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Sample records for surgery rigs system

  1. A new concept drilling hoisting systems rigs

    Directory of Open Access Journals (Sweden)

    Jan Artymiuk

    2006-10-01

    Full Text Available In rig constructions two nev designs have been introduced apart from the conventional hoisting system. The first one is the Maritime Hydraulics A.S RamRig© drilling concept, based on hydraulic cylinders as actuators powered by up to 3.4 MW of hydraulic power in a closed loop hydraulic system. This synthesis of the well-known technology allows for the use of integrated active and passive heave compensation, as well as the storing and reuse of energy from the lowering phase of an operation. The RamRig concept makes mechanical brakes and clutches obsolete, since hoisting and lowering of the load is controlled solely by the closed loop hydraulics. This decreases the number of critical mechanical components in the hoisting system to a minimum. Safe handling and emergency shut down of extreme amounts of hydraulic power is taking care of by cartridge valves, which make rerouting of hydraulic power possible with minor losses of transferred effect.The second is a new land rig concept based on a patented rack & pinion drive system with a new generation of rigs which can instantly switch between the workover, drilling and the snubbing operations. The new rig concept has a direct drive, thus no drill line. The mobilization time is reduced as the rig has fewer truck loads, a faster rig up and a higher automation level. One land rig currently under construction will be the world’s first single operator unit, with a full pipe handling capability and a fully automated control system. The rig is fully equipped with the 250 T top drive which can be used for the rotation and snubbing, the purpose designed snubbing slips and other features supporting the multifunctional well operations. The paper will focus on features related to the land rig under construction, and how it may reduce the operational cost and improve the well performance.

  2. Rigged Hilbert spaces for chaotic dynamical systems

    Energy Technology Data Exchange (ETDEWEB)

    Suchanecki, Z. [International Solvay Institutes for Physics and Chemistry, CP 231, Campus Plaine ULB, Bd. du Triomphe, 1050 Brussels (Belgium)]|[Hugo Steinhaus Center and Institute of Mathematics, Wrocl/aw Technical University, ul. Wybrzeze Wyspianskiego 27, 50-370 Wroclaw (Poland); Antoniou, I. [International Solvay Institutes for Physics and Chemistry, CP 231, Campus Plaine ULB, Bd. du Triomphe, 1050 Brussels (Belgium)]|[Theoretische Natuurkunde Free University of Brussels; Tasaki, S. [International Solvay Institutes for Physics and Chemistry, CP 231, Campus Plaine ULB, Bd. du Triomphe, 1050 Brussels, Belgium and]|[Institute for Fundamental Chemistry 34-4 Takano Nishihiraki-cho Kyoto 606 (Japan); Bandtlow, O.F. [International Solvay Institutes for Physics and Chemistry, CP 231, Campus Plaine ULB, Bd. du Triomphe, 1050 Brussels (Belgium)]|[Cavendish Laboratory, University of Cambridge, Madingley Road, Cambridge CB30HE (United Kingdom)

    1996-11-01

    We consider the problem of rigging for the Koopman operators of the Renyi and the baker maps. We show that the rigged Hilbert space for the Renyi maps has some of the properties of a strict inductive limit and give a detailed description of the rigged Hilbert space for the baker maps. {copyright} {ital 1996 American Institute of Physics.}

  3. RIG-A New Management Information System for Railway Transportation

    Institute of Scientific and Technical Information of China (English)

    Jian-Bo Wang; Da-Ke He; Yan Xu

    2009-01-01

    A grid technology together with data warehouse and mediator is used to develop the railway transport management information system (TMIS), which is aiming at managing and publishing all kinds of enterprise resources among dynamic collections of such information systems with heterogeneous architectures and distributed in geography within Chinese Ministry of Railway. As one logical information integration framework and a uniform interface for accessing resources, a prototype named railway information grid (RIG) is proposed. Its main modules and the key technologies, together with its feasibility, are discussed in detail. RIG can not only provide the integral information service and the interoperability of information at the application level, but also bring us such benefits as: easy use, high efficiency, and reasonable total cost of ownership.

  4. Test Rig Design and Presentation for a Hydraulic Yaw System

    DEFF Research Database (Denmark)

    Stubkier, Søren; Pedersen, Henrik C.; Andersen, Torben Ole

    2013-01-01

    dynamics under real conditions. The behavior of the system is analyzed with regard to 20 years of operation. This is for example done by applying loads from different design load cases, e.g. normal turbulence, extreme turbulence and different fault scenarios on the turbine. The paper first presents...... an introduction with the current state of the art and problem description, followed by a system description, where the system is designed and dimensioned. Based on the design, results from the test rig are presented and analyzed. Finally a conclusion summing up the design, model and test results is given....

  5. The evaluation of secondary system oxygen-scavenging chemicals using a water-circulating rig

    Energy Technology Data Exchange (ETDEWEB)

    Collins, M.W. [Nuclear Dept., HMS Sultan (United Kingdom)

    2002-07-01

    To assess the efficiency, mode of action and possible by-products of chemical dosing agents, e.g. oxygen scavengers, a circulating water rig was constructed. The rig uses a demineralized water supply as a source of make-up water to fill a recirculating loop of approx. 10 litres volume. The rig pipework is made of polythene with standard off-the shelf pipe fittings and connectors. The following parameters can be measured within the rig: pH and conductivity measured by in-line monitor, dissolved oxygen level, temperature. The system has already been used for some preliminary testing. The following oxygen scavengers have been used for tests: ascorbic acid (vitamin C), N,N-diethyl-hydroxylamine (DEHA), Hydroquinone, hydrazine hydrate and anhydrous sodium sulfite. (authors)

  6. Design and Development of Hydraulic Disc Brake Systems for Well Servicing Rig Drawworks

    Institute of Scientific and Technical Information of China (English)

    Gao xiangqian; Zhou Yongxia

    1996-01-01

    @@ The conventional band brakes have been known to be important but also the most unlnerable part in servicing rig deawworks.. The failures in braking and releasing operations haven't well been avoided. There have evidently existed the problems of difficult operation and inconvenient maintenance in this connection. The use of power-assisted hydraulic cylinders or pneumatic cylinders can not meet the requirements of operations either. Since the late 1980s, we have cooperated with Shengli oilfields and others in the successful design and development of PST25 hydraulic disc brake systems for well servicing rig in a fully closed working state.

  7. Systems analysis of a RIG-I agonist inducing broad spectrum inhibition of virus infectivity.

    Directory of Open Access Journals (Sweden)

    Marie-Line Goulet

    Full Text Available The RIG-I like receptor pathway is stimulated during RNA virus infection by interaction between cytosolic RIG-I and viral RNA structures that contain short hairpin dsRNA and 5' triphosphate (5'ppp terminal structure. In the present study, an RNA agonist of RIG-I was synthesized in vitro and shown to stimulate RIG-I-dependent antiviral responses at concentrations in the picomolar range. In human lung epithelial A549 cells, 5'pppRNA specifically stimulated multiple parameters of the innate antiviral response, including IRF3, IRF7 and STAT1 activation, and induction of inflammatory and interferon stimulated genes - hallmarks of a fully functional antiviral response. Evaluation of the magnitude and duration of gene expression by transcriptional profiling identified a robust, sustained and diversified antiviral and inflammatory response characterized by enhanced pathogen recognition and interferon (IFN signaling. Bioinformatics analysis further identified a transcriptional signature uniquely induced by 5'pppRNA, and not by IFNα-2b, that included a constellation of IRF7 and NF-kB target genes capable of mobilizing multiple arms of the innate and adaptive immune response. Treatment of primary PBMCs or lung epithelial A549 cells with 5'pppRNA provided significant protection against a spectrum of RNA and DNA viruses. In C57Bl/6 mice, intravenous administration of 5'pppRNA protected animals from a lethal challenge with H1N1 Influenza, reduced virus titers in mouse lungs and protected animals from virus-induced pneumonia. Strikingly, the RIG-I-specific transcriptional response afforded partial protection from influenza challenge, even in the absence of type I interferon signaling. This systems approach provides transcriptional, biochemical, and in vivo analysis of the antiviral efficacy of 5'pppRNA and highlights the therapeutic potential associated with the use of RIG-I agonists as broad spectrum antiviral agents.

  8. Testing of a new morphing trailing edge flap system on a novel outdoor rotating test rig

    DEFF Research Database (Denmark)

    Aagaard Madsen, Helge; Barlas, Athanasios; Løgstrup Andersen, Tom

    2015-01-01

    the flap performance in real turbulent inflow and 3) to test the flap system in a realistic size and Reynolds number when comparing with full scale applications.. The rotating test rig consists of a 2.2m blade section attached to a 10m boom and mounted on a 100kW turbine platform. It was installed in June......The morphing trailing edge system or flap system, CRTEF, has been developed over the last 10 years at DTU Wind Energy. After a promising wind tunnel test of the system in 2009 the INDUFLAP project has been carried out from 2011-2014 to transfer the technology from laboratory to industrial...... manufacturing and application. To narrow the gap between wind tunnel testing and full scale prototype testing we developed the rotating test rig. The overall objectives with the rotating test rig are: 1) to test the flap system in a realistic rotating environment with a realistic g-loading; 2) to measure...

  9. Technology of load-sensitivity used in the hydraulic system of an all-hydraulic core rig

    Institute of Scientific and Technical Information of China (English)

    XIN De-zhong; CHEN Song-ling; WANG Qing-feng

    2009-01-01

    The existing hydraulic system always have problems of temperature rise, run-ning stability and anti-interference of the implementation components, reliability of hydrau-lic components, maintenance difficulties, and other issues. With high efficiency, energy saving, reliability, easy operating, stable running, anti-interference ability, and other ad-vantages, the load-sensitive hydraulic system is more suitable for coal mine all-hydraulic core rig. Therefore, for the technical development of the coal mine all-hydraulic core rig, the load-sensitive technology employed by the rig should be of great significance.

  10. Multibody dynamics modelling and system identification of a quarter-car test rig with McPherson strut suspension

    Science.gov (United States)

    Sandu, Corina; Andersen, Erik R.; Southward, Steve

    2011-02-01

    In this paper, we develop a multibody dynamics model of a quarter-car test-rig equipped with a McPherson strut suspension and we apply a system identification technique on it. Constrained equations of motion in the Lagrange multiplier form are derived and employed to characterise the dynamic behaviour of the test rig modelled once as a linear system and once as a non-linear system. The system of differential algebraic equations is integrated using a Hilber-Hughes-Taylor integrator. The responses of both models (linear and non-linear) to a given displacement input are obtained and compared with the experimental response recorded using the physical quarter-car test rig equipped with a McPherson strut suspension. The system identification is performed for control purposes. The results, as well as the performance and area of applicability of the test rig models derived, are discussed.

  11. A REAL TIME DECISION SUPPORT SYSTEM FOR THE ADJUSTMENT OF SAILBOAT RIGGING

    Directory of Open Access Journals (Sweden)

    Inmaculada Ortigosa

    2016-01-01

    Full Text Available The operational complexity and performance requirements of modern racing yachts demand the use of advanced applications, such as a decision support system (DSS able to assist crew members during navigation. In this article, the authors describe a near-time computational solver as the main piece of a DSS which analyses and monitors the behaviour of sails and rigging. The solver is made up of two different interconnected tools: an iterative Fluid-Structure Interaction algorithm and an advanced Wireless Sensor Network to monitor rigging. The real-time DSS quantifies crew manoeuvres in physical terms, which are reproduced by a simulation program. It can be used in the design phase of sailing yachts and as an aid for real-time boat performance optimisation and accident prevention. This novel DSS is a useful tool for navigation, especially in races.

  12. Dilapidation of the TBC system during the Burner Rig Test

    Directory of Open Access Journals (Sweden)

    S Sreenivas

    2015-06-01

    Full Text Available Substrate of Inconel 718 was deposited with a bond coat of nickel cobalt chromium aluminium yttriym (NiCoCrAlY. A top coat of thermal barrier coating of 8% Yttria stabilised zirconia (YSZ was sprayed over the bond coat by an air plasma spray (APS technique by employing standard process parameters. Static oxidation test conducted at 1000 0C and for 120 hours (h revealed that main degradation modes of the TBC system were connected with formation of porous NiAl2O4 oxides in the thermally grown oxide area followed by formation of micro-cracks, delamination of ceramic layer and spallation of ceramic topcoat.

  13. Advanced coal-fueled industrial cogeneration gas turbine system: Hot End Simulation Rig

    Energy Technology Data Exchange (ETDEWEB)

    Galica, M.A.

    1994-02-01

    This Hot End Simulation Rig (HESR) was an integral part of the overall Solar/METC program chartered to prove the technical, economic, an environmental feasibility of a coal-fueled gas turbine, for cogeneration applications. The program was to culminate in a test of a Solar Centaur Type H engine system operated on coal slurry fuel throughput the engine design operating range. This particular activity was designed to verify the performance of the Centaur Type H engine hot section materials in a coal-fired environment varying the amounts of alkali, ash, and sulfur in the coal to assess the material corrosion. Success in the program was dependent upon the satisfactory resolution of several key issues. Included was the control of hot end corrosion and erosion, necessary to ensure adequate operating life. The Hot End Simulation Rig addressed this important issue by exposing currently used hot section turbine alloys, alternate alloys, and commercially available advanced protective coating systems to a representative coal-fueled environment at turbine inlet temperatures typical of Solar`s Centaur Type H. Turbine hot end components which would experience material degradation include the transition duct from the combustor outlet to the turbine inlet, the shroud, nozzles, and blades. A ceramic candle filter vessel was included in the system as the particulate removal device for the HESR. In addition to turbine material testing, the candle material was exposed and evaluated. Long-term testing was intended to sufficiently characterize the performance of these materials for the turbine.

  14. Dynamic Spin Rig Upgraded With a Five- Axis-Controlled Three-Magnetic-Bearing Support System With Forward Excitation

    Science.gov (United States)

    Morrison, Carlos R.; Mehmed, Oral

    2003-01-01

    The NASA Glenn Research Center Dynamic Spin Rig is used for experimental evaluation of vibration analysis methods and dynamic characteristics for rotating systems. Measurements are made while rotors are spun and vibrated in a vacuum chamber. The rig has been upgraded with a new active magnetic bearing rotor support and excitation system. This design is expected to provide operational improvements over the existing rig. The rig will be able to be operated in either the old or new configuration. In the old configuration, two ball bearings support the vertical shaft of the rig, with the test article located between the bearings. Because the bearings operate in a vacuum, lubrication is limited to grease. This limits bearing life and speed. In addition, the old configuration employs two voice-coil electromagnetic shakers to apply oscillatory axial forces or transverse moments to the rotor shaft through a thrust bearing. The excitation amplitudes that can be imparted to the test article with this system are not adequate for components that are highly damped. It is expected that the new design will overcome these limitations.

  15. Theoretical and Numerical Experiences on a Test Rig for Active Vibration Control of Mechanical Systems with Moving Constraints

    Directory of Open Access Journals (Sweden)

    M. Rinchi

    2004-01-01

    Full Text Available Active control of vibrations in mechanical systems has recently benefited of the remarkable development of robust control techniques. These control techniques are able to guarantee performances in spite of unavoidable modeling errors. They have been successfully codified and implemented for vibrating structures whose uncertain parameters could be assumed to be time-invariant. Unfortunately a wide class of mechanical systems, such as machine tools with carriage motion realized by a ball-screw, are characterized by time varying modal parameters. The focus of this paper is on modeling and controlling the vibrations of such systems. A test rig for active vibration control is presented. An analytical model of the test rig is synthesized starting by design data. Through experimental modal analysis, parametric identification and updating procedures, the model has been refined and a control system has been synthesized.

  16. Rig it right! Maya animation rigging concepts

    CERN Document Server

    O'Hailey, Tina

    2013-01-01

    Rigging a character can be a complicated undertaking. Move from a bi-pedal character to a quad- or poly-pedal and, well, things just got real. Where do you begin? Unlike all of those button-pushing manuals out there, Rig it Right! breaks down rigging so that you can achieve a fundamental understanding of the concept, allowing you to rig more intuitively in your own work. Veteran animation professor Tina O'Hailey will get you up and rigging in a matter of hours with step-by-step tutorials covering multiple animation control types, connection methods, interactive skinning, Blend

  17. The art of rigging

    CERN Document Server

    Biddlecombe, George

    1990-01-01

    The best manual ever produced on rigging a sailing ship, based on extensively revised and updated 1848 edition prepared by Biddlecombe, Master in the Royal Navy. Complete definition of terms, on-shore operations, process of rigging ships, reeving the running rigging and bending sails, rigging brigs, yachts and small vessels, more. 17 plates.

  18. Energy systems in surgery

    Directory of Open Access Journals (Sweden)

    Pantelić Miloš

    2015-01-01

    Full Text Available Introduction. The systems of energy in surgery are applied in order to achieve better and more effective performing of procedures. Whereas various energy sources, including electricity, ultrasound, laser and argon gas, may be used, the fundamental principle involves tissue necrosis and hemostasis by heating. Electro Surgery. Electro Surgery is a surgical technique by which surgical procedures are performed by focused heating of the tissue using devices based on high-frequency currents. It represents one of the most frequently used energy systems in laparoscopy. Ultrasound Energy. The basic principle of operation of the ultrasound surgical instruments is the usage of low-frequency mechanic vibrations (ultrasound energy within the range of 20-60 kHz for cutting and coagulation of tissue. Laser. Laser is the abbreviation for Light Amplification by Stimulated Emission of Radiation, aimed at increasing light by stimulated emission of radiation and it is the name of the instrument which generates coherent beam of light. Argon Plasma Coagulation. It has been in use since 1991 for endoscopic hemostasis. It uses highfrequency electric current and ionized gas argon. The successful application of devices depends on the type of surgical procedure, training of the surgeon and his knowledge about the device. Surgeons do not agree on the choice of device which would be optimal for a certain procedure. Conclusion. The whole team in the operating room must have the basic knowledge of the way an energy system works so as to provide a safe and effective treatment of patients. The advantages and shortcomings of different systems of energy have to be taken into account while we use a special mode.

  19. What Really Rigs Up RIG-I?

    Science.gov (United States)

    Barik, Sailen

    2016-01-01

    RIG-I (retinoic acid-inducible gene 1) is an archetypal member of the cytoplasmic DEAD-box dsRNA helicase family (RIG-I-like receptors or RLRs), the members of which play essential roles in the innate immune response of the metazoan cell. RIG-I functions as a pattern recognition receptor that detects nonself RNA as a pathogen-associated molecular pattern (PAMP). However, the exact molecular nature of the viral RNAs that act as a RIG-I ligand has remained a mystery and a matter of debate. In this article, we offer a critical review of the actual viral RNAs that act as PAMPs to activate RIG-I, as seen from the perspective of a virologist, including a recent report that the viral Leader-read-through transcript is a novel and effective RIG-I ligand.

  20. Bariatric Surgery and the Endocrine System

    Science.gov (United States)

    ... Surgery and the Endocrine System Fact Sheet Bariatric Surgery and the Endocrine System February, 2012 Download PDFs ... Morton, MD Marzieh Salehi, MD What is bariatric surgery? Bariatric surgery helps people who are very obese ...

  1. Experimental analysis of control loops with different delay times in the supply air system of a radiator test rig

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Yongpan; Zhao, Tianyi [School of Municipal and Environmental Engineering, Harbin Institute of Technology, Harbin 150090 (China); Zhang, Jili; Lu, Zhen [School of Civil and Hydraulic Engineering, Dalian University of Technology, Dalian 116024 (China); Liu, Hui [Beijing Siemens Cerberus Electronics Ltd, Beijing 100085 (China)

    2011-01-15

    The test rig of low-temperature hot-water radiator is a typical multi-input multi-output (MIMO) thermal system with large time delay. Aiming at the control of the supply air temperature and the temperature of the environmental chamber in the test rig, the paper carries out the fuzzy control experiments and PI control experiments based on adjusting the electric heater in the supply air system, in which there are two control loops with various delay time. The experiments researched two types of fuzzy control methods which are the basic fuzzy control (BFC), and the self-organizing rules fuzzy control (SORFC) with zero initial control rules. For the control loop of supply air temperature with short delay time, PI control performs better with fast convergence speed and small overshoot than the BFC and the SORFC. The convergence speed of the BFC method is lower than other two control methods. For the control loop of chamber temperature with long delay time, the SORFC has a satisfied control performance with less overshoot and stable error than the BFC and PI control. (author)

  2. Rig Diagnostic Tools

    Science.gov (United States)

    Soileau, Kerry M.; Baicy, John W.

    2008-01-01

    Rig Diagnostic Tools is a suite of applications designed to allow an operator to monitor the status and health of complex networked systems using a unique interface between Java applications and UNIX scripts. The suite consists of Java applications, C scripts, Vx- Works applications, UNIX utilities, C programs, and configuration files. The UNIX scripts retrieve data from the system and write them to a certain set of files. The Java side monitors these files and presents the data in user-friendly formats for operators to use in making troubleshooting decisions. This design allows for rapid prototyping and expansion of higher-level displays without affecting the basic data-gathering applications. The suite is designed to be extensible, with the ability to add new system components in building block fashion without affecting existing system applications. This allows for monitoring of complex systems for which unplanned shutdown time comes at a prohibitive cost.

  3. Robotic systems in spine surgery.

    Science.gov (United States)

    Onen, Mehmet Resid; Naderi, Sait

    2014-01-01

    Surgical robotic systems have been available for almost twenty years. The first surgical robotic systems were designed as supportive systems for laparoscopic approaches in general surgery (the first procedure was a cholecystectomy in 1987). The da Vinci Robotic System is the most common system used for robotic surgery today. This system is widely used in urology, gynecology and other surgical disciplines, and recently there have been initial reports of its use in spine surgery, for transoral access and anterior approaches for lumbar inter-body fusion interventions. SpineAssist, which is widely used in spine surgery, and Renaissance Robotic Systems, which are considered the next generation of robotic systems, are now FDA approved. These robotic systems are designed for use as guidance systems in spine instrumentation, cement augmentations and biopsies. The aim is to increase surgical accuracy while reducing the intra-operative exposure to harmful radiation to the patient and operating team personnel during the intervention. We offer a review of the published literature related to the use of robotic systems in spine surgery and provide information on using robotic systems.

  4. Design and Characterization of a Centrifugal Compressor Surge Test Rig

    OpenAIRE

    2011-01-01

    A detailed description of a new centrifugal compressor surge test rig is presented. The objective of the design and development of the rig is to study the surge phenomenon in centrifugal compression systems and to investigate a novel method of surge control by active magnetic bearing servo actuation of the impeller axial tip clearance. In this paper, we focus on the design, initial setup, and testing of the rig. The latter two include the commissioning of the rig and the experimental characte...

  5. Development of MisMatch Transmission Line (MMTL) system for ICH&CD test rig

    Science.gov (United States)

    Ajesh, P.; Jha, Akhil; Anand, Rohit; Harikrishna, JVS; Trivedi, Rajesh; Mukherjee, Aparajita

    2015-12-01

    India is responsible for delivery of 8+1(prototype) RF sources to ITER Organization. Each RF source will provide 2.5MW of RF power at 2 VSWR in the frequency range of 35 to 65MHz with other stringent specifications. To test the sources at full performance, India is developing unique 3MW test facility with variable load condition (up to VSWR 3.0 at any phase angle in between 0°-360°), consisting of high power 50 Ohm dummy load, phase shifter and stub. The combined assembly of phase shifter and stub is called MisMatch Transmission Line (MMTL) system. Detailed RF and thermal simulation of the MMTL system has been done as a part of developmental activity. Simulations predict maximum RF voltage and current in the MMTL system are 18kV and 400A, respectively. Thermal simulation shows that system can be operated at 1.7MW/CW/3VSWR without active cooling. A detailed design and initial test results of MMTL system considering RF & mechanical aspect for testing ITER ICRF sources is described in this paper.

  6. Influence of twin and multi-rig trawl systems on CPUE in the Danish Norway lobster (Nephrops norvegicus) fishery

    DEFF Research Database (Denmark)

    Feekings, Jordan P.; Berg, Casper Willestofte; Krag, Ludvig Ahm;

    2016-01-01

    analyse catchrates of four target species, Norway lobster (Nephrops norvegicus), cod (Gadus morhua), plaice (Pleuronectesplatessa) and haddock (Melanogrammus aeglefinus), to try and understand how the use of multi-rig trawlshave altered catch rates within the Danish demersal trawl fishery over the last 16...

  7. 海洋钻井平台泥浆系统综述%Summarization of Mud System on Offshore Drilling Rig

    Institute of Scientific and Technical Information of China (English)

    方怿民

    2015-01-01

    Drilling mud system was a whole set of core system on offshore drilling rigs. Drilling mud was the necessary working medium for drilling operation. A drilling mud system included 5 major systems: bulk material system ,mud mixing system,high pressure mud system,low pressure mud suction system and low pressure mud processing system. The design of the system was closely related to the requirement of drilling operation ,and would greatly influence the general arrangement of the offshore drilling rigs. This article introduced the composing and mayor function of the mud systems,preliminarily discussed the key elements in mud system designing for offshore drilling rigs.%钻井泥浆系统是钻井平台在钻井作业时所依赖的一整套核心系统. 钻井泥浆是钻井作业时必不可少的一种工作介质.钻井平台的泥浆系统主要包括:散装材料储存输送系统、泥浆混合系统、高压泥浆系统、低压泥浆吸入系统和低压泥浆净化处理系统.泥浆系统的设计与平台的钻井作业要求密切相关,同时也对钻井平台的总体布置有重大影响.介绍了钻井平台泥浆系统的组成和主要功能,初步探讨了泥浆系统设计的基本要素.

  8. Remote Advanced Payload Test Rig (RAPTR) Portable Payload Test System for the International Space Station (ISS)

    Science.gov (United States)

    Calvert, John; Freas, George, II

    2017-01-01

    The RAPTR was developed to test ISS payloads for NASA. RAPTR is a simulation of the Command and Data Handling (C&DH) interfaces of the ISS (MIL-STD 1553B, Ethernet and TAXI) and is designed to facilitate rapid testing and deployment of payload experiments to the ISS. The ISS Program's goal is to reduce the amount of time it takes a payload developer to build, test and fly a payload, including payload software. The RAPTR meets this need with its user oriented, visually rich interface. Additionally, the Analog and Discrete (A&D) signals of the following payload types may be tested with RAPTR: (1) EXPRESS Sub Rack Payloads; (2) ELC payloads; (3) External Columbus payloads; (4) External Japanese Experiment Module (JEM) payloads. The automated payload configuration setup and payload data inspection infrastructure is found nowhere else in ISS payload test systems. Testing can be done with minimal human intervention and setup, as the RAPTR automatically monitors parameters in the data headers that are sent to, and come from the experiment under test.

  9. Learning Inverse Rig Mappings by Nonlinear Regression.

    Science.gov (United States)

    Holden, Daniel; Saito, Jun; Komura, Taku

    2016-11-11

    We present a framework to design inverse rig-functions - functions that map low level representations of a character's pose such as joint positions or surface geometry to the representation used by animators called the animation rig. Animators design scenes using an animation rig, a framework widely adopted in animation production which allows animators to design character poses and geometry via intuitive parameters and interfaces. Yet most state-of-the-art computer animation techniques control characters through raw, low level representations such as joint angles, joint positions, or vertex coordinates. This difference often stops the adoption of state-of-the-art techniques in animation production. Our framework solves this issue by learning a mapping between the low level representations of the pose and the animation rig. We use nonlinear regression techniques, learning from example animation sequences designed by the animators. When new motions are provided in the skeleton space, the learned mapping is used to estimate the rig controls that reproduce such a motion. We introduce two nonlinear functions for producing such a mapping: Gaussian process regression and feedforward neural networks. The appropriate solution depends on the nature of the rig and the amount of data available for training. We show our framework applied to various examples including articulated biped characters, quadruped characters, facial animation rigs, and deformable characters. With our system, animators have the freedom to apply any motion synthesis algorithm to arbitrary rigging and animation pipelines for immediate editing. This greatly improves the productivity of 3D animation, while retaining the flexibility and creativity of artistic input.

  10. Electrotechnical complex of drill rig with adjustable electric drives

    OpenAIRE

    Nikulin Oleg; Shabanov Vitaliy

    2017-01-01

    The paper considers the electrotechnical complex of a drill rig with adjustable electric drives of the main mechanisms. A computer model has been developed for the electrical complex of the drill rig, which allows studying processes in case of interruptions in the power supply system, changes in the technological parameters of drilling, etc. The article presents the simulation results for short circuits in the power supply system of the drilling rig and for drilling a well.

  11. Electrotechnical complex of drill rig with adjustable electric drives

    Directory of Open Access Journals (Sweden)

    Nikulin Oleg

    2017-01-01

    Full Text Available The paper considers the electrotechnical complex of a drill rig with adjustable electric drives of the main mechanisms. A computer model has been developed for the electrical complex of the drill rig, which allows studying processes in case of interruptions in the power supply system, changes in the technological parameters of drilling, etc. The article presents the simulation results for short circuits in the power supply system of the drilling rig and for drilling a well.

  12. Essays on bid rigging

    NARCIS (Netherlands)

    Seres, Gyula

    2016-01-01

    Manipulating prices in auctions raises antitrust concerns. Collusion lowers the revenue of the auctioneer and creates information rents. Bid rigging is a prevalent phenomenon and the affected market is enormous. Public procurement amounts to between 10 and 25 percent of national GDP in industrialize

  13. Study on Drill Rig Scheme Design Expert System%钻机方案设计专家系统的研究

    Institute of Scientific and Technical Information of China (English)

    冯晓东; 冉恒谦; 陈庆寿; 袁明昕

    2000-01-01

    The expert system is one of the most important and most active branches of the AI field. It is very significant of its application in the mechanical design to drive the mechanical design process to advance in the automatic and AI direction. Some problems with the study on the drill rig design expert system are reviewed. The main objects and tasks of the drill rig design expert system and their realized methods are discussed. The study is also made on the knowledge presentation; knowledge acquisition and knowledge derivation method proper for the requirements of the drill rig design expert system.%专家系统是人工智能领域中最重要而且有活力的分支之一,它在机械设计领域中的应用,对于推动机械设计过程向自动化及智能化方向的发展,具有极其重要的现实意义。论述了钻机设计专家系统研究中的一些主要问题,探讨了钻机设计专家系统要完成的主要目标和任务以及实现方法,并研究了适合于钻机设计专家系统要求的知识表示、知识获取和知识推理方法。

  14. Heisenberg model and Rigged Configurations

    CERN Document Server

    Giri, Pulak Ranjan

    2015-01-01

    We show a correspondence of all the solutions of the spin-1/2 isotropic Heisenberg model for N=12 to the rigged configurations based on the comparison of the set of Takahashi quantum numbers in lexicographical order with the set of riggings of the rigged configurations in co-lexicographical order.

  15. A decision support system to dynamic management of the scheduling workover rigs for onshore Potiguar Basin; Um sistema de apoio a decisao para o gerenciamento dinamico das sondas de producao terrestre da Bacia Potiguar

    Energy Technology Data Exchange (ETDEWEB)

    Maia, Rosiery S.; Bittencourt, Valnaide [Universidade Federal do Rio Grande do Norte (UFRN), Natal, RN (Brazil). Dept. de Engenharia da Computacao e Automacao (DCA); Aloise, Daniel [Pontificia Univ. Catolica do Rio de Janeiro (PUC-Rio), RJ (Brazil). Dept. de Informatica; Aloise, Dario J. [Universidade Federal do Rio Grande do Norte (UFRN), Natal, RN (Brazil); Moura, Luiz S.S. [PETROBRAS S.A., Natal, RN (Brazil)

    2004-07-01

    The onshore Potiguar basin has nowadays around 5.000 artificial lifting petroleum wells, distributed into 80 fields located on the states of Rio Grande do Norte and Ceara, representing approximately 8% of the national oil production. For that, well maintenance service, realized by Workover Rigs, is essential to preserve the oil productivity of the reservoirs on these fields. However, as the number of rigs is lower than to the number of wells needing maintenance, the task of administrating the management of such equipment according to the demand created by the wells, generates an optimization problem. The decision for a rig intervention on a well depends on parameters such as flow rate, depth, wasted time on intervention, distance from the rig to the next well, type of operation, rig capacity, environmental risks, etc. The objective of this paper is to present an interactive Computational System for Support Decision to the optimized management of the wells attended by the rig fleet. Generically, the software has the following components: dynamic heuristical algorithms, meta heuristical Variable Neighborhood Search, with local search mechanisms, interconnection algorithm, database and graphical user interface. This paper contains knowledge in operational search and optimization, software engineering, database and user interface. (author)

  16. Application of PPM-3 in electric control system of oil drilling rigs%PPM-3在钻机电控系统中的应用

    Institute of Scientific and Technical Information of China (English)

    张联国; 田斌; 王文军; 张格立

    2015-01-01

    介绍了电源保护及电能管理器PPM-3的基本原理和主要功能,结合在石油钻机数字发电系统中的工程应用,给出了PPM-3在CAT发电机组并网及负荷分配应用中的参数设置,并对运行数据进行测试比较,为石油钻机动力控制提供了一种新的思路。%The basic principle and main functions of the PPM-3 power protector and power energy administrator are introduced. Combined with the engineering applications in the digital generating systems for the oil drilling rigs, the parameters setting of the PPM-3 in the grid connection and load distribution of the CAT generator sets are presented, the operating data are tested and compared, and it provides a new method of the power configuration for the oil drilling rigs.

  17. Plastic surgery and burns disasters. What impact do major civilian disasters have upon medicine? Bradford City Football Club stadium fire, 1985, King's Cross Underground fire, 1987, Piper Alpha offshore oil rig disaster, 1988.

    Science.gov (United States)

    Vaghela, Kalpesh R

    2009-06-01

    Major disasters involving multiple casualties are neither new nor infrequent. Such events have important implications for medicine and can provide crucial lessons for the future. However, while the medical aspects of war have received considerable attention, rather less is known about civilian disasters. To redress this imbalance, this article reviews three major British disasters of the 1980s where serious burns injury was a significant feature of the human casualty: the Bradford City Football Club fire of 1985, the King's Cross Underground fire of 1987 and the Piper Alpha oil rig disaster of 1988. Four related themes are used to examine in detail the ways in which these events impacted on medicine: plastics and reconstructive surgery, clinical psychology, disaster management and long-term structural change. Drawing on articles in specialist burns and psychiatric journals, together with the personal communications and recollections of surgeons and psychiatrists involved, it is revealed that while ground-breaking advances are a relative rarity in medicine, numerous small but significant lessons did emerge from these events, although often in subtle and highly specialised fields of medicine.

  18. Status of the Combined Cycle Engine Rig

    Science.gov (United States)

    Saunders, Dave; Slater, John; Dippold, Vance

    2009-01-01

    Status for the past year is provided of the turbine-based Combined-Cycle Engine (CCE) Rig for the hypersonic project. As part of the first stage propulsion of a two-stage-to-orbit vehicle concept, this engine rig is designed with a common inlet that supplies flow to a turbine engine and a dual-mode ramjet / scramjet engine in an over/under configuration. At Mach 4 the inlet has variable geometry to switch the airflow from the turbine to the ramjet / scramjet engine. This process is known as inlet mode-transition. In addition to investigating inlet aspects of mode transition, the rig will allow testing of turbine and scramjet systems later in the test series. Fully closing the splitter cowl "cocoons" the turbine engine and increases airflow to the scramjet duct. The CCE Rig will be a testbed to investigate integrated propulsion system and controls technology objectives. Four phases of testing are planned to 1) characterize the dual inlet database, 2) collect inlet dynamics using system identification techniques, 3) implement an inlet control to demonstrate mode-transition scenarios and 4) demonstrate integrated inlet/turbine engine operation through mode-transition. Status of the test planning and preparation activities is summarized with background on the inlet design and small-scale testing, analytical CFD predictions and some details of the large-scale hardware. The final stages of fabrication are underway.

  19. Advanced Hot Section Materials and Coatings Test Rig

    Energy Technology Data Exchange (ETDEWEB)

    Dan Davis

    2006-09-30

    Phase I of the Hyperbaric Advanced Hot Section Materials & Coating Test Rig Program has been successfully completed. Florida Turbine Technologies has designed and planned the implementation of a laboratory rig capable of simulating the hot gas path conditions of coal gas fired industrial gas turbine engines. Potential uses of this rig include investigations into environmental attack of turbine materials and coatings exposed to syngas, erosion, and thermal-mechanical fatigue. The principle activities during Phase 1 of this project included providing several conceptual designs for the test section, evaluating various syngas-fueled rig combustor concepts, comparing the various test section concepts and then selecting a configuration for detail design. Conceptual definition and requirements of auxiliary systems and facilities were also prepared. Implementation planning also progressed, with schedules prepared and future project milestones defined. The results of these tasks continue to show rig feasibility, both technically and economically.

  20. Pressure rig for repetitive casting

    Science.gov (United States)

    Vasquez, Peter (Inventor); Hutto, William R. (Inventor); Philips, Albert R. (Inventor)

    1989-01-01

    The invention is a pressure rig for repetitive casting of metal. The pressure rig performs like a piston for feeding molten metal into a mold. Pressure is applied to an expandable rubber diaphragm which expands like a balloon to force the metal into the mold. A ceramic cavity which holds molten metal is lined with blanket-type insulating material, necessitating only a relining for subsequent use and eliminating the lengthy cavity preparation inherent in previous rigs. In addition, the expandable rubber diaphragm is protected by the insulating material thereby decreasing its vulnerability to heat damage. As a result of the improved design the life expectancy of the pressure rig contemplated by the present invention is more than doubled. Moreover, the improved heat protection has allowed the casting of brass and other alloys with higher melting temperatures than possible in the conventional pressure rigs.

  1. 石油钻机司钻房 HVAC 系统设计与分析%System Design and Analysis of HVAC System Design and Analysis of Driller Roon in Oil Rig

    Institute of Scientific and Technical Information of China (English)

    樊春明; 孔美虹; 韩俊; 张文英; 王长怀; 李永国

    2014-01-01

    介绍了石油钻机司钻房HVAC系统组成、工作原理、关键参数确定和主要部件设计及选型。%It introduces the composition, working theory, determination of key parameters, de-sign and selection of the main components of HVAC system of driller roon in oil rig .

  2. Deep water challenges for drilling rig design

    Energy Technology Data Exchange (ETDEWEB)

    Roth, M. [Transocean Sedco Forex, Houston, TX (United States)

    2001-07-01

    Drilling rigs designed for deep water must meet specific design considerations for harsh environments. The early lessons for rig design came from experiences in the North Sea. Rig efficiency and safety considerations must include structural integrity, isolated/redundant ballast controls, triple redundant DP systems, enclosed heated work spaces, and automated equipment such as bridge cranes, pipe handling gear, offline capabilities, subsea tree handling, and computerized drill floors. All components must be designed to harmonize man and machine. Some challenges which are unique to Eastern Canada include frequent storms and fog, cold temperature, icebergs, rig ice, and difficult logistics. This power point presentation described station keeping and mooring issues in terms of dynamic positioning issues. The environmental influence on riser management during forced disconnects was also described. Design issues for connected deep water risers must insure elastic stability, and control deflected shape. The design must also keep stresses within acceptable limits. Codes and standards for stress limits, flex joints and tension were also presented. tabs., figs.

  3. Hoisting and Rigging (Formerly Hoisting and Rigging Manual)

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-06-01

    This standard is intended as a reference document to be used by supervisors, line managers, safety personnel, equipment operators, and any other personnel responsible for safety of hoisting and rigging operations at DOE sites. It quotes or paraphrases the US OSHA and ANSI requirements. It also encompasses, under one cover,hoisting and rigging requirements, codes, standards, and regulations, eliminating the need to maintain extensive (and often incomplete) libraries of hoisting and rigging standards throughout DOE. The standard occasionally goes beyond the minimum general industry standards established by OSHA and ANSI, and also delineates the more stringent requirements necessary to accomplish the complex, diversified, critical, and often hazardous hoisting and rigging work found with the DOE complex.

  4. The Basic Design of the Fire and Gas System for Workover Rig%海洋平台修井机火气系统基本设计

    Institute of Scientific and Technical Information of China (English)

    邓忠彬; 罗小昌; 李浩; 彭程; 吴群英

    2015-01-01

    为实现修井机发生火灾或气体泄漏时,系统能发出报警信号,及时关闭相关电源和暖通设备,启动消防设备进行相关处置,同时与平台中控火气盘进行通讯、显示并进行相应处理,开发火气系统,基本设计包含对火气系统的组成、功能和接口进行相应的规定,对修井机火气系统在海洋石油钻井平台上推广使用提出相应的建议.%When fire accident or gas leakage happens, the alarm system will discrete sampling, turn of the related power source, heating and ventilation device.It will also contact with the fire control panel of the platform and start the fire control ap-paratus to deal with the accident.The basic design of fire and gas system includes basic provisions of composing, function and connector of the system.The working principle and basic design of the fire and gas system is introduced, and some suggestions a-bout promoting the use of the fire and gas system of the workover rig on the offshore oil drilling platform are put forward.

  5. A power recirculating test rig for ball screw endurance tests

    Directory of Open Access Journals (Sweden)

    Giberti Hermes

    2016-01-01

    Full Text Available A conceptual design of an innovative test rig for endurance tests of ball screws is presented in this paper. The test rig layout is based on the power recirculating principle and it also allows to overtake the main critical issues of the ball screw endurance tests. Among these there are the high power required to make the test, the lengthy duration of the same and the high loads between the screw and the frame that holds it. The article describes the test rig designed scheme, the kinematic expedients to be adopted in order to obtain the required performance and functionality and the sizing procedure to choose the actuation system.

  6. Improvement of Brake System of XJ-650 Workover Rig%XJ-650型修井机绞车制动系统改进

    Institute of Scientific and Technical Information of China (English)

    赵有清

    2015-01-01

    The working principle of hydraulic disc brake system of the hydraulic disc brake system is described in this paper.The problem of the existence of the pneumatic control belt brake for the XJ-650 type of the well is put forward.The hydraulic disc brake system of the workover rig is a-dapted for technological reformation,which is suitable for workover operation in deep and com-plex well conditions,and the construction of the labor intensity is decreased,security is obviously enhanced.%简述了修井机液压盘式刹车系统的工作原理。指出现有 XJ-650型修井机的气控带式刹车存在的问题。采用液压盘式刹车系统对该修井机进行技术改造,适应深井、复杂工况井等修井作业要求,并且使施工的劳动强度下降,安全性明显增强。

  7. 岩心钻机提下钻机械手的液压系统设计%Design of Hydraulics System for Hoisting and Lowering Manipulator of Core Drill Rig

    Institute of Scientific and Technical Information of China (English)

    樊姗

    2014-01-01

    分析岩心钻机提下钻工艺,确定了机械手在提下钻工作中的任务和具体的动作顺序,设计了提下钻机械手的液压系统,对自动化、智能化岩心钻机的发展与应用具有一定的意义。%The process of core drill rig hoist and lower drill pipe was analyzed. The task and specific actions in order of manipula-tor in the hoisting and lowering process were determined. Then the hydraulics system for hoisting and lowering manipulator was de-signed. The research has certain value for development and application of automatic and intelligent core drill rig.

  8. Pathogen cross-transmission via building sanitary plumbing systems in a full scale pilot test-rig

    Science.gov (United States)

    Aspray, Thomas J.; Kelly, David A.; Rodriguez-Gil, Cristina

    2017-01-01

    The WHO Consensus Document on the epidemiology of the SARS epidemic in 2003, included a report on a concentrated outbreak in one Hong Kong housing block which was considered a ‘super-spreading event’. The WHO report conjectured that the sanitary plumbing system was one transmission route for the virus. Empty U-traps allowed the aerosolised virus to enter households from the sewerage system. No biological evidence was presented. This research reports evidence that pathogens can be aerosolised and transported on airstreams within sanitary plumbing systems and enter buildings via empty U-traps. A sanitary plumbing system was built, representing two floors of a building, with simulated toilet flushes on the lower floor and a sterile chamber with extractor fan on the floor above. Cultures of a model organism, Pseudomonas putida at 106–109 cfu ml-1 in 0·85% NaCl were flushed into the system in volumes of 6 to 20 litres to represent single or multiple toilet flushes. Air and surface samples were cultured on agar plates and assessed qualitatively and semi-quantitatively. Flushing from a toilet into a sanitary plumbing system generated enough turbulence to aerosolise pathogens. Typical sanitary plumbing system airflows (between 20–30 ls-1) were sufficient to carry aerosolised pathogens between different floors of a building. Empty U-traps allowed aerosolised pathogens to enter the chamber, encouraging cross-transmission. All parts of the system were found to be contaminated post-flush. Empty U-traps have been observed in many buildings and a risk assessment indicates the potential for high risk cross-transmission under defect conditions in buildings with high pathogen loading such as hospitals. Under defective conditions (which are not uncommon) aerosolised pathogens can be carried on the airflows within sanitary plumbing systems. Our findings show that greater consideration should be given to this mode of pathogen transmission. PMID:28187135

  9. Nasal surgery in patients with systemic disorders

    Directory of Open Access Journals (Sweden)

    Sachse, Florian

    2010-01-01

    Full Text Available Multisystemic disorders represent a heterogenous group of diseases which can primarily manifest at the nose and paranasal sinuses as limited disease or secondarily as part of systemic involvement. Rhinologists therefore play an important role in the diagnostic but also therapeutic process. Although therapy of multisystemic disorders is primary systemic, additional rhinosurgery may become necessary. The spectrum of procedures consists of sinus surgery, surgery of the orbit and lacrimal duct, septorhinoplasty and closure of nasal septal perforation. Since the prevalence of most systemic diseases is very rare, recommendations are based on the analysis of single case reports and case series with a limited number of patients only. Although data is still limited, experiences published so far have shown that autologous cartilage or bone grafts can be used in nasal reconstruction of deformities caused by tuberculosis, leprosy, Wegener’s granulomatosis, sarcoidosis and relapsing polychondritis. Experiences gained from these diseases support the concept that well-established techniques of septorhinoplasty can be used in systemic diseases as well. However, a state of remission is an essential condition before considering any rhinosurgery in these patients. Even under these circumstances revision surgery has to be expected more frequently compared to the typical collective of patients undergoing septorhinoplasty. In addition, experiences gained from saddle nose reconstruction may in part be of value for the treatment of nasal septal perforations since implantation of cartilage grafts often represents an essential step in multilayer techniques of closure of nasal septal perforations. Aside from the treatment of orbital complications sinus surgery has been proven beneficial in reducing nasal symptoms and increasing quality of life in patients refractory to systemic treatment.

  10. MC90Y煤层气车载专用钻机液压控制系统%Research on the Hydraulic Control System for the Mcg0Y CBM Truck-mounted Rig

    Institute of Scientific and Technical Information of China (English)

    纪友哲; 闵庆利; 王金宏

    2012-01-01

    To make a further improvement of the automation level of coal bed methane (CBM) drilling rig, reduce the driller operation to the minimum and improve the self-checking capacity of equipment, the MC90Y CBM truck-mounted drilling rig was developed. The rig adopts the electro-hydraulic control mode and centralized control of the PLC controller. The hiosting and rotating system uses the proportional volumetric pump for velocity regula- tion. The auxiliary system adopts the constant pressure variable displacement pump to supply power. The hoisting system adopts the balance valve loop design to achieve a smooth operation in positive load, negatiye load and varia- ble load. The handle orientation control is adopted to reduce the operating complexity of the driller. The operation of the hoisting and rotating system is optimized. The control system has the functions of self-check, monitoring and self-locking protection, improving the safety and protection capacity of the rig. The testing and the field application show that the drilling rig is simple in operation, desirable in control and smooth in operation.%为进一步提高煤层气钻机的自动化水平,尽量减少司钻的操作,提高设备自检能力,研制了MC90Y煤层气车载专用钻机。该钻机采用电液控制方式,PLC控制器集中控制,起升和旋转系统使用比例容积泵调速,辅助系统采用恒压变量泵提供动力;起升系统采用平衡阀回路设计,实现了正载荷、负载荷和变载荷情况下的平稳运行;采用手柄方位辨识控制,降低司钻的操作复杂性,优化起升和旋转系统的运行;控制系统具有自检、监测和自锁保护等功能,提高了钻机的安全保护能力。测试及现场应用结果表明,该钻机操作便捷,可控性好,运行平稳。

  11. PNNL Hoisting and Rigging Manual

    Energy Technology Data Exchange (ETDEWEB)

    Haynie, Todd O.; Fullmer, Michael W.

    2008-12-29

    This manual describes the safe and cost effective operation, inspection, maintenance, and repair requirements for cranes, hoists, fork trucks, slings, rigging hardware, and hoisting equipment. It is intended to be a user's guide to requirements, codes, laws, regulations, standards, and practices that apply to Pacific Northwest National Laboratory (PNNL) and its subcontractors.

  12. COSL Signs Rig Equipment Contract with US Company

    Institute of Scientific and Technical Information of China (English)

    2004-01-01

    @@ China Oilfield Services Limited (COSL), the leading integrated oilfield services provider in China for the offshore oil market, has recently signed an equipment purchase contract with the US-based National Oilwell L.P. Under the US$30-million contract, National Oilwell provide four sets of equipment for COSL's new 400-feet jack-up drilling rig under construction, consisting of a drilling system, a mud mixing and solid controlling system,a BOP handling system and a rig jacking system.National Oilwell will provide the drilling system on EPC basis, including its design, construction,equipment supply and commissioning.

  13. Hoisting and rigging manual: Uncontrolled document

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1991-05-01

    This document is a draft copy of a Hoisting and Rigging Manual for the Department of Energy. The manual is divided into ten chapters. The chapter titles follow: terminology and definitions; operator training and qualification; overhead and gantry cranes; mobile cranes; forklift trucks; hoists; hooks; wire rope, slings, and rigging accessories; construction hoisting and rigging equipment requirements; references.

  14. Rotary Engine Friction Test Rig Development Report

    Science.gov (United States)

    2011-12-01

    5  4.  Friction Rig Development 7  5.  AutoCAD ...Figure 4. Engine friction test rig AutoCAD model. ........................................................................8  Figure 5. Engine...top dead center. 8 5. AutoCAD Model Development A model of the rotary engine friction test rig was developed to determine the optimal

  15. Enhanced trabeculectomy: the Moorfields Safer Surgery System.

    Science.gov (United States)

    Khaw, Peng Tee; Chiang, Mark; Shah, Peter; Sii, Freda; Lockwood, Alastair; Khalili, Ashkan

    2012-01-01

    Trabeculectomy with anti-fibrotic treatment is still the most popular incisional procedure for glaucoma filtration surgery (GFS) worldwide. The advent of anti-fibrotic agents reduced failure due to scarring but resulted in increased complications. Advances in trabeculectomy surgery have been driven by the need to minimise the risk of: (1) complications and (2) surgical failure. This chapter covers preoperative, intraoperative and postoperative strategies, which improve the outcome of GFS. Strategies to reduce the risk of complications centre on the prevention of postoperative hypotony by minimising the risk of overdrainage, postoperative wound leaks and poor bleb morphology. Surgical techniques to reduce the risk of postoperative fibrosis by the use of anti-fibrotic agents (including mitomycin C) are discussed in detail. These techniques are based on a combination of considerable clinical experience, observation and laboratory research. The need to address pre-, intra- and postoperative issues in each individual patient is emphasised. These changes are embodied in the system we call the 'Moorfields Safer Surgery System'. The use of these strategies has considerably reduced the incidence of major complications including hypotony, cystic blebs and endophthalmitis in practices around the world. Most of these techniques are simple, require minimal equipment and can be easily mastered. They are associated with an improvement in overall outcome and it is hoped that this chapter will help the reader benefit from these advances.

  16. Acute systemic inflammatory response after cardiac surgery in ...

    African Journals Online (AJOL)

    2017-09-03

    Sep 3, 2017 ... and immune system activation during and after cardiac surgery supported by ... cardioprotective solutions which was either cold blood cardioplegia delivered at .... the effect of cardiac surgery with CPB in HIV positive subjects.

  17. A remote and autonomous continuous monitoring ultrasonic system for flood detection in sub-sea members of offshore steel oil rigs

    Energy Technology Data Exchange (ETDEWEB)

    Mijarez-Castro, Rito

    2006-07-01

    This thesis presents a novel and autonomous continuous monitoring system for flood detection in the hollow sub-sea members of offshore steel oil rigs. The technique offers an alternative to underwater nondestructive testing methods based on ultrasound and x-rays, which have been used to detect the presence of seawater in these applications, often with divers or remote operating vehicles. The research consists of theoretical and experimental work necessary for the development of an integral system that can be used in new fixed offshore oil rig designs. The system employs a single piezoelectric transducer which can be permanently attached to the inner wall of every sub-sea structure and which is powered by a normally inert seawater battery. Upon activation, the sensor transmits ultrasonic chirp or tone encoded pulses in the range of 21 k Hz to 42 k Hz, to a monitoring system at deck level for decoding and identifying flooded members. Two approaches to the system were considered during the investigation, depending on the communication channel exploited. These were based on either using the seawater as a propagation medium or using the steel structure as a wave-guide. A system based on theoretical models was built and field experiments were conducted using a purpose built jointed steel pipe structure, 7 m in length, 0.5 m in diameter and 16 mm in thickness. This structure was flooded by complete immersion in seawater. Results obtained using water as communication medium and a frequency in the order of 38 k Hz yielded an attenuation figure of 0.4 d B m{sub -}1 over 100 m, since losses were predominantly geometric. In contrast, using the tubular structure as a wave-guide and axis symmetric guided waves as the excitation, a gross attenuation figure of 1.3 d B m{sub -}1 was attained. In the straight parts of the structure, the attenuation ranged from 0.3 d B m{sub -} 1 to 0.6 d B m{sub -}1. The modes most likely to have been excited within the structure were L(0,5) - L(0

  18. Heat-and-pull rig for fiber taper fabrication

    Science.gov (United States)

    Ward, Jonathan M.; O'Shea, Danny G.; Shortt, Brian J.; Morrissey, Michael J.; Deasy, Kieran; Nic Chormaic, Síle G.

    2006-08-01

    We describe a reproducible method of fabricating adiabatic tapers with 3-4μm diameter. The method is based on a heat-and-pull rig, whereby a CO2 laser is continuously scanned across a length of fiber that is being pulled synchronously. Our system relies on a CO2 mirror mounted on a geared stepper motor in order to scan the laser beam across the taper region. We show that this system offers a reliable alternative to more traditional rigs incorporating galvanometer scanners. We have routinely obtained transmission losses between 0.1 and 0.3dB indicating the satisfactory production of adiabatic tapers. The operation of the rig is described in detail and an analysis on the produced tapers is provided. The flexibility of the rig is demonstrated by fabricating prolate dielectric microresonators using a microtapering technique. Such a rig is of interest to a range of fields that require tapered fiber fabrication such as microcavity-taper coupling, atom guiding along a tapered fiber, optical fiber sensing, and the fabrication of fused biconical tapered couplers.

  19. Theoretical approach of disc brake system optimum design for drilling rigs%钻机盘式刹车系统优化设计的理论探讨

    Institute of Scientific and Technical Information of China (English)

    吕瑞典; 伍开松; 罗井泉

    2001-01-01

    The applied forces to braking disc and braking plier for discbrake system of drilling rigs are analyzed.Then the basic relationships of the consuming energy on the friction faces, forces and other factors are deduced.The expressions of energy transformation for disc brake system of drilling rigs are derived on the basis of the principle of energy conservation. By further analysis of the operating requirements of the disc brake system and main failure forms during braking periods, the theoretical curves of temperature change and consuming power changes are proposed.At case the optimum design model of the disc brake system for drilling rigs is established, and also some things related to the model are discussed.%分析了钻机盘式刹车系统中刹车盘和刹车钳的受力状态,导出了其受力和摩擦面上耗散功率等因素之间的基本关系式。根据能量守恒原理又推导了钻机盘式刹车系统的能量转换表达式。通过进一步分析盘式刹车系统的使用要求和刹车过程中失效的主要形式,提出了刹车盘摩擦表面温度变化的理想曲线和耗散功率变化的理想曲线。建立了钻机盘式刹车系统的优化设计模型,并进行了分析讨论。

  20. Design and Characterization of a Centrifugal Compressor Surge Test Rig

    Directory of Open Access Journals (Sweden)

    Kin Tien Lim

    2011-01-01

    Full Text Available A detailed description of a new centrifugal compressor surge test rig is presented. The objective of the design and development of the rig is to study the surge phenomenon in centrifugal compression systems and to investigate a novel method of surge control by active magnetic bearing servo actuation of the impeller axial tip clearance. In this paper, we focus on the design, initial setup, and testing of the rig. The latter two include the commissioning of the rig and the experimental characterization of the compressor performance. The behavior of the compressor during surge is analyzed by driving the experimental setup into surge. Two fundamental frequencies, 21 Hz and 7 Hz, connected to the surge oscillation in the test rig are identified, and the observed instability is categorized according to the intensity of pressure fluctuations. Based on the test results, the excited pressure waves are clearly the result of surge and not stall. Also, they exhibit the characteristics of mild and classic surge instead of deep surge. Finally, the change in the compressor performance due to variation in the impeller tip clearance is experimentally examined, and the results support the potential of the tip clearance modulation for the control of compressor surge. This is the first such demonstration of the feasibility of surge control of a compressor using active magnetic bearings.

  1. A Telerobotic System for Transnasal Surgery

    Science.gov (United States)

    Burgner, Jessica; Rucker, D. Caleb; Gilbert, Hunter B.; Swaney, Philip J.; Russell, Paul T.; Weaver, Kyle D.; Webster, Robert J.

    2014-01-01

    Mechanics-based models of concentric tube continuum robots have recently achieved a level of sophistication that makes it possible to begin to apply these robots to a variety of real-world clinical scenarios. Endonasal skull base surgery is one such application, where their small diameter and tentacle like dexterity are particularly advantageous. In this paper we provide the medical motivation for an endonasal surgical robot featuring concentric tube manipulators, and describe our model-based design and teleoperation methods, as well as a complete system incorporating image-guidance. Experimental demonstrations using a laparoscopic training task, a cadaver reachability study, and a phantom tumor resection experiment illustrate that both novice and expert users can effectively teleoperate the system, and that skull base surgeons can use the robot to achieve their objectives in a realistic surgical scenario. PMID:25089086

  2. Nonlinear Control for Magnetic Bearings in Deployment Test Rigs : Simulation and Experimental Results

    NARCIS (Netherlands)

    Scherpen, J.M.A.; Kerk, B. van der; Klaassens, J.B.; Lazeroms, M.; Kan, S.Y.

    1998-01-01

    In this paper three control schemes for a test set-up of a magnetic bearing system for deployment rigs of solar arrays are described. The air gap of the magnet has to be controlled to a constant value independent of the deployment of the solar array. The deployment of the rig has been modeled as a

  3. Nonlinear Control for Magnetic Bearings in Deployment Test Rigs : Simulation and Experimental Results

    NARCIS (Netherlands)

    Scherpen, J.M.A.; Kerk, B. van der; Klaassens, J.B.; Lazeroms, M.; Kan, S.Y.

    1998-01-01

    In this paper three control schemes for a test set-up of a magnetic bearing system for deployment rigs of solar arrays are described. The air gap of the magnet has to be controlled to a constant value independent of the deployment of the solar array. The deployment of the rig has been modeled as a v

  4. Nonlinear Control for Magnetic Bearings in Deployment Test Rigs : Simulation and Experimental Results

    NARCIS (Netherlands)

    Scherpen, J.M.A.; Kerk, B. van der; Klaassens, J.B.; Lazeroms, M.; Kan, S.Y.

    1998-01-01

    In this paper three control schemes for a test set-up of a magnetic bearing system for deployment rigs of solar arrays are described. The air gap of the magnet has to be controlled to a constant value independent of the deployment of the solar array. The deployment of the rig has been modeled as a v

  5. On the Rig Electrical Control System Using DC Contactor Safety Improvements%浅析钻机电控系统直流接触器使用安全性能的改进

    Institute of Scientific and Technical Information of China (English)

    刘龙

    2016-01-01

    针对石油钻机直流电控系统中使用的国产直流接触器,在系统正常运行时所出现的主触头温度过高等问题,提出改进方案或措施。电控系统的正常运行验证,国产直流接触器性能安全、使用效果好,为国产化直流接触器在石油钻机直流电控系统中的使用和推广奠定了基础。%Domestic oil rig DC DC contactor control system used during normal system operation occurs when the temperature is too high the main contacts and other issues,improve programs or measures submitted through normal operation to verify the electronic control system,and achieved good security,using the results for the localization of the oil rig in the DC contactors DC control system use and promotion of the foundation.

  6. Successful surgical removal of occult metastases of medullary thyroid carcinoma recurrences with the help of immunoscintigraphy and radioimmunoguided surgery.

    Science.gov (United States)

    de Labriolle-Vaylet, C; Cattan, P; Sarfati, E; Wioland, M; Billotey, C; Brochériou, C; Rouvier, E; de Roquancourt, A; Rostène, W; Askienazy, S; Barbet, J; Milhaud, G; Gruaz-Guyon, A

    2000-02-01

    Patients with recurrent or metastatic medullary thyroid carcinoma (MTC) were referred for pretargeted immunoscintigraphy (Affinity Enhancement System; AES) and radioimmunoguided surgery (RIGS). Data collected from 13 patients establish that whole-body AES immunoscintigraphy revealed metastases < 360 mg and RIGS detected micrometastases (5-15 mg). All tissue samples removed by the surgeon were diagnosed by histology and immunohistochemistry of calcitonin to check the accuracy of IS and RIGS results. AES immunoscintigraphy is very sensitive. Of 34 metastases or recurrences detected, 22 had escaped physical examination or conventional imaging. The accuracy of RIGS was 86%, its sensitivity 75%, and its specificity was 90% (n = 208). IS and RIGS detected occult tumors that would have escaped surgery, clearly demonstrating clinical benefit. Serum calcitonin (normal, 10 pg/ml) and carcinoembryonic antigen (normal, 5 ng/ml) of two patients were restored to normal. In patients whose tumors were discovered, progression of their disease was slowed, as evidenced by the large decrease in serum calcitonin and carcinoembryonic antigen, an important prognostic factor. Surgery was canceled in one case where IS detected distant metastases out of surgical reach. Thus, AES immunoscintigraphy and RIGS might be of valuable help for the surgical management of medullary thyroid carcinoma.

  7. Heat-and-pull rig for fiber taper fabrication

    NARCIS (Netherlands)

    Ward, Jonathan M.; O'Shea, Danny G.; Shortt, Brian J.; Morrissey, Michael J.; Deasy, Kieran; Chormaic, Sile G. Nic

    2006-01-01

    We describe a reproducible method of fabricating adiabatic tapers with 3-4 mu m diameter. The method is based on a heat-and-pull rig, whereby a CO(2) laser is continuously scanned across a length of fiber that is being pulled synchronously. Our system relies on a CO(2) mirror mounted on a geared ste

  8. Relationships Between Two Approaches: Rigged Configurations and 10-Eliminations

    Science.gov (United States)

    Kirillov, Anatol N.; Sakamoto, Reiho

    2009-07-01

    There are two distinct approaches to the study of initial value problem of the periodic box-ball systems. One way is the rigged configuration approach due to Kuniba-Takagi-Takenouchi and another way is the 10-elimination approach due to Mada-Idzumi-Tokihiro. In this paper, we describe precisely interrelations between these two approaches.

  9. 29 CFR 1918.54 - Rigging gear.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 7 2010-07-01 2010-07-01 false Rigging gear. 1918.54 Section 1918.54 Labor Regulations...) SAFETY AND HEALTH REGULATIONS FOR LONGSHORING Vessel's Cargo Handling Gear § 1918.54 Rigging gear. (a... other alternate device shall be provided to allow trimming of the gear and to prevent employees...

  10. China-made Rigs Enter International Market

    Institute of Scientific and Technical Information of China (English)

    Zhang Yongze; Chen Liren

    2006-01-01

    @@ Nowadays, China's drilling equipment manufacturing has formed into a sophisticated industrial chain, playing an indispensable role in supporting China's petroleum industry. Especially in recent years, apart from satisfying the requirements of domestic onshore drilling operations,the state-of-the-art drilling equipments like offshore modular drilling rigs, 9000 meter ultra-deep rigs have also been successfully manufactured, this, together with the wholesale export of electric drilling rigs to the overseas market, has ranked China as a primary manufacturer of drilling equipments in the world. China can now wholesale produce series of onshore and offshore drilling equipment with rig production of nearly 200 per year.The production capacity accounts for 20%-25% of the world total. In addition to satisfying domestic market,China made onshore drilling rigs have also gained great competitive advantages in the international market.

  11. Design of electric control system of offshore drilling rig and its key technologies%海洋钻机电气控制系统设计及关键技术

    Institute of Scientific and Technical Information of China (English)

    刘曙光; 蔡运恒; 贾晨辉; 陶亚敏

    2016-01-01

    针对海洋钻机作业过程中存在着送钻控制自动化程度低、缺乏柔性扭矩的预测与控制、软泵控制技术未实现工程化、海浪升沉补偿技术依赖进口等技术问题,根据海洋钻井平台的特殊作业环境和结构特点,给出了海洋钻机电气传动控制系统的基本构成,并以70DBF 电驱动钻机为例设计了海洋钻机的动力控制系统、传动控制系统和 PLC 网络控制系统。同时,对其关键技术,如自动送钻、软扭矩、软泵控制、谐波治理、主动升降补偿技术等进行讨论。实际运行结果显示,此电控系统运行可靠,可满足海上7000m 海洋钻机的生产需要。%In view of some technical problems existing in the process of offshore drilling opera -tions ,such as low degree of automation in drilling process ,lack of prediction and control of soft torque ,without soft pump control technology and the waves heave compensation technolo-gy ,according to the special working environment and structural characteristics of the marine drilling platform ,the basic construction of electric drive control system for offshore rigs is giv -en .Taking 70DBF electric drive rig as an example ,the designs of the control system ,drive control system of power and PLC netwok control system are also given .Besides ,the key tech-nology is discussed ,which includes auto-drilling ,soft torque , soft pump control , harmonic handling and active heave compensation .Results indicate that the electric control system per-forms well and meets the demand of 7 000m marine drilling rig production .

  12. 38th annual Reed rig census

    Energy Technology Data Exchange (ETDEWEB)

    Fitts, R.L.; Crowhurst, M.E. (Market Research and Analysis, Reed Tool Co., Houston, TX (US))

    1990-10-01

    According to this report, sharp and encouraging movement toward a balance between rig supply and demand is becoming apparent. During the past year, contractors reported the number of rigs available for drilling in the U.S. fell by 222 (8.7%). Contractors also reported that rigs meeting the census definition of active increased by 233 (16.1%). Highlights of the 1990 census, presented by the authors, include: The available U.S. fleet now stands at 2,320 rigs, the lowest since 1976. Last year's count was 2,542. The census active count of 1,677 rigs is the highest since 1985 and up from 1,444 last year. Rig utilization increased to 72%, up from the 57% a year ago. The number of rig owners declined from 558 to 500. More than 190 companies have left the drilling business since 1987. About 6.5% of last year's fleet was cannibalized or auctioned as parts.

  13. Body Language Advanced 3D Character Rigging

    CERN Document Server

    Allen, Eric; Fong, Jared; Sidwell, Adam G

    2011-01-01

    Whether you're a professional Character TD or just like to create 3D characters, this detailed guide reveals the techniques you need to create sophisticated 3D character rigs that range from basic to breathtaking. Packed with step-by-step instructions and full-color illustrations, Body Language walks you through rigging techniques for all the body parts to help you create realistic and believable movements in every character you design. You'll learn advanced rigging concepts that involve MEL scripting and advanced deformation techniques and even how to set up a character pipeline.

  14. Development of nanolubricant automotive air conditioning (AAC test rig

    Directory of Open Access Journals (Sweden)

    Redhwan A.A.M.

    2017-01-01

    Full Text Available Nanolubricant been introduced in compressor might improve the performance of automotive air conditioning system. Prior testing of the nanolubricant enhancement performance, an automotive air conditioning (AAC system test rig base on compact car has to be developed; therefore this paper presented the development process of AAC test rig. There are 15 thermocouples, 2 pressure gauges and power analyzer were assembled on the system in order to analyse its performance. The experiment was conducted with four different charged of refrigerant. The charging was based on initial weight charged. At each quantity of refrigerant charge, performance of the AAC system was evaluated by determining three important parameters which is cooling capacity, compressor work and coefficient of performance (COP. The maximum average COP is achieved at 900 RPM is 7.07. The average and maximum COP enhancement of 7.07 % and 13.34 % were achieved by applying SiO2 nanolubricant inside the compressor.

  15. Application of central air conditioner system on modular drilling rig of offshore ifxed platform%集中空调系统在海洋固定平台模块钻机上的应用研究

    Institute of Scientific and Technical Information of China (English)

    罗立臣; 许瑞杰; 马冬辉

    2014-01-01

    Based on the air conditioner selection of Lu Feng7-2 oil ifeld modular drilling rig project, this paper determines two sets of selection of air conditioner by preliminary study, which are central and separation air conditioner systems, respectively. With comparison between the central air conditioner and the split air conditioner in cost, effciency, comfort, space, etc., it concludes that the central air conditioner system has the advantages of lower operation cost, higher energy effciency ratio, better comfort capability, smaller space occupation and so on. It also analyzes its superiority and prospect of application on the modular drilling rig of offshore ifxed platform, which can provide a certain reference for the room cooling design and the equipment selection.%结合陆丰7-2油田模块钻机项目空调选型,通过前期调查研究制定了两套空调选型方案:集中空调系统方案和分体空调系统方案。通过对比两者在费用、工作效率、舒适性、占用空间等方面的特点,得出集中空调系统具有初始投入及运行成本低、能效比高、舒适性好、占地面积小等方面的优点,并分析了集中空调在海洋固定平台模块钻机上使用的优越性以及应用前景,对海洋固定平台模块钻机的房间制冷设计及设备选型提供了一定的参考。

  16. Design and Demonstration of a Test-Rig for Static Performance-Studies of Permanent Magnet Couplings

    DEFF Research Database (Denmark)

    Högberg, Stig; Jensen, Bogi Bech; Bendixen, Flemming Buus

    2013-01-01

    The design and construction of an easy-to-use test-rig for permanent magnet couplings is presented. Static torque of permanent magnet couplings as a function of angular displacement is measured of permanent magnet couplings through an semi-automated test system. The test-rig is capable of measuring...

  17. A Compact Modular Teleoperated Robotic System for Laparoscopic Surgery.

    Science.gov (United States)

    Berkelman, Peter; Ma, Ji

    2009-09-01

    Compared with traditional open surgery, minimally invasive surgical procedures reduce patient trauma and recovery time, but the dexterity of the surgeon in laparoscopic surgery is reduced owing to the small incisions, long instruments and limited indirect visibility of the operative site inside the patient. Robotic surgical systems, teleoperated by surgeons from a master control console with joystick-type manipulation interfaces, have been commercially developed yet their adoption into standard practice may be limited owing to their size, complexity, cost and time-consuming setup, maintenance and sterilization procedures. The goal of our research is to improve the effectiveness of robot-assisted surgery by developing much smaller, simpler, modular, teleoperated robotic manipulator systems for minimally invasive surgery.

  18. A Compact Modular Teleoperated Robotic System for Laparoscopic Surgery

    Science.gov (United States)

    Berkelman, Peter; Ma, Ji

    2011-01-01

    Compared with traditional open surgery, minimally invasive surgical procedures reduce patient trauma and recovery time, but the dexterity of the surgeon in laparoscopic surgery is reduced owing to the small incisions, long instruments and limited indirect visibility of the operative site inside the patient. Robotic surgical systems, teleoperated by surgeons from a master control console with joystick-type manipulation interfaces, have been commercially developed yet their adoption into standard practice may be limited owing to their size, complexity, cost and time-consuming setup, maintenance and sterilization procedures. The goal of our research is to improve the effectiveness of robot-assisted surgery by developing much smaller, simpler, modular, teleoperated robotic manipulator systems for minimally invasive surgery. PMID:21743765

  19. A new robot-assisted orthopedic surgery simulation system

    Institute of Scientific and Technical Information of China (English)

    WU Dong-mei; DU Zhi-jiang; JIA Zhi-heng; YANG Donghai; SUN Li-ning

    2006-01-01

    The paper proposes a novel desktop virtual surgical simulation system capable of not only surgical training but also operative planning, surgery rehearsal and telesurgery, which is mainly used on the robot-assisted orthopedic surgery system, HIT-RAOS. The paper first introduces the hardware system: HIT-RAOS. Then presents several major characters of the virtual system: developing tools, building schemes and collision detection algorithm. Additionally, virtual reality based telesurgery is implemented. Based on these works, experiments of locking of intramedullary nails are conducted, and results are content.

  20. Patient adaptable cerebellar retractor system: Use in posterior fossa surgery

    Directory of Open Access Journals (Sweden)

    Hamid Borghei-Razavi

    2015-06-01

    Full Text Available A new patient adaptable dual use soft tissue spreader and cerebellar retractor system designed for use during surgery of the posterior fossa is described. We found that this new retractor design allowed for excellent exposure, plus greater freedom and dexterity during the posterior fossa surgery. This novel instrument is an improvement over the existing instrument, because it provided more force/power transmission from pins/connectors to the brain spatula via the shorter flexible arm.

  1. Markerless monocular tracking system for guided external eye surgery.

    Science.gov (United States)

    Monserrat, C; Rupérez, M J; Alcañiz, M; Mataix, J

    2014-12-01

    This paper presents a novel markerless monocular tracking system aimed at guiding ophthalmologists during external eye surgery. This new tracking system performs a very accurate tracking of the eye by detecting invariant points using only textures that are present in the sclera, i.e., without using traditional features like the pupil and/or cornea reflections, which remain partially or totally occluded in most surgeries. Two known algorithms that compute invariant points and correspondences between pairs of images were implemented in our system: Scalable Invariant Feature Transforms (SIFT) and Speed Up Robust Features (SURF). The results of experiments performed on phantom eyes show that, with either algorithm, the developed system tracks a sphere at a 360° rotation angle with an error that is lower than 0.5%. Some experiments have also been carried out on images of real eyes showing promising behavior of the system in the presence of blood or surgical instruments during real eye surgery.

  2. A distinct role of Riplet-mediated K63-Linked polyubiquitination of the RIG-I repressor domain in human antiviral innate immune responses.

    Directory of Open Access Journals (Sweden)

    Hiroyuki Oshiumi

    Full Text Available The innate immune system is essential for controlling viral infections, but several viruses have evolved strategies to escape innate immunity. RIG-I is a cytoplasmic viral RNA sensor that triggers the signal to induce type I interferon production in response to viral infection. RIG-I activation is regulated by the K63-linked polyubiquitin chain mediated by Riplet and TRIM25 ubiquitin ligases. TRIM25 is required for RIG-I oligomerization and interaction with the IPS-1 adaptor molecule. A knockout study revealed that Riplet was essential for RIG-I activation. However the molecular mechanism underlying RIG-I activation by Riplet remains unclear, and the functional differences between Riplet and TRIM25 are also unknown. A genetic study and a pull-down assay indicated that Riplet was dispensable for RIG-I RNA binding activity but required for TRIM25 to activate RIG-I. Mutational analysis demonstrated that Lys-788 within the RIG-I repressor domain was critical for Riplet-mediated K63-linked polyubiquitination and that Riplet was required for the release of RIG-I autorepression of its N-terminal CARDs, which leads to the association of RIG-I with TRIM25 ubiquitin ligase and TBK1 protein kinase. Our data indicate that Riplet is a prerequisite for TRIM25 to activate RIG-I signaling. We investigated the biological importance of this mechanism in human cells and found that hepatitis C virus (HCV abrogated this mechanism. Interestingly, HCV NS3-4A proteases targeted the Riplet protein and abrogated endogenous RIG-I polyubiquitination and association with TRIM25 and TBK1, emphasizing the biological importance of this mechanism in human antiviral innate immunity. In conclusion, our results establish that Riplet-mediated K63-linked polyubiquitination released RIG-I RD autorepression, which allowed the access of positive factors to the RIG-I protein.

  3. Composite Energy Storage Control System Application on the Rig Braking Energy Recovery%复合储能控制系统在钻机制动能量回收中的应用

    Institute of Scientific and Technical Information of China (English)

    董兴华; 栾苏; 魏培静; 李洪波; 刘晶晶; 乌买尔·达吾提

    2016-01-01

    石油钻机在工作过程中由于制动能量无法回收利用,造成了能量的巨大浪费。采用储能单元可以在电机制动时回收能量,在电机负载增加时作为辅助动力源进行电能补充。然而,这类设备的储能单元易损坏、整体采购成本高,不利于在石油钻井行业推广应用。鉴于此,对钻机原有电控系统进行扩展,加入控制单元和储能单元,提出制动能量回收利用方案和复合储能单元的改良设计,并设计了该系统的控制策略、保护策略和储能单元的模糊控制。通过实际应用证明该系统可以改善电能的质量和降低生产成本,对制动能量的有效回收利用效果明显。最后指出该复合储能控制系统在石油钻井行业的应用前景十分广阔。%The unrecoverable braking energy of oil rig during operation often results in huge waste of energy. The energy storage unit can recover the energy during braking and supply as an auxiliary power source when the mo⁃tor load increases. However, the energy storage units are easily damaged and the overall procurement costs are high, which makes it not preferable to promote application in the oil drilling industry. In view of this, the original rig electric control system can be extended to integrate the control unit and the storage unit. The braking energy re⁃covery program and a modified design of composite energy storage unit have been proposed. The system’s control strategy, protection strategy and the energy storage unit fuzzy control have been designed. The practical application shows that the system can improve the quality of electricity and reduce production costs, presenting efficient recov⁃ery of braking energy. The developed composite energy storage control system has a broad application prospects in the oil drilling industry.

  4. Systemic Inflammatory Response Syndrome and postoperative complications after orthognathic surgery.

    Science.gov (United States)

    Kasahara, Kiyohiro; Yajima, Yasutomo; Ikeda, Chihaya; Kamiyama, Isao; Takaki, Takashi; Kakizawa, Takashi; Shibahara, Takahiko

    2009-02-01

    Symptoms of Systemic Inflammatory Response Syndrome (SIRS) presenting immediately after surgery have lately been regarded as potential warnings of impending postoperative complications and multiple organ failure. Reports discussing the relationship between operative stress and SIRS are found in the field of digestive surgery, but not in that of oral surgery. Sixty-five patients with jaw deformity who had undergone maxillary and mandibular orthognathic surgery (Le Fort I osteotomy and sagittal splitting ramus osteotomy) between September 2003 and October 2006 were involved in this study. A search based on the SIRS diagnostic criteria resulted in assignment of 33 cases to the SIRS group and 32 cases to the non-SIRS group. Postoperative complications occurred in 27.3% of the SIRS group and 0.0% of the non-SIRS group (pSIRS patients in preventing complications.

  5. Optical Micro- and Nanofiber Pulling Rig

    CERN Document Server

    Ward, J M; Le, Vu H; Chormaic, S Nic

    2014-01-01

    We review the method of producing adiabatic optical micro- and nanofibers using a hydrogen/oxygen flame brushing technique. The flame is scanned along the fiber, which is being simultaneously stretched by two translation stages. The tapered fiber fabrication is reproducible and yields highly adiabatic tapers with either exponential or linear profiles. Details regarding the setup of the flame brushing rig and the various parameters used are presented. Information available from the literature is compiled and further details that are necessary to have a functioning pulling rig are included. This should enable the reader to fabricate various taper profiles, while achieving adiabatic transmission of ~ 99% for fundamental mode propagation. Using this rig, transmissions greater than 90% for higher order modes in an optical nanofiber have been obtained.

  6. Test rig for investigations of force excited and synchrocoupling loaded rotor

    Science.gov (United States)

    Rauch, Adam

    1987-10-01

    The main topics of test rig based rotor investigations are: dynamic relations of a rotor bearing foundation system, shaft cracking, torsional simulation of rotor-generator hunting, flexural-torsional coupling of vibrations, and other areas of rotor dynamics including balancing, maintenance and modal analysis of a rotor. The present paper describes a general purpose rotor test rig capable of handling a great number of these areas. The test rig simulates a heavy, power-loaded rotor mounted on a flexible foundation. Five forms of excitation are provided: oscillating or impact torque, impact force, step force, bearing and foundation excitation. They can be combined if necessary. New research facilities offered by the rig are: external flexural force loading, driving torque loading by synchrocoupling with a full recovery of brake energy, bending release of rotor ends by pivoting, and multi-pulse impact force excitation. The most remarkable is the synchroaxle principle, called SAP for short, which is described in detail. Test rig features have been proved to be successful by research of shaft cracking and rotor-foundation vibrations. This presentation concerns only the general description, calculation and application aspects of the rig.

  7. An Examination of Criminalization of Russia’s Anti-Bid Rigging Policy

    Directory of Open Access Journals (Sweden)

    Natalya Mosunova

    2015-01-01

    Full Text Available The paper investigates enforcement of criminal sanctions in anti-bid rigging policy in Russia. Although cartels were criminalized in 1997, parties of numerous anticompetitive agreements on tenders are punished by corporate or individual fines, or disqualified. Statistics on sentences for bid rigging are highly controversial although legislative conditions for efficient criminalization are presented not only by criminal norms but also by leniency programmes in administrative and criminal proceedings which were designed to contribute to anticartel enforcement.The aim of this research is to determine factors that have caused the very rare use of criminal sanctions for cartel enforcement with the focus on bid rigging. For the purpose of the research, the paper outlines the regulation of tendering in Russia and the system of sanctions for bid rigging, including leniency. Case analysis of the first custodial sentence for anticompetitive agreement on a public tender highlights specific features resulting in successful prosecution. Since this is one of the first attempts to assess criminalization of bid rigging in Russia, original empirical data including interviews with officials from federal competition authorities and regional representatives constitute the basis of the study.Findings of the research determine the influence of social norms on the enforcement as the main challenge for criminalization of bid rigging which is weighed down by the insufficient political influence of competition authorities. The paper’s findings may be of interest for assessing enforcement in other jurisdictions experiencing the same difficulties.

  8. Into the deep : Seabed Rig could help reduce risks in the Arctic

    Energy Technology Data Exchange (ETDEWEB)

    Macedo, R.

    2009-12-15

    According to the United States Geological Survey, the Arctic accounts for 13 per cent of the world's undiscovered oil, 30 per cent of the natural gas and 20 per cent of the natural gas liquids. Approximately 84 per cent of the estimated resources are expected to be offshore in harsh physical environments. A Norwegian company is designing a rig that will avoid problems associated with floating ice, icebergs and sub-zero temperatures. The unmanned Seabed Rig AS drilling rig will sit on the ocean floor. Automated and robotized working operations will be controlled remotely from an interactive 3D interface connected to the vessel through an umbilical. The umbilical with power control and mud flow can be disconnected in the event of an emergency, allowing the vessel to abandon the area. Supporters of the technology include Statoil ASA, Convexa, iPark AS, the Norwegian Research Council and Innovasjon Norge. An interactive, computer generated 3-dimensional model will be produced to view the entire rig remotely. Each subsea control system will send continuous feedback to the visualizator, which updates the 3D model in real time on a big screen. Although the rig is suited for operation in Arctic areas and deep waters, it could also be used in traditional drilling. A full-scale prototype of the core of the technology is being developed. The Seabed Rig will require fewer operating personnel and standby vessels. 1 ref., 2 figs.

  9. Ergonomic exposure on a drilling rig

    DEFF Research Database (Denmark)

    Jensen, Carsten; Jensen, Chris

    , absence from work due to other health problems may not show a similar trend towards lower absenteeism. Sickness absence was reported by Maersk Contractors to have increased among their drilling rig personnel in the Danish Sector of the North Sea from 2000 to 2004 (Steffensen 2005). Their statistics were....... In a relatively old study on American drilling rigs it was indicated that lower back problems was a frequent cause of absence (Clemmer et al. 1991). Most of the incidents causing lower back injuries were associated with heavy lifting or pushing/pulling objects by roustabouts, floorhands, derrickmen and welders...

  10. Computer-controlled stapling system for lung surgery.

    Science.gov (United States)

    Gossot, Dominique; Nana, Albert

    2005-11-01

    Current disposable hand-actuated staplers may pose reliability problems, especially with respect to the measurement of tissue thickness. We have evaluated a newly developed stapler with a computer-controlled placement of staples. The SurgAssist system (Power Medical Interventions, New Hope, PA) is comprised of a console that houses a computer, a remote control unit, a flexible shaft, and a cartridge. The remote control unit has two uses: (1) controlling the accurate placement of the cartridge by orientating the tip of the flexible shaft, and (2) controlling the closure of the stapler and the firing. Each cartridge contains a programmed electronic device that triggers the activation of the appropriate program in the main microprocessor. The compression level on the tissue is determined by the computer. The system was used in a consecutive series of 38 patients, 26 times during open lung surgery and 12 times during video-assisted thoracic surgery. The following open procedures were performed: three pneumonectomies, 15 lobectomies, three segmentectomies, and five wedge resections. The following video-assisted thoracic surgery procedures were performed: eight wedge resections and four bullectomies for pneumothorax. There was no stapling failure and no complication related to the use of the stapler. During video-assisted thoracic surgery, some ergonomic problems were encountered that will be overcome by redesign. The computer-controlled stapling system may significantly improve tissue approximation during open and video-assisted thoracic surgery.

  11. Preliminary development of augmented reality systems for spinal surgery

    Science.gov (United States)

    Nguyen, Nhu Q.; Ramjist, Joel M.; Jivraj, Jamil; Jakubovic, Raphael; Deorajh, Ryan; Yang, Victor X. D.

    2017-02-01

    Surgical navigation has been more actively deployed in open spinal surgeries due to the need for improved precision during procedures. This is increasingly difficult in minimally invasive surgeries due to the lack of visual cues caused by smaller exposure sites, and increases a surgeon's dependence on their knowledge of anatomical landmarks as well as the CT or MRI images. The use of augmented reality (AR) systems and registration technologies in spinal surgeries could allow for improvements to techniques by overlaying a 3D reconstruction of patient anatomy in the surgeon's field of view, creating a mixed reality visualization. The AR system will be capable of projecting the 3D reconstruction onto a field and preliminary object tracking on a phantom. Dimensional accuracy of the mixed media will also be quantified to account for distortions in tracking.

  12. Systemic inflammatory response syndrome and surgical stress in thoracic surgery.

    Science.gov (United States)

    Takenaka, Kazumasa; Ogawa, Eiji; Wada, Hiromi; Hirata, Toshiki

    2006-03-01

    To evaluate the clinical usefulness of postoperative systemic inflammatory response syndrome (SIRS) as an index of surgical stress in patients undergoing thoracic surgery. Forty-five consecutive patients who underwent thoracic surgery with thoracotomy were enrolled. The SIRS criteria were examined daily during the first 7 postoperative days. The serum interleukin-6 (IL-6) level, operation time, intraoperative blood loss, amount of thoracic drainage, and C-reactive protein levels were also measured. Sixteen cases were categorized into the SIRS group, whereas 29 cases were categorized into the non-SIRS group. Among the patients who underwent thoracic surgery, the physiological responses of the patients to the surgery, such as serum IL-6 levels and C-reactive protein levels, were significantly higher in the SIRS group than in the non-SIRS group (P = .002 and .024, respectively). The serum IL-6 level on the first postoperative day was an independent factor associated with SIRS (95% CI 1.002-1.041; P = .030). Furthermore, there was a correlation between the number of SIRS days and the duration of the postoperative hospital stay (r = 0.379, P = .012). Our results demonstrated that SIRS reflected the degree of surgical stress, especially thoracotomic procedures, through the IL-6 levels, and affected the postoperative hospital stay. Systemic inflammatory response syndrome can be useful for the postoperative management of patients undergoing thoracic surgery.

  13. Concept and design of a cooperative robotic assistant surgery system

    OpenAIRE

    Castillo Cruces, Raúl Armando

    2008-01-01

    The modular interactive computer-assisted surgery (modiCAS) project, settled in the Center for Sensor System (ZESS) at the University of Siegen, in Germany, is engaged to develop an integral solution for different surgical problems by the combination of a navigation system and a robot arm with hands-on capabilities. The robotic system may be thought of as a smart surgical tool that extends surgeon's ability to treat patients, giving him/her surgical assistant by working in cooperative fashion...

  14. Origin and evolution of the RIG-I like RNA helicase gene family

    Directory of Open Access Journals (Sweden)

    Nie Pin

    2009-04-01

    Full Text Available Abstract Background The DExD/H domain containing RNA helicases such as retinoic acid-inducible gene I (RIG-I and melanoma differentiation-associated gene 5 (MDA5 are key cytosolic pattern recognition receptors (PRRs for detecting nucleotide pathogen associated molecular patterns (PAMPs of invading viruses. The RIG-I and MDA5 proteins differentially recognise conserved PAMPs in double stranded or single stranded viral RNA molecules, leading to activation of the interferon system in vertebrates. They share three core protein domains including a RNA helicase domain near the C terminus (HELICc, one or more caspase activation and recruitment domains (CARDs and an ATP dependent DExD/H domain. The RIG-I/MDA5 directed interferon response is negatively regulated by laboratory of genetics and physiology 2 (LGP2 and is believed to be controlled by the mitochondria antiviral signalling protein (MAVS, a CARD containing protein associated with mitochondria. Results The DExD/H containing RNA helicases including RIG-I, MDA5 and LGP2 were analysed in silico in a wide spectrum of invertebrate and vertebrate genomes. The gene synteny of MDA5 and LGP2 is well conserved among vertebrates whilst conservation of the gene synteny of RIG-I is less apparent. Invertebrate homologues had a closer phylogenetic relationship with the vertebrate RIG-Is than the MDA5/LGP2 molecules, suggesting the RIG-I homologues may have emerged earlier in evolution, possibly prior to the appearance of vertebrates. Our data suggest that the RIG-I like helicases possibly originated from three distinct genes coding for the core domains including the HELICc, CARD and ATP dependent DExD/H domains through gene fusion and gene/domain duplication. Furthermore, presence of domains similar to a prokaryotic DNA restriction enzyme III domain (Res III, and a zinc finger domain of transcription factor (TF IIS have been detected by bioinformatic analysis. Conclusion The RIG-I/MDA5 viral surveillance system

  15. Largest Contract for Rig Export Wound up Successfully

    Institute of Scientific and Technical Information of China (English)

    2003-01-01

    @@ In mid-November, the last drilling rig, typed ZJ50DBA,of the 10-rig deal was packed and transported to Uzbekistan from Chuanyou Guanghan Honghua Co Ltd, a drilling equipment producer under Sichuan Petroleum Administration Bureau, putting an end to China's largest contract for export of drilling rigs.

  16. Prevalence of peripheral nervous system complications after major heart surgery.

    Science.gov (United States)

    Gavazzi, Armando; de Rino, Francesca; Boveri, Maria Claudia; Picozzi, Anna; Franceschi, Massimo

    2016-02-01

    We evaluated 374 consecutive patients from May 2013 to April 2014 who underwent major cardiac surgery. Each patient had an interview and a neurological clinical examination during the rehabilitation period. Patients with possible peripheral nervous system (PNS) complications underwent further electrodiagnostic tests. Among 374 patients undergoing major heart surgery (coronary artery bypass grafting, valvular heart surgery, ascending aortic aneurysm repair) 23 (6.1 %) developed 34 new PNS complications. We found four brachial plexopathies; four carpal tunnel syndromes; five critical illness neuropathies; three worsening of pre-existing neuropathies; two involvement of X, one of IX and one of XII cranial nerves; three peroneal (at knee), one saphenous, two median (at Struthers ligament), six ulnar (at elbow) mononeuropathies; two meralgia parestheticas. Diabetes is a strong risk factor for PNS complications (p = 0.002); we could not find any other relationship of PNS complications with clinical conditions, demographic data (gender, age) or type of surgical intervention. The mononeuropathies of right arms can be related to ipsilateral vein cannulation; position of body and stretching from chest wall retraction may be the cause of mononeuropathies of left arms (more frequent); the use of saphenous vein and position of the limbs may be the cause of mononeuropathies of the legs; surgical and anesthetical procedures can injure cranial nerves; respiratory failure and infection during the first days after surgery can cause critical illness neuropathies. Careful preoperative assessment and intraoperative management may reduce the risk of long-term PNS complications after cardiac surgery.

  17. A Study on the Dynamic Analysis of the Nuclear Fuel Test Rig Using 1-Way Fluid-Structure Coupled Analysis

    Energy Technology Data Exchange (ETDEWEB)

    Yang, Tae-Ho; Hong, Jin-Tae; Ahn, Sung-Ho; Joung, Chang-Young; Heo, Sung-Ho; Jang, Seo-Yun [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2015-10-15

    1-way fluid-structure coupled analysis is used to estimate the dynamic characteristic of the fuel test rig. the motion at the bottom of the test rig is confirmed. The maximum deformation of the test rig is 0.11 mm. The structural integrity of the test rig is performed by using the comparison with the Von-mises stress of the analysis and yield stress of the material. It is evaluated that the motion at the bottom of the test rig is able to cause other structural problem. Using the 2-way fluid-structural coupled analysis, the structural integrity of the test rig will be performed in further paper. The cooling water with specific flow rate was flowed in the nuclear fuel test rig. The structural integrity of the test rig was affected by the vibration. The fluid-induced vibration test had to be performed to obtain the amplitude of the vibration on the structure. Various test systems was developed. Flow-induced vibration and pressure drop experimental tester was developed in Korea Atomic Energy Research Institute. The vibration test with high fluid flow rate was difficult by the tester. To generate the nuclear fuel test environment, coolant flow simulation system was developed. The scaled nuclear fuel test was able to be performed by the simulation system. The mock-up model of the test rig was used in the simulation system. The mock-up model in the simulation system was manufactured with scaled down full model. In this paper, the fluid induced vibration characteristic of the full model in the nuclear fuel test is studied. The hydraulic pressure on the velocity of the fluid was calculated. The static structure analysis was performed by using the pressure. The structural integrity was assessed using the results of the analysis.

  18. Systemic Lidocaine Shortens Length of Hospital Stay After Colorectal Surgery

    Science.gov (United States)

    Herroeder, Susanne; Pecher, Sabine; Schönherr, Marianne E.; Kaulitz, Grit; Hahnenkamp, Klaus; Friess, Helmut; Böttiger, Bernd W.; Bauer, Harry; Dijkgraaf, ↶oMarcel G. W.; Durieux, Marcel E.; Hollmann, Markus W.

    2007-01-01

    Objective: To characterize the beneficial effects of perioperative systemic lidocaine on length of hospital stay, gastrointestinal motility, and the inflammatory response after colorectal surgery. Summary Background Data: Surgery-induced stimulation of the inflammatory response plays a major role in the development of several postoperative disorders. Local anesthetics possess anti-inflammatory activity and are thought to positively affect patients' outcome after surgery. This double-blinded, randomized, and placebo-controlled trial aimed to evaluate beneficial effects of systemic lidocaine and to provide insights into underlying mechanisms. Methods: Sixty patients undergoing colorectal surgery, not willing or unable to receive an epidural catheter, were randomly assigned to lidocaine or placebo treatment. Before induction of general anesthesia, an intravenous lidocaine bolus (1.5 mg/kg) was administered followed by a continuous lidocaine infusion (2 mg/min) until 4 hours postoperatively. Length of hospital stay, gastrointestinal motility, and pain scores were recorded and plasma levels or expression of pro- and anti-inflammatory mediators determined. Results: Lidocaine significantly accelerated return of bowel function and shortened length of hospital stay by one day. No difference could be observed in daily pain ratings. Elevated plasma levels of IL-6, IL-8, complement C3a, and IL-1ra as well as expression of CD11b, l- and P-selectin, and platelet-leukocyte aggregates were significantly attenuated by systemic lidocaine. Conclusions: Perioperative intravenous lidocaine not only improved gastrointestinal motility but also shortened length of hospital stay significantly. Anti-inflammatory activity modulating the surgery-induced stress response may be one potential mechanism. Systemic lidocaine may thus provide a convenient and inexpensive approach to improve outcome for patients not suitable for epidural anesthesia. PMID:17667496

  19. Rig safety depends on equipment, regulations, and personnel

    Energy Technology Data Exchange (ETDEWEB)

    Bates, T.R. Jr.; Tait, S. (Sedco Forex, Aberdeen (GB)); Mumford, G. (Sedco Forex, Montrouge (FR))

    1990-03-05

    The authors discuss how improvements that can increase rig safety can be made in equipment, regulations, and stabilized personnel levels. With regard to equipment, exposure to material handling must be reduced through automation, and well-control technology must be improved by enhanced use of computers and better systems to handle gas. According to this analysis, regulations are needed that are global in scope and have had their costs-to-benefits fully and fairly assessed. Self regulation must be used effectively throughout the industry. Job security and wages should be made adequate to maintain an experienced, motivated, and safe work force.

  20. Development of SPND-instrumented rig of HANARO irradiation test of DUPIC fuel

    Energy Technology Data Exchange (ETDEWEB)

    Lee, C. Y.; Mun, J. S.; Park, H. S.; Song, K. C.; Kang, K. H.; Jeong, I. H.; Yang, M. S. [KAERI, Taejon (Korea, Republic of)

    2001-10-01

    The 3rd irradiation test of DUPIC fuel, which was fabricated in the DFDF has been performed at HANARO. For the objectives of this irradiation test, The SPND-instrumented rig was designed and manufactured on the basis of the design specifications of the non-instrumented rig used in the last irradiation test. The newly designed irradiation rig was equipped with three Rh-type SPND sensors around DUPIC mini-elements for estimating the thermal neutron flux in the OR4 hole. Manufacturing of mini-elements and assembly of the irradiation rig were remotely done in the hot cells using the laser welding system and assembling equipments. The DUPIC rig is installed through the guide tube at the HANARO OR4 hole and the thermal neutron flux measured at that location is transmitted to the monitoring system. This irradiation test launched in June, 2001 at the HANARO OR4, and its anticipated discharge burnup is about 7,000 MWd/tHE.

  1. An inexpensive heat-and-pull rig for fiber taper fabrication

    CERN Document Server

    Ward, J; Shortt, B; Morrissey, M; Deasy, K; Chormaic, S N

    2006-01-01

    We describe an inexpensive and reproducible method of fabricating adiabatic tapers with 3-4 micron diameter. The method is based on a heat-and-pull rig, whereby a CO2 laser is continuously scanned across a length of fiber that is being pulled synchronously. Our system relies on a CO2 mirror mounted on an inexpensive geared stepper motor in order to scan the laser beam across the taper region and ensure adiabaticity. We show that this system offers a reliable alternative to more traditional rigs incorporating galvanometer scanners. We have routinely obtained transmission losses between 0.1 and 0.3 dB. The operation of the rig is described in detail and an analysis on the produced tapers is provided. The flexibility of the rig is demonstrated by fabricating prolate dielectric microresonators using the microtapering technique. Such a rig is of interest to a range of fields that require tapered fiber fabrication such as microcavity-taper coupling, atom guiding along a tapered fiber, optical fiber sensing and the ...

  2. Genetic polymorphisms of dsRNA ligating pattern recognition receptors TLR3, MDA5, and RIG-I. Association with systemic lupus erythematosus and clinical phenotypes

    DEFF Research Database (Denmark)

    Enevold, C; Kjaer, Lasse; Nielsen, Claus Henrik

    2014-01-01

    This study aimed to demonstrate possible associations between genetic polymorphisms in Toll-like receptor 3, interferon induced with helicase C domain 1 (IFIH1) and DEAD (Asp-Glu-Ala-Asp) box polypeptide 58 and systemic lupus erythematosus (SLE), including the phenotypes lupus nephritis and malar...

  3. Computer system to manage information rigs by 3D electronic models; Sistema computacional para administrar la informacion de plataformas petroleras mediante modelos electronicos 3D

    Energy Technology Data Exchange (ETDEWEB)

    Vazquez Bustos, Jesus; Segura Ozuna, Victor Octavio [Instituto de Investigaciones Electricas, Cuernavaca, Morelos (Mexico)

    2012-06-22

    The evolution and incorporation of new hardware technologies, as well as recent advances in computer systems have enabled the development of applications of computer aided design of most complete scope, such as those used for the design of industrial process plants. This article describes a software system developed to complement the capabilities of one of these systems for the design of process plants. A 3D electronic model is generated through the user interface of the design system that at the same time gives the user the ability to generate, publish, review and control the engineering document that are generated during the entire life cycle of a marine oil platform, a very particular type of industrial process plant. This way, the user obtains not only a tool for the design of an industrial plant, but also a system for managing information and engineering documents that are developed. This allows the user to do a more efficient job by putting at his disposal and in the same system, all documents and information required to perform his duty. [Spanish] La evolucion e incorporacion de nuevas tecnologias de hardware, junto con los avances recientes en sistemas de computo ha permitido el desarrollo de aplicaciones de interesante diseno de computo de mayor alcance, tales como los que se emplean en las plantas de procesos industriales. Este articulo describe un sistema de software desarrollado para complementar las capacidades de uno de estos sistemas para el diseno de proceso. Un modelo electronico se genera por medio de la interfaz de usuario del sistema de diseno, que al mismo tiempo da al usuario la capacidad para crear, publicar, revisar y controlar los documentos de ingenieria que se producen durante el ciclo de vida completo de una plataforma marina petrolera, un tipo muy particular de planta de proceso industrial. De este modo, el usuario no solo obtiene una herramienta para el diseno de una planta industrial, sino tambien un sistema para manejar informacion y

  4. Glenn Extreme Environments Rig (GEER) Independent Review

    Science.gov (United States)

    Jankovsky, Robert S.; Smiles, Michael D.; George, Mark A.; Ton, Mimi C.; Le, Son K.

    2015-01-01

    The Chief of the Space Science Project Office at Glenn Research Center (GRC) requested support from the NASA Engineering and Safety Center (NESC) to satisfy a request from the Science Mission Directorate (SMD) Associate Administrator and the Planetary Science Division Chief to obtain an independent review of the Glenn Extreme Environments Rig (GEER) and the operational controls in place for mitigating any hazard associated with its operation. This document contains the outcome of the NESC assessment.

  5. Bethe's quantum numbers and rigged configurations

    Directory of Open Access Journals (Sweden)

    Anatol N. Kirillov

    2016-04-01

    Full Text Available We propose a method to determine the quantum numbers, which we call the rigged configurations, for the solutions to the Bethe ansatz equations for the spin-1/2 isotropic Heisenberg model under the periodic boundary condition. Our method is based on the observation that the sums of Bethe's quantum numbers within each string behave particularly nicely. We confirm our procedure for all solutions for length 12 chain (totally 923 solutions.

  6. Development of Magnetorheological Engine Mount Test Rig

    OpenAIRE

    Md Yunos Mohd Razali; Harun Mohamad Hafiz; Sariman M.Z.; Mat Yamin A.K.

    2017-01-01

    Ride comfort is an important factor in any road vehicle performance. Nonetheless, passenger ride comfort is sometimes affected by the vibrations resulting from the road irregularities. Vehicle ride comfort is also often compromised by engine vibration. Engine mount is one of the devices which act as vibration isolator from unwanted vibration from engine to the driver and passengers. This paper explains the development of the test rig used for laboratory testing of Magnetorheological (MR) engi...

  7. 钻机自动化管具处理系统研究∗%Research on Automatic Pipe Handling System of Drill Rig

    Institute of Scientific and Technical Information of China (English)

    任行; 郝丽军; 牛永超; 余利军; 李鸿涛; 齐然; 黄亮

    2016-01-01

    In order to solve problems of conventional drill pipe handling mode such as long operation time, high safety risk and high labor intensity, an automatic drill pipe handling system is developed based on the re⁃search in the modularization, automation and other aspects, which consists of drill pipe handling manipulator, au⁃tomatic pipe slacking block and electro⁃hydraulic control system�This system has sequential control by the PLC based on preset programs to automatically perform operations such as pipe laying, pipe gripping and pipe feeding�It can be used with top drive drilling system, power tongs and power slips so that only one operator can finish drill pipe handling under the control of computer�Field application results show that, the automatic drill pipe handling system can significantly lower labor intensity to reduce operators from 4 or 5 persons to 1 or 2 persons, and realize unmanned derrick operation and wellhead operation of pipe handling; with flexile operation and high performance, this system has a wide application prospect.%传统的钻机管具处理方式耗费时间长、安全风险高、劳动强度大。鉴于此,针对管具处理系统的模块化和自动化等方面展开研究,开发了一种由管具处理机械手、自动化钻杆盒和电液控制系统等组成的钻机自动化管具处理系统。该系统由P LC按设定的程序进行顺序控制,自动完成排管、抓管和送管等一系列操作,与顶驱、动力大钳和自动卡瓦配合基本实现由1名操作人员通过计算机控制管具处理的全过程。现场应用结果表明,自动化管具处理系统可以显著减轻工人的劳动强度,施工由4~5人减少至1~2人,实现了管具处理的井架无人化和井口无人化作业,操作灵活,性能优越可靠,具有广阔的应用前景。

  8. Surgery of the eloquent area using neuronavigation system

    Energy Technology Data Exchange (ETDEWEB)

    Nakai, Hirofumi; Tanaka, Tatsuya; Hashizume, Kiyotaka; Hodozuka, Akira [Asahikawa Medical Coll., Hokkaido (Japan)

    2001-09-01

    The efficacy of a neuronavigation system for surgery of lesions near Broca's area (6 patients), skull base (5 patients), or paracentral sulcus (10 patients) was evaluated in this study. Using the neuronavigation system, three-dimensional (3D) brain images were reconstructed by plotting cerebral sulcus obtained by MRI and CT. For paracentral sulcus lesions, patients underwent blood oxygen level-dependent fMRI while performing a finger-tapping motor paradigm. 3D reconstructed images were demonstrated to be useful for understanding the anatomical relationship between the lesions and the surrounding vital structures. The precentral gyri identified by 3D reconstructed brain images coincided well with that identified by fMRI. In lesions near Broca's area, skull base, and paracentral sulcus, 3D reconstructed brain images were very useful for both the preoperative surgical simulation and the intraoperative neuronavigation to preserve the postoperative neurological function and to perform less invasive surgery. (author)

  9. Thoracoscopic surgery support system using passive RFID marker.

    Science.gov (United States)

    Takahata, Hiromi; Kojima, Fumitsugu; Okada, Minoru; Sugiura, Tadao; Sato, Toshihiko; Oshiro, Osamu

    2012-01-01

    This paper proposes a RFID based thoracoscopic surgery support system, which is capable of marking a tumor inside organ tissue. The marker composed of small RFID-tags is implanted in the vicinity of tumor found in the endoscopy test. In the thoracoscopic surgery operation for removing the tumor, an RFID detector determines the accurate position of the implanted RFID-tag markers by measuring the strength of the signal emitted from the target tag. Due to limitation in the size of RFID-tag, the proposed system employs a passive RFID. To activate the passive tag implanted in the organ tissue, this paper designs a saddle-shape efficient power supply antenna. A sensitive and frequency-selective receiver is then designed for detecting the weak signal from the tag. The feasibility test confirms that the proposed method is capable of determining the accurate location of RFID tags implanted in the patient's organ tissue.

  10. Impact of Radioimmunoguided Surgery.

    Science.gov (United States)

    La Valle, G J; Chevinsky, A; Martin, E W

    1991-01-01

    Radioimmunoguided surgery (RIGS) is a technique employed to locate tumor deposits with the aid of intravenously injected, tumor-specific, radiolabeled monoclonal antibodies and a small gamma detecting device. The gamma detecting probe (GDP) is a small, portable unit which has the capacity to be used intraoperatively to survey the entire peritoneal surface for increased radioactivity indicative of targeted tumor tissue during abdominal exploration for colorectal cancer. Trials in humans have demonstrated the ability of this system to locate clinically nonpalpable tumor deposits in patients undergoing carcinoembryonic antigen second-look laparotomies. This feature may be of value in improving the definition of tumor location and extent as well as allowing a more thorough resection of tumor-bearing tissue to be performed and hopefully improving overall patient survival.

  11. Computers make rig life extension an option

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-10-01

    The worldwide semisubmersible drilling rig fleet is approaching retirement. But replacement is not an attractive option even though dayrates are reaching record highs. In 1991, Schlumberger Sedco Forex managers decided that an alternative might exist if regulators and insurers could be convinced to extend rig life expectancy through restoration. Sedco Forex chose their No. 704 semisubmersible, an 18-year North Sea veteran, to test their process. The first step was to determine what required restoration, meaning fatigue life analysis of each weld on the huge vessel. If inspected, the task would be unacceptably time-consuming and of questionable accuracy. Instead a suite of computer programs modeled the stress seen by each weld, statistically estimated the sea states seen by the rig throughout its North Sea service and calibrated a beam-element model on which to run their computer simulations. The elastic stiffness of the structure and detailed stress analysis of each weld was performed with ANSYS, a commercially available finite-element analysis program. The use of computer codes to evaluate service life extension is described.

  12. Quantification of intraocular surgery motions with an electromagnetic tracking system.

    Science.gov (United States)

    Son, Ji; Bourges, Jean-Louis; Culjat, Martin O; Nistor, Vasile; Dutson, Erik P; Carman, Gregory P; Hubschman, Jean Pierre

    2009-01-01

    Motion tracking was performed during a combined phacoemulsification (PKE) and pars plana vitrectomy (PPV) procedure on a pig eyeball. The UCLA Laparoscopic Training System (UCLA-LTS), which consists of electromagnetic sensors attached to the surgical tools to measure three-dimensional spatial vectors, was modified to enable quantification of intraocular surgery motions. The range of motion and time taken to complete the given task were successfully recorded.

  13. Both RIG-I and MDA5 detect alphavirus replication in concentration-dependent mode

    Energy Technology Data Exchange (ETDEWEB)

    Akhrymuk, Ivan; Frolov, Ilya; Frolova, Elena I., E-mail: evfrolova@UAB.edu

    2016-01-15

    Alphaviruses are a family of positive-strand RNA viruses that circulate on all continents between mosquito vectors and vertebrate hosts. Despite a significant public health threat, their biology is not sufficiently investigated, and the mechanisms of alphavirus replication and virus–host interaction are insufficiently understood. In this study, we have applied a variety of experimental systems to further understand the mechanism by which infected cells detect replicating alphaviruses. Our new data strongly suggest that activation of the antiviral response by alphavirus-infected cells is determined by the integrity of viral genes encoding proteins with nuclear functions, and by the presence of two cellular pattern recognition receptors (PRRs), RIG-I and MDA5. No type I IFN response is induced in their absence. The presence of either of these PRRs is sufficient for detecting virus replication. However, type I IFN activation in response to pathogenic alphaviruses depends on the basal levels of RIG-I or MDA5. - Highlights: • Both RIG-I and MDA5 detect alphavirus replication. • Alphavirus-induced transcriptional shutoff affects type I IFN induction. • Sensing of alphavirus replication by RIG-I and MDA5 depends on their concentrations. • High basal level of RIG-I and MDA5 allows IFN induction by pathogenic alphaviruses. • This dependence determines the discrepancy between the in vivo and in vitro data.

  14. 钻装机液压防卡钎控制系统设计%Design on Hydraulic Control System of Rod Jamming Prevention for Drilling Rig

    Institute of Scientific and Technical Information of China (English)

    谭正生

    2013-01-01

    为解决钻装机在钻孔作业中的卡钎问题,提出了一种新的防卡钎方案,即在冲击油路中设置三级冲击压力,利用高压冲洗水压排渣的同时,冲洗水压信号控制推进油缸和冲击器先导油路的通断,实现自动预防缓慢卡钎,利用推进压力的突然下降或上升控制冲击器停冲来预防溶洞卡钎,利用钎转压力的上升控制推进油缸后退来预防缓慢卡钎和裂隙卡钎,并设计了相应的液压控制系统.试验结果表明,新液压防卡系统提高了钻装机的防卡钎能力,可实现自动预防和处理各类卡钎问题.%In order to solve the rod jammed problem in the borehole drilling operation of the drilling and loading machine,a new rod jammed prevention plan was provided.That was to set up a three stage impact pressure in the impact oil circuit.When the pressure of the high pressure water flushing was applied to discharge the drilling cuttings,the water flushing pressure signal could be applied to control the on-off of the pushing cylinder and pilot oil circuit of the impactor in order to realize the auto prevention of the slow rod jammed.A sudden down or up of the pushing pressure was applied to control the stop or impact of the impactor to prevent the rod jammed in the karst cave.The rising of the rod rotary pressure was applied to control the backward of the pushing cylinder to prevent the slow rod jamming and crack rod jamming.A relevant hydraulic control system was designed.The test results showed that the new hydraulic rod jamming prevention system could improve the rod jamming prevention capacity of the drilling and loading machine and could realize the automatic prevention and different rod jamming handling.

  15. A novel multiwavelength fluorescence image-guided surgery imaging system

    Science.gov (United States)

    Volpi, D.; Tullis, I. D. C.; Laios, A.; Pathiraja, P. N. J.; Haldar, K.; Ahmed, A. A.; Vojnovic, B.

    2014-02-01

    We describe the development and performance analysis of two clinical near-infrared fluorescence image-guided surgery (FIGS) devices that aim to overcome some of the limitations of current FIGS systems. The devices operate in a widefield-imaging mode and can work (1) in conjunction with a laparoscope, during minimally invasive surgery, and (2) as a hand-held, open surgery imaging system. In both cases, narrow-band excitation light, delivered at multiple wavelengths, is efficiently combined with white reflectance light. Light is delivered to ~100 cm2 surgical field at 1-2 mW/cm2 for white light and 3-7 mW/cm2 (depending on wavelength) of red - near infrared excitation, at a typical working distance of 350 mm for the hand-held device and 100 mm for the laparoscope. A single, sensitive, miniaturized color camera collects both fluorescence and white reflectance light. The use of a single imager eliminates image alignment and software overlay complexity. A novel filtering and illumination arrangement allows simultaneous detection of white reflectance and fluorescence emission from multiple dyes in real-time. We will present both fluorescence detection sensitivity modeling and practical performance data. We have demonstrated the efficiency and the advantages of the devices both pre-clinically and during live surgery on humans. Both the hand-held and the laparoscopic systems have proved to be reliable and beneficial in an ongoing clinical trial involving sentinel lymph node detection in gynecological cancers. We will show preliminary results using two clinically approved dyes, Methylene blue and indocyanine green. We anticipate that this technology can be integrated and routinely used in a larger variety of surgical procedures.

  16. Injecting rabies immunoglobulin (RIG) into wounds only: A significant saving of lives and costly RIG.

    Science.gov (United States)

    Bharti, Omesh Kumar; Madhusudana, Shampur Narayan; Wilde, Henry

    2017-02-22

    An increasing number of dog bite victims were being presented to public hospitals in Himachal Pradesh in 2014 amidst virtual non availability of any rabies immunoglobulin (RIG). Only a small quantity of equine rabies immunoglobulin (eRIG) was available from the government owned Central Research Institute (CRI) Kasauli. This available eRIG was used in 269 patients as an emergency response and only for local infiltration of severe bite wounds by suspected rabid dogs. This was followed by rabies vaccination, using the WHO approved intra-dermal Thai Red Cross Society vaccination schedule. A subgroup of 26 patients were later identified who had been severely bitten by laboratory confirmed rabid dogs. They were followed for more than one year and all were found to be alive.

  17. Mitral Valve Surgery in Patients with Systemic Lupus Erythematosus

    Directory of Open Access Journals (Sweden)

    Mahnoosh Foroughi

    2014-01-01

    Full Text Available Valvular heart disease is the common cardiac manifestation of systemic lupus erythematosus (SLE with a tendency for mitral valve regurgitation. In this study we report a case of mitral valve replacement for mitral stenosis caused by Libman-Sacks endocarditis in the setting of SLE. In addition, we provide a systematic review of the literature on mitral valve surgery in the presence of Libman-Sacks endocarditis because its challenge on surgical options continues. Surgical decision depends on structural involvement of mitral valve and presence of active lupus nephritis and antiphospholipid antibody syndrome. Review of the literature has also shown that outcome is good in most SLE patients who have undergone valvular surgery, but association of antiphospholipid antibody syndrome with SLE has negative impact on the outcome.

  18. Photoacoustic image-guided navigation system for surgery (Conference Presentation)

    Science.gov (United States)

    Park, Sara; Jang, Jongseong; Kim, Jeesu; Kim, Young Soo; Kim, Chulhong

    2017-03-01

    Identifying and delineating invisible anatomical and pathological details during surgery guides surgical procedures in real time. Various intraoperative imaging modalities have been increasingly employed to minimize such surgical risks as anatomical changes, damage to normal tissues, and human error. However, current methods provide only structural information, which cannot identify critical structures such as blood vessels. The logical next step is an intraoperative imaging modality that can provide functional information. Here, we have successfully developed a photoacoustic (PA) image-guided navigation system for surgery by integrating a position tracking system and a real-time clinical photoacoustic/ultrasound (PA/US) imaging system. PA/US images were acquired in real time and overlaid on pre-acquired cross-sectional magnetic resonance (MR) images. In the overlaid images, PA images represent the optical absorption characteristics of the surgical field, while US and MR images represent the morphological structure of surrounding tissues. To test the feasibility of the system, we prepared a tissue mimicking phantom which contained two samples, methylene blue as a contrast agent and water as a control. We acquired real-time overlaid PA/US/MR images of the phantom, which were well-matched with the optical and morphological properties of the samples. The developed system is the first approach to a novel intraoperative imaging technology based on PA imaging, and we believe that the system can be utilized in various surgical environments in the near future, improving the efficacy of surgical guidance.

  19. 煤矿井下坑道钻机新客户培训系统%A New Customer Training System of Tunnel-drilling Rigs in Coal Mines

    Institute of Scientific and Technical Information of China (English)

    陈亮; 沙翠翠; 杨瑞博; 吕孟

    2013-01-01

    This paper analyzes the problems of the current customer training system for the Drilling Technology Research Institute of CCTEG. These problems are the high costs for frequent on-site technical service, the difficulty coal miners have in acquiring help and instructions when rigs are out of order and the lack of opportunities for communication between coal miners and experts, as well as between coal miners from different mines. In order to solve these problems, the paper conducts a needs analysis, a content design, a training transfer analysis and a training evaluation. Then a new web-based customer training system is presented. Through this training system, the institute can reduce human resource costs and improve product promotion; coal miners can also develop their operation skills and prevent misuse and coal mining accidents.%  本文分析了中煤科工集团西安研究院钻探技术研究所目前的客户培训系统存在的问题。这些问题主要是频繁的现场技术服务造成的高成本;当钻机出现故障,矿工很难获得帮助和指导;矿工与专家之间,以及不同煤矿的矿工之间缺乏交流的机会。为了解决这些问题,本文进行了需求分析,内容设计,培训转化分析和培训评估。于是提出了一种新的基于网络的客户培训系统。通过这个系统,该研究所能够减少人力成本和提高产品推广;也可以培养矿工们的操作技能及防止误操作和煤矿事故。

  20. Decision support systems for robotic surgery and acute care

    Science.gov (United States)

    Kazanzides, Peter

    2012-06-01

    Doctors must frequently make decisions during medical treatment, whether in an acute care facility, such as an Intensive Care Unit (ICU), or in an operating room. These decisions rely on a various information sources, such as the patient's medical history, preoperative images, and general medical knowledge. Decision support systems can assist by facilitating access to this information when and where it is needed. This paper presents some research eorts that address the integration of information with clinical practice. The example systems include a clinical decision support system (CDSS) for pediatric traumatic brain injury, an augmented reality head- mounted display for neurosurgery, and an augmented reality telerobotic system for minimally-invasive surgery. While these are dierent systems and applications, they share the common theme of providing information to support clinical decisions and actions, whether the actions are performed with the surgeon's own hands or with robotic assistance.

  1. Endurance test on IR rig for RI production

    Energy Technology Data Exchange (ETDEWEB)

    Chung, Heung June; Youn, Y. J.; Han, H. S.; Hong, S. B.; Cho, Y. G.; Ryu, J. S

    2000-12-01

    This report presents the pressure drop, vibration and endurance test results for IR rig for RI production which were desigened and fabricated by KAERI. From the pressure drop test results, it is noted that the flow rate through the IR rig corresponding to the pressure drop of 200 kPa is measured to be about 3.12 kg/sec. Vibration frequency for the IR rig ranges from 13 to 17 Hz. RMS(Root Mean Square) displacement for the IR rig is less than 30 {mu}m, and the maximum displacement is less than 110{mu}m. These experimental results show that the design criteria of IR rig meet the HANARO limit conditions. Endurance test results show that the appreciable fretting wear for the IR rig does not occur, however tiny trace of wear between contact points is observed.

  2. Calibration of stereo rigs based on the backward projection process

    Science.gov (United States)

    Gu, Feifei; Zhao, Hong; Ma, Yueyang; Bu, Penghui; Zhao, Zixin

    2016-08-01

    High-accuracy 3D measurement based on binocular vision system is heavily dependent on the accurate calibration of two rigidly-fixed cameras. In most traditional calibration methods, stereo parameters are iteratively optimized through the forward imaging process (FIP). However, the results can only guarantee the minimal 2D pixel errors, but not the minimal 3D reconstruction errors. To address this problem, a simple method to calibrate a stereo rig based on the backward projection process (BPP) is proposed. The position of a spatial point can be determined separately from each camera by planar constraints provided by the planar pattern target. Then combined with pre-defined spatial points, intrinsic and extrinsic parameters of the stereo-rig can be optimized by minimizing the total 3D errors of both left and right cameras. An extensive performance study for the method in the presence of image noise and lens distortions is implemented. Experiments conducted on synthetic and real data demonstrate the accuracy and robustness of the proposed method.

  3. Risk factors for systemic inflammatory response after congenital cardiac surgery.

    Science.gov (United States)

    Güvener, Murat; Korun, Oktay; Demirtürk, Orhan Saim

    2015-01-01

    This study aims to assess the frequency of systemic inflammatory response syndrome (SIRS) following congenital heart surgery and risk factors associated with this clinical syndrome. Charts of all patients undergoing surgery for congenital heart disease in a single institution over a five-year period were analyzed retrospectively. The presence of SIRS was evaluated based on the criteria of the International Pediatric Sepsis Consensus Conference. Of the 246 patients included in the study 22 (8.9%) had clinical parameters indicating SIRS. The patients in the SIRS group had significantly longer cardiopulmonary bypass time (105.14 ± 27.27 vs. 66.86 ± 26.64 min; p SIRS group. Binary logistic regression revealed cardiopulmonary bypass time (OR: 1.05, p SIRS. SIRS was also found to be a strong independent predictor of mortality (OR: 10.13, p SIRS after congenital heart surgery is associated with increased mortality. Independent risk factors for SIRS in the patient population of the study were cardiopulmonary bypass time, body weight below 10 kg and preoperative diagnosis of right to left shunt congenital heart disease. © 2014 Wiley Periodicals, Inc.

  4. Hypnosis closed loop TCI systems in outpatient surgery.

    Science.gov (United States)

    Ramos-Luengo, A; Asensio-Merino, F

    Determine the influence of general anaesthesia with closed-loop systems in the results of outpatient varicose vein surgery. Retrospective observational study including data from 270 outpatients between 2014 and 2015. The patients were divided into 2 groups according to the type of general anaesthesia used. The CL Group included patients who received propofol in closed-loop guided by BIS and remifentanil using TCI, and the C Group received non-closed-loop anaesthesia. Age, sex, surgical time, discharge time and failure of outpatient surgery were recorded. Quantitative data were checked for normal distribution by the method of Kolmogorov-Smirnov-Lilliefors. Differences between groups were analysed by a Student-t-test or Mann-Whitney-Wilcoxon test, depending on their distribution. Categorical data were analysed by a Chi-squared test. We used Kaplan-Meier estimator and the effect size (calculated by Cohen's d) to study the discharge time. Statistical analysis was performed using R 3.2.3 binary for Mac OS X 10.9. There were no significant differences in age, sex and surgical time and failure of outpatient surgery. Discharge time was different in both groups: 200 (100) vs. 180 (82.5) minutes, C Group and CL Group, respectively (data are median and interquartile rank); P=.005. The use of closed-loop devices for the hypnotic component of anaesthesia hastens discharge time. However, for this effect to be clinically significant, some improvements still need to be made in our outpatient surgery units. Copyright © 2016 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.

  5. Innovative technology for a cost-effective land rig

    Energy Technology Data Exchange (ETDEWEB)

    Mehra, S.; Bryce, T.

    1996-05-01

    Sedco Forex has recently completed a new land drilling rig, currently deployed in Gabon, that integrates well construction activities with multiskilling to create cost savings across the board in drilling operations. Historically, operators have produced a comprehensive tender package specifying strictly the type and size of individual rig components and the number of personnel required to drill. In this case, the drilling contractor provides a fit-for-purpose rig, consistent with field location, well profile, operator`s priorities, and local constraints.

  6. Identification of systems failures in successful paediatric cardiac surgery.

    Science.gov (United States)

    Catchpole, K R; Giddings, A E B; de Leval, M R; Peek, G J; Godden, P J; Utley, M; Gallivan, S; Hirst, G; Dale, T

    Patient safety will benefit from an approach to human error that examines systemic causes, rather than blames individuals. This study describes a direct observation methodology, based on a threat and error model, prospectively to identify types and sources of systems failures in paediatric cardiac surgery. Of substantive interest were the range, frequency and types of failures that could be identified and whether minor failures could accumulate to form more serious events, as has been the case in other industries. Check lists, notes and video recordings were employed to observe 24 successful operations. A total of 366 failures were recorded. Coordination and communication problems, equipment problems, a relaxed safety culture, patient-related problems and perfusion-related problems were most frequent, with a smaller number of skill, knowledge and decision-making failures. Longer and more risky operations were likely to generate a greater number of minor failures than shorter and lower risk operations, and in seven higher-risk cases frequently occurring minor failures accumulated to threaten the safety of the patient. Non-technical errors were more prevalent than technical errors and task threats were the most prevalent systemic source of error. Adverse events in surgery are likely to be associated with a number of recurring and prospectively identifiable errors. These may be co-incident and cumulative human errors predisposed by threats embedded in the system, rather than due to individual incompetence or negligence. Prospectively identifying and reducing these recurrent failures would lead to improved surgical standards and enhanced patient safety.

  7. Eigenfunction expansions and scattering theory in rigged Hilbert spaces

    Energy Technology Data Exchange (ETDEWEB)

    Gomez-Cubillo, F [Dpt. de Analisis Matematico, Universidad de Valladolid. Facultad de Ciencias, 47011 Valladolid (Spain)], E-mail: fgcubill@am.uva.es

    2008-08-15

    The work reviews some mathematical aspects of spectral properties, eigenfunction expansions and scattering theory in rigged Hilbert spaces, laying emphasis on Lippmann-Schwinger equations and Schroedinger operators.

  8. Who Dominates the Semi-submersible Rig Market?

    Institute of Scientific and Technical Information of China (English)

    Yang Qingxia; Liu Chengming; LiangYuanhua

    2011-01-01

    Currently, the US and Europe are the centers for the design of semi-submersible rigs.The American company FRIEDE & GOLDMAN was founded in the 1950s. At present, over 100 mobile offshore drilling units and production platforms in the world are designed by this company, which mainly has two types of deepwater semi-submersible rig, F&GExD and MillenniumSA. F&GExD is the semi-submersible rig of the sixth generation and its operational depth can reach up to 3050m. MillenniumSA is semi-submersible rig of the fifth and half generation with an operational depth of 2400m.

  9. Multifunctional Testing Rig for Machinery Safety Equipment

    Directory of Open Access Journals (Sweden)

    Vöth Stefan

    2017-01-01

    Full Text Available At the Centre of Drive and Lifting Technology ZAFT of Technische Hochschule Georg Agricola a new testing device will be available. The device is suitable for testing drivetrain components like safety clutches and hoist safety components like snag protection devices. In focus are continuous tests with regard to fatigue as well as transient tests with regard to switching characteristics. The article gives information on requirements on the testing rig out of the main purpose and out of the given environment. Furthermore concept, main data and engineering design of this equipment are demonstrated. Aspects and first results of the mechanical assembly are shown.

  10. Field Demonstraton of Existing Microhole Coiled Tubing Rig (MCTR) Technology

    Energy Technology Data Exchange (ETDEWEB)

    Kent Perry; Samih Batarseh; Sheriff Gowelly; Thomas Hayes

    2006-05-09

    The performance of an advanced Microhole Coiled Tubing Rig (MCTR) has been measured in the field during the drilling of 25 test wells in the Niobrara formation of Western Kansas and Eastern Colorado. The coiled tubing (CT) rig designed, built and operated by Advanced Drilling Technologies (ADT), was documented in its performance by GTI staff in the course of drilling wells ranging in depth from 500 to nearly 3,000 feet. Access to well sites in the Niobrara for documenting CT rig performance was provided by Rosewood Resources of Arlington, VA. The ADT CT rig was selected for field performance evaluation because it is one of the most advanced commercial CT rig designs that demonstrate a high degree of process integration and ease of set-up and operation. Employing an information collection protocol, data was collected from the ADT CT rig during 25 drilling events that encompassed a wide range of depths and drilling conditions in the Niobrara. Information collected included time-function data, selected parametric information indicating CT rig operational conditions, staffing levels, and field observations of the CT rig in each phase of operation, from rig up to rig down. The data obtained in this field evaluation indicates that the ADT CT rig exhibited excellent performance in the drilling and completion of more than 25 wells in the Niobrara under varied drilling depths and formation conditions. In the majority of the 25 project well drilling events, ROP values ranged between 300 and 620 feet per hour. For all but the lowest 2 wells, ROP values averaged approximately 400 feet per hour, representing an excellent drilling capability. Most wells of depths between 500 and 2,000 feet were drilled at a total functional rig time of less than 16 hours; for wells as deep at 2,500 to 3,000 feet, the total rig time for the CT unit is usually well under one day. About 40-55 percent of the functional rig time is divided evenly between drilling and casing/cementing. The balance of

  11. Field Demonstraton of Existing Microhole Coiled Tubing Rig (MCTR) Technology

    Energy Technology Data Exchange (ETDEWEB)

    Kent Perry; Samih Batarseh; Sheriff Gowelly; Thomas Hayes

    2006-05-09

    The performance of an advanced Microhole Coiled Tubing Rig (MCTR) has been measured in the field during the drilling of 25 test wells in the Niobrara formation of Western Kansas and Eastern Colorado. The coiled tubing (CT) rig designed, built and operated by Advanced Drilling Technologies (ADT), was documented in its performance by GTI staff in the course of drilling wells ranging in depth from 500 to nearly 3,000 feet. Access to well sites in the Niobrara for documenting CT rig performance was provided by Rosewood Resources of Arlington, VA. The ADT CT rig was selected for field performance evaluation because it is one of the most advanced commercial CT rig designs that demonstrate a high degree of process integration and ease of set-up and operation. Employing an information collection protocol, data was collected from the ADT CT rig during 25 drilling events that encompassed a wide range of depths and drilling conditions in the Niobrara. Information collected included time-function data, selected parametric information indicating CT rig operational conditions, staffing levels, and field observations of the CT rig in each phase of operation, from rig up to rig down. The data obtained in this field evaluation indicates that the ADT CT rig exhibited excellent performance in the drilling and completion of more than 25 wells in the Niobrara under varied drilling depths and formation conditions. In the majority of the 25 project well drilling events, ROP values ranged between 300 and 620 feet per hour. For all but the lowest 2 wells, ROP values averaged approximately 400 feet per hour, representing an excellent drilling capability. Most wells of depths between 500 and 2,000 feet were drilled at a total functional rig time of less than 16 hours; for wells as deep at 2,500 to 3,000 feet, the total rig time for the CT unit is usually well under one day. About 40-55 percent of the functional rig time is divided evenly between drilling and casing/cementing. The balance of

  12. The usefulness of 3-dimensional endoscope systems in endoscopic surgery.

    Science.gov (United States)

    Egi, Hiroyuki; Hattori, Minoru; Suzuki, Takahisa; Sawada, Hiroyuki; Kurita, Yuichi; Ohdan, Hideki

    2016-10-01

    The image quality and performance of 3-dimensional video image systems has improved along with improvements in technology. However, objective evaluation on the usefulness of 3-dimensional video image systems is insufficient. Therefore, we decided to investigate the usefulness of 3-dimensional video image systems using the objective endoscopic surgery technology evaluating apparatus that we have developed, the Hiroshima University Endoscopic Surgical Assessment Device (HUESAD). The participants were 28 student volunteers enrolled in Hiroshima University (17 men and 11 women, age: median 22.5, range 20-25), with no one having experienced endoscopic surgery training. Testing was carried out by dividing the subjects into two groups to initially carry out HUESAD with 2-dimensional video imaging (N = 14) and with 3-dimensional video imaging (N = 14). Questionnaires were carried out along with the investigation regarding both 2-dimensional and 3-dimensional video imaging. The task was carried out for approximately 15 min regarding both 2-dimensional and 3-dimensional video imaging. Lastly, the Mental Rotation Test, which is a standard space perception ability test, was used to evaluate the space perception ability. No difference was observed in the nauseous and uncomfortable feeling of practitioners between the two groups. Regarding smoothness, no difference was observed between 2-dimensional and 3-dimensional video imaging (p = 0.8665). Deviation (space perception ability) and approaching time (accuracy) were significantly lower with 3-dimensional video imaging compared to 2-dimensional video imaging. Moreover, the approaching time (accuracy) significantly improved in 3-dimensional video imaging compared to 2-dimensional video imaging in the group with low space perception ability (p = 0.0085). Objective evaluation using HUESAD and subjective evaluation by questionnaire revealed that endoscopic surgery techniques significantly improved in 3-dimensional video

  13. Single port access surgery with a novel Port Camera system.

    Science.gov (United States)

    Terry, Benjamin S; Schoen, Jonathan; Mills, Zachary; Rentschler, Mark E

    2012-06-01

    In this work, the authors designed, built, and tested a novel port camera system for single port access (SPA) laparoscopic surgery. This SPA Port Camera device integrates the monitor, laparoscopic camera, and light source into an inexpensive, portable cannula port. The device uses a 2-channel SPA port inserted through an umbilical incision, similar to traditional SPA. After insertion into a channel, the device deploys a small camera module and LED lamp in vivo. An integrated, on-patient LCD provides the view of the surgical site. The design intent of the port camera is to enhance SPA by (a) reducing the size of the SPA port through the elimination of the dedicated laparoscope channel; (b) reducing equipment cost by integrating an inexpensive CMOS sensor and LED lamp at the port tip; (c) eliminating the need for an assistant who operates the laparoscope; and (d) mechanically coupling the camera, tool port, and on-patient LCD screen. The effectiveness of the device was evaluated by comparing the video performance with a leading industry laparoscope and by performing a user evaluation study and live porcine surgery with the device. Effectiveness of the device was mixed. Overall video system performance of the device is better than an industry standard high-definition laparoscope, implying that significant cost savings over a traditional system are possible. Participant study results suggest that simulated laparoscopic tasks are as efficient with the SPA Port Camera as they are with a typical SPA configuration. However, live surgery revealed several shortcomings of the SPA Port Camera.

  14. Computer guidance system for single-incision bimanual robotic surgery.

    Science.gov (United States)

    Carbone, Marina; Turini, Giuseppe; Petroni, Gianluigi; Niccolini, Marta; Menciassi, Arianna; Ferrari, Mauro; Mosca, Franco; Ferrari, Vincenzo

    2012-01-01

    The evolution of surgical robotics is following the progress of developments in Minimally Invasive Surgery (MIS), which is moving towards Single-Incision Laparoscopic Surgery (SILS) procedures. The complexity of these techniques has favored the introduction of robotic surgical systems. New bimanual robots, which are completely inserted into the patient's body, have been proposed in order to enhance the surgical gesture in SILS procedures. However, the limited laparoscopic view and the focus on the end-effectors, together with the use of complex robotic devices inside the patient's abdomen, may lead to unexpected collisions, e.g., between the surrounding anatomical organs not involved in the intervention and the surgical robot. This paper describes a computer guidance system, based on patient-specific data, designed to provide intraoperative navigation and assistance in SILS robotic interventions. The navigator has been tested in simulations of some of the surgical tasks involved in a cholecystectomy, using a synthetic anthropomorphic mannequin. The results demonstrate the usability and efficacy of the navigation system, underlining the importance of avoiding unwanted collisions between the robot arms and critical organs. The proposed computer guidance software is able to integrate any bimanual surgical robot design.

  15. Clinical application of selective intraoperative cholangiography in biliary system surgery

    Directory of Open Access Journals (Sweden)

    WU Erbin

    2016-07-01

    Full Text Available ObjectiveTo investigate the value of selective intraoperative cholangiography (IOC in biliary system surgery. MethodsA retrospective analysis was performed on the clinical data and follow-up data of 112 patients who were hospitalized in The First People′s Hospital of Pingdingshan and underwent selective IOC from May 2010 to May 2015. Another 84 patients who met the criteria for selective IOC but underwent no IOC or failed IOC were enrolled as controls. The clinical data and follow-up data were compared between the two groups. The t-test was used for comparison of continuous data between groups, and the chi-square test was used for comparison of categorical data between groups. ResultsIn the selective IOC group, 82 patients underwent laparoscopic IOC (19 were converted to open surgery after IOC and 30 underwent open IOC; 40 patients had positive results on IOC, among whom 24 had biliary calculi, 4 had biliary stricture, 1 had space-occupying lesions at the lower end of bile duct, 5 had bile duct injury, and 6 had negative bile duct exploration. In the control group, 53 patients underwent intraoperative bile duct exploration, among whom 26 had biliary calculi, 2 had inflammatory stricture at the lower end of bile duct, and 25 had negative results. The negative exploration rate showed a significant difference between the selective IOC group and the control group [15.00% (6/40 vs 47.17% (25/53, χ2=10.616, P=0.001]. In the selective IOC group, 1 patient (089% experienced postoperative bile leakage caused by bile duct injury, which was noticed during the surgery and treated with bile duct repair and T-tube drainage, and the patient was cured 2 weeks later. In the control group, 7 patients (8.33% experienced postoperative bile duct injury and required reoperation or endoscopic treatment. The incidence rate of bile duct injury showed a significant difference between the two groups (χ2=6.787, P=0.009. Within half a year after surgery, 2

  16. [An endodontic ultrasonic system for apical endodontic surgery].

    Science.gov (United States)

    de Lange, I; Putters, T; Baas, E M; van Ingen, J M

    2009-09-01

    Apical endodontic surgery is applied frequently following a failed conventional endodontic treatment. The apical preparation can be carried out conventionally using a round bur or using an endodontic ultrasonic system. The purpose of this study was to compare the outcome of the 2 treatment options by a randomized prospective clinical study. Patients (n=399) were at random allocated to treatment using a conventional round bur or using an ultrasonic system (P-max Newtron) according to a for the rest similar treatment protocol. One year post treatment, the treatment outcomes were determined by 2 oral and maxillofacial surgeons, blinded for the treatment option. Adequate follow-up data were obtained from 290 patients. The overall success rate was 71% in the patients treated conventionally and 81% in the patients treated using the ultrasonic system. In molar teeth, the difference in success rate was statistically significant.

  17. Dynamic Investigation Test-rig on hAptics (DITA)

    Science.gov (United States)

    Cannella, F.; Scalise, L.; Olivieri, E.; Memeo, M.; Caldwell, D. G.

    2013-09-01

    Research on tactile sensitivity has been conducted since the last century and many devices have been proposed to study in detail this sense through experimental tests. The sense of touch is essential in every-day life of human beings, but it can also play a fundamental role for the assessment of some neurological disabilities and pathologies. In fact, the level of tactile perception can provide information on the health state of the nervous system. In this paper, authors propose the design and development of a novel test apparatus, named DITA (Dynamic Investigation Test-rig on hAptics), aiming to provide the measurement of the tactile sensitivity trough the determination of the Just Noticeable Difference (JND) curve of a subject. The paper reports the solution adopted for the system design and the results obtained on the set of experiments carried out on volunteers.

  18. Assessment of the Mexican Board of Pediatric Surgery Certification System.

    Science.gov (United States)

    Porras-Hernandez, Juan D; Mora-Fol, Jose R; Lezama-Del Valle, Pablo; Yanowsky-Reyes, Guillermo; Perez-Lorenzana, Hector; Ortega-Salgado, Arturo; Aguirre-Jauregui, Oscar; Bracho-Blanchet, Eduardo; Sanchez-Mendiola, Melchor

    2015-01-01

    To evaluate the quality of the Mexican Board of Pediatric Surgery (MBPS) certifying system, using contemporary international guidelines. Retrospective assessment of evidence collected during the design and implementation processes of 2 consecutive applications of the MBPS certifying examination, using Cizek's checklist for evaluating credential-testing programs. It includes the relevant guidelines from the American Education Research Association, the American Psychological Association, the National Council on Measurement in Education, and the National Commission for Certifying Agencies. Four independent and previously trained raters used the checklist. They underwent a 2-week training using frame-of-reference and performance dimensions methodologies. Certification examinations of MBPS. The 2013 and 2014 MBPS certification examinations, with 111 evidence items of the processes, followed for the assessment of 86 examinees. The checklist internal consistency was 0.89. Absolute interrater agreement was 0.34 for the 2013 and 0.66 for the 2014 editions of the examination. The 2013 examination complied with 55 (64%) of the checklist 86 items, in 2014 with 72 (84%). In 2014, the certifying system reached a quality of 84%. For optimal fulfillment of its social responsibility, the MBPS is required to maintain its level of quality and attempt to improve its performance. Copyright © 2015 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  19. The Kieffer dough and gluten extensibility rig - An experimental evaluation

    NARCIS (Netherlands)

    Dunnewind, B.; Sliwinski, E.L.; Grolle, K.; Vliet, T. van

    2003-01-01

    Load-extension tests on flour dough are widely used by plant breeders, millers and bakers. The 'Kieffer dough and gluten extensibility rig' is a small-scale version of the Brabender extensograph, in which test pieces of about 0.4 g are extended. With the Kieffer rig, lower strain rates can be applie

  20. 旋翼试验台传动系统振动分析与实验%Vibration analysis and experiment on transmission system of a rotor test rig

    Institute of Scientific and Technical Information of China (English)

    苏勋文; 刘晋浩; 王少萍

    2014-01-01

    Transfer Matrix Method(TMM)was used to analyze the vibration characteristics of a helicopter test rig. The torsional vibration natural frequencies and the modal shapes were obtained.Each order natural frequency and the relationship between the lateral vibration and support stiffness of the test rig transmission were obtained.By experiment, vibrations in three directions were measured.After the rotor runs over the resonance of the test rig at a speed of 960 r/min,the test rig will run in a steady state for about 2~3 seconds and then the vibration goes to diverge.The frequency of the spindle speed leading to vibration divergence is just right the 1st order natural frequency of the lateral vibration.Based on the vibration analysis,it is concluded that the vibration divergence is related to the support stiffness of the transmission.Two methods for dealing with this malfunction were given.%利用传递矩阵方法分析直升机旋翼试验台传动系统振动特性。获得传动系统扭转振动模态及各阶模态振型、传动系统横向振动各阶固有频率及横向振动与试验台支撑刚度关系。实验测量旋翼试验台三向振动,旋翼转速经试验台共振区达960 r/min 并稳定运行2~3 s 后试验台振动发散,该回转频率对应横向振动一阶固有频率。经分析知振动发散与试验台主轴支撑刚度有关,并给出解决此类故障两种方法。

  1. Endothelial RIG-I activation impairs endothelial function

    Energy Technology Data Exchange (ETDEWEB)

    Asdonk, Tobias, E-mail: tobias.asdonk@ukb.uni-bonn.de [Department of Medicine/Cardiology, University of Bonn, Sigmund-Freud-Str. 25, 53105 Bonn (Germany); Motz, Inga; Werner, Nikos [Department of Medicine/Cardiology, University of Bonn, Sigmund-Freud-Str. 25, 53105 Bonn (Germany); Coch, Christoph; Barchet, Winfried; Hartmann, Gunther [Institute for Clinical Chemistry and Clinical Pharmacology, University of Bonn, Sigmund-Freud-Str. 25, 53105 Bonn (Germany); Nickenig, Georg; Zimmer, Sebastian [Department of Medicine/Cardiology, University of Bonn, Sigmund-Freud-Str. 25, 53105 Bonn (Germany)

    2012-03-30

    Highlights: Black-Right-Pointing-Pointer RIG-I activation impairs endothelial function in vivo. Black-Right-Pointing-Pointer RIG-I activation alters HCAEC biology in vitro. Black-Right-Pointing-Pointer EPC function is affected by RIG-I stimulation in vitro. -- Abstract: Background: Endothelial dysfunction is a crucial part of the chronic inflammatory atherosclerotic process and is mediated by innate and acquired immune mechanisms. Recent studies suggest that pattern recognition receptors (PRR) specialized in immunorecognition of nucleic acids may play an important role in endothelial biology in a proatherogenic manner. Here, we analyzed the impact of endothelial retinoic acid inducible gene I (RIG-I) activation upon vascular endothelial biology. Methods and results: Wild type mice were injected intravenously with 32.5 {mu}g of the RIG-ligand 3pRNA (RNA with triphosphate at the 5 Prime end) or polyA control every other day for 7 days. In 3pRNA-treated mice, endothelium-depended vasodilation was significantly impaired, vascular oxidative stress significantly increased and circulating endothelial microparticle (EMP) numbers significantly elevated compared to controls. To gain further insight in RIG-I dependent endothelial biology, cultured human coronary endothelial cells (HCAEC) and endothelial progenitor cells (EPC) were stimulated in vitro with 3pRNA. Both cells types express RIG-I and react with receptor upregulation upon stimulation. Reactive oxygen species (ROS) formation is enhanced in both cell types, whereas apoptosis and proliferation is not significantly affected in HCAEC. Importantly, HCAEC release significant amounts of proinflammatory cytokines in response to RIG-I stimulation. Conclusion: This study shows that activation of the cytoplasmatic nucleic acid receptor RIG-I leads to endothelial dysfunction. RIG-I induced endothelial damage could therefore be an important pathway in atherogenesis.

  2. Development of Magnetorheological Engine Mount Test Rig

    Directory of Open Access Journals (Sweden)

    Md Yunos Mohd Razali

    2017-01-01

    Full Text Available Ride comfort is an important factor in any road vehicle performance. Nonetheless, passenger ride comfort is sometimes affected by the vibrations resulting from the road irregularities. Vehicle ride comfort is also often compromised by engine vibration. Engine mount is one of the devices which act as vibration isolator from unwanted vibration from engine to the driver and passengers. This paper explains the development of the test rig used for laboratory testing of Magnetorheological (MR engine mount characterization. MR engine mount was developed to investigate the vibration isolation process. An engine mount test machine was designed to measure the displacement, relative velocity and damper force with respect to current supply to characterize the hysteresis behavior of the damper and as force tracking control of the MR engine mount.

  3. Investigating Knowledge Transfer Mechanisms for Oil Rigs

    DEFF Research Database (Denmark)

    Vianello, Giovanna; Ahmed, Saeema

    2009-01-01

    of lessons learnt from one rig to the next, and the actual situation emerged. Various approaches for transferring knowledge were elicited and analysed with regard to the types of knowledge that were transferred and the context in which they were used. This study indicates factors that should be considered......It is widely recognized, both in industry and academia, that clear strategies in knowledge transfer positively influence the success of a firm. A firm should support the transfer of knowledge by standardizing communication channels within and across departments, based upon personalization......, codification or a combination of these two strategies. The characteristics of the business influence the choice of communication channels used for knowledge transfer. This paper presents a case study exploring the transfer of knowledge within and across projects, specifically the transfer of service knowledge...

  4. Investigating Knowledge Transfer Mechanisms for Oil Rigs

    DEFF Research Database (Denmark)

    Vianello, Giovanna; Ahmed, Saeema

    2009-01-01

    It is widely recognized, both in industry and academia, that clear strategies in knowledge transfer positively influence the success of a firm. A firm should support the transfer of knowledge by standardizing communication channels within and across departments, based upon personalization......, codification or a combination of these two strategies. The characteristics of the business influence the choice of communication channels used for knowledge transfer. This paper presents a case study exploring the transfer of knowledge within and across projects, specifically the transfer of service knowledge...... in the case of complex machinery. The strategies used for knowledge transfer were analysed and compared with the expected transfer mechanisms, similarities and differences were investigated and are described. A family of four identical rigs for offshore drilling was the selected case. The transfer...

  5. Comparison of filter cleaning performance between VDI and JIS testing rigs for cleanable fabric filter

    OpenAIRE

    Mao, Ning; Yao, Yuping; Hata, Mitsuhiko; Wada, Masashi; Kanaoka, Chikao

    2008-01-01

    VDI type-1 rig and JIS rig are the two major testing rigs for cleanable fabric filters. We measured the filter cleaning performance using these rigs and the results were compared in order to characterize the two testing methods. The filter performance tests showed that the filter cleaning efficiency measured with VDI type-1 rig is higher than that with JIS rig. During pulse jet cleaning, JIS rig gave a higher peak pressure and a shorter time period of pulse jet compared to VDI type-1 rig. A n...

  6. The University Münster model surgery system for Orthognathic surgery. Part I – The idea behind

    Directory of Open Access Journals (Sweden)

    Ehmer Ulrike

    2012-05-01

    Full Text Available Abstract Background We describe a procedure for diagnosis and planning for orthognatic surgery based on international standards. A special 2D planning based on lateral cephalograms (Axis Orbital Marker Lines System realize a transmission to the SAM 2P articulator (3D by means of the Axis Orbital Plane. Methods Former intraoperative measurement of the average height of the LeFort I osteotomy plane relative to the molar occlusal plane allow to construct a virtual osteotomy plane in the lateral cephalogram. This is the basis for the development of the Axis Orbital Marker Lines System (AO-MLS. Results The AO-MLS is presented graphically, and in detail, with construction guidelines. The system could be integrated into various lateral cephalometric analysis- and surgical prediction schemes. It forms the basis for a standardized transfer of the 2D planning to the 3D planning in the articulator, and vice versa. This procedure makes it possible to generate surgical planning protocols based on the model surgery, which represent the dislocations in the proximity of the real osteotomy planes. Conclusions The Axis Orbital Marker Lines System (software component in conjunction with the University Münster Model Surgery System (hardware system increases the predictability of model operations in orthognathic surgery.

  7. Tractor accelerated test on test rig

    Directory of Open Access Journals (Sweden)

    M. Mattetti

    2013-09-01

    Full Text Available The experimental tests performed to validate a tractor prototype before its production, need a substantial financial and time commitment. The tests could be reduced using accelerated tests able to reproduce on the structural part of the tractor, the same damage produced on the tractor during real life in a reduced time. These tests were usually performed reproducing a particular harsh condition a defined number of times, as for example using a bumpy road on track to carry out the test in any weather condition. Using these procedures the loads applied on the tractor structure are different with respect to those obtained during the real use, with the risk to apply loads hard to find in reality. Recently it has been demonstrated how, using the methodologies designed for cars, it is possible to also expedite the structural tests for tractors. In particular, automotive proving grounds were recently successfully used with tractors to perform accelerated structural tests able to reproduce the real use of the machine with an acceleration factor higher than that obtained with the traditional methods. However, the acceleration factor obtained with a tractor on proving grounds is in any case reduced due to the reduced speed of the tractors with respect to cars. In this context, the goal of the paper is to show the development of a methodology to perform an accelerated structural test on a medium power tractor using a 4 post test rig. In particular, several proving ground testing conditions have been performed to measure the loads on the tractor. The loads obtained were then edited to remove the not damaging portion of signals, and finally the loads obtained were reproduced in a 4 post test rig. The methodology proposed could be a valid alternative to the use of a proving ground to reproduce accelerated structural tests on tractors.

  8. A Built for Purpose Micro-Hole Coiled Tubing Rig (MCTR)

    Energy Technology Data Exchange (ETDEWEB)

    Bart Patton

    2007-09-30

    This report will serve as the final report on the work performed from the contract period October 2005 thru April 2007. The project 'A Built for Purpose Microhole Coiled Tubing Rig (MCTR)' purpose was to upgrade an existing state-of-the-art Coiled Tubing Drilling Rig to a Microhole Coiled Tubing Rig (MCTR) capable of meeting the specifications and tasks of the Department of Energy. The individual tasks outlined to meet the Department of Energy's specifications are: (1) Concept and development of lubricator and tool deployment system; (2) Concept and development of process control and data acquisition; (3) Concept and development of safety and efficiency improvements; and (4) Final unit integration and testing. The end result of the MCTR upgrade has produced a unit capable of meeting the following requirements: (1) Capable of handling 1-inch through 2-3/8-inch coiled tubing (Currently dressed for 2-3/8-inch coiled tubing and capable of running up to 3-1/2-inch coiled tubing); (2) Capable of drilling and casing surface, intermediate, production and liner hole intervals; (3) Capable of drilling with coiled tubing and has all controls and installation piping for a top drive; (4) Rig is capable of running 7-5/8-inch range 2 casing; and (5) Capable of drilling 5,000 ft true vertical depth (TVD) and 6,000 ft true measured depth (TMD).

  9. One analysis of aerodynamic characteristics of sloop rig; Sloop rig no kuriki tokusei no ichikaiseki

    Energy Technology Data Exchange (ETDEWEB)

    Shinkai, A.; Iyoda, H. [Kyushu University, Fukuoka (Japan). Faculty of Engineering

    1996-10-01

    A sloop which is one form of rigs of sail boats was analyzed of its basic aerodynamic characteristics by using the vortex distribution method. This solution method consists of an algorithm to derive a given pressure distribution on thin sail surface based on the vortex distribution method, and an algorithm to derive sail shapes from the given pressure distribution under a hypothesis of using flexible thin sails. An example of the calculation results showed distribution in an angular distance of pressure difference coefficients which act on each of the two sails, and showed the case where trim angle is changed and seven other parameters are fixed. With respect to control of trim angle which has close correlation with basic performance of the sloop rig, how the increase in the trim angle releases the main sail from aerodynamically adverse effect to which the main sail is subjected was shown. Furthermore, in order to estimate simply the performance of the sloop rig, a series calculation was executed and a chart was prepared which can estimate simply how a maximum thrust can be generated. 17 refs., 12 figs., 1 tab.

  10. Dermatologic surgery emergencies: Complications caused by systemic reactions, high-energy systems, and trauma.

    Science.gov (United States)

    Minkis, Kira; Whittington, Adam; Alam, Murad

    2016-08-01

    While the overall incidence of emergencies in dermatologic surgery is low, emergent situations can occasionally pose a risk to patients undergoing such procedures. The clinical importance of several types of emergences related to systemic reactions, high energy systems, and trauma are reviewed, and relevant epidemiology, clinical manifestations, diagnosis, work-up, management, and prevention are discussed. Early detection of surgical emergencies can mitigate any associated adverse outcomes, thereby allowing the outstanding record of safety of dermatologic surgery to continue. Copyright © 2016 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

  11. Understanding how orthopaedic surgery practices generate value for healthcare systems.

    Science.gov (United States)

    Olson, Steven A; Mather, Richard C

    2013-06-01

    Orthopaedic surgery practices can provide substantial value to healthcare systems. Increasingly, healthcare administrators are speaking of the need for alignment between physicians and healthcare systems. However, physicians often do not understand what healthcare administrators value and therefore have difficulty articulating the value they create in discussions with their hospital or healthcare organization. Many health systems and hospitals use service lines as an organizational structure to track the relevant data and manage the resources associated with a particular type of care, such as musculoskeletal care. Understanding service lines and their management can be useful for orthopaedic surgeons interested in interacting with their hospital systems. We provide an overview of two basic types of value orthopaedic surgeons create for healthcare systems: financial or volume-driven benefits and nonfinancial quality or value-driven patient care benefits. We performed a search of PubMed from 1965 to 2012 using the term "service line." Of the 351 citations identified, 18 citations specifically involved the use of service lines to improve patient care in both nursing and medical journals. A service line is a structure used in healthcare organizations to enable management of a subset of activities or resources in a focused area of patient care delivery. There is not a consistent definition of what resources are managed within a service line from hospital to hospital. Physicians can positively impact patient care through engaging in service line management. There is increasing pressure for healthcare systems and hospitals to partner with orthopaedic surgeons. The peer-reviewed literature demonstrates there are limited resources for physicians to understand the value they create when attempting to negotiate with their hospital or healthcare organization. To effectively negotiate for resources to provide the best care for patients, orthopaedic surgeons need to claim and

  12. An integrated orthognathic surgery system for virtual planning and image-guided transfer without intermediate splint.

    Science.gov (United States)

    Kim, Dae-Seung; Woo, Sang-Yoon; Yang, Hoon Joo; Huh, Kyung-Hoe; Lee, Sam-Sun; Heo, Min-Suk; Choi, Soon-Chul; Hwang, Soon Jung; Yi, Won-Jin

    2014-12-01

    Accurate surgical planning and transfer of the planning in orthognathic surgery are very important in achieving a successful surgical outcome with appropriate improvement. Conventionally, the paper surgery is performed based on a 2D cephalometric radiograph, and the results are expressed using cast models and an articulator. We developed an integrated orthognathic surgery system with 3D virtual planning and image-guided transfer. The maxillary surgery of orthognathic patients was planned virtually, and the planning results were transferred to the cast model by image guidance. During virtual planning, the displacement of the reference points was confirmed by the displacement from conventional paper surgery at each procedure. The results of virtual surgery were transferred to the physical cast models directly through image guidance. The root mean square (RMS) difference between virtual surgery and conventional model surgery was 0.75 ± 0.51 mm for 12 patients. The RMS difference between virtual surgery and image-guidance results was 0.78 ± 0.52 mm, which showed no significant difference from the difference of conventional model surgery. The image-guided orthognathic surgery system integrated with virtual planning will replace physical model surgical planning and enable transfer of the virtual planning directly without the need for an intermediate splint.

  13. Surgery of the eloquent area using neuronavigation system

    Energy Technology Data Exchange (ETDEWEB)

    Nakai, Hirofumi; Tanaka, Tatsuya; Hashizume, Kiyotaka; Hodozuka, Akira; Ono, Hidetoshi; Goto, Takumi; Aburano, Tamio [Asahikawa Medical Coll., Hokkaido (Japan)

    2001-03-01

    The purpose of this minimally invasive study was to evaluate the efficacy of a neuronavigation system for surgery of lesions near Broca's area, skull base, or paracentral sulcus. With regards to paracentral sulcus lesions, precise localization of the precentral gyrus was evaluated not only with preoperative 3D images of the brain but also confirmed by the combination of fMRI and intraoperative SEP. Using the neuronavigation system, Viewing Wand (ISG Technologies), three-dimensional (3D) brain images were reconstructed by plotting cerebral sulcus and skull representations obtained by MRI and CT. Six patients with lesions near Broca's area, 5 patients with skull base lesions, and 9 patients with lesions near the central sulcus were analyzed. For paracentral sulcus lesions, patients underwent blood oxygen level-dependent fMRI while performing a finger-tapping motor paradigm, which was composed of repetition of rest-task every in 30 seconds for 150 seconds, in a 1.5-tesla echo-speed MR imager (Signa Horizon; General Electric Medical Systems, Milwaukee, WI). Statistical cross-correlation functional maps were generated and overlaid onto high-resolution anatomical MR images. Presurgical assessment of 3D reconstructed brain images were performed in all cases. They were analyzed in Broca's lesions, skull base lesions and paracentral sulcus lesions and were demonstrated to be useful for understanding the anatomical relationship between the lesions and the surrounding vital structures. In fMRI, motor activation sites were obtained on both ipsilateral and contralateral hemispheres in all patients except for one patient with a hemorrhagic cyst. Locations of precentral gyri were predicted preoperatively. In all patients except for one case, fMRI was obtained even in tumor patient in whom intraoperative SEP was technically not feasible due to severe cortical brain damage from the paracentral tumor. The precentral gyri identified by 3D reconstructed brain images

  14. Full Scale 3D Preoperative Planning System of the Ankle Joint Replacement Surgery with Multimedia System

    Directory of Open Access Journals (Sweden)

    Shuh-Ping Sun

    2014-05-01

    Full Text Available This study is intended to develop a computer-aided pre-surgical planning and simulating system in a multimedia environment for ankle joint replacement surgery. This system uses full-scale 3D reverse engineering techniques in design and development of the pre-surgical planning modules for ankle joint replacement surgery. This planning system not only develops the real-scale 3D image of the artificial ankle joint but also provides a detailed interior measurement of the ankle joint from various cutting planes. In this study, we apply the multimedia user interface to integrate different software functions into a surgical planning system with integrated functions. The functions include 3D model image acquisition, cutting, horizontal shifting and rotation of related bones (tibia and talus of the ankle joint in the predetermined time. For related bones of the ankle joint, it can also be used to design artificial ankle joints for adults in Taiwan. Those planning procedures can be recorded in this system for further research and investigation. Furthermore, since this system is a multimedia user interface, surgeons can use this system to plan and find a better and more efficient surgical approach before surgery. A database is available for this system to update and expand, which can provide different users with clinical cases as per their experience and learning.

  15. A Comparison Study of Magnetic Bearing Controllers for a Fully Suspended Dynamic Spin Rig

    Science.gov (United States)

    Choi, Benjamin; Johnson, Dexter; Morrison, Carlos; Mehmed, Oral; Huff, Dennis (Technical Monitor)

    2002-01-01

    NASA Glenn Research Center (GRC) has developed a fully suspended magnetic bearing system for the Dynamic Spin Rig (DSR) that is used to perform vibration tests of turbomachinery blades and components under spinning conditions in a vacuum. Two heteropolar radial magnetic bearings and a thrust bearing and the associated control system were integrated into the DSR to provide noncontact magnetic suspension and mechanical excitation of the 35 lb vertical rotor with blades to induce turbomachinery blade vibration. A simple proportional-integral-derivative (PID) controller with a special feature for multidirectional radial excitation worked very well to both support and shake the shaft with blades. However, more advanced controllers were developed and successfully tested to determine the optimal controller in terms of sensor and processing noise reduction, smaller rotor orbits, and energy savings for the system. The test results of a variety of controllers we demonstrated up to the rig's maximum allowable speed of 10,000 rpm are shown.

  16. Development of a test rig for a helium twin-screw compressor

    Science.gov (United States)

    Wang, B. M.; Hu, Z. J.; Zhang, P.; Li, Q.

    2014-01-01

    A large helium cryogenic system is being developed for use in great science projects, such as the International Thermonuclear Experimental Reactor (ITER), Large Helical Device (LHD), and the Experimental Advanced Superconducting Tokamak (EAST). In this cryogenic system, a twin-screw compressor is a key component. Therefore, it is necessary to obtain the compressor performance. To obtain the performance characteristics, a test rig for the compressor has been built. All the important performance parameters, including adiabatic efficiency, volumetric efficiency, oil injection characteristic, and noise characteristic can be acquired with the rig when sensors are installed in the test system. With the test performance, the helium twin-screw compressor can be evaluated. Using these results, the design of the compressor can be improved.

  17. Optimal Controller Tested for a Magnetically Suspended Five-Axis Dynamic Spin Rig

    Science.gov (United States)

    Choi, Benjamin B.

    2003-01-01

    NASA Glenn Research Center's Structural Mechanics and Dynamics Branch has developed a fully suspended magnetic bearing system for their Dynamic Spin Rig, which performs vibration tests of turbomachinery blades and components under spinning conditions in a vacuum. Two heteropolar radial magnetic bearings and a thrust magnetic bearing and the associated control system were integrated into the Dynamic Spin Rig to provide magnetic excitation as well as noncontact magnetic suspension of the 35-lb vertical rotor with blades to induce turbomachinery blade vibration (ref. 1). The new system can provide longer run times at higher speeds and larger vibration amplitudes for rotating blades. Also, it was proven that bearing mechanical life was substantially extended and flexibility was increased in the excitation orientation (direction and phasing).

  18. Roles of TLR3 and RIG-I in Mediating the Inflammatory Response in Mouse Microglia following Japanese Encephalitis Virus Infection

    Directory of Open Access Journals (Sweden)

    Rong Jiang

    2014-01-01

    Full Text Available Japanese encephalitis virus (JEV infection can cause central nervous system disease with irreversible neurological damage in humans and animals. Evidence suggests that overactivation of microglia leads to greatly increased neuronal damage during JEV infection. However, the mechanism by which JEV induces the activation of microglia remains unclear. Toll-like receptor 3 (TLR3 and retinoic acid-inducible gene I (RIG-I can recognize double-stranded RNA, and their downstream signaling results in production of proinflammatory mediators. In this study, we investigated the roles of TLR3 and RIG-I in the inflammatory response caused by JEV infection in the mouse microglial cell line. JEV infection induced the expression of TLR3 and RIG-I and the activation of extracellular signal-regulated kinase (ERK and p38 mitogen-activated protein kinase (p38MAPK. Knockdown of TLR3 and RIG-I attenuated activation of ERK, p38MAPK, activator protein 1 (AP-1, and nuclear factor κB (NF-κB. Secretion of TNF-α, IL-6, and CCL-2, which was induced by JEV, was reduced by TLR3 and RIG-I knockdown and inhibitors of phosphorylated ERK and p38MAPK. Furthermore, viral proliferation was increased following knockdown of TLR3 and RIG-I. Our findings suggest that the signaling pathways of TLR3 and RIG-I play important roles in the JEV-induced inflammatory response of microglia.

  19. Five-Axis, Three-Magnetic-Bearing Dynamic Spin Rig

    Science.gov (United States)

    Morrison, Carlos R.; Provenza, Andrew; Kurkov, Anatole; Mehmed, Oral; Johnson, Dexter; Montague, Gerald; Duffy, Kirsten; Jansen, Ralph

    2005-01-01

    The Five-Axis, Three-Magnetic-Bearing Dynamic Spin Rig is an apparatus for vibration testing of turbomachine blades in a vacuum at rotational speeds from 0 to 40,000 rpm. This rig includes (1) a vertically oriented shaft on which is mounted an assembly comprising a rotor holding the blades to be tested, (2) two actively controlled heteropolar radial magnetic bearings at opposite ends of the shaft, and (3) an actively controlled magnetic thrust bearing at the upper end of the shaft. This rig is a more capable successor to a prior apparatus, denoted the Dynamic Spin Rig (DSR), that included a vertically oriented shaft with a mechanical thrust bearing at the upper end and a single actively controlled heteropolar radial magnetic bearing at the lower end.

  20. Marshall Space Flight Center High Speed Turbopump Bearing Test Rig

    Science.gov (United States)

    Gibson, Howard; Moore, Chip; Thom, Robert

    2000-01-01

    The Marshall Space Flight Center has a unique test rig that is used to test and develop rolling element bearings used in high-speed cryogenic turbopumps. The tester is unique in that it uses liquid hydrogen as the coolant for the bearings. This test rig can simulate speeds and loads experienced in the Space Shuttle Main Engine turbopumps. With internal modifications, the tester can be used for evaluating fluid film, hydrostatic, and foil bearing designs. At the present time, the test rig is configured to run two ball bearings or a ball and roller bearing, both with a hydrostatic bearing. The rig is being used to evaluate the lifetimes of hybrid bearings with silicon nitride rolling elements and steel races.

  1. China-made Oil Rigs Well Sold on International Market

    Institute of Scientific and Technical Information of China (English)

    2003-01-01

    @@ By the end of July, ChinaPetroleum Technology Development Company (CPTDC), one of CNPC's subsidiaries, has cumulatively sold 26 oil drilling rigs worth more than US$200 million in the past three years.

  2. 46 CFR 162.050-17 - Separator test rig.

    Science.gov (United States)

    2010-10-01

    ... operate; and (4) Have either bypass piping to its suction side or a throttle valve or orifice on its discharge side. (c) The inlet piping of the test rig must be sized so that— (1) Influent water flows at...

  3. Testing for voter rigging in small polling stations

    CERN Document Server

    Jiménez, Raúl; Klimek, Peter

    2016-01-01

    Since the 1970s there has been a large number of countries that combine formal democratic institutions with authoritarian practices. Although in such countries the ruling elites may receive considerable voter support they often employ several manipulation tools to control election outcomes. A common practice of these regimes is the coercion and mobilization of a significant amount of voters to guarantee the electoral victory. This electoral irregularity is known as voter rigging, distinguishing it from vote rigging, which involves ballot stuffing or stealing. Here we develop a statistical test to quantify to which extent the results of a particular election display traces of voter rigging. Our key hypothesis is that small polling stations are more susceptible to voter rigging, because it is easier to identify opposing individuals, there are less eye witnesses, and supposedly less visits from election observers. We devise a general statistical method for testing whether voting behavior in small polling station...

  4. Technical specification for IR rig manufacture

    Energy Technology Data Exchange (ETDEWEB)

    Han Hyon Soo; Cho, W. K.; Kim, S. D.; Park, U. J.; Hong, S. B.; Yoo, K. M

    2000-10-01

    IR Rig is one of the equipments are required in HANARO core for a radioisotope target. The various conditions like high radiation, high heat, rapid flow and vibration may cause swelling, Brittleness and acceleration of corrosion in HANARO core. These specific problems can be prevented and the safety of such equipment are prerequisite as well as durableness and surveillance. Therefore, the selection of material has to be made on the basis of small cross-section area, low energy emission by the gamma ray due to the absorption of neutron and short half life. The body is consist of aluminum and Inconel-750 was used for the internal spring(coil) which is known to be durable. The whole production process including the purchase of accessory, mechanical processing, welding and assembly was carried out according to the standard procedure to meet the requirement. A design, manufacture, utilization of reactor core and the other relevant uses were fit to class ''T'' to certify the whole process as general. And design, fabrication, analytical test, materials and accessory were carried out based on the ASME, ASTM, ANSI, AWS, JIS and KS standard.

  5. Profitability analysis of a femtosecond laser system for cataract surgery using a fuzzy logic approach.

    Science.gov (United States)

    Trigueros, José Antonio; Piñero, David P; Ismail, Mahmoud M

    2016-01-01

    To define the financial and management conditions required to introduce a femtosecond laser system for cataract surgery in a clinic using a fuzzy logic approach. In the simulation performed in the current study, the costs associated to the acquisition and use of a commercially available femtosecond laser platform for cataract surgery (VICTUS, TECHNOLAS Perfect Vision GmbH, Bausch & Lomb, Munich, Germany) during a period of 5y were considered. A sensitivity analysis was performed considering such costs and the countable amortization of the system during this 5y period. Furthermore, a fuzzy logic analysis was used to obtain an estimation of the money income associated to each femtosecond laser-assisted cataract surgery (G). According to the sensitivity analysis, the femtosecond laser system under evaluation can be profitable if 1400 cataract surgeries are performed per year and if each surgery can be invoiced more than $500. In contrast, the fuzzy logic analysis confirmed that the patient had to pay more per surgery, between $661.8 and $667.4 per surgery, without considering the cost of the intraocular lens (IOL). A profitability of femtosecond laser systems for cataract surgery can be obtained after a detailed financial analysis, especially in those centers with large volumes of patients. The cost of the surgery for patients should be adapted to the real flow of patients with the ability of paying a reasonable range of cost.

  6. Gastrostomy insertion: comparing the options - PEG, RIG or PIG?

    Energy Technology Data Exchange (ETDEWEB)

    Laasch, H.-U. E-mail: hul@smtr.nhs.uk; Wilbraham, L.; Bullen, K.; Marriott, A.; Lawrance, J.A.L.; Johnson, R.J.; Lee, S.H.; England, R.E.; Gamble, G.E.; Martin, D.F

    2003-05-01

    AIM: To compare percutaneous endoscopic gastrostomy (PEG) with radiologically inserted gastrostomy (RIG) and assess a hybrid gastrostomy technique (per-oral image-guided gastrostomy, PIG). MATERIALS AND METHODS: Fifty PEGs and 50 RIGs performed in three centres were prospectively compared and the endoscopic findings of 200 PEGs reviewed. A fluoroscopy-guided technique was modified to place 20 F over-the-wire PEG-tubes in 60 consecutive patients. RESULTS: Technical success was 98%, 100% and 100% for PEG, RIG and PIG, respectively. Antibiotic prophylaxis significantly reduced stoma infection for orally placed tubes (p=0.02). Ten out of 50 (20%) small-bore RIG tubes blocked. Replacement tubes were required in six out of 50 PEGs (12%), 10 out of 50 RIGs (20%), but no PIGs (p<0.001). No procedure-related complications occurred. The function of radiologically placed tubes was significantly improved with the larger PIG (p<0.001), with similar wound infection rates. PIG was successful in 24 patients where endoscopic insertion could not be performed. Significant endoscopic abnormalities were found in 42 out of 200 PEG patients (21%), all related to peptic disease. Insignificant pathology was found in 8.5%. CONCLUSION: PIG combines advantages of both traditional methods with a higher success and lower re-intervention rate. Endoscopy is unlikely to detect clinically relevant pathology other than peptic disease. PIG is a very effective gastrostomy method; it has better long-term results than RIG and is successful where conventional PEG has failed.

  7. The university münster model surgery system for orthognathic surgery. Part II – KD-MMS

    Directory of Open Access Journals (Sweden)

    Ehmer Ulrike

    2013-01-01

    Full Text Available Abstract Background Model surgery is an integral part of the planning procedure in orthognathic surgery. Most concepts comprise cutting the dental cast off its socket. The standardized spacer plates of the KD-MMS provide for a non-destructive, reversible and reproducible means of maxillary and/or mandibular plaster cast separation. Methods In the course of development of the system various articulator types were evaluated with regard to their capability to provide a means of realizing the concepts comprised of the KD-MMS. Special attention was dedicated to the ability to perform three-dimensional displacements without cutting of plaster casts. Various utilities were developed to facilitate maxillary displacement in accordance to the planning. Objectives of this development comprised the ability to implement the values established in the course of two-dimensional ceph planning. Results The system - KD-MMS comprises a set of hardware components as well as a defined procedure. Essential hardware components are red spacer and blue mounting plates. The blue mounting plates replace the standard yellow SAM mounting elements. The red spacers provide for a defined leeway of 8 mm for three-dimensional movements. The non-destructive approach of the KD-MMS makes it possible to conduct different model surgeries with the same plaster casts as well as to restore the initial, pre-surgical situation at any time. Thereby, surgical protocol generation and gnathologic splint construction are facilitated. Conclusions The KD-MMS hardware components in conjunction with the defined procedures are capable of increasing efficiency and accuracy of model surgery and splint construction. In cases where different surgical approaches need to be evaluated in the course of model surgery, a significant reduction of chair time may be achieved.

  8. Orthognathic positioning system: intraoperative system to transfer virtual surgical plan to operating field during orthognathic surgery.

    Science.gov (United States)

    Polley, John W; Figueroa, Alvaro A

    2013-05-01

    To introduce the concept and use of an occlusal-based "orthognathic positioning system" (OPS) to be used during orthognathic surgery. The OPS consists of intraoperative occlusal-based devices that transfer virtual surgical planning to the operating field for repositioning of the osteotomized dentoskeletal segments. The system uses detachable guides connected to an occlusal splint. An initial drilling guide is used to establish stable references or landmarks. These are drilled on the bone that will not be repositioned adjacent to the osteotomy line. After mobilization of the skeletal segment, a final positioning guide, referenced to the drilled landmarks, is used to transfer the skeletal segment according to the virtual surgical planning. The OPS is digitally designed using 3-dimensional computer-aided design/computer-aided manufacturing technology and manufactured with stereolithographic techniques. Virtual surgical planning has improved the preoperative assessment and, in conjunction with the OPS, the execution of orthognathic surgery. The OPS has the possibility to eliminate the inaccuracies commonly associated with traditional orthognathic surgery planning and to simplify the execution by eliminating surgical steps such as intraoperative measuring, determining the condylar position, the use of bulky intermediate splints, and the use of intermaxillary wire fixation. The OPS attempts precise translation of the virtual plan to the operating field, bridging the gap between virtual and actual surgery. Copyright © 2013 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  9. High Pressure Burner Rig Testing of Advanced Environmental Barrier Coatings for Si3N4 Turbine Components

    Science.gov (United States)

    Zhu, Dongming; Fox, Dennis S.; Pastel, Robert T.

    2007-01-01

    Advanced thermal and environmental barrier coatings are being developed for Si3N4 components for turbine engine propulsion applications. High pressure burner rig testing was used to evaluate the coating system performance and durability. Test results demonstrated the feasibility and durability of the coating component systems under the simulated engine environments.

  10. An augmented reality navigation system for pediatric oncologic surgery based on preoperative CT and MRI images.

    Science.gov (United States)

    Souzaki, Ryota; Ieiri, Satoshi; Uemura, Munenori; Ohuchida, Kenoki; Tomikawa, Morimasa; Kinoshita, Yoshiaki; Koga, Yuhki; Suminoe, Aiko; Kohashi, Kenichi; Oda, Yoshinao; Hara, Toshiro; Hashizume, Makoto; Taguchi, Tomoaki

    2013-12-01

    In pediatric endoscopic surgery, a limited view and lack of tactile sensation restrict the surgeon's abilities. Moreover, in pediatric oncology, it is sometimes difficult to detect and resect tumors due to the adhesion and degeneration of tumors treated with multimodality therapies. We developed an augmented reality (AR) navigation system based on preoperative CT and MRI imaging for use in endoscopic surgery for pediatric tumors. The patients preoperatively underwent either CT or MRI with body surface markers. We used an optical tracking system to register the reconstructed 3D images obtained from the CT and MRI data and body surface markers during surgery. AR visualization was superimposed with the 3D images projected onto captured live images. Six patients underwent surgery using this system. The median age of the patients was 3.5 years. Two of the six patients underwent laparoscopic surgery, two patients underwent thoracoscopic surgery, and two patients underwent laparotomy using this system. The indications for surgery were local recurrence of a Wilms tumor in one case, metastasis of rhabdomyosarcoma in one case, undifferentiated sarcoma in one case, bronchogenic cysts in two cases, and hepatoblastoma in one case. The average tumor size was 22.0±14.2 mm. Four patients were treated with chemotherapy, three patients were treated with radiotherapy before surgery, and four patients underwent reoperation. All six tumors were detected using the AR navigation system and successfully resected without any complications. The AR navigation system is very useful for detecting the tumor location during pediatric surgery, especially for endoscopic surgery. Crown Copyright © 2013. All rights reserved.

  11. Both RIG-I and MDA5 detect alphavirus replication in concentration-dependent mode.

    Science.gov (United States)

    Akhrymuk, Ivan; Frolov, Ilya; Frolova, Elena I

    2016-01-01

    Alphaviruses are a family of positive-strand RNA viruses that circulate on all continents between mosquito vectors and vertebrate hosts. Despite a significant public health threat, their biology is not sufficiently investigated, and the mechanisms of alphavirus replication and virus-host interaction are insufficiently understood. In this study, we have applied a variety of experimental systems to further understand the mechanism by which infected cells detect replicating alphaviruses. Our new data strongly suggest that activation of the antiviral response by alphavirus-infected cells is determined by the integrity of viral genes encoding proteins with nuclear functions, and by the presence of two cellular pattern recognition receptors (PRRs), RIG-I and MDA5. No type I IFN response is induced in their absence. The presence of either of these PRRs is sufficient for detecting virus replication. However, type I IFN activation in response to pathogenic alphaviruses depends on the basal levels of RIG-I or MDA5.

  12. Application of design rationale for a robotic system for single-incision laparoscopic surgery and natural orifice transluminal endoscopic surgery.

    Science.gov (United States)

    Yao, Wei; Childs, Peter R N

    2013-07-01

    Current endoscopes and instruments are inadequate in some respects for complex intra-abdominal surgery because they are too flexible and cannot provide robust grasping and anatomic retraction. Minimal invasive surgery devices represent a sophisticated class of mechanical instruments making use of a range of mechanisms integrated into modular platforms that can be combined to undertake complex medical procedures. Although the machine elements concerned represent classic mechanical engineering devices, issues of miniaturization, surgical procedure compliance and location control conspire to present a design challenge. In order to capture, document and resolve the design requirements for this complex application, quality functional deployment has been applied in combination with design rationale, captured through issue-based information system mapping. This article reports the use of these tools to produce robot designs with improved dexterity and triangulation that are basic requirements in laparoscopy.

  13. Prototype system to manage data on coloproctology surgery

    Directory of Open Access Journals (Sweden)

    Huei Diana Lee

    2011-12-01

    Full Text Available OBJECTIVE: To develop a prototype system to manage data on coloproctology surgery, aiming at Data Quality (DQ and the adoption of a DQ monitoring process, which is nonexistent in most biomedical systems. METHODS: The construction of the prototype was separated into five steps: analysis of an existing system (legacy, the analysis of requirements and specifications for the new prototype, the development of the model, definition of technologies and the development of a prototype. RESULTS: The analysis of the legacy system revealed several limitations and inconsistencies, which can result in problems concerning the DQ. Therefore, actions to prevent these problems are already being executed at the step of developing the prototype, such as the creation of interactive and more elaborate interfaces, the use of validation mechanisms on data fields and the proposal of a process to monitor inconsistencies and incompleteness in patients' data. CONCLUSION: The adoption of DQ mechanisms on system development results in building a reliable and consistent database, to assist tasks such as management, scientific research and future intelligent data analysis methods. Future work includes subjective evaluations of DQ indicating the adequacy of the prototype for the users' needs.OBJETIVO: Desenvolvimento de um protótipo para gerenciamento de dados de cirurgia coloproctológica, visando à Qualidade de Dados (QD, e a adoção de um processo de monitoramento da QD, inexistente na maioria dos sistemas biomédicos. MÉTODOS: A construção do protótipo foi dividida em cinco etapas: análise de um sistema existente (legado, levantamento dos requisitos para o novo protótipo, elaboração de modelos, definição das tecnologias e desenvolvimento do protótipo. RESULTADOS: A análise do sistema legado revelou diversas limitações e inconsistências que podem resultar em problemas de QD. Sendo assim, medidas para prevenir esses problemas estão sendo adotadas, já na

  14. An Isolator System for minimally invasive surgery: the new design

    NARCIS (Netherlands)

    Horeman, T.; Jansen, F.W.; Dankelman, J.

    2010-01-01

    Background - The risk of obtaining a postsurgical infection depends highly on the air quality surrounding the exposed tissue, surgical instruments, and materials. Many isolators for open surgery have been invented to create a contained sterile volume around the exposed tissue. With the use of an iso

  15. Endurance test for mini-plate fuel rig

    Energy Technology Data Exchange (ETDEWEB)

    Chung, Heung June; Yang, Sun Kyu; Park, Jong Man; Kim, Chang Kyu; Ryu, Jeong Soo

    1999-07-01

    This report presents the pressure drop, vibration and endurance test results for mini-plate fuel rig which were designed by KAERI and fabricated by Daewoo Precision Co. From the pressure drop test results, it is noted that the flow velocity across the fuel rig corresponding to the pressure drop of 200 kPa is measured to be about 6.78 kg/sec. Vibration frequency for the fuel rig ranges from 14 to 19 Hz. RMZ (Root Mean Square) displacement for the fuel rig is less than 7 {mu}m, and the maximum displacement is less than 20 {mu}m. Based on the endurance rest results, the appreciable fretting wear for the fuel rig is not observed but the small amount of wear was observed at the interface region between the mini-plates and upper housing cap as well as at the slot regions of a bottom endplate interfacing with the bottom guide arms. (author). 4 refs., 10 tabs., 33 figs.

  16. RIG-I and dsRNA-induced IFNbeta activation.

    Directory of Open Access Journals (Sweden)

    Stéphane Hausmann

    Full Text Available Except for viruses that initiate RNA synthesis with a protein primer (e.g., picornaviruses, most RNA viruses initiate RNA synthesis with an NTP, and at least some of their viral (pppRNAs remain unblocked during the infection. Consistent with this, most viruses require RIG-I to mount an innate immune response, whereas picornaviruses require mda-5. We have examined a SeV infection whose ability to induce interferon depends on the generation of capped dsRNA (without free 5' tri-phosphate ends, and found that this infection as well requires RIG-I and not mda-5. We also provide evidence that RIG-I interacts with poly-I/C in vivo, and that heteropolymeric dsRNA and poly-I/C interact directly with RIG-I in vitro, but in different ways; i.e., poly-I/C has the unique ability to stimulate the helicase ATPase of RIG-I variants which lack the C-terminal regulatory domain.

  17. Advanced jack up rig breaking U.S. construction drought

    Energy Technology Data Exchange (ETDEWEB)

    Kelly, P. [Rowan Companies Inc., Houston, TX (United States)

    1997-03-10

    A new heavy duty jack up, due in mid-1998, will be able to simultaneously drill and produce wells in harsher environments and deeper water than current jack ups in the worldwide fleet. Rowan Cos. Inc.`s Gorilla V is the only mobile offshore drilling unit (MODU) currently under construction in the US. Two more enhanced Gorilla design rigs are planned before the year 2000. The enhanced Gorilla class jack up represents the most technologically advanced jack up unit constructed to date. The rigs are structurally designed to meet year-round weather challenges in the harshest geographical environments. Rising demand for drilling rigs, coupled with a dwindling fleet, is generating supply shortages around the world, particularly at the high-specification end of the market. Even increasing the historical retirement age from 20 to 25 years, rig attrition continues at a level of about 18 rigs per year. Apart from the jack up market per se, however, Rowan`s strategy in designing and building enhanced Gorillas is to improve existing jack up drilling technology and offer the versatility to operate as a drilling unit, a mobile production unit, or both simultaneously in either open water locations or alongside existing platforms. The paper discusses the market for these heavy jack-ups, the use of one on the Cohasset project in Nova Scotia, the Gorilla V and enhanced Gorillas, geographical range of use, and MOPU economics.

  18. 33 CFR 155.400 - Platform machinery space drainage on oceangoing fixed and floating drilling rigs and other...

    Science.gov (United States)

    2010-07-01

    ... Elimination System (NPDES) permit issued in accordance with section 402 of the Clean Water Act and 40 CFR... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Platform machinery space drainage... machinery space drainage on oceangoing fixed and floating drilling rigs and other platforms. (a) No...

  19. The selective footprints of viral pressures at the human RIG-I-like receptor family.

    Science.gov (United States)

    Vasseur, Estelle; Patin, Etienne; Laval, Guillaume; Pajon, Sandra; Fornarino, Simona; Crouau-Roy, Brigitte; Quintana-Murci, Lluis

    2011-11-15

    The RIG-I-like receptors (RLRs)--RIG-I, IFIH1 (or MDA5) and LGP2--are thought to be key actors in the innate immune system, as they play a major role in sensing RNA viruses in the cytosol of host cells. Despite the increasingly recognized importance of the RLR family in antiviral immunity, no population genetic studies have yet attempted to compare the evolutionary history of its different members in humans. Here, we characterized the levels of naturally occurring genetic variation in the RLRs in a panel of individuals of different ethnic origins, to assess to what extent natural selection has acted on this family of microbial sensors. Our results show that amino acid-altering variation at RIG-I, particularly in the helicase domain, has been under stronger evolutionary constraint than that at IFIH1 and LGP2, reflecting an important role for RIG-I in sensing numerous RNA viruses and/or functional constraints related to the binding of viral substrates. Such evolutionary constraints have been much more relaxed at IFIH1 and LGP2, which appear to have evolved adaptively in specific human populations. Notably, we identified several mutations showing signatures of positive selection, including two non-synonymous polymorphisms in IFIH1 (R460H and R843H) and one in LGP2 (Q425R), suggesting a selective advantage related to the sensing of RNA viruses by IFIH and to the regulatory functions of LGP2. In light of the fact that some of these mutations have been associated with altered risks of developing autoimmune disorders, our study provides an additional example of the evolutionary conflict between infection and autoimmunity.

  20. Coxsackievirus cloverleaf RNA containing a 5' triphosphate triggers an antiviral response via RIG-I activation.

    Directory of Open Access Journals (Sweden)

    Qian Feng

    Full Text Available Upon viral infections, pattern recognition receptors (PRRs recognize pathogen-associated molecular patterns (PAMPs and stimulate an antiviral state associated with the production of type I interferons (IFNs and inflammatory markers. Type I IFNs play crucial roles in innate antiviral responses by inducing expression of interferon-stimulated genes and by activating components of the adaptive immune system. Although pegylated IFNs have been used to treat hepatitis B and C virus infections for decades, they exert substantial side effects that limit their use. Current efforts are directed toward the use of PRR agonists as an alternative approach to elicit host antiviral responses in a manner similar to that achieved in a natural infection. RIG-I is a cytosolic PRR that recognizes 5' triphosphate (5'ppp-containing RNA ligands. Due to its ubiquitous expression profile, induction of the RIG-I pathway provides a promising platform for the development of novel antiviral agents and vaccine adjuvants. In this study, we investigated whether structured RNA elements in the genome of coxsackievirus B3 (CVB3, a picornavirus that is recognized by MDA5 during infection, could activate RIG-I when supplied with 5'ppp. We show here that a 5'ppp-containing cloverleaf (CL RNA structure is a potent RIG-I inducer that elicits an extensive antiviral response that includes induction of classical interferon-stimulated genes, as well as type III IFNs and proinflammatory cytokines and chemokines. In addition, we show that prophylactic treatment with CVB3 CL provides protection against various viral infections including dengue virus, vesicular stomatitis virus and enterovirus 71, demonstrating the antiviral efficacy of this RNA ligand.

  1. Design and construction of a point-contact spectroscopy rig with lateral scanning capability.

    Science.gov (United States)

    Tortello, M; Park, W K; Ascencio, C O; Saraf, P; Greene, L H

    2016-06-01

    The design and realization of a cryogenic rig for point-contact spectroscopy measurements in the needle-anvil configuration is presented. Thanks to the use of two piezoelectric nano-positioners, the tip can move along the vertical (z) and horizontal (x) direction and thus the rig is suitable to probe different regions of a sample in situ. Moreover, it can also form double point-contacts on different facets of a single crystal for achieving, e.g., an interferometer configuration for phase-sensitive measurements. For the later purpose, the sample holder can also host a Helmholtz coil for applying a small transverse magnetic field to the junction. A semi-rigid coaxial cable can be easily added for studying the behavior of Josephson junctions under microwave irradiation. The rig can be detached from the probe and thus used with different cryostats. The performance of this new probe has been tested in a Quantum Design PPMS system by conducting point-contact Andreev reflection measurements on Nb thin films over large areas as a function of temperature and magnetic field.

  2. Comparison of laser welding conditions of Zircaloy-4 and stainless steel for nuclear fuel irradiation rig

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Kahye; Hong, Jintae; Joung, Changyoung; Heo, Sungho [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2014-05-15

    Various materials for Zircaloy-4, SUS 316L, such as Inconel, are used as a survey rig that has been produced for fuel irradiation testing. Precision sensors, thermocouples, LVDT, and SPND should also be assembled. Therefore, a welding device for connecting them is necessary. With a high density of energy, laser welding can be properly used in a deep permeation, and in precisely welding narrow and deep joints. In particular, it has been applied to other fields such as metal welding. Since the technology bears no pores or cavities, resulting in a clean surface after the welding process, it does not require an 'after-process' such as grinding or polishing, which is useful where high water-tightness is required. Therefore, we developed and researched a special fiber laser welding system for the production of a nuclear research rig. Through the above test, the different conditions of laser welding were found for Zircaloy-4 and AISI 316L used for producing a nuclear fuel research rig, performing the most optimal welding conditions according to the properties of the materials in the future.

  3. Alterations in the Coagulation System during Major Visceral Surgery in Children

    DEFF Research Database (Denmark)

    Kordjian, Hayarpi H; Nybo, Mads; Qvist, Niels

    2014-01-01

    Purpose. The description of the alterations in the hemostatic system in children undergoing abdominal surgery is sparse. Enhanced clinical outcomes for previously untreatable conditions have led to an increased incidence of venous thromboembolic complications. Alterations in children's coagulation...... system during major abdominal operations compared to minor procedures were examined. Methods. Children (0-12 years) undergoing either laparotomy, thoracotomy, or minor surgery were included. Participants were divided into two groups: group 1 was open laparotomy including operations for solid abdominal...

  4. Design and Validation of an Augmented Reality System for Laparoscopic Surgery in a Real Environment

    OpenAIRE

    López-Mir, F.; Naranjo, V.; Fuertes, J. J.; Alcañiz, M.; Bueno, J.; Pareja, E

    2013-01-01

    Purpose. This work presents the protocol carried out in the development and validation of an augmented reality system which was installed in an operating theatre to help surgeons with trocar placement during laparoscopic surgery. The purpose of this validation is to demonstrate the improvements that this system can provide to the field of medicine, particularly surgery. Method. Two experiments that were noninvasive for both the patient and the surgeon were designed. In one of these e...

  5. XJ250修井机液压盘式刹车液压控制系统仿真分析%Simulation Analysis of the Hydraulic Control System of the Hydraulic Disc Brake on the X J250 Workover Rig

    Institute of Scientific and Technical Information of China (English)

    张连业; 吴文秀; 刘威

    2012-01-01

    Taking as the object of study the hydraulic control system of the hydraulic disc brake on the XJ250 workover rig, the mathematical model on the basis of global flow and hydraulic cylinder piston motion equation was established by analyzing the structure of the control system. The AMESim simulation model for the hydraulic control system of the braking system was constructed and the model parameters and simulation parameters were set. The var- iation of the typical sine curve hydraulic source signal and excitation electromagnetic valve signal was used to carry out a simulation study of the response system of the operating brake hydraulic control system. The sudden opening of the step switch signal was used to conduct a simulation analysis of the urgency brake hydraulic system response. The hydraulic dynamic response curve of the main valve port of the hydraulic control system in the process of operating brake and urgency brake was derived. The simulation result is in agreement with the practical operation. The simulation analysis offers a reference for the improvement of the performance of the hydraulic control system of the workover rig disc brake.%以XJ250修井机液压盘式刹车的液压控制系统为研究对象,通过分析液压盘式刹车的液压控制系统结构,建立了基于全局流量与液压缸活塞运动方程的数学模型;构建了液压控制系统的AMESim仿真模型,设置了模型参数及仿真参数。以典型的正弦曲线液压源信号及激励电磁阀信号变化仿真研究工作制动液压控制系统响应性能,以阶跃开关信号突然开启模拟分析紧急制动液压系统响应。得到了工作制动及紧急制动过程中液压控制系统主要阀口处液压动态响应曲线,仿真结果与实际运行情况相符。该仿真分析为修井机液压盘式刹车液压控制系统性能的改进与完善提供了参考。

  6. Measuring the Latency of an Augmented Reality System for Robot-Assisted Minimally Invasive Surgery

    DEFF Research Database (Denmark)

    Jørgensen, Martin Kibsgaard; Kraus, Martin

    2017-01-01

    visual communication in training for robot-assisted minimally invasive surgery with da Vinci surgical systems. To make sure that our augmented reality system provides the best possible user experience, we investigated the video latency of the da Vinci surgical system and how the components of our system...

  7. RIG-I is required for VSV-induced cytokine production by murine glia and acts in combination with DAI to initiate responses to HSV-1.

    Science.gov (United States)

    Crill, Emma K; Furr-Rogers, Samantha R; Marriott, Ian

    2015-12-01

    A defining feature of viral central nervous system (CNS) infection is the rapid onset of severe neuroinflammation. However, the mechanisms underlying glial responses to replicative neurotropic viruses are only now becoming apparent with the discovery of a number of cytosolic sensors for viral nucleic acids. We have described the expression by murine and human glial cells of two disparate pattern recognition receptors, retinoic acid inducible gene-I (RIG-I) and DNA-dependent activator of interferon regulatory factors (DAI), receptors for viral RNA and DNA moieties, respectively. In the present study, we demonstrate the functional significance of RIG-I expression in primary murine microglia and astrocytes. Our data indicate that murine glial immune responses to a model neurotropic RNA virus, vesicular stomatitis virus, are RIG-I dependent and independent of levels of DAI expression or RNA polymerase III activity. In contrast, maximal glial inflammatory and antiviral responses to the DNA virus herpes simplex virus-1 (HSV-1) are dependent on the expression of both RIG-I and DAI, and require RNA polymerase III activity. These findings indicate that the RNA sensor, RIG-I, acts in parallel with DAI in an RNA polymerase III-dependent manner to initiate glial responses to HSV-1. We therefore suggest that RIG-I plays a significant role in the detection of both RNA and DNA pathogens by microglia and astrocytes. © 2015 Wiley Periodicals, Inc.

  8. Lapabot: a compact telesurgical robot system for minimally invasive surgery: part I. System description.

    Science.gov (United States)

    Choi, Jaesoon; Park, Jun Woo; Kim, Dong Jun; Shin, Jungwook; Park, Chan Young; Lee, Jung Chan; Jo, Yung Ho

    2012-05-01

    The applications of robotic minimally invasive surgery (MIS) have widened, providing new advantages such as augmented dexterity and telesurgery. However, current commercial robotic laparoscopic surgical systems still have aspects to be improved such as heavy and bulky systems not suitable for agile operations, large rotational radii of robot manipulator arms, limited remote control capacity, and absence of force feedback. We have developed a robotic laparoscopic surgical system that features compact slave manipulators. The system can simultaneously operate one laparoscope arm and up to four instrument arms. The slave robot is controlled remotely through an Ethernet network and is ready for telesurgery. The developed surgical robot has sufficient workspace to perform general MIS and has been shown to provide acceptable motion tracking control performance.

  9. A miniaturized imaging system for optical guided surgery of head and neck cancer

    Science.gov (United States)

    Atallah, Ihab; Milet, Clément; Dorval, Paul; Gayet, Pascal; Rizo, Philippe; Henry, Maxime; Reyt, Emile; Josserand, Véronique; Hurbin, Amandine; Righini, Christian; Coll, Jean-Luc

    2015-03-01

    Near-infrared fluorescence image-guided surgery, FIGS, has lately shown a huge potential in oncologic and lymphatic related surgeries. In some indications such as liver or heart surgery, fluorescence-reachable anatomic structures are limited by the access to the surgical field. Nevertheless, most of the systems available on the market are too large to image the sides of cavities. Small devices are clearly required to improve workability of fluorescence imaging systems. The current work describes the evaluation of Fluostick a CE med certified instrument dedicated to narrow area imaging. This small size device is made of an optical head connected to a control box. We tested this instrumentation at the preclinical level for the optical-guided surgery of head and neck tumors.

  10. The laboratory test rig with miniature jet engine to research aviation fuels combustion process

    OpenAIRE

    Gawron Bartosz; Białecki Tomasz

    2015-01-01

    This article presents laboratory test rig with a miniature turbojet engine (MiniJETRig – Miniature Jet Engine Test Rig), that was built in the Air Force Institute of Technology. The test rig has been developed for research and development works aimed at modelling and investigating processes and phenomena occurring in full scale jet engines. In the article construction of a test rig is described, with a brief discussion on the functionality of each of its main components. Additionally examples...

  11. On Improving International Competitiveness of China-Made Drilling Rigs

    Institute of Scientific and Technical Information of China (English)

    Gong Huijuan

    2009-01-01

    @@ Current state of technology for China made drilling rigs With accelerated oil & gas exploration and development,and the implementation of "going out"strategy in recent years,the manufacturing of drilling equipment has entered a phase of rapid development in China.

  12. 6DOF optical tracking system using afocal optics for image guided surgery

    Directory of Open Access Journals (Sweden)

    Chae You Seong

    2015-01-01

    Full Text Available Image guided surgery using medical robots is becoming popular these days. For image guided surgery, a tracking system is required to provide 6DOF information of patient coordinate, surgical instruments and medical robots used in surgery. To provide 6DOF information, a marker has to be attached to the target. However, it is hard to use many markers all together because the markers will take too much space in the surgical area. The tracking system proposed in this study utilizes down sized markers compared to traditional markers by using micro-engraved data-coded pattern with a lens instead of using geometrically specified marker spheres as a tracking target. A tracking system is developed that has a measurement area of 1m to 2.5m from the tracking system. Experiment has been done for surgical navigation using the proposed tracking system and a medical robot.

  13. Robotics and systems technology for advanced endoscopic procedures: experiences in general surgery.

    Science.gov (United States)

    Schurr, M O; Arezzo, A; Buess, G F

    1999-11-01

    The advent of endoscopic techniques changed surgery in many regards. This paper intends to describe an overview about technologies to facilitate endoscopic surgery. The systems described have been developed for the use in general surgery, but an easy application also in the field of cardiac surgery seems realistic. The introduction of system technology and robotic technology enables today to design a highly ergonomic solo-surgery platform. To relief the surgeon from fatigue we developed a new chair dedicated to the functional needs of endoscopic surgery. The foot pedals for high frequency, suction and irrigation are integrated into the basis of the chair. The chair is driven by electric motors controlled with an additional foot pedal joystick to achieve the desired position in the OR. A major enhancement for endoscopic technology is the introduction of robotic technology to design assisting devices for solo-surgery and manipulators for microsurgical instrumentation. A further step in the employment of robotic technology is the design of 'master-slave manipulators' to provide the surgeon with additional degrees of freedom of instrumentation. In 1996 a first prototype of an endoscopic manipulator system. named ARTEMIS, could be used in experimental applications. The system consists of a user station (master) and an instrument station (slave). The surgeon sits at a console which integrates endoscopic monitors, communication facilities and two master devices to control the two slave arms which are mounted to the operating table. Clinical use of the system, however, will require further development in the area of slave mechanics and the control system. Finally the implementation of telecommunication technology in combination with robotic instruments will open new frontiers, such as teleconsulting, teleassistance and telemanipulation.

  14. DMPD: MDA5/RIG-I and virus recognition. [Dynamic Macrophage Pathway CSML Database

    Lifescience Database Archive (English)

    Full Text Available 18272355 MDA5/RIG-I and virus recognition. Takeuchi O, Akira S. Curr Opin Immunol. ...2008 Feb;20(1):17-22. Epub 2008 Feb 12. (.png) (.svg) (.html) (.csml) Show MDA5/RIG-I and virus recognition.... PubmedID 18272355 Title MDA5/RIG-I and virus recognition. Authors Takeuchi O, Akira S. Publication Curr Opi

  15. A Novel Augmented Reality Navigation System for Endoscopic Sinus and Skull Base Surgery: A Feasibility Study.

    Science.gov (United States)

    Li, Liang; Yang, Jian; Chu, Yakui; Wu, Wenbo; Xue, Jin; Liang, Ping; Chen, Lei

    2016-01-01

    To verify the reliability and clinical feasibility of a self-developed navigation system based on an augmented reality technique for endoscopic sinus and skull base surgery. In this study we performed a head phantom and cadaver experiment to determine the display effect and accuracy of our navigational system. We compared cadaver head-based simulated operations, the target registration error, operation time, and National Aeronautics and Space Administration Task Load Index scores of our navigation system to conventional navigation systems. The navigation system developed in this study has a novel display mode capable of fusing endoscopic images to three-dimensional (3-D) virtual images. In the cadaver head experiment, the target registration error was 1.28 ± 0.45 mm, which met the accepted standards of a navigation system used for nasal endoscopic surgery. Compared with conventional navigation systems, the new system was more effective in terms of operation time and the mental workload of surgeons, which is especially important for less experienced surgeons. The self-developed augmented reality navigation system for endoscopic sinus and skull base surgery appears to have advantages that outweigh those of conventional navigation systems. We conclude that this navigational system will provide rhinologists with more intuitive and more detailed imaging information, thus reducing the judgment time and mental workload of surgeons when performing complex sinus and skull base surgeries. Ultimately, this new navigational system has potential to increase the quality of surgeries. In addition, the augmented reality navigational system could be of interest to junior doctors being trained in endoscopic techniques because it could speed up their learning. However, it should be noted that the navigation system serves as an adjunct to a surgeon's skills and knowledge, not as a substitute.

  16. A Novel Augmented Reality Navigation System for Endoscopic Sinus and Skull Base Surgery: A Feasibility Study

    Science.gov (United States)

    Li, Liang; Yang, Jian; Chu, Yakui; Wu, Wenbo; Xue, Jin; Liang, Ping; Chen, Lei

    2016-01-01

    Objective To verify the reliability and clinical feasibility of a self-developed navigation system based on an augmented reality technique for endoscopic sinus and skull base surgery. Materials and Methods In this study we performed a head phantom and cadaver experiment to determine the display effect and accuracy of our navigational system. We compared cadaver head-based simulated operations, the target registration error, operation time, and National Aeronautics and Space Administration Task Load Index scores of our navigation system to conventional navigation systems. Results The navigation system developed in this study has a novel display mode capable of fusing endoscopic images to three-dimensional (3-D) virtual images. In the cadaver head experiment, the target registration error was 1.28 ± 0.45 mm, which met the accepted standards of a navigation system used for nasal endoscopic surgery. Compared with conventional navigation systems, the new system was more effective in terms of operation time and the mental workload of surgeons, which is especially important for less experienced surgeons. Conclusion The self-developed augmented reality navigation system for endoscopic sinus and skull base surgery appears to have advantages that outweigh those of conventional navigation systems. We conclude that this navigational system will provide rhinologists with more intuitive and more detailed imaging information, thus reducing the judgment time and mental workload of surgeons when performing complex sinus and skull base surgeries. Ultimately, this new navigational system has potential to increase the quality of surgeries. In addition, the augmented reality navigational system could be of interest to junior doctors being trained in endoscopic techniques because it could speed up their learning. However, it should be noted that the navigation system serves as an adjunct to a surgeon’s skills and knowledge, not as a substitute. PMID:26757365

  17. A Novel Augmented Reality Navigation System for Endoscopic Sinus and Skull Base Surgery: A Feasibility Study.

    Directory of Open Access Journals (Sweden)

    Liang Li

    Full Text Available To verify the reliability and clinical feasibility of a self-developed navigation system based on an augmented reality technique for endoscopic sinus and skull base surgery.In this study we performed a head phantom and cadaver experiment to determine the display effect and accuracy of our navigational system. We compared cadaver head-based simulated operations, the target registration error, operation time, and National Aeronautics and Space Administration Task Load Index scores of our navigation system to conventional navigation systems.The navigation system developed in this study has a novel display mode capable of fusing endoscopic images to three-dimensional (3-D virtual images. In the cadaver head experiment, the target registration error was 1.28 ± 0.45 mm, which met the accepted standards of a navigation system used for nasal endoscopic surgery. Compared with conventional navigation systems, the new system was more effective in terms of operation time and the mental workload of surgeons, which is especially important for less experienced surgeons.The self-developed augmented reality navigation system for endoscopic sinus and skull base surgery appears to have advantages that outweigh those of conventional navigation systems. We conclude that this navigational system will provide rhinologists with more intuitive and more detailed imaging information, thus reducing the judgment time and mental workload of surgeons when performing complex sinus and skull base surgeries. Ultimately, this new navigational system has potential to increase the quality of surgeries. In addition, the augmented reality navigational system could be of interest to junior doctors being trained in endoscopic techniques because it could speed up their learning. However, it should be noted that the navigation system serves as an adjunct to a surgeon's skills and knowledge, not as a substitute.

  18. Towards an integrated system for planning and assisting maxillofacial orthognathic surgery.

    Science.gov (United States)

    Olszewski, Raphael; Villamil, Marta B; Trevisan, Daniela G; Nedel, Luciana P; Freitas, Carla M D S; Reychler, Hervé; Macq, Benoit

    2008-07-01

    Computer-assisted maxillofacial orthognathic surgery is an emerging and interdisciplinary field linking orthognathic surgery, remote signal engineering and three-dimensional (3D) medical imaging. Most of the computational solutions already developed make use of different specialized systems which introduce difficulties both in the information transfer from one stage to the others and in the use of such systems by surgeons. Trying to address such issue, in this work we present a common computer-based system that integrates proposed modules for planning and assisting the maxillofacial surgery. With that we propose to replace the current standard orthognathic preoperative planning, and to bring information from a virtual planning to the real operative field. The system prototype, including three-dimensional cephalometric analysis, static and dynamic virtual orthognathic planning, and mixed reality transfer of information to the operation room, is described and the first results obtained are presented.

  19. Stereoscopic Augmented Reality System for Supervised Training on Minimal Invasive Surgery Robots

    DEFF Research Database (Denmark)

    Matu, Florin-Octavian; Thøgersen, Mikkel; Galsgaard, Bo

    2014-01-01

    Training in the use of robot-assisted surgery systems is necessary before a surgeon is able to perform procedures using these systems because the setup is very different from manual procedures. In addition, surgery robots are highly expensive to both acquire and maintain --- thereby entailing...... the need for efficient training. When training with the robot, the communication between the trainer and the trainee is limited, since the trainee often cannot see the trainer. To overcome this issue, this paper proposes an Augmented Reality (AR) system where the trainer is controlling two virtual robotic...

  20. Preoperative multidisciplinary program for bariatric surgery: a proposal for the Brazilian Public Health System

    Directory of Open Access Journals (Sweden)

    Elinton Adami CHAIM

    Full Text Available ABSTRACT BACKGROUND Bariatric surgery has become the gold standard treatment for morbid obesity, but access to surgery remains difficult and low compliance to postoperative follow-up is common. To improve outcomes, enable access and optimize follow-up, we developed a multidisciplinary preoperative approach for bariatric surgery. OBJECTIVE To determine the impact of this program in the outcomes of bariatric surgery in the Brazilian public health system. METHODS A prospective evaluation of the individuals who underwent a preoperative multidisciplinary program for bariatric surgery and comparison of their surgical outcomes with those observed in the prospectively collected historical database of the individuals who underwent surgery before the beginning of the program. RESULTS There were 176 individuals who underwent the multidisciplinary program and 226 who did not. Individuals who underwent the program had significantly lower occurrence of the following variables: hospital stay; wound dehiscence; wound infection; pulmonary complications; anastomotic leaks; pulmonary thromboembolism; sepsis; incisional hernias; eventrations; reoperations; and mortality. Both loss of follow-up and weight loss failure were also significantly lower in the program group. CONCLUSION The adoption of a comprehensive preoperative multidisciplinary approach led to significant improvements in the postoperative outcomes and also in the compliance to the postoperative follow-up. It represents a reproducible and potentially beneficial approach within the context of the Brazilian public health system.

  1. Referral patterns and the referral system for oral surgery care. Part 2: The referral system and telemedicine.

    Science.gov (United States)

    Coulthard, P; Kazakou, I; Koran, R; Worthington, H V

    2000-04-08

    To investigate GDP opinions of the current referral system and to investigate the need and demand for telemedicine in oral surgery referrals. Postal questionnaire. 400 GDPs in Greater Manchester. 84% participation rate. 48% were not satisfied overall with the service of their current specialist oral surgery referral site. The principal reason was the length of the waiting time for consultation and treatment. Distance for patients to travel to the specialist unit was also of concern, even though most patients (89%) travelled short distances (return journey of twelve miles or less). 23% of respondents wished to improve their ability to communicate with the oral surgeon and 70% wanted involvement in the patient consultation. Both of these requirements were more likely in younger practitioners. There is a need and demand for change in the referral system for oral surgery specialist care. Telemedicine could conceivably be one way to improve access to specialist oral surgery care.

  2. Validation of RELAP5 model of experimental test rig simulating the natural convection in MTR research reactors

    Energy Technology Data Exchange (ETDEWEB)

    Khedr, A.; Abdel-Latif, Salwa H. [Nuclear and Radiological Regulatory Authority, Cairo (Egypt); Abdel-Hadi, Eed A. [Benha Univ., Cairo (Egypt). Shobra Faculty of Engineering; D' Auria, F. [Pisa Univ. (Italy)

    2016-03-15

    In an attempt to understand the built-up of natural circulation in MTR pool type upward flow research reactors after loss of power, an experimental test rig was built to simulate the loop of natural circulation in MTR reactors. The test rig consisting of two vertically oriented branches, in one of them the core is simulated by two rectangular, electrically heated, parallel channels. The other branch simulates the part of the return pipe that participates in the development of core natural circulation. In the first phase of the work, many experimental runs at different conditions of channel's power and branch's initial temperatures are performed. The channel's coolant and surface temperatures were measured. The measurements and their interpretation were published by the first three authors. In the present work the thermal hydraulic behavior of the test rig is complemented by theoretical analysis using RELAP5 Mod 3.3 system code. The analysis consisting of two parts; in the first part RELAP5 model is validated against the measured values and in the second part some of the other not measured hydraulic parameters are predicted and analyzed. The test rig is typically nodalized and an input dick is prepared. In spite of the low pressure of the test rig, the results show that RELAP5 qualitatively predicts the thermal hydraulic behaviour and the accompanied phenomenon of flow inversion of such facilities. Quantitatively, there is a difference between the predicted and measured values especially the channel's surface temperature. This difference may be return to the uncertainties in initial conditions of experimental runs, the position of the thermocouples which buried inside the heat structure, and the heat transfer package in RELAP5.

  3. The laboratory test rig with miniature jet engine to research aviation fuels combustion process

    Directory of Open Access Journals (Sweden)

    Gawron Bartosz

    2015-12-01

    Full Text Available This article presents laboratory test rig with a miniature turbojet engine (MiniJETRig – Miniature Jet Engine Test Rig, that was built in the Air Force Institute of Technology. The test rig has been developed for research and development works aimed at modelling and investigating processes and phenomena occurring in full scale jet engines. In the article construction of a test rig is described, with a brief discussion on the functionality of each of its main components. Additionally examples of measurement results obtained during the realization of the initial tests have been included, presenting the capabilities of the test rig.

  4. Advantages of using an image-guided system for transnasal endoscopic surgery

    Institute of Scientific and Technical Information of China (English)

    韩德民; 周兵; 葛文彤; 张罗; 张永杰

    2003-01-01

    Objective To evaluate the advantages of image-guided system in transnasal endoscopic surgery.Methods Transnasal endoscopic surgery was performed with the aid of an image-guided system in 28 patients, supported with histopathologic diagnoses of chronic sinusitis with/without nasal polyps (10 cases), juvenile nasopharyngeal angiofibroma (4 cases), pituitary adenoma (6 cases), ethmoidal ossifying fibroma (3 cases), nasopharyngeal mixed tumor (2 cases), nasal leiomyoma (1 case), fungal sinusitis (1 case) and inverted nasal papilloma (1 case).Results For all the patients, the time periods from initialization to surgery ranged from 15 to 30 minutes (a mean of 26 minutes). The calibration coefficient ranged from 1.3 to 2.0. Accuracy of localization fell within 1 mm. Compared with traditional endoscopic surgery, operation times were not noticeably different. No complications occurred.Conclusions The image-guided system was able to identify borders and critical anatomical structures in real-time, especially of those with distorted anatomical markers. It provided a powerful means for a safer and less invasive endoscopic sinus surgery.

  5. Prevention and control system of hypokalemia in fast recovery after abdominal surgery.

    Science.gov (United States)

    Lu, Guanzhen; Yan, Qiang; Huang, Yutao; Zhong, Yan; Shi, Ping

    2013-06-01

    Blood potassium levels were very important during perioperative management of patients undergoing abdominal surgery. According to various worldwide studies on the causes of hypokalemia and fast-track surgeries, prehospital hypokalemia was ignored. The aim of this study to construct a prevention and control system of hypokalemia through proper clinical pathways and investigate the effects in terms of fast postoperative recovery of patients undergoing open abdominal surgery. A total of 104 patients were randomized to an observation group or a control group. The prevention and control system of hypokalemia was constructed; it was composed of 3 major modules: blood potassium monitoring, etiologic intervention, and treatment of hypokalemia. In the observation group, blood was sampled at scheduled time points (the blood potassium monitoring module) and interventions involved the preadmission and pre- and postoperative periods (etiologic intervention module). In the control group, blood sampling was delayed until after admission (blood potassium monitoring module) and interventions were only performed during the pre- and postoperative periods (etiologic intervention module). In terms of blood potassium, indices regarding gastrointestinal motility and postoperative complications were compared. The severity of hypokalemia, postoperative defecation time, arrhythmia, fatigue syndrome, and urine retention differed statistically between the 2 groups (P control system of hypokalemia with the starting point being before admission was more effective and allows early prevention, detection, correction, surgery, and recovery of patients undergoing open abdominal surgeries and also could be used in other specialized nursing fields.

  6. A new cone beam computerized tomography system for use in endodontic surgery.

    Science.gov (United States)

    Tsurumachi, T; Honda, K

    2007-03-01

    To present a newly developed cone beam computerized tomography system (3DX Micro-CT) and its application in endodontic surgery. Cone beam CT has attracted considerable attention as a new diagnostic imaging technique in dentistry. The assessment of fractured endodontic instruments and the planning of endodontic surgery present challenges that conventional radiography cannot meet successfully. In this report, the value of the 3DX cone beam computerized radiography system is illustrated by the case of a fractured endodontic instrument protruding into the maxillary sinus.

  7. SOAR - Stereo Obstacle Avoidance Rig Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The ultimate goal of the SOAR program is to develop robust hardware and algorithms for low light, passive terrain sensing. The SOAR system will provide NASA with a...

  8. RESEARCH RIG FOR EXAMINATION OF PRESSURE IN HYRDODYNAMIC OIL FILM

    Directory of Open Access Journals (Sweden)

    Wojciech HORAK

    2014-06-01

    Full Text Available The paper presents a concept of a didactic research rig for investigation and visualization of pressure distribution in an oil film of a journal fluid friction slide bearing. The rig being presented may be used during classes on subjects associated machine design. The paper presents an idea of a specific design, using an asynchronic motor with a long shaft, on which the slide bearing assembly is fixed. The design is elastic and allows many modifications of the construction. The possible modifications are presented in the summary part of the paper. The paper also presents ideas for development of the design, either to enable measurements of additional physical values, or presentation of specific cases of slide bearings operation.

  9. An intraoperative 3D ultrasound system for tumor margin determination in breast cancer surgery.

    Science.gov (United States)

    DeJean, Paul; Brackstone, Muriel; Fenster, Aaron

    2010-02-01

    The purpose of this study was to analyze the clinical utility of a portable three-dimensional ultrasound (3DUS) system to be used for surgical guidance of lumpectomy surgeries. In 11%-60% of lumpectomy surgeries, a second surgery is required to fully resect the tumor. Previous studies have used 3DUS as a guidance tool with the hope of more accuracy in resecting the entire tumor during the first surgery. However, they utilized larger systems, which are not easily integrated into the operating room. The portable 3DUS scanning system we developed consisted of a motorized "tilt" scanner coupled to a Terason t3000 portable ultrasound machine (Terason Ultrasound, Burlington, MA). The 3DUS system was evaluated by measuring agar "tumor" phantoms of known volumes and acquiring and segmenting images from nine patients undergoing lumpectomy. Experiments on simulated agar tumor phantoms have shown that our device could be used to measure objects with smooth, well-defined boundaries of known volume with an error of 3%. It was possible to view and segment estimated tumor margins from the clinical images in three dimensions. Correspondence between measurements obtained in the laboratory and the operating room varied with tumor geometry and the degree of spiculation in the ultrasound image. The measured values obtained by the system did not correspond closely with those obtained using histology. However, a more accurate histological measurement using 3D histology may provide a better basis for comparison. The results of imaging simulated agar tumor phantoms indicate the system's consistency in measuring objects of known volume and geometry. The system could be used for segmenting the approximate boundary of lumpectomy patients' breast tumors relative to inserted guide wires. The potential advantages of this system are a reduction in the number of re-excision surgeries required and a reduction in the operative time with the patient under anesthesia.

  10. A VidEo-Based Intelligent Recognition and Decision System for the Phacoemulsification Cataract Surgery

    Directory of Open Access Journals (Sweden)

    Shu Tian

    2015-01-01

    Full Text Available The phacoemulsification surgery is one of the most advanced surgeries to treat cataract. However, the conventional surgeries are always with low automatic level of operation and over reliance on the ability of surgeons. Alternatively, one imaginative scene is to use video processing and pattern recognition technologies to automatically detect the cataract grade and intelligently control the release of the ultrasonic energy while operating. Unlike cataract grading in the diagnosis system with static images, complicated background, unexpected noise, and varied information are always introduced in dynamic videos of the surgery. Here we develop a VidEo-Based Intelligent Recognitionand Decision (VEBIRD system, which breaks new ground by providing a generic framework for automatically tracking the operation process and classifying the cataract grade in microscope videos of the phacoemulsification cataract surgery. VEBIRD comprises a robust eye (iris detector with randomized Hough transform to precisely locate the eye in the noise background, an effective probe tracker with Tracking-Learning-Detection to thereafter track the operation probe in the dynamic process, and an intelligent decider with discriminative learning to finally recognize the cataract grade in the complicated video. Experiments with a variety of real microscope videos of phacoemulsification verify VEBIRD’s effectiveness.

  11. Design and Validation of an Augmented Reality System for Laparoscopic Surgery in a Real Environment

    Directory of Open Access Journals (Sweden)

    F. López-Mir

    2013-01-01

    Full Text Available Purpose. This work presents the protocol carried out in the development and validation of an augmented reality system which was installed in an operating theatre to help surgeons with trocar placement during laparoscopic surgery. The purpose of this validation is to demonstrate the improvements that this system can provide to the field of medicine, particularly surgery. Method. Two experiments that were noninvasive for both the patient and the surgeon were designed. In one of these experiments the augmented reality system was used, the other one was the control experiment, and the system was not used. The type of operation selected for all cases was a cholecystectomy due to the low degree of complexity and complications before, during, and after the surgery. The technique used in the placement of trocars was the French technique, but the results can be extrapolated to any other technique and operation. Results and Conclusion. Four clinicians and ninety-six measurements obtained of twenty-four patients (randomly assigned in each experiment were involved in these experiments. The final results show an improvement in accuracy and variability of 33% and 63%, respectively, in comparison to traditional methods, demonstrating that the use of an augmented reality system offers advantages for trocar placement in laparoscopic surgery.

  12. Design and Validation of an Augmented Reality System for Laparoscopic Surgery in a Real Environment

    Science.gov (United States)

    López-Mir, F.; Naranjo, V.; Fuertes, J. J.; Alcañiz, M.; Bueno, J.; Pareja, E.

    2013-01-01

    Purpose. This work presents the protocol carried out in the development and validation of an augmented reality system which was installed in an operating theatre to help surgeons with trocar placement during laparoscopic surgery. The purpose of this validation is to demonstrate the improvements that this system can provide to the field of medicine, particularly surgery. Method. Two experiments that were noninvasive for both the patient and the surgeon were designed. In one of these experiments the augmented reality system was used, the other one was the control experiment, and the system was not used. The type of operation selected for all cases was a cholecystectomy due to the low degree of complexity and complications before, during, and after the surgery. The technique used in the placement of trocars was the French technique, but the results can be extrapolated to any other technique and operation. Results and Conclusion. Four clinicians and ninety-six measurements obtained of twenty-four patients (randomly assigned in each experiment) were involved in these experiments. The final results show an improvement in accuracy and variability of 33% and 63%, respectively, in comparison to traditional methods, demonstrating that the use of an augmented reality system offers advantages for trocar placement in laparoscopic surgery. PMID:24236293

  13. Development and application of stent-based image guided navigation system for oral and maxillofacial surgery

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Woo Jin; Kim, Dae Seung [Interdisciplinary Program in Radiation Applied Life Science, Dental Research Institute and BK21, College of Medicine, Seoul National University, Seoul (Korea, Republic of); Yi, Won Jin; Lee, Sam Sun; Choi, Soon Chul; Heo, Min Suk; Huh, Kyung Hoe; Kim, Myung Jin; Lee, Jee Ho [Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University, Seoul (Korea, Republic of)

    2009-09-15

    The purpose of this study was to develop a stent-based image guided surgery system and to apply it to oral and maxillofacial surgeries for anatomically complex sites. We devised a patient-specific stent for patient-to-image registration and navigation. Three dimensional positions of the reference probe and the tool probe were tracked by an optical camera system and the relative position of the handpiece drill tip to the reference probe was monitored continuously on the monitor of a PC. Using 8 landmarks for measuring accuracy, the spatial discrepancy between CT image coordinate and physical coordinate was calculated for testing the normality. The accuracy over 8 anatomical landmarks showed an overall mean of 0.56 {+-} 0.16 mm. The developed system was applied to a surgery for a vertical alveolar bone augmentation in right mandibular posterior area and possible interior alveolar nerve injury case of an impacted third molar. The developed system provided continuous monitoring of invisible anatomical structures during operation and 3D information for operation sites. The clinical challenge showed sufficient accuracy and availability of anatomically complex operation sites. The developed system showed sufficient accuracy and availability in oral and maxillofacial surgeries for anatomically complex sites.

  14. Rigging Test Bed Development for Validation of Multi-Stage Decelerator Extractions

    Science.gov (United States)

    Kenig, Sivan J.; Gallon, John C.; Adams, Douglas S.; Rivellini, Tommaso P.

    2013-01-01

    The Low Density Supersonic Decelerator project is developing new decelerator systems for Mars entry which would include testing with a Supersonic Flight Dynamics Test Vehicle. One of the decelerator systems being developed is a large supersonic ringsail parachute. Due to the configuration of the vehicle it is not possible to deploy the parachute with a mortar which would be the preferred method for a spacecraft in a supersonic flow. Alternatively, a multi-stage extraction process using a ballute as a pilot is being developed for the test vehicle. The Rigging Test Bed is a test venue being constructed to perform verification and validation of this extraction process. The test bed consists of a long pneumatic piston device capable of providing a constant force simulating the ballute drag force during the extraction events. The extraction tests will take place both inside a high-bay for frequent tests of individual extraction stages and outdoors using a mobile hydraulic crane for complete deployment tests from initial pack pull out to canopy extraction. These tests will measure line tensions and use photogrammetry to track motion of the elements involved. The resulting data will be used to verify packing and rigging as well, as validate models and identify potential failure modes in order to finalize the design of the extraction system.

  15. Trauma Pod: A Semi-Automated Robotic Surgery System

    Energy Technology Data Exchange (ETDEWEB)

    Noakes, Mark W [ORNL; Garcia, Pablo [SRI International; Rosen, Jacob [University of Washington; Kapoor, Chetan [University of Texas; Elbert, Greg [GDRS

    2009-01-01

    The Trauma Pod (TP) vision is to develop a rapidly deployable robotic system to perform critical acute stabilization and/or surgical procedures autonomously or in a teleoperative mode on wounded soldiers in the battlefield who might otherwise die before treatment in a combat hospital can be provided. In the first phase of a project pursuing this vision, a robotic TP system was developed and its capability demonstrated by performing select surgical procedures on a patient phantom. The system demonstrates the feasibility of performing acute stabilization procedures with the patient being the only human in the surgical cell. The teleoperated surgical robot is supported by autonomous arms that carry out scrub-nurse and circulating-nurse functions. Tool change and supply delivery are performed automatically and at least as fast as those performed manually by nurses. The TP system also includes tomographic X-ray facility for patient diagnosis and 2-D fluoroscopic data to support interventions. The vast amount of clinical protocols generated in the TP system are recorded automatically. These capabilities form the basis for a more comprehensive acute diagnostic and management platform that will provide life-saving care in environments where surgical personnel are not present.

  16. Involvement of zebrafish RIG-I in NF-κB and IFN signaling pathways: insights into functional conservation of RIG-I in antiviral innate immunity.

    Science.gov (United States)

    Nie, Li; Zhang, Ying-sheng; Dong, Wei-ren; Xiang, Li-xin; Shao, Jian-zhong

    2015-01-01

    The retinoic acid-inducible gene I (RIG-I) is a critical sensor for host recognition of RNA virus infection and initiation of antiviral signaling pathways in mammals. However, data on the occurrence and functions of this molecule in lower vertebrates are limited. In this study, we characterized an RIG-I homolog (DrRIG-I) from zebrafish. Structurally, this DrRIG-I shares a number of conserved functional domains/motifs with its mammalian counterparts, namely, caspase activation and recruitment domain, DExD/H box, a helicase domain, and a C-terminal domain. Functionally, stimulation with DrRIG-I CARD in zebrafish embryos significantly activated the NF-κB and IFN signaling pathways, leading to the expression of TNF-α, IL-8 and IFN-induced Mx, ISG15, and viperin. However, knockdown of TRIM25 (a pivotal activator for RIG-I receptors) significantly suppressed the induced activation of IFN signaling. Results suggested the functional conservation of RIG-I receptors in the NF-κB and IFN signaling pathways between teleosts and mammals, providing a perspective into the evolutionary history of RIG-I-mediated antiviral innate immunity.

  17. A benefit-risk review of systemic haemostatic agents - Part 1 : In major surgery

    NARCIS (Netherlands)

    Fraser, Ian S.; Porte, Robert J.; Kouides, Peter A.; Lukes, Andrea S.

    2008-01-01

    Systemic haemostatic agents play an important role in the management of blood loss during major surgery where significant blood loss is likely and their use has increased in recent times as a consequence of demand for blood products outstripping supply and the risks associated with transfusions. The

  18. Important issues for perioperative systemic antimicrobial prophylaxis in surgery

    NARCIS (Netherlands)

    Sinha, Bhanu; van Assen, Sander; Friedrich, Alexander W.

    2014-01-01

    PURPOSE OF REVIEW: Prevention of surgical site infections is a key issue to patient safety and the success of surgical interventions. Systemic antimicrobial prophylaxis is one important component of a perioperative infection prevention bundle. This review focuses on selected recent developments and

  19. Systemic physiology and neuroapoptotic profiles in young and adult rats exposed to surgery

    DEFF Research Database (Denmark)

    Ibrahim, Rami Mossad; Krammer, Caspar Weel; Hansen, Tom Giedsing

    2015-01-01

    BACKGROUND: Experimental evidence indicates that general anaesthetics can induce apoptotic neurodegeneration in the developing brain. The majority of these studies have been performed in the absence of surgery and it currently remains unclear how the presence of surgical stimuli would influence...... in experimental groups receiving dexmedetomidine, while propofol administration was associated with increased systemic lactate levels and metabolic acidosis. A substantial difference in anaesthesia/surgery-induced neuroapoptosis was found between young and adult rats in several brain regions. Combination...... and adult spontaneously breathing rats undergoing surgery. These observations further enlighten the need for detailed physiological monitoring under these experimental conditions. Although some statistically significant differences in activated caspase-3 profiles were detected between experimental groups...

  20. Development of magnetic anchoring and guidance systems for minimally invasive surgery.

    Science.gov (United States)

    Best, Sara L; Cadeddu, Jeffery A

    2010-07-01

    Recent advances in urology have included natural orifice translumenal endoscopic surgery (NOTES) and laparoendoscopic single-site surgery (LESS). These techniques seek to minimize morbidity by reducing the number of transabdominal port sites, but this comes at a cost of decreased instrument agility and other technical challenges that have prevented LESS and NOTES from entering mainstream urologic practice. Magnetic anchoring and guidance systems (MAGS) consist of instruments that are inserted laparoscopically through an entry in the peritoneal cavity at one point and then driven into position elsewhere and controlled with magnets. These instruments improve the ergonomics of minimally invasive surgery and may help make LESS and NOTES more accessible to urologists across experience levels.

  1. Intraoperative implant rod three-dimensional geometry measured by dual camera system during scoliosis surgery.

    Science.gov (United States)

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

    2016-05-12

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

  2. Robot-assisted cardiac surgery using the da vinci surgical system: a single center experience.

    Science.gov (United States)

    Kim, Eung Re; Lim, Cheong; Kim, Dong Jin; Kim, Jun Sung; Park, Kay Hyun

    2015-04-01

    We report our initial experiences of robot-assisted cardiac surgery using the da Vinci Surgical System. Between February 2010 and March 2014, 50 consecutive patients underwent minimally invasive robot-assisted cardiac surgery. Robot-assisted cardiac surgery was employed in two cases of minimally invasive direct coronary artery bypass, 17 cases of mitral valve repair, 10 cases of cardiac myxoma removal, 20 cases of atrial septal defect repair, and one isolated CryoMaze procedure. Average cardiopulmonary bypass time and average aorta cross-clamping time were 194.8±48.6 minutes and 126.1±22.6 minutes in mitral valve repair operations and 132.0±32.0 minutes and 76.1±23.1 minutes in myxoma removal operations, respectively. During atrial septal defect closure operations, the average cardiopulmonary bypass time was 128.3±43.1 minutes. The median length of stay was between five and seven days. The only complication was that one patient needed reoperation to address bleeding. There were no hospital mortalities. Robot-assisted cardiac surgery is safe and effective for mitral valve repair, atrial septal defect closure, and cardiac myxoma removal surgery. Reducing operative time depends heavily on the experience of the entire robotic surgical team.

  3. Warning navigation system using real-time safe region monitoring for otologic surgery.

    Science.gov (United States)

    Cho, Byunghyun; Oka, Masamichi; Matsumoto, Nozomu; Ouchida, Riichi; Hong, Jaesung; Hashizume, Makoto

    2013-05-01

    We developed a surgical navigation system that warns the surgeon with auditory and visual feedback to protect the facial nerve with real-time monitoring of the safe region during drilling. Warning navigation modules were developed and integrated into a free open source software platform. To obtain high registration accuracy, we used a high-precision laser-sintered template of the patient's bone surface to register the computed tomography (CT) images. We calculated the closest distance between the drill tip and the surface of the facial nerve during drilling. When the drill tip entered the safe regions, the navigation system provided an auditory and visual signal which differed in each safe region. To evaluate the effectiveness of the system, we performed phantom experiments for maintaining a given safe margin from the facial nerve when drilling bone models, with and without the navigation system. The error of the safe margin was measured on postoperative CT images. In real surgery, we evaluated the feasibility of the system in comparison with conventional facial nerve monitoring. The navigation accuracy was submillimeter for the target registration error. In the phantom study, the task with navigation ([Formula: see text] mm) was more successful with smaller error, than the task without navigation ([Formula: see text] mm, [Formula: see text]). The clinical feasibility of the system was confirmed in three real surgeries. This system could assist surgeons in preserving the facial nerve and potentially contribute to enhanced patient safety in the surgery.

  4. A real-time CORBA based system architecture for robot assisted craniofacial surgery.

    Science.gov (United States)

    Pernozzoli, A; Burghart, C; Brief, J; Hassfeld, S; Raczkowsky, J; Mühling, J; Rembold, U; Wörn, H

    2000-01-01

    We present the concept of a system architecture for the computer aided craniofacial surgery. The architecture is based on CORBA, an industrial standard specification for the development of distributed applications. Our concept includes a fundamental behaviour oriented communication model and some fundamental software safety considerations. We've developed a standard library for the integration of new services and devices into our system architecture. It decreases development time noticeably. We tested the performance and usability of our concept on an evaluation set up consisting of a surgery robot system, an infrared navigation system, a force-torque sensor and a visualisation software, obtaining excellent results. Future work will consist in the integration of further devices and the extension of our safety concept. An accurate clinical evaluation will take place continuously.

  5. Applications of neuronavigation system in cranial surgery: experience of a single center

    Science.gov (United States)

    Nouri, Mohsen; Pahlavani, Mehrdad; Amirjamshidi, Abbas; Shirani-Bidabadi, Mohammad; Ketabchi, Ebrahim; Karimi-Yarandi, Kourosh

    2012-01-01

    Abstract: Background: Since the advent of navigational systems in neurosurgery, various implications have been introduced for them in spine and brain practices. Although, the range of surgeries in which these systems are being used is getting wider over time, their application is becoming more specific in certain situations. Methods: This means that defining specific indications for their usage is not as easy as it was previously thought. Brief reviewing of the available literature showed various navigation systems proposed and used in neurosurgery. Results: In this study, we review case selection criteria, techniques, and the results of neuronavigation applications in the patients underwent neurosurgical operations in the Sina hospital (Tehran, Iran) during 2011. Conclusions: The findings of our survey and experiences prove the efficacy and advantages of this technique that reduces the risk of neurovascular damage, neural tissue manipulation, operation time, and bleeding. Keywords: Neuronavigation, Cranial surgery, Navigational system

  6. Fluoroscopy-based navigation system in spine surgery

    CERN Document Server

    Merloz, Philippe; Vouaillat, Hervé; Vasile, Christian; Tonetti, Jérôme; Eid, Ahmad; Plaweski, Stéphane

    2007-01-01

    The variability in width, height, and spatial orientation of a spinal pedicle makes pedicle screw insertion a delicate operation. The aim of the current paper is to describe a computer-assisted surgical navigation system based on fluoroscopic X-ray image calibration and three-dimensional optical localizers in order to reduce radiation exposure while increasing accuracy and reliability of the surgical procedure for pedicle screw insertion. Instrumentation using transpedicular screw fixation was performed: in a first group, a conventional surgical procedure was carried out with 26 patients (138 screws); in a second group, a navigated surgical procedure (virtual fluoroscopy) was performed with 26 patients (140 screws). Evaluation of screw placement in every case was done by using plain X-rays and post-operative computer tomography scan. A 5 per cent cortex penetration (7 of 140 pedicle screws) occurred for the computer-assisted group. A 13 per cent penetration (18 of 138 pedicle screws) occurred for the non comp...

  7. Novel prognostic scoring system after surgery for Klatskin tumor.

    Science.gov (United States)

    Kaiser, Gernot M; Paul, Andreas; Sgourakis, George; Molmenti, Ernesto P; Dechêne, Alexander; Trarbach, Tanja; Stuschke, Martin; Baba, Hideo A; Gerken, Guido; Sotiropoulos, Georgios C

    2013-01-01

    Klatskin tumor is a rare hepatobiliary malignancy whose outcome and prognostic factors are not clearly documented. Between April 1998 and January 2007, 96 patients with hilar cholangiocarcinoma underwent resection. Data were collected prospectively. Thirty-one variables were evaluated for prognostic significance. There were 40 trisectionectomies, 40 hemihepatectomies, five central hepatectomies, and 11 biliary hilar resections. Thirty-seven (n = 37) patients required vascular reconstruction. There were 68 R0, 26 R1, and two R2 resections. Age (P = 0.048), pT status (P = 0.046), R class (P = 0.034), and adjuvant chemoradiation (P = 0.045) showed predictive significance by multivariate Cox proportional hazard regression analysis. A point scoring system was determined as follows: age younger than 62 years:age 62 years or older = 1:2 points; pT1:pT2 to 4 = 1:2 points; R0:R1/2 = 1:2 points; and chemoradiation yes:no = 1:2 points. The only model that reached statistical significance (P = 0.0332) described the following three groups: score 6 or less; score = 7; and score = 8. Median survival for score 6 or less, score = 7, and score = 8 was 26.5, 12, and 2.2 months, respectively (P = 0.032). The corresponding 1- and 3-year survival rates were 73 to 56 per cent, 52 to 38 per cent, and 17 to 0 per cent, respectively. We propose a scoring system predictive of long-term surgical outcome that could potentially improve patient selection for further postoperative oncologic treatment for Klatskin tumors.

  8. A Panoramic Wireless Endoscope System Design for the Application of Minimally Invasive Surgery

    Directory of Open Access Journals (Sweden)

    Chun-Hsiang Peng

    2014-05-01

    Full Text Available Minimally Invasive Surgery (MIS is the current trend in surgery. Compared to traditional surgery, MIS can substantially decrease recovery time and expenses needed by patients after surgeries, reduce pain during surgical procedures, and is highly regarded by physicians and patients. An endoscope is widely used in the diagnosis and treatments of various medical disciplines, such as hysteroscopy, laparoscopy, and colonoscopy, and have been adopted by many branches of medicine. However, the limited image field of MIS is often the most difficult obstacles faced by surgeons and medical students, especially to less experienced physicians and difficult surgical procedures; the limited field of view of endoscopic imaging does not provide a whole picture of the surgery area, making the procedures difficult and full of uncertainty. In light of this problem, we proposed a "Panoramic Wireless Endoscope System design", hoping to provide physicians with a wide field of view of the endoscopic image. We combine images captured from two parallel-mounted endoscope lenses into a single, wide-angle image, giving physicians a wider field of view and easier access to the surgical area. In addition, we developed a wireless transmission system so the image can be transmitted to various display platforms, eliminating the needs for excessive cabling on surgical tools and enable physicians to better operate on the patient. Finally, our system allows surgical assistants a better view of the operation process, and enables other physicians and nurses to remotely observe the process. Our experiment results have shown that we can increase the image to 152% of its original size. We used the PandaBoard ES platform with an ARM9 processor and 1G of onboard RAM, and continuously implementing animal trials to verify the reliability of our system.

  9. Accuracy of optical navigation systems for automatic head surgery: optical tracking versus optical coherence tomography

    Science.gov (United States)

    Díaz Díaz, Jesús; Riva, Mauro H.; Majdani, Omid; Ortmaier, Tobias

    2014-03-01

    The choice of a navigation system highly depends on the medical intervention and its accuracy demands. The most commonly used systems for image guided surgery (IGS) are based on optical and magnetic tracking systems. This paper compares two optical systems in terms of accuracy: state of the art triangulation-based optical tracking (OT) and optical coherence tomography (OCT). We use an experimental setup with a combined OCT and cutting laser, and an external OT. We simulate a robotic assisted surgical intervention, including planning, navigation, and processing, and compare the accuracies reached at a specific target with each navigation system.

  10. 20 Years On: Is It Time to Redefine the Systemic Inflammatory Response to Cardiothoracic Surgery?

    OpenAIRE

    Landis, R. Clive

    2015-01-01

    The “systemic inflammatory response” has never been defined from a cardiothoracic surgery perspective, but borrowed its definition from the critical care field at a landmark 1992 definition conference on sepsis. It is unclear why the diagnostic criteria for the Systemic Inflammatory Response Syndrome (SIRS) were adopted in isolation, ignoring other potentially more useful definitions for Severe Septic Shock or Secondary Multiple Organ Dysfunction Syndrome. The 1992 SIRS definition for sepsis ...

  11. Applications of neuronavigation system in cranial surgery: experience of a single center

    OpenAIRE

    Nouri, Mohsen; Pahlavani, Mehrdad; Amirjamshidi, Abbas; Shirani-Bidabadi, Mohammad; Ketabchi, Ebrahim; Karimi-Yarandi, Kourosh

    2012-01-01

    Abstract: Background: Since the advent of navigational systems in neurosurgery, various implications have been introduced for them in spine and brain practices. Although, the range of surgeries in which these systems are being used is getting wider over time, their application is becoming more specific in certain situations. Methods: This means that defining specific indications for their usage is not as easy as it was previously thought. Brief reviewing of the available literature showed var...

  12. Irradiation rigs in material testing reactor

    Energy Technology Data Exchange (ETDEWEB)

    Rozenblum, F.; Gonnier, C.; Bignan, G. [CEA, Research Centers of Saclay and Cadarache (France)

    2011-07-01

    Osiris is a research reactor with a thermal power of 70 MW. It is a light-water reactor, open-core pool type, the principal aim of which is to carry out tests and irradiate structural materials and fuel elements of nuclear power plants under a high flux of neutrons, and to produce radioisotopes. Osiris operates around 200 days a year, in cycles of varying lengths from 3 to 4 weeks. A shutdown of about 10 days between two cycles allows reloading the core with fuel. Mainly 2 types of irradiation device are present: capsules for materials irradiation (CHOUCA and IRMA devices) and fuels irradiation loops (GRIFFONOS and ISABELLE). Although Osiris is still providing experiments of very good quality, it is facing obsolescence due to its ageing. Osiris is planned to be shut down during next decade. Consequently, it has been decided to launch the construction of the Jules Horowitz Reactor (JHR) in Cadarache. JHR is a water cooled reactor which provides the necessary flexibility and accessibility to manage several highly instrumented experiments, reproducing different reactor environments (water, gas or liquid metal loops), generating transient regimes (key for safety). The JHR facility includes the reactor building, including core, cooling system and the experimental bunkers connected to the core through pool wall penetrations and the auxiliary building, including pools and hot cells necessary for the experimental irradiation process. JHR core is optimised to produce high fast neutron flux to study structural material ageing and high thermal neutrons flux for fuel experiments. The conception of this first fleet of devices integrates the operational experience accumulated by the existing MTR and specifically the Osiris one

  13. The impact of expectant management, systemic methotrexate and surgery on subsequent pregnancy outcomes in tubal ectopic pregnancy.

    Science.gov (United States)

    Demirdag, E; Guler, I; Abay, S; Oguz, Y; Erdem, M; Erdem, A

    2017-05-01

    The most common treatment modalities of ectopic pregnancy may influence long-term subsequent fertility outcomes in women who previously treated for ectopic pregnancy. Our objective was to compare long-term subsequent fertility outcomes after treatment with expectant management, systemic methotrexate (MTX) and surgery in tubal ectopic pregnancy. We searched our database for all women diagnosed with tubal ectopic pregnancy between January 2007 and January 2011 who were managed expectantly, with systemic MTX and with surgery. Treatment success and spontaneous pregnancy rates were compared in patients who desire to conceive following a tubal pregnancy. One hundred twelve of 151 women desired to conceive following tubal ectopic pregnancy. Twenty-seven of 112 (24.1 %) patients were managed expectantly. Fifty-three (47.3 %) and 32 (28.5 %) patients were managed with systemic MTX or surgery, respectively. All patients in expectant and surgery groups were managed successfully. Two (3.7 %) patients had surgery after failed treatment with systemic MTX. Spontaneous intrauterine pregnancy rates were 62.9 % in expectantly managed women, 58.4 % in women with systemic MTX and 68.7 % in women with surgery (p > 0.05). Treatment of ectopic pregnancy with either expectant management or systemic MTX is equally effective as compared to surgery. Spontaneous intrauterine pregnancy rates were comparable in expectant management, systemic methotrexate and surgery.

  14. Evaluation of bacterial contamination rate of the anterior chamber during phacoemulsification surgery using an automated microbial detection system

    Institute of Scientific and Technical Information of China (English)

    Ibrahim; Kocak; Funda; Kocak; Bahri; Teker; Ali; Aydin; Faruk; Kaya; Hakan; Baybora

    2014-01-01

    ·AIM: To assess the incidence of anterior chamber bacterial contamination during phacoemulsification surgery using an automated microbial detection system(BacT/Alert).·METHODS: Sixty-nine eyes of 60 patients who had uneventful phacoemulsification surgery, enrolled in this prospective study. No prophylactic topical or systemic antibiotics were used before surgery. After antisepsis with povidone-iodine, two intraoperative anterior chamber aqueous samples were obtained, the first whilst entering anterior chamber, and the second at the end of surgery. BacT/Alert culture system was used to detect bacterial contamination in the aqueous samples.·RESULTS: Neither aqueous samples obtained at the beginning nor conclusion of the surgery was positive for microorganisms on BacT/Alert culture system. The rate of bacterial contamination during surgery was 0%. None of the eyes developed acute-onset endophthalmitis after surgery.· CONCLUSION: In this study, no bacterial contamination of anterior chamber was observed during cataract surgery. This result shows that meticulous surgical preparation and technique can prevent anterior chamber contamination during phacoemulsification cataract surgery.

  15. A novel augmented reality system for displaying inferior alveolar nerve bundles in maxillofacial surgery.

    Science.gov (United States)

    Zhu, Ming; Liu, Fei; Chai, Gang; Pan, Jun J; Jiang, Taoran; Lin, Li; Xin, Yu; Zhang, Yan; Li, Qingfeng

    2017-02-15

    Augmented reality systems can combine virtual images with a real environment to ensure accurate surgery with lower risk. This study aimed to develop a novel registration and tracking technique to establish a navigation system based on augmented reality for maxillofacial surgery. Specifically, a virtual image is reconstructed from CT data using 3D software. The real environment is tracked by the augmented reality (AR) software. The novel registration strategy that we created uses an occlusal splint compounded with a fiducial marker (OSM) to establish a relationship between the virtual image and the real object. After the fiducial marker is recognized, the virtual image is superimposed onto the real environment, forming the "integrated image" on semi-transparent glass. Via the registration process, the integral image, which combines the virtual image with the real scene, is successfully presented on the semi-transparent helmet. The position error of this navigation system is 0.96 ± 0.51 mm. This augmented reality system was applied in the clinic and good surgical outcomes were obtained. The augmented reality system that we established for maxillofacial surgery has the advantages of easy manipulation and high accuracy, which can improve surgical outcomes. Thus, this system exhibits significant potential in clinical applications.

  16. Tourniquet-induced systemic inflammatory response in extremity surgery.

    LENUS (Irish Health Repository)

    Wakai, A

    2012-02-03

    BACKGROUND: Tourniquet-induced reperfusion injury in animals produces significant systemic inflammatory effects. This study investigated whether a biologic response occurs in a clinically relevant model of tourniquet-induced reperfusion injury. METHODS: Patients undergoing elective knee arthroscopy were prospectively randomized into controls (no tourniquet) and subjects (tourniquet-controlled). The effects of tourniquet-induced reperfusion on monocyte activation state, neutrophil activation state, and transendothelial migration (TEM) were studied. Changes in the cytokines implicated in reperfusion injury, tumor necrosis factor-alpha, interleukin (IL)-1beta, and IL-10 were also determined. RESULTS: After 15 minutes of reperfusion, neutrophil and monocyte activation were significantly increased. Pretreatment of neutrophils with pooled subject (ischemia-primed) plasma significantly increased TEM. In contrast, TEM was not significantly altered by ischemia-primed plasma pretreatment of the endothelial monolayer. Significant elevation of tumor necrosis factor-alpha and IL-1beta were observed in subjects compared with controls after 15 minutes of reperfusion. There was no significant difference in serum IL-10 levels between the groups at all the time points studied. CONCLUSION: These results indicate a transient neutrophil and monocyte activation after tourniquet-ischemia that translates into enhanced neutrophil transendothelial migration with potential for tissue injury.

  17. 20 Years On: Is It Time to Redefine the Systemic Inflammatory Response to Cardiothoracic Surgery?

    Science.gov (United States)

    Landis, R Clive

    2015-03-01

    The "systemic inflammatory response" has never been defined from a cardiothoracic surgery perspective, but borrowed its definition from the critical care field at a landmark 1992 definition conference on sepsis. It is unclear why the diagnostic criteria for the Systemic Inflammatory Response Syndrome (SIRS) were adopted in isolation, ignoring other potentially more useful definitions for Severe Septic Shock or Secondary Multiple Organ Dysfunction Syndrome. The 1992 SIRS definition for sepsis has since been updated at a conference in 2001 advocating PIRO (Predisposition, Infection, host Response, Organ dysfunction) as a hypothetical model to better link sepsis with clinical outcome. PIRO is readily adaptable to cardiothoracic surgery and provides the precedent and road map for how to update a definition. The need is obvious since the current definition of SIRS is widely disregarded in heart surgery: a dwindling proportion (14%) of articles on the systemic inflammatory response even mention SIRS and 0% monitored SIRS criteria in the past decade in an evidence-based review of anti-inflammatory interventions. The name "inflammatory response" is also problematic; it is too narrow and might be replaced with host response (the R in PIRO) to better convey the wide spectrum of host defensive pathways activated during heart surgery (i.e., complement, coagulation, fibrinolysis, kinins, cytokines, proteases, hemolysis, oxidative stiess). A variant on PIRO could allow these elements of the host Response (R) to be anchored within the context of Premorbid conditions (P) and the inevitable Insult (I) from surgery, to better link risk exposures to Organ dysfunction (O) in heart surgery. The precedent of PIRO suggests the following steps will be required to redefine the systemic inflammatory response: 1) buy-in from the leading societies for cardiothoracic surgery, anesthesia, and perfusion on the need for a re-definition conference, 2) assigning relative risk scores to different

  18. ENERGY-SAVING TYPE OF HYDRAULIC WORKOVER RIG AND SIMULATION FOR LOWERING PIPESTRING

    Institute of Scientific and Technical Information of China (English)

    Zhang Lujun; Gu Xinyi; Chen Su

    2005-01-01

    Research has been done on an energy-saving type of hydraulic workover rig. This rig can recover and reuse the potential energy which is released by the pipestring when lowered, and the equipped power of this rig is only one third of an ordinary rig. The structure and theory of this rig are introduced. The mathematical model of lowering the pipestring is established and a simulation analysis is conducted. Through simulation some conclusions are obtained: The lighter the pipestring is, the less velocity of lowering the pipestring is; The smaller the throttle valve path area is, the less velocity of lowering the pipestring is; Different air vessel volumes have no evident effect on the pipestring lowering velocity. The actual measure results prove that the simulation results are right. Finally, the energy-saving effect of this rig is proved by the field test results.

  19. Hybrid Intelligent System to Perform Fault Detection on BIS Sensor During Surgeries

    Science.gov (United States)

    Casteleiro-Roca, José-Luis; Calvo-Rolle, José Luis; Méndez Pérez, Juan Albino; Roqueñí Gutiérrez, Nieves; de Cos Juez, Francisco Javier

    2017-01-01

    This paper presents a new fault detection system in hypnotic sensors used for general anesthesia during surgery. Drug infusion during surgery is based on information received from patient monitoring devices; accordingly, faults in sensor devices can put patient safety at risk. Our research offers a solution to cope with these undesirable scenarios. We focus on the anesthesia process using intravenous propofol as the hypnotic drug and employing a Bispectral Index (BISTM) monitor to estimate the patient’s unconsciousness level. The method developed identifies BIS episodes affected by disturbances during surgery with null clinical value. Thus, the clinician—or the automatic controller—will not take those measures into account to calculate the drug dose. Our method compares the measured BIS signal with expected behavior predicted by the propofol dose provider and the electromyogram (EMG) signal. For the prediction of the BIS signal, a model based on a hybrid intelligent system architecture has been created. The model uses clustering combined with regression techniques. To validate its accuracy, a dataset taken during surgeries with general anesthesia was used. The proposed fault detection method for BIS sensor measures has also been verified using data from real cases. The obtained results prove the method’s effectiveness. PMID:28106793

  20. A simple scoring system for predicting early major complications in spine surgery: the cumulative effect of age and size of surgery.

    Science.gov (United States)

    Brasil, Albert Vincent Berthier; Teles, Alisson R; Roxo, Marcelo Ricardo; Schuster, Marcelo Neutzling; Zauk, Eduardo Ballverdu; Barcellos, Gabriel da Costa; Costa, Pablo Ramon Fruett da; Ferreira, Nelson Pires; Kraemer, Jorge Luiz; Ferreira, Marcelo Paglioli; Gobbato, Pedro Luis; Worm, Paulo Valdeci

    2016-10-01

    To analyze the cumulative effect of risk factors associated with early major complications in postoperative spine surgery. Retrospective analysis of 583 surgically-treated patients. Early "major" complications were defined as those that may lead to permanent detrimental effects or require further significant intervention. A balanced risk score was built using multiple logistic regression. Ninety-two early major complications occurred in 76 patients (13%). Age > 60 years and surgery of three or more levels proved to be significant independent risk factors in the multivariate analysis. The balanced scoring system was defined as: 0 points (no risk factor), 2 points (1 factor) or 4 points (2 factors). The incidence of early major complications in each category was 7% (0 points), 15% (2 points) and 29% (4 points) respectively. This balanced scoring system, based on two risk factors, represents an important tool for both surgical indication and for patient counseling before surgery.

  1. Hepatitis C Virus Evasion from RIG-I-Dependent Hepatic Innate Immunity

    Directory of Open Access Journals (Sweden)

    Helene Minyi Liu

    2010-01-01

    Full Text Available Exposure to hepatitis C virus (HCV usually results in persistent infection that often develops into chronic liver disease. Interferon-alpha (IFN treatment comprises the foundation of current approved therapy for chronic HCV infection but is limited in overall efficacy. IFN is a major effector of innate antiviral immunity and is naturally produced in response to viral infection when viral pathogen-associated molecular patterns (PAMPs are recognized as nonself and are bound by cellular pathogen recognition receptors (PRRs, including Toll-like receptors (TLRs and the RIG-I-like receptors (RLRs. Within hepatocytes, RIG-I is a major PRR of HCV infection wherein PAMP interactions serve to trigger intracellular signaling cascades in the infected hepatocyte to drive IFN production and the expression of interferon-stimulated genes (ISGs. ISGs function to limit virus replication, modulate the immune system, and to suppress virus spread. However, studies of HCV-host interactions have revealed several mechanisms of innate immune regulation and evasion that feature virus control of PRR signaling and regulation of hepatic innate immune programs that may provide a molecular basis for viral persistence.

  2. Investigation of Flow Conditioners for Compact Jet Engine Simulator Rig Noise Reduction

    Science.gov (United States)

    Doty, Michael J.; Haskin, Henry H.

    2011-01-01

    The design requirements for two new Compact Jet Engine Simulator (CJES) units for upcoming wind tunnel testing lead to the distinct possibility of rig noise contamination. The acoustic and aerodynamic properties of several flow conditioner devices are investigated over a range of operating conditions relevant to the CJES units to mitigate the risk of rig noise. An impinging jet broadband noise source is placed in the upstream plenum of the test facility permitting measurements of not only flow conditioner self-noise, but also noise attenuation characteristics. Several perforated plate and honeycomb samples of high porosity show minimal self-noise but also minimal attenuation capability. Conversely, low porosity perforated plate and sintered wire mesh conditioners exhibit noticeable attenuation but also unacceptable self-noise. One fine wire mesh sample (DP450661) shows minimal selfnoise and reasonable attenuation, particularly when combined in series with a 15.6 percent open area (POA) perforated plate upstream. This configuration is the preferred flow conditioner system for the CJES, providing up to 20 dB of broadband attenuation capability with minimal self-noise.

  3. The powerstroke and camshaft of the RIG-I antiviral RNA detection machine.

    Science.gov (United States)

    O'Neill, Luke A J; Bowie, Andrew G

    2011-10-14

    The innate immune sensor RIG-I responds to infection by binding to viral double-stranded RNA (dsRNA). In this issue of Cell, Kowalinski et al. (2011) and Luo et al. (2011) reveal the structure of RIG-I, and in combination with functional analyses, they show how RIG-I recognizes viral RNA to initiate signaling and a type I interferon response.

  4. Usefulness of an optical tracking system in laparoscopic surgery for motor skills assessment.

    Science.gov (United States)

    Sánchez-Margallo, Juan A; Sánchez-Margallo, Francisco M; Pagador Carrasco, José B; Oropesa García, Ignacio; Gómez Aguilera, Enrique J; Moreno del Pozo, José

    2014-01-01

    The objective of this study is to assess the usefulness of an evaluation system of surgical skills based on motion analysis of laparoscopic instruments. This system consists of a physical laparoscopic simulator and a tracking and assessment system of technical skills in laparoscopy. Six surgeons with intermediate experience (between 1 and 50 laparoscopic surgeries) and 5 experienced surgeons (more than 50 laparoscopic surgeries) took part in this study. All participants were right-handed. The subjects performed 3 repetitions of a cutting task on synthetic tissue with the right hand, dissection of a gastric serous layer, and a suturing task in the dissection previously done. Objective metrics such as time, path length, speed of movements, acceleration and motion smoothness were analyzed for the instruments of each hand. In the cutting task, experienced surgeons show less acceleration (P=.014) and a smoother motion (P=.023) using the scissors. Regarding the dissection activity, experienced surgeons need less time (P=.006) and less length with both instruments (P=.006 for dissector and P=.01 for scissors). In the suturing task, experienced surgeons require less time (P=.037) and distance travelled (P=.041) by the dissector. This study shows the usefulness of the evaluation system for the cutting, dissecting, and suturing tasks. It represents a significant step in the development of advanced systems for training and assessment of surgical skills in laparoscopic surgery. Copyright © 2012 AEC. Published by Elsevier Espana. All rights reserved.

  5. 模糊控制器在石油钻机自动送钻系统中的应用%Fuzzy Controller are Applied in the System of Oil Rig Automatic Feed Drilling

    Institute of Scientific and Technical Information of China (English)

    刘建; 张力; 马武

    2013-01-01

    针对交流变频电动钻机的自动送钻系统,对钻压的模糊控制进行了研究.根据钻井司钻的操作经验,设计出适合自动送钻系统的模糊控制器,并建立了相应的模糊控制规则.通过Matlab中的Simulink模拟工具,建立了模糊控制器的模拟系统,并与常规PID进行了比较.仿真结果表明,在存在时滞的情况下,模糊控制比常规PID有更好的稳定性,响应更迅速,稳态误差更小.模糊控制器在自动送钻系统中的应用,可提高系统性能.%For the ac frequency conversion electric drill of automatic feed drilling system,to study the drill pressure of fuzzy control. According to the drilling driller operation experience design a suitable for automatic feed drilling system fuzzy controller and to establish the corresponding fuzzy control rules. Through the simulation tool of Mat-lab -Simulink, there exists a fuzzy controller of the simulation system,and compares with conventional PID are. The simulation results show that in the presence of delay,fuzzy control has a better stability than conventional PID, response more quickly, steady state error smaller. Fuzzy controller in the automatic feed drilling system application, to improve system performance has a certain guiding significance.

  6. Design and Development of High-Velocity Slurry Erosion Test Rig Using CFD

    Science.gov (United States)

    Grewal, H. S.; Agrawal, Anupam; Singh, H.

    2013-01-01

    Slurry erosion (SE) is commonly observed in almost all kinds of components and machineries involved in fluid (liquid) transfer and delivery. During design and development phase of these components, test rigs are usually required to evaluate their performance; however, only few detailed designs of test rigs are available for SE investigations. Among the existing designs of SE test rigs, most of them belong to rotary type. In the present study, design of a new type of SE test rig has been proposed, which is simpler in construction and working. This newly designed test rig could possibly eliminate some of the limitations (velocity-concentration interdependence and lack of acceleration distance) found in the existing set-ups. Calibration of the test rig was done for jet velocity and erodent concentration. Commissioning of the rig was undertaken by evaluating the effect of operating parameters (concentration and impingement angle) on the erosion rates of aluminum and cast iron. Results show that the rig was able to capture the traditional responses of ductile and brittle erosion behaviors being observed for these materials. Repeatability of the test rig was ensured, and the results were found to be within the acceptable error limits.

  7. Stag rig Tibetan Village: Hair Changing and Marriage

    Directory of Open Access Journals (Sweden)

    'Brug mo skyid

    2010-12-01

    Full Text Available Marriage in Stag rig Village, Shar lung Township, Khri ka County, Mtsho lho Tibetan Autonomous Prefecture, Mtsho sngon Province, China is described in the context of the hair dressing ritual, rules of exclusion and inclusion, the process of marriage (spouse selection, free choice marriage, arranged marriage, engagement, drinking contract liquor, bride wealth discussion, choosing a date for the wedding ritual, wedding preparations at the bride and groom's homes, the wedding ritual and banquet, marrying a groom into the bride's home, divorce, and the atmosphere surrounding the bride's arrival.

  8. Match Rigging and the Career Concerns of Referees

    DEFF Research Database (Denmark)

    Severgnini, Battista; Boeri, Tito

    2011-01-01

    This paper contributes to the literature on career concerns and corruption by drawing on extensive information on the performance of referees and records from Calciopoli, a judicial inquiry carried out in 2006 on corruption in the Italian football league. Unlike previous studies, we can analyse...... in detail the assignment of the referees to the most important matches, which is an important step in their career. Moreover, we can relate this choice to the performance of referees in previous matches and the evaluations they received in this context. We find that referees involved in match rigging were...

  9. Fuel consumption of the Autark hybrid in test rig

    Energy Technology Data Exchange (ETDEWEB)

    Hoehn, B.R. [VDI (Germany); Pflaum, H.; Guttenberg, P.

    2002-07-01

    The Autark Hybrid of the Technical University Munich is a parallel hybrid concept for passenger cars with the aims of saving fuel and reducing exhaust gas emissions. The drive line consists of an electric engine supplied by a 120V-Ni/MH-battery and a diesel engine. Both engines use the same gearbox, a specially developed i{sup 2}-gearbox with continuously variable transmission and wide spreading. In the meantime the concept has been realised and fuel consumption is investigated in a drive line test rig. The paper presents the actual state of fuel measurements along with energetic analysis of drive line operation. (orig.)

  10. Target drug delivery system as a new scarring modulation after glaucoma filtration surgery

    Directory of Open Access Journals (Sweden)

    Ge Jian

    2011-07-01

    Full Text Available Abstract Background Excessive wound healing following glaucoma filtration surgery is the main determinant of surgical failure, resulting from the activation of human Tenon's capsule fibroblasts (HTFs. To mitigate the excessive wound healing, the topicall use of antiproliferative agents, such as mitomycin C (MMC and 5-fluorouracil (5-FU, has increased the surgery success rate, but the traditional administration of these agents can result in a variety of toxicities with nonspecific damage. However, modulation of the wound healing process to prevent excessive fibroblast proliferation and scar formation can play a major role in improving the outcome of surgery. Therefore, the search for alternative modes of drug delivery and new agents is needed to minimize the ocular complications and improve the success of surgery. We have shown that there is a postoperative overexpression of the LDL receptor (LDLr in the activated HTFs may provide a novel target for drug delivery systems. Presentation of the Hypothesis We hypothesize that antifibrotic agents (MMC encapsulated in LDLr targeting drug delivery system (LDL-MMC-chitosan nanoparticles may be proposed in anti-scarring therapy to increase the safety and effectiveness and to reduce toxicity. Testing the Hypothesis A chitosan-based polymeric predrug of MMC was synthesized and its cytotoxicity was proved to be low. In addition, we propose hyaluronic acid film as a container to release LDL-MMC-chitosan nanoparticles gradually at subconjunctival filtering site after glaucoma filtration surgery to eliminate the LDL-MMC-chitosan nanoparticles. Implications of the Hypothesis and discussion This strategy can be applicable to anti-scarring therapy during excessive conjunctival wound healing. This hypothesis integrates advantages of the targeting drug delivery and antifibrotic agents, such as high efficiency, convenience, and lower the toxicity.

  11. Clinical experience with a high definition exoscope system for surgery of pineal region lesions.

    Science.gov (United States)

    Birch, Kurtis; Drazin, Doniel; Black, Keith L; Williams, James; Berci, George; Mamelak, Adam N

    2014-07-01

    VITOM-90 (Karl Storz Endoscopy, Tuttlingen, Germany) is a new technology that can be used as an alternative to the operating microscope. We have found that this device substantially improves surgeon comfort during infra-tentorial supracerebellar approaches to pineal region masses, and now report our experiences. The VITOM-90 is a specially designed scope that is attached to a high definition (HD) digital camera and displayed on a HD video monitor. This system was utilized in five patients undergoing infratentorial supracerebellar approaches for pineal region lesions. Surgical outcomes and pathologies are described. The device was used by three surgeons during five procedures. Three patients underwent surgery in the sitting position and two in the modified prone (Concorde) position. Pathologies included pineocytoma, lipoma, and germinoma. Total resection was achieved in three patients and subtotal in two patients. Surgeon assessment was positive; surgeons indicated that surgery with the VITOM-90 was more comfortable than with the operating microscope. Lack of stereopsis was considered a minor drawback. The VITOM-90 permitted a natural head and neck position. Operating room personnel and residents reported improved visualization of the anatomy. Using the VITOM-90 benefited surgeons during pineal region surgery by reducing strain and allowing the surgeon to operate from a comfortable position without increased operative time or complications. The improved comfort levels may translate into safer, more accurate surgeries in this complex area.

  12. The admission systemic inflammatory response syndrome predicts outcome in patients undergoing emergency surgery.

    Science.gov (United States)

    Chao, Anne; Chou, Wei-Han; Chang, Chee-Jen; Lin, Yu-Jr; Fan, Shou-Zen; Chao, An-Shine

    2013-07-01

    To investigate the incidence of systemic inflammatory response syndrome (SIRS) on emergency department admission and the prognostic significance of SIRS in patients undergoing emergency surgery. This is a retrospective study of 889 adults who were admitted as emergency cases and were operated on within 24 hours of admission. Data on patient demography, clinical information including comorbidities, categories of surgery, American Society of Anesthesiologists physical status, SIRS score, postoperative outcomes including duration of mechanical ventilation, intensive care unit (ICU) and hospital lengths of stay, and mortality were collected. SIRS occurred in 43% of the patients and was associated with a significantly worse outcome in terms of duration of ventilator use (10.5 ± 15.4 vs. 3.5 ± 4.4 days, p surgery categories), SIRS was independently associated with higher mortality (adjusted odd ratio, 21.5; 95% confidence interval (CI), 4.9-93.2), longer ventilator duration (adjusted coefficient, 7.8; 95% CI, 3.2-12.5), longer ICU stay (adjusted coefficient, 6.2; 95% CI, 2.6-9.8) and longer hospital stay (adjusted coefficient, 9.7; 95% CI, 7.5-11.9). The presence of SIRS at admission in patients receiving emergency surgery predicted worse outcomes and higher mortality rates. Copyright © 2013, Asian Surgical Association. Published by Elsevier Taiwan LLC. All rights reserved.

  13. Effects of age on systemic inflamatory response syndrome and results of coronary bypass surgery.

    Science.gov (United States)

    Gokalp, Orhan; Yesilkaya, Nihan Karakas; Bozok, Sahin; Besir, Yuksel; Iner, Hasan; Durmaz, Huseyin; Gokkurt, Yasar; Lafci, Banu; Gokalp, Gamze; Yilik, Levent; Gurbuz, Ali

    2017-05-23

    Coronary artery bypass (CAB) surgery triggers systemic inflammatory response syndrome (SIRS) via several mechanisms. Moreover, age is directly correlated with SIRS. We evaluated the effect of age on SIRS and postoperative outcome after CAB surgery. We retrospectively reviewed the records of 229 patients who had undergone CAB surgery. The patients were divided into three groups according to age: group 1, 75 years old (n = 85). Pre- and peri-operative data were assessed in all patients. SIRS was diagnosed according to the criteria established by the 2001 SCCM/ESICM/ACCP/ATS/SIS International Sepsis Definitions Conference. The average pre-operative EuroSCORE value in group 3 was higher than in the other groups and body surface areas were significantly lower in group 3 than in the other groups (p SIRS rates were 68.9% in group 1, 84.3% in group 2 and 91.8% in group 3 (group 1 vs group 3; p 0.05). The predictive factors for SIRS were age, EuroSCORE rate, on-pump CAB surgery and intra-aortic balloon pump use. Age was an important risk factor for SIRS during the postoperative period after CAB.

  14. Efficacy of an Intra-Operative Imaging Software System for Anatomic Anterior Cruciate Ligament Reconstruction Surgery

    Directory of Open Access Journals (Sweden)

    Xudong Zhang

    2012-01-01

    Full Text Available An imaging software system was studied for improving the performance of anatomic anterior cruciate ligament (ACL reconstruction which requires identifying ACL insertion sites for bone tunnel placement. This software predicts and displays the insertion sites based on the literature data and patient-specific bony landmarks. Twenty orthopaedic surgeons performed simulated arthroscopic ACL surgeries on 20 knee specimens, first without and then with the visual guidance by fluoroscopic imaging, and their tunnel entry positions were recorded. The native ACL insertion morphologies of individual specimens were quantified in relation to CT-based bone models and then used to evaluate the software-generated insertion locations. Results suggested that the system was effective in leading surgeons to predetermined locations while the application of averaged insertion morphological information in individual surgeries can be susceptible to inaccuracy and uncertainty. Implications on challenges associated with developing engineering solutions to aid in re-creating or recognizing anatomy in surgical care delivery are discussed.

  15. Micro-pyrolysis of technical lignins in a new modular rig and product analysis by GC-MS/FID and GC x GC-TOFMS/FID

    NARCIS (Netherlands)

    Windt, Michael; Meier, Dietrich; Marsman, Jan Henk; Heeres, Hero Jan; de Koning, Sjaak

    2009-01-01

    A new offline-pyrolysis rig has been designed to allow multifunctional experiments for preparative and analytical purposes. The system conditions can be set and monitored, e.g. temperature, its gradients and heat flux. Some special features include ( I) high heating rates up to 120 degrees C/s with

  16. Micro-pyrolysis of technical lignins in a new modular rig and product analysis by GC-MS/FID and GC x GC-TOFMS/FID

    NARCIS (Netherlands)

    Windt, Michael; Meier, Dietrich; Marsman, Jan Henk; Heeres, Hero Jan; de Koning, Sjaak

    A new offline-pyrolysis rig has been designed to allow multifunctional experiments for preparative and analytical purposes. The system conditions can be set and monitored, e.g. temperature, its gradients and heat flux. Some special features include ( I) high heating rates up to 120 degrees C/s with

  17. Cloud-Based Service Information System for Evaluating Quality of Life after Breast Cancer Surgery.

    Directory of Open Access Journals (Sweden)

    Hao-Yun Kao

    Full Text Available Although recent studies have improved understanding of quality of life (QOL outcomes of breast conserving surgery, few have used longitudinal data for more than two time points, and few have examined predictors of QOL over two years. Additionally, the longitudinal data analyses in such studies rarely apply the appropriate statistical methodology to control for censoring and inter-correlations arising from repeated measures obtained from the same patient pool. This study evaluated an internet-based system for measuring longitudinal changes in QOL and developed a cloud-based system for managing patients after breast conserving surgery.This prospective study analyzed 657 breast cancer patients treated at three tertiary academic hospitals. Related hospital personnel such as surgeons and other healthcare professionals were also interviewed to determine the requirements for an effective cloud-based system for surveying QOL in breast cancer patients. All patients completed the SF-36, Quality of Life Questionnaire (QLQ-C30 and its supplementary breast cancer measure (QLQ-BR23 at baseline, 6 months, 1 year, and 2 years postoperatively. The 95% confidence intervals for differences in responsiveness estimates were derived by bootstrap estimation. Scores derived by these instruments were interpreted by generalized estimating equation before and after surgery.All breast cancer surgery patients had significantly improved QLQ-C30 and QLQ-BR23 subscale scores throughout the 2-year follow-up period (p<0.05. During the study period, QOL generally had a negative association with advanced age, high Charlson comorbidity index score, tumor stage III or IV, previous chemotherapy, and long post-operative LOS. Conversely, QOL was positively associated with previous radiotherapy and hormone therapy. Additionally, patients with high scores for preoperative QOL tended to have high scores for QLQ-C30, QLQ-BR23 and SF-36 subscales. Based on the results of usability testing

  18. Modeling and motion compensation of a bidirectional tendon-sheath actuated system for robotic endoscopic surgery.

    Science.gov (United States)

    Sun, Zhenglong; Wang, Zheng; Phee, Soo Jay

    2015-04-01

    Recent study shows that tendon-sheath system (TSS) has great potential in the development of surgical robots for endoscopic surgery. It is able to deliver adequate power in a light-weight and compact package. And the flexibility and compliance of the tendon-sheath system make it capable of adapting to the long and winding path in the flexible endoscope. However, the main difficulties in precise control of such system fall on the nonlinearities of the system behavior and absence of necessary sensory feedback at the surgical end-effectors. Since accurate position control of the tool is a prerequisite for efficacy, safety and intuitive user-experience in robotic surgery, in this paper we propose a system modeling approach for motion compensation. Based on a bidirectional actuated system using two separate tendon-sheaths, motion transmission is firstly characterized. Two types of positional errors due to system backlash and environment loading are defined and modeled. Then a model-based feedforward compensation method is proposed for open-loop control, giving the system abilities to adjust according to changes in the transmission route configuration without any information feedback from the distal end. A dedicated experimental platform emulating a bidirectional TSS robotic system for endoscopic surgery is built for testing. Proposed positional errors are identified and verified. The performance of the proposed motion compensation is evaluated by trajectory tracking under different environment loading conditions. And the results demonstrate that accurate position control can be achieved even if the transmission route configuration is updated. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  19. RIG-I, MDA5 and TLR3 synergistically play an important role in restriction of dengue virus infection.

    Directory of Open Access Journals (Sweden)

    A M A Nasirudeen

    Full Text Available Dengue virus (DV infection is one of the most common mosquito-borne viral diseases in the world. The innate immune system is important for the early detection of virus and for mounting a cascade of defense measures which include the production of type 1 interferon (IFN. Hence, a thorough understanding of the innate immune response during DV infection would be essential for our understanding of the DV pathogenesis. A recent application of the microarray to dengue virus type 1 (DV1 infected lung carcinoma cells revealed the increased expression of both extracellular and cytoplasmic pattern recognition receptors; retinoic acid inducible gene-I (RIG-I, melanoma differentiation associated gene-5 (MDA-5 and Toll-like receptor-3 (TLR3. These intracellular RNA sensors were previously reported to sense DV infection in different cells. In this study, we show that they are collectively involved in initiating an effective IFN production against DV. Cells silenced for these genes were highly susceptible to DV infection. RIG-I and MDA5 knockdown HUH-7 cells and TLR3 knockout macrophages were highly susceptible to DV infection. When cells were silenced for only RIG-I and MDA5 (but not TLR3, substantial production of IFN-β was observed upon virus infection and vice versa. High susceptibility to virus infection led to ER-stress induced apoptosis in HUH-7 cells. Collectively, our studies demonstrate that the intracellular RNA virus sensors (RIG-I, MDA5 and TLR3 are activated upon DV infection and are essential for host defense against the virus.

  20. Application of SVG in grid electric drilling rig%SVG在网电钻机中的应用

    Institute of Scientific and Technical Information of China (English)

    林鸿元; 马保慧

    2015-01-01

    介绍了电动钻机使用网电的意义,指出钻机电控系统存在谐波和无功的来源,提出基于SVG技术的治理方案,简述SVG的工作原理,给出了设计要点和配置要点。现场应用的测试结果表明,SVG在网电钻机中的应用性价比高,经济效益显著,值得推广。%The significance of the electric drilling rigs powered by the grid is introduced. The source of producing harmonic and reactive power in the electric control systems of the drilling rigs are pointed out. The control scheme based on the SVG technology is put forward. The working principle of SVG is given. The key points for design and configuration are presented. The practical applications and the testing results show that SVG used in grid electric drilling rig has high performance to price ratio, remarkable economic benefit and is worth being promoted to be widely applied.

  1. An excellent navigation system and experience in craniomaxillofacial navigation surgery: a double-center study.

    Science.gov (United States)

    Dai, Jiewen; Wu, Jinyang; Wang, Xudong; Yang, Xudong; Wu, Yunong; Xu, Bing; Shi, Jun; Yu, Hongbo; Cai, Min; Zhang, Wenbin; Zhang, Lei; Sun, Hao; Shen, Guofang; Zhang, Shilei

    2016-06-16

    Numerous problems regarding craniomaxillofacial navigation surgery are not well understood. In this study, we performed a double-center clinical study to quantitatively evaluate the characteristics of our navigation system and experience in craniomaxillofacial navigation surgery. Fifty-six patients with craniomaxillofacial disease were included and randomly divided into experimental (using our AccuNavi-A system) and control (using Strker system) groups to compare the surgical effects. The results revealed that the average pre-operative planning time was 32.32 mins vs 29.74 mins between the experimental and control group, respectively (p > 0.05). The average operative time was 295.61 mins vs 233.56 mins (p > 0.05). The point registration orientation accuracy was 0.83 mm vs 0.92 mm. The maximal average preoperative navigation orientation accuracy was 1.03 mm vs 1.17 mm. The maximal average persistent navigation orientation accuracy was 1.15 mm vs 0.09 mm. The maximal average navigation orientation accuracy after registration recovery was 1.15 mm vs 1.39 mm between the experimental and control group. All patients healed, and their function and profile improved. These findings demonstrate that although surgeons should consider the patients' time and monetary costs, our qualified navigation surgery system and experience could offer an accurate guide during a variety of craniomaxillofacial surgeries.

  2. Uniportal video-assisted thoracic surgery right upper lobectomy with systemic lymphadenectomy.

    Science.gov (United States)

    Han, Ding-Pei; Xiang, Jie; Li, He-Cheng; Hang, Jun-Biao

    2016-08-01

    This video demonstrated a performance of uniportal video-assisted thoracoscopic surgery (VATS) right upper lobectomy with systemic lymphadenectomy. The patient had a malignant mass in his right upper lobe. The operator took a posterior to anterior approach to dissection the right upper lobe, the adjacent structures were clearly demonstrated after the entire dissection of mediastinal lymph nodes. Postoperative pathological report suggested the stage of the tumor was T1bN0M0 (stage IA).

  3. Prediction of Carotid Artery Stenosis in Candidates of Coronary Artery Bypasses Surgery by A Scoring System.

    OpenAIRE

    Sh. Shirani; Shakiba, M.; M. Soleymanzadeh

    2007-01-01

    Background and Objective: Up to 9% of coronary ar-tery bypass grafting (CABG) patients suffer from stroke after the surgery. Although post CABG stroke has multiple etiologies, stenosis of cervical carotid arteries is an important factor. Many studies have evaluated carotid artery stenosis in CABG. Carotid stenosis and its related factors and a new scoring sys-tem for selection of CABG patients for Doppler study are introduced. Materials and methods: 1721 consecutive cases of non-urgent CABG w...

  4. The use of a digital imaging system in a dermatologic surgery practice.

    Science.gov (United States)

    Price, M A; Goldstein, G D

    1997-01-01

    Digital imaging systems are now commercially available, reasonably affordable, and much improved in quality. To present our 2-year experience with a digital imaging system in Mohs and dermatologic surgery practice and to inform readers of the equipment needed, its cost, uses, advantages, and disadvantages compared with conventional photography. The advantages of a digital imaging system include quality images, easy storage and retrieval, and cost-effectiveness. The disadvantages are few: a substantial initial investment and the training of office personnel in its use and maintenance. Uses include monitoring nevomelanocytic lesions, surgical photo documentation, medical records, and a photographic research database.

  5. Technical and economic evaluation of selected compact drill rigs for drilling 10,000 foot geothermal production wells

    Energy Technology Data Exchange (ETDEWEB)

    Huttrer, G.W. [Geothermal Management Company, Inc., Frisco, CO (United States)

    1997-11-01

    This report summarizes the investigation and evaluation of several {open_quotes}compact{close_quotes} drill rigs which could be used for drilling geothermal production wells. Use of these smaller rigs would save money by reducing mobilization costs, fuel consumption, crew sizes, and environmental impact. Advantages and disadvantages of currently-manufactured rigs are identified, and desirable characteristics for the {open_quotes}ideal{close_quotes} compact rig are defined. The report includes a detailed cost estimate of a specific rig, and an evaluation of the cost/benefit ratio of using this rig. Industry contacts for further information are given.

  6. A user-friendly automated port placement planning system for laparoscopic robotic surgery

    Science.gov (United States)

    Torres, Luis G.; Azimian, Hamidreza; Enquobahrie, Andinet

    2014-03-01

    Laparoscopic surgery is a minimally invasive surgical approach in which surgical instruments are passed through ports placed at small incisions. This approach can benefit patients by reducing recovery times and scars. Surgeons have gained greater dexterity, accuracy, and vision through adoption of robotic surgical systems. However, in some cases a preselected set of ports cannot be accommodated by the robot; the robot's arms may cause collisions during the procedure, or the surgical targets may not be reachable through the selected ports. In this case, the surgeon must either make more incisions for more ports, or even abandon the laparoscopic approach entirely. To assist in this, we are building an easytouse system which, given a surgical task and preoperative medical images of the patient, will recommend a suitable port placement plan for the robotic surgery. This work bears two main contributions: 1) a high level user interface that assists the surgeon in operating the complicated underlying planning algorithm; and 2) an interface to assist the surgical team in implementation of the recommended plan in the operating room. We believe that such an automated port placement system would reduce setup time for robotic surgery and reduce the morbidity to patients caused by unsuitable surgical port placement.

  7. Optimization of inverse model identification for multi-axial test rig control

    Directory of Open Access Journals (Sweden)

    Müller Tino

    2016-01-01

    Full Text Available Laboratory testing of multi-axial fatigue situations improves repeatability and allows a time condensing of tests which can be carried out until component failure, compared to field testing. To achieve realistic and convincing durability results, precise load data reconstruction is necessary. Cross-talk and a high number of degrees of freedom negatively affect the control accuracy. Therefore a multiple input/multiple output (MIMO model of the system, capturing all inherent cross-couplings is identified. In a first step the model order is estimated based on the physical fundamentals of a one channel hydraulic-servo system. Subsequently, the structure of the MIMO model is optimized using correlation of the outputs, to increase control stability and reduce complexity of the parameter optimization. The identification process is successfully applied to the iterative control of a multi-axial suspension rig. The results show accurate control, with increased stability compared to control without structure optimization.

  8. The impact of a preloaded intraocular lens delivery system on operating room efficiency in routine cataract surgery

    Science.gov (United States)

    Jones, Jason J; Chu, Jeffrey; Graham, Jacob; Zaluski, Serge; Rocha, Guillermo

    2016-01-01

    Purpose The aim of this study was to evaluate the operational impact of using preloaded intraocular lens (IOL) delivery systems compared with manually loaded IOL delivery processes during routine cataract surgeries. Methods Time and motion data, staff and surgery schedules, and cost accounting reports were collected across three sites located in the US, France, and Canada. Time and motion data were collected for manually loaded IOL processes and preloaded IOL delivery systems over four surgery days. Staff and surgery schedules and cost accounting reports were collected during the 2 months prior and after introduction of the preloaded IOL delivery system. Results The study included a total of 154 routine cataract surgeries across all three sites. Of these, 77 surgeries were performed using a preloaded IOL delivery system, and the remaining 77 surgeries were performed using a manual IOL delivery process. Across all three sites, use of the preloaded IOL delivery system significantly decreased mean total case time by 6.2%–12.0% (P<0.001 for data from Canada and the US and P<0.05 for data from France). Use of the preloaded delivery system also decreased surgeon lens time, surgeon delays, and eliminated lens touches during IOL preparation. Conclusion Compared to a manual IOL delivery process, use of a preloaded IOL delivery system for cataract surgery reduced total case time, total surgeon lens time, surgeon delays, and eliminated IOL touches. The time savings provided by the preloaded IOL delivery system provide an opportunity for sites to improve routine cataract surgery throughput without impacting surgeon or staff capacity. PMID:27382245

  9. Feasibility of real-time location systems in monitoring recovery after major abdominal surgery.

    Science.gov (United States)

    Dorrell, Robert D; Vermillion, Sarah A; Clark, Clancy J

    2017-06-07

    Early mobilization after major abdominal surgery decreases postoperative complications and length of stay, and has become a key component of enhanced recovery pathways. However, objective measures of patient movement after surgery are limited. Real-time location systems (RTLS), typically used for asset tracking, provide a novel approach to monitoring in-hospital patient activity. The current study investigates the feasibility of using RTLS to objectively track postoperative patient mobilization. The real-time location system employs a meshed network of infrared and RFID sensors and detectors that sample device locations every 3 s resulting in over 1 million data points per day. RTLS tracking was evaluated systematically in three phases: (1) sensitivity and specificity of the tracking device using simulated patient scenarios, (2) retrospective passive movement analysis of patient-linked equipment, and (3) prospective observational analysis of a patient-attached tracking device. RTLS tracking detected a simulated movement out of a room with sensitivity of 91% and specificity 100%. Specificity decreased to 75% if time out of room was less than 3 min. All RTLS-tagged patient-linked equipment was identified for 18 patients, but measurable patient movement associated with equipment was detected for only 2 patients (11%) with 1-8 out-of-room walks per day. Ten patients were prospectively monitored using RTLS badges following major abdominal surgery. Patient movement was recorded using patient diaries, direct observation, and an accelerometer. Sensitivity and specificity of RTLS patient tracking were both 100% in detecting out-of-room ambulation and correlated well with direct observation and patient-reported ambulation. Real-time location systems are a novel technology capable of objectively and accurately monitoring patient movement and provide an innovative approach to promoting early mobilization after surgery.

  10. A cable-driven soft robot surgical system for cardiothoracic endoscopic surgery: preclinical tests in animals.

    Science.gov (United States)

    Wang, Hesheng; Zhang, Runxi; Chen, Weidong; Wang, Xiaozhou; Pfeifer, Rolf

    2017-08-01

    Minimally invasive surgery attracts more and more attention because of the advantages of minimal trauma, less bleeding and pain and low complication rate. However, minimally invasive surgery for beating hearts is still a challenge. Our goal is to develop a soft robot surgical system for single-port minimally invasive surgery on a beating heart. The soft robot described in this paper is inspired by the octopus arm. Although the octopus arm is soft and has more degrees of freedom (DOFs), it can be controlled flexibly. The soft robot is driven by cables that are embedded into the soft robot manipulator and can control the direction of the end and middle of the soft robot manipulator. The forward, backward and rotation movement of the soft robot is driven by a propulsion plant. The soft robot can move freely by properly controlling the cables and the propulsion plant. The soft surgical robot system can perform different thoracic operations by changing surgical instruments. To evaluate the flexibility, controllability and reachability of the designed soft robot surgical system, some testing experiments have been conducted in vivo on a swine. Through the subxiphoid, the soft robot manipulator could enter into the thoracic cavity and pericardial cavity smoothly and perform some operations such as biopsy, ligation and ablation. The operations were performed successfully and did not cause any damage to the surrounding soft tissues. From the experiments, the flexibility, controllability and reachability of the soft robot surgical system have been verified. Also, it has been shown that this system can be used in the thoracic and pericardial cavity for different operations. Compared with other endoscopy robots, the soft robot surgical system is safer, has more DOFs and is more flexible for control. When performing operations in a beating heart, this system maybe more suitable than traditional endoscopy robots.

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

    Science.gov (United States)

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

    2016-12-27

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

  12. A Portable Shoulder-Mounted Camera System for Surgical Education in Spine Surgery.

    Science.gov (United States)

    Pham, Martin H; Ohiorhenuan, Ifije E; Patel, Neil N; Jakoi, Andre M; Hsieh, Patrick C; Acosta, Frank L; Wang, Jeffrey C; Liu, John C

    2017-02-07

    The past several years have demonstrated an increased recognition of operative videos as an important adjunct for resident education. Currently lacking, however, are effective methods to record video for the purposes of illustrating the techniques of minimally invasive (MIS) and complex spine surgery. We describe here our experiences developing and using a shoulder-mounted camera system for recording surgical video. Our requirements for an effective camera system included wireless portability to allow for movement around the operating room, camera mount location for comfort and loupes/headlight usage, battery life for long operative days, and sterile control of on/off recording. With this in mind, we created a shoulder-mounted camera system utilizing a GoPro™ HERO3+, its Smart Remote (GoPro, Inc., San Mateo, California), a high-capacity external battery pack, and a commercially available shoulder-mount harness. This shoulder-mounted system was more comfortable to wear for long periods of time in comparison to existing head-mounted and loupe-mounted systems. Without requiring any wired connections, the surgeon was free to move around the room as needed. Over the past several years, we have recorded numerous MIS and complex spine surgeries for the purposes of surgical video creation for resident education. Surgical videos serve as a platform to distribute important operative nuances in rich multimedia. Effective and practical camera system setups are needed to encourage the continued creation of videos to illustrate the surgical maneuvers in minimally invasive and complex spinal surgery. We describe here a novel portable shoulder-mounted camera system setup specifically designed to be worn and used for long periods of time in the operating room.

  13. Cadaveric in-situ testing of optical coherence tomography system-based skull base surgery guidance

    Science.gov (United States)

    Sun, Cuiru; Khan, Osaama H.; Siegler, Peter; Jivraj, Jamil; Wong, Ronnie; Yang, Victor X. D.

    2015-03-01

    Optical Coherence Tomography (OCT) has extensive potential for producing clinical impact in the field of neurological diseases. A neurosurgical OCT hand-held forward viewing probe in Bayonet shape has been developed. In this study, we test the feasibility of integrating this imaging probe with modern navigation technology for guidance and monitoring of skull base surgery. Cadaver heads were used to simulate relevant surgical approaches for treatment of sellar, parasellar and skull base pathology. A high-resolution 3D CT scan was performed on the cadaver head to provide baseline data for navigation. The cadaver head was mounted on existing 3- or 4-point fixation systems. Tracking markers were attached to the OCT probe and the surgeon-probe-OCT interface was calibrated. 2D OCT images were shown in real time together with the optical tracking images to the surgeon during surgery. The intraoperative video and multimodality imaging data set, consisting of real time OCT images, OCT probe location registered to neurosurgical navigation were assessed. The integration of intraoperative OCT imaging with navigation technology provides the surgeon with updated image information, which is important to deal with tissue shifts and deformations during surgery. Preliminary results demonstrate that the clinical neurosurgical navigation system can provide the hand held OCT probe gross anatomical localization. The near-histological imaging resolution of intraoperative OCT can improve the identification of microstructural/morphology differences. The OCT imaging data, combined with the neurosurgical navigation tracking has the potential to improve image interpretation, precision and accuracy of the therapeutic procedure.

  14. Review of fluorescence guided surgery systems: identification of key performance capabilities beyond indocyanine green imaging

    Science.gov (United States)

    DSouza, Alisha V.; Lin, Huiyun; Henderson, Eric R.; Samkoe, Kimberley S.; Pogue, Brian W.

    2016-08-01

    There is growing interest in using fluorescence imaging instruments to guide surgery, and the leading options for open-field imaging are reviewed here. While the clinical fluorescence-guided surgery (FGS) field has been focused predominantly on indocyanine green (ICG) imaging, there is accelerated development of more specific molecular tracers. These agents should help advance new indications for which FGS presents a paradigm shift in how molecular information is provided for resection decisions. There has been a steady growth in commercially marketed FGS systems, each with their own differentiated performance characteristics and specifications. A set of desirable criteria is presented to guide the evaluation of instruments, including: (i) real-time overlay of white-light and fluorescence images, (ii) operation within ambient room lighting, (iii) nanomolar-level sensitivity, (iv) quantitative capabilities, (v) simultaneous multiple fluorophore imaging, and (vi) ergonomic utility for open surgery. In this review, United States Food and Drug Administration 510(k) cleared commercial systems and some leading premarket FGS research systems were evaluated to illustrate the continual increase in this performance feature base. Generally, the systems designed for ICG-only imaging have sufficient sensitivity to ICG, but a fraction of the other desired features listed above, with both lower sensitivity and dynamic range. In comparison, the emerging research systems targeted for use with molecular agents have unique capabilities that will be essential for successful clinical imaging studies with low-concentration agents or where superior rejection of ambient light is needed. There is no perfect imaging system, but the feature differences among them are important differentiators in their utility, as outlined in the data and tables here.

  15. Cosmetic outcome 1-5 years after breast conservative surgery, irradiation and systemic therapy.

    Science.gov (United States)

    Kelemen, Gyöngyi; Varga, Zoltán; Lázár, György; Thurzó, László; Kahán, Zsuzsanna

    2012-04-01

    The late side-effects of the local therapy of early breast cancer depend on many patient- and therapy-related parameters. We aimed at investigating the factors that influence the cosmetic and functional outcomes among our breast cancer patients after breast-conserving surgery and conformal radiotherapy, with or without adjuvant systemic therapy. A study was made of the association of the cosmetic outcome after a median follow-up time of 2.4 years and the clinical data on 198 patients extracted from a prospectively compiled database. Breast tenderness occurred more frequently among patients ≤50 years old (p cosmetic outcome after breast-conserving surgery and postoperative radiotherapy.

  16. Two large preoperative doses of erythropoietin do not reduce the systemic inflammatory response to cardiac surgery

    DEFF Research Database (Denmark)

    Poulsen, Troels Dirch; Andersen, Lars Willy; Steinbrüchel, Daniel

    2009-01-01

    OBJECTIVES: Cardiac surgery and cardiopulmonary bypass (CPB) induce an inflammatory reaction that may lead to tissue injury. Experimental studies suggest that recombinant human erythropoietin (EPO) independent of its erythropoietic effect may be used clinically as an anti-inflammatory drug...... of inflammatory cytokines. In contrast, EPO may augment the TNF-alpha and NT-proBNP response. Although the long-term clinical impact remains unknown, the findings do not support use of EPO as an anti-inflammatory drug in patients undergoing cardiac surgery........ This study tested the hypothesis that 2 large doses of EPO administered shortly before CPB ameliorate the systemic inflammatory response to CPB. DESIGN AND SETTING: A prospective, double-blind, placebo-controlled and randomized study at a single tertiary care hospital. PARTICIPANTS: Patients scheduled...

  17. Negative regulation of RIG-I-mediated antiviral signaling by TRK-fused gene (TFG) protein

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Na-Rae; Shin, Han-Bo; Kim, Hye-In; Choi, Myung-Soo; Inn, Kyung-Soo, E-mail: innks@khu.ac.kr

    2013-07-19

    Highlights: •TRK-fused gene product (TFG) interacts with TRIM25 upon viral infection. •TFG negatively regulates RIG-I mediated antiviral signaling. •TFG depletion leads to enhanced viral replication. •TFG act downstream of MAVS. -- Abstract: RIG-I (retinoic acid inducible gene I)-mediated antiviral signaling serves as the first line of defense against viral infection. Upon detection of viral RNA, RIG-I undergoes TRIM25 (tripartite motif protein 25)-mediated K63-linked ubiquitination, leading to type I interferon (IFN) production. In this study, we demonstrate that TRK-fused gene (TFG) protein, previously identified as a TRIM25-interacting protein, binds TRIM25 upon virus infection and negatively regulates RIG-I-mediated type-I IFN signaling. RIG-I-mediated IFN production and nuclear factor (NF)-κB signaling pathways were upregulated by the suppression of TFG expression. Furthermore, vesicular stomatitis virus (VSV) replication was significantly inhibited by small inhibitory hairpin RNA (shRNA)-mediated knockdown of TFG, supporting the suppressive role of TFG in RIG-I-mediated antiviral signaling. Interestingly, suppression of TFG expression increased not only RIG-I-mediated signaling but also MAVS (mitochondrial antiviral signaling protein)-induced signaling, suggesting that TFG plays a pivotal role in negative regulation of RNA-sensing, RIG-I-like receptor (RLR) family signaling pathways.

  18. A Universal Rig for Supporting Large Hammer Drills: Reduced Injury Risk and Improved Productivity.

    Science.gov (United States)

    Rempel, David; Barr, Alan

    2015-10-01

    Drilling holes into concrete with heavy hammer and rock drills is one of the most physically demanding tasks performed in commercial construction and poses risks for musculoskeletal disorders, noise induced hearing loss, hand arm vibration syndrome and silicosis. The aim of this study was to (1) use a participatory process to develop a rig to support pneumatic rock drills or large electric hammer drills in order to reduce the health risks and (2) evaluate the usability of the rig. Seven prototype rigs for supporting large hammer drills were developed and modified with feedback from commercial contractors and construction workers. The final design was evaluated by laborers and electricians (N=29) who performed their usual concrete drilling with the usual method and the new rig. Subjective regional fatigue was significantly less in the neck, shoulders, hands and arms, and lower back) when using the universal rig compared to the usual manual method. Usability ratings for the rig were significantly better than the usual method on stability, control, drilling, accuracy, and vibration. Drilling time was reduced by approximately 50% with the rig. Commercial construction contractors, laborers and electricians who use large hammer drills for drilling many holes should consider using such a rig to prevent musculoskeletal disorders, fatigue, and silicosis.

  19. An Insight into Spreadsheet User Behaviour through an Analysis of EuSpRIG Website Statistics

    CERN Document Server

    Croll, Grenville J

    2011-01-01

    The European Spreadsheet Risks Interest Group (EuSpRIG) has maintained a website almost since its inception in 2000. We present here longitudinal and cross-sectional statistics from the website log in order to shed some light upon end-user activity in the EuSpRIG domain.

  20. A Universal Rig for Supporting Large Hammer Drills: Reduced Injury Risk and Improved Productivity

    Science.gov (United States)

    Rempel, David; Barr, Alan

    2015-01-01

    Drilling holes into concrete with heavy hammer and rock drills is one of the most physically demanding tasks performed in commercial construction and poses risks for musculoskeletal disorders, noise induced hearing loss, hand arm vibration syndrome and silicosis. The aim of this study was to (1) use a participatory process to develop a rig to support pneumatic rock drills or large electric hammer drills in order to reduce the health risks and (2) evaluate the usability of the rig. Seven prototype rigs for supporting large hammer drills were developed and modified with feedback from commercial contractors and construction workers. The final design was evaluated by laborers and electricians (N=29) who performed their usual concrete drilling with the usual method and the new rig. Subjective regional fatigue was significantly less in the neck, shoulders, hands and arms, and lower back) when using the universal rig compared to the usual manual method. Usability ratings for the rig were significantly better than the usual method on stability, control, drilling, accuracy, and vibration. Drilling time was reduced by approximately 50% with the rig. Commercial construction contractors, laborers and electricians who use large hammer drills for drilling many holes should consider using such a rig to prevent musculoskeletal disorders, fatigue, and silicosis. PMID:26005290

  1. A reciprocating pin-on-plate test-rig for studying friction materials for holding brakes

    DEFF Research Database (Denmark)

    Poulios, Konstantinos; Drago, Nicola; Klit, Peder

    2014-01-01

    -on-plate test-rig for studying the evolution of wear by monitoring the pin height reduction using Eddy-current proximity sensors is presented. Moreover, a new mechanism for recording the friction force is suggested. Apart from the design of the test-rig, friction force and wear rate measurements for two...

  2. RIG-I Signaling Is Critical for Efficient Polyfunctional T Cell Responses during Influenza Virus Infection.

    Directory of Open Access Journals (Sweden)

    Matheswaran Kandasamy

    2016-07-01

    Full Text Available Retinoic acid inducible gene-I (RIG-I is an innate RNA sensor that recognizes the influenza A virus (IAV RNA genome and activates antiviral host responses. Here, we demonstrate that RIG-I signaling plays a crucial role in restricting IAV tropism and regulating host immune responses. Mice deficient in the RIG-I-MAVS pathway show defects in migratory dendritic cell (DC activation, viral antigen presentation, and priming of CD8+ and CD4+ T cell responses during IAV infection. These defects result in decreased frequency of polyfunctional effector T cells and lowered protection against heterologous IAV challenge. In addition, our data show that RIG-I activation is essential for protecting epithelial cells and hematopoietic cells from IAV infection. These diverse effects of RIG-I signaling are likely imparted by the actions of type I interferon (IFN, as addition of exogenous type I IFN is sufficient to overcome the defects in antigen presentation by RIG-I deficient BMDC. Moreover, the in vivo T cell defects in RIG-I deficient mice can be overcome by the activation of MDA5 -MAVS via poly I:C treatment. Taken together, these findings demonstrate that RIG-I signaling through MAVS is critical for determining the quality of polyfunctional T cell responses against IAV and for providing protection against subsequent infection from heterologous or novel pandemic IAV strains.

  3. RIG-I Signaling Is Critical for Efficient Polyfunctional T Cell Responses during Influenza Virus Infection

    Science.gov (United States)

    Kandasamy, Matheswaran; Suryawanshi, Amol; Tundup, Smanla; Perez, Jasmine T.; Schmolke, Mirco; Manicassamy, Santhakumar; Manicassamy, Balaji

    2016-01-01

    Retinoic acid inducible gene-I (RIG-I) is an innate RNA sensor that recognizes the influenza A virus (IAV) RNA genome and activates antiviral host responses. Here, we demonstrate that RIG-I signaling plays a crucial role in restricting IAV tropism and regulating host immune responses. Mice deficient in the RIG-I-MAVS pathway show defects in migratory dendritic cell (DC) activation, viral antigen presentation, and priming of CD8+ and CD4+ T cell responses during IAV infection. These defects result in decreased frequency of polyfunctional effector T cells and lowered protection against heterologous IAV challenge. In addition, our data show that RIG-I activation is essential for protecting epithelial cells and hematopoietic cells from IAV infection. These diverse effects of RIG-I signaling are likely imparted by the actions of type I interferon (IFN), as addition of exogenous type I IFN is sufficient to overcome the defects in antigen presentation by RIG-I deficient BMDC. Moreover, the in vivo T cell defects in RIG-I deficient mice can be overcome by the activation of MDA5 –MAVS via poly I:C treatment. Taken together, these findings demonstrate that RIG-I signaling through MAVS is critical for determining the quality of polyfunctional T cell responses against IAV and for providing protection against subsequent infection from heterologous or novel pandemic IAV strains. PMID:27438481

  4. Design and Analysis of Tooth Impact Test Rig for Spur Gear

    Science.gov (United States)

    Ghazali, Wafiuddin Bin Md; Aziz, Ismail Ali Bin Abdul; Daing Idris, Daing Mohamad Nafiz Bin; Ismail, Nurazima Binti; Sofian, Azizul Helmi Bin

    2016-02-01

    This paper is about the design and analysis of a prototype of tooth impact test rig for spur gear. The test rig was fabricated and analysis was conducted to study its’ limitation and capabilities. The design of the rig is analysed to ensure that there will be no problem occurring during the test and reliable data can be obtained. From the result of the analysis, the maximum amount of load that can be applied, the factor of safety of the machine, the stresses on the test rig parts were determined. This is important in the design consideration of the test rig. The materials used for the fabrication of the test rig were also discussed and analysed. MSC Nastran Patran software was used to analyse the model, which was designed by using SolidWorks 2014 software. Based from the results, there were limitations found from the initial design and the test rig design needs to be improved in order for the test rig to operate properly.

  5. Simulator for virtual surgery using deformable organ models and force feedback system.

    Science.gov (United States)

    Suzuki, N; Hattori, A; Ezumi, T; Uchiyama, A; Kumano, T; Ikemoto, A; Adachi, Y; Takatsu, A

    1998-01-01

    This paper describes a real-time surgery planning system using virtual reality techniques. This system allows us to simulate incision of skin and organs which respond as elastic objects with surgical tools in virtual space. Inner structures such as blood vessels and lesions can be seen and manipulated in the simulation. In addition to these functions we attempted to add a feedback function that responds to the operator's hands. We developed a force feedback device to manipulate the elastic organ model based on pressure from the operator's fingers.

  6. Minimally Invasive Cardiac Surgery Using a 3D High-Definition Endoscopic System.

    Science.gov (United States)

    Ruttkay, Tamas; Götte, Julia; Walle, Ulrike; Doll, Nicolas

    2015-01-01

    We describe a minimally invasive heart surgery application of the EinsteinVision 2.0 3D high-definition endoscopic system (Aesculap AG, Tuttlingen, Germany) in an 81-year-old man with severe tricuspid valve insufficiency. Fourteen years ago, he underwent a Ross procedure followed by a DDD pacemaker implantation 4 years later for tachy-brady-syndrome. His biventricular function was normal. We recommended minimally invasive tricuspid valve repair. The application of the aformentioned endoscopic system was simple, and the impressive 3D depth view offered an easy and precise manipulation through a minimal thoracotomy incision, avoiding the need for a rib spreading retractor.

  7. Profound systemic inflammatory response syndrome following non-emergent intestinal surgery in children.

    Science.gov (United States)

    Chawla, Bhani K; Teitelbaum, Daniel H

    2013-09-01

    Systemic inflammatory response syndrome (SIRS) is an uncommon but severe complication in surgical patients. While SIRS is well known, it is poorly described in the pediatric population. The goal of this study was to describe the incidence of profound SIRS following non-emergent intestinal surgery in children and to identify potential risk factors. A retrospective review was conducted for patients 0-19 years of age following intestinal surgery and/or lysis of adhesions from 01/01/1999-02/28/2012. Children were excluded for preoperative instability or frank bowel perforation. Patients were then placed in a post-operative SIRS or non-SIRS group as defined by the 2005 International Pediatric Sepsis Consensus Conference Guidelines (6. B. Goldstein, B. Giroir, A. Randolph, and Sepsis International Consensus Conference on Pediatric, 'International Pediatric Sepsis Consensus Conference: Definitions for Sepsis and Organ Dysfunction in Pediatrics', Pediatr Crit Care Med, 6 (2005), 2-8.). SIRS was identified in 17 of the 381 patients. Logistic regression analysis was performed and showed heart disease, kidney disease, PN dependence, and intestinal obstruction to be predictive of post-operative SIRS. This study represents one of the first reports to identify a previously poorly described process of significant SIRS after intestinal surgery in children. Both systemic organ failure and intestinal dysfunction are strong risk factors for post-operative SIRS in children. Potentially, these pre-existing conditions may lead to disruption of normal intestinal flora or barrier function, which in turn may predispose these children to dramatic SIRS episodes after intestinal surgery. Understanding how these factors lead to SIRS will be critical to developing prevention strategies. © 2013 Elsevier Inc. All rights reserved.

  8. EVALUATION OF MASS-RIG SYSTEMS FOR SHAKING TABLE EXPERIMENTS

    Directory of Open Access Journals (Sweden)

    JULIAN CARRILLO

    2012-01-01

    Full Text Available Las mesas vibratorias son herramientas experimentales para evaluar el comportamiento de estructuras y elementos no estructurales sometidos a excitaciones sísmicas representativas. Debido a limitaciones de tamaño y peso de las mesas, ha sido necesario ensayar modelos a escala reducida o ensayar sólo los elementos estructurales principales. En estos casos, para cumplir con los requerimientos de similitud, deben adicionarse cantidades importantes de masa extra al espécimen. El artículo revisa y discute los sistemas de soporte de masa para ensayos en mesa vibratoria. Se comparan y discuten críticamente las ventajas y debilidades de cada sistema. Para evitar el riesgo de inestabilidad lateral de los modelos y mantener el peso de los especímenes de ensayo dentro del límite de carga de la mesa, los dispositivos externos de transmisión de fuerzas inerciales a los modelos se han convertido en una opción preferida, cuando los ensayos se realizan utilizando mesas vibratorias de tamaño pequeño o mediano.

  9. Automotive Test Rig Final Design Report. Volume 2. Control System.

    Science.gov (United States)

    1986-01-01

    enclosures to Junction Box 1, and Terra computer, and Miltope recorder Interconnections o Junction Box 1 Schematic, Bwg . ho. A10048 o Junctions Box 1 to...7063A01000 110V EScTC~q -~~%E ---- e5t 0 X1D71 -~~~~~~ -i #t .~E~ . ;;~ IB , .a A, .(~~A tD "t9- __ - ~ ~ ~ ~ e exI3 21t~.&ccQ~ _ _ _ __________ ~~~~e ta...TFNGý 002619O! 66C ’eAIL8, eaee 21 -~ERRGflC- aL~ TD 8 W.ARWNINOC I39LID. eClrlPft-AT18N t3F BATATR .zflr~tETE.. &~- 9EFIT-A RfN 19SUEBE. ENO 5F

  10. Complications associated with tissue anchor migration after vaginal surgery using the tissue fixation system - a case series.

    Science.gov (United States)

    Atherton, Michelle J; Daborn, John P; Tsokos, Nicolas; Jeffery, James T; Yin, Michelle J

    2012-02-01

    This case series describes eleven women with serious complications related to migration of tissue anchors after vaginal surgery for uterovaginal prolapse and/or urinary incontinence using the tissue fixation system.

  11. Pars plana vitrectomy with the "reinverting operating lens system": a step-up in vitreo retinal surgery

    Directory of Open Access Journals (Sweden)

    Souza Osias Francisco de

    2003-01-01

    Full Text Available OBJECTIVE: To analyze the efficacy of the panoramic viewing system (PVS Reinverting Operating Lens System (ROLS and the plano-concave Landers lens system in pars plana vitectomy (PPV. METHODS: The authors retrospectively analyzed the records of 117 PPV, 87 patients, performed between December 1996 and August 1998. The PPV was divided into two groups. Group 1 included 54 surgeries, with the Landers system. Group 2 included 63 surgeries with the ROLS. RESULTS: There were no statistical significant differences between the two groups, regarding pre and postoperative parameters. Surgeries employing the Landers system had an average time significantly higher than the ROLS group (p<0.001. When the surgical time was analyzed according to the disease, surgeries lasted significantly longer when the Landers system was used (p<0.05, except for the Uveitis group (p= 0.262. Surgeries in group 2 required less air-fluid and lens exchanges, less use of perfluorocarbon liquid (PFCL, and less need for scleral depression during the procedure. CONCLUSION: The use of ROLS significantly reduced the time for PPV, lowering the need for air-fluid exchange, lens exchange, PFCL use, and scleral depression. The PVS ROLS offered several advantages over the Landers plano-concave lens system during the surgery, without changing the final results.

  12. Thermal neutron flux measurement using the DUPIC SPND-instrumented rig

    Energy Technology Data Exchange (ETDEWEB)

    Lee, C. Y.; Moon, J. S.; Park, H. S.; Kang, K. H.; Ryu, H. J.; Jeong, I. H.; Song, K. C.; Yang, M. S. [KAERI, Taejon (Korea, Republic of)

    2002-05-01

    The 3rd irradiation test of DUPIC fuel, which was fabricated in the DFDF(DUPIC Fuel Development Facility) was performed in HANARO. For the objectives of this irradiation test, the newly designed irradiation rig was equipped with three Rh- type SPND sensors around DUPIC mini-elements for estimating the thermal neutron flux in the OR4 hole. The thermal neutron flux was measured at this location for 5 months the start of the test. The measured data were transmitted to monitoring system. We confirmed that the trend of SPND signal is well agree with that of HANARO power. The measured average thermal neutron flux is 0.45 n/cm{sup 2} {center_dot}s and the average linear power of DUPIC mini-element was estimated to be 33.5 KW/m.

  13. Development of the Compact Jet Engine Simulator from concept to useful test rig

    Science.gov (United States)

    Hoedebecke, Blake Louis

    Two Compact Jet Engine Simulator (CJES) units were designed for integrated wind tunnel acoustic experiments involving a Hybrid Wing Body (HWB) vehicle. To meet the 5.8% scale of the HWB model, Ultra Compact Combustor technology from the Air Force Research Laboratory was used. The CJES units were built and integrated with a control system in the NASA Langley Low Speed Aeroacoustic Wind Tunnel. The combustor liners, plug--vane and flow conditioner components were built in-house at Langley Research Center. The operation of the CJES units was mapped and fixes found for combustor instability tones and rig flow noise. The original concept remained true, but the internal hardware evolved through out the process. The CJES units sucssfully completed the HWB validation test and can be used for acoustic testing or propulsion integration studies that require jet engines.

  14. Study on the collision detection method between the 2-arm drill rig arms and the roadway

    Directory of Open Access Journals (Sweden)

    Fuxiang ZHANG

    2015-12-01

    Full Text Available In order to achieve the automation drilling of the improved CMJ2-27 drill, kinematic analysis of the drill rig is conducted aiming the collision between the arms and the roadway during the operation process. By suing the Denavit-Hartenberg (D-H method, the transformation matrix of coordinate system is obtained, then the coordinates of each joint and the ends are derived. The collision detection approach between the arm and the roadway is given. Theoretical calculation and the motion simulation experiment are conducted by using the detection method for a 88-hole drilling program for a mine. The research results show that the method is feasible and has the characteristics of simple procedures and high efficiency.

  15. Control Method of Static Var Generator to Aid Direct Starting of Large Induction Motor in Offshore Oil-Rig Power System%一种辅助海上油田群电网大型异步电机直接起动的静止无功发生器控制方法

    Institute of Scientific and Technical Information of China (English)

    魏澈; 董宜鹏; 王建丰; 刘国锋; 李强; 谢小荣

    2014-01-01

    The direct starting of large induction motors such as water-injection pumps in an independent offshore oil-rig power system will result in severe problems, for instance, sharp increase of reactive power, deep drop of bus voltage, drop-off of load, or even trip of overloaded generators. To handle these problems, an improved dynamic var control method of static var generator(SVG) was presented. The method, as an improvement on the conventional var/voltage regulation, has newly developed control functions of motor-starting var compensation and switch control, by which, the motor and SVG are controlled to go through the states of pre-starting, start-preparation, motor-starting and start completion successively and smoothly. The proposed method is applied to the Southwest Wei offshore power system on the South China Sea. The simulation results show that it can provide sufficient dynamic var support for the direct starting of large induction motors and the bus voltage is maintained, the safe operation of gas-turbine generator and load is guaranteed.%海上油田群电网由于容量相对较小,当大型异步电动机负载直接起动时,会导致无功需求增加、电压突降、机组过载解列和负荷低压脱扣等问题。提出了一种基于静止无功发生器的改进动态无功控制策略。在常规无功/电压控制基础上,增加电机起动补偿器和切换器功能,控制电机起动过程中各调节器及其参量的切换,实现电机的平稳起动并降低对系统的冲击。控制方法应用于我国南海的涠西南油田群电网。仿真分析表明,该方法能对大型异步电机直接起动提供足够的动态无功支撑,达到稳定电压和保证燃气轮发电机和负荷安全运行的目标。

  16. Criteria of Human-computer Interface Design for Computer Assisted Surgery Systems

    Institute of Scientific and Technical Information of China (English)

    ZHANG Jian-guo; LIN Yan-ping; WANG Cheng-tao; LIU Zhi-hong; YANG Qing-ming

    2008-01-01

    In recent years, computer assisted surgery (CAS) systems become more and more common in clinical practices, but few specific design criteria have been proposed for human-computer interface (HCI) in CAS systems. This paper tried to give universal criteria of HCI design for CAS systems through introduction of demonstration application, which is total knee replacement (TKR) with a nonimage-based navigation system.A typical computer assisted process can be divided into four phases: the preoperative planning phase, the intraoperative registration phase, the intraoperative navigation phase and finally the postoperative assessment phase. The interface design for four steps is described respectively in the demonstration application. These criteria this paper summarized can be useful to software developers to achieve reliable and effective interfaces for new CAS systems more easily.

  17. Effects of open and closed suction systems on the haemodynamic parameters in cardiac surgery patients.

    Science.gov (United States)

    Özden, Dilek; Görgülü, Refia S

    2015-05-01

    This study was carried out to determine the effects of open and closed suction systems on haemodynamic parameters of the patients who underwent open heart surgery. Nurses should work meticulously and carefully as many complications may develop if the method used to perform suctioning is not appropriate. The quasi-experimental study design was used. The study sample comprised 120 patients who underwent open heart surgery in the cardiovascular surgery intensive care unit of a state hospital in Turkey. Haemodynamic parameters were determined just before, right after, at the 5th and 15th minute after suctioning. The data were evaluated with the One-Way Analysis of Variance (ANOVA) for Repeated Measures, independent t-test and Bonferroni's test for further analysis (post hoc). The difference between heart rate (HR) and mean blood pressure, mean PaO2 and PaCO2 , SaO2 and pH values measured before, right after and at the 5th and 15th minute after suctioning was found to be significant in patients who underwent the open suctioning procedure. It was determined that the difference between mean PaO2 values was not significant and that SaO2 versus SpO2 values increased in patients who underwent the closed suctioning procedure. When the open and closed suction systems were compared, statistically significant difference was determined in terms of MAP, SpO2 . It was determined that HR, arterial blood pressure and arterial blood gases of the patients who underwent open heart surgery were negatively affected by the open suction system but did not increase significantly as soon as suctioning was over during the closed suctioning procedure. The data obtained indicate that closed system suctioning, compared with open system suctioning, can be used safely on this patient group. The closed suction system is recommended since it contributes to the enhancement of patient safety and the quality of nursing care. © 2014 The Authors. Nursing in Critical Care published by John Wiley & Sons

  18. The patterns and costs of the Da Vinci robotic surgery system in a large academic institution.

    Science.gov (United States)

    Prewitt, Rhonda; Bochkarev, Victor; McBride, Corrigan L; Kinney, Sonja; Oleynikov, Dmitry

    2008-05-01

    The da Vinci ™Robotic System (dVRS) is the latest advancement in laparoscopic surgery allowing the surgeon more accurate and precise control of instrumentation with an added three-dimensional image. Technology comes with a price, $1.3 million. Due to charitable contributions from the Durham family, the University of Nebraska was the eighth Medical Center in the USA to obtain a dVRS in June 2000. UNMC analyzed 224 dVRS surgical procedures from July 2000 to February 2007. These procedures were designated by surgical service and further scrutinized for length of stay, and cost. We also reviewed trends in operative usage, academic and public relations components with this innovative technology. The dVRS was used for multiple other purposes that were beneficial including research with engineering graduate students, training for surgical residents, display and demos as a means for public relations. Primarily general and urologic surgeons utilized the dVRS. General surgeons were the early adopters of the new technology, the greatest growth and utilization of the equipment has been in urologic procedures, which has outpaced general surgery in the past year. Cost analysis shows a subtle benefit with a reduced length of stay by an average of 4 days. Average direct costs were found to be greater with the dVRS by $1,470. Overall, the effects of the dVRS are vast reaching and are fundamental to the growth of an academic institution and continued progress in minimally invasive surgery.

  19. [First clinical experiences with an endoscope manipulator system in endo- and transnasal surgery].

    Science.gov (United States)

    Fischer, M; Gröbner, C; Dietz, A; Lueth, T C; Strauss, G

    2012-08-01

    Endo- and transnasal surgery needs optical support. The use of a microscope allows bimanual manipulation. More often the endoscopic technique is used which needs one hand for endoscope guidance "loosing" it for manipulation or demanding an assistant for endoscope guidance. In this work the use of a miniature endoscope manipulator system for endonasal and transnasal surgery was evaluated. 31 FESS with manipulator-assisted endoscope guidance were performed. The used endoscope positions, the number of position changes and conditional interruptions were documented. In addition, a transsphenoidal approach to the pituitary gland was performed in a cadaver trial. Non-inferiority was shown for the use of the endoscope manipulator with reference to time and accuracy of manipulator-assisted endoscope guidance. There were 6.4 position changes for each side. Bimanual manipulation was possible in all cases. In the region of high-risk structures (lamina papyracea, frontal recess) we conceptual switched to manual endoscope guidance. The evaluated endoscope manipulator fulfills the minimum requirements to be integrated into the surgical workflow of endo- and transnasal surgery. The number of required endoscope position changes is small allowing bimanual instrumentation. Still a disadvantage is the need for interrupting the workflow to remote the endoscope manipulator with the joystick console. Further development potential would be a forced-feedback function and hands-free navigated-controlled guidance. © Georg Thieme Verlag KG Stuttgart · New York.

  20. Systemic inflammatory response syndrome after pediatric congenital heart surgery: Incidence, risk factors, and clinical outcome.

    Science.gov (United States)

    Boehne, Martin; Sasse, Michael; Karch, André; Dziuba, Friederike; Horke, Alexander; Kaussen, Torsten; Mikolajczyk, Rafael; Beerbaum, Philipp; Jack, Thomas

    2017-02-01

    Systemic inflammatory response syndrome (SIRS) is frequent after cardiac surgery, but data on its incidence and perioperative risk factors are scarce for children with congenital heart disease. SIRS incidence within 72 hours following cardiac surgery was evaluated in a secondary analysis of children enrolled to a treatment-free control group of a randomized controlled trial. Intraoperative parameters were investigated for their association with SIRS using multivariable fractional polynomial logistic regression models. Effects of SIRS on various organ functions and length of stay were evaluated using time-varying Cox regression models. In 116 children after cardiac surgery (median age [range]: 7.4 month [1 day-16.2 years]) SIRS occurred in n = 39/102 with and n = 1/14 without cardiopulmonary bypass (CPB). Duration of CPB (hazard ratio [HR]: 2.28 per hour; 95% confidence interval [CI] 1.17; 4.42) and amount of fresh frozen plasma (HR: 1.23 per 10 mL/kg; 95%CI 1.06; 1.42) were identified as predictors for SIRS; neonates seemed to be less susceptible for SIRS development (HR: 0.86; 95%CI 0.79; 0.95). SIRS was associated with organ dysfunction (HR: 2.69; 95%CI 1.41; 5.12) and extended stay in the pediatric intensive care unit (PICU) (median: 168 vs. 96 hours; p = 0.007). SIRS is a frequent complication after pediatric congenital heart surgery; it affects nearly one third of children and prolongs PICU stay significantly. Duration of CPB and amount of fresh frozen plasma were identified as important risk factors. Neonates seem to be less susceptible to SIRS development. © 2016 Wiley Periodicals, Inc.

  1. Modified criteria for the systemic inflammatory response syndrome improves their utility following cardiac surgery.

    Science.gov (United States)

    MacCallum, Niall S; Finney, Simon J; Gordon, Sarah E; Quinlan, Gregory J; Evans, Timothy W

    2014-06-01

    Debate remains regarding whether the systemic inflammatory response syndrome (SIRS) identifies patients with clinically important inflammation. Defining criteria may be disproportionately sensitive and lack specificity. We investigated the incidence and evolution of SIRS in a homogenous population (following cardiac surgery) over 7 days to establish the relationship between SIRS and outcome, modeling alternative permutations of the criteria to increase their discriminatory power for mortality, length of stay, and organ dysfunction. We conducted a retrospective analysis of prospectively collected data from a cardiothoracic ICU. Consecutive patients requiring ICU admission for the first time after cardiac surgery (N = 2,764) admitted over a 41-month period were studied. Concurrently, 96.2% of patients met the standard two criterion definition for SIRS within 24 h of ICU admission. Their mortality was 2.78%. By contrast, three or four criteria were more discriminatory of patients with higher mortality (4.21% and 10.2%, respectively). A test dataset suggested that meeting two criteria for at least 6 consecutive h may be the best model. This had a positive and negative predictive value of 7% and 99.5%, respectively, in a validation dataset. It performed well at predicting organ dysfunction and prolonged ICU admission. The concept of SIRS remains valid following cardiac surgery. With suitable modification, its specificity can be improved significantly. We propose that meeting two or more defining criteria for 6 h could be used to define better populations with more difficult clinical courses following cardiac surgery. This group may merit a different clinical approach.

  2. The design of the robot assisted magnetic resonance imaging guidance for minimally invasive surgery system

    Institute of Scientific and Technical Information of China (English)

    Shao Bing; Sun Lining; Du Zhijiang; Fu Lixin

    2005-01-01

    Robot assisted Minimally Invasive Surgery (MIS) is one of the rapidestdeveloping directions in the current surgical realm. Magnetic Resonance Imaging(MRI) is an optimal imaging modality which was applied in MIS in recent years. By combination of precise positioning to the target by intra-operative MRI guided surgery and dexterous motion by the robot, safe and smooth operation is expected to be performed. An overview of the MRI-guided robotic system for MIS is offered. The design of the intra-operative MR scanner system is described. The MR-compatible robotic system is carefully designed for safety and sterilization issues. This system unifies image information from open MRI, an optical endoscope and conventional vital-sign detectors. It helps and guides the surgeon and other medical staffs so they can make the right decisions. The high-performance manipulator can mimic the movement of the urgeon's hand precisely. And the analysis for active and passive interventional surgical instrument tracking is provided.

  3. An initial experience with a digital drainage system during the postoperative period of pediatric thoracic surgery

    Science.gov (United States)

    Costa, Altair da Silva; Bachichi, Thiago; Holanda, Caio; Rizzo, Luiz Augusto Lucas Martins De

    2016-01-01

    ABSTRACT Objective: To report an initial experience with a digital drainage system during the postoperative period of pediatric thoracic surgery. Methods: This was a prospective observational study involving consecutive patients, ≤ 14 years of age, treated at a pediatric thoracic surgery outpatient clinic, for whom pulmonary resection (lobectomy or segmentectomy via muscle-sparing thoracotomy) was indicated. The parameters evaluated were air leak (as quantified with the digital system), biosafety, duration of drainage, length of hospital stay, and complications. The digital system was used in 11 children (mean age, 5.9 ± 3.3 years). The mean length of hospital stay was 4.9 ± 2.6 days, the mean duration of drainage was 2.5 ± 0.7 days, and the mean drainage volume was 270.4 ± 166.7 mL. The mean maximum air leak flow was 92.78 ± 95.83 mL/min (range, 18-338 mL/min). Two patients developed postoperative complications (atelectasis and pneumonia, respectively). The use of this digital system facilitated the decision-making process during the postoperative period, reducing the risk of errors in the interpretation and management of air leaks. PMID:28117476

  4. Future of the US healthcare system and the effects on the practice of hand surgery.

    Science.gov (United States)

    Pushman, Allison G; Chung, Kevin C

    2009-06-01

    The multitier healthcare system of the USA has several major flaws. High costs and uncertain quality of care indicate that this system is no longer practical. Several improvement initiatives, such as the Oregon Health Plan, Leapfrog, Lean Manufacturing, and Pay-for-Performance have been implemented into the current system. All of these quality improvement models are being experimented in a limited fashion and do not address the biggest problem in the US healthcare, inequality of care. There is now increasing support for a universal health coverage model as an ethically sound and just way to decrease health disparities in the USA. The current quality initiatives as well as an adoption of universal coverage appear to be the best way to improve quality of care, reduce cost, and increase equality in healthcare. These initiatives may have considerable effects on the practice of hand surgery in the near future, and thus, it is important for the field of hand surgery to become more engaged in advocacy and public policy arena. The purpose of this paper is to examine the current problems in the US healthcare system and to evaluate potential solutions that will enhance quality while simultaneously curbing the unchecked increase in healthcare expenditure.

  5. Experimental Analysis of Mast Lifting and Bending Forces on Vibration Patterns Before and After Pinion Reinstallation in an OH-58 Transmission Test Rig

    Science.gov (United States)

    Huff, Edward M.; Lewicki, David G.; Tumer, Irem Y.; Decker, Harry; Barszez, Eric; Zakrajsek, James J.; Norvig, Peter (Technical Monitor)

    2000-01-01

    As part of a collaborative research program between NASA Ames Research Center (ARC), NASA Glenn Research Center (GRC), and the US Army Laboratory, a series of experiments is being performed in GRC's 500 HP OH-58 Transmission Test Rig facility and ARC's AH-I Cobra and OH-58c helicopters. The findings reported in this paper were drawn from Phase-I of a two-phase test-rig experiment, and are focused on the vibration response of an undamaged pinion gear operating in the transmission test rig. To simulate actual flight conditions, the transmission system was run at three torque levels, as well as two mast lifting and two mast bending levels. The test rig was also subjected to disassembly and reassembly of the main pinion housing to simulate the effect of maintenance operations. An analysis of variance based on the total power of the spectral distribution indicates the relative effect of each experimental factor, including Wong interactions with torque. Reinstallation of the main pinion assembly is shown to introduce changes in the vibration signature, suggesting the possibility of a strong effect of maintenance on HUMS design and use. Based on these results, further research will be conducted to compare these vibration responses with actual OH58c helicopter transmission vibration patterns.

  6. Continuous structural monitoring of oil rig sub-sea structures for flooded member detection using underwater ultrasound

    Energy Technology Data Exchange (ETDEWEB)

    Mijarez, R. [Gerencia de Control e Instrumentacion, Cuernavaca, Morelos (Mexico). Inst. de Investigaciones Electricas; Gaydecki, P. [Manchester Univ. (United Kingdom). School of Electrical and Electronic Engineering; Burdekin, M. [Fatigue Monitoring Bureau, Macclesfield (United Kingdom)

    2006-07-01

    An underwater ultrasound system for detecting flooding in the hollow sub-sea structures of offshore steel oil-rigs is presented. A sensor, attached to a subsea structure and powered by seawater, transmits underwater ultrasound chirpencoded signals to a real-time digital signal processing monitoring system at surface level. Experiments performed using a jointed steel pipe structure 1 ton in weight, with dimensions of 7 m x 0.5 m x 16 mm, completely immersed in seawater showed excellent performance using a central excitation frequency of 38 kHz, over distances of 100 m. (orig.)

  7. DMPD: Function of RIG-I-like receptors in antiviral innate immunity. [Dynamic Macrophage Pathway CSML Database

    Lifescience Database Archive (English)

    Full Text Available 17395582 Function of RIG-I-like receptors in antiviral innate immunity. Yoneyama M,...nction of RIG-I-like receptors in antiviral innate immunity. PubmedID 17395582 Title Function of RIG-I-like receptors in anti

  8. Tailored patient information using a database system: Increasing patient compliance in a day surgery setting

    DEFF Research Database (Denmark)

    Grode, Jesper Nicolai Riis; Grode, Louise; Steinsøe, Ulla

    2013-01-01

    rehabilitation. The hospital is responsible of providing the patients with accurate information enabling the patient to prepare for surgery. Often patients are overloaded with uncoordinated information, letters and leaflets. The contribution of this project is a database system enabling health professionals...... was established to support these requirements. A relational database system holds all information pieces in a granular, structured form. Each individual piece of information can be joined with other pieces thus supporting the tailoring of information. A web service layer caters for integration with output systems....../media (word processing engines, web, mobile apps, and information kiosks). To lower the adoption bar of the system, an MS Word user interface was integrated with the web service layer, and information can now quickly be categorised and grouped according to purpose of use, users can quickly setup information...

  9. Single camera imaging system for color and near-infrared fluorescence image guided surgery.

    Science.gov (United States)

    Chen, Zhenyue; Zhu, Nan; Pacheco, Shaun; Wang, Xia; Liang, Rongguang

    2014-08-01

    Near-infrared (NIR) fluorescence imaging systems have been developed for image guided surgery in recent years. However, current systems are typically bulky and work only when surgical light in the operating room (OR) is off. We propose a single camera imaging system that is capable of capturing NIR fluorescence and color images under normal surgical lighting illumination. Using a new RGB-NIR sensor and synchronized NIR excitation illumination, we have demonstrated that the system can acquire both color information and fluorescence signal with high sensitivity under normal surgical lighting illumination. The experimental results show that ICG sample with concentration of 0.13 μM can be detected when the excitation irradiance is 3.92 mW/cm(2) at an exposure time of 10 ms.

  10. Combination of European System for Cardiac Operative Risk Evaluation (EuroSCORE) and Cardiac Surgery Score (CASUS) to Improve Outcome Prediction in Cardiac Surgery.

    Science.gov (United States)

    Doerr, Fabian; Heldwein, Matthias B; Bayer, Ole; Sabashnikov, Anton; Weymann, Alexander; Dohmen, Pascal M; Wahlers, Thorsten; Hekmat, Khosro

    2015-08-17

    BACKGROUND We hypothesized that the combination of a preoperative and a postoperative scoring system would improve the accuracy of mortality prediction and therefore combined the preoperative 'additive EuroSCORE' (European system for cardiac operative risk evaluation) with the postoperative 'additive CASUS' (Cardiac Surgery Score) to form the 'modified CASUS'. MATERIAL AND METHODS We included all consecutive adult patients after cardiac surgery during January 2007 and December 2010 in our prospective study. Our single-centre study was conducted in a German general referral university hospital. The original additive and the 'modified CASUS' were tested using calibration and discrimination statistics. We compared the area under the curve (AUC) of the receiver characteristic curves (ROC) by DeLong's method and calculated overall correct classification (OCC) values. RESULTS The mean age among the total of 5207 patients was 67.2 ± 10.9 years. Whilst the ICU mortality was 5.9% we observed a mean length of ICU stay of 4.6 ± 7.0 days. Both models demonstrated excellent discriminatory power (mean AUC of 'modified CASUS': ≥ 0.929; 'additive CASUS': ≥ 0.920), with no significant differences according to DeLong. Neither model showed a significant p-value (cardiac surgery by combining a preoperative and a postoperative scoring system. A separate calculation of the two individual elements is therefore recommended.

  11. Development of blood vessel search system using near-infrared light for laparoscopic surgery

    Science.gov (United States)

    Narita, K.; Nakamachi, E.; Morita, Y.; Hagiwara, A.

    2013-09-01

    Our objective of this study is to develop a miniature and high accuracy automatic 3D blood vessel searching system, which will be introduced in the laparoscopic operation with the minimally invasive surgery. Now, the conventional optical system used in the laparoscopic surgery has many difficulties of blood vessel imaging and detection, because the peripheral bio-tissue located around the blood vessel disturbs the light wave propagation, disperses and refracts. Consequently, only unclear image is obtained. We develop a new blood vessel detecting system by using Near-Infrared (NIR) light, two CMOS camera modules and a comprehensive image processing technique, which is implemented in the laparoscope pipe with 25mm in diameter. We adopt the stereo method for the searching system to determine 3D blood vessel location. The blood vessel visualization system adopts hemoglobin's absorption characteristics of the NIR light, which has high permeability for the bio-tissue and absorbency for the hemoglobin. A sharpening process is employed to improve the image quality of original ones, through the LoG filter and the un-sharp-mask processing. 2D location of the blood vessel is calculated from luminance distribution of the image and its depth is calculated by the stereo method. A validity of our blood vessel visualization and 3D detecting system was examined through the comparison with the imaging and detecting the results of organization phantoms, which embedded at known depths under the surface. Experimental results of depth obtained by our detecting system showed good agreements with the given depths, and the availability of this system is confirmed.

  12. Towards robotic heart surgery: introduction of autonomous procedures into an experimental surgical telemanipulator system.

    Science.gov (United States)

    Bauernschmitt, R; Schirmbeck, E U; Knoll, A; Mayer, H; Nagy, I; Wessel, N; Wildhirt, S M; Lange, R

    2005-09-01

    The introduction of telemanipulator systems into cardiac surgery enabled the heart surgeon to perform minimally invasive procedures with high precision and stereoscopic view. For further improvement and especially for inclusion of autonomous action sequences, implementation of force-feedback is necessary. The aim of our study was to provide a robotic scenario giving the surgeon an impression very similar to open procedures (high immersion) and to enable autonomous surgical knot tying with delicate suture material. In this experimental set-up the feasibility of autonomous surgical knot tying is demonstrated for the first time using stereoscopic view and force feedback. Copyright 2005 John Wiley & Sons, Ltd.

  13. Bariatric surgery results: reporting clinical characteristics and adverse outcomes from an integrated healthcare delivery system.

    Science.gov (United States)

    Li, Robert A; Fisher, David P; Dutta, Sanjoy; O'Brien, Rebecca M; Ackerson, Lynn M; Sorel, Michael E; Sidney, Stephen

    2015-01-01

    Limited data have been reported on bariatric surgery within a large, high-volume regional multicenter integrated healthcare delivery system. Review clinical characteristics and short- and intermediate-term outcomes and adverse events from a bariatric surgery program within an integrated healthcare delivery system. Single high-volume, multicenter regional integrated healthcare delivery system. Adult patients who underwent primary bariatric surgery during 2010-2011 were reviewed. Clinical characteristics, outcomes, and weight loss results were extracted from the electronic medical record. A total of 2399 patients were identified within the study period. The 30-day rates of clinical outcomes for Roux-en-Y gastric bypass (RYGB; n = 1313) and sleeve gastrectomy (SG; n = 1018) were 2.9% for readmission, 3.0% for major complications, .8% for reoperation, and 0% for mortality. One-year and 2-year weight loss results were as follows: percent weight loss (%WL) was 31.4 (±SD 8.5) and 34.2±12.0% for SG and 34.1±9.3 and 39.1±11.9 for RYGB; percent excess weight loss (%EBWL) was 64.2±18.0 and 69.8±23.7 for SG and 68.0±19.3 and 77.8±23.7 for RYGB; percent excess body mass index loss (%EBMIL) was 72.9±21.0 and 77.7±22.4 for SG and 76.6±22.1% and 85.6±21.6 for RYGB. Follow-up for each procedure at 1 year was 76% for SG (n = 778) and 80% for RYGB (n = 1052) and at 2 years was 65% for SG (n = 659) and 67% for RYGB (n = 875). A large regional high-volume multicenter bariatric program within an integrated healthcare delivery system can produce excellent short-term results with low rates of short- and intermediate-term adverse outcomes. Copyright © 2015 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.

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

    Directory of Open Access Journals (Sweden)

    Mayur Sharma

    2014-01-01

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

  15. Subjective pain response to two anesthetic systems in dental surgery: traditional syringe vs. a computer controlled delivery system.

    Science.gov (United States)

    Patini, R; Coviello, V; Raffaelli, L; Manicone, P F; Dehkhargani, S Z; Verdugo, F; Perfetti, G; D'Addona, A

    2012-01-01

    The present study was conducted to evaluate human pain perception at different phases of dental surgery using a computer controlled device, the Single Tooth Anesthesia System (STA System), versus the traditional syringe technique. One hundred healthy patients participated in this single-blind split-mouth design study. Individuals provided pain ratings at needle insertion, delivery of anesthetic solution and tooth extraction via a numeric visual rating scale or NVRS. The anterior middle superior alveolar, or AMSA, injection was compared with traditional syringe injections in maxillary quadrants. NVRS scores for AMSA were significantly lower for the STA System when compared to traditional syringe technique at needle insertion, delivery of anesthetic solution (p less than 0.0001) and also during tooth extractions (p=0.0002). A higher percentage of patients (23 percent) required a second injection after the traditional syringe technique. Subjects reported having less clinical pain with AMSA injection at every step of the dental surgery. The STA System combines an anesthetic pathway and controlled flow rate resulting in virtually imperceptible needle insertion and injection, and a rapid onset of profound anesthesia. NVRS scoring system facilitated patient comprehension in assessing pain value and intensity experienced. The two anesthetic delivery techniques were therapeutically equivalent for maxillary injections but AMSA/computer controlled protocol significantly minimizes subjective pain perception at needle insertion, anesthetic delivery and during tooth extraction.

  16. RIG-I mediates innate immune response in mouse neurons following Japanese encephalitis virus infection.

    Directory of Open Access Journals (Sweden)

    Arshed Nazmi

    Full Text Available BACKGROUND: Neuroinflammation associated with Japanese encephalitis (JE is mainly due to the activation of glial cells with subsequent release of proinflammatory mediators from them. The recognition of viral RNA, in part, by the pattern recognition receptor retinoic acid-inducible gene I (RIG-I has been indicated to have a role in such processes. Even though neurons are also known to express this receptor, its role after JE virus (JEV infections is yet to be elucidated. METHODOLOGY/PRINCIPAL FINDINGS: Upon infecting murine neuroblastoma cells and primary cortical neurons with JEV the expression profile of key proinflammatory cyto/chemokines were analyzed by qRT-PCR and bead array, both before and after ablation of RIG-I. Immunoblotting was performed to evaluate the levels of key molecules downstream to RIG-I leading to production of proinflammatory mediators. Changes in the intracellular viral antigen expression were confirmed by intracellular staining and immunoblotting. JEV infection induced neuronal expression of IL-6, IL-12p70, MCP-1, IP-10 and TNF-α in a time-dependent manner, which showed significant reduction upon RIG-I ablation. Molecules downstream to RIG-I showed significant changes upon JEV-infection, that were modulated following RIG-I ablation. Ablation of RIG-I in neurons also increased their susceptibility to JEV. CONCLUSIONS/SIGNIFICANCE: In this study we propose that neurons are one of the potential sources of proinflammatory cyto/chemokines in JEV-infected brain that are produced via RIG-I dependent pathways. Ablation of RIG-I in neurons leads to increased viral load and reduced release of the cyto/chemokines.

  17. Pigeon RIG-I Function in Innate Immunity against H9N2 IAV and IBDV

    Directory of Open Access Journals (Sweden)

    Wenping Xu

    2015-07-01

    Full Text Available Retinoic acid-inducible gene I (RIG-I, a cytosolic pattern recognition receptor (PRR, can sense various RNA viruses, including the avian influenza virus (AIV and infectious bursal disease virus (IBDV, and trigger the innate immune response. Previous studies have shown that mammalian RIG-I (human and mice and waterfowl RIG-I (ducks and geese are essential for type I interferon (IFN synthesis during AIV infection. Like ducks, pigeons are also susceptible to infection but are ineffective propagators and disseminators of AIVs, i.e., “dead end” hosts for AIVs and even highly pathogenic avian influenza (HPAI. Consequently, we sought to identify pigeon RIG-I and investigate its roles in the detection of A/Chicken/Shandong/ZB/2007 (H9N2 (ZB07, Gansu/Tianshui (IBDV TS and Beijing/CJ/1980 (IBDV CJ-801 strains in chicken DF-1 fibroblasts or human 293T cells. Pigeon mRNA encoding the putative pigeon RIG-I analogs was identified. The exogenous expression of enhanced green fluorescence protein (EGFP-tagged pigeon RIG-I and caspase activation and recruitment domains (CARDs, strongly induced antiviral gene (IFN-β, Mx, and PKR mRNA synthesis, decreased viral gene (M gene and VP2 mRNA expression, and reduced the viral titers of ZB07 and IBDV TS/CJ-801 virus strains in chicken DF-1 cells, but not in 293T cells. We also compared the antiviral abilities of RIG-I proteins from waterfowl (duck and goose and pigeon. Our data indicated that waterfowl RIG-I are more effective in the induction of antiviral genes and the repression of ZB07 and IBDV TS/CJ-801 strain replication than pigeon RIG-I. Furthermore, chicken melanoma differentiation associated gene 5(MDA5/ mitochondrial antiviral signaling (MAVS silencing combined with RIG-I transfection suggested that pigeon RIG-I can restore the antiviral response in MDA5-silenced DF-1 cells but not in MAVS-silenced DF-1 cells. In conclusion, these results demonstrated that pigeon RIG-I and CARDs have a strong antiviral

  18. [Clinical profile of systemic inflammatory response after pediatric cardiac surgery with cardiopulmonary bypass].

    Science.gov (United States)

    Soares, Leonardo Cavadas da Costa; Ribas, Denise; Spring, Regine; Silva, Jean Marcelo Ferreira da; Miyague, Nelson Itiro

    2010-01-01

    the postoperative period of congenital cardiomyopathies correction is frequently accompanied by systemic inflammatory response. To assess the frequency of occurrence and clinical manifestations of the systemic inflammatory response syndrome after cardiopulmonary bypass (SIRS-CPB) in children submitted to cardiac surgery. Historical cohort study including patients up to 3 years old that were submitted to elective corrective surgeries for congenital cardiopathies with cardiopulmonary bypass (CPB). A total of 101 patients were assessed by means of clinical criteria of organ dysfunction through score tests, as comparing predisponent factors and aggregated morbidity to the presence of SIRS-CPB. Twenty-two patients (21.9%) fulfilled the criteria for SIRS-CPB. The sex or type of cardiopathy did not differ between groups (p = NS). Patients diagnosed with SIRS-CPB (compared to patients without SIRS-CPB) presented lower mean age (6.8 +/- 5.5 versus 10.8 +/- 5.1 months, p SIRS-CPB, which presented lower weight and longer CPB duration as predisponent factors. Patients with SIRS-CPB remain in mechanical ventilation, in ICU and in hospitalization for a longer period of time.

  19. Designing a wearable navigation system for image-guided cancer resection surgery.

    Science.gov (United States)

    Shao, Pengfei; Ding, Houzhu; Wang, Jinkun; Liu, Peng; Ling, Qiang; Chen, Jiayu; Xu, Junbin; Zhang, Shiwu; Xu, Ronald

    2014-11-01

    A wearable surgical navigation system is developed for intraoperative imaging of surgical margin in cancer resection surgery. The system consists of an excitation light source, a monochromatic CCD camera, a host computer, and a wearable headset unit in either of the following two modes: head-mounted display (HMD) and Google glass. In the HMD mode, a CMOS camera is installed on a personal cinema system to capture the surgical scene in real-time and transmit the image to the host computer through a USB port. In the Google glass mode, a wireless connection is established between the glass and the host computer for image acquisition and data transport tasks. A software program is written in Python to call OpenCV functions for image calibration, co-registration, fusion, and display with augmented reality. The imaging performance of the surgical navigation system is characterized in a tumor simulating phantom. Image-guided surgical resection is demonstrated in an ex vivo tissue model. Surgical margins identified by the wearable navigation system are co-incident with those acquired by a standard small animal imaging system, indicating the technical feasibility for intraoperative surgical margin detection. The proposed surgical navigation system combines the sensitivity and specificity of a fluorescence imaging system and the mobility of a wearable goggle. It can be potentially used by a surgeon to identify the residual tumor foci and reduce the risk of recurrent diseases without interfering with the regular resection procedure.

  20. Designing a wearable navigation system for image-guided cancer resection surgery

    Science.gov (United States)

    Shao, Pengfei; Ding, Houzhu; Wang, Jinkun; Liu, Peng; Ling, Qiang; Chen, Jiayu; Xu, Junbin; Zhang, Shiwu; Xu, Ronald

    2015-01-01

    A wearable surgical navigation system is developed for intraoperative imaging of surgical margin in cancer resection surgery. The system consists of an excitation light source, a monochromatic CCD camera, a host computer, and a wearable headset unit in either of the following two modes: head-mounted display (HMD) and Google glass. In the HMD mode, a CMOS camera is installed on a personal cinema system to capture the surgical scene in real-time and transmit the image to the host computer through a USB port. In the Google glass mode, a wireless connection is established between the glass and the host computer for image acquisition and data transport tasks. A software program is written in Python to call OpenCV functions for image calibration, co-registration, fusion, and display with augmented reality. The imaging performance of the surgical navigation system is characterized in a tumor simulating phantom. Image-guided surgical resection is demonstrated in an ex vivo tissue model. Surgical margins identified by the wearable navigation system are co-incident with those acquired by a standard small animal imaging system, indicating the technical feasibility for intraoperative surgical margin detection. The proposed surgical navigation system combines the sensitivity and specificity of a fluorescence imaging system and the mobility of a wearable goggle. It can be potentially used by a surgeon to identify the residual tumor foci and reduce the risk of recurrent diseases without interfering with the regular resection procedure. PMID:24980159

  1. Systemic Inflammatory Responses and Lung Injury following Hip Fracture Surgery Increases Susceptibility to Infection in Aged Rats

    Directory of Open Access Journals (Sweden)

    Hao Zhang

    2013-01-01

    Full Text Available Pulmonary infections frequently occur following hip fracture surgery in aged patients. However, the underlying reasons are not fully understood. The present study investigates the systemic inflammatory response and pulmonary conditions following hip fracture surgery as a means of identifying risk factors for lung infections using an aged rodent model. Aged, male Sprague-Dawley rats (8 animals per group underwent a sham procedure or hip fracture plus femoral intramedullary pinning. Animals were sacrificed 1, 3, and 7 days after the injury. Markers of systemic inflammation and pulmonary injury were analyzed. Both sham-operated and injured/surgical group animals underwent intratracheal inoculation with Pseudomonas aeruginosa 1, 3, and 7 days after surgery. P. aeruginosa counts in blood and bronchoalveolar lavage (BAL fluid and survival rates were recorded. Serum TNF-α, IL-6, IL-1β, and IL-10 levels and markers of pulmonary injury were significantly increased at 1 and 3 days following hip fracture and surgery. Animals challenged with P. aeruginosa at 1 and 3 days after injury had a significantly decreased survival rate and more P. aeruginosa recovered from blood and BAL fluid. This study shows that hip fracture and surgery in aged rats induced a systemic inflammatory response and lung injury associated with increased susceptibility to infection during the acute phase after injury and surgery.

  2. Learning curve of computer-assisted navigation system in spine surgery

    Institute of Scientific and Technical Information of China (English)

    BAI Yu-shu; ZHANG Ye; CHEN Zi-qiang; WANG Chuan-feng; ZHAO Ying-chuan; SHI Zhi-cai; LI Ming; LIU Ka Po Gabriel

    2010-01-01

    Background Spine surgery using computer-assisted navigation (CAN) has been proven to result in low screw misplacement rates, low incidence of radiation exposure and excellent operative field viewing versus the conventional intraoperative image intensifier (CⅢ). However, as we know, few previous studies have described the learning curve of CAN in spine surgery.Methods We performed two consecutive case cohort studies on pedicel screw accuracy and operative time of two spine surgeons with different experience backgrounds, A and B, in one institution during the same period. Lumbar pedicel screw cortical perforation rate and operative time of the same kind of operation using CAN were analyzed and compared using CⅢ for the two surgeons at initial, 6 months and 12 months of CAN usage.Results CAN spine surgery had an overall lower cortical perforation rate and less mean operative time compared with CⅢ for both surgeon A and B cohorts when total cases of four years were included. It missed being statistically significant,with 3.3% versus 4.7% (P=0.191) and 125.7 versus 132.3 minutes (P=0.428) for surgeon A and 3.6% versus 6.4%(P=0.058), and 183.2 versus 213.2 minutes (P=0.070) for surgeon B. in an attempt to demonstrate the learning curve,the cases after 6 months of the CAN system in each surgeon's cohort were compared. The perforation rate decreased by 2.4% (P=0.039) and 4.3% (P=0.003) and the operative time was reduced by 31.8 minutes (P=0.002) and 14.4 minutes (P=0.026) for the CAN groups of surgeons A and B, respectively. When only the cases performed after 12 months using the CAN system were considered, the perforation rate decreased by 3.9% (P=0.006) and 5.6% (P <0.001) and the operative time was reduced by 20.9 minutes (P <0.001) and 40.3 minutes (P <0.001) for the CAN groups of surgeon A and B, respectively.Conclusions In the long run, CAN spine surgery decreased the lumbar screw cortical perforation rate and operative time. The learning curve showed a

  3. A Traffic Light Grading System of Hip Dysplasia to Predict the Success of Arthroscopic Hip Surgery.

    Science.gov (United States)

    Grammatopoulos, George; Davies, Owain L I; El-Bakoury, Ahmed; Gill, Harinderjit S; Pollard, Tom C B; Andrade, Antonio J

    2017-06-01

    The role of hip arthroscopic surgery in dysplasia is controversial. To determine the 7-year joint preservation rate after hip arthroscopic surgery in hip dysplasia and identify anatomic and intraoperative features that predict the success of hip preservation with arthroscopic surgery, allowing the formulation of an evidence-based classification system. Case-control study; Level of evidence, 3. Between 2008 and 2013, 111 hips with dysplastic features (acetabular index [AI] >10° and/or lateral center-edge angle [LCEA] hip (AI, LCEA, extrusion index) were performed. Outcome measures included whether the hip was preserved (ie, did not require arthroplasty) at follow-up and the preoperative and postoperative Non-Arthritic Hip Score (NAHS) and Hip disability and Osteoarthritis Outcome Score (HOOS). The AI and LCEA were calculated, factored by a measure of articular wear (AIf and LCEAf, respectively), according to the University College Hospital, London (UCL) grading system as follows: AIf = AI × (number of UCL wear zones + 1), and LCEAf = LCEA / (number of UCL wear zones + 1). A contour plot of the resulting probability value of failure for every combination of AIf and LCEAf allowed for the determination of the zones with the lowest and highest incidences of failure to preserve the hip. The mean AI and LCEA were 9.8° and 18.0°, respectively. At a mean follow-up of 4.5 years (range, 0.4-8.3 years), 33 hips had failed, requiring hip arthroplasty. The 7-year joint survival rate was 68%. The mean improvements in the NAHS and HOOS were 11 ( P = .001) and 22.8 ( P hip survival rate in hip dysplasia appears inferior compared with that reported in femoroacetabular impingement (78%). Hip arthroscopic surgery is associated with an excellent chance of hip preservation in mild dysplasia (green zone: AI = 0°-15°, LCEA = 15°-25°) and no articular wear. The authors advise that the greatest caution should be used when considering arthroscopic options in cases of severe dysplasia

  4. Control design and implementation of a novel master-slave surgery robot system, MicroHand A.

    Science.gov (United States)

    Sang, Hongqiang; Wang, Shuxin; Li, Jianmin; He, Chao; Zhang, Lin'an; Wang, Xiaofei

    2011-09-01

    Compared with conventional minimally invasive surgery and open surgery, robotic-assisted minimally invasive surgery can overcome or eliminate drawbacks caused by operator restrictions, motion limitation by the trocar and the image system, such as fatigue, trembling, low precision, constrained degree-of-freedom, poor hand-eye coordination and restricted surgical vision. In this paper, a novel partly tendon-driven master-slave robot system is proposed to assist minimally invasive surgery and a master-slave control architecture is developed for abdominal surgical operations. A novel master-slave surgery robot system named MicroHand A has been developed. A kinematic analysis of master and slave manipulators was conducted, based on screw theory and vector loop equation. The relationships of the tendon-driven multi-DOF surgical instrument among Cartesian space, actuator space and joint space were derived for control purposes. The control system architecture of the MicroHand A was designed with intuitive motion control and motion scaling control. Llewellyn's absolute stability criterion and the transparency of the one-DOF master-slave system are also analysed. Intuitive motion control under dissimilar kinematics in master-slave manipulations and motion scaling control were accomplished to solve absonant hand-eye coordination, kinematic dissimilarity and workspace mismatch of master-slave manipulator problems. A series of tests and animal experiments were carried out to evaluate system performance. The experimental results demonstrate that the system could accomplish intuitive motion control and motion scaling control, and that the control system is stable and reliable. The experiments performed on the MicroHand A robotic system yielded expected control results. The system satisfies the requirements of minimally invasive surgery. Intuitive motion control and motion scaling control under different kinematics for the master and slave have been implemented. Copyright © 2011

  5. Cost-Benefit Performance of Robotic Surgery Compared with Video-Assisted Thoracoscopic Surgery under the Japanese National Health Insurance System.

    Science.gov (United States)

    Kajiwara, Naohiro; Patrick Barron, James; Kato, Yasufumi; Kakihana, Masatoshi; Ohira, Tatsuo; Kawate, Norihiko; Ikeda, Norihiko

    2015-01-01

    Medical economics have significant impact on the entire country. The explosion in surgical techniques has been accompanied by questions regarding actual improvements in outcome and cost-effectiveness, such as the da Vinci(®) Surgical System (dVS) compared with conventional video-assisted thoracic surgery (VATS). To establish a medical fee system for robot-assisted thoracic surgery (RATS), which is a system not yet firmly established in Japan. This study examines the cost benefit performance (CBP) based on medical fees compared with VATS and RATS under the Japanese National Health Insurance System (JNHIS) introduced in 2012. The projected (but as yet undecided) price in the JNHIS would be insufficient if institutions have less than even 200 dVS cases per year. Only institutions which perform more than 300 dVS operations per year would obtain a positive CBP with the projected JNHIS reimbursement. Thus, under the present conditions, it is necessary to perform at least 300 dVS operations per year in each institution with a dVS system to avoid financial deficit with current robotic surgical management. This may hopefully encourage a downward price revision of the dVS equipment by the manufacture which would result in a decrease in the cost per procedure.

  6. 76 FR 71980 - SEDASYS Computer-Assisted Personalized Sedation System; Ethicon Endo-Surgery, Incorporated's...

    Science.gov (United States)

    2011-11-21

    ...; Ethicon Endo-Surgery, Incorporated's Petition for Review of the Food and Drug Administration's Denial of...) submitted by Ethicon Endo-Surgery Inc. (EES)--the sponsor for SEDASYS. The meeting will be open to the...

  7. 76 FR 75887 - SEDASYS Computer-Assisted Personalized Sedation System; Ethicon Endo-Surgery, Incorporated's...

    Science.gov (United States)

    2011-12-05

    ...; Ethicon Endo-Surgery, Incorporated's Petition for Review of the Food and Drug Administration's Denial of...-Surgery Inc. (EES), the sponsor for SEDASYS. This meeting has been cancelled because EES has withdrawn its...

  8. Regulation of Retinoic Acid Inducible Gene-I (RIG-I Activation by the Histone Deacetylase 6

    Directory of Open Access Journals (Sweden)

    Helene Minyi Liu

    2016-07-01

    Full Text Available Retinoic acid inducible gene-I (RIG-I is a cytosolic pathogen recognition receptor that initiates the immune response against many RNA viruses. Upon RNA ligand binding, RIG-I undergoes a conformational change facilitating its homo-oligomerization and activation that results in its translocation from the cytosol to intracellular membranes to bind its signaling adaptor protein, mitochondrial antiviral-signaling protein (MAVS. Here we show that RIG-I activation is regulated by reversible acetylation. Acetyl-mimetic mutants of RIG-I do not form virus-induced homo-oligomers, revealing that acetyl-lysine residues of the RIG-I repressor domain prevent assembly to active homo-oligomers. During acute infection, deacetylation of RIG-I promotes its oligomerization upon ligand binding. We identify histone deacetylase 6 (HDAC6 as the deacetylase that promotes RIG-I activation and innate antiviral immunity to recognize and restrict RNA virus infection.

  9. Video-assisted thoracoscopic surgery for esophageal cancer attenuates postoperative systemic responses and pulmonary complications.

    Science.gov (United States)

    Tsujimoto, Hironori; Takahata, Risa; Nomura, Shinsuke; Yaguchi, Yoshihisa; Kumano, Isao; Matsumoto, Yusuke; Yoshida, Kazumichi; Horiguchi, Hiroyuki; Hiraki, Shuichi; Ono, Satoshi; Yamamoto, Junji; Hase, Kazuo

    2012-05-01

    Less invasive operations such as laparoscopic surgery have been developed for treating gastrointestinal malignancies. However, the advantages of video-assisted thoracoscopic surgery for esophageal cancer (VATS-e) with regard to postoperative morbidity and mortality remains controversial. We investigated the postoperative clinical course of patients who underwent esophagectomy for esophageal cancer in terms of systemic inflammatory response syndrome (SIRS) induced by VATS-e (VATS-e group) or conventional open surgery (OS group) combined with laparoscopic gastric tube reconstruction. Compared with the OS group (n = 27), the VATS-e group (n = 22) had a greater thoracic operation time (VATS-e versus OS, 181 ± 56 vs 143 ± 45 minutes, respectively), and lesser duration of stay in the intensive care unit (17 ± 2 vs 32 ± 21 hours, respectively). The VATS-e group also had a lesser SIRS duration (1.5 vs 4.3 days), a lesser incidence of SIRS, a lesser number of positive SIRS criteria, and lesser serum interleukin-6 levels immediately after operation and on postoperative day (POD) 1. The heart rate in the VATS-e group was less than that in the OS group on POD 3. The respiratory rate in the VATS-e group was significantly less than that in the OS group on PODs 3, 5, and 7. Although no difference was observed in the frequencies of postoperative complications between the 2 groups, the VATS-e group had less postoperative pneumonia. VATS-e attenuates postoperative SIRS, and is therefore a potentially less invasive operative procedure. Copyright © 2012 Mosby, Inc. All rights reserved.

  10. Bariatric Surgery

    Science.gov (United States)

    ... Metabolic and Bariatric Surgery MedlinePlus What is bariatric surgery? Bariatric surgery helps people who are very obese to ... What are the endocrine-related benefits of bariatric surgery? Bariatric surgery and the weight loss that results can: ...

  11. Emprego de sistemas robóticos na cirurgia cardiovascular Robotic systems in cardiovascular surgery

    Directory of Open Access Journals (Sweden)

    Roberto T. Sant'Anna

    2004-06-01

    Full Text Available O desenvolvimento de sistemas robóticos para cirurgia teve início na década de 80, por solicitação do exército norte-americano, que antevia a possibilidade de realizar operações em teatros de guerra, distantes do local onde estava o cirurgião. Entretanto, o primeiro uso em humanos só ocorreu anos mais tarde, numa ressecção transuretral de hiperplasia benigna de próstata. Cirurgiões cardíacos foram logo atraídos pela técnica robótica devido a possível aplicação com reduzido caráter invasivo; esperava-se menor trauma cirúrgico e redução da dor, morbidade, tempo de internação e custo do procedimento. Atualmente, de forma restrita e em casos selecionados, robôs são usados para revascularização do miocárdio e implante de marcapasso em cirurgias cardíacas totalmente endoscópicas; podendo também constituir apoio visual na retirada de artéria torácica interna, reconstrução valvar mitral e correção de defeitos congênitos. Utilizando o robô auxiliar AESOP® para controle do videotoracoscópio, com controle vocal por meio do sistema HERMES®, temos realizado dissecção da artéria torácica interna, implante de eletrodo ventricular esquerdo e abordagem de defeitos congênitos na cirurgia de correção. Apesar do entusiasmo científico inicial com a cirurgia robótica, ainda não existe evidência clara de superioridade desta técnica em relação à operação convencional, em termos de resultado. Isto se aplica também ao custo, pois o investimento inicial na aquisição de sistema cirúrgico completo (console, controle de vídeo, instrumental provavelmente é compensado após muitos procedimentos e longo intervalo. Mas é certo que a cirurgia robótica terá um lugar no futuro, possibilitando aprendizagem, telepresença e realização de procedimentos pouco invasivos, embora complexos.The development of robotic systems for surgery started in the 80's, motivated by the US army's need for surgical procedure in

  12. Negative Role of RIG-I Serine 8 Phosphorylation in the Regulatin of Interferon-beta Production

    Energy Technology Data Exchange (ETDEWEB)

    E Nistal-Villan; M Gack; G Martinez-Delgado; N Maharaj; K Inn; H Yang; R Wang; A Aggarwal; J Jung; A Garcia-Sastre

    2011-12-31

    RIG-I (retinoic acid-inducible gene I) and TRIM25 (tripartite motif protein 25) have emerged as key regulatory factors to induce interferon (IFN)-mediated innate immune responses to limit viral replication. Upon recognition of viral RNA, TRIM25 E3 ligase binds the first caspase recruitment domain (CARD) of RIG-I and subsequently induces lysine 172 ubiquitination of the second CARD of RIG-I, which is essential for the interaction with downstream MAVS/IPS-1/CARDIF/VISA and, thereby, IFN-beta mRNA production. Although ubiquitination has emerged as a major factor involved in RIG-I activation, the potential contribution of other post-translational modifications, such as phosphorylation, to the regulation of RIG-I activity has not been addressed. Here, we report the identification of serine 8 phosphorylation at the first CARD of RIG-I as a negative regulatory mechanism of RIG-I-mediated IFN-beta production. Immunoblot analysis with a phosphospecific antibody showed that RIG-I serine 8 phosphorylation steady-state levels were decreased upon stimulation of cells with IFN-beta or virus infection. Substitution of serine 8 in the CARD RIG-I functional domain with phosphomimetic aspartate or glutamate results in decreased TRIM25 binding, RIG-I ubiquitination, MAVS binding, and downstream signaling. Finally, sequence comparison reveals that only primate species carry serine 8, whereas other animal species carry an asparagine, indicating that serine 8 phosphorylation may represent a primate-specific regulation of RIG-I activation. Collectively, these data suggest that the phosphorylation of RIG-I serine 8 operates as a negative switch of RIG-I activation by suppressing TRIM25 interaction, further underscoring the importance of RIG-I and TRIM25 connection in type I IFN signal transduction.

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

    Directory of Open Access Journals (Sweden)

    Sanjay Byakodi

    2017-01-01

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

  14. Using a high-definition stereoscopic video system to teach microscopic surgery

    Science.gov (United States)

    Ilgner, Justus; Park, Jonas Jae-Hyun; Labbé, Daniel; Westhofen, Martin

    2007-02-01

    Introduction: While there is an increasing demand for minimally invasive operative techniques in Ear, Nose and Throat surgery, these operations are difficult to learn for junior doctors and demanding to supervise for experienced surgeons. The motivation for this study was to integrate high-definition (HD) stereoscopic video monitoring in microscopic surgery in order to facilitate teaching interaction between senior and junior surgeon. Material and methods: We attached a 1280x1024 HD stereo camera (TrueVisionSystems TM Inc., Santa Barbara, CA, USA) to an operating microscope (Zeiss ProMagis, Zeiss Co., Oberkochen, Germany), whose images were processed online by a PC workstation consisting of a dual Intel® Xeon® CPU (Intel Co., Santa Clara, CA). The live image was displayed by two LCD projectors @ 1280x768 pixels on a 1,25m rear-projection screen by polarized filters. While the junior surgeon performed the surgical procedure based on the displayed stereoscopic image, all other participants (senior surgeon, nurse and medical students) shared the same stereoscopic image from the screen. Results: With the basic setup being performed only once on the day before surgery, fine adjustments required about 10 minutes extra during the operation schedule, which fitted into the time interval between patients and thus did not prolong operation times. As all relevant features of the operative field were demonstrated on one large screen, four major effects were obtained: A) Stereoscopy facilitated orientation for the junior surgeon as well as for medical students. B) The stereoscopic image served as an unequivocal guide for the senior surgeon to demonstrate the next surgical steps to the junior colleague. C) The theatre nurse shared the same image, anticipating the next instruments which were needed. D) Medical students instantly share the information given by all staff and the image, thus avoiding the need for an extra teaching session. Conclusion: High definition

  15. Cytoreduction surgery reduces systemic myeloid suppressor cell populations and restores intratumoral immunotherapy effectiveness

    Directory of Open Access Journals (Sweden)

    Predina Jarrod D

    2012-06-01

    Full Text Available Abstract Background Multiple immunotherapy approaches have improved adaptive anti-tumor immune responses in patients with early stage disease; however, results have been less dramatic when treating patients with late stage disease. These blunted responses are likely due to a host of factors, including changes in the tumor microenvironment and systemic immunosuppressive features, which accompany advanced tumor states. We hypothesized that cytoreductive surgery could control these immunosuppressive networks and restore the potency of immunotherapy in advanced disease scenarios. Methods To test these hypotheses, two representative intratumoral immunotherapies (an adenoviral vector encoding a suicide gene, AdV-tk, or a type-I interferon, Ad.IFNα were tested in murine models of lung cancer. Cytoreductive surgery was performed following treatment of advanced tumors. Mechanistic underpinnings were investigated using flow cytometry, in vivo leukocyte depletion methods and in vivo tumor neutralization assays. Results AdV-tk and Ad.IFNα were effective in treating early lung cancers, but had little anti-tumor effects in late stage cancers. Interestingly, in late stage scenarios, surgical cytoreduction unmasked the anti-tumor potency of both immunotherapeutic approaches. Immune mechanisms that explained restoration in anti-tumor immune responses included increased CD8 T-cell trafficking and reduced myeloid derived suppressor cell populations. Conclusion This study demonstrates that surgical resection combined with immunotherapy may be a rational therapeutic option for patients with advanced stage cancer.

  16. A novel optimal coordinated control strategy for the updated robot system for single port surgery.

    Science.gov (United States)

    Bai, Weibang; Cao, Qixin; Leng, Chuntao; Cao, Yang; Fujie, Masakatsu G; Pan, Tiewen

    2017-09-01

    Research into robotic systems for single port surgery (SPS) has become widespread around the world in recent years. A new robot arm system for SPS was developed, but its positioning platform and other hardware components were not efficient. Special features of the developed surgical robot system make good teleoperation with safety and efficiency difficult. A robot arm is combined and used as new positioning platform, and the remote center motion is realized by a new method using active motion control. A new mapping strategy based on kinematics computation and a novel optimal coordinated control strategy based on real-time approaching to a defined anthropopathic criterion configuration that is referred to the customary ease state of human arms and especially the configuration of boxers' habitual preparation posture are developed. The hardware components, control architecture, control system, and mapping strategy of the robotic system has been updated. A novel optimal coordinated control strategy is proposed and tested. The new robot system can be more dexterous, intelligent, convenient and safer for preoperative positioning and intraoperative adjustment. The mapping strategy can achieve good following and representation for the slave manipulator arms. And the proposed novel control strategy can enable them to complete tasks with higher maneuverability, lower possibility of self-interference and singularity free while teleoperating. Copyright © 2017 John Wiley & Sons, Ltd.

  17. A novel navigation system for maxillary positioning in orthognathic surgery: Preclinical evaluation.

    Science.gov (United States)

    Lutz, Jean-Christophe; Nicolau, Stéphane; Agnus, Vincent; Bodin, Frédéric; Wilk, Astrid; Bruant-Rodier, Catherine; Rémond, Yves; Soler, Luc

    2015-11-01

    Appropriate positioning of the maxilla is critical in orthognathic surgery. As opposed to splint-based positioning, navigation systems are versatile and appropriate in assessing the vertical dimension. Bulk and disruption to the line of sight are drawbacks of optical navigation systems. Our aim was to develop and assess a novel navigation system based on electromagnetic tracking of the maxilla, including real-time registration of head movements. Since the software interface has proved to greatly influence the accuracy of the procedure, we purposely designed and evaluated an original, user-friendly interface. A sample of 12 surgeons had to navigate the phantom osteotomized maxilla to eight given target positions using the software we have developed. Time and accuracy (translational error and angular error) were compared between a conventional and a navigated session. A questionnaire provided qualitative evaluation. Our system definitely allows a reduction in variability of time and accuracy among different operators. Accuracy was improved in all surgeons (mean terror difference = 1.11 mm, mean aerror difference = 1.32°). Operative time was decreased in trainees. Therefore, they would benefit from such a system that could also serve for educational purposes. The majority of surgeons who strongly agreed that such a navigation system would prove very helpful in complex deformities, also stated that it would be helpful in everyday orthognathic procedures.

  18. A novel smart navigation system for intramedullary nailing in orthopedic surgery.

    Science.gov (United States)

    Choi, Jaesuk; Kim, Jihun; Hwang, Jae Youn; Je, Minkyu; Kim, Jun-Young; Kim, Shin-Yoon

    2017-01-01

    This paper proposes a novel smart surgical navigation system for intramedullary nailing in orthopedic surgery. Using a handle-integrated laser guidance module, the system can target a drill insertion point onto skin, indicating an accurate target position to perpendicularly access an invisible distal hole. The proposed handle-integration-based fixation of the laser guidance module precisely defines the relative position of the module with respect to the distal hole. Consequently, unlike conventional systems, the proposed system can indicate the target insertion point without any help from bulky and costly external position-tracking equipment that is usually required for compensating disturbances generated by external impacts. After insertion, a correct drilling direction toward the distal hole is guided by real-time drilling angle measurement modules-one integrated with the nail handle and the other with the drill body. Each module contains a 9-axis inertial sensor and a Bluetooth communication device. These two modules work together to provide real-time drilling angle data, allowing calculation of the directional error toward the center of the distal hole in real time. The proposed system removes the need for fluoroscopy and provides a compact and cost-effective solution compared with conventional systems.

  19. Development of a low cost test rig for standalone WECS subject to electrical faults.

    Science.gov (United States)

    Himani; Dahiya, Ratna

    2016-11-01

    In this paper, a contribution to the development of low-cost wind turbine (WT) test rig for stator fault diagnosis of wind turbine generator is proposed. The test rig is developed using a 2.5kW, 1750 RPM DC motor coupled to a 1.5kW, 1500 RPM self-excited induction generator interfaced with a WT mathematical model in LabVIEW. The performance of the test rig is benchmarked with already proven wind turbine test rigs. In order to detect the stator faults using non-stationary signals in self-excited induction generator, an online fault diagnostic technique of DWT-based multi-resolution analysis is proposed. It has been experimentally proven that for varying wind conditions wavelet decomposition allows good differentiation between faulty and healthy conditions leading to an effective diagnostic procedure for wind turbine condition monitoring.

  20. Stochastic programming of drilling rigs supplies; Programacao estocastica de suprimentos de sondas

    Energy Technology Data Exchange (ETDEWEB)

    Vieira, Bruno Ferreira; Ferreira Filho, Virgilio Jose Martins [Coordenacao dos Programas de Pos-Graduacao de Engenharia (COPPE/UFRJ), RJ (Brazil)

    2012-07-01

    The goal of this work is to use techniques of stochastic programming to reduce logistic costs regarding offshore drilling rigs. This theme is of great interest to Brazilian oil industry since there is an increasing number of wells that need to be perforated so that Brazilian oil production can reach its expected growth over the next ten years (PETROBRAS in particular has an ambitious strategy in this respect). Proper treatment of the uncertainties involved in the deliveries of supplies to offshore drilling rigs is essential, namely, these uncertainties need to be included in the models used in logistic models. Delays in the deliveries of products such as chemicals, perforation fluids and tubes may force drilling rigs to stop their operations what highly increases costs. The daily hiring rates of drilling rigs represent the highest cost in the perforation and completion of a well. (author)

  1. [Minimally invasive surgery and robotic surgery: surgery 4.0?].

    Science.gov (United States)

    Feußner, H; Wilhelm, D

    2016-03-01

    Surgery can only maintain its role in a highly competitive environment if results are continuously improved, accompanied by further reduction of the interventional trauma for patients and with justifiable costs. Significant impulse to achieve this goal was expected from minimally invasive surgery and, in particular, robotic surgery; however, a real breakthrough has not yet been achieved. Accordingly, the new strategic approach of cognitive surgery is required to optimize the provision of surgical treatment. A full scale integration of all modules utilized in the operating room (OR) into a comprehensive network and the development of systems with technical cognition are needed to upgrade the current technical environment passively controlled by the surgeon into an active collaborative support system (surgery 4.0). Only then can the true potential of minimally invasive surgery and robotic surgery be exploited.

  2. Endoscopic PIV measurements in a low pressure turbine rig

    Energy Technology Data Exchange (ETDEWEB)

    Kegalj, Martin; Schiffer, Heinz-Peter [Technische Universitaet Darmstadt (Germany). Department of Gas Turbines and Aerospace Propulsion

    2009-10-15

    Particle-Image-Velocimetry (PIV) is a useful way to acquire information about the flow in turbomachinery. Several premises have to be fulfilled to achieve high-quality data, for example, optical access, low vibrations and low reflections. However, not all test facilities comply with these requirements. If there is no optical access to the test area, measurements cannot be performed. The use of borescopic optics is a possible solution to this issue, as the access required is very small. Several different techniques can be used to measure the three components of the velocity vector, one of which is Stereo-PIV. These techniques require either large optical access from several viewing angles or highly complex setups. Orthogonal light sheet orientations in combination with borescopic optics using Planar-PIV can deliver sufficient information about the flow. This study will show the feasibility of such an approach in an enclosed test area, such as the interblade space in a Low-Pressure-Turbine-Rig. The results from PIV will be compared with data collected with conventional techniques, such as the Five-Hole-Probe and the 2-component Hot-Wire-Anemometry. An analysis of time- and phase-averaged data will be performed. (orig.)

  3. New Dynamic Spin Rig Capabilities Used to Determine Rotating Blade Dynamics

    Science.gov (United States)

    Provenza, Andrew J.

    2004-01-01

    The Dynamic Spin Rig Facility at the NASA Glenn Research Center is used to determine the structural response of rotating engine components without the effects of aerodynamic loading. Recently, this rig's capabilities were enhanced through the replacement of grease-lubricated ball bearings with magnetic bearings. Magnetic bearings offer a number of advantages--the most important here being that they not only fully support the rotor system, but excite it as well. Three magnetic bearings support the rotor and provide five axes of controlled motion: an x- and y-axis translation at each of two radial bearings and a z-axis translation in the vertical or axial direction. Sinusoidal excitation (most commonly used) can be imparted on the rotor through the radial magnetic bearings in either a fixed or rotating frame of reference. This excitation is added directly to the magnetic bearing control output. Since the rotor is fully levitated, large translations and rotations of the rotor system can be achieved. Some of the capabilities of this excitation system were determined and reported. The accelerations obtained at the tip of a titanium flat plate test article versus the swept sine excitation sent to both radial bearings in phase and perpendicular to the plane containing the two blades are shown. Recent tests required the excitation of fundamental bending and torsional blade resonances at rotor speeds up to 10,000 rpm. Successful fixed synchronous rotation of the excitation signal provided the best detectable blade resonant vibrations at excitation frequencies up to 1100 Hz for the particular blades of interest. A noncontacting laser measurement system was used to collect blade-tip motions. From these data, the amplitude and frequency of the motion could be determined as well as the blade damping properties. Damping could be determined using two methods: (1) free decay and (2) curve fitting the vibration amplitude as a function of frequency in and around the resonance of

  4. Activation of duck RIG-I by TRIM25 is independent of anchored ubiquitin.

    Directory of Open Access Journals (Sweden)

    Domingo Miranzo-Navarro

    Full Text Available Retinoic acid inducible gene I (RIG-I is a viral RNA sensor crucial in defense against several viruses including measles, influenza A and hepatitis C. RIG-I activates type-I interferon signalling through the adaptor for mitochondrial antiviral signaling (MAVS. The E3 ubiquitin ligase, tripartite motif containing protein 25 (TRIM25, activates human RIG-I through generation of anchored K63-linked polyubiquitin chains attached to lysine 172, or alternatively, through the generation of unanchored K63-linked polyubiquitin chains that interact non-covalently with RIG-I CARD domains. Previously, we identified RIG-I of ducks, of interest because ducks are the host and natural reservoir of influenza viruses, and showed it initiates innate immune signaling leading to production of interferon-beta (IFN-β. We noted that K172 is not conserved in RIG-I of ducks and other avian species, or mouse. Because K172 is important for both mechanisms of activation of human RIG-I, we investigated whether duck RIG-I was activated by TRIM25, and if other residues were the sites for attachment of ubiquitin. Here we show duck RIG-I CARD domains are ubiquitinated for activation, and ubiquitination depends on interaction with TRIM25, as a splice variant that cannot interact with TRIM25 is not ubiquitinated, and cannot be activated. We expressed GST-fusion proteins of duck CARD domains and characterized TRIM25 modifications of CARD domains by mass spectrometry. We identified two sites that are ubiquitinated in duck CARD domains, K167 and K193, and detected K63 linked polyubiquitin chains. Site directed mutagenesis of each site alone, does not alter the ubiquitination profile of the duck CARD domains. However, mutation of both sites resulted in loss of all attached ubiquitin and polyubiquitin chains. Remarkably, the double mutant duck RIG-I CARD still interacts with TRIM25, and can still be activated. Our results demonstrate that anchored ubiquitin chains are not necessary for

  5. The Feasibility of a Completely Automated Total IV Anesthesia Drug Delivery System for Cardiac Surgery.

    Science.gov (United States)

    Zaouter, Cedrick; Hemmerling, Thomas M; Lanchon, Romain; Valoti, Emanuela; Remy, Alain; Leuillet, Sébastien; Ouattara, Alexandre

    2016-10-01

    In this pilot study, we tested a novel automatic anesthesia system for closed-loop administration of IV anesthesia drugs for cardiac surgical procedures with cardiopulmonary bypass. This anesthesia drug delivery robot integrates all 3 components of general anesthesia: hypnosis, analgesia, and muscle relaxation. Twenty patients scheduled for elective cardiac surgery with cardiopulmonary bypass were enrolled. Propofol, remifentanil, and rocuronium were administered using closed-loop feedback control. The main objective was the feasibility of closed-loop anesthesia defined as successful automated cardiac anesthesia without manual override by the attending anesthesiologist. Secondary qualitative observations were clinical and controller performances. The clinical performance of hypnosis control was the efficacy to maintain a bispectral index (BIS) of 45. To evaluate the hypnosis performance, BIS values were stratified into 4 categories: "excellent," "good," "poor," and "inadequate" hypnosis control defined as BIS values within 10%, ranging from 11% to 20%, ranging from 21% to 30%, or >30% of the target value, respectively. The clinical performance of analgesia was the efficacy to maintain NociMap values close to 0. The analgesia performance was assessed classifying the NociMap values in 3 pain control groups: -33 to +33 representing excellent pain control, -34 to -66 and +34 to +66 representing good pain control, and -67 to -100 and +67 to +100 representing insufficient pain control. The controller performance was calculated using the Varvel parameters. Robotic anesthesia was successful in 16 patients, which is equivalent to 80% (97.5% confidence interval [CI], 53%-95%) of the patients undergoing cardiac surgery. Four patients were excluded from the final analysis because of technical problems with the automated anesthesia delivery system. The secondary qualitative observations revealed that the clinical performance of hypnosis allowed an excellent and good control

  6. Both STING and MAVS fish orthologs contribute to the induction of interferon mediated by RIG-I.

    Directory of Open Access Journals (Sweden)

    Stéphane Biacchesi

    Full Text Available Viral infections are detected in most cases by the host innate immune system through pattern-recognition receptors (PRR, the sensors for pathogen-associated molecular patterns (PAMPs, which induce the production of cytokines, such as type I interferons (IFN. Recent identification in mammalian and teleost fish of cytoplasmic viral RNA sensors, RIG-I-like receptors (RLRs, and their mitochondrial adaptor: the mitochondrial antiviral signaling (MAVS protein, also called IPS-1, highlight their important role in the induction of IFN at the early stage of a virus infection. More recently, an endoplasmic reticulum (ER adaptor: the stimulator of interferon genes (STING protein, also called MITA, ERIS and MPYS, has been shown to play a pivotal role in response to both non-self-cytosolic RNA and dsDNA. In this study, we cloned STING cDNAs from zebrafish and showed that it was an ortholog to mammalian STING. We demonstrated that overexpression of this ER protein in fish cells led to a constitutive induction of IFN and interferon-stimulated genes (ISGs. STING-overexpressing cells were almost fully protected against RNA virus infection with a strong inhibition of both DNA and RNA virus replication. In addition, we found that together with MAVS, STING was an important player in the RIG-I IFN-inducing pathway. This report provides the demonstration that teleost fish possess a functional RLR pathway in which MAVS and STING are downstream signaling molecules of RIG-I. The Sequences presented in this article have been submitted to GenBank under accession numbers: Zebrafish STING (HE856619; EPC STING (HE856620; EPC IRF3 (HE856621; EPC IFN promoter (HE856618.

  7. Augmented reality as an aid in maxillofacial surgery: validation of a wearable system allowing maxillary repositioning.

    Science.gov (United States)

    Badiali, Giovanni; Ferrari, Vincenzo; Cutolo, Fabrizio; Freschi, Cinzia; Caramella, Davide; Bianchi, Alberto; Marchetti, Claudio

    2014-12-01

    We present a newly designed, localiser-free, head-mounted system featuring augmented reality as an aid to maxillofacial bone surgery, and assess the potential utility of the device by conducting a feasibility study and validation. Our head-mounted wearable system facilitating augmented surgery was developed as a stand-alone, video-based, see-through device in which the visual features were adapted to facilitate maxillofacial bone surgery. We implement a strategy designed to present augmented reality information to the operating surgeon. LeFort1 osteotomy was chosen as the test procedure. The system is designed to exhibit virtual planning overlaying the details of a real patient. We implemented a method allowing performance of waferless, augmented-reality assisted bone repositioning. In vitro testing was conducted on a physical replica of a human skull, and the augmented reality system was used to perform LeFort1 maxillary repositioning. Surgical accuracy was measured with the aid of an optical navigation system that recorded the coordinates of three reference points (located in anterior, posterior right, and posterior left positions) on the repositioned maxilla. The outcomes were compared with those expected to be achievable in a three-dimensional environment. Data were derived using three levels of surgical planning, of increasing complexity, and for nine different operators with varying levels of surgical skill. The mean error was 1.70 ± 0.51 mm. The axial errors were 0.89 ± 0.54 mm on the sagittal axis, 0.60 ± 0.20 mm on the frontal axis, and 1.06 ± 0.40 mm on the craniocaudal axis. The simplest plan was associated with a slightly lower mean error (1.58 ± 0.37 mm) compared with the more complex plans (medium: 1.82 ± 0.71 mm; difficult: 1.70 ± 0.45 mm). The mean error for the anterior reference point was lower (1.33 ± 0.58 mm) than those for both the posterior right (1.72 ± 0.24 mm) and posterior left points (2.05 ± 0.47 mm). No significant difference

  8. RIG-1 expression is associated with sexual malfunctions of female type 2 diabetic patients

    Directory of Open Access Journals (Sweden)

    Batool Hajebrahimi

    2017-03-01

    Full Text Available Introduction: The patients with type 2 diabetes (T2D suffer from the malfunctions of the sexual behaviors, and several mechanisms have been proposed to describe these disorders. The innate immunity may be involved in the malfunctions of T2D patients. Melanoma differentiation-associated protein 5 (MDA5 and retinoic acid (RA-inducible gene 1 (RIG-1, as the innate immunity receptors, are the responsible molecules for the activation of some intracellular signaling pathways and the induction of inflammation. Thus, this study aimed to examine the molecules which may participate in the induction/stimulation of sexual malfunctions in the female T2D patients. Methods: Sexual functions were evaluated in 41 female T2D patients using the Female Sexual Function Index (FSFI questionnaire. Real-time polymerase chain reaction (PCR technique was used to quantify MDA5 and RIG-1 mRNA levels. Results: Results showed that increased RIG-1 mRNA levels were significantly associated with the bad orgasm in the female T2D patients compared to the female patients with good orgasm. Expression of RIG-1 and MDA5 levels were not associated with other sexual functions’ criteria. Conclusion: The findings of this study demonstrated that bad orgasm is associated with the increased RIG-1 expression. Consequently, the correlation between inflammation and bad orgasm in a RIG-1 dependent manner is suggested.

  9. Simulation of Fluid Flows through the Irradiation Test Rig for DUPIC Mini-element

    Energy Technology Data Exchange (ETDEWEB)

    Park, Joo Hwan; Yoon, Churl; Lee, Chul Yong; Song, Kee Chan

    2006-02-15

    The flow characteristic of the irradiation test rigs has been investigated by using a commercial CFD code, CFX-5.7(Ansys Inc.). The test rigs had been developed and fabricated to irradiate the DUPIC mini-elements in the HANARO research reactor of the Korea Atomic Energy Research Institute. First, the fluid flow through the DUPIC-2 test rig was calculated and compared with an experimental data. The computed pressure drops across the DUPIC-2 test rig match well with the experimental data. Then, a CFD analysis has been performed for the fluid flow through the newly-designed DUPIC-6 test rig. As results of the prediction, it is estimated that the mass flow rate is 8.0 kg/s under the pressure drop across the DUPIC-6 test rig of 215.5 kPa. The corresponding the maximum vibration displacement is expected to be around 50 {open_square}m, which satisfies the license limit with large margin.

  10. Use of a gesture user interface as a touchless image navigation system in dental surgery: Case series report

    Energy Technology Data Exchange (ETDEWEB)

    Rosa, Guillermo M.; Elizondo, Maria L. [CORE Dental Clinic, Resistencia (Argentina)

    2014-06-15

    The purposes of this study were to develop a workstation computer that allowed intraoperative touchless control of diagnostic and surgical images by a surgeon, and to report the preliminary experience with the use of the system in a series of cases in which dental surgery was performed. A custom workstation with a new motion sensing input device (Leap Motion) was set up in order to use a natural user interface (NUI) to manipulate the imaging software by hand gestures. The system allowed intraoperative touchless control of the surgical images. For the first time in the literature, an NUI system was used for a pilot study during 11 dental surgery procedures including tooth extractions, dental implant placements, and guided bone regeneration. No complications were reported. The system performed very well and was very useful. The proposed system fulfilled the objective of providing touchless access and control of the system of images and a three-dimensional surgical plan, thus allowing the maintenance of sterile conditions. The interaction between surgical staff, under sterile conditions, and computer equipment has been a key issue. The solution with an NUI with touchless control of the images seems to be closer to an ideal. The cost of the sensor system is quite low; this could facilitate its incorporation into the practice of routine dental surgery. This technology has enormous potential in dental surgery and other healthcare specialties.

  11. Use of a gesture user interface as a touchless image navigation system in dental surgery: Case series report.

    Science.gov (United States)

    Rosa, Guillermo M; Elizondo, María L

    2014-06-01

    The purposes of this study were to develop a workstation computer that allowed intraoperative touchless control of diagnostic and surgical images by a surgeon, and to report the preliminary experience with the use of the system in a series of cases in which dental surgery was performed. A custom workstation with a new motion sensing input device (Leap Motion) was set up in order to use a natural user interface (NUI) to manipulate the imaging software by hand gestures. The system allowed intraoperative touchless control of the surgical images. For the first time in the literature, an NUI system was used for a pilot study during 11 dental surgery procedures including tooth extractions, dental implant placements, and guided bone regeneration. No complications were reported. The system performed very well and was very useful. The proposed system fulfilled the objective of providing touchless access and control of the system of images and a three-dimensional surgical plan, thus allowing the maintenance of sterile conditions. The interaction between surgical staff, under sterile conditions, and computer equipment has been a key issue. The solution with an NUI with touchless control of the images seems to be closer to an ideal. The cost of the sensor system is quite low; this could facilitate its incorporation into the practice of routine dental surgery. This technology has enormous potential in dental surgery and other healthcare specialties.

  12. Saga of payment systems of ambulatory surgery centers for interventional techniques: an update.

    Science.gov (United States)

    Manchikanti, Laxmaiah; Singh, Vijay; Hirsch, Joshua A

    2012-01-01

    The health care system in the United States has been criticized for skyrocketing expenditures and quality deficits. Simultaneously, health care providers and systems are under pressure to provide better and more proficient care. The landscape of the US health care system is shaped by federal and private payers which continue to develop initiatives designed to curtail costs. These include value-based reimbursement programs; cost-shifting expenses to the consumer and reducing reimbursement of providers and facilities. Moreover, there is an underlying thought to steer provision of health care to theoretically more efficient settings. Many of these initiatives are based on affordable health care reform. The major aspects of curtailing health care costs include hospital and other facility payments as well as physician payments and reductions in the approved services. Consequently, ambulatory surgery centers (ASCs) are not immune to these changes. Until 1970, all surgery was performed in hospitals. The development of ASCs and site of service differential payments for in-office procedures have changed the dynamics of surgical trends with outpatient surgeries outpacing inpatient surgeries by as early as 1989. By 2008, approximately 65% of procedures were performed in all outpatient settings including hospital outpatient departments. ASCs claim that improved efficiency in health care delivery allows patients to spend less time in the health care setting with quicker turn over, improving the productivity of the health care team. However, since the majority of the ASCs are owned, in part, by the physicians who staff them, the financial incentives related to ownership have been alleged to potentially alter provider behavior. The number of Medicare certified ASCs and total Medicare payments from 1999 to 2010 increased significantly, but more recent year-to-year changes are far less substantial when compared to previous years. Net percent revenue growth from 2008 to 2009 was 3

  13. An optoacoustic guide with augmented reality system towards precision breast conserving surgery (Conference Presentation)

    Science.gov (United States)

    Lan, Lu; Liu, Kaiming; Xia, Yan; Wu, Jiayingzi; Li, Rui; Wang, Pu; Han, Linda K.; Cheng, Ji-Xin

    2017-02-01

    Breast-conserving surgery is a well-accepted breast cancer treatment. However, it is still challenging for the surgeon to accurately localize the tumor during the surgery. Also, the guidance provided by current methods is 1 dimensional distance information, which is indirect and not intuitive. Therefore, it creates problems on a large re-excision rate, and a prolonged surgical time. To solve these problems, we have developed a fiber-delivered optoacoustic guide (OG), which mimics the traditional localization guide wire and is preoperatively placed into tumor mass, and an augmented reality (AR) system to provide real-time visualization on the location of the tumor with sub-millimeter variance. By a nano-composite light diffusion sphere and light absorbing layer formed on the tip of an optical fiber, the OG creates an omnidirectional acoustic source inside tumor mass under pulsed laser excitation. The optoacoustic signal generated has a high dynamic range ( 58dB) and spreads in a large apex angle of 320 degrees. Then, an acoustic radar with three ultrasound transducers is attached to the breast skin, and triangulates the location of the OG tip. With an AR system to sense the location of the acoustic radar, the relative position of the OG tip inside the tumor to the AR display is calculated and rendered. This provides direct visual feedback of the tumor location to surgeons, which will greatly ease the surgical planning during the operation and save surgical time. A proof-of-concept experiment using a tablet and a stereo-vision camera is demonstrated and 0.25 mm tracking variance is achieved.

  14. Effect of the systemic inflammatory response, as provoked by elective orthopaedic surgery, on HbA1c.

    Science.gov (United States)

    Chadburn, Andrew J; Garman, Elizabeth; Abbas, Raad; Modupe, Anu; Ford, Clare; Thomas, Osmond L; Chugh, Sanjiv; Deshpande, Shreeram; Gama, Rousseau

    2017-01-01

    Background In acutely ill patients with new onset hyperglycaemia, plasma glucose cannot reliably distinguish between stress hyperglycaemia and undiagnosed diabetes mellitus. We, therefore, investigated the diagnostic reliability of glycated haemoglobin (HbA1c) in acute illness by prospectively evaluating the effect of the systemic inflammatory response, as provoked by elective orthopaedic surgery, on HbA1c. Methods HbA1c and serum C-reactive protein concentrations were compared before and two days after elective knee or hip surgery in 30 patients without diabetes. C-reactive protein was used to assess the systemic inflammatory response. Results The mean (standard deviation) serum C-reactive protein increased following surgery (4.8 [7.5] vs. 179.7 [61.9] mg/L; P<0.0001). HbA1c was similar before and after surgery (39.2 [5.4] vs. 38.1 [5.1] mmol/moL, respectively; P = 0.4363). Conclusions HbA1c is unaffected within two days of a systemic inflammatory response as provoked by elective orthopaedic surgery. This suggests that HbA1c may be able to differentiate newly presenting type 2 diabetes mellitus from stress hyperglycaemia in acutely ill patients with new onset hyperglycaemia.

  15. Use of self-tapping metal screws for temporary fixation of a resorbable plate system in maxillofacial surgery.

    Science.gov (United States)

    Iwai, Toshinori; Omura, Susumu; Aoki, Noriaki; Tohnai, Iwai

    2015-05-01

    Resorbable plate systems have been used in maxillofacial surgery to obviate the need for plate removal. However, resorbable plates and screws are very costly, and refixation with additional screws may be necessary when reduction or repositioning of the bone segment is inaccurate. Here we report the use of self-tapping metal screws for temporary fixation of a resorbable plating system in maxillofacial surgery to avoid the use of additional screws following inaccurate fixation or the reuse of resorbable screws, which may result in loosening.

  16. CFD-Guided Development of Test Rigs for Studying Erosion and Large-Particle Damage of Thermal Barrier Coatings

    Directory of Open Access Journals (Sweden)

    Maria A. Kuczmarski

    2011-01-01

    Full Text Available Burner rigs are routinely used to qualify materials for gas turbine applications. The most useful rig tests are those that can replicate, often in an accelerated manner, the degradation that materials experience in the engine. Computational fluid dynamics (CFD can be used to accelerate the successful development and continuous improvement of combustion burner rigs for meaningful materials testing. Rig development is typically an iterative process of making incremental modifications to improve the rig performance for testing requirements. Application of CFD allows many of these iterations to be done computationally before hardware is built or modified, reducing overall testing costs and time, and it can provide an improved understanding of how these rigs operate. This paper describes the use of CFD to develop burner test rigs for studying erosion and large-particle damage of thermal barrier coatings (TBCs used to protect turbine blades from high heat fluxes in combustion engines. The steps used in this study—determining the questions that need to be answered regarding the test rig performance, developing and validating the model, and using it to predict rig performance—can be applied to the efficient development of other test rigs.

  17. Performance of European system for cardiac operative risk evaluation in Veterans General Hospital Kaohsiung cardiac surgery.

    Science.gov (United States)

    Shih, Hsin-Hung; Kang, Pei-Luen; Pan, Jun-Yen; Wu, Tung-Ho; Wu, Chieh-Ten; Lin, Chun-Yao; Lin, Yu-Hsin; Chou, Wan-Ting

    2011-03-01

    The European System for Cardiac Operative Risk Evaluation (EuroSCORE) model is a widely-used risk prediction algorithm for in-hospital or 30-day mortality in adult cardiac surgery patients. Recent studies indicated that EuroSCORE tends to overpredict mortality. The aim of our study is to evaluate the validity of EuroSCORE in Veterans General Hospital Kaohsiung (VGHKS) cardiac surgery including a number of different surgical and risk subgroups. From January 2006 to December 2009, 1,240 adult patients who underwent cardiac surgery in VGHKS were included in this study. The study was followed the guidelines of the Ethics Committee of Kaohsiung Veterans General Hospital, Taiwan. Both additive and logistic score of all patients were calculated depending on the formula in the official EuroSCORE website. The entire cohort, different surgical type and risk stratification subgroups were analyzed. Model discrimination was tested by determining the area under receiver operating characteristic (ROC) curve. Model calibration was tested by the Hosmer-Lemeshow chi-square test. Clinical performance of model was assessed by comparing the observed and predicted mortality rates. There were significant differences between the VGHKS and European cardiac surgical populations. The additive score and logistic score for the overall group were 7.16% and 12.88%, respectively. Observed mortality was 10.72% overall, 5.68% for isolated coronary artery bypass grafting (CABG), 4.67% for the mitral valve only and 4.25% for the aortic valve only group. The discriminative ability EuroSCORE was very good in all and various surgical subgroups, with area under the ROC curve from 0.75 to 0.87. The addictive and logistic models of EuroSCORE showed excellent accuracy, 0.839 and 0.845, respectively. Good calibration power was recognized by p value higher than 0.05 for the entire cohort and all subgroups of patients except for isolated CABG. The logistic EuroSCORE model overestimated mortality to different

  18. New real-time MR image-guided surgical robotic system for minimally invasive precision surgery

    Energy Technology Data Exchange (ETDEWEB)

    Hashizume, M.; Yasunaga, T.; Konishi, K. [Kyushu University, Department of Advanced Medical Initiatives, Faculty of Medical Sciences, Fukuoka (Japan); Tanoue, K.; Ieiri, S. [Kyushu University Hospital, Department of Advanced Medicine and Innovative Technology, Fukuoka (Japan); Kishi, K. [Hitachi Ltd, Mechanical Engineering Research Laboratory, Hitachinaka-Shi, Ibaraki (Japan); Nakamoto, H. [Hitachi Medical Corporation, Application Development Office, Kashiwa-Shi, Chiba (Japan); Ikeda, D. [Mizuho Ikakogyo Co. Ltd, Tokyo (Japan); Sakuma, I. [The University of Tokyo, Graduate School of Engineering, Bunkyo-Ku, Tokyo (Japan); Fujie, M. [Waseda University, Graduate School of Science and Engineering, Shinjuku-Ku, Tokyo (Japan); Dohi, T. [The University of Tokyo, Graduate School of Information Science and Technology, Bunkyo-Ku, Tokyo (Japan)

    2008-04-15

    To investigate the usefulness of a newly developed magnetic resonance (MR) image-guided surgical robotic system for minimally invasive laparoscopic surgery. The system consists of MR image guidance [interactive scan control (ISC) imaging, three-dimensional (3-D) navigation, and preoperative planning], an MR-compatible operating table, and an MR-compatible master-slave surgical manipulator that can enter the MR gantry. Using this system, we performed in vivo experiments with MR image-guided laparoscopic puncture on three pigs. We used a mimic tumor made of agarose gel and with a diameter of approximately 2 cm. All procedures were successfully performed. The operator only advanced the probe along the guidance device of the manipulator, which was adjusted on the basis of the preoperative plan, and punctured the target while maintaining the operative field using robotic forceps. The position of the probe was monitored continuously with 3-D navigation and 2-D ISC images, as well as the MR-compatible laparoscope. The ISC image was updated every 4 s; no artifact was detected. A newly developed MR image-guided surgical robotic system is feasible for an operator to perform safe and precise minimally invasive procedures. (orig.)

  19. [Application of micro-power system in the surgery of tooth extraction].

    Science.gov (United States)

    Kaijin, Hu; Yongfeng, Li

    2015-02-01

    Tooth extraction is a common operation in oral surgery. Traditional-extraction instruments, such as bone chisel, elevator, and bone hammer, lead to not only severe trauma but also unnecessary complications, and patients easily become nervous and apprehensive if tooth extraction is performed using these violent instruments. In recent years, with the develop- ment of minimally invasive concept and technology, various micro-power instruments have been used for tooth extraction. This innovative technology can reduce the iatrogenic trauma and complications of tooth extraction. Additionally, this technology can greatly decrease the patient's physical and mental pressure. The new equipment compensates for the deficiency of traditional tooth extraction equipment and facilitates the gradual replacement of the latter. Diverse micro-power systems have distinct strengths and weaknesses, so some auxiliary instruments are still needed during tooth extraction. This paper focuses on the various micro-power systems for tooth extraction and tries to compare the advantages and disadvantages of these systems. Selection and usage of auxiliary equipment are also introduced. Thus, this paper provides reference for the proper application of the micro-power systems in tooth extraction.

  20. Brief report: a hypothetical construct based on limited data visual system recovery after refractive surgery.

    Science.gov (United States)

    Lattimore, Morris R

    2015-03-01

    Laser refractive surgery, involving the computer-controlled application of a 193-nm beam of excimer laser "light," is utilized to resculpt the central cornea, thus reducing its apical thickness. On casual inspection, this simple matter of removing or excising a specific amount of central corneal avascular tissue is a smooth, seamless alteration with few apparent secondary issues or sequelae. Normal postoperative recovery is typically gauged by the recovery of high-contrast visual acuity to the same (or better) degree as was previously obtained with a spectacle correction. However, although this is an acceptable means of determining operative success, it is not indicative of the complex challenges imposed upon the neurosensory system. The secondarily imposed strain upon the visual system, regarding the return to its pre-existing visual line-of-sight organization occurs only by bringing multiple adaptations into subtle and seamless play. This process is initiated and completed in a relatively short time period, such that most patients (but not all) are not even marginally aware of the challenges imposed to the visual system. This article is meant to probe those system challenges, serving to highlight this postoperative plasticity, seeking to gain a broader understanding and appreciation of the perceptual range of the visual recovery process.

  1. Single-port-access surgery with a novel magnet camera system.

    Science.gov (United States)

    Terry, Benjamin S; Mills, Zachary C; Schoen, Jonathan A; Rentschler, Mark E

    2012-04-01

    In this paper, we designed, built, and tested a novel single-port access laparoscopic surgery (SPA) specific camera system. This device (magnet camera) integrates a light source and video camera into a small, inexpensive, portable package that does not compete for space with the surgical tools during SPA. The device is inserted through a 26-mm incision in the umbilicus, followed by the SPA port, which is used to maintain an insufflation seal and support the insertion of additional tools. The camera, now in vivo, remains separate from the SPA port, thereby removing the need for a dedicated laparoscope, and, thus, allowing for an overall reduction in SPA port size or the use of a third tool through the insertion port regularly reserved for the traditional laparoscope. The SPA camera is mounted to the abdominal ceiling using one of the two methods: fixation to the SPA port through the use of a rigid ring and cantilever bar, or by an external magnetic handle. The purpose of the magnet camera system is to improve SPA by: 1) eliminating the laparoscope SPA channel; 2) increasing the field of view through enhanced camera system mobility; and 3) reducing interference between the camera system and the surgical tools at the port, both in vivo and ex vivo.

  2. Control Study for Five-axis Dynamic Spin Rig Using Magnetic Bearings

    Science.gov (United States)

    Choi, Benjamin; Johnson, Dexter; Provenza, Andrew; Morrison, Carlos; Montague, Gerald

    2003-01-01

    The NASA Glenn Research Center (GRC) has developed a magnetic bearing system for the Dynamic Spin Rig (DSR) with a fully suspended shaft that is used to perform vibration tests of turbomachinery blades and components under spinning conditions in a vacuum. Two heteropolar radial magnetic bearings and a thrust magnetic bearing and the associated control system were integrated into the DSR to provide magnetic excitation as well as non-contact mag- netic suspension of a 15.88 kg (35 lb) vertical rotor with blades to induce turbomachinery blade vibration. For rotor levitation, a proportional-integral-derivative (PID) controller with a special feature for multidirectional radial excitation worked well to both support and shake the shaft with blades. However, more advanced controllers were developed and successfully tested to determine the optimal controller in terms of sensor and processing noise reduction, smaller rotor orbits, more blade vibration amplitude, and energy savings for the system. The test results of a variety of controllers that were demonstrated up to 10.000 rpm are shown. Furthermore, rotor excitation operation and conceptual study of active blade vibration control are addressed.

  3. A Google Glass navigation system for ultrasound and fluorescence dual-mode image-guided surgery

    Science.gov (United States)

    Zhang, Zeshu; Pei, Jing; Wang, Dong; Hu, Chuanzhen; Ye, Jian; Gan, Qi; Liu, Peng; Yue, Jian; Wang, Benzhong; Shao, Pengfei; Povoski, Stephen P.; Martin, Edward W.; Yilmaz, Alper; Tweedle, Michael F.; Xu, Ronald X.

    2016-03-01

    Surgical resection remains the primary curative intervention for cancer treatment. However, the occurrence of a residual tumor after resection is very common, leading to the recurrence of the disease and the need for re-resection. We develop a surgical Google Glass navigation system that combines near infrared fluorescent imaging and ultrasonography for intraoperative detection of sites of tumor and assessment of surgical resection boundaries, well as for guiding sentinel lymph node (SLN) mapping and biopsy. The system consists of a monochromatic CCD camera, a computer, a Google Glass wearable headset, an ultrasonic machine and an array of LED light sources. All the above components, except the Google Glass, are connected to a host computer by a USB or HDMI port. Wireless connection is established between the glass and the host computer for image acquisition and data transport tasks. A control program is written in C++ to call OpenCV functions for image calibration, processing and display. The technical feasibility of the system is tested in both tumor simulating phantoms and in a human subject. When the system is used for simulated phantom resection tasks, the tumor boundaries, invisible to the naked eye, can be clearly visualized with the surgical Google Glass navigation system. This system has also been used in an IRB approved protocol in a single patient during SLN mapping and biopsy in the First Affiliated Hospital of Anhui Medical University, demonstrating the ability to successfully localize and resect all apparent SLNs. In summary, our tumor simulating phantom and human subject studies have demonstrated the technical feasibility of successfully using the proposed goggle navigation system during cancer surgery.

  4. Structural basis of RNA recognition and activation by innate immune receptor RIG-I

    Energy Technology Data Exchange (ETDEWEB)

    Jiang, Fuguo; Ramanathan, Anand; Miller, Matthew T.; Tang, Guo-Qing; Gale, Jr., Michael; Patel, Smita S.; Marcotrigiano, Joseph (Rutgers); (RWJ-Med); (UW-MED)

    2012-05-29

    Retinoic-acid-inducible gene-I (RIG-I; also known as DDX58) is a cytoplasmic pathogen recognition receptor that recognizes pathogen-associated molecular pattern (PAMP) motifs to differentiate between viral and cellular RNAs. RIG-I is activated by blunt-ended double-stranded (ds)RNA with or without a 5'-triphosphate (ppp), by single-stranded RNA marked by a 5'-ppp and by polyuridine sequences. Upon binding to such PAMP motifs, RIG-I initiates a signalling cascade that induces innate immune defences and inflammatory cytokines to establish an antiviral state. The RIG-I pathway is highly regulated and aberrant signalling leads to apoptosis, altered cell differentiation, inflammation, autoimmune diseases and cancer. The helicase and repressor domains (RD) of RIG-I recognize dsRNA and 5'-ppp RNA to activate the two amino-terminal caspase recruitment domains (CARDs) for signalling. Here, to understand the synergy between the helicase and the RD for RNA binding, and the contribution of ATP hydrolysis to RIG-I activation, we determined the structure of human RIG-I helicase-RD in complex with dsRNA and an ATP analogue. The helicase-RD organizes into a ring around dsRNA, capping one end, while contacting both strands using previously uncharacterized motifs to recognize dsRNA. Small-angle X-ray scattering, limited proteolysis and differential scanning fluorimetry indicate that RIG-I is in an extended and flexible conformation that compacts upon binding RNA. These results provide a detailed view of the role of helicase in dsRNA recognition, the synergy between the RD and the helicase for RNA binding and the organization of full-length RIG-I bound to dsRNA, and provide evidence of a conformational change upon RNA binding. The RIG-I helicase-RD structure is consistent with dsRNA translocation without unwinding and cooperative binding to RNA. The structure yields unprecedented insight into innate immunity and has a broader impact on other areas of biology, including

  5. Investigation of Spiral Bevel Gear Condition Indicator Validation via AC-29-2C Combining Test Rig Damage Progression Data with Fielded Rotorcraft Data

    Science.gov (United States)

    Dempsey, Paula J.

    2015-01-01

    fourteen tails and the test rig data set was reduced to eight tested gear sets. The damage modes compared were separated into three cases. For case one, both the gear and pinion showed signs of contact fatigue or scuffing damage. For case two, only the pinion showed signs of contact fatigue damage or scuffing. Case three was limited to the gear tests when scuffing occurred immediately after the gear run-in. Results of this investigation highlighted the importance of understanding the complete monitored systems, for both the helicopter and test rig, before interpreting health monitoring data. Further work is required to better define these two systems that include better state awareness of the fielded systems, new sensing technologies, new experimental methods or models that quantify the effect of system design on CI response and new methods for setting thresholds that take into consideration the variance of each system.

  6. [Current state of digestive system robotic surgery in the light of evidence based medicine].

    Science.gov (United States)

    Ortiz Oshiro, Elena; Fernández-Represa, Jesús Alvarez

    2009-03-01

    The incorporation of robotics in minimally invasive surgery has had mixed reception in the different fields of digestive surgery. Nowadays we are exposed to a continuous stream of publications on robotic approach techniques and outcomes, which do not always provide objective criteria and whose value, through scientific evidence analysis, is sometimes arguable. With the aim of shedding light on current knowledge on digestive robotic surgery and giving an update of its possibilities, the authors analyse the abundant literature available on the different digestive robotic surgery procedures, and sum up their own experience.

  7. Design and control of MR haptic master/slave robot system for minimally invasive surgery

    Science.gov (United States)

    Uhm, Chang-Ho; Nguyen, Phoung Bac; Choi, Seung-Bok

    2013-04-01

    In this work, magnetorheological (MR) haptic master and slave robot for minimally invasive surgery (MIS) have been designed and tested. The proposed haptic master consists of four actuators; three MR brakes featuring gimbal structure for 3-DOF rotation motion(X, Y and Z axes) and one MR linear actuator for 1-DOF translational motion. The proposed slave robot which is connected with the haptic master has vertically multi- joints, and it consists of four DC servomotors; three for positioning endoscope and one for spinning motion. We added a fixed bar with a ball joint on the base of the slave for the endoscope position at the patient's abdomen to maintain safety. A gimbal structure at the end of the slave robotic arm for the last joint rotates freely with respect to the pivot point of the fixed bar. This master-slave system runs as if a teleoperation system through TCP/IP connection, programmed by LabVIEW. In order to achieve the desired position trajectory, a proportional-integral-derivative (PID) controller is designed and implemented. It has been demonstrated that the effective tracking control performances for the desired motion are well achieved and presented in time domain. At last, an experiment in virtual environments is undertaken to investigate the effectiveness of the MR haptic master device for MIS system.

  8. Design and Integration of a Telerobotic System for Minimally Invasive Surgery of the Throat

    Science.gov (United States)

    Simaan, Nabil; Xu, Kai; Kapoor, Ankur; Wei, Wei; Kazanzides, Peter; Flint, Paul; Taylor, Russell

    2009-01-01

    This paper presents the clinical motivation, design specifications, kinematics, statics, and actuation compensation for a newly constructed telerobotic system for Minimally Invasive Surgery (MIS) of the throat. A hybrid dual-arm telesurgical slave, with twenty joint-space Degrees of Freedom (DoF), is used in this telerobotic system to provide the necessary dexterity in deep surgical fields such as the throat. The telerobotic slave uses novel continuum robots that use multiple super-elastic backbones for actuation and structural integrity. The paper presents the kinematics of the telesurgical slave and methods for actuation compensation to cancel the effects of backlash, friction, and flexibility of the actuation lines. A method for actuation compensation is presented in order to overcome uncertainties of modeling, friction, and backlash. This method uses a tiered hierarchy of two novel approaches of actuation compensation for remotely actuated snake-like robots. The tiered approach for actuation compensation uses compensation in both joint space and configuration space of the continuum robots. These actuation hybrid compensation schemes use intrinsic model information and external data through a recursive linear estimation algorithm and involve compensation using configuration space and joint space variables. Experimental results validate the ability of our integrated telemanipulation system through experiments of suturing and knot tying in confined spaces. PMID:20160881

  9. Design and evaluation of safety operation VR training system for robotic catheter surgery.

    Science.gov (United States)

    Wang, Yu; Guo, Shuxiang; Li, Yaxin; Tamiya, Takashi; Song, Yu

    2017-06-30

    A number of remote robotic catheter systems have been developed to protect physicians from X-ray exposure in endovascular surgery. However, the teleoperation prevents the physicians sensing the force directly which may easily result in healthy vessels injured. To realize the safe operation, a tissue protection-based VR training system has been developed in this paper to prevent collateral damage by collision. The integrated VR simulator cannot only remind the novice possible collisions by visual signs, but also cooperate with the newly designed tissue protection mechanism to remit collision trauma beforehand. Such mechanism exploits the diameter variable pulley in order to implement the safe interaction between catheter and vasculature. To testify the effectiveness of the tissue protection in training system, we invited four non-medical students to participate the successive 5 days training session. The evaluation results show that the average impingement distance (representing tissue damage) to vascular wall has been reduced to 0.6 mm, and the collision frequency is greatly decreased which implies the realization of relative safe catheterization.

  10. Augmented reality system for oral surgery using 3D auto stereoscopic visualization.

    Science.gov (United States)

    Tran, Huy Hoang; Suenaga, Hideyuki; Kuwana, Kenta; Masamune, Ken; Dohi, Takeyoshi; Nakajima, Susumu; Liao, Hongen

    2011-01-01

    We present an augmented reality system for oral and maxillofacial surgery in this paper. Instead of being displayed on a separated screen, three-dimensional (3D) virtual presentations of osseous structures and soft tissues are projected onto the patient's body, providing surgeons with exact knowledge of depth information of high risk tissues inside the bone. We employ a 3D integral imaging technique which produce motion parallax in both horizontal and vertical direction over a wide viewing area in this study. In addition, surgeons are able to check the progress of the operation in real-time through an intuitive 3D based interface which is content-rich, hardware accelerated. These features prevent surgeons from penetrating into high risk areas and thus help improve the quality of the operation. Operational tasks such as hole drilling, screw fixation were performed using our system and showed an overall positional error of less than 1 mm. Feasibility of our system was also verified with a human volunteer experiment.

  11. Fusarium Endophthalmitis following Cataract Surgery: Successful Treatment with Intravitreal and Systemic Voriconazole

    Directory of Open Access Journals (Sweden)

    Paulo A. Alves da Costa Pertuiset

    2016-01-01

    Full Text Available Purpose. To report a case of postoperative endophthalmitis caused by Fusarium species successfully treated with intravitreal and systemic voriconazole after treatment failure with amphotericin B. Methods. Clinical case report of a 60-year-old immunocompetent woman who presents with endophthalmitis of unknown origin 4 weeks after uneventful cataract extraction and IOL implantation surgery. IOL explantation, vitrectomy with capsular bag removal, vitreous aspiration for culture, and intravitreal injection of amphotericin B (5 μg/0.1 mL were performed. Diagnosis was established by culturing the vitreous aspirate on a Sabouraud agar medium and staining with lactophenol blue solution. Five days later, there was no clinical response. The decision was made to administer a single dose of intravitreal voriconazole (2.5 μg/0.1 mL and oral voriconazole (200 mg BID for 30 days. Results. Fusarium sp. grew on culture. Treatment with local and systemic voriconazole was started after no improvement with vitrectomy, IOL explantation, and intravitreal amphotericin B. After 1 month of treatment, the infection resolved and best-corrected visual acuity was 20/25. Conclusion. In patients with endophthalmitis caused by Fusarium sp., topical and systemic voriconazole treatment should be considered in cases resistant to intravitreal amphotericin B.

  12. Renin-angiotensin system inhibitors and troponin elevation in spinal surgery.

    Science.gov (United States)

    McClendon, Jamal; Smith, Timothy R; Thompson, Sara E; Sugrue, Patrick A; Sauer, Andrew J; O'Shaughnessy, Brian A; Carabini, Louanne; Koski, Tyler R

    2014-07-01

    Renin-angiotensin system (RAS) inhibition by angiotensin-converting enzyme inhibitors (ACEI)/angiotensin receptor blockers (ARB) has been shown to reduce cardiovascular mortality and non-fatal myocardial infarction (MI) in high-risk surgical patients. However, their effect in spinal surgery has not been explored. Our objective was to determine the effect of RAS inhibitors on postoperative troponin elevation in spinal fusions, and to examine their correlation with hospital stay. We retrospectively analyzed 208 consecutive patients receiving spinal fusions ⩾5 levels between 2007-2010 with a mean follow-up of 1.7 years. Inclusion criteria were age ⩾18 years, elective fusions for kyphoscoliosis, and semi-elective fusions for tumor or infection. Exclusion criteria were trauma and follow-up troponin elevation (⩾0.04 ng/mL), peak troponin level, and hospital stay. The results featured 208 patients with a mean body mass index (BMI) 28.5 kg/m(2) who underwent 345 spinal fusions. ACEI/ARB were withheld the day prior to surgery in 121 patients with 11 patients noteworthy for intra-operative electrocardiogram changes, 126 patients with troponin elevation, and 14 MI identified prior to discharge. Multivariate logistic regression identified BMI (p=0.04), estimated blood loss (p=0.015), and preoperative ACEI/ARB (p=0.015, odds ratio=2.7) as significant independent predictors for postoperative troponin elevation. Multivariate linear regression showed preoperative Oswestry Disability Index (p=0.002), unplanned return to operating room (p=0.007), pneumonia prior to hospital discharge (ptroponin elevation and increased hospital stay.

  13. The Systemic Inflammome of Severe Obesity before and after Bariatric Surgery

    Science.gov (United States)

    Arismendi, Ebymar; Rivas, Eva; Agustí, Alvar; Ríos, José; Barreiro, Esther; Vidal, Josep; Rodriguez-Roisin, Robert

    2014-01-01

    Introduction Obesity is associated with low-grade systemic inflammation. The “inflammome” is a network layout of the inflammatory pattern. The systemic inflammome of obesity has not been described as yet. We hypothesized that it can be significantly worsened by smoking and other comorbidities frequently associated with obesity, and ameliorated by bariatric surgery (BS). Besides, whether or not these changes are mirrored in the lungs is unknown, but obesity is often associated with pulmonary inflammation and bronchial hyperresponsiveness. Objectives We sought to: (1) describe the systemic inflammome of morbid obesity; (2) investigate the effects of sex, smoking, sleep apnea syndrome, metabolic syndrome and BS upon this systemic inflammome; and, (3) determine their interplay with pulmonary inflammation. Methods We studied 129 morbidly obese patients (96 females; age 46±12 years; body mass index [BMI], 46±6 kg/m2) before and one year after BS, and 20 healthy, never-smokers, (43±7 years), with normal BMI and spirometry. Results Before BS, compared with controls, all obese subjects displayed a strong and coordinated (inflammome) systemic inflammatory response (adiponectin, C-reactive protein, interleukin (IL)-8, IL-10, leptin, soluble tumor necrosis factor-receptor 1(sTNF-R1), and 8-isoprostane). This inflammome was not modified by sex, smoking, or coexistence of obstructive sleep apnea and/or metabolic syndrome. By contrast, it was significantly ameliorated, albeit not completely abolished, after BS. Finally, obese subjects had evidence of pulmonary inflammation (exhaled condensate) that also decreased after BS. Conclusions The systemic inflammome of morbid obesity is independent of sex, smoking status and/or comorbidities, it is significantly reduced by BS and mirrored in the lungs. PMID:25238542

  14. Thyroid Surgery

    Science.gov (United States)

    ... Fax/Phone Home » Thyroid Surgery Leer en Español Thyroid Surgery GENERAL INFORMATION Your doctor may recommend that ... made in conjunction with your endocrinologist and surgeon. Thyroid Surgery FAQs QUESTIONS AND CONSIDERATIONS When thyroid surgery ...

  15. Plastic Surgery

    Science.gov (United States)

    ... Surgery? A Week of Healthy Breakfasts Shyness Plastic Surgery KidsHealth > For Teens > Plastic Surgery Print A A ... forehead lightened with a laser? What Is Plastic Surgery? Just because the name includes the word "plastic" ...

  16. Scientific Drilling with the Sea Floor Drill Rig MeBo

    Directory of Open Access Journals (Sweden)

    Gerold Wefer

    2007-09-01

    Full Text Available In March 2007 the sea floor drill rig MeBo (short for “Meeresboden-Bohrgerät”, ‘sea floor drill rig’ in German returned from a 17-day scientific cruise with the new German research vessel Maria S. Merian. Four sites between 350 m and 1700 m water depth were sampled at the continental slope off Morocco by push coring and rotary drilling. Up to 41.5-m-long sediment cores were recovered from Miocene, Pliocene, and Pleistocene marls. MeBo bridges the gapbetween conventional sampling methods from standard multipurpose research vessels (gravity corer, piston corer, dredges and drill ships. Most bigger research vessels will be able to support deployment of the MeBo. Since the drill system can be easily transported within 20-ft containers, worldwide operation from vessels of opportunity is possible. With the MeBo a new system is available for marine geosciences that allows the recovery of high quality samples from soft sediments and hard rock from the deep sea withoutrelying on the services of expensive drilling vessels.

  17. Comparison Analysis Between Nevada and TSS Using a Jet Engine Exhaust Nozzle Test Rig

    Science.gov (United States)

    Baumeister, Joseph F.; Yuko, James R.

    1999-01-01

    Thermal analysis in both simple and complex models can require calculating the propagation of radiant energy to and from multiple surfaces. This can be accomplished through simple estimation techniques or complex computationally intense computer modeling simulations. Currently there are a variety of computer analysis techniques used to simulate the propagation of radiant energy, each having advantages and disadvantages. The major objective of this effort was to compare two ray tracing radiation propagation analysis programs (NEVADA and TSS) Net Energy Verification and Determination Analyzer and Thermal Synthesizer System with experimental data. Results from a non-flowing, electrically heated test rig was used to verify the calculated radiant energy propagation from a nozzle geometry that represents an aircraft propulsion nozzle system. In general the programs produced comparable overall results, and results slightly higher then the experimental data. Upon inspection of individual radiation interchange factors, differences were evident and would have been magnified if a more radical model temperature profile was analyzed. Bidirectional reflectivity data (BRDF) was not used do to modeling limitations in TSS. For code comparison purposes, this nozzle geometry represents only one case for one set of analysis conditions. Since each computer code has advantages and disadvantages bases on scope, requirements, and desired accuracy, the usefulness of this single case study may be limiting.

  18. Biannular Airbreathing Nozzle Rig (BANR) facility checkout and plug nozzle performance test data

    Science.gov (United States)

    Cummings, Chase B.

    2010-09-01

    The motivation for development of a supersonic business jet (SSBJ) platform lies in its ability to create a paradigm shift in the speed and reach of commercial, private, and government travel. A full understanding of the performance capabilities of exhaust nozzle configurations intended for use in potential SSBJ propulsion systems is critical to the design of an aircraft of this type. Purdue University's newly operational Biannular Airbreathing Nozzle Rig (BANR) is a highly capable facility devoted to the testing of subscale nozzles of this type. The high accuracy, six-axis force measurement system and complementary mass flowrate measurement capabilities of the BANR facility make it rather ideally suited for exhaust nozzle performance appraisal. Detailed accounts pertaining to methods utilized in the proper checkout of these diagnostic capabilities are contained herein. Efforts to quantify uncertainties associated with critical BANR test measurements are recounted, as well. Results of a second hot-fire test campaign of a subscale Gulfstream Aerospace Corporation (GAC) axisymmetric, shrouded plug nozzle are presented. Determined test article performance parameters (nozzle thrust efficiencies and discharge coefficients) are compared to those of a previous test campaign and numerical simulations of the experimental set-up. Recently acquired data is compared to published findings pertaining to plug nozzle experiments of similar scale and operating range. Suggestions relating to the future advancement and improvement of the BANR facility are provided. Lessons learned with regards to test operations and calibration procedures are divulged in an attempt to aid future facility users, as well.

  19. Hydraulic testing of helium cooled irradiation rigs of the IFMIF High Flux Test Module

    Energy Technology Data Exchange (ETDEWEB)

    Klein, Christine, E-mail: Christine.Klein@kit.edu [Karlsruhe Institute of Technology, INR, Eggenstein-Leopoldshafen (Germany); Arbeiter, Frederik; Jackowski, Thomas; Martin, Thomas; Schlindwein, Georg [Karlsruhe Institute of Technology, INR, Eggenstein-Leopoldshafen (Germany)

    2012-08-15

    Highlights: Black-Right-Pointing-Pointer Uniform perfusion of the multiple parallel minichannels of the rig model B by helium gas, which is of importance to obtain uniform and predictable temperatures, could be verified by measuring the mean velocity profiles of the rectangular jets are measured using hot-wire anemometry. Black-Right-Pointing-Pointer The pressure drop in the test section with rig model B was measured and delivers data for the validation of computational fluid dynamics (CFD) modeling approach for application in the IFMIF High Flux Test Module. The pressure drop depends significantly on the pressure level; acceleration resulting from the volumetric expansion of helium gas has to be modeled carefully in simulations. Black-Right-Pointing-Pointer Measurements with strain gage show the pressure depending deformation of the compartment container without the rig. The results agree well with simulations and approximation calculations. - Abstract: The hydraulic testing of a single 1:1 irradiation rig inside a mock-up container is part of the validation activities which support the engineering design of the High Flux Test Module. Uniform perfusion of the multiple parallel minichannels of the irradiation rigs by helium gas is of importance to obtain uniform and predictable temperatures. To evaluate the uniform distribution to the different parallel minichannels, the mean velocity profiles of the rectangular jets are measured using hot-wire anemometry. The velocity profiles show a symmetric and constant distribution of the mass flow to the parallel minichannels. The pressure drop in the test section with one of the candidate rig shapes is measured. The pressure drop depends significantly on the entrance pressure level; acceleration resulting from the volumetric expansion of helium gas has to be taken into account in simulations. Measurements with strain gage show the pressure depending deformation of the compartment container without the rig. The results agree

  20. A novel software program for detection of potential air emboli during cardiac surgery.

    Science.gov (United States)

    Secretain, Frank; Pollard, Andrew; Uddin, Mesbah; Ball, Christopher G; Hamilton, Andrew; Tanzola, Robert C; Thorpe, Joelle B; Milne, Brian

    2015-01-12

    Risks associated with air emboli introduced during cardiac surgery have been highlighted by reports of postoperative neuropsychological dysfunction, myocardial dysfunction, and mortality. Presently, there are no standard effective methods for quantifying potential emboli in the bloodstream during cardiac surgery. Our objective was to develop software that can automatically detect and quantify air bubbles within the ascending aorta and/or cardiac chambers during cardiac surgery in real time. We created a software algorithm ("Detection of Emboli using Transesophageal Echocardiography for Counting, Total volume, and Size estimation", or DETECTS™) to identify and measure potential emboli present during cardiac surgery using two-dimensional ultrasound. An in vitro experiment was used to validate the accuracy of DETECTS™ at identifying and measuring air emboli. An experimental rig was built to correlate the ultrasound images to high definition camera images of air bubbles created in water by an automatic bubbler system. There was a correlation between true bubble size and the size reported by DETECTS™ in our in vitro experiment (r = 0.76). We also tested DETECTS™ using TEE images obtained during cardiac surgery, and provide visualization of the software interface. While monitoring the heart during cardiac surgery using existing ultrasound technology and DETECTS™, the operative team can obtain real-time data on the number and volume of potential air emboli. This system will potentially allow de-airing techniques to be evaluated and improved upon. This could lead to reduced air in the cardiac chambers after cardiopulmonary bypass, possibly reducing the risk of neurological dysfunction following cardiac surgery.

  1. Comparison of Biodegradable and Titanium Fixation Systems in Maxillofacial Surgery : A Two-year Multi-center Randomized Controlled Trial

    NARCIS (Netherlands)

    van Bakelen, N. B.; Buijs, G. J.; Jansma, J.; de Visscher, J. G. A. M.; Hoppenreijs, Th. J. M.; Bergsma, J. E.; Stegenga, B.; Bos, R. R. M.

    2013-01-01

    Biodegradable osteosynthesis could reduce/delete the problems associated with titanium plate removal. The aim of the present study was to compare the clinical performance in the first 2 post-operative years between a biodegradable and a titanium system in oral and maxillofacial surgery. The multicen

  2. Regulation of innate antiviral defenses through a shared repressor domain in RIG-I and LGP2

    Science.gov (United States)

    Saito, Takeshi; Hirai, Reiko; Loo, Yueh-Ming; Owen, David; Johnson, Cynthia L.; Sinha, Sangita C.; Akira, Shizuo; Fujita, Takashi; Gale, Michael

    2007-01-01

    RIG-I is an RNA helicase containing caspase activation and recruitment domains (CARDs). RNA binding and signaling by RIG-I are implicated in pathogen recognition and triggering of IFN-α/β immune defenses that impact cell permissiveness for hepatitis C virus (HCV). Here we evaluated the processes that control RIG-I signaling. RNA binding studies and analysis of cells lacking RIG-I, or the related MDA5 protein, demonstrated that RIG-I, but not MDA5, efficiently binds to secondary structured HCV RNA to confer induction of IFN-β expression. We also found that LGP2, a helicase related to RIG-I and MDA5 but lacking CARDs and functioning as a negative regulator of host defense, binds HCV RNA. In resting cells, RIG-I is maintained as a monomer in an autoinhibited state, but during virus infection and RNA binding it undergoes a conformation shift that promotes self-association and CARD interactions with the IPS-1 adaptor protein to signal IFN regulatory factor 3- and NF-κB-responsive genes. This reaction is governed by an internal repressor domain (RD) that controls RIG-I multimerization and IPS-1 interaction. Deletion of the RIG-I RD resulted in constitutive signaling to the IFN-β promoter, whereas RD expression alone prevented signaling and increased cellular permissiveness to HCV. We identified an analogous RD within LGP2 that interacts in trans with RIG-I to ablate self-association and signaling. Thus, RIG-I is a cytoplasmic sensor of HCV and is governed by RD interactions that are shared with LGP2 as an on/off switch controlling innate defenses. Modulation of RIG-I/LGP2 interaction dynamics may have therapeutic implications for immune regulation. PMID:17190814

  3. Plastic surgery within the Veterans Affairs Medical System: proposed modified indications for operative procedures.

    Science.gov (United States)

    Erdmann, Detlev; Pradka, Sarah P; Similie, Ernest; Marcus, Jeffrey R; Moyer, Kurtis E; Shelburne, John D; Tyler, Douglas S; Levin, Scott L

    2009-07-01

    Many plastic surgery procedures span the divide between aesthetic ("cosmetic") and reconstructive surgery. However, definitions and guidelines may be inconsistent, which may decrease patients' access to legitimate procedures. The article aims to assist Veterans' Health Administration-affiliated plastic surgeons in continuing to provide optimal care to the Nation's Veterans and family members, and should be regarded as an open discussion.

  4. Structural design for automatic smart hydraulic workover rig%自动化智能液压修井机结构设计

    Institute of Scientific and Technical Information of China (English)

    牛文杰; 白永涛; 余焱群; 王晓斌; 王运安; 闫成新

    2016-01-01

    Conventional minor workover operations involving workover rigs are characterized by prolonged working durations, low degrees of automation, high labor intensities and poor operation safety performances. To solve these problems, an innovative automatic smart hydraulic workover rig was developed. With the control mode by combining “PLC/Manual automatic coupling control multiple components through coordination + man/machine offline operations”, all key systems of the workover rig can work in well-coordinated manner to facilitate automatic and unmanned minor workover operations in oilfields. Instead of horizontal arrangement of pipe-string on the ground in conventional workover operations, the new workover rig works in a mode that pipe-strings are placed vertically near the wellhead and two joints are tripped out simultaneously. Furthermore, the new workover rig may also be used for tripping of one joint in one trip with conventional horizontal placement of pipe string on the ground. Compared with conventional operations, the new workover rig can reduce the operation time by approximately 20%-30%. Fully driven by hydraulic system and with hydraulic accumulator system newly deployed, the new workover rig can save energy through configuration of driving modes with variable loads. In addition to facilitate remote control, the new workover rig mcan effectively enhance safety performance of workover operations.%针对目前传统修井机小修作业存在的作业周期长、作业自动化程度低、人工劳动强度大、作业安全性差等问题,设计了一款新型自动化智能液压修井机,通过“‘PLC 程控/人控’多单元协调自动耦合控制+人机离线操控”的控制方式使修井机的各个关键系统相互协同作业,实现油田小型修井作业过程的自动化、无人化操作。该修井机改变了传统修井作业过程中管柱地面卧排的放置方式,采用管柱井口立放、双立根同时起下的工作

  5. Different activation patterns in the plasma kallikrein-kinin and complement systems during coronary bypass surgery.

    Science.gov (United States)

    Kongsgaard, U E; Smith-Erichsen, N; Geiran, O; Amundsen, E; Mollnes, T E; Garred, P

    1989-07-01

    Components of the plasma kallikrein-kinin and complement systems were determined in patients undergoing open heart surgery with cardiopulmonary bypass. Spontaneous kallikrein activity (KK), plasma prekallikrein (PKK), functional kallikrein inhibition capacity (KKI), C3 activation products (C3-act), and the terminal complement complex (TCC) were measured. A marked, transitory increase in KK and a decrease in PKK were found prior to cardiopulmonary bypass just after heparin injection. An additional decline in PKK and KKI during bypass with a return to near control levels in the postoperative period was observed. C3-act increased in all patients during bypass, reaching a peak value at wound closure. The TCC concentration also increased significantly during cardiopulmonary bypass, returned to control levels in the early postoperative period, and then increased again in the late postoperative period. It is concluded that activation of the kallikrein-kinin system started after injection of heparin, prior to cardiopulmonary bypass. Activation of both the initial and the terminal complement cascade, however, started only after onset of cardiopulmonary bypass.

  6. The Design and Manufacturing Report of Non-Instrumented Rig for Dual-cooled Annular Fuel Irradiation Test in HANARO

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Dae Ho; Bang, Je Geon; Lim, Ik Sung; Kim, Sun Ki; Yang, Yong Sik; Song, Kun Woo; Seo, Chul Gyo; Park, Chan Kook

    2008-09-15

    This project is preparing to irradiation test of the developed double cooled annular fuel pellet in HANARO for pursuit advanced performance in High Performance Fuel Technology Development as a part Nuclear Mid and Long-term R and D Program. On the basis test rod is performed the nuclei property and preliminary fuel performance analysis, test rod and non-instrumented rig designed and manufactured for irradiation test in HANARO OR hole. This non- instrumented rig was confirmed the compatibility of HANARO and the integrity of rig structure, and satisfied the quality assurance requirements. This non- instrumented rig is adopt to the irradiation test for double cooled annular fuel pellet in HANARO.

  7. Influenza C virus NS1 protein counteracts RIG-I-mediated IFN signalling

    Directory of Open Access Journals (Sweden)

    Vlasak Reinhard

    2011-02-01

    Full Text Available Abstract The nonstructural proteins 1 (NS1 from influenza A and B viruses are known as the main viral factors antagonising the cellular interferon (IFN response, inter alia by inhibiting the retinoic acid-inducible gene I (RIG-I signalling. The cytosolic pattern-recognition receptor RIG-I senses double-stranded RNA and 5'-triphosphate RNA produced during RNA virus infections. Binding to these ligands activates RIG-I and in turn the IFN signalling. We now report that the influenza C virus NS1 protein also inhibits the RIG-I-mediated IFN signalling. Employing luciferase-reporter assays, we show that expression of NS1-C proteins of virus strains C/JJ/50 and C/JHB/1/66 considerably reduced the IFN-β promoter activity. Mapping of the regions from NS1-C of both strains involved in IFN-β promoter inhibition showed that the N-terminal 49 amino acids are dispensable, while the C-terminus is required for proper modulation of the IFN response. When a mutant RIG-I, which is constitutively active without ligand binding, was employed, NS1-C still inhibited the downstream signalling, indicating that IFN inhibitory properties of NS1-C are not necessarily linked to an RNA binding mechanism.

  8. Design and Checkout of a High Speed Research Nozzle Evaluation Rig

    Science.gov (United States)

    Castner, Raymond S.; Wolter, John D.

    1997-01-01

    The High Flow Jet Exit Rig (HFJER) was designed to provide simulated mixed flow turbojet engine exhaust for one- seventh scale models of advanced High Speed Research test nozzles. The new rig was designed to be used at NASA Lewis Research Center in the Nozzle Acoustic Test Rig and the 8x6 Supersonic Wind Tunnel. Capabilities were also designed to collect nozzle thrust measurement, aerodynamic measurements, and acoustic measurements when installed at the Nozzle Acoustic Test Rig. Simulated engine exhaust can be supplied from a high pressure air source at 33 pounds of air per second at 530 degrees Rankine and nozzle pressure ratios of 4.0. In addition, a combustion unit was designed from a J-58 aircraft engine burner to provide 20 pounds of air per second at 2000 degrees Rankine, also at nozzle pressure ratios of 4.0. These airflow capacities were designed to test High Speed Research nozzles with exhaust areas from eighteen square inches to twenty-two square inches. Nozzle inlet flow measurement is available through pressure and temperature sensors installed in the rig. Research instrumentation on High Speed Research nozzles is available with a maximum of 200 individual pressure and 100 individual temperature measurements. Checkout testing was performed in May 1997 with a 22 square inch ASME long radius flow nozzle. Checkout test results will be summarized and compared to the stated design goals.

  9. Work over rig itinerary optimization; Otimizacao do itinerario de sondas de intervencao

    Energy Technology Data Exchange (ETDEWEB)

    Paiva, Ronaldo Oliveira de

    1997-07-01

    The costs of work over and the loss of revenue in wells waiting work over rigs are very high. This work proposes methods to prioritize these wells in order to minimize the total cost. To determine the work over sequence it is necessary to compare the rig expense with the wells losses. For calculating the wells losses, it is necessary to analyze the monetary influence of the well shutdown in the production curves. In this work, this analysis is made by using a numerical reservoir simulator. Simplified calculation procedures are also presented. The priority of the wells is based on the reduction of the total cost, which consists of the rig costs plus the revenue losses due to work over waiting. There are many algorithms able to determine the ideal rig path. Simple and intuitive algorithms are implemented and compared. The Simulated Annealing algorithm is recommended. This algorithm was implemented to optimize work over rig routes in a brazilian production region. Optimization of the work over sequence carried out in that region in 1996 identified a potential economy of 15% in the production losses, equivalent to 4.000m{sup 3}/year of oil (25.000 b bl/year). (author)

  10. Mechanism of TRIM25 Catalytic Activation in the Antiviral RIG-I Pathway

    Directory of Open Access Journals (Sweden)

    Jacint G. Sanchez

    2016-08-01

    Full Text Available Antiviral response pathways induce interferon by higher-order assembly of signaling complexes called signalosomes. Assembly of the RIG-I signalosome is regulated by K63-linked polyubiquitin chains, which are synthesized by the E3 ubiquitin ligase, TRIM25. We have previously shown that the TRIM25 coiled-coil domain is a stable, antiparallel dimer that positions two catalytic RING domains on opposite ends of an elongated rod. We now show that the RING domain is a separate self-association motif that engages ubiquitin-conjugated E2 enzymes as a dimer. RING dimerization is required for catalysis, TRIM25-mediated RIG-I ubiquitination, interferon induction, and antiviral activity. We also provide evidence that RING dimerization and E3 ligase activity are promoted by binding of the TRIM25 SPRY domain to the RIG-I effector domain. These results indicate that TRIM25 actively participates in higher-order assembly of the RIG-I signalosome and helps to fine-tune the efficiency of the RIG-I-mediated antiviral response.

  11. Development Suggestion and the Ptoblem on Auto Conttol Technology of Dtilling Rig%石油钻机自动化技术的问题及发展建议

    Institute of Scientific and Technical Information of China (English)

    于兴军; 魏培静; 张青锋; 徐炜华; 何鸿; 王峰林

    2014-01-01

    Absttact:The problems of domestic drilling rig during the working were analyzed,such as the cou-pling control between the drawworks and the disk brake,the soft torque control of rotary system, human design of driller control room.Meanwhile,compared with some performance characteristics of foreign advanced drilling rig,the difference of rig auto control technology between the domestic rig and overseas rig was summarized.The aspects was expounded,which the domestic rig needs to be upgraded,such as pipe handing technology,integration controltechnology.At last,some sug-gestions of the subsequent works on this promotion are put forward.%分析了我国石油钻机在绞车与盘刹耦合控制、旋转系统软转矩控制、司钻房人性化设计等方面存在的问题。通过与国外先进钻机的相关性能特点进行对比,找出了我国石油钻机自动化技术与国外钻机的主要差距,对国内钻井装备在管柱自动输送及排放、集成控制等方面亟待升级的技术进行了阐述,并对研究的具体工作提出了几点建议。

  12. A radiological survey of the Eğrigöz granitoid, Western Anatolia/Turkey.

    Science.gov (United States)

    Canbaz Öztürk, B; Yaprak, G; Çam, N F; Candan, O

    2015-06-01

    A radiological survey of the granitoid areas throughout Western Anatolia was conducted during 2007-14. As a part of this radiological survey, this article presents results obtained from Eğrigöz pluton, which lies in the northeastern region of Western Anatolia. In the investigated area, the activity measurements of the natural gamma-emitting radionuclides ((226)Ra, (232)Th and (40)K) in the granitic rock samples and soils have been carried out by means of the NaI(Tl) gamma-ray spectrometry system. The activity concentrations of the relevant natural radionuclides in the granite samples appeared in the ranges as follows: (226)Ra, 28-95 Bq kg(-1); (232)Th, 50-122 Bq kg(-1) and (40)K, 782-1365 Bq kg(-1), while the typical ranges of the (226)Ra, (232)Th and (40)K activities in the soil samples were found to be 7-184, 11-174 and 149-1622 Bq kg(-1), respectively. Based on the available data, the radiation hazard parameters associated with the surveyed rocks/soils are calculated. The corresponding absorbed dose rates in air from all those radionuclides were always much lower than 200 nGy h(-1) and did not exceed the typical range of worldwide average values noted in the UNSCEAR (2000) report. Furthermore, the data are also used for the mapping of the surface soil activity of natural radionuclides and the corresponding gamma dose rates of the surveyed area.

  13. A Novel Mobile Testing Equipment for Rock Cuttability Assessment: Vertical Rock Cutting Rig (VRCR)

    Science.gov (United States)

    Yasar, Serdar; Yilmaz, Ali Osman

    2017-04-01

    In this study, a new mobile rock cutting testing apparatus was designed and produced for rock cuttability assessment called vertical rock cutting rig (VRCR) which was designed specially to fit into hydraulic press testing equipment which are available in almost every rock mechanics laboratory. Rock cutting trials were initiated just after the production of VRCR along with calibration of the measuring load cell with an external load cell to validate the recorded force data. Then, controlled rock cutting tests with both relieved and unrelieved cutting modes were implemented on five different volcanic rock samples with a standard simple-shaped wedge tool. Additionally, core cutting test which is an important approach for roadheader performance prediction was simulated with VRCR. Mini disc cutters and point attack tools were used for execution of experimental trials. Results clearly showed that rock cutting tests were successfully realized and measuring system is delicate to rock strength, cutting depth and other variables. Core cutting test was successfully simulated, and it was also shown that rock cutting tests with mini disc cutters and point attack tools are also successful with VRCR.

  14. Applications of rigged Hilbert spaces in quantum mechanics and signal processing

    Science.gov (United States)

    Celeghini, E.; Gadella, M.; del Olmo, M. A.

    2016-07-01

    Simultaneous use of discrete and continuous bases in quantum systems is not possible in the context of Hilbert spaces, but only in the more general structure of rigged Hilbert spaces (RHS). In addition, the relevant operators in RHS (but not in Hilbert space) are a realization of elements of a Lie enveloping algebra and support representations of semigroups. We explicitly construct here basis dependent RHS of the line and half-line and relate them to the universal enveloping algebras of the Weyl-Heisenberg algebra and su(1, 1), respectively. The complete sub-structure of both RHS and of the operators acting on them is obtained from their algebraic structures or from the related fractional Fourier transforms. This allows us to describe both quantum and signal processing states and their dynamics. Two relevant improvements are introduced: (i) new kinds of filters related to restrictions to subspaces and/or the elimination of high frequency fluctuations and (ii) an operatorial structure that, starting from fix objects, describes their time evolution.

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

    Science.gov (United States)

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

    2015-12-01

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

  16. An Experimental Study on Dynamics of a Novel Dual-Belt Continuous Variable Transmission Based on a Newly Developed Test Rig

    Directory of Open Access Journals (Sweden)

    Pak Kin Wong

    2015-01-01

    Full Text Available A novel dual-belt Van Doorne’s continuous variable transmission (DBVCVT system, which is applicable to heavy-duty vehicles, has been previously proposed by the authors in order to improve the low torque capacity of traditional single-belt CVT. This DBVCVT is a novel design among continuously variable transmissions and is necessary to be prototyped for experimental study, and the analytical dynamic model for this DBVCVT also needs to be experimentally validated. So, this work originally fabricated a prototype of DBVCVT and integrates this prototype to a light-load hardware-in-the-loop test rig by replacing the engine and load equipment with the AC motor and magnetic powder dynamometer. Moreover, with the use of this newly developed test rig, this work implements the experimental study of this DBVCVT for the first time. The comparison of experimental and simulation results validates the previously proposed analytical model for DBVCVT, and some basic characteristics of the DBVCVT in terms of the reliability, speed ratio, and transmission efficiency are also experimentally studied. In all, this developed test rig with the analytical model lays the foundation for further study on this novel DBVCVT.

  17. The use of a surgical incision management system on vascular surgery incisions: a pilot study.

    Science.gov (United States)

    Weir, Gregory

    2014-06-01

    Health care-associated infections in hospitals, including surgical site infections, contribute significantly to morbidity as well as mortality. Surgical incision management (SIM) using negative pressure wound therapy (Prevena™ Incision Management System, Kinetic Concepts, Inc., San Antonio, TX, USA) is designed to cover and protect closed surgical incisions from external factors including infectious sources and local trauma, while negative pressure removes fluid and infectious material from the surgical incision. A prospective case-control study assessed wound complications in patients undergoing vascular bypass procedures, where both femoral areas were incised to gain access to the femoral arteries. SIM was placed on one femoral area while a standard postoperative wound dressing was placed on the contralateral femoral area. Eight patients were included in this pilot study. All of them required bilateral femoral artery access. During the follow-up period patients were monitored for wound complications. All wound complications requiring surgical intervention were considered significant. No significant wound complications occurred in wounds treated with SIM, compared with three significant complications in control wounds. These preliminary data would suggest a potential reduction in wound complications and no observed increase in haemorrhage in high-risk patients with severe co-morbidities undergoing vascular surgery.

  18. The Surgeon's View: Comparison of Two Digital Video Recording Systems in Veterinary Surgery.

    Science.gov (United States)

    Giusto, Gessica; Caramello, Vittorio; Comino, Francesco; Gandini, Marco

    2015-01-01

    Video recording and photography during surgical procedures are useful in veterinary medicine for several reasons, including legal, educational, and archival purposes. Many systems are available, such as hand cameras, light-mounted cameras, and head cameras. We chose a reasonably priced head camera that is among the smallest video cameras available. To best describe its possible uses and advantages, we recorded video and images of eight different surgical cases and procedures, both in hospital and field settings. All procedures were recorded both with a head-mounted camera and a commercial hand-held photo camera. Then sixteen volunteers (eight senior clinicians and eight final-year students) completed an evaluation questionnaire. Both cameras produced high-quality photographs and videos, but observers rated the head camera significantly better regarding point of view and their understanding of the surgical operation. The head camera was considered significantly more useful in teaching surgical procedures. Interestingly, senior clinicians tended to assign generally lower scores compared to students. The head camera we tested is an effective, easy-to-use tool for recording surgeries and various veterinary procedures in all situations, with no need for assistance from a dedicated operator. It can be a valuable aid for veterinarians working in all fields of the profession and a useful tool for veterinary surgical education.

  19. Implementation of an Anesthesia Information Management System in an Ambulatory Surgery Center.

    Science.gov (United States)

    Mudumbai, Seshadri C

    2016-01-01

    Anesthesia information management systems (AIMS) are increasingly being implemented throughout the United States. However, little information exists on the implementation process for AIMS within ambulatory surgery centers (ASC). The objectives of this descriptive study are to document: 1) the phases of implementation of an AIMS at an ASC; and 2) lessons learnt from a socio-technical perspective. The ASC, within the Veterans Health Administration (VHA), has hosted an AIMS since 2008. As a quality improvement effort, we implemented a new version of the AIMS. This new version involved fundamental software changes to enhance clinical care such as real-time importing of laboratory data and total hardware exchange. The pre-implementation phase involved coordinated preparation over six months between multiple informatics teams along with local leadership. During this time, we conducted component, integration, and validation testing to ensure correct data flow from medical devices to AIMS and centralized databases. The implementation phase occurred in September 2014 over three days and was successful. Over the next several months, during post-implementation phase, we addressed residual items like latency of the application. Important lessons learnt from the implementation included the utility of partnering early with executive leadership; ensuring end user acceptance of new clinical workflow; continuous testing of data flow; use of a staged rollout; and providing additional personnel throughout implementation. Implementation of an AIMS at an ASC can utilize methods developed for large hospitals. However, issues unique to an ASC such as limited number of support personnel and distinctive workflows must be considered.

  20. A 4-DOF haptic master using ER fluid for minimally invasive surgery system application

    Science.gov (United States)

    Oh, Jong-Seok; Han, Young-Min; Lee, Sang-Rock; Choi, Seung-Bok

    2013-04-01

    This paper presents a novel 4-degrees-of-freedom (4-DOF) haptic master using a electrorheological (ER) fluid which is applicable to minimally invasive surgery (MIS) systems. By adopting a controllable ER fluid, the master can easily generate 4-DOF repulsive forces with the advantages of a simple mechanism and continuous force control capability. The proposed master consists of two actuators: an ER spherical joint for 3-DOF rotational motion and an ER piston device for 1-DOF translational motion. The generated torque/force models are mathematically derived by analyzing the mechanism geometry and using the Bingham characteristics of an ER Fluid. The haptic master is optimally designed and manufactured based on the mathematical torque/force models. The repulsive torque/force responses are experimentally evaluated and expressed by the first-order and second-order dynamic equations for each motion. A sliding mode controller (SMC), which is known to be robust to uncertainties, is then designed and empirically implemented to achieve the desired torque/force trajectories. It is demonstrated by presenting torque/force tracking results of both rotational and translational motions that the proposed 4-DOF ER haptic master integrated with the SMC can provide an effective haptic control performance for MIS applications.

  1. Cardiac Surgery Costs According to the Preoperative Risk in the Brazilian Public Health System

    Directory of Open Access Journals (Sweden)

    David Provenzale Titinger

    2015-01-01

    Full Text Available Abstract Background: Heart surgery has developed with increasing patient complexity. Objective: To assess the use of resources and real costs stratified by risk factors of patients submitted to surgical cardiac procedures and to compare them with the values reimbursed by the Brazilian Unified Health System (SUS. Method: All cardiac surgery procedures performed between January and July 2013 in a tertiary referral center were analyzed. Demographic and clinical data allowed the calculation of the value reimbursed by the Brazilian SUS. Patients were stratified as low, intermediate and high-risk categories according to the EuroSCORE. Clinical outcomes, use of resources and costs (real costs versus SUS were compared between established risk groups. Results: Postoperative mortality rates of low, intermediate and high-risk EuroSCORE risk strata showed a significant linear positive correlation (EuroSCORE: 3.8%, 10%, and 25%; p < 0.0001, as well as occurrence of any postoperative complication EuroSCORE: 13.7%, 20.7%, and 30.8%, respectively; p = 0.006. Accordingly, length-of-stay increased from 20.9 days to 24.8 and 29.2 days (p < 0.001. The real cost was parallel to increased resource use according to EuroSCORE risk strata (R$ 27.116,00 ± R$ 13.928,00 versus R$ 34.854,00 ± R$ 27.814,00 versus R$ 43.234,00 ± R$ 26.009,00, respectively; p < 0.001. SUS reimbursement also increased (R$ 14.306,00 ± R$ 4.571,00 versus R$ 16.217,00 ± R$ 7.298,00 versus R$ 19.548,00 ± R$935,00; p < 0.001. However, as the EuroSCORE increased, there was significant difference (p < 0.0001 between the real cost increasing slope and the SUS reimbursement elevation per EuroSCORE risk strata. Conclusion: Higher EuroSCORE was related to higher postoperative mortality, complications, length of stay, and costs. Although SUS reimbursement increased according to risk, it was not proportional to real costs.

  2. Non-technical skills: enhancing safety in operating theatres (and drilling rigs).

    Science.gov (United States)

    Flin, Rhona

    2014-03-01

    On April 20th 2010, a large Transocean drilling rig called the Deepwater Horizon was operating in the Gulf of Mexico to drill the Macondo well, for the oil company BP. The job was six weeks behind schedule and $58 million over budget and had not been without difficulty: it was a high pressure well, 2.5 miles below the seabed. At 5.45 am, the Halliburton cementing engineer sent an email to say: 'We have completed the job and it went well'. At 9.43 pm, 16 hours later, there was a release of hydrocarbons into the well bore and the drilling rig experienced a catastrophic blowout as the high pressure oil and gas escaped onto the rig and into the ocean. The resulting explosions and fire killed 11 of the crew of 126, injured many more and created an enormous oil spill across the Gulf.

  3. Prion-like behavior of MAVS in RIG-I signaling

    Institute of Scientific and Technical Information of China (English)

    Eva Marie Y Moresco; Diantha La Vine; Bruce Beutler

    2011-01-01

    Viral infection triggers the innate antiviral response in part through activation of RIG-I,a cytoplasmic sensor of 5'-triphosphorylated and uncapped single- or double-stranded RNA,which are not found among endogenous selfRNA.RIG-I signaling depends on the function of mitochondrial antiviral signaling (MAVS) protein,an adapter that links RIG-I,and the related RNA sensor MDA5,to events leading to transcriptional activation by NF-κB and IRF3.In contrast to the cytoplasmic localization of other innate immune signaling adapters,MAVS is positioned at mitochondrial membranes [ 1 ],and to a lesser extent at peroxisomal membranes [2],by virtue of a C-terminal transmembrane domain.

  4. RIG-I knockdown impedes neurogenesis in a murine model of Japanese encephalitis.

    Science.gov (United States)

    Mukherjee, Sriparna; Ghosh, Sourish; Nazmi, Arshed; Basu, Anirban

    2015-02-01

    Retinoic acid inducible gene I (RIG-I) is a well established pattern recognition receptor (PRR) in neurons infected with Japanese encephalitis virus (JEV) as reported previously from our laboratory. Japanese encephalitis (JE) virus infection in brain has been shown to decrease the proliferation of neural stem/progenitor cells (NSPCs) which has its implications in neurological sequelae in JE survivors. We have found that ablation of RIG-I both in vivo and in vitro models results in significant decrease in NSPC proliferation post JEV infection. We hypothesize that knockdown of RIG-I diminishes the expression of antiviral molecules resulting in an increase in viral replication, which in turn results in enhancement of the expression of cell cycle inhibitors, hence affecting the proliferation of NSPCs. © 2014 International Federation for Cell Biology.

  5. The method of rigged spaces in singular perturbation theory of self-adjoint operators

    CERN Document Server

    Koshmanenko, Volodymyr; Koshmanenko, Nataliia

    2016-01-01

    This monograph presents the newly developed method of rigged Hilbert spaces as a modern approach in singular perturbation theory. A key notion of this approach is the Lax-Berezansky triple of Hilbert spaces embedded one into another, which specifies the well-known Gelfand topological triple. All kinds of singular interactions described by potentials supported on small sets (like the Dirac δ-potentials, fractals, singular measures, high degree super-singular expressions) admit a rigorous treatment only in terms of the equipped spaces and their scales. The main idea of the method is to use singular perturbations to change inner products in the starting rigged space, and the construction of the perturbed operator by the Berezansky canonical isomorphism (which connects the positive and negative spaces from a new rigged triplet). The approach combines three powerful tools of functional analysis based on the Birman-Krein-Vishik theory of self-adjoint extensions of symmetric operators, the theory of singular quadra...

  6. Developmental test report, assessment of XT-70E percussion drill rig operation in tank farms

    Energy Technology Data Exchange (ETDEWEB)

    Dougherty, L.F., Westinghouse Hanford

    1996-09-10

    The following report documents the testing of the XT-70E percussion drill rig for use in the 241-SX Tank Farm. The test is necessary to support evaluation of the safety and authorization level of the proposed activity of installing up to three new drywells in the 241- SX Tank Farm. The proposed activity plans to install drywells by percussion drilling 7 inch O.D./6 inch I.D. pipe in close proximity of underground storage tanks and associated equipment. The load transmitted from the drill rig`s percussion hammer through the ground to the tank structure and equipment is not known and therefore testing is required to ensure the activity is safe and authorized.

  7. RIG-I detects infection with live Listeria by sensing secreted bacterial nucleic acids

    Science.gov (United States)

    Abdullah, Zeinab; Schlee, Martin; Roth, Susanne; Mraheil, Mobarak Abu; Barchet, Winfried; Böttcher, Jan; Hain, Torsten; Geiger, Sergej; Hayakawa, Yoshihiro; Fritz, Jörg H; Civril, Filiz; Hopfner, Karl-Peter; Kurts, Christian; Ruland, Jürgen; Hartmann, Gunther; Chakraborty, Trinad; Knolle, Percy A

    2012-01-01

    Immunity against infection with Listeria monocytogenes is not achieved from innate immune stimulation by contact with killed but requires viable Listeria gaining access to the cytosol of infected cells. It has remained ill-defined how such immune sensing of live Listeria occurs. Here, we report that efficient cytosolic immune sensing requires access of nucleic acids derived from live Listeria to the cytoplasm of infected cells. We found that Listeria released nucleic acids and that such secreted bacterial RNA/DNA was recognized by the cytosolic sensors RIG-I, MDA5 and STING thereby triggering interferon β production. Secreted Listeria nucleic acids also caused RIG-I-dependent IL-1β-production and inflammasome activation. The signalling molecule CARD9 contributed to IL-1β production in response to secreted nucleic acids. In conclusion, cytosolic recognition of secreted bacterial nucleic acids by RIG-I provides a mechanistic explanation for efficient induction of immunity by live bacteria. PMID:23064150

  8. Operation and force analysis of the guide wire in a minimally invasive vascular interventional surgery robot system

    Science.gov (United States)

    Yang, Xue; Wang, Hongbo; Sun, Li; Yu, Hongnian

    2015-03-01

    To develop a robot system for minimally invasive surgery is significant, however the existing minimally invasive surgery robots are not applicable in practical operations, due to their limited functioning and weaker perception. A novel wire feeder is proposed for minimally invasive vascular interventional surgery. It is used for assisting surgeons in delivering a guide wire, balloon and stenting into a specific lesion location. By contrasting those existing wire feeders, the motion methods for delivering and rotating the guide wire in blood vessel are described, and their mechanical realization is presented. A new resistant force detecting method is given in details. The change of the resistance force can help the operator feel the block or embolism existing in front of the guide wire. The driving torque for rotating the guide wire is developed at different positions. Using the CT reconstruction image and extracted vessel paths, the path equation of the blood vessel is obtained. Combining the shapes of the guide wire outside the blood vessel, the whole bending equation of the guide wire is obtained. That is a risk criterion in the delivering process. This process can make operations safer and man-machine interaction more reliable. A novel surgery robot for feeding guide wire is designed, and a risk criterion for the system is given.

  9. Operation and Force Analysis of the Guide Wire in a Minimally Invasive Vascular Interventional Surgery Robot System

    Institute of Scientific and Technical Information of China (English)

    YANG Xue; WANG Hongbo; SUN Li; YU Hongnian

    2015-01-01

    To develop a robot system for minimally invasive surgery is significant, however the existing minimally invasive surgery robots are not applicable in practical operations, due to their limited functioning and weaker perception. A novel wire feeder is proposed for minimally invasive vascular interventional surgery. It is used for assisting surgeons in delivering a guide wire, balloon and stenting into a specific lesion location. By contrasting those existing wire feeders, the motion methods for delivering and rotating the guide wire in blood vessel are described, and their mechanical realization is presented. A new resistant force detecting method is given in details. The change of the resistance force can help the operator feel the block or embolism existing in front of the guide wire. The driving torque for rotating the guide wire is developed at different positions. Using the CT reconstruction image and extracted vessel paths, the path equation of the blood vessel is obtained. Combining the shapes of the guide wire outside the blood vessel, the whole bending equation of the guide wire is obtained. That is a risk criterion in the delivering process. This process can make operations safer and man-machine interaction more reliable. A novel surgery robot for feeding guide wire is designed, and a risk criterion for the system is given.

  10. Geographical variations in the benefit of applying a prioritization system for cataract surgery in different regions of Spain

    Directory of Open Access Journals (Sweden)

    Gutiérrez-Moreno Santiago

    2008-02-01

    Full Text Available Abstract Background In Spain, there are substantial variations in the utilization of health resources among regions. Because the need for surgery differs in patients with appropriate surgical indication, introducing a prioritization system might be beneficial. Our objective was to assess geographical variations in the impact of applying a prioritization system in patients on the waiting list for cataract surgery in different regions of Spain by using a discrete-event simulation model. Methods A discrete-event simulation model to evaluate demand and waiting time for cataract surgery was constructed. The model was reproduced and validated in five regions of Spain and was fed administrative data (population census, surgery rates, waiting list information and data from research studies (incidence of cataract. The benefit of introducing a prioritization system was contrasted with the usual first-in, first-out (FIFO discipline. The prioritization system included clinical, functional and social criteria. Priority scores ranged between 0 and 100, with greater values indicating higher priority. The measure of results was the waiting time weighted by the priority score of each patient who had passed through the waiting list. Benefit was calculated as the difference in time weighted by priority score between operating according to waiting time or to priority. Results The mean waiting time for patients undergoing surgery according to the FIFO discipline varied from 1.97 months (95% CI 1.85; 2.09 in the Basque Country to 10.02 months (95% CI 9.91; 10.12 in the Canary Islands. When the prioritization system was applied, the mean waiting time was reduced to a minimum of 0.73 months weighted by priority score (95% CI 0.68; 0.78 in the Basque Country and a maximum of 5.63 months (95% CI 5.57; 5.69 in the Canary Islands. The waiting time weighted by priority score saved by the prioritization system varied from 1.12 months (95% CI 1.07; 1.16 in Andalusia to 2

  11. Effects of Addition of Systemic Tramadol or Adjunct Tramadol to Lidocaine Used for Intravenous Regional Anesthesia in Patients Undergoing Hand Surgery

    OpenAIRE

    Abdulkadir Yektaş; Funda Gümüş; Abdulhalim Karayel; Ayşin Alagöl

    2016-01-01

    Intravenous regional anesthesia (IVRA) is used in outpatient hand surgery as an easily applicable and cost-effective technique with clinical advantages. The present study aimed to investigate the effects of addition of systemic tramadol or adjunct tramadol to lidocaine for IVRA in patients undergoing hand surgery. American Society of Anesthesiologists (ASA) I-II patients (n = 60) who underwent hand surgery were included. For this purpose, only lidocaine (LDC), lidocaine+adjunct tramadol (LDC+...

  12. An initial experience with a digital drainage system during the postoperative period of pediatric thoracic surgery.

    Science.gov (United States)

    Costa, Altair da Silva; Bachichi, Thiago; Holanda, Caio; Rizzo, Luiz Augusto Lucas Martins De

    2016-01-01

    To report an initial experience with a digital drainage system during the postoperative period of pediatric thoracic surgery. This was a prospective observational study involving consecutive patients, ≤ 14 years of age, treated at a pediatric thoracic surgery outpatient clinic, for whom pulmonary resection (lobectomy or segmentectomy via muscle-sparing thoracotomy) was indicated. The parameters evaluated were air leak (as quantified with the digital system), biosafety, duration of drainage, length of hospital stay, and complications. The digital system was used in 11 children (mean age, 5.9 ± 3.3 years). The mean length of hospital stay was 4.9 ± 2.6 days, the mean duration of drainage was 2.5 ± 0.7 days, and the mean drainage volume was 270.4 ± 166.7 mL. The mean maximum air leak flow was 92.78 ± 95.83 mL/min (range, 18-338 mL/min). Two patients developed postoperative complications (atelectasis and pneumonia, respectively). The use of this digital system facilitated the decision-making process during the postoperative period, reducing the risk of errors in the interpretation and management of air leaks. Relatar a experiência inicial com um sistema de drenagem digital no pós-operatório de cirurgia torácica pediátrica. Estudo observacional e prospectivo envolvendo pacientes consecutivos do ambulatório de cirurgia torácica pediátrica da instituição, com idade até 14 anos, e com indicação de ressecção pulmonar (lobectomia e/ou segmentectomia através de toracotomia poupadora muscular). Os parâmetros avaliados foram perda aérea (quantificada com o sistema digital), biossegurança, tempo de drenagem, tempo de internação e complicações. O sistema digital foi utilizado em 11 crianças, com média de idade de 5,9 ± 3,3 anos. A média do tempo de internação foi de 4,9 ± 2,6 dias, a de tempo de drenagem foi de 2,5 ± 0,7 dias, e a de volume de drenagem foi de 270,4 ± 166,7 ml. A média da perda aérea máxima foi de 92,78 ± 95,83 ml

  13. Stimulation of the autonomic nervous system in colorectal surgery: a study protocol for a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Berghmans Tim MP

    2012-06-01

    Full Text Available Abstract Background Postoperative ileus (POI is a well-known complication of abdominal surgery and is considered to be caused by a local inflammation in the gut. Previously it has been shown that both local and systemic inflammation can be reduced by stimulation of the autonomic nervous system via lipid rich nutrition. Stimulation of the autonomic nervous system releases acetylcholine from efferent vagal nerve endings that binds to nicotinic receptors located on the inflammatory cells leading to a decrease of pro-inflammatory mediators. Besides administration of nutrition there are other ways of stimulating the autonomic nervous system such as gum chewing. Methods/design This prospective, placebo-controlled randomized trial will include 120 patients undergoing colorectal surgery which are randomized for gum chewing preoperatively and in the direct postoperative phase or a placebo. Postoperative ileus will be assessed both clinically by time to first flatus and time to first defecation and by determination of gastric motility using ultrasound to measure dimensions of the antrum. Furthermore the inflammatory response is quantified by analyzing pro-inflammatory mediators. Finally, markers of gut barrier integrity will be measured as well as occurrence of postoperative complications. Discussion We hypothesize that chewing gum preoperatively and in the direct postoperative phase in patients undergoing colorectal surgery dampens local and systematic inflammation, via activation of the autonomic nervous system. Down-regulation of the inflammatory cascade via stimulation of the vagus nerve will ameleriote POI and enhance postoperative recovery. Trial registration NTR2867

  14. Establishing a portfolio of quality-improvement projects in pediatric surgery through advanced improvement leadership systems.

    Science.gov (United States)

    Gerrein, Betsy T; Williams, Christina E; Von Allmen, Daniel

    2013-01-01

    Formal quality-improvement (QI) projects require that participants are educated in QI methods to provide them with the capability to carry out successful, meaningful work. However, orchestrating a portfolio of projects that addresses the strategic mission of the institution requires an extension of basic QI training to provide the division or business unit with the capacity to successfully develop and manage the portfolio. Advanced Improvement Leadership Systems is a program to help units create a meaningful portfolio. This program, used by the Division of Pediatric General and Thoracic Surgery at Cincinnati Children's Hospital Medical Center, helped establish a portfolio of targeted QI projects designed to achieve outstanding outcomes at competitive costs in multiple clinical areas aligned with the institution's strategic goals (improve disease-based outcomes, patient safety, flow, and patient and family experience). These objectives are addressed in an institutional strategic plan built around 5 core areas: Safety, Productivity, Care Coordination and Outcomes, Patient and Family Experience, and Value. By combining the portfolio of QI projects with improvements in the divisional infrastructure, effective improvement efforts were realized throughout the division. In the 9 months following the program, divisional capability resulted in a 16.5% increase (5.7% to 22.2%) of formally trained staff working on 10 QI teams. Concurrently, a leadership team, designed to coordinate projects, remove barriers, and provide technical support, provided the capacity to pursue this ongoing effort. The Advanced Improvement Leadership Systems program increased the Division's efficiency and effectiveness in pursing the QI mission that is integral at our hospital.

  15. Prediction of Carotid Artery Stenosis in Candidates of Coronary Artery Bypasses Surgery by A Scoring System.

    Directory of Open Access Journals (Sweden)

    Sh. Shirani

    2007-05-01

    Full Text Available Background and Objective: Up to 9% of coronary ar-tery bypass grafting (CABG patients suffer from stroke after the surgery. Although post CABG stroke has multiple etiologies, stenosis of cervical carotid arteries is an important factor. Many studies have evaluated carotid artery stenosis in CABG. Carotid stenosis and its related factors and a new scoring sys-tem for selection of CABG patients for Doppler study are introduced. Materials and methods: 1721 consecutive cases of non-urgent CABG were evaluated for presence of significant carotid stenosis (> 50% stenosis. The asso-ciation of age, sex, hypertension, smoking, diabetes, dislipidemia and left main coronary stenosis with ca-rotid stenosis was evaluated. For introducing a scor-ing method, absence of each related factor was scored by 1 and its presence by 2. The score range for each patient was from 5 (none of related factors up to 10 (all of related factors. Results: 7% of patients suffered from significant stenosis. Female gender, age more than 55 years old, hypertension, diabetes, and stenosis of left main coronary artery were the related risk factors in uni-variate analysis. A step type analysis revealed patients with score 5 have 98.3% negative predictive value (NPV for significant stenosis with 96.2% sensitivity and 13.9% specificity. Patients with score 10 have 93.9% NPV for significant stenosis with 99.9% speci-ficity. Conclusion: This scoring system may help for better selection of patients for Doppler study before CABG.

  16. China's First 6000 m Electric-Driven Desert Oil Drilling Rig

    Institute of Scientific and Technical Information of China (English)

    CP News

    1996-01-01

    @@ The newly-developed Model ZJ 60DS electric-driven desert oil drilling rig with a drilling capacity of 6000 m is the first of its kind in China. It is a success of the common efforts given by seven scientific research institutes and manufacturer with the Lanzhou Petroleum Chemical Engineering Machinery General Factory as the main contractor. The drilling rig passes the technical appraisement jointly organized by the Ministry of Machinery Industry of the People's Republic of China and China National Petroleum Corporation in Lanzhou on March 30, 1996.

  17. Radiological outcome of reconstructive hip surgery in children with gross motor function classification system IV and V cerebral palsy.

    Science.gov (United States)

    Zhang, Shiran; Wilson, Nichola C; Mackey, Anna H; Stott, Ngaire Susan

    2014-09-01

    Hip subluxation is common in children with cerebral palsy (CP). The aim of this study was to describe the radiological outcome of reconstructive hip surgery in children with CP, gross motor function classification system (GMFCS) level IV and V, and determine whether the GMFCS level plays a predictive role in outcome. This was a retrospective cohort study conducted at a tertiary-level pediatric hospital with a CP hip surveillance program. Of 110 children with GMFCS IV and V CP registered for hip surveillance, 45 underwent reconstructive hip surgery between 1997 and 2009, defined as varus derotational proximal femoral osteotomy with or without additional pelvic osteotomy. Eleven children were excluded because of lack of 12-month follow-up (n=10) or missing clinical records (n=1). Thus, 21 GMFCS IV children (median age 6 years at surgery) and 13 GMFCS V children (median age 5 years at surgery), who underwent 58 index surgeries, were included in the study. Clinical records and radiology were reviewed. The two surgical groups were femoral osteotomy (varus derotational femoral osteotomy with an AO blade plate or femoral locking plate fixation), or femoral ostetotomy with additional pelvic osteotomy. Reimer's migration percentage (MP) was calculated from anteroposterior pelvis radiographs to determine the outcome for each hip independently. Failure was defined as MP of greater than 60% or further operation on the hip. Reconstructive surgeries were performed for 58 hips with a median preoperative MP of 55%. There were 15 failures at a median of 62 months, including nine failures in 35 GMFCS IV hips and six failures in 23 GMFCS V hips. Overall, GMFCS V hips tended to fail earlier, (hazard ratio 2.3) with a median time to failure of 78 and 39 months for GMFCS IV and V hips, respectively. Combined femoral and pelvic osteotomies had the lowest failure rates in both groups of patients. The GMFCS classification may have some predictive value for outcomes following reconstructive

  18. Development of optical fiber Bragg grating force-reflection sensor system of medical application for safe minimally invasive robotic surgery

    Science.gov (United States)

    Song, Hoseok; Kim, Kiyoung; Lee, Jungju

    2011-07-01

    Force feedback plays a very important role in medical surgery. In minimally invasive surgery (MIS), however, the very long and stiff bars of surgical instruments greatly diminish force feedback for the surgeon. In the case of minimally invasive robotic surgery (MIRS), force feedback is totally eliminated. Previous researchers have reported that the absence of force feedback increased the average force magnitude applied to the tissue by at least 50%, and increased the peak force magnitude by at least a factor of two. Therefore, it is very important to provide force information in MIRS. Recently, many sensors are being developed for MIS and MIRS, but some obstacles to their application in actual medical surgery must be surmounted. The most critical problems are size limit and sterilizability. Optical fiber sensors are among the most suitable sensors for the surgical environment. The optical fiber Bragg grating (FBG) sensor, in particular, offers an important additional advantage over other optical fiber sensors in that it is not influenced by the intensity of the light source. In this paper, we present the initial results of a study on the application of a FBG sensor to measure reflected forces in MIRS environments and suggest the possibility of successful application to MIRS systems.

  19. Lung surgery

    Science.gov (United States)

    ... Pneumonectomy; Lobectomy; Lung biopsy; Thoracoscopy; Video-assisted thoracoscopic surgery; VATS ... You will have general anesthesia before surgery. You will be asleep and unable to feel pain. Two common ways to do surgery on your lungs are thoracotomy and video- ...

  20. Turbinate surgery

    Science.gov (United States)

    Turbinectomy; Turbinoplasty; Turbinate reduction; Nasal airway surgery; Nasal obstruction - turbinate surgery ... There are several types of turbinate surgery: Turbinectomy: All or ... This can be done in several different ways, but sometimes a ...

  1. Cataract Surgery

    Science.gov (United States)

    ... and Videos: What Do Cataracts Look Like? Cataract Surgery Written By: Kierstan Boyd Reviewed By: Elena M ... how they work. What to expect with cataract surgery Before surgery: Your ophthalmologist will measure your eye ...

  2. Prediction of remission after metabolic surgery using a novel scoring system in type 2 diabetes – a retrospective cohort study

    OpenAIRE

    Ugale, Surendra; Gupta, Neeraj; Modi, Kirtikumar D; Kota, Sunil K.; Satwalekar, Vasisht; Naik, Vishwas; Swapna, Modukuri; Kumar, KVS Hari

    2014-01-01

    Background Remission of diabetes is seen in more than 60% of patients after bariatric surgery. There is extensive variability in the remission rates between different surgical procedures. We analyzed our database and aimed to develop an easy scoring system to predict the probability of diabetes remission after two surgical procedures i.e. Ileal Interposition coupled with Sleeve Gastrectomy (IISG) or Diverted Sleeve Gastrectomy (IIDSG). Methods In this retrospective study, we analyzed records ...

  3. Challenges in licensing the industrial double-rig trawl fisheries in Brazil

    Directory of Open Access Journals (Sweden)

    Paulo Ricardo-Pezzuto

    2015-07-01

    Full Text Available Bottom trawling is important in Brazilian fisheries and is currently highly multi-specific due to the overexploitation of the original targets; unselective fishing method; very large permitted fishing area and the country's high marine biodiversity. Fishing licensing in Brazil was modified in 2012 and is now based in five criteria: target species; "expected by-catch"; "incidental catches"; fishing method and area of operation. Licenses of trawling fleets exhibit, therefore, dozens of species catchable under the first three criteria. In this paper, we analyze industrial double-rig trawling fleets targeting shrimps and demersal fishes, in order to verify in what extent the new system adhere to the current fishing reality, giving new information to improve the current management regime. A total of 4,194 trips from 191 vessels were studied between 2008 and 2010 in southern Brazil. In spite of depending economically on their targets, the fleets are formally authorized to catch a high percentage of species in common (41 to 71%, and the actual landings revealed an even greater overlapping among them (71 to 82%. Vessels licensed to catch demersal fishes obtained nearly 50% of their revenue from items not included in their licenses. It was concluded that the current system encourages excessive effort concentrations over fishing resources, as they can be legally caught by most vessels irrespective of their licenses. It is suggested that licensing should move from a species-based to a spatial-based approach, by defining smaller management areas according to the respective species assemblages. Landing composition would be, therefore, mostly a biological and technological consequence, making management more reasonable and workable under a multi-specific and mega-diverse scenario.

  4. Construction of a clinical decision support system for undergoing surgery based on domain ontology and rules reasoning.

    Science.gov (United States)

    Bau, Cho-Tsan; Chen, Rung-Ching; Huang, Chung-Yi

    2014-05-01

    To construct a clinical decision support system (CDSS) for undergoing surgery based on domain ontology and rules reasoning in the setting of hospitalized diabetic patients. The ontology was created with a modified ontology development method, including specification and conceptualization, formalization, implementation, and evaluation and maintenance. The Protégé-Web Ontology Language editor was used to implement the ontology. Embedded clinical knowledge was elicited to complement the domain ontology with formal concept analysis. The decision rules were translated into JENA format, which JENA can use to infer recommendations based on patient clinical situations. The ontology includes 31 classes and 13 properties, plus 38 JENA rules that were built to generate recommendations. The evaluation studies confirmed the correctness of the ontology, acceptance of recommendations, satisfaction with the system, and usefulness of the ontology for glycemic management of diabetic patients undergoing surgery, especially for domain experts. The contribution of this research is to set up an evidence-based hybrid ontology and an evaluation method for CDSS. The system can help clinicians to achieve inpatient glycemic control in diabetic patients undergoing surgery while avoiding hypoglycemia.

  5. A 3D computer-aided design system applied to diagnosis and treatment planning in orthodontics and orthognathic surgery.

    Science.gov (United States)

    Motohashi, N; Kuroda, T

    1999-06-01

    The purpose of this article is to describe a newly developed 3D computer-aided design (CAD) system for the diagnostic set-up of casts in orthodontic diagnosis and treatment planning, and its preliminary clinical applications. The system comprises a measuring unit which obtains 3D information from the dental model using laser scanning, and a personal computer to generate the 3D graphics. When measuring the 3D shape of the model, to minimize blind sectors, the model is scanned from two different directions with the slit-ray laser beam by rotating the mounting angle of the model on the measuring device. For computed simulation of tooth movement, the representative planes, defined by the anatomical reference points, are formed for each individual tooth and are arranged along a guideline descriptive of the individual arch form. Subsequently, the 3D shape is imparted to each of the teeth arranged on the representative plane to form an arrangement of the 3D profile. When necessary, orthognathic surgery can be simulated by moving the mandibular dental arch three-dimensionally to establish the optimum occlusal relationship. Compared with hand-made set-up models, the computed diagnostic cast has advantages such as high-speed processing and quantitative evaluation on the amount of 3D movement of the individual tooth relative to the craniofacial plane. Trial clinical applications demonstrated that the use of this system facilitated the otherwise complicated and time-consuming mock surgery for treatment planning in orthognathic surgery.

  6. Outcomes and Prognostic Factors for Adult Patients With Congenital Heart Disease Undergoing Primary or Reoperative Systemic Atrioventricular Valve Surgery.

    Science.gov (United States)

    Stephens, Elizabeth H; Han, Jiho; Ginns, Jonathan; Rosenbaum, Marlon; Chai, Paul; Bacha, Emile; Kalfa, David

    2017-05-01

    Adults with congenital heart disease (ACHD) undergoing systemic atrioventricular valve (SAVV) surgery are a complex, understudied population. We assessed midterm outcomes and prognostic factors in ACHD undergoing SAVV surgery. We performed retrospective evaluation of ACHD undergoing SAVV surgery from January 2005 to February 2016: 14 (33%) patients with congenital mitral valve stenosis/regurgitation, 15 (35%) with atrioventricular septal defect (AVSD), and 14 (33%) with congenitally corrected transposition of the great arteries (ccTGA) with systemic tricuspid valve regurgitation. Adverse events were defined as mortality, reoperation on SAVV, and late more-than-moderate (> moderate) SAVV regurgitation. Statistical analysis was performed using Fisher's exact test and one-way analysis of variance as well as univariate and multivariate risk factor analysis. Fifteen (35%) patients had preoperative systemic ventricular dysfunction, including 13 patients with ccTGA (93%, P moderate SAVV regurgitation, and SAVV reoperation rates were 5% (n = 2), 2% (n = 1), 9% (n = 3), and 7% (n = 3), respectively. On multivariate analysis, predischarge SAVV regurgitation grade was the only significant predictor of adverse events (odds ratio = 8.2, 95% confidence interval: 1.1-63.8, P = .045). Overall outcomes in this challenging population are good. The single factor associated with adverse events was predischarge SAVV regurgitation grade.

  7. The vacuum-assisted closure system for the treatment of deep sternal wound infections after cardiac surgery.

    Science.gov (United States)

    Fleck, Tatjana M; Fleck, Michael; Moidl, Reinhard; Czerny, Martin; Koller, Rupert; Giovanoli, Pietro; Hiesmayer, Michael J; Zimpfer, Daniel; Wolner, Ernst; Grabenwoger, Martin

    2002-11-01

    The VAC system (vacuum-assisted wound closure) is a noninvasive active therapy to promote healing in difficult wounds that fail to respond to established treatment modalities. The system is based on the application of negative pressure by controlled suction to the wound surface. The method was introduced into clinical practice in 1996. Since then, numerous studies proved the effectiveness of the VAC System on microcirculation and the promotion of granulation tissue proliferation. Eleven patients (5 men, 6 women) with a median age of 64.4 years (range 50 to 78 years) with sternal wound infection after cardiac surgery (coronary artery bypass grafting = 5, aortic valve replacement = 5, ascending aortic replacement = 1) were fitted with the VAC system by the time of initial surgical debridement. Complete healing was achieved in all patients. The VAC system was removed after a mean of 9.3 days (range 4 to 15 days), when systemic signs of infection resolved and quantitative cultures were negative. In 6 patients (54.5%), the VAC system was used as a bridge to reconstructive surgery with a pectoralis muscle flap, and in the remaining 5 patients (45.5%), primary wound closure could be achieved. Intensive care unit stay ranged from 1 to 4 days (median 1 day). Duration of hospital stay varied from 13 to 45 days (median 30 days). In-hospital mortality was 0%, and 30-day survival was 100%. The VAC system can be considered as an effective and safe adjunct to conventional and established treatment modalities for the therapy of sternal wound infections after cardiac surgery.

  8. 16 CFR Figure 1 to Part 1512 - Bicycle Front Fork Cantilever Bending Test Rig

    Science.gov (United States)

    2010-01-01

    ... 16 Commercial Practices 2 2010-01-01 2010-01-01 false Bicycle Front Fork Cantilever Bending Test Rig 1 Figure 1 to Part 1512 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION FEDERAL HAZARDOUS SUBSTANCES ACT REGULATIONS REQUIREMENTS FOR BICYCLES Pt. 1512, Fig. 1 Figure 1 to Part 1512—Bicycle...

  9. Computational Analysis of a South African Mobile Trailer-Type Medium Sized Tyre Test Rig

    CSIR Research Space (South Africa)

    Sharma, Shikar

    2015-04-01

    Full Text Available , camber angle, road surface fiction and test speed have been intentionally excluded from the results shown. 6 Figure 6: Lateral acceleration of tyre test rig CG for payload 1 and tyre pressure 1, test speed 1 Figure 7: Lateral acceleration...

  10. A kinematic-freedom analysis of a flexed-knee-stance testing rig.

    Science.gov (United States)

    Zavatsky, A B

    1997-03-01

    The Oxford Rig was designed for biomechanical testing of post-mortem human knee-joint specimens during simulated flexed-knee stance, such as occurs when riding a bicycle, rising from a chair, or climbing stairs. It has been asserted, but never proven, that the movements of the 'ankle' and 'hip' assemblies of the Oxford Rig combine to allow a knee specimen its natural six degrees-of-freedom of movement (6 d.o.f.). This paper investigates this claim mathematically using the general mobility criterion for spatial linkages and the basics of screw theory. It is shown that within the physiological range of knee-joint movement and the physical construction of the Rig, the knee specimen is allowed full spatial freedom (6 d.o.f.). The general approach used in this paper could also be applied to the analysis and, in particular, to the design of other rigs used for biomechanical testing of post-mortem human joint specimens.

  11. Comparisons Between Unsteady Aerodynamic Events in a Gas Turbine Generator and an Identical Compressor Rig

    Science.gov (United States)

    Owen, A. Karl

    1996-01-01

    Extensive testing done on a T55-L-712 turboshaft engine compressor in a compressor test rig is being followed by engine tests in progress as part of the Army Non-Recoverable Stall Program. Goals include a greater understanding of the gas turbine engine start cycle and compressor/engine operation in the regions 'beyond' the normal compressor stall line (rotating stall/surge). Rig steady state instrumentation consisted of 497 steady state pressure sensors and 153 temperature sensors. Engine instrumentation was placed in similar radial/axial locations and consists of 122 steady state pressure sensors and 65 temperature sensors. High response rig instrumentation consisted of 34 wall static pressure transducers. Rig and engine high response pressure transducers were located in the same axial/radial/circumferential locations in front of the first three stages. Additional engine high response instrumentation was placed in mach probes in front of the engine and on the compressor hub. This instrumentation allows for the generation of detailed stage characteristics, overall compressor mapping, and detailed analysis of dynamic compressor events.

  12. Block Adjustment of Vehicle-borne Multi-camera Rig Images Using Extended Collinearity Equations

    Directory of Open Access Journals (Sweden)

    YIN Li

    2017-04-01

    Full Text Available This paper introduces the extended collinearity equations into aerial triangulation of the vehicle-borne multi-camera rig images to improve the positioning accuracy. The cameras in a multi-camera rig are rigidly fixed and the relative position and orientation parameters among the mono cameras of multi-camera rig can be calibrated accurately, so the extended collinearity equations can be used to extend the imaging unit from a mono camera image to multiple images of multi-camera rigs. Compared with the existing spherical models, including the spherical ideal model and the spherical rigorous model, the extended collinearity equations used in this paper avoid the spherical projection error and fusion error caused by the misalignment of projection centers. Experimental results show that the method omits the processing procedure of model projection and fusion of overlap areas, which avoids the precision loss and complicated processing procedure, and finally obtains more robustness triangulation net, more precise and robust position accuracy.

  13. Mechanical Design of a Performance Test Rig for the Turbine Air-Flow Task (TAFT)

    Science.gov (United States)

    Xenofos, George; Forbes, John; Farrow, John; Williams, Robert; Tyler, Tom; Sargent, Scott; Moharos, Jozsef

    2003-01-01

    To support development of the Boeing-Rocketdyne RS84 rocket engine, a fill-flow, reaction turbine geometry was integrated into the NASA-MSFC turbine air-flow test facility. A mechanical design was generated which minimized the amount of new hardware while incorporating all test and instrUmentation requirements. This paper provides details of the mechanical design for this Turbine Air-Flow Task (TAFT) test rig. The mechanical design process utilized for this task included the following basic stages: Conceptual Design. Preliminary Design. Detailed Design. Baseline of Design (including Configuration Control and Drawing Revision). Fabrication. Assembly. During the design process, many lessons were learned that should benefit future test rig design projects. Of primary importance are well-defined requirements early in the design process, a thorough detailed design package, and effective communication with both the customer and the fabrication contractors. The test rig provided steady and unsteady pressure data necessary to validate the computational fluid dynamics (CFD) code. The rig also helped characterize the turbine blade loading conditions. Test and CFD analysis results are to be presented in another JANNAF paper.

  14. Development and verification of a reciprocating test rig designed for investigation of piston ring tribology

    DEFF Research Database (Denmark)

    Pedersen, Michael Torben; Imran, Tajammal; Klit, Peder

    2009-01-01

    This paper describes the development and verification of a reciprocating test rig, which was designed to study the piston ring tribology. A crank mechanism is used to generate a reciprocating motion for a moving plate, which acts as the liner. A stationary block acting as the ring package is loaded......, which is suitable for the study of piston ring tribology....

  15. Pattern recognition and signaling mechanisms of RIG-I and MDA5

    Directory of Open Access Journals (Sweden)

    Stephanie eReikine

    2014-07-01

    Full Text Available Most organisms rely on innate immune receptors to recognize conserved molecular structures from invading microbes. Two essential innate immune receptors, RIG-I and MDA5, detect viral double-stranded RNA in the cytoplasm. The inflammatory response triggered by these RIG-I-like receptors (RLRs is one of the first and most important lines of defense against infection. RIG-I recognizes short RNA ligands with 5’-triphosphate caps. MDA5 recognizes long kilobase-scale genomic RNA and replication intermediates. Ligand binding induces conformational changes and oligomerization of RLRs that activate the signaling partner MAVS on the mitochondrial and peroxisomal membranes. This signaling process is under tight regulation, dependent on post-translational modifications of RIG-I and MDA5, and on regulatory proteins including unanchored ubiquitin chains and a third RLR, LGP2. Here we review recent advances that have shifted the paradigm of RLR signaling away from the conventional linear signaling cascade. In the emerging RLR signaling model, large multimeric signaling platforms generate a highly cooperative, self-propagating and context-dependent signal, which varies with the subcellular localization of the signaling platform.

  16. Complete Genome Sequence of the Campylobacter ureolyticus Clinical Isolate RIGS 9880

    DEFF Research Database (Denmark)

    Miller, William G; Yee, Emma; On, Stephen L W;

    2015-01-01

    The emerging pathogen Campylobacter ureolyticus has been isolated from human and animal genital infections, human periodontal disease, domestic and food animals, and from cases of human gastroenteritis. We report the whole-genome sequence of the human clinical isolate RIGS 9880, which is the first...

  17. Argentina's YPF outlines plan for sale of rigs

    Energy Technology Data Exchange (ETDEWEB)

    1992-11-16

    This paper reports that state owned Yacimientos Petroliferos Fiscales (YPF) has unveiled the schedule it plans to follow to privatize oil and gas contract drilling in Argentine. YPF proposes to exit the drilling business by selling state owned drilling rigs, drill pipe, and accessories in a series of auctions beginning next month and lasting through first quarter 1993. YPF intends to open bids Dec. 16 for a completion unit and 30 drilling rigs, several working under contract. Bids will be opened during first quarter 1993 for new and used YPF drill pipe and collars, spare equipment and accessories, and an inventory of fishing tools said to be one of the largest in South America. Winners are to be notified immediately after each auction. YPF plans to hand over by Feb. 1, 1993, the rigs sold in December. Companies buying YPF drilling assets in first quarter 1993, the rigs sold in December. Companies buying YPF drilling assets in first quarter 1993 are to assume ownership by Mar. 24, 1993.

  18. Weight Loss Surgery (Bariatric Surgery) (For Parents)

    Science.gov (United States)

    ... to Be Smart About Social Media Weight Loss Surgery (Bariatric Surgery) KidsHealth > For Parents > Weight Loss Surgery (Bariatric Surgery) ... bariatric surgery might be an option. About Bariatric Surgery Bariatric surgery had its beginnings in the 1960s, ...

  19. Development and application of the near-infrared and white-light thoracoscope system for minimally invasive lung cancer surgery

    Science.gov (United States)

    Mao, Yamin; Wang, Kun; He, Kunshan; Ye, Jinzuo; Yang, Fan; Zhou, Jian; Li, Hao; Chen, Xiuyuan; Wang, Jun; Chi, Chongwei; Tian, Jie

    2017-06-01

    In minimally invasive surgery, the white-light thoracoscope as a standard imaging tool is facing challenges of the low contrast between important anatomical or pathological regions and surrounding tissues. Recently, the near-infrared (NIR) fluorescence imaging shows superior advantages over the conventional white-light observation, which inspires researchers to develop imaging systems to improve overall outcomes of endoscopic imaging. We developed an NIR and white-light dual-channel thoracoscope system, which achieved high-fluorescent signal acquisition efficiency and the simultaneously optimal visualization of the NIR and color dual-channel signals. The system was designed to have fast and accurate image registration and high signal-to-background ratio by optimizing both software algorithms and optical hardware components for better performance in the NIR spectrum band. The system evaluation demonstrated that the minimally detectable concentration of indocyanine green (ICG) was 0.01 μM, and the spatial resolution was 35 μm. The in vivo feasibility of our system was verified by the preclinical experiments using six porcine models with the intravenous injection of ICG. Furthermore, the system was successfully applied for guiding the minimally invasive segmentectomy in three lung cancer patients, which revealed that our system held great promise for the clinical translation in lung cancer surgeries.

  20. Sensors, motes, and smart dust : WirelessHART sensors are finding application in gas plants, well rigs and soon may be embraced by entire cities

    Energy Technology Data Exchange (ETDEWEB)

    Chandler, G.

    2009-05-15

    The WirelessHART (Highway Addressable Remote Transducer) is wireless communication system designed to address the needs of the process industry. The sensor system can be used in applications that were previously not practical or possible, such as in drilling rigs and gas plants. The wireless aspect is an important new innovation that delivers key economic benefits. For some temperature measurements in industrial plants, it is not always feasible to run wires all the way up the stack. The wireless solution consists of wireless gateways and field devices that receive and condition data from sensors that measure temperatures, pressures, flow rates, vibration, and other process parameters. The same devices also relay the measurement data to the gateway. Up to 100 devices can be linked wirelessly to a gateway, which passes on the process information to the control system of the plant, drilling rig, or other industrial facility. Multiple networks can be bridged using Wi-Fi. Once deployed, the technology optimizes itself. The system is also useful for determining temperatures and pressures on the mud tanks at drilling rigs and blowout preventers. The system is being used in highly automated and multi-process plants like refineries and upgraders where numerous sensors are needed. Savings on the wireless installations allow a company to afford the installation of more sensors in places they previously could not cost-effectively deploy wired sensors, thereby resulting in improved productivity, safety, and reduced plant downtimes. Talisman Energy's Teepee Creek sour gas plant near Grande Prairie Alberta uses the WirelessHART network to measure temperatures, pressure, differential pressure, tank levels, and valve positions. 4 figs.

  1. DMPD: Toll-like receptors, RIG-I-like RNA helicases and the antiviral innate immuneresponse. [Dynamic Macrophage Pathway CSML Database

    Lifescience Database Archive (English)

    Full Text Available 17667934 Toll-like receptors, RIG-I-like RNA helicases and the antiviral innate imm...g) (.svg) (.html) (.csml) Show Toll-like receptors, RIG-I-like RNA helicases and the antiviral innate immune...response. PubmedID 17667934 Title Toll-like receptors, RIG-I-like RNA helicases a

  2. Antimicrobial delivery systems for local infection prophylaxis in orthopedic- and trauma surgery

    NARCIS (Netherlands)

    ter Boo, Gert-Jan A.; Grijpma, Dirk W.; Moriarty, Thomas E.; Richards, Robert G.; Eglin, David

    2015-01-01

    Infectious complications occur in a minor but significant portion of the patients undergoing joint replacement surgery or fracture fixation, particularly those with severe open fractures, those undergoing revision arthroplasty or those at elevated risk because of poor health status. Once established

  3. Antimicrobial delivery systems for local infection prophylaxis in orthopedic- and trauma surgery

    NARCIS (Netherlands)

    Boo, ter G.A.; Grijpma, D.W.; Moriarty, T.F.; Richards, R.G.; Eglin, D.

    2015-01-01

    Infectious complications occur in a minor but significant portion of the patients undergoing joint replacement surgery or fracture fixation, particularly those with severe open fractures, those undergoing revision arthroplasty or those at elevated risk because of poor health status. Once established

  4. Laparoscopic Upper Urinary System Surgery After Specialty Training: Presentation of 50 Cases

    Directory of Open Access Journals (Sweden)

    Alper Gok

    2014-03-01

    Full Text Available Aim: Results of first 50 laparoscopic upper urinary tractus surgeries which were performed in Adiyaman State Hospital during compulsory duty after specialty training are presented. Material and Method: Fifty patients who underwent laparoscopic upper urinary tractus surgeries in our clinic between February 2012 and January 2013 were retrospectively evaluated. All of the laparoscopic procedures were performed using transperitoneal method. Results: Mean age of the patients was 42,6±13,6 (17-74, and mean operation duration was 96,8±12,4 minutes (28-165. Thirty two patients were males and 18 were females. Intraoperative complications were not seen in any of the patients and operations didn%u2019t proceed to open surgeries. All patients were mobilized at first day after the operation. No patient needed opioids as painkillers at postoperative period. Decrease in hematocrit level was obseved in a patient at early postoperative period and this patient was followed conservatively with 6 units of erythrocyte suspension. Herniation from the port area was observed in a patient who had cortical cyst excision at postoperative 3rd month. No major complication was observed. Discussion: Laparoscopic surgery which is becoming more commonly used nowadays can be safely applied in state hospitals if appropriate infrastructure is provided.

  5. The use of the LigaSure Vessel Sealing System in esophageal cancer surgery.

    Science.gov (United States)

    Eroglu, Atilla; Turkyilmaz, Atila; Aydin, Yener; Erdem, Ali Fuat; Tokur, Mahmut; Karaoglanoglu, Nurettin

    2007-12-01

    In this clinical study we investigated the use and results of the LigaSure Vessel Sealing Sytem (LVSS) (Valleylab, Boulder, CO) compared with conventional surgery in esophageal cancer resection. The LVSS (Valleylab) is a device with a hemostatic design frequently used in abdominal surgery. Sixty patients (n = 30 in each group) with esophageal cancer from a single center were evaluated to undergo esophagectomy using either the LVSS or conventional clamping methods. The main outcome measures (ie, operating time, intraoperative blood loss, and postoperative course) were then compared. In resections performed using the LVSS, operation duration (307 +/- 35 minutes vs 260 +/- 35 minutes; p = 0.000), intraoperative blood loss (average 533 +/- 211 mL vs 390 +/- 256 mL; p = 0.022), and postoperative drainage volumes (abdomen, 70 +/- 86 mL vs 40 +/- 61 mL; p = 0.122; thorax, 690 +/- 646 mL vs 540 +/- 359 mL; p = 0.271) all decreased. The LVSS is easy to use and a reliable method in esophageal cancer surgery. Compared with conventional hemostatic techniques a reduction in intraoperative and postoperative blood loss, and a shortening of operation duration were determined. We believe that the use of the LVSS in esophageal surgery will become even more widespread in the future.

  6. Endoscopic closure instead of surgery to close an ileal pouch fistula with the over-the-scope clip system

    Science.gov (United States)

    Wei, Yao; Gong, Jian-Feng; Zhu, Wei-Ming

    2017-01-01

    An ileal pouch fistula is an uncommon complication after an ileal pouch anal anastomosis. Most patients who suffer from an ileal pouch fistula will need surgical intervention. However, the surgery can be invasive and has a high risk compared to endoscopic treatment. The over-the-scope clip (OTSC) system was initially developed for hemostasis and leakage closure in the gastrointestinal tract during flexible endoscopy. There have been many successes in using this approach to apply perforations to the upper gastrointestinal tract. However, this approach has not been used for ileal pouch fistulas until currently. In this report, we describe one patient who suffered a leak from the tip of the “J” pouch and was successfully treated with endoscopic closure via the OTSC system. A 26-year-old male patient had an intestinal fistula at the tip of the “J” pouch after an ileal pouch anal anastomosis procedure. He received endoscopic treatment via OTSC under intravenous anesthesia, and the leak was closed successfully. Endoscopic closure of a pouch fistula could be a simpler alternative to surgery and could help avoid surgery-related complications. PMID:28250903

  7. Reliability of a computer-aided detection system in detecting lung metastases compared to manual palpation during surgery.

    Science.gov (United States)

    Schramm, Alexandra; Wormanns, Dag; Leschber, Gunda; Merk, Johannes

    2011-01-01

    For resection of lung metastases computed tomography (CT) is needed to determine the operative strategy. A computer-aided detection (CAD) system, a software tool for automated detection of lung nodules, analyses the CT scans in addition to the radiologists and clearly marks lesions. The aim of this feasibility study was to evaluate the reliability of CAD in detecting lung metastases. Preoperative CT scans of 18 patients, who underwent surgery for suspected lung metastases, were analysed with CAD (September-December 2009). During surgery all suspected lesions were traced and resected. Histological examination was performed and results compared to radiologically suspicious nodes. Radiological analysis assisted by CAD detected 64 nodules (mean 3.6, range 1-7). During surgery 91 nodules (mean 5.0, range 1-11) were resected, resulting in 27 additionally palpated nodules. Histologically all these additional nodules were benign. In contrast, all 30 nodules shown to be metastases by histological studies were correctly described by CAD. The CAD system is a sensible and useful tool for finding pulmonary lesions. It detects more and smaller lesions than conventional radiological analysis. In this feasibility study we were able to show a greater reliability of the CAD analysis. A further and prospective study to confirm these data is ongoing.

  8. Preoperative nutritional status predicts the severity of the systemic inflammatory response syndrome (SIRS) following major vascular surgery.

    Science.gov (United States)

    Hassen, T A; Pearson, S; Cowled, P A; Fitridge, R A

    2007-06-01

    This study examined the relationship between pre-operative nutritional status and systemic inflammatory response syndrome (SIRS) or sepsis following major vascular surgery. Subjects undergoing open AAA repair, EVAR or lower limb revascularisation were studied prospectively. Pre-operative nutrition was assessed clinically using Mini-Nutritional Assessment (MNA) and body composition was measured by dual energy X-ray absorptiometry (DEXA) scanning. SIRS severity was assessed for 5 post-operative days and sepsis noted within 30 days of surgery. Using MNA, neither SIRS severity nor sepsis occurrence differed significantly between 'well-nourished' subjects and those 'at risk of malnutrition'. Using DEXA, negative associations existed between body mass index and both SIRS score and SIRS duration. Fat free mass (FFM) was negatively associated with SIRS score and duration. Negative associations also existed between skeletal muscle mass (SMM) and SIRS score and duration. SMM was also negatively correlated with post-operative length of stay in hospital. There were no significant correlations between sepsis and any nutritional indices. Lower pre-operative nutritional indices, indicating protein energy malnutrition, were associated with more severe systemic inflammatory responses following major vascular surgery.

  9. The Fluostick, a real hand-held system for near-infrared fluorescence image-guided surgery

    Science.gov (United States)

    Dorval, Paul; Mangeret, Norman; Guillermet, Stephanie; Righini, Christian Adrien; Barabino, Gabriele; Rizo, Philippe; Poulet, Patrick

    2014-02-01

    Near-infrared fluorescence image-guided surgery, FIGS, has lately shown a huge potential in oncologic and lymphatic related surgeries. In some indications such as liver or heart surgery, fluorescence-reachable anatomic structures are limited by the access to the surgical field. Nevertheless, most of the systems available on the market are too large to image the sides of cavities. Small devices are clearly required to improve workability of fluorescence imaging systems. The current work describes the development of an instrument and the results of its evaluation. In order to image narrow area, we developed a small size device consisting of an optical head connected to a control box. The whole system, optical head, control box and software, receives a CE mark for clinical procedures. Building on existing technologies, we simplified the fluorescence imaging system. It consists of a custom charged-coupled device camera, a high color rendering index visible LED illumination and a Class1 Laser fluorophore excitation. With a curved shape of 25x35x150mm, the optical head was designed as a true hand-held probe. The field of view varies from 5x3.75cm to 2x1.5cm. The device is able to collect and display the signal of 5pmol of IndoCyanine Green (ICG) with a spatial resolution down to 70μm at 25 frames per second. The system has been evaluated in pre-clinical and clinical procedures. The preclinical studies confirmed the ability of the system to visualize tumors in mice models. Clinical evaluations includes lymphedema investigations and surgical resections of tumors in colorectal cancer.

  10. Fiber optical sensor system for shape and haptics for flexible instruments in minimally invasive surgery: overview and status quo

    Science.gov (United States)

    Ledermann, Christoph; Pauer, Hendrikje; Woern, Heinz

    2014-05-01

    In minimally invasive surgery, exible mechatronic instruments promise to improve the overall performance of surgical interventions. However, those instruments require highly developed sensors in order to provide haptic feedback to the surgeon or to enable (semi-)autonomous tasks. Precisely, haptic sensors and a shape sensor are required. In this paper, we present our ber optical sensor system of Fiber Bragg Gratings, which consists of a shape sensor, a kinesthetic sensor and a tactile sensor. The status quo of each of the three sensors is described, as well as the concept to integrate them into one ber optical sensor system.

  11. The coordinate system of the eye in cataract surgery: Performance comparison of the circle Hough transform and Daugman's algorithm

    Science.gov (United States)

    Vlachynska, Alzbeta; Oplatkova, Zuzana Kominkova; Sramka, Martin

    2017-07-01

    The aim of the work is to determine the coordinate system of an eye and insert a polar-axis system into images captured by a slip lamp. The image of the eye with the polar axis helps a surgeon accurately implant toric intraocular lens in the required position/rotation during the cataract surgery. In this paper, two common algorithms for pupil detection are compared: the circle Hough transform and Daugman's algorithm. The procedures were tested and analysed on the anonymous data set of 128 eyes captured at Gemini eye clinic in 2015.

  12. Relevance of Simpson grading system and recurrence-free survival after surgery for World Health Organization Grade I meningioma.

    Science.gov (United States)

    Nanda, Anil; Bir, Shyamal C; Maiti, Tanmoy K; Konar, Subhas K; Missios, Symeon; Guthikonda, Bharat

    2017-01-01

    OBJECTIVE The clinical significance of the Simpson system for grading the extent of meningioma resection and its role as a predictor of the recurrence of World Health Organization (WHO) Grade I meningiomas have been questioned in the past, echoing changes in meningioma surgery over the years. The authors reviewed their experience in resecting WHO Grade I meningiomas and assessed the association between extent of resection, as evaluated using the Simpson classification, and recurrence-free survival (RFS) of patients after meningioma surgery. METHODS Clinical and radiological information for patients with WHO Grade I meningiomas who had undergone resective surgery over the past 20 years was retrospectively reviewed. Simpson and Shinshu grading scales were used to evaluate the extent of resection. Statistical analysis was conducted using Kaplan-Meier curves and Cox proportional-hazards regression. RESULTS Four hundred fifty-eight patients were eligible for analysis. Overall tumor recurrence rates for Simpson resection Grades I, II, III, and IV were 5%, 22%, 31%, and 35%, respectively. After Cox regression analysis, Simpson Grade I (extensive resection) was revealed as a significant predictor of RFS (p = 0.003). Patients undergoing Simpson Grade I and II resections showed significant improvement in RFS compared with patients undergoing Grade III and IV resections (p = 0.005). Extent of resection had a significant effect on recurrence rates for both skull base (p = 0.047) and convexity (p = 0.012) meningiomas. Female sex and a Karnofsky Performance Scale score > 70 were also identified as independent predictors of RFS after resection of WHO Grade I meningioma. CONCLUSIONS In this patient cohort, a significant association was noted between extent of resection and rates of tumor recurrence. In the authors' experience the Simpson grading system maintains its relevance and prognostic value and can serve an important role for patient education. Even though complete tumor

  13. Discussion on new Technology of Oil Drilling Rig%石油钻机新技术探讨

    Institute of Scientific and Technical Information of China (English)

    宋云; 刘文兵

    2015-01-01

    分析了石油勘探开发和工程技术的新发展,特别是针对三大钻机技术(水平井钻井技术、欠平衡钻井技术、深井钻井技术),应运而生的新型石油钻井装备。还阐述了与之相关的新型石油钻井装备,如液压钻机、四象限运行的交流变频电驱钻机、模块钻机、快移快装钻机、钻机智能化、钻机顶驱装置等。%Analysis of the new development of petroleum exploration and development and engineering technology, especial⁃ly for the technology of three type rig technology (horizontal well, less balance well ,deep well drilling), model of petroleum drill⁃ing equipment emerge as the times require. Also elaborated the new oil drilling equipment and related, such as the AC frequency conversion rig, hydraulic drilling rig, four quadrant drive rig, modular drilling rig, quickly moving fast drilling rig, drill rig top drive device of intelligent, etc..

  14. Z proteins of New World arenaviruses bind RIG-I and interfere with type I interferon induction.

    Science.gov (United States)

    Fan, Lina; Briese, Thomas; Lipkin, W Ian

    2010-02-01

    The retinoic acid-inducible gene I product (RIG-I) is a cellular sensor of RNA virus infection that regulates the cellular beta interferon (IFN-beta) response. The nucleoproteins (NP) of arenaviruses are reported to antagonize the IFN response by inhibiting interferon regulatory factor 3 (IRF-3). Here, we demonstrate that the Z proteins of four New World (NW) arenaviruses, Guanarito virus (GTOV), Junin virus (JUNV), Machupo virus (MAVC), and Sabia virus (SABV), bind to RIG-I, resulting in downregulation of the IFN-beta response. We show that expression of the four NW arenavirus Z proteins inhibits IFN-beta mRNA induction in A549 cells in response to RNA bearing 5' phosphates (5'pppRNA). NW arenavirus Z proteins interact with RIG-I in coimmunoprecipitation studies and colocalize with RIG-I. Furthermore, expression of Z proteins interferes with the interaction between RIG-I and MAVS. Z expression also impedes the nuclear factor kappa light chain enhancer of activated B cells (NF-kappaB) and IRF-3 activation. Our results indicate that NW arenavirus Z proteins, but not Z protein of the Old World (OW) arenavirus lymphocytic choriomeningitis virus (LCMV) or Lassa virus, bind to RIG-I and inhibit downstream activation of the RIG-I signaling pathway, preventing the transcriptional induction of IFN-beta.

  15. The 3' untranslated regions of influenza genomic sequences are 5'PPP-independent ligands for RIG-I.

    Directory of Open Access Journals (Sweden)

    William G Davis

    Full Text Available Retinoic acid inducible gene-I (RIG-I is a key regulator of antiviral immunity. RIG-I is generally thought to be activated by ssRNA species containing a 5'-triphosphate (PPP group or by unphosphorylated dsRNA up to ~300 bp in length. However, it is not yet clear how changes in the length, nucleotide sequence, secondary structure, and 5' end modification affect the abilities of these ligands to bind and activate RIG-I. To further investigate these parameters in the context of naturally occurring ligands, we examined RNA sequences derived from the 5' and 3' untranslated regions (UTR of the influenza virus NS1 gene segment. As expected, RIG-I-dependent interferon-β (IFN-β induction by sequences from the 5' UTR of the influenza cRNA or its complement (26 nt in length required the presence of a 5'PPP group. In contrast, activation of RIG-I by the 3' UTR cRNA sequence or its complement (172 nt exhibited only a partial 5'PPP-dependence, as capping the 5' end or treatment with CIP showed a modest reduction in RIG-I activation. Furthermore, induction of IFN-β by a smaller, U/A-rich region within the 3' UTR was completely 5'PPP-independent. Our findings demonstrated that RNA sequence, length, and secondary structure all contributed to whether or not the 5'PPP moiety is needed for interferon induction by RIG-I.

  16. Innate immunity to RNA virus is regulated by temporal and reversible sumoylation of RIG-I and MDA5.

    Science.gov (United States)

    Hu, Ming-Ming; Liao, Chen-Yang; Yang, Qing; Xie, Xue-Qin; Shu, Hong-Bing

    2017-04-03

    Sensing of viral RNA by the cytosolic receptors RIG-I and melanoma differentiation-associated gene 5 (MDA5) leads to innate antiviral response. How RIG-I and MDA5 are dynamically regulated in innate antiviral response is not well understood. Here, we show that TRIM38 positively regulates MDA5- and RIG-I-mediated induction of downstream genes and acts as a SUMO E3 ligase for their dynamic sumoylation at K43/K865 and K96/K888, respectively, before and after viral infection. The sumoylation of MDA5 and RIG-I suppresses their K48-linked polyubiquitination and degradation in uninfected or early-infected cells. Sumoylation of the caspase recruitment domains of MDA5 and RIG-I is also required for their dephosphorylation by PP1 and activation upon viral infection. At the late phase of viral infection, both MDA5 and RIG-I are desumoylated by SENP2, resulting in their K48-linked polyubiquitination and degradation. These findings suggest that dynamic sumoylation and desumoylation of MDA5 and RIG-I modulate efficient innate immunity to RNA virus and its timely termination.

  17. Virtual skeletal complex model- and landmark-guided orthognathic surgery system.

    Science.gov (United States)

    Lee, Sang-Jeong; Woo, Sang-Yoon; Huh, Kyung-Hoe; Lee, Sam-Sun; Heo, Min-Suk; Choi, Soon-Chul; Han, Jeong Joon; Yang, Hoon Joo; Hwang, Soon Jung; Yi, Won-Jin

    2016-05-01

    In this study, correction of the maxillofacial deformities was performed by repositioning bone segments to an appropriate location according to the preoperative planning in orthognathic surgery. The surgery was planned using the patient's virtual skeletal models fused with optically scanned three-dimensional dentition. The virtual maxillomandibular complex (MMC) model of the patient's final occlusal relationship was generated by fusion of the maxillary and mandibular models with scanned occlusion. The final position of the MMC was simulated preoperatively by planning and was used as a goal model for guidance. During surgery, the intraoperative registration was finished immediately using only software processing. For accurate repositioning, the intraoperative MMC model was visualized on the monitor with respect to the simulated MMC model, and the intraoperative positions of multiple landmarks were also visualized on the MMC surface model. The deviation errors between the intraoperative and the final positions of each landmark were visualized quantitatively. As a result, the surgeon could easily recognize the three-dimensional deviation of the intraoperative MMC state from the final goal model without manually applying a pointing tool, and could also quickly determine the amount and direction of further MMC movements needed to reach the goal position. The surgeon could also perform various osteotomies and remove bone interference conveniently, as the maxillary tracking tool could be separated from the MMC. The root mean square (RMS) difference between the preoperative planning and the intraoperative guidance was 1.16 ± 0.34 mm immediately after repositioning. After surgery, the RMS differences between the planning and the postoperative computed tomographic model were 1.31 ± 0.28 mm and 1.74 ± 0.73 mm for the maxillary and mandibular landmarks, respectively. Our method provides accurate and flexible guidance for bimaxillary orthognathic surgery based on

  18. A Novel Clinical Pharmacy Management System in Improving the Rational Drug Use in Department of General Surgery

    Directory of Open Access Journals (Sweden)

    L Bao

    2013-01-01

    Full Text Available Hospital information system is widely used to improve work efficiency of hospitals in China. However, it is lack of the function providing pharmaceutical information service for clinical pharmacists. A novel clinical pharmacy management system developed by our hospital was introduced to improve the work efficiency of clinical pharmacists in our hospital and to carry out large sample statistical analyzes by providing pharmacy information services and promoting rational drug use. Clinical pharmacy management system was developed according to the actual situation. Taking prescription review in the department of general surgery as the example, work efficiency of clinical pharmacists, quality and qualified rates of prescriptions before and after utilizing clinical pharmacy management system were compared. Statistics of 48,562 outpatient and 5776 inpatient prescriptions of the general surgical department were analyzed. Qualified rates of both the inpatient and outpatient prescriptions of the general surgery department increased, and the use of antibiotics decreased. This system apparently improved work efficiency, standardized the level and accuracy of drug use, which will improve the rational drug use and pharmacy information service in our hospital. Meanwhile, utilization of prophylactic antibiotics for the aseptic operations also reduced.

  19. Corrective Jaw Surgery

    Medline Plus

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

  20. Dental Implant Surgery

    Science.gov (United States)

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

  1. In vitro application of optical transmission systems in erbium:YAG laser temporomandibular joint surgery

    Science.gov (United States)

    Nuebler-Moritz, Michael; Hering, Peter; Niederdellmann, Herbert; Deuerling, Christian; Dammer, Ralf

    1995-05-01

    The experimental setup of this study is focused on the changes in temporomandibular joint tissue after irradiation with an Erbium:YAG laser. Initially, the free-running beam from the laser was focused onto freshly excised porcine tissue samples, indicating an optimum average energy density and pulse duration for the purpose of temporomandibular joint surgery of about 15 - 60 J/cm2 and 120 microsecond(s) - 240 microsecond(s) , respectively. Consecutively, an attempt was made to couple the Erbium:YAG laser beam on the one hand to optical fibers made of infrared-transmitting glasses (fluoride- and chalcogenide-based), on the other hand to a recently developed sapphire and liquid core fiber, respectively. From the preliminary observations of this investigation it appears that both the liquid core and the sapphire fiber are the most promising candidates for delivery of Erbium-YAG laser radiation in arthroscopic surgery of the craniomandibular articulation.

  2. A Comparison of Different Operating Systems for Femtosecond Lasers in Cataract Surgery

    Directory of Open Access Journals (Sweden)

    B. M. Wu

    2015-01-01

    Full Text Available The introduction of femtosecond lasers is potentially a major shift in the way we approach cataract surgery. The development of increasingly sophisticated intraocular lenses (IOLs, coupled with heightened patient expectation of high quality postsurgical visual outcomes, has generated the need for a more precise, highly reproducible and standardized method to carry out cataract operations. As femtosecond laser-assisted cataract surgery (FLACS becomes more commonplace in surgical centers, further evaluation of the potential risks and benefits needs to be established, particularly in the medium/long term effects. Healthcare administrators will also have to weigh and balance out the financial costs of these lasers relative to the advantages they put forth. In this review, we provide an operational overview of three of five femtosecond laser platforms that are currently commercially available: the Catalys (USA, the Victus (USA, and the LDV Z8 (Switzerland.

  3. [Course system of the Working Group for Gastro-intestinal Surgery Davos].

    Science.gov (United States)

    Saeger, H-D; Kersting, S; Vogelbach, P; Hamel, C; Oertli, D; Hölscher, A; Thomas, W E G

    2010-01-01

    Training in technical skills is essential for advanced surgical education. Training is moving more and more from the operating room to surgical training laboratories. A crucial impulse for this development came from Davos, where the first skills course was organized in 1984 after the formation of the Working Group for Gastro-intestinal (GI) Surgery (AGC Davos). Since this first course more than 5,000 residents have successfully completed the GI skills training course in Davos and many of the alumni are themselves teaching surgery today. The level and quality of this course has remained stable for 27 years on a high quality level although teaching has continuously been adjusted to modern techniques. The language of this international workshop is English. The number of applications exceeds the course capacity every year, which is an indication for the need of such training courses and should be principally included into the skills curriculum for surgeons.

  4. A Comparison of Different Operating Systems for Femtosecond Lasers in Cataract Surgery.

    Science.gov (United States)

    Wu, B M; Williams, G P; Tan, A; Mehta, J S

    2015-01-01

    The introduction of femtosecond lasers is potentially a major shift in the way we approach cataract surgery. The development of increasingly sophisticated intraocular lenses (IOLs), coupled with heightened patient expectation of high quality postsurgical visual outcomes, has generated the need for a more precise, highly reproducible and standardized method to carry out cataract operations. As femtosecond laser-assisted cataract surgery (FLACS) becomes more commonplace in surgical centers, further evaluation of the potential risks and benefits needs to be established, particularly in the medium/long term effects. Healthcare administrators will also have to weigh and balance out the financial costs of these lasers relative to the advantages they put forth. In this review, we provide an operational overview of three of five femtosecond laser platforms that are currently commercially available: the Catalys (USA), the Victus (USA), and the LDV Z8 (Switzerland).

  5. Procalcitonin for the differential diagnosis of infectious and non-infectious systemic inflammatory response syndrome after cardiac surgery.

    Science.gov (United States)

    Zhao, Dong; Zhou, Jianxin; Haraguchi, Go; Arai, Hirokuni; Mitaka, Chieko

    2014-01-01

    This study was performed to assess the value of procalcitonin (PCT) for the differential diagnosis between infectious and non-infectious systemic inflammatory response syndrome (SIRS) after cardiac surgery. Patients diagnosed with SIRS after cardiac surgery between April 1, 2011 and March 31, 2013 were retrospectively studied. A total of 142 patients with SIRS, infectious (n = 47) or non-infectious (n = 95), were included. The patients with infectious SIRS included 11 with sepsis, 12 with severe sepsis without shock, and 24 with septic shock. PCT, C-reactive protein (CRP), and the white blood cell (WBC) count were significantly higher in the infectious SIRS group than in the non-infectious SIRS group. PCT had the highest sensitivity and specificity for differential diagnosis, with a cut-off value for infectious SIRS of 0.47 ng/mL. PCT was more reliable than CRP in diagnosing severe sepsis without shock, but it was not useful for diagnosing septic shock. The PCT cut-off value for diagnosing severe sepsis without shock was 2.28 ng/mL. PCT was a useful marker for the diagnosis of infectious SIRS after cardiac surgery. The optimal PCT cut-off value for diagnosing infectious SIRS was 0.47 ng/mL.

  6. Malfunctions of robotic system in surgery: role and responsibility of surgeon in legal point of view

    Directory of Open Access Journals (Sweden)

    Ferrarese Alessia

    2016-01-01

    Full Text Available Robotic surgery (RS technology has undergone rapid growth in the surgical field since its approval. In clinical practice, failure of robotic procedures mainly results from a surgeon’s inability or to a device malfunction. We reviewed the literature to estimate the impact of this second circumstance in RS and its consequent legal implications. According to data from the literature, device malfunction is rare. We believe it is necessary to complement surgical training with a technical understanding of RS devices.

  7. Systemic Venous Thrombosis after Recombinant Factor VIIa in the Control of Bleeding after Cardiac Surgery

    OpenAIRE

    Mahmoud, Amr; Al-Ruzzeh, Sharif; McKeague, Helena; Cross, Mike

    2007-01-01

    Recombinant factor VIIa has been licensed in the United Kingdom since 1996 for the control of bleeding in hemophilic patients who are actively bleeding or are about to undergo surgery. Medical practitioners are also applying recombinant factor VIIa toward the control of bleeding in patients without hemophilia. Although the efficacy of recombinant factor VIIa has been shown in many patients, concerns have arisen about the risk of thrombotic adverse events.

  8. Socioeconomic factors and parity of access to robotic surgery in a county health system.

    Science.gov (United States)

    Tatebe, Leah Carey; Gray, Regan; Tatebe, Ken; Garcia, Fernando; Putty, Bradley

    2017-02-28

    Equal access to novel surgical technologies remains a policy concern as hospitals adopt robotic surgery with increasing prevalence. This study sought to determine whether socioeconomic factors influence access to robotic surgery. All laparoscopic and robotic fundoplications and paraesophageal hernia repairs performed by a surgical group over 6 years at a county and two neighboring private hospitals were identified. Robotic use by hospital setting, age, gender, reported ethnicity, estimated income, insurance payer, and diagnosis were examined. Of 418 patients identified, 180 (43%) presented to the county hospital, where subjects were younger (51.1 versus 56.2 years, p robotic surgery offered in the county hospital was observed based on age, gender, reported ethnicity, estimated income, or insurance payer. Patients with higher income and private insurers were more likely to present to the private hospital setting where robotics is utilized more often. The presence of a paraesophageal hernia was a significant factor in determining robotic therapy in both settings.

  9. Analysis of Surgical Site Infection after Musculoskeletal Tumor Surgery: Risk Assessment Using a New Scoring System

    Directory of Open Access Journals (Sweden)

    Satoshi Nagano

    2014-01-01

    Full Text Available Surgical site infection (SSI has not been extensively studied in musculoskeletal tumors (MST owing to the rarity of the disease. We analyzed incidence and risk factors of SSI in MST. SSI incidence was evaluated in consecutive 457 MST cases (benign, 310 cases and malignant, 147 cases treated at our institution. A detailed analysis of the clinical background of the patients, pre- and postoperative hematological data, and other factors that might be associated with SSI incidence was performed for malignant MST cases. SSI occurred in 0.32% and 12.2% of benign and malignant MST cases, respectively. The duration of the surgery (P=0.0002 and intraoperative blood loss (P=0.0005 was significantly more in the SSI group than in the non-SSI group. We established the musculoskeletal oncological surgery invasiveness (MOSI index by combining 4 risk factors (blood loss, operation duration, preoperative chemotherapy, and the use of artificial materials. The MOSI index (0–4 points score significantly correlated with the risk of SSI, as demonstrated by an SSI incidence of 38.5% in the group with a high score (3-4 points. The MOSI index score and laboratory data at 1 week after surgery could facilitate risk evaluation and prompt diagnosis of SSI.

  10. Laboratory facility for testing electric-vehicle batteries Test rig for simulating duty cycles with different discharge modes

    Science.gov (United States)

    Hamilton, J. A.; Rand, D. A. J.

    1983-03-01

    A test rig has been designed and constructed to examine the performance of batteries under laboratory conditions that simulate the power characteristics of electric vehicles. Each station in the rig subjects a battery to continuous charge/discharge cycles, with an equalising charge every eighth cycle. The battery discharge follows the current-verse-time profile of a given vehicle operating under a driving schedule normal to road service. The test rig allows both smooth- and pulsed-current discharge to be investigated. Data collection is accomplished either with multi-pen recorders or with a computer-based information logger.

  11. [Effect of pediatric TCI system for propofol plus remifentanil in pediatric short-duration surgery with laryngeal mask airway anesthesia].

    Science.gov (United States)

    Liu, Hua-cheng; Li, Jun; Yang, Bo; Shangguan, Wang-ning; Cai, Ming-yang; Lian, Qing-quan

    2011-03-08

    To study the effect of a pediatric TCI patent system for propofol plus remifentanil in pediatric short-duration surgery with laryngeal mask airway (LMA) anesthesia. A total of 120 pediatric patients underwent short-duration elective surgery, aged 3 - 9 years old, weighted 13 - 26 kg, ASAI grade, were randomly divided into 3 groups (n = 40 each). The propofol concentrations of effect compartment were set at 2 µg/ml in Group A, 3 µg/ml in Group B and 4 µg/ml in Group C. The remifentanil initial concentration of plasma compartment was 2 ng/ml and increased stepwise by 0.5 ng/ml until a successful insertion of LMA. The remifentanil concentration was recorded when LMA was successfully inserted and the cases were numerated at the each remifentanil concentration. Heart rate (HR), mean arterial pressure (MAP), BIS (bispectral index) values and postoperative adverse events were also recorded at the time points of pre-induction (T0), 2 min post-remifentanil TCI (T1), LMA insertion (T2), skin incision (T3), 5 min post-skin incision (T4), 10 min post-skin incision, (T5) and beginning surgery (T6). The satisfactory ratios of a successful insertion of LMA were highest in remifentanil 3.0 ng/ml (AR subgroup), 2.5 ng/ml (BR subgroup) and 2.0 ng/ml (CR subgroup) respectively. The laryngeal mask satisfactory ratio was high in BR subgroup (P propofol 3 µg/ml effect compartment concentration plus remifentanil 2.5 ng/ml plasma concentration TCI displays stable hemodynamics, less stress, fewer complications and better clinical outcomes in pediatric short-duration surgery with LMA anesthesia.

  12. Systemic Inflammatory Response Syndrome After Major Abdominal Surgery Predicted by Early Upregulation of TLR4 and TLR5.

    Science.gov (United States)

    Lahiri, Rajiv; Derwa, Yannick; Bashir, Zora; Giles, Edward; Torrance, Hew D T; Owen, Helen C; O'Dwyer, Michael J; O'Brien, Alastair; Stagg, Andrew J; Bhattacharya, Satyajit; Foster, Graham R; Alazawi, William

    2016-05-01

    To study innate immune pathways in patients undergoing hepatopancreaticobiliary surgery to understand mechanisms leading to enhanced inflammatory responses and identifying biomarkers of adverse clinical consequences. Patients undergoing major abdominal surgery are at risk of life-threatening systemic inflammatory response syndrome (SIRS) and sepsis. Early identification of at-risk patients would allow tailored postoperative care and improve survival. Two separate cohorts of patients undergoing major hepatopancreaticobiliary surgery were studied (combined n = 69). Bloods were taken preoperatively, on day 1 and day 2 postoperatively. Peripheral blood mononuclear cells and serum were separated and immune phenotype and function assessed ex vivo. Early innate immune dysfunction was evident in 12 patients who subsequently developed SIRS (postoperative day 6) compared with 27 who did not, when no clinical evidence of SIRS was apparent (preoperatively or days 1 and 2). Serum interleukin (IL)-6 concentration and monocyte Toll-like receptor (TLR)/NF-κB/IL-6 functional pathways were significantly upregulated and overactive in patients who developed SIRS (P SIRS. Increased TLR4 and TLR5 gene expression in whole blood was demonstrated in a separate validation cohort of 30 patients undergoing similar surgery. Expression of TLR4/5 on monocytes, particularly intermediate CD14CD16 monocytes, on day 1 or 2 predicted SIRS with accuracy 0.89 to 1.0 (areas under receiver operator curves). These data demonstrate the mechanism for IL-6 overproduction in patients who develop postoperative SIRS and identify markers that predict patients at risk of SIRS 5 days before the onset of clinical signs.

  13. Benefits of intra-operative systemic chemotherapy during curative surgery in patients with locally advanced gastric cancer

    Institute of Scientific and Technical Information of China (English)

    MENG Qing-bin; YU Jian-chun; MA Zhi-qiang; KANG Wei-ming; ZHOU Li; YE Xin

    2013-01-01

    Background There is little information on the impact of intra-operative systemic chemotherapy on gastric cancer.The aim of this study was to identify prognostic factors in patients with locally advanced gastric cancer and undergoing curative resection,with a focus on evaluating survival benefits and tolerance of intra-operative systemic chemotherapy.Methods We retrospectively analyzed clinicopathological data for 264 consecutive patients who underwent curative resection for gastric cancer at Peking Union Medical College Hospital from January 2002 to January 2007.Survival curves were plotted using the Kaplan-Meier method and compared using log-rank tests.Univariate and multivariate analyses were performed with the Cox proportional hazard model.Results Patients who received intra-operative systemic chemotherapy had higher 5-year overall survival and 5-year disease-free survival rates (P=0.019 and 0.010,respectively) than patients who did not receive intra-operative systemic chemotherapy.In the subgroup analysis,systemic intra-operative chemotherapy benefited the 5-year overall survival and disease-free survival rates for patients with cancer of stage pTNM ⅠB-ⅢB,but not stage pTNM ⅢC.Patients who received intra-operative systemic chemotherapy in combination with post-operative chemotherapy had higher 5-year overall survival and 5-year disease-free survival rates (P=0.046 and 0.021,respectively) than patients who only received postoperative chemotherapy.However,the difference in these rates between patients who received only intra-operative systemic chemotherapy and patients who only received curative surgery was not statistically significant (P=0.150 and 0.170,respectively).Multivariate analyses showed that intra-operative systemic chemotherapy was a favorable prognostic factor for the overall survival and disease-free survival rates (P =0.048 and 0.023,respectively).No grade 4 toxicities related to intra-operative systemic chemotherapy were recorded within the

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

    Directory of Open Access Journals (Sweden)

    Sait KH

    2011-07-01

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

  15. A web-based computer aided system for liver surgery planning: initial implementation on RayPlus

    Science.gov (United States)

    Luo, Ming; Yuan, Rong; Sun, Zhi; Li, Tianhong; Xie, Qingguo

    2016-03-01

    At present, computer aided systems for liver surgery design and risk evaluation are widely used in clinical all over the world. However, most systems are local applications that run on high-performance workstations, and the images have to processed offline. Compared with local applications, a web-based system is accessible anywhere and for a range of regardless of relative processing power or operating system. RayPlus (http://rayplus.life.hust.edu.cn), a B/S platform for medical image processing, was developed to give a jump start on web-based medical image processing. In this paper, we implement a computer aided system for liver surgery planning on the architecture of RayPlus. The system consists of a series of processing to CT images including filtering, segmentation, visualization and analyzing. Each processing is packaged into an executable program and runs on the server side. CT images in DICOM format are processed step by to interactive modeling on browser with zero-installation and server-side computing. The system supports users to semi-automatically segment the liver, intrahepatic vessel and tumor from the pre-processed images. Then, surface and volume models are built to analyze the vessel structure and the relative position between adjacent organs. The results show that the initial implementation meets satisfactorily its first-order objectives and provide an accurate 3D delineation of the liver anatomy. Vessel labeling and resection simulation are planned to add in the future. The system is available on Internet at the link mentioned above and an open username for testing is offered.

  16. 6臂液压伞形钻架研制及应用%Development and Application of Six Boom Hydraulic Umbrella Drilling Rig

    Institute of Scientific and Technical Information of China (English)

    马维清; 马银; 何磊; 孙会贞; 武振海

    2016-01-01

    According to the engineering conditions and technical requirements of the mine auxiliary shaft in Sishanling Iron Mine ,the paper provided the technical parameters of the six boom hydraulic umbrella drilling rig and had a study on the design plan of the main system and parts .A trial was con‐ducted on the engineering application .With the development of the suspension system in the umbrella drilling rig ,the location fixing problem of the six boom hydraulic umbrella drilling rig in the large cross section shaft sinking face was solved .With the improvement on the compressed-air and water system ,the problems were solved on water quantity too high to clean the drilling cutting ,which was affected to the construction of the shaft sinking face .With the improvement on the rotary mechanism of the hydraulic rock drill ,the failure rate of the rock drill was reduced .According to the engineering actual application conditions ,the paper analyzed the shortages existed in the six boom hydraulic um‐brella drilling rig and provided the improved proposals.%根据思山岭铁矿副井工程条件及技术要求,提出了6臂液压伞形钻架技术参数,对主要系统及部件的设计方案进行了研究,并进行了工程应用试验。通过研制伞形钻架悬吊系统,解决了6臂液压伞形钻架在大断面立井工作面的就位固定问题;对气水系统进行改进,解决了排渣用水量过大,影响工作面施工的问题;对液压凿岩机旋转机构进行改进,降低了凿岩机故障率。根据工程实际应用情况,分析了6臂液压伞形钻架存在的不足之处,提出了改进建议。

  17. Abdominal aortic aneurysm surgery

    DEFF Research Database (Denmark)

    Gefke, K; Schroeder, T V; Thisted, B

    1994-01-01

    The goal of this study was to identify patients who need longer care in the ICU (more than 48 hours) following abdominal aortic aneurysm (AAA) surgery and to evaluate the influence of perioperative complications on short- and long-term survival and quality of life. AAA surgery was performed in 553......, 78% stated that their quality of life had improved or was unchanged after surgery and had resumed working. These data justify a therapeutically aggressive approach, including ICU therapy following AAA surgery, despite failure of one or more organ systems....

  18. FUNCTIONAL REQUIREMENTS FOR STABILITY OF JACK UP DRILLING RIGS ON WORKING POSITION

    Directory of Open Access Journals (Sweden)

    Damir Zadravec

    2008-12-01

    Full Text Available Jack up drilling platforms are offshore drilling units composed by drilling rig situated on naval structure without self propelling device. Jack up drilling rigs are units used for drilling and completion of deep well bores in offshore oil and gas exploration industry or field development. By reaching the theoretical center of gravity and equilibrium while towing and balance of acting forces on the unit while operations on location ensures the stability and safe mode of operations of entire unit. Penetration of legs spud cans in sea bad produced by weight of unit and acting of preload force, depending on geotechnical characteristics, type and bearing capacity of sea bad, and taking in consideration working environmental forces which acts on unit (wind, waves, sea current, ice, snow ensures proper foundation, environmental forces balancing and safe mode of operations (the paper is published in Croatian.

  19. The predictive analysis of wear work-rates in wear test rigs

    Energy Technology Data Exchange (ETDEWEB)

    Phalippou, C.; Delaune, X.

    1996-12-31

    Impact and sliding wear in components is classically studied, as far as the wear laws are concerned, in specific wear test rigs that simulate the vibratory motion induced by the flow. In this paper, an experimental and numerical study on the impact forces and wear work-rates of a typical AECL rig is presented. The mode shapes and frequencies are measured and compared with finite element computations. Impact and sliding motions between the wear specimens are calculated and compared to the experimental results. Impact forces, mean values of wear work-rates as well as the specimen relative motions are found to be close to the experimental data. (authors). 14 refs., 9 figs., 5 tabs.

  20. Design and development of a high-speed bearing test rig

    Science.gov (United States)

    Cockburn, J. A.

    1995-01-01

    The development of a high-speed test rig, to be used for compiling an experimental data base of bearing signatures for bearings with known faults, is described. This bearing test rig can be adapted to test oil-film bearings as well as rolling element bearings. This is achieved by mounting the test bearing in one of two special test housings, either of which can be mounted onto a common test shaft which can be driven up to 30,000 rpm. The test bearing housing for rolling element bearings can accommodate proximity displacement transducers, accelerometers, thermocouples, and acoustic emission sensors. The test bearing housing for the fluid-film bearings can accommodate the same instrumentation as well as Bourdon tube-type transducers for measuring oil film pressures around the bearing circumference.

  1. Mixed mode properties of CNT reinforced composites using Arcan test rig

    Institute of Scientific and Technical Information of China (English)

    Jacob MUTHU

    2015-01-01

    Composite materials reinforced with carbon nanotubes were mechanical tested using Arcan test rig under Mode-I, Mode-II and mixed mode loading conditions to obtain their fracture properties. The butterfly composite specimens were fabricated with 0.02, 0.05 and 0. I wt % CNTs. The polyester/CNT composite was fabricated using VRTM (Vacuum Resin Transfer Molding) where the CNTs were first functionalised to reach an optimum properties. Arcan test rig was designed and fabricated to work with the Shimadzu testing machine. The results show that the functionalised CNTs have improved the fracture behavior by acting as bridge between the cracked face. In addition, the fracture properties were not improved for the higher weight fraction of 0.1 wt% CNTs.

  2. Threshold Assessment of Gear Diagnostic Tools on Flight and Test Rig Data

    Science.gov (United States)

    Dempsey, Paula J.; Mosher, Marianne; Huff, Edward M.

    2003-01-01

    A method for defining thresholds for vibration-based algorithms that provides the minimum number of false alarms while maintaining sensitivity to gear damage was developed. This analysis focused on two vibration based gear damage detection algorithms, FM4 and MSA. This method was developed using vibration data collected during surface fatigue tests performed in a spur gearbox rig. The thresholds were defined based on damage progression during tests with damage. The thresholds false alarm rates were then evaluated on spur gear tests without damage. Next, the same thresholds were applied to flight data from an OH-58 helicopter transmission. Results showed that thresholds defined in test rigs can be used to define thresholds in flight to correctly classify the transmission operation as normal.

  3. The Hydraulic Test Procedure for Non-instrumented Irradiation Test Rig of Annular Fuel

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Dae Ho; Lee, Kang Hee; Shin, Chang Hwan; Park, Chan Kook

    2008-08-15

    This report presents the procedure of pressure drop test, vibration test and endurance test for the non-instrumented rig using the irradiation test in HANARO of advanced PWR annular fuel which were designed and fabricated by KAERI. From the out-pile thermal hydraulic tests, confirm the flow rate at the 200 kPa pressure drop and measure the RMS displacement at this time. And the endurance test is confirmed the wear and the integrity of the non-instrumented rig at the 110% design flow rate. This out-pile test perform the Flow-Induced Vibration and Pressure Drop Experimental Tester(FIVPET) facility. The instruments in FIVPET facility was calibrated in KAERI and the pump and the thermocouple were certified by manufacturer.

  4. Emerging complexity and new roles for the RIG-I-like receptors in innate antiviral immunity

    Institute of Scientific and Technical Information of China (English)

    John; S.Errett; Michael; Gale; Jr.

    2015-01-01

    Innate immunity is critical for the control of virus infection and operates to restrict viral susceptibility and direct antiviral immunity for protection from acute or chronic viral-associated diseases including cancer. RIG-I like receptors(RLRs) are cytosolic RNA helicases that function as pathogen recognition receptors to detect RNA pathogen associated molecular patterns(PAMPs) of virus infection. The RLRs include RIG-I, MDA5, and LGP2. They function to recognize and bind to PAMP motifs within viral RNA in a process that directs the RLR to trigger downstream signaling cascades that induce innate immunity that controls viral replication and spread. Products of RLR signaling also serve to modulate the adaptive immune response to infection. Recent studies have additionally connected RLRs to signaling cascades that impart inflammatory and apoptotic responses to virus infection. Viral evasion of RLR signaling supports viral outgrowth and pathogenesis, including the onset of viral-associated cancer.

  5. Mechanical Design of a Performance Test Rig for the Turbine Air-Flow Task (TAFT)

    Science.gov (United States)

    Forbes, John C.; Xenofos, George D.; Farrow, John L.; Tyler, Tom; Williams, Robert; Sargent, Scott; Moharos, Jozsef

    2004-01-01

    To support development of the Boeing-Rocketdyne RS84 rocket engine, a full-flow, reaction turbine geometry was integrated into the NASA-MSFC turbine air-flow test facility. A mechanical design was generated which minimized the amount of new hardware while incorporating all test and instrumentation requirements. This paper provides details of the mechanical design for this Turbine Air-Flow Task (TAFT) test rig. The mechanical design process utilized for this task included the following basic stages: Conceptual Design. Preliminary Design. Detailed Design. Baseline of Design (including Configuration Control and Drawing Revision). Fabrication. Assembly. During the design process, many lessons were learned that should benefit future test rig design projects. Of primary importance are well-defined requirements early in the design process, a thorough detailed design package, and effective communication with both the customer and the fabrication contractors.

  6. S3 guidelines for intensive care in cardiac surgery patients: hemodynamic monitoring and cardiocirculary system.

    Science.gov (United States)

    Carl, M; Alms, A; Braun, J; Dongas, A; Erb, J; Goetz, A; Goepfert, M; Gogarten, W; Grosse, J; Heller, A R; Heringlake, M; Kastrup, M; Kroener, A; Loer, S A; Marggraf, G; Markewitz, A; Reuter, D; Schmitt, D V; Schirmer, U; Wiesenack, C; Zwissler, B; Spies, C

    2010-06-15

    Hemodynamic monitoring and adequate volume-therapy, as well as the treatment with positive inotropic drugs and vasopressors are the basic principles of the postoperative intensive care treatment of patient after cardiothoracic surgery. The goal of these S3 guidelines is to evaluate the recommendations in regard to evidence based medicine and to define therapy goals for monitoring and therapy. In context with the clinical situation the evaluation of the different hemodynamic parameters allows the development of a therapeutic concept and the definition of goal criteria to evaluate the effect of treatment. Up to now there are only guidelines for subareas of postoperative treatment of cardiothoracic surgical patients, like the use of a pulmonary artery catheter or the transesophageal echocardiography. The German Society for Thoracic and Cardiovascular Surgery (Deutsche Gesellschaft für Thorax-, Herz- und Gefässchirurgie, DGTHG) and the German Society for Anaesthesiology and Intensive Care Medicine (Deutsche Gesellschaft für Anästhesiologie und lntensivmedizin, DGAI) made an approach to ensure and improve the quality of the postoperative intensive care medicine after cardiothoracic surgery by the development of S3 consensus-based treatment guidelines. Goal of this guideline is to assess the available monitoring methods with regard to indication, procedures, predication, limits, contraindications and risks for use. The differentiated therapy of volume-replacement, positive inotropic support and vasoactive drugs, the therapy with vasodilatators, inodilatators and calcium sensitizers and the use of intra-aortic balloon pumps will also be addressed. The guideline has been developed following the recommendations for the development of guidelines by the Association of the Scientific Medical Societies in Germany (AWMF). The presented key messages of the guidelines were approved after two consensus meetings under the moderation of the Association of the Scientific Medical

  7. S3 guidelines for intensive care in cardiac surgery patients: hemodynamic monitoring and cardiocirculary system

    Directory of Open Access Journals (Sweden)

    Schmitt, D. V.

    2010-01-01

    Full Text Available Hemodynamic monitoring and adequate volume-therapy, as well as the treatment with positive inotropic drugs and vasopressors are the basic principles of the postoperative intensive care treatment of patient after cardiothoracic surgery. The goal of these S3 guidelines is to evaluate the recommendations in regard to evidence based medicine and to define therapy goals for monitoring and therapy. In context with the clinical situation the evaluation of the different hemodynamic parameters allows the development of a therapeutic concept and the definition of goal criteria to evaluate the effect of treatment. Up to now there are only guidelines for subareas of postoperative treatment of cardiothoracic surgical patients, like the use of a pulmonary artery catheter or the transesophageal echocardiography. The German Society for Thoracic and Cardiovascular Surgery (Deutsche Gesellschaft für Thorax-, Herz- und Gefäßchirurgie, DGTHG and the German Society for Anaesthesiology and Intensive Care Medicine (Deutsche Gesellschaft für Anästhesiologie und lntensivmedizin, DGAI made an approach to ensure and improve the quality of the postoperative intensive care medicine after cardiothoracic surgery by the development of S3 consensus-based treatment guidelines. Goal of this guideline is to assess the available monitoring methods with regard to indication, procedures, predication, limits, contraindications and risks for use. The differentiated therapy of volume-replacement, positive inotropic support and vasoactive drugs, the therapy with vasodilatators, inodilatators and calcium sensitizers and the use of intra-aortic balloon pumps will also be addressed. The guideline has been developed following the recommendations for the development of guidelines by the Association of the Scientific Medical Societies in Germany (AWMF. The presented key messages of the guidelines were approved after two consensus meetings under the moderation of the Association of the

  8. Performance optimization of force feedback control system in virtual vascular intervention surgery.

    Science.gov (United States)

    Hu, Zhi; Cai, Ping; Qin, Peng; Xie, Le

    2014-01-01

    In virtual surgery of minimally invasive vascular intervention, the force feedback is transmitted through the flexible guide wire. The disturbance caused by the flexible deformation would affect the fidelity of the VR (virtual reality) training. SMC (sliding mode control) strategy with delayed-output observer is adopted to suppress the effect of flexible deformation. In this study, the control performance of the strategy is assessed when the length of guide wire between actuator and the operating point changes. The performance assessment results demonstrate the effectiveness of the proposed method and find the optimal length of guide wire for the force feedback control.

  9. Method, apparatus, and system for utilizing augmented reality to improve surgery

    KAUST Repository

    Cali, Corrado

    2016-10-13

    A method, apparatus, and computer readable medium are provided for utilizing augmented reality visualization to assist surgery. An example method includes generating a three dimensional reconstruction of an image stack representing a target area of a patient, and superimposing, by a head-mounted display, a projection of the three dimensional reconstruction onto a field of view of a user. The method further includes maintaining alignment between the projection and the user\\'s actual view of the target area using a plurality of fiducial markers associated with the target area. In some embodiments, the method further includes scanning the target area to generate the image stack.

  10. Performance Optimization of Force Feedback Control System in Virtual Vascular Intervention Surgery

    Science.gov (United States)

    Cai, Ping; Qin, Peng; Xie, Le

    2014-01-01

    In virtual surgery of minimally invasive vascular intervention, the force feedback is transmitted through the flexible guide wire. The disturbance caused by the flexible deformation would affect the fidelity of the VR (virtual reality) training. SMC (sliding mode control) strategy with delayed-output observer is adopted to suppress the effect of flexible deformation. In this study, the control performance of the strategy is assessed when the length of guide wire between actuator and the operating point changes. The performance assessment results demonstrate the effectiveness of the proposed method and find the optimal length of guide wire for the force feedback control. PMID:25254063

  11. The Hydraulic Test Report for Non-instrumented Irradiation Test Rig of DUO-Cooled Annular Pellet

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Dae Ho; Lee, Kang Hee; Shin, Chang Hwan; Yang, Yong Sik; Kim, Sun Ki; Bang, Je Geon; Song, Kun Woo

    2007-08-15

    This report presents the results of pressure drop test and vibration test for non-instrumented rig of Advanced PWR DUO-Fuel Annular Pellet which were designed and fabricated by KAERI. From the pressure drop test results, it is noted that the flow velocity across the non-instrumented rig of Advanced PWR DUO-Fuel Annular Pellet corresponding to the pressure drop of 200 kPa is measured to be about 8.30 kg/sec. Vibration frequency results for the non-instrumented rig at the pump spin frequency ranges from 19.0 to 32.0 Hz, RMS(Root Mean Square) displacement for the non-instrumented rig of Advanced PWR DUO-Fuel Annular Pellet is less than 7.25 m, and the maximum displacement is less than 31.27 {mu}m. This test was performed at the FIVPET facility.

  12. Design of multi-module experiment-rig of vessel electrical propulsion prime mover

    Institute of Scientific and Technical Information of China (English)

    XIE Chun-ling; WANG Yuan-hui

    2005-01-01

    Combined power plant is widely used in large or medium surface vessel for its predominant performance. It is important to research on using combined power plant as electrical propulsion prime mover for developing the electric propulsion warship.This paper, designs a multi-module experiment-rig and introduces its composition, working principle and disposition scheme,and carried out the dynamic characteristic experiment of the GTD350 gas turbine.

  13. Fully Suspended, Five-Axis, Three-Magnetic-Bearing Dynamic Spin Rig With Forced Excitation

    Science.gov (United States)

    Morrison, Carlos R.; Provenza, Andrew; Kurkov, Anatole; Montague, Gerald; Duffy, Kirsten; Mehmed, Oral; Johnson, Dexter; Jansen, Ralph

    2004-01-01

    The Five-Axis, Three-Magnetic-Bearing Dynamic Spin Rig, a significant advancement in the Dynamic Spin Rig (DSR), is used to perform vibration tests of turbomachinery blades and components under rotating and nonrotating conditions in a vacuum. The rig has as its critical components three magnetic bearings: two heteropolar radial active magnetic bearings and a magnetic thrust bearing. The bearing configuration allows full vertical rotor magnetic suspension along with a feed-forward control feature, which will enable the excitation of various natural blade modes in bladed disk test articles. The theoretical, mechanical, electrical, and electronic aspects of the rig are discussed. Also presented are the forced-excitation results of a fully levitated, rotating and nonrotating, unbladed rotor and a fully levitated, rotating and nonrotating, bladed rotor in which a pair of blades was arranged 180 degrees apart from each other. These tests include the bounce mode excitation of the rotor in which the rotor was excited at the blade natural frequency of 144 Hz. The rotor natural mode frequency of 355 Hz was discerned from the plot of acceleration versus frequency. For nonrotating blades, a blade-tip excitation amplitude of approximately 100 g/A was achieved at the first-bending critical (approximately 144 Hz) and at the first-torsional and second-bending blade modes. A blade-tip displacement of 70 mils was achieved at the first-bending critical by exciting the blades at a forced-excitation phase angle of 908 relative to the vertical plane containing the blades while simultaneously rotating the shaft at 3000 rpm.

  14. Field Trials of the Prototype Pounder Rig, Uganda, 20th August - 13th November 1999.

    OpenAIRE

    1999-01-01

    A prototype low-cost drilling rig was imported to Uganda in August 1999 and handed over to Mpigi District Government. Field trials of this machine were undertaken between 20 th August and 13 th November 1999. This work was enabled through a tripartite Memorandum of Understanding between the Cranfield University/DFID Low Cost well Drilling Project, the Directorate of Water Development (DWD) of the Government of Uganda, and the local Government of Mpigi District. A total of fo...

  15. Design of Seismic Test Rig for Control Rod Drive Mechanism of Jordan Research and Training Reactor

    Energy Technology Data Exchange (ETDEWEB)

    Sun, Jongoh; Kim, Gyeongho; Yoo, Yeonsik; Cho, Yeonggarp; Kim, Jong In [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2014-05-15

    The reactor assembly is submerged in a reactor pool filled with water and its reactivity is controlled by locations of four control absorber rods(CARs) inside the reactor assembly. Each CAR is driven by a stepping motor installed at the top of the reactor pool and they are connected to each other by a tie rod and an electromagnet. The CARs scram the reactor by de-energizing the electromagnet in the event of a safe shutdown earthquake(SSE). Therefore, the safety function of the control rod drive mechanism(CRDM) which consists of a drive assembly, tie rod and CARs is to drop the CAR into the core within an appropriate time in case of the SSE. As well known, the operability for complex equipment such as the CRDM during an earthquake is very hard to be demonstrated by analysis and should be verified through tests. One of them simulates the reactor assembly and the guide tube of the CAR, and the other one does the pool wall where the drive assembly is installed. In this paper, design of the latter test rig and how the test is performed are presented. Initial design of the seismic test rig and excitation table had its first natural frequency at 16.3Hz and could not represent the environment where the CRDM was installed. Therefore, experimental modal analyses were performed and an FE model for the test rig and table was obtained and tuned based on the experimental results. Using the FE model, the design of the test rig and table was modified in order to have higher natural frequency than the cutoff frequency. The goal was achieved by changing its center of gravity and the stiffness of its sliding bearings.

  16. IFNγ inhibits the cytosolic replication of Shigella flexneri via the cytoplasmic RNA sensor RIG-I.

    Directory of Open Access Journals (Sweden)

    Stephanie P Jehl

    Full Text Available The activation of host cells by interferon gamma (IFNγ is essential for inhibiting the intracellular replication of most microbial pathogens. Although significant advances have been made in identifying IFNγ-dependent host factors that suppress intracellular bacteria, little is known about how IFNγ enables cells to recognize, or restrict, the growth of pathogens that replicate in the host cytoplasm. The replication of the cytosolic bacterial pathogen Shigella flexneri is significantly inhibited in IFNγ-stimulated cells, however the specific mechanisms that mediate this inhibition have remained elusive. We found that S. flexneri efficiently invades IFNγ-activated mouse embryonic fibroblasts (MEFs and escapes from the vacuole, suggesting that IFNγ acts by blocking S. flexneri replication in the cytosol. This restriction on cytosolic growth was dependent on interferon regulatory factor 1 (IRF1, an IFNγ-inducible transcription factor capable of inducing IFNγ-mediated cell-autonomous immunity. To identify host factors that restrict S. flexneri growth, we used whole genome microarrays to identify mammalian genes whose expression in S. flexneri-infected cells is controlled by IFNγ and IRF1. Among the genes we identified was the pattern recognition receptor (PRR retanoic acid-inducible gene I (RIG-I, a cytoplasmic sensor of foreign RNA that had not been previously known to play a role in S. flexneri infection. We found that RIG-I and its downstream signaling adaptor mitochondrial antiviral signaling protein (MAVS--but not cytosolic Nod-like receptors (NLRs--are critically important for IFNγ-mediated S. flexneri growth restriction. The recently described RNA polymerase III pathway, which transcribes foreign cytosolic DNA into the RIG-I ligand 5'-triphosphate RNA, appeared to be involved in this restriction. The finding that RIG-I responds to S. flexneri infection during the IFNγ response extends the range of PRRs that are capable of recognizing

  17. Nose Surgery

    Science.gov (United States)

    ... Patient Health Home Copyright © 2017 American Academy of Otolaryngology–Head and Neck Surgery. Reproduction or republication strictly ... Terms of Use © Copyright 2017. American Academy of Otolaryngology — Head and Neck Surgery 1650 Diagonal Rd Alexandria, ...

  18. After Surgery

    Science.gov (United States)

    ... side effects. There is usually some pain with surgery. There may also be swelling and soreness around ... the first few days, weeks, or months after surgery. Some other questions to ask are How long ...

  19. LNG燃气动力修井机开发及应用%Development and Application of LNG Powered Workover Rig

    Institute of Scientific and Technical Information of China (English)

    史永庆; 曲永哲; 刘世峰; 邢付顺; 黄勇

    2016-01-01

    The current domestic workover rigs are usually diesel powered, which present economic and envi⁃ronmental issues like high costs and high pollution emissions�Liquefied natural gas ( LNG) , as a high⁃quality and highly efficient low⁃carbon energy, is considered to be an ideal alternative fuel for vehicle engine�The composition of LNG powered workover rig, and working principle of LNG supply system and fueling system have been intro⁃duced�Comparative analysis on the power, economy and environmental protection of LNG powered workover rig has been conducted�Field application results show that, all the performance indicators of LNG powered workover rig met the needs of oil field workover operations�Workover operation on a single well saved fuel costs by 34%, re⁃duced emissions of harmful gases by about 85%, reduced carbon emissions by about 95%, achieving energy⁃sav⁃ing and environmentally friendly workover operation, presenting good economic and social benefits.%国内修井机大多采用柴油作为动力,存在修井作业成本高以及污染排放量大等经济和环保问题。液化天然气( LNG)作为一种优质、高效的新型低碳能源,被认为是较理想的车用发动机代用燃料。阐述了LNG燃气动力修井机的组成、燃气供气系统及燃料加注系统工作原理,对比分析了LNG燃气动力修井机的动力性、经济性和环保性。现场应用结果表明, LNG燃气动力修井机各项性能指标均满足油田现场修井作业需求,单井节省燃料费用34%,有害气体排放减少约85%,综合碳排放减少约95%,实现了修井作业低能耗、环保型生产,具有良好的经济效益和社会效益。

  20. Application of a computer-assisted flexible endoscope system for transoral surgery of the hypopharynx and upper esophagus.

    Science.gov (United States)

    Friedrich, Daniel T; Scheithauer, M O; Greve, J; Rotter, N; Doescher, J; Hoffmann, T K; Schuler, P J

    2017-05-01

    Zenker's diverticulum is a common pathology in the transition zone of the posterior hypopharynx and esophagus. Surgical treatment is routinely performed by ENT and general surgeons. Besides the traditional open transcervical diverticulectomy, the introduction of transoral rigid treatment led to a paradigm change and is now the preferred treatment option for patients who are fit for general anesthesia. The implementation of interventional flexible endoscopy has opened another new micro-invasive approach for patients with high morbidity. Here, we present the potential utilization of a flexible, single port, robot-assisted, and physician-controlled endoscope system to facilitate transoral surgical access to the hypopharynx and upper esophagus. Transoral surgery of the hypopharynx and upper esophagus was performed in human cadavers (n = 5) using the Flex System (Medrobotics, Raynham, USA). Anatomical landmarks were identified, and posterior cricothyroid myotomy was performed with compatible flexible instruments in all cases. The approach to the hypopharynx and upper esophagus using the Flex system is feasible in a cadaveric model. Myotomy with a flexible tool and needle knife (from the perspective of treatment of Zenker´s diverticulum) was successful in all cases. Visualization of the surgical site with the system's HD camera is suitable and the flexible instruments meet the special needs of a micro-invasive transoral approach. Zenker´s diverticulum can be potentially treated with a transoral minimally invasive approach using a computer-assisted flexible endoscope system. This setup could be of advantage in patients with reduced mobility of the cervical spine to prevent open transcervical surgery. In our study, the Flex system enabled advanced visualization of the surgical site and extended intervention options, compared to standard flexible endoscopic treatment. However, general anesthesia is mandatory for the presented approach. Application in live patients