scholarly journals Robot-Assisted Stapedotomy: Micropick Fenestration of the Stapes Footplate

2002 ◽  
Vol 127 (5) ◽  
pp. 417-426 ◽  
Author(s):  
Daniel L. Rothbaum ◽  
Jaydeep Roy ◽  
Dan Stoianovici ◽  
Peter Berkelman ◽  
Gregory D. Hager ◽  
...  
Keyword(s):  
Point Location ◽  
Ear Surgery ◽  
Surgical Performance ◽  
Performance Variables ◽  
Surgical Model ◽  
Experience Levels ◽  
First Results ◽  
Stapes Footplate ◽  
Clinical Measures ◽  
Improved Accuracy

OBJECTIVE: Micropick fenestration of the stapes footplate, a difficult step in stapedotomy, was selected for trials evaluating the potential for robotic assistance (RA) to improve clinical measures of surgical performance. STUDY DESIGN: In a surgical model of stapedotomy, we measured accuracy of fenestration to a desired point location and force applied to the stapes footplate. Performance variables were measured for 3 experienced and 3 less–experienced surgeons. RESULTS: RA significantly reduced the maximum force applied to the stapes footplate. For fenestration targeting, RA significantly improved accuracy for less–experienced surgeons and significantly worsened targeting for more-experienced surgeons. CONCLUSIONS: RA significantly improves performance for micropick fenestration in a surgical model of stapedotomy. For certain tasks, RA differentially affects performance for users of different experience levels. CLINICAL SIGNIFICANCE: These are the first results showing quantitative improvements in performance during simulated ear surgery using RA and differential effects of RA on performance for users of different experience levels.

Task Performance in Stapedotomy: Comparison Between Surgeons of Different Experience Levels

2003 ◽  
Vol 128 (1) ◽  
pp. 71-77 ◽  
Author(s):  
Daniel L. Rothbaum ◽  
Jaydeep Roy ◽  
Gregory D. Hager ◽  
Russell H. Taylor ◽  
Louis L. Whitcomb ◽  
...  
Keyword(s):  
Task Performance ◽  
Clinical Significance ◽  
Hearing Results ◽  
Surgical Model ◽  
Experience Levels ◽  
Stapes Footplate ◽  
Stapes Prosthesis ◽  
Quality Movement ◽  
Novice Surgeons

OBJECTIVES: Two steps in stapedotomy are particularly challenging: (1) micropick fenestration of the stapes footplate (SF) and (2) crimping of the stapes prosthesis (SP) to the incus. We conducted trials to determine if experience correlates with differences in performance for these tasks. METHODS: In a surgical model of stapedotomy, performance was measured for 3 experienced and 3 novice surgeons. For fenestration, we measured ability to target the fenestration and force applied to the SF. For crimping, we measured crimp quality, movement of the SP during crimping, and force applied to the SF. RESULTS: Experienced surgeons demonstrated significantly better ability to target the fenestration and, during crimping, caused less SP movement and a significantly lower rate of SP dislodgment. CONCLUSIONS: Clear differences in task performance are measurable between more and less experienced surgeons during critical steps of stapedotomy. CLINICAL SIGNIFICANCE: The observed differences in task performance may contribute to an understanding of maneuvers that increase the risk of inadequate prosthesis placement and cochlear trauma—factors likely responsible for variable hearing results with strapedotomy.

scholarly journals First Results of the Bordeaux Meridian Circle Equipped with a CCD Detector

1995 ◽  
Vol 166 ◽  
pp. 358-358
Author(s):  
Y. Réquième ◽  
G. Montignac ◽  
J.F. Le Campion ◽  
F. Bosq ◽  
F. Chauvet ◽  
...  
Keyword(s):  
Ccd Camera ◽  
Meridian Circle ◽  
Ccd Detector ◽  
First Results ◽  
Improved Accuracy

The Bordeaux automatic meridian circle has been working for 10 years with a tracking photoelectric micrometer. This micrometer was recently replaced by a focal CCD camera in order to extend the differential position measurements to much fainter stars with improved accuracy.

Quantitative Evaluations of the Effects of Noise on Mental Workloads Based on Pupil Dilation during Laparoscopic Surgery

2018 ◽  
Vol 84 (12) ◽  
pp. 1951-1956 ◽  
Author(s):  
Jiaqi Gao ◽  
Shenglin Liu ◽  
Qingmin Feng ◽  
Xutian Zhang ◽  
Jianyang Zhang ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Mental Workload ◽  
Acoustic Stimulation ◽  
Auditory Stimuli ◽  
Surgical Performance ◽  
Task Load ◽  
Experience Levels ◽  
Laparoscopic Simulator ◽  
And Performance ◽  
Using Data

Noise can exert undeniable pressure on human minds, especially during tasks that require high precision and attention, such as those performed during surgery. To investigate whether auditory stimuli increases mental loads during laparoscopic surgery, we examined the effects of operating room (OR) noises and music by measuring mean changes in pupil sizes and subjectively assessing performances during surgery. We recruited 24 subjects with varying laparoscopic surgery experience levels to perform complete appendectomy using a laparoscopic simulator. Wearable eye trackers were worn by all subjects to monitor pupil sizes during surgery, and surgical tasks were performed under conditions of silence, background OR noise, and music. National Aeronautics and Space Administration-Task Load Index scores and performance parameters were also recorded during surgical tasks. Noise distractions were associated with significant increases in pupil sizes compared with those observed in silence, and the related increases in mental loads may have affected surgical performance. However, more experienced operators had smaller changes in pupil sizes because of auditory disturbances than moderately experienced surgeons. Noise stimulation in the OR increases surgeon's mental workload and performance. Auditory regulation of the OR may be better standardized using data from studies of the effects of acoustic stimulation in the OR, and mental stresses during surgery could be considered in a more humane manner. Further investigations are necessary to determine the cognitive consequences of various auditory stimuli.

scholarly journals Ability to predict repetitions to momentary failure is not perfectly accurate, though improves with resistance training experience

PeerJ ◽  
2017 ◽  
Vol 5 ◽  
pp. e4105 ◽  
Author(s):  
James Steele ◽  
Andreas Endres ◽  
James Fisher ◽  
Paulo Gentil ◽  
Jürgen Giessing
Keyword(s):  
Resistance Training ◽  
Confidence Intervals ◽  
Standard Error ◽  
A Priori ◽  
Muscular Hypertrophy ◽  
Training Experience ◽  
Control Effort ◽  
Experience Levels ◽  
Improved Accuracy ◽  
Full Body

‘Repetitions in Reserve’ (RIR) scales in resistance training (RT) are used to control effort but assume people accurately predict performance a priori (i.e. the number of possible repetitions to momentary failure (MF)). This study examined the ability of trainees with different experience levels to predict number of repetitions to MF. One hundred and forty-one participants underwent a full body RT session involving single sets to MF and were asked to predict the number of repetitions they could complete before reaching MF on each exercise. Participants underpredicted the number of repetitions they could perform to MF (Standard error of measurements [95% confidence intervals] for combined sample ranged between 2.64 [2.36–2.99] and 3.38 [3.02–3.83]). There was a tendency towards improved accuracy with greater experience. Ability to predict repetitions to MF is not perfectly accurate among most trainees though may improve with experience. Thus, RIR should be used cautiously in prescription of RT. Trainers and trainees should be aware of this as it may have implications for the attainment of training goals, particularly muscular hypertrophy.

Discussion of the Oblique Rotator Model Cases Of 108 Aqr and x Serp.

1976 ◽  
Vol 32 ◽  
pp. 577-588
Author(s):  
C. Mégessier ◽  
V. Khokhlova ◽  
T. Ryabchikova
Keyword(s):  
Mathematical Formulation ◽  
The Other ◽  
Rotator Model ◽  
Oblique Rotator ◽  
First Results

My talk will be on the oblique rotator model which was first proposed by Stibbs (1950), and since received success and further developments. I shall present two different attempts at describing a star according to this model and the first results obtained in the framework of a Russian-French collaboration in order to test the precision of the two methods. The aim is to give the best possible representation of the element distributions on the Ap stellar surfaces. The first method is the mathematical formulation proposed by Deutsch (1958-1970) and applied by Deutsch (1958) to HD 125248, by Pyper (1969) to α2CVn and by Mégessier (1975) to 108 Aqr. The other one was proposed by Khokhlova (1974) and used by her group.

Meridional Circulation, Turbulence, and Diffusion Processes in Stars

1976 ◽  
Vol 32 ◽  
pp. 109-116 ◽  
Author(s):  
S. Vauclair
Keyword(s):  
Convection Zone ◽  
Diffusion Processes ◽  
Meridional Circulation ◽  
Diffusion Time ◽  
Work In Progress ◽  
First Results ◽  
Stellar Envelopes ◽  
And Diffusion ◽  
Turbulence And Diffusion ◽  
Hr Diagram

This paper gives the first results of a work in progress, in collaboration with G. Michaud and G. Vauclair. It is a first attempt to compute the effects of meridional circulation and turbulence on diffusion processes in stellar envelopes. Computations have been made for a 2 Mʘstar, which lies in the Am - δ Scuti region of the HR diagram.Let us recall that in Am stars diffusion cannot occur between the two outer convection zones, contrary to what was assumed by Watson (1970, 1971) and Smith (1971), since they are linked by overshooting (Latour, 1972; Toomre et al., 1975). But diffusion may occur at the bottom of the second convection zone. According to Vauclair et al. (1974), the second convection zone, due to He II ionization, disappears after a time equal to the helium diffusion time, and then diffusion may happen at the bottom of the first convection zone, so that the arguments by Watson and Smith are preserved.

Investigation of cluster layers of small netal particles by TEM, SEM, EELS and by photoacoustic spectroscopy

1990 ◽  
Vol 48 (4) ◽  
pp. 250-251
Author(s):  
H. Seiler ◽  
U. Haas ◽  
K.H. Körtje
Keyword(s):  
Bulk Material ◽  
High Vacuum ◽  
Optical Methods ◽  
Metal Particles ◽  
Silver Particles ◽  
Low Loss ◽  
Plasmon Excitation ◽  
First Results ◽  
Diffraction Patterns ◽  
Small Metal Particles

The physical properties of small metal particles reveal an intermediate position between atomic and bulk material. Especially Ag has shown pronounced size effects. We compared silver layers evaporated in high vacuum with cluster layers of small silver particles, evaporated in N2 at a pressure of about 102 Pa. The investigations were performed by electron optical methods (TEM, SEM, EELS) and by Photoacoustic (PA) Spectroscopy (gas-microphone detection).The observation of cluster layers with TEM and high resolution SEM show small silver particles with diameters of about 50 nm (Fig. 1 and Figure 2, respectively). The electron diffraction patterns of homogeneous Ag layers and of cluster layers are similar, whereas the low loss EELS spectra due to plasmon excitation are quite different. Fig. 3 and Figure 4 show first results of EELS spectra of a cluster layer of small silver particles on carbon foil and of a homogeneous Ag layer, respectively.

Towards 1-Ångstrom-resolution STEM

1993 ◽  
Vol 51 ◽  
pp. 996-997
Author(s):  
H.S. von Harrach ◽  
D.E. Jesson ◽  
S.J. Pennycook
Keyword(s):  
High Resolution ◽  
Field Emission ◽  
Phase Contrast ◽  
Spherical Aberration ◽  
A Priori ◽  
Dark Field ◽  
Image Resolution ◽  
Objective Lens ◽  
Annular Dark Field ◽  
First Results

Phase contrast TEM has been the leading technique for high resolution imaging of materials for many years, whilst STEM has been the principal method for high-resolution microanalysis. However, it was demonstrated many years ago that low angle dark-field STEM imaging is a priori capable of almost 50% higher point resolution than coherent bright-field imaging (i.e. phase contrast TEM or STEM). This advantage was not exploited until Pennycook developed the high-angle annular dark-field (ADF) technique which can provide an incoherent image showing both high image resolution and atomic number contrast.This paper describes the design and first results of a 300kV field-emission STEM (VG Microscopes HB603U) which has improved ADF STEM image resolution towards the 1 angstrom target. The instrument uses a cold field-emission gun, generating a 300 kV beam of up to 1 μA from an 11-stage accelerator. The beam is focussed on to the specimen by two condensers and a condenser-objective lens with a spherical aberration coefficient of 1.0 mm.

Imaging of polymer single crystals in low-voltage, high-resolution scanning electron microscopy

1990 ◽  
Vol 48 (4) ◽  
pp. 1106-1107
Author(s):  
W.W. Adams ◽  
G. Price ◽  
A. Krause
Keyword(s):  
Electron Microscopy ◽  
Scanning Electron Microscopy ◽  
High Resolution ◽  
Single Crystals ◽  
Low Voltage ◽  
Polymer Surface ◽  
Beam Current ◽  
Image Features ◽  
First Results ◽  
Scanning Electron

It has been shown that there are numerous advantages in imaging both coated and uncoated polymers in scanning electron microscopy (SEM) at low voltages (LV) from 0.5 to 2.0 keV compared to imaging at conventional voltages of 10 to 20 keV. The disadvantages of LVSEM of degraded resolution and decreased beam current have been overcome with the new generation of field emission gun SEMs. In imaging metal coated polymers in LVSEM beam damage is reduced, contrast is improved, and charging from irregularly shaped features (which may be unevenly coated) is reduced or eliminated. Imaging uncoated polymers in LVSEM allows direct observation of the surface with little or no charging and with no alterations of surface features from the metal coating process required for higher voltage imaging. This is particularly important for high resolution (HR) studies of polymers where it is desired to image features 1 to 10 nm in size. Metal sputter coating techniques produce a 10 - 20 nm film that has its own texture which can obscure topographical features of the original polymer surface. In examining thin, uncoated insulating samples on a conducting substrate at low voltages the effect of sample-beam interactions on image formation and resolution will differ significantly from the effect at higher accelerating voltages. We discuss here sample-beam interactions in single crystals on conducting substrates at low voltages and also present the first results on HRSEM of single crystal morphologies which show some of these effects.

1275: Deterioration of Laparoscopic Surgical Performance with Alteration in Angles of Perspective: the Effect of Surgeon Experience

2004 ◽  
Vol 171 (4S) ◽  
pp. 336-336
Author(s):  
Allison Frisella ◽  
Caroline D Ames ◽  
David Lieber ◽  
Ramakrishna Venkatesh ◽  
Peter G. Schulam ◽  
...  
Keyword(s):  
Surgical Performance ◽  
Surgeon Experience
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