organization's Integrated Field Exercise 2014

Science.gov (United States)

Labak, Peter; Sussman, Aviva; Rowlands, Aled; Chiappini, Massimo; Malich, Gregor; MacLeod, Gordon; Sankey, Peter; Sweeney, Jerry; Tuckwell, George

2016-04-01

The Integrated Field Exercise of 2014 (IFE14) was a field event held in the Hashemite Kingdom of Jordan (with concurrent activities in Austria) that tested the operational and technical capabilities of a Comprehensive Test Ban Treaty's (CTBT) on-site inspection (OSI). During an OSI, up to 40 inspectors search a 1000km2 inspection area for evidence of a nuclear explosion. Over 250 experts from ~50 countries were involved in IFE14 (the largest simulation of an OSI to date) and worked from a number of different directions, such as the Exercise Management and Control Teams to execute the scenario in which the exercise was played, to those participants performing as members of the Inspection Team (IT). One of the main objectives of IFE14 was to test Treaty allowed inspection techniques, including a number of geophysical and remote sensing methods. In order to develop a scenario in which the simulated exercise could be carried out, a number of physical features in the IFE14 inspection area were designed and engineered by the Scenario Task Force Group (STF) that the IT could detect by applying the geophysical and remote sensing inspection technologies, as well as other techniques allowed by the CTBT. For example, in preparation for IFE14, the STF modeled a seismic triggering event that was provided to the IT to prompt them to detect and localize aftershocks in the vicinity of a possible explosion. Similarly, the STF planted shallow targets such as borehole casings and pipes for detection by other geophysical methods. In addition, airborne technologies, which included multi-spectral imaging, were deployed such that the IT could identify freshly exposed surfaces, imported materials and other areas that had been subject to modification. This presentation will introduce the CTBT and OSI, explain the IFE14 in terms of goals specific to geophysical and remote sensing methods, and show how both the preparation for and execution of IFE14 meet those goals.

Mapping migratory bird prevalence using remote sensing data fusion.

Science.gov (United States)

Swatantran, Anu; Dubayah, Ralph; Goetz, Scott; Hofton, Michelle; Betts, Matthew G; Sun, Mindy; Simard, Marc; Holmes, Richard

2012-01-01

Improved maps of species distributions are important for effective management of wildlife under increasing anthropogenic pressures. Recent advances in lidar and radar remote sensing have shown considerable potential for mapping forest structure and habitat characteristics across landscapes. However, their relative efficacies and integrated use in habitat mapping remain largely unexplored. We evaluated the use of lidar, radar and multispectral remote sensing data in predicting multi-year bird detections or prevalence for 8 migratory songbird species in the unfragmented temperate deciduous forests of New Hampshire, USA. A set of 104 predictor variables describing vegetation vertical structure and variability from lidar, phenology from multispectral data and backscatter properties from radar data were derived. We tested the accuracies of these variables in predicting prevalence using Random Forests regression models. All data sets showed more than 30% predictive power with radar models having the lowest and multi-sensor synergy ("fusion") models having highest accuracies. Fusion explained between 54% and 75% variance in prevalence for all the birds considered. Stem density from discrete return lidar and phenology from multispectral data were among the best predictors. Further analysis revealed different relationships between the remote sensing metrics and bird prevalence. Spatial maps of prevalence were consistent with known habitat preferences for the bird species. Our results highlight the potential of integrating multiple remote sensing data sets using machine-learning methods to improve habitat mapping. Multi-dimensional habitat structure maps such as those generated from this study can significantly advance forest management and ecological research by facilitating fine-scale studies at both stand and landscape level.

Remote Sensing Information Science Research

Science.gov (United States)

Clarke, Keith C.; Scepan, Joseph; Hemphill, Jeffrey; Herold, Martin; Husak, Gregory; Kline, Karen; Knight, Kevin

2002-01-01

This document is the final report summarizing research conducted by the Remote Sensing Research Unit, Department of Geography, University of California, Santa Barbara under National Aeronautics and Space Administration Research Grant NAG5-10457. This document describes work performed during the period of 1 March 2001 thorough 30 September 2002. This report includes a survey of research proposed and performed within RSRU and the UCSB Geography Department during the past 25 years. A broad suite of RSRU research conducted under NAG5-10457 is also described under themes of Applied Research Activities and Information Science Research. This research includes: 1. NASA ESA Research Grant Performance Metrics Reporting. 2. Global Data Set Thematic Accuracy Analysis. 3. ISCGM/Global Map Project Support. 4. Cooperative International Activities. 5. User Model Study of Global Environmental Data Sets. 6. Global Spatial Data Infrastructure. 7. CIESIN Collaboration. 8. On the Value of Coordinating Landsat Operations. 10. The California Marine Protected Areas Database: Compilation and Accuracy Issues. 11. Assessing Landslide Hazard Over a 130-Year Period for La Conchita, California Remote Sensing and Spatial Metrics for Applied Urban Area Analysis, including: (1) IKONOS Data Processing for Urban Analysis. (2) Image Segmentation and Object Oriented Classification. (3) Spectral Properties of Urban Materials. (4) Spatial Scale in Urban Mapping. (5) Variable Scale Spatial and Temporal Urban Growth Signatures. (6) Interpretation and Verification of SLEUTH Modeling Results. (7) Spatial Land Cover Pattern Analysis for Representing Urban Land Use and Socioeconomic Structures. 12. Colorado River Flood Plain Remote Sensing Study Support. 13. African Rainfall Modeling and Assessment. 14. Remote Sensing and GIS Integration.

In-vessel remote maintenance of the Compact Ignition Tokamak

International Nuclear Information System (INIS)

Tabor, M.A.; Hager, E.R.; Creedon, R.L.; Fisher, M.V.; Atkin, S.D.

1987-01-01

The Compact Ignition Tokamak (CIT) is the first deuterium-tritium (D-T) fusion device that will study the physics of an ignited plasma. The ability of the tokamak vacuum vessel to be maintained remotely while under vacuum has not been fully demonstrated on previous machines, and this ability will be critical to the efficient and safe operation of ignition devices. Although manned entry into the CIT vacuum vessel will be possible during the nonactivated stages of operation, remotely automated equipment will be used to assist in initial assembly of the vessel as well as to maintain all in-vessel components once the D-T burn is achieved. Remote maintenance and operation will be routinely required for replacement of thermal protection tiles, inspection of components, leak detection, and repair welding activities. Conceptual design to support these remote maintenance activities has been integrated with the conceptual design of the in-vessel components to provide a complete and practical remote maintenance system for CIT. The primary remote assembly and maintenance operations on CIT will be accomplished through two dedicated 37- x 100-cm ports on the main toroidal vessel. Each port contains a single articulated boom manipulator (ABM), which is capable of accessing half of the torus. The proposed ABM consists of a movable carriage assembly, telescoping two-part mast, and articulated link sections. 1 ref

Use of Remote Sensing to Support Forest and Wetlands Policies in the USA

Directory of Open Access Journals (Sweden)

Audrey L. Mayer

2011-06-01

Full Text Available The use of remote sensing for environmental policy development is now quite common and well-documented, as images from remote sensing platforms are often used to focus attention on emerging environmental issues and spur debate on potential policy solutions. However, its use in policy implementation and evaluation has not been examined in much detail. Here we examine the use of remote sensing to support the implementation and enforcement of policies regarding the conservation of forests and wetlands in the USA. Specifically, we focus on the “Roadless Rule” and “Travel Management Rules” as enforced by the US Department of Agriculture Forest Service on national forests, and the “No Net Loss” policy and Clean Water Act for wetlands on public and private lands, as enforced by the US Environmental Protection Agency and the US Army Corps of Engineers. We discuss several national and regional examples of how remote sensing for forest and wetland conservation has been effectively integrated with policy decisions, along with barriers to further integration. Some of these barriers are financial and technical (such as the lack of data at scales appropriate to policy enforcement, while others are political.

Towards automated statewide land cover mapping in Wisconsin using satellite remote sensing and GIS techniques

International Nuclear Information System (INIS)

Cosentino, B.L.; Lillesand, T.M.

1991-01-01

Attention is given to an initial research project being performed by the University of Wisconsin-Madison, Environmental Remote Sensing Center in conjunction with seven local, state, and federal agencies to implement automated statewide land cover mapping using satellite remote sensing and geographical information system (GIS) techniques. The basis, progress, and future research needs for this mapping program are presented. The research efforts are directed toward strategies that integrate satellite remote sensing and GIS techniques in the generation of land cover data for multiple users of land cover information. The project objectives are to investigate methodologies that integrate satellite data with other imagery and spatial data resident in emerging GISs in the state for particular program needs, and to develop techniques that can improve automated land cover mapping efficiency and accuracy. 10 refs

Remote monitoring of cardiovascular implanted electronic devices: a paradigm shift for the 21st century.

Science.gov (United States)

Cronin, Edmond M; Varma, Niraj

2012-07-01

Traditional follow-up of cardiac implantable electronic devices involves the intermittent download of largely nonactionable data. Remote monitoring represents a paradigm shift from episodic office-based follow-up to continuous monitoring of device performance and patient and disease state. This lessens device clinical burden and may also lead to cost savings, although data on economic impact are only beginning to emerge. Remote monitoring technology has the potential to improve the outcomes through earlier detection of arrhythmias and compromised device integrity, and possibly predict heart failure hospitalizations through integration of heart failure diagnostics and hemodynamic monitors. Remote monitoring platforms are also huge databases of patients and devices, offering unprecedented opportunities to investigate real-world outcomes. Here, the current status of the field is described and future directions are predicted.

Reducing uncertainty for estimating forest carbon stocks and dynamics using integrated remote sensing, forest inventory and process-based modeling

Science.gov (United States)

Poulter, B.; Ciais, P.; Joetzjer, E.; Maignan, F.; Luyssaert, S.; Barichivich, J.

2015-12-01

Accurately estimating forest biomass and forest carbon dynamics requires new integrated remote sensing, forest inventory, and carbon cycle modeling approaches. Presently, there is an increasing and urgent need to reduce forest biomass uncertainty in order to meet the requirements of carbon mitigation treaties, such as Reducing Emissions from Deforestation and forest Degradation (REDD+). Here we describe a new parameterization and assimilation methodology used to estimate tropical forest biomass using the ORCHIDEE-CAN dynamic global vegetation model. ORCHIDEE-CAN simulates carbon uptake and allocation to individual trees using a mechanistic representation of photosynthesis, respiration and other first-order processes. The model is first parameterized using forest inventory data to constrain background mortality rates, i.e., self-thinning, and productivity. Satellite remote sensing data for forest structure, i.e., canopy height, is used to constrain simulated forest stand conditions using a look-up table approach to match canopy height distributions. The resulting forest biomass estimates are provided for spatial grids that match REDD+ project boundaries and aim to provide carbon estimates for the criteria described in the IPCC Good Practice Guidelines Tier 3 category. With the increasing availability of forest structure variables derived from high-resolution LIDAR, RADAR, and optical imagery, new methodologies and applications with process-based carbon cycle models are becoming more readily available to inform land management.

Investigating the scope of resident patient care handoffs within neurosurgery.

Science.gov (United States)

Babu, Maya A; Nahed, Brian V; Heary, Robert F

2012-01-01

Handoffs are defined as verbal and written communications during patient care transitions. With the passage of recent ACMGE work hour rules further limiting the hours interns can spend in the hospital, many fear that more handoffs will occur, putting patient safety at risk. The issue of handoffs has not been studied in the neurosurgical literature. A validated, 20-question online-survey was sent to neurosurgical residents in all 98 accredited U.S. neurosurgery programs. Survey results were analyzed using tabulations. 449 surveys were completed yielding a 56% response rate. 63% of neurosurgical residents surveyed had not received formal instruction in what constitutes an effective handoff; 24% believe there is high to moderate variability among their co-residents in terms of the quality of the handoff provided; 55% experience three or more interruptions during handoffs on average. 90% of neurosurgical residents surveyed say that handoff most often occurs in a quiet, private area and 56% report a high level of comfort for knowing the potential acute, critical issues affecting a patient when receiving a handoff. There needs to be more focused education devoted to learning effective patient-care handoffs in neurosurgical training programs. Increasingly, handing off a patient adequately and safely is becoming a required skill of residency.

Investigating the scope of resident patient care handoffs within neurosurgery.

Directory of Open Access Journals (Sweden)

Maya A Babu

Full Text Available INTRODUCTION: Handoffs are defined as verbal and written communications during patient care transitions. With the passage of recent ACMGE work hour rules further limiting the hours interns can spend in the hospital, many fear that more handoffs will occur, putting patient safety at risk. The issue of handoffs has not been studied in the neurosurgical literature. METHODS: A validated, 20-question online-survey was sent to neurosurgical residents in all 98 accredited U.S. neurosurgery programs. Survey results were analyzed using tabulations. RESULTS: 449 surveys were completed yielding a 56% response rate. 63% of neurosurgical residents surveyed had not received formal instruction in what constitutes an effective handoff; 24% believe there is high to moderate variability among their co-residents in terms of the quality of the handoff provided; 55% experience three or more interruptions during handoffs on average. 90% of neurosurgical residents surveyed say that handoff most often occurs in a quiet, private area and 56% report a high level of comfort for knowing the potential acute, critical issues affecting a patient when receiving a handoff. CONCLUSIONS: There needs to be more focused education devoted to learning effective patient-care handoffs in neurosurgical training programs. Increasingly, handing off a patient adequately and safely is becoming a required skill of residency.

Operative Duration and Risk of Surgical Site Infection in Neurosurgery.

Science.gov (United States)

Bekelis, Kimon; Coy, Shannon; Simmons, Nathan

2016-10-01

The association of surgical duration with the risk of surgical site infection (SSI) has not been quantified in neurosurgery. We investigated the association of operative duration in neurosurgical procedures with the incidence of SSI. We performed a retrospective cohort study involving patients who underwent neurosurgical procedures from 2005 to 2012 and were registered in the American College of Surgeons National Quality Improvement Project registry. To control for confounding, we used multivariable regression models and propensity score conditioning. During the study period there were 94,744 patients who underwent a neurosurgical procedure and met the inclusion criteria. Of these patients, 4.1% developed a postoperative SSI within 30 days. Multivariable logistic regression showed an association between longer operative duration with higher incidence of SSI (odds ratio [OR], 1.18; 95% confidence interval [CI], 1.16-1.20). Compared with procedures of moderate duration (third quintile, 40th-60th percentile), patients undergoing the longest procedures (>80th percentile) had higher odds (OR, 2.07; 95% CI, 1.86-2.31) of developing SSI. The shortest procedures (operative duration was associated with increased incidence of SSI for neurosurgical procedures. These results can be used by neurosurgeons to inform operative management and to stratify patients with regard to SSI risk. Copyright © 2016 Elsevier Inc. All rights reserved.

First Experiences in Intensity Modulated Radiation Surgery at the National Institute of Neurology and Neurosurgery: A Dosimetric Point of View

Science.gov (United States)

Lárraga-Gutiérrez, José M.; Celis-López, Miguel A.

2003-09-01

The National Institute of Neurology and Neurosurgery in Mexico City has acquired a Novalis® shaped beam radiosurgery unit. The institute is pioneer in the use of new technologies for neuroscience. The Novalis® unit allows the use of conformal beam radiosurgery/therapy and the more advanced modality of conformal therapy: Intensity Modulated Radiation Therapy (IMRT). In the present work we present the first cases of treatments that use the IMRT technique and show its ability to protect organs at risk, such as brainstem and optical vias.

First Experiences in Intensity Modulated Radiation Surgery at the National Institute of Neurology and Neurosurgery: A Dosimetric Point of View

International Nuclear Information System (INIS)

Larraga-Gutierrez, Jose M.; Celis-Lopez, Miguel A.

2003-01-01

The National Institute of Neurology and Neurosurgery in Mexico City has acquired a Novalis registered shaped beam radiosurgery unit. The institute is pioneer in the use of new technologies for neuroscience. The Novalis registered unit allows the use of conformal beam radiosurgery/therapy and the more advanced modality of conformal therapy: Intensity Modulated Radiation Therapy (IMRT). In the present work we present the first cases of treatments that use the IMRT technique and show its ability to protect organs at risk, such as brainstem and optical vias

Wildfire monitoring via the integration of remote sensing with innovative information technologies

Science.gov (United States)

Kontoes, C.; Papoutsis, I.; Michail, D.; Herekakis, Th.; Koubarakis, M.; Kyzirakos, K.; Karpathiotakis, M.; Nikolaou, C.; Sioutis, M.; Garbis, G.; Vassos, S.; Keramitsoglou, I.; Kersten, M.; Manegold, S.; Pirk, H.

2012-04-01

In the Institute for Space Applications and Remote Sensing of the National Observatory of Athens (ISARS/NOA) volumes of Earth Observation images of different spectral and spatial resolutions are being processed on a systematic basis to derive thematic products that cover a wide spectrum of applications during and after wildfire crisis, from fire detection and fire-front propagation monitoring, to damage assessment in the inflicted areas. The processed satellite imagery is combined with auxiliary geo-information layers, including land use/land cover, administrative boundaries, road and rail network, points of interest, and meteorological data to generate and validate added-value fire-related products. The service portfolio has become available to institutional End Users with a mandate to act on natural disasters and that have activated Emergency Support Services at a European level in the framework of the operational GMES projects SAFER and LinkER. Towards the goal of delivering integrated services for fire monitoring and management, ISARS/NOA employs observational capacities which include the operation of MSG/SEVIRI and NOAA/AVHRR receiving stations, NOA's in-situ monitoring networks for capturing meteorological parameters to generate weather forecasts, and datasets originating from the European Space Agency and third party satellite operators. The qualified operational activity of ISARS/NOA in the domain of wildfires management is highly enhanced by the integration of state-of-the-art Information Technologies that have become available in the framework of the TELEIOS (EC/ICT) project. TELEIOS aims at the development of fully automatic processing chains reliant on a) the effective storing and management of the large amount of EO and GIS data, b) the post-processing refinement of the fire products using semantics, and c) the creation of thematic maps and added-value services. The first objective is achieved with the use of advanced Array Database technologies, such

Design of remote handled process assemblies for the process facility modifications project

International Nuclear Information System (INIS)

Smets, J.L.; Ajifu, D.A.

1987-01-01

The modular design philosophy for the process facility modification project utilizes an integrated design of components to facilitate operations and maintenance of nuclear fuel reprocessing equipment in a hot cell environment. The utilization of a matrix of remoteable base frames combines with process equipment designed as remote assemblies and sub-assemblies has simplified the overall design. Modularity will allow future flexibility while providing advantages for construction and maintenance in the initial installation

Monitoring Shoreline Change using Remote Sensing and GIS: A ...

African Journals Online (AJOL)

Key words: remote sensing, geographic information system (GIS), aerial photographs, shoreline change. Data from aerial photographs taken in 1981, 1992 and 2002 of the Kunduchi shoreline off the Dar es Salaam coast were integrated in a geographic information system (GIS) to determine shoreline change in that locality.

CP-5 reactor remote dismantlement activities: Lessons learned in the integration of new technology in an operations environment

International Nuclear Information System (INIS)

Noakes, M.W.

1998-01-01

This paper presents the developer's perspective on lessons learned from one example of the integration of new prototype technology into a traditional operations environment. The dual arm work module was developed by the Robotics Technology Development Program as a research and development activity to examine manipulator controller modes and deployment options. It was later reconfigured for the dismantlement of the Argonne National Laboratory Chicago Pile No. 5 reactor vessel as the crane-deployed dual arm work platform. Development staff worked along side operations staff during a significant part of the deployment to provide training, maintenance, and tooling support. Operations staff completed all actual remote dismantlement tasks. At the end of available development support funding, the Dual Arm Work Platform was turned over to the operations staff, who are still using it to complete their dismantlement tasks

Quantifying Changes of Villages in the Urbanizing Beijing Metropolitan Region: Integrating Remote Sensing and GIS Analysis

Directory of Open Access Journals (Sweden)

Kun Wang

2017-05-01

Full Text Available Rapid urbanization has resulted in great changes in rural landscapes globally. Using remote sensing data to quantify the distribution of rural settlements and their changes has received increasing attention in the past three decades, but remains a challenge. Previous studies mostly focused on the residential changes within a grid or administrative boundary, but not at the individual village level. This paper presents a new change detection approach for rural residential settlements, which can identify different types of rural settlement changes at the individual village level by integrating remote sensing and Geographic Information System (GIS analyses. Using multi-temporal Landsat TM image data, this approach classifies villages into five types: “no change”, “totally lost”, “shrinking”, “expanding”, and “merged”, in contrast to the commonly used “increase” and “decrease”. This approach was tested in the Beijing metropolitan area from 1984 to 2010. Additionally, the drivers of such changes were investigated using multinomial logistic regression models. The results revealed that: (1 36% of the villages were lost, but the total area of developed lands in existing villages increased by 34%; (2 Changes were dominated by the type of ‘expansion’ in 1984–1990 (accounted for 43.42% and 1990–2000 (56.21%. However, from 2000 to 2010, 49.73% of the villages remained unchanged; (3 Both topographical factors and distance factors had significant effects on whether the villages changed or not, but their impacts changed through time. The topographical driving factors showed decreasing effects on the loss of rural settlements, while distance factors had increasing impacts on settlement expansion and merging. This approach provides a useful tool for better understanding the changes in rural residential settlements and their associations with urbanization.

Application of remote sensing and Geographic Information Systems to ecosystem-based urban natural resource management

Science.gov (United States)

Xiaohui Zhang; George Ball; Eve Halper

2000-01-01

This paper presents an integrated system to support urban natural resource management. With the application of remote sensing (RS) and geographic information systems (GIS), the paper emphasizes the methodology of integrating information technology and a scientific basis to support ecosystem-based management. First, a systematic integration framework is developed and...

Remote supervision of GIS monitoring system

Energy Technology Data Exchange (ETDEWEB)

Pannunzio, J.; Juge, P.; Ficheux, A.; Rayon, J.L. [Areva T and D Automation Canada Inc., Monteal, PQ (Canada)

2007-07-01

Operators of gas-insulated substations (GIS) are increasingly concerned with failure prevention, scheduled maintenance, personnel safety and shortage of maintenance crews. Until recently, the density levels of the insulating gas sulfur hexafluoride (SF6) was the only parameter controlled in gas-insulated substations. Modern digital type control and monitoring equipment have been widely used in the past decade. Remote indication of gas density and status of dynamic components was made possible and shown on local control panels. Modern GIS monitoring systems offer features such as SF6 monitoring, SF6 leakage trends, internal arc localization and detection. The required information is recorded in a local computer and displaced onto a local human machine interface (HMI) or a local industrial PC mounted next to the GIS. These monitoring systems are used as decision making tools to facilitate maintenance activities and optimize the management of assets. This paper presented the latest developments in digital monitoring systems in terms of modern digital architecture; management of information flows between monitoring systems and control systems; operation of remote supervision; configuration of high voltage substations and information sharing; and, types of links between GIS room and remote supervision. This paper also demonstrated what can be achieved by moving the central HMI of a GIS monitoring system to the decision-making centres. It was shown that integrated features that allow remote on-line or automated management have reached an acceptable level of reliability and comfort for operators. 5 figs.

Rivaling Paradigms in Psychiatric Neurosurgery: Adjustability versus Quick Fix versus Minimal-Invasiveness

Directory of Open Access Journals (Sweden)

Müller eSabine

2015-04-01

Full Text Available In the wake of deep brain stimulation (DBS development, ablative neurosurgical procedures are seeing a comeback, although they had been discredited and nearly completely abandoned in the 1970ies because of their unethical practice. Modern stereotactic ablative procedures as thermal or radiofrequency ablation, and particularly radiosurgery (e.g., Gamma Knife are much safer than the historical procedures, so that a re-evaluation of this technique is required. The different approaches of modern psychiatric neurosurgery refer to different paradigms: Microsurgical ablative procedures is based on the paradigm ‘quick fix’, radiosurgery on the paradigm ‘minimal-invasiveness’, and DBS on the paradigm ‘adjustability’.From a mere medical perspective, none of the procedures is absolutely superior; rather, they have different profiles of advantages and disadvantages. Therefore, individual factors are crucial in decision-making, particularly the patients’ social situation, individual preferences, and individual attitudes.The different approaches are not only rivals, but also enriching mutually. DBS is preferable for exploring new targets, which may become candidates for ablative microsurgery or radiosurgery.

Integrated Monitoring and Modeling of Carbon Dioxide Leakage Risk Using Remote Sensing, Ground-Based Monitoring, Atmospheric Models and Risk-Indexing Tools

Science.gov (United States)

Burton, E. A.; Pickles, W. L.; Gouveia, F. J.; Bogen, K. T.; Rau, G. H.; Friedmann, J.

2006-12-01

Correct assessment of the potential for CO2 leakage to the atmosphere or near surface is key to managing the risk associated with CO2 storage. Catastrophic, point-source leaks, diffuse seepage, and low leakage rates all merit assessment. Smaller leaks may be early warnings of catastrophic failures, and may be sufficient to damage natural vegetation or crops. Small leaks also may lead to cumulative build-up of lethal levels of CO2 in enclosed spaces, such as basements, groundwater-well head spaces, and caverns. Working with our ZERT partners, we are integrating a variety of monitoring and modeling approaches to understand how to assess potential health, property and environmental risks across this spectrum of leakage types. Remote sensing offers a rapid technique to monitor large areas for adverse environmental effects. If it can be deployed prior to the onset of storage operations, remote sensing also can document baseline conditions against which future claims of environmental damage can be compared. LLNL has been using hyperspectral imaging to detect plant stress associated with CO2 gas leakage, and has begun investigating use of NASA's new satellite or airborne instrumentation that directly measures gas compositions in the atmosphere. While remote sensing techniques have been criticized as lacking the necessary resolution to address environmental problems, new instruments and data processing techniques are demonstrated to resolve environmental changes at the scale associated with gas-leakage scenarios. During the shallow low-flow- CO2 release field experiments planned by ZERT, for the first time, we will have the opportunity to ground- truth hyperspectral data by simultaneous measurement of changes in hyperspectral readings, soil and root zone microbiology, ambient air, soil and aquifer CO2 concentrations. When monitoring data appear to indicate a CO2 leakage event, risk assessment and mitigation of that event requires a robust and nearly real-time method for

Domestic parking estimation using remotely sensed data

Science.gov (United States)

Ramzi, Ahmed

2012-10-01

Parking is an integral part of the traffic system everywhere. Provision of parking facilities to meet peak of demands parking in cities of millions is always a real challenge for traffic and transport experts. Parking demand is a function of population and car ownership which is obtained from traffic statistics. Parking supply in an area is the number of legal parking stalls available in that area. The traditional treatment of the parking studies utilizes data collected either directly from on street counting and inquiries or indirectly from local and national traffic censuses. Both methods consume time, efforts, and funds. Alternatively, it is reasonable to make use of the eventually available data based on remotely sensed data which might be flown for other purposes. The objective of this work is to develop a new approach based on utilization of integration of remotely sensed data, field measurements, censuses and traffic records of the studied area for studying domestic parking problems in residential areas especially in informal areas. Expected outcomes from the research project establish a methodology to manage the issue and to find the reasons caused the shortage in domestics and the solutions to overcome this problems.

Requirements for tokamak remote operation: Application to JT-60SA

International Nuclear Information System (INIS)

Innocente, Paolo; Barbato, Paolo; Farthing, Jonathan; Giruzzi, Gerardo; Ide, Shunsuke; Imbeaux, Frédéric; Joffrin, Emmanuel; Kamada, Yutaka; Kühner, Georg; Naito, Osamu; Urano, Hajime; Yoshida, Maiko

2015-01-01

Highlights: • We analyzed the data management system (DMS) appropriate for international collaboration. • We define the principal requirements for all components of the DMS. • We evaluated application of DMS requirements to the JT-60SA experiment. • We evaluated the role network bandwidth and time delay between EU and Japan. - Abstract: Remote operation and data analysis are becoming key requirements of any fusion devices. In this framework a well-conceived data management system integrated with a suite of analysis and support tools are essential components for an efficient remote exploitation of any fusion device. The following components must be considered: data archiving data model architecture; remote data and computers access; pulse schedule, data analysis software and support tools; remote control room specifications and security issues. The definition of a device-generic data model plays also important role in improving the ability to share solution and reducing learning time. As for the remote control room, the implementation of an Operation Request Gateway has been identified as an answer to security issues meanwhile remotely proving all the required features to effectively operate a device. Previous requirements have been analyzed for the new JT-60SA tokamak device. Remote exploitation is paramount in the JT-60SA case which is expected to be jointly operated between Japan and Europe. Due to the geographical distance of the two parties an optimal remote operation and remote data-analysis is considered as a key requirement in the development of JT-60SA. It this case the effects of network speed and delay have been also evaluated and tests have confirmed that the performance can vary significantly depending on the technology used.

Requirements for tokamak remote operation: Application to JT-60SA

Energy Technology Data Exchange (ETDEWEB)

Innocente, Paolo, E-mail: paolo.innocente@igi.cnr.it [Consorzio RFX, Corso Stati Uniti 4, 35127 Padova (Italy); Barbato, Paolo [Consorzio RFX, Corso Stati Uniti 4, 35127 Padova (Italy); Farthing, Jonathan [CCFE, Culham Science Centre, Abingdon OX14 3DB (United Kingdom); Giruzzi, Gerardo [CEA, IRFM, F-13108 Saint-Paul-lez-Durance (France); Ide, Shunsuke [Japan Atomic Energy Agency, Naka, Ibaraki-ken 311-0193 (Japan); Imbeaux, Frédéric; Joffrin, Emmanuel [CEA, IRFM, F-13108 Saint-Paul-lez-Durance (France); Kamada, Yutaka [Japan Atomic Energy Agency, Naka, Ibaraki-ken 311-0193 (Japan); Kühner, Georg [Max-Planck-Institute for Plasma Physics, EURATOM Association, Wendelsteinstr. 1, 17491 Greifswald (Germany); Naito, Osamu; Urano, Hajime; Yoshida, Maiko [Japan Atomic Energy Agency, Naka, Ibaraki-ken 311-0193 (Japan)

2015-10-15

Highlights: • We analyzed the data management system (DMS) appropriate for international collaboration. • We define the principal requirements for all components of the DMS. • We evaluated application of DMS requirements to the JT-60SA experiment. • We evaluated the role network bandwidth and time delay between EU and Japan. - Abstract: Remote operation and data analysis are becoming key requirements of any fusion devices. In this framework a well-conceived data management system integrated with a suite of analysis and support tools are essential components for an efficient remote exploitation of any fusion device. The following components must be considered: data archiving data model architecture; remote data and computers access; pulse schedule, data analysis software and support tools; remote control room specifications and security issues. The definition of a device-generic data model plays also important role in improving the ability to share solution and reducing learning time. As for the remote control room, the implementation of an Operation Request Gateway has been identified as an answer to security issues meanwhile remotely proving all the required features to effectively operate a device. Previous requirements have been analyzed for the new JT-60SA tokamak device. Remote exploitation is paramount in the JT-60SA case which is expected to be jointly operated between Japan and Europe. Due to the geographical distance of the two parties an optimal remote operation and remote data-analysis is considered as a key requirement in the development of JT-60SA. It this case the effects of network speed and delay have been also evaluated and tests have confirmed that the performance can vary significantly depending on the technology used.

Mixing console design for telematic applications in live performance and remote recording

Science.gov (United States)

Samson, David J.

The development of a telematic mixing console addresses audio engineers' need for a fully integrated system architecture that improves efficiency and control for applications such as distributed performance and remote recording. Current systems used in state of the art telematic performance rely on software-based interconnections with complex routing schemes that offer minimal flexibility or control over key parameters needed to achieve a professional workflow. The lack of hardware-based control in the current model limits the full potential of both the engineer and the system. The new architecture provides a full-featured platform that, alongside customary features, integrates (1) surround panning capability for motorized, binaural manikin heads, as well as all sources in the included auralization module, (2) self-labelling channel strips, responsive to change at all remote sites, (3) onboard roundtrip latency monitoring, (4) synchronized remote audio recording and monitoring, and (5) flexible routing. These features combined with robust parameter automation and precise analog control will raise the standard for telematic systems as well as advance the development of networked audio systems for both research and professional audio markets.