Abstract: Interactive web-based computer simulations are
needed by the medical community to replicate the experience of
surgical procedures as closely and realistically as possible without
the need to practice on corpses, animals and/or plastic models. In this
paper, we offer a review on current state of the research on
simulations of surgical threads, identify future needs and present our
proposed plans to meet them. Our goal is to create a physics-based
simulator, which will predict the behavior of surgical thread when
subjected to conditions commonly encountered during surgery. To
that end, we will i) develop three dimensional finite element models
based on the Cosserat theory of elasticity ii) test and feedback results
with the medical community and iii) develop a web-based user
interface to run/command our simulator and visualize the results. The
impacts of our research are that i) it will contribute to the
development of a new generation of training for medical school
students and ii) the simulator will be useful to expert surgeons in
developing new, better and less risky procedures.
Abstract: Within dental-guided surgery, there has been a lack
of analytical methods for optimizing the treatment of the
rehabilitation concepts regarding geometrical variation. The purpose
of this study is to find the source of the greatest geometrical variation
contributor and sensitivity contributor with the help of virtual
variation simulation of a dental drill- and implant-guided surgery
process using a methodical approach. It is believed that lower
geometrical variation will lead to better patient security and higher
quality of dental drill- and implant-guided surgeries. It was found
that the origin of the greatest contributor to the most variation, and
hence where the foci should be set, in order to minimize geometrical
variation was in the assembly category (surgery). This was also the
category that was the most sensitive for geometrical variation.
Abstract: Young patients suffering from Cerebral Palsy are
facing difficult choices concerning heavy surgeries. Diagnosis settled
by surgeons can be complex and on the other hand decision for
patient about getting or not such a surgery involves important
reflection effort. Proposed software combining prediction for
surgeries and post surgery kinematic values, and from 3D model
representing the patient is an innovative tool helpful for both patients
and medicine professionals. Beginning with analysis and
classification of kinematics values from Data Base extracted from
gait analysis in 3 separated clusters, it is possible to determine close
similarity between patients. Prediction surgery best adapted to
improve a patient gait is then determined by operating a suitable
preconditioned neural network. Finally, patient 3D modeling based
on kinematic values analysis, is animated thanks to post surgery
kinematic vectors characterizing the closest patient selected from
patients clustering.
Abstract: This paper presents design and characterization of a
microaccelerometer designated for integration into cataract surgical
probe to detect hardness of different eye tissues during cataract
surgery. Soft posterior lens capsule of eye can be easily damaged in
comparison with hard opaque lens since the surgeon can not see
directly behind cutting needle during the surgery. Presence of
microsensor helps the surgeon to avoid rupturing posterior lens
capsule which if occurs leads to severe complications such as
glaucoma, infection, or even blindness. The microsensor having
overall dimensions of 480 μm x 395 μm is able to deliver significant
capacitance variations during encountered vibration situations which
makes it capable to distinguish between different types of tissue.
Integration of electronic components on chip ensures high level of
reliability and noise immunity while minimizes space and power
requirements. Physical characteristics and results on performance
testing, proves integration of microsensor as an effective tool to aid
the surgeon during this procedure.
Abstract: This study retrospectively investigated the significance of whole body CT (WCT) for patients with sepsis. A medical chart review was retrospectively performed for all patients with systemic inflammatory response syndrome that were treated initially between April 2011 and March 2012. The subjects were divided into a WCT group that underwent WCT on arrival and a control group. Results of this study suggested that WCT for sepsis was useful for elderly patients whose chief complaint or physiological findings could not suggest the anatomical site of infection, to determine the infectious focus and indications/method for surgery, to diagnose the basic diseases associated with opportunistic infections and to evaluate complicated diseases
Abstract: In this paper, the construction of a detailed spine
model is presented using the LifeMOD Biomechanics Modeler. The
detailed spine model is obtained by refining spine segments in
cervical, thoracic and lumbar regions into individual vertebra
segments, using bushing elements representing the intervertebral
discs, and building various ligamentous soft tissues between
vertebrae. In the sagittal plane of the spine, constant force will be
applied from the posterior to anterior during simulation to determine
dynamic characteristics of the spine. The force magnitude is
gradually increased in subsequent simulations. Based on these
recorded dynamic properties, graphs of displacement-force
relationships will be established in terms of polynomial functions by
using the least-squares method and imported into a haptic integrated
graphic environment. A thoracolumbar spine model with complex
geometry of vertebrae, which is digitized from a resin spine
prototype, will be utilized in this environment. By using the haptic
technique, surgeons can touch as well as apply forces to the spine
model through haptic devices to observe the locomotion of the spine
which is computed from the displacement-force relationship graphs.
This current study provides a preliminary picture of our ongoing
work towards building and simulating bio-fidelity scoliotic spine
models in a haptic integrated graphic environment whose dynamic
properties are obtained from LifeMOD. These models can be helpful
for surgeons to examine kinematic behaviors of scoliotic spines and
to propose possible surgical plans before spine correction operations.
Abstract: A new and cost effective robotic device was designed
for remote tele surgery using dual tone multi frequency technology
(DTMF). Tele system with Dual Tone Multiple Frequency has a large
capability in sending and receiving of data in hardware and software.
The robot consists of DC motors for arm movements and it is
controlled manually through a mobile phone through DTMF
Technology. The system enables the surgeon from base station to
send commands through mobile phone to the patient’s robotic system
which includes two robotic arms that translate the input into actual
instrument manipulation. A mobile phone attached to the
microcontroller 8051 which can activate robot through relays. The
Remote robot-assisted tele surgery eliminates geographic constraints
for getting surgical expertise where it is needed and allows an expert
surgeon to teach or proctor the performance of surgical technique by
real-time intervention.
Abstract: The two significant overvoltages in power system,
switching overvoltage and lightning overvoltage, are investigated in
this paper. Firstly, the effect of various power system parameters on
Line Energization overvoltages is evaluated by simulation in ATP.
The dominant parameters include line parameters; short-circuit
impedance and circuit breaker parameters. Solutions to reduce
switching overvoltages are reviewed and controlled closing using
switchsync controllers is proposed as proper method.
This paper also investigates lightning overvoltages in the
overhead-cable transition. Simulations are performed in
PSCAD/EMTDC. Surge arresters are applied in both ends of cable to
fulfill the insulation coordination. The maximum amplitude of
overvoltages inside the cable is surveyed which should be of great
concerns in insulation coordination studies.
Abstract: India-s North-Eastern part, comprising of seven states, is a lowly developed, tribal population dominated region in India. Inspite of the common Mongoloid origin and lifestyle of majority of the population residing here, sharp differences exist in the status of their socio-economic development. The present paper, through a state-wise analysis, makes an attempt to find out the extent of this disparity, especially on the socio-economic front. It illustrates the situations prevailing in health, education, economic and social cohesion sector. Discussion on the implications of such disparity on social stability finds that the causes of frequent insurgency activities, that have been penetrating the region for a long time, thereby creating communal conflicts, can be traced in the economic deprivation and disparity. In the last section, the paper makes policy prescription and suggests how by taking care of disparity and deprivation both poverty and the problem of communal conflicts can be controlled.
Abstract: This work concerns the evolution and the maintenance
of an ontological resource in relation with the evolution of the corpus
of texts from which it had been built.
The knowledge forming a text corpus, especially in dynamic domains,
is in continuous evolution. When a change in the corpus occurs, the
domain ontology must evolve accordingly. Most methods manage
ontology evolution independently from the corpus from which it is
built; in addition, they treat evolution just as a process of knowledge
addition, not considering other knowledge changes. We propose a
methodology for managing an evolving ontology from a text corpus
that evolves over time, while preserving the consistency and the
persistence of this ontology.
Our methodology is based on the changes made on the corpus to
reflect the evolution of the considered domain - augmented surgery
in our case. In this context, the results of text mining techniques,
as well as the ARCHONTE method slightly modified, are used to
support the evolution process.
Abstract: Female breast cancer is the second in frequency after cervical cancer. Surgery is the most common treatment for breast cancer, followed by chemotherapy as a treatment of choice. Although effective, it causes serious side effects. Controlled-release drug delivery is an alternative method to improve the efficacy and safety of the treatment. It can release the dosage of drug between the minimum effect concentration (MEC) and minimum toxic concentration (MTC) within tumor tissue and reduce the damage of normal tissue and the side effect. Because an in vivo experiment of this system can be time-consuming and labor-intensive, a mathematical model is desired to study the effects of important parameters before the experiments are performed. Here, we describe a 3D mathematical model to predict the release of doxorubicin from pluronic gel to treat human breast cancer. This model can, ultimately, be used to effectively design the in vivo experiments.
Abstract: The intent of this essay is to evaluate the effectiveness
of surge suppressor aimed at power supply used for automation
devices in power distribution system which is consist of MOV and
T type low-pass filter. Books, journal articles and e-sources related
to surge protection of power supply used for automation devices in
power distribution system were consulted, and the useful information
was organized, analyzed and developed into five parts: characteristics
of surge wave, protection against surge wave, impedance characteristics
of target, using Matlab to simulate circuit response after
5kV,1.2/50s surge wave and suggestions for surge protection. The
results indicate that various types of load situation have great impact
on the effectiveness of surge protective device. Therefore, type and
parameters of surge protective device need to be carefully selected,
and load matching is also vital to be concerned.
Abstract: The condition of lightning surge causes the traveling waves and the temporary increase in voltage in the transmission line system. Lightning is the most harmful for destroying the transmission line and setting devices so it is necessary to study and analyze the temporary increase in voltage for designing and setting the surge arrester. This analysis describes the figure of the lightning wave in transmission line with 115 kV voltage level in Thailand by using ATP/EMTP program to create the model of the transmission line and lightning surge. Because of the limit of this program, it must be calculated for the geometry of the transmission line and surge parameter and calculation in the manual book for the closest value of the parameter. On the other hand, for the effects on surge protector when the lightning comes, the surge arrester model must be right and standardized as metropolitan electrical authority's standard. The candidate compared the real information to the result from calculation, also. The results of the analysis show that the temporary increase in voltage value will be rise to 326.59 kV at the line which is done by lightning when the surge arrester is not set in the system. On the other hand, the temporary increase in voltage value will be 182.83 kV at the line which is done by lightning when the surge arrester is set in the system and the period of the traveling wave is reduced, also. The distance for setting the surge arrester must be as near to the transformer as possible. Moreover, it is necessary to know the right distance for setting the surge arrester and the size of the surge arrester for preventing the temporary increase in voltage, effectively.
Abstract: Magnesium is used implant material potentially for
non-toxicity to the human body. Due to the excellent
bio-compatibility, Mg alloys is applied to implants avoiding removal
second surgery. However, it is found commercial magnesium alloys
including aluminum has low corrosion resistance, resulting
subcutaneous gas bubbles and consequently the approach as
permanent bio-materials. Generally, Aluminum is known to pollution
substance, and it raises toxicity to nervous system. Therefore
especially Mg-35Zn-3Ca alloy is prepared for new biodegradable
materials in this study. And the pulsed power is used in
constant-current mode of DC power kinds of anodization. Based on
the aforementioned study, it examines corrosion resistance and
biocompatibility by effect of current and frequency variation. The
surface properties and thickness were compared using scanning
electronic microscopy. Corrosion resistance was assessed via
potentiodynamic polarization and the effect of oxide layer on the body
was assessed cell viability. Anodized Mg-35Zn-3Ca alloy has good
biocompatibility in vitro by current and frequency variation.
Abstract: Deaths from cardiovascular diseases have decreased substantially over the past two decades, largely as a result of advances in acute care and cardiac surgery. These developments have produced a growing population of patients who have survived a myocardial infarction. These patients need to be continuously monitored so that the initiation of treatment can be given within the crucial golden hour. The available conventional methods of monitoring mostly perform offline analysis and restrict the mobility of these patients within a hospital or room. Hence the aim of this paper is to design a Portable Cardiac Telemedicine System to aid the patients to regain their independence and return to an active work schedule, there by improving the psychological well being. The portable telemedicine system consists of a Wearable ECG Transmitter (WET) and a slightly modified mobile phone, which has an inbuilt ECG analyzer. The WET is placed on the body of the patient that continuously acquires the ECG signals from the high-risk cardiac patients who can move around anywhere. This WET transmits the ECG to the patient-s Bluetooth enabled mobile phone using blue tooth technology. The ECG analyzer inbuilt in the mobile phone continuously analyzes the heartbeats derived from the received ECG signals. In case of any panic condition, the mobile phone alerts the patients care taker by an SMS and initiates the transmission of a sample ECG signal to the doctor, via the mobile network.
Abstract: Despite the recent surge of research in control of
worm propagation, currently, there is no effective defense system
against such cyber attacks. We first design a distributed detection
architecture called Detection via Distributed Blackholes (DDBH).
Our novel detection mechanism could be implemented via virtual
honeypots or honeynets. Simulation results show that a worm can be
detected with virtual honeypots on only 3% of the nodes. Moreover,
the worm is detected when less than 1.5% of the nodes are infected.
We then develop two control strategies: (1) optimal dynamic trafficblocking,
for which we determine the condition that guarantees
minimum number of removed nodes when the worm is contained and
(2) predictive dynamic traffic-blocking–a realistic deployment of
the optimal strategy on scale-free graphs. The predictive dynamic
traffic-blocking, coupled with the DDBH, ensures that more than
40% of the network is unaffected by the propagation at the time
when the worm is contained.
Abstract: The evaluation and measurement of human body
dimensions are achieved by physical anthropometry. This research
was conducted in view of the importance of anthropometric indices
of the face in forensic medicine, surgery, and medical imaging. The
main goal of this research is to optimization of facial feature point by
establishing a mathematical relationship among facial features and
used optimize feature points for age classification. Since selected
facial feature points are located to the area of mouth, nose, eyes and
eyebrow on facial images, all desire facial feature points are extracted
accurately. According this proposes method; sixteen Euclidean
distances are calculated from the eighteen selected facial feature
points vertically as well as horizontally. The mathematical
relationships among horizontal and vertical distances are established.
Moreover, it is also discovered that distances of the facial feature
follows a constant ratio due to age progression. The distances
between the specified features points increase with respect the age
progression of a human from his or her childhood but the ratio of the
distances does not change (d = 1 .618 ) . Finally, according to the
proposed mathematical relationship four independent feature
distances related to eight feature points are selected from sixteen
distances and eighteen feature point-s respectively. These four feature
distances are used for classification of age using Support Vector
Machine (SVM)-Sequential Minimal Optimization (SMO) algorithm
and shown around 96 % accuracy. Experiment result shows the
proposed system is effective and accurate for age classification.
Abstract: In this paper, a novel and fast algorithm for segmental
and subsegmental lung vessel segmentation is introduced using
Computed Tomography Angiography images. This process is quite
important especially at the detection of pulmonary embolism, lung
nodule, and interstitial lung disease. The applied method has been
realized at five steps. At the first step, lung segmentation is achieved.
At the second one, images are threshold and differences between the
images are detected. At the third one, left and right lungs are gathered
with the differences which are attained in the second step and Exact
Lung Image (ELI) is achieved. At the fourth one, image, which is
threshold for vessel, is gathered with the ELI. Lastly, identifying and
segmentation of segmental and subsegmental lung vessel have been
carried out thanks to image which is obtained in the fourth step. The
performance of the applied method is found quite well for
radiologists and it gives enough results to the surgeries medically.
Abstract: The mathematical modeling of storm surge in sea and
coastal regions such as the South China Sea (SCS) and the Gulf of
Thailand (GoT) are important to study the typhoon characteristics.
The storm surge causes an inundation at a lateral boundary exhibiting
in the coastal zones particularly in the GoT and some part of the SCS.
The model simulations in the three dimensional primitive equations
with a high resolution model are important to protect local properties
and human life from the typhoon surges. In the present study, the
mathematical modeling is used to simulate the typhoon–induced
surges in three case studies of Typhoon Linda 1997. The results
of model simulations at the tide gauge stations can describe the
characteristics of storm surges at the coastal zones.
Abstract: The institutions seek to improve their performance
and quality of service, so that their patients are satisfied. This
research project aims, conduct a time study program in the area of
gynecological surgery, to determine the current level of capacity and
optimize the programming time in order to adequately respond to
demand. The system is analyzed by waiting lines and uses the
simulation using ARENA to evaluate proposals for improvement and
optimization programming time each of the surgeries.