Transareolar Robotic-Assisted Access to the Mitral Valve

2015 ◽  
Vol 10 (6) ◽  
pp. 438-440 ◽  
Author(s):  
Francesco Musumeci ◽  
Giovanni Mariscalco ◽  
Federico Ranocchi ◽  
Daniele Tosi ◽  
Paolo Persichetti
Keyword(s):  
Mitral Valve ◽  
Da Vinci ◽  
Rapid Development ◽  
Cost Effective ◽  
Mortality Rates ◽  
Robotic Assisted ◽  
The Past ◽  
Points Of View ◽  
Da Vinci Si ◽  
Transareolar Approach

During the past years, a rapid development and refinements of robotic heart valve techniques have led to consider robotic mitral valve (MV) surgery safe, effective, and durable. Robotic MV surgery has proven to be a cost-effective and cost-saving strategy in MV operations, being associated with reduced morbidity and mortality rates. We present a novel video-assisted transareolar approach to access the MV using the da Vinci Si HD telemanipulation system (Intuitive Surgical, Inc, Sunnyvale, CAUSA). This technique is effective and reproducible, providing maximum patient satisfaction from both the clinical and cosmetic points of view.

scholarly journals Robotic-Assisted Surgery for Benign Urological Conditions

2006 ◽  
Vol 6 ◽  
pp. 2573-2580 ◽  
Author(s):  
Declan G. Murphy ◽  
Ben J. Challacombe ◽  
Lail-U-Mah Zaheer ◽  
M. Shamim Khan ◽  
Prokar Dasgupta
Keyword(s):  
Radical Prostatectomy ◽  
Da Vinci ◽  
Robotic Assistance ◽  
Robotic Technology ◽  
Robotic Assisted ◽  
The Past ◽  
Robotic Assisted Surgery ◽  
Urological Procedures ◽  
Robotic Assisted Radical Prostatectomy ◽  
Surgical System

Robotic technology for use in surgery has advanced considerably in the past 10 years. This has become particularly apparent in urology where robotic-assisted radical prostatectomy using the da VinciTMsurgical system (Intuitive Surgical, CA) has become very popular. The use of robotic assistance for benign urological procedures is less well documented. This article considers the current robotic technology and reviews the situation with regard to robotic surgery for benign urological conditions.

scholarly journals Robotic assisted mitral valve repair: early experience with the da Vinci S robotic system

2013 ◽  
Vol 34 (suppl 1) ◽  
pp. P5373-P5373
Author(s):  
S. Mega ◽  
M. C. Bono ◽  
I. Castiglione ◽  
F. Ranocchi ◽  
A. Casacalenda ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Da Vinci ◽  
Early Experience ◽  
Robotic System ◽  
Valve Repair ◽  
Robotic Assisted

scholarly journals Management in the Model of Transport Behavior of Metropolis Residents Using the Concept of “Mobility as a Service”

2021 ◽  
Vol 93 ◽  
pp. 04014
Author(s):  
Olga Pishchikova
Keyword(s):  
Rapid Development ◽  
Road Construction ◽  
Cost Effective ◽  
Transport Systems ◽  
Sustainable Cities ◽  
Residential Areas ◽  
Environmentally Sustainable ◽  
The Past ◽  
Modern Economy ◽  
Effective Mobility

The article discusses the era of maximizing road connectivity receding into the past, giving way to the broader challenge of creating livable, cost-effective, socially healthy and environmentally sustainable cities and metropolitan areas. A metropolis is defined as a “supercity”, the largest form of settlement and the highest link in the urbanization process, one of the main criteria of which is the rapid development of communications in general, and transport in particular. A modern metropolis is highly dependent on an efficient transport system, which ensures its livelihoods through the delivery of goods and provides the population with access to resources, jobs and residential areas. The effective mobility of economic development of cities and agglomerations, which are the locomotives of the modern economy, is considered. The extensive development of the transport systems of megalopolises through the construction of new roads becomes ineffective, since the increase in the number of private cars outstrips the pace of road construction. The paradigm of urban development in the 2000s changed from a “city for cars” to a simple, at first glance, “city for people” paradigm, and mobility was also considered.

Robotic-Assisted Ivor Lewis Esophagectomy (RAMIE) with a Standardized Intrathoracic Circular End-to-side Stapled Anastomosis and a Team of Two (Surgeon and Assistant Only)

2017 ◽  
Vol 66 (05) ◽  
pp. 404-406 ◽  
Author(s):  
Edin Hadzijusufovic ◽  
Hauke Lang ◽  
Peter Grimminger
Keyword(s):  
Da Vinci ◽  
Minimal Invasive ◽  
Operation Technique ◽  
Da Vinci Xi ◽  
Ivor Lewis ◽  
Robotic Assisted ◽  
Invasive Esophagectomy ◽  
Ivor Lewis Esophagectomy ◽  
The Past ◽  
Robotic Assisted Surgery

AbstractRobotic-assisted surgery is rapidly increasing, especially in general surgery. It has been shown for years that the minimal invasive esophagectomy (MIE) is possible using a robotic system, for example, da Vinci Xi, Intuitive Surgical. In the past, most robotic esophageal resections have been performed thoracoscopically, and the anastomosis was mostly sutured at the neck. Due to the increase of usable instruments and technical progress, it is possible to perform the total abdominothoracic esophagectomy with an intrathoracic sutured anastomosis robotically. In this article, we would like to present the standardized operation technique and tricks for the robotic-assisted (da Vinci Xi) Ivor Lewis MIE (RAMIE), especially the robotic technique in combination with a standardized intrathoracic circular end-to-side stapled esophagogastric anastomosis.

Low-Field MR Imaging — Development in Finland

1996 ◽  
Vol 37 (3P2) ◽  
pp. 446-454 ◽  
Author(s):  
R. E. Sepponen
Keyword(s):  
Mr Imaging ◽  
Magnetization Transfer ◽  
Rapid Development ◽  
Cost Effective ◽  
Development Project ◽  
Inherent Safety ◽  
The Past ◽  
Low Field ◽  
Cost Of Health Care ◽  
The Cost

The development project for application of MR imaging to diagnosis of internal hemorrhages was initiated by the Instrumentarium Corporation in 1978. The goal was to develop a diagnostic tool for emergency clinics. Due to the rapid development of imaging technology, the goal was changed to a cost-effective MR unit. During the past 16 years, several generations of low-field units have been introduced. Consequently, a vast amount of clinical and technical knowledge about low-field MR has been gained. The interest in low-field units is rapidly increasing. A part of this may be explained by the pressure to reduce the cost of health care. There are some features which make the low-field approach clinically interesting. These include the feasibility of open magnet configurations, and the availability of unique contrast parameters such as magnetization transfer and T1ρ. One important aspect is the inherent safety of a low-field MR unit. This article reviews the methods and devices introduced through the development of low-field technology in Finland.

Regulatory and sustainability initiatives lead to improved polyaminopolyamide epichlorohydrin (PAE) wet-strength resins and paper products

TAPPI Journal ◽  
2018 ◽  
Vol 17 (09) ◽  
pp. 519-532 ◽  
Author(s):  
Mark Crisp ◽  
Richard Riehle
Keyword(s):  
Health And Safety ◽  
Cost Effective ◽  
Worker Safety ◽  
Regulatory Requirements ◽  
Wet Strength ◽  
The Past ◽  
Consumer Safety ◽  
Federal Institute ◽  
Sustainability Initiatives ◽  
The Impact

Polyaminopolyamide-epichlorohydrin (PAE) resins are the predominant commercial products used to manufacture wet-strengthened paper products for grades requiring wet-strength permanence. Since their development in the late 1950s, the first generation (G1) resins have proven to be one of the most cost-effective technologies available to provide wet strength to paper. Throughout the past three decades, regulatory directives and sustainability initiatives from various organizations have driven the development of cleaner and safer PAE resins and paper products. Early efforts in this area focused on improving worker safety and reducing the impact of PAE resins on the environment. These efforts led to the development of resins containing significantly reduced levels of 1,3-dichloro-2-propanol (1,3-DCP) and 3-monochloropropane-1,2-diol (3-MCPD), potentially carcinogenic byproducts formed during the manufacturing process of PAE resins. As the levels of these byproducts decreased, the environmental, health, and safety (EH&S) profile of PAE resins and paper products improved. Recent initiatives from major retailers are focusing on product ingredient transparency and quality, thus encouraging the development of safer product formulations while maintaining performance. PAE resin research over the past 20 years has been directed toward regulatory requirements to improve consumer safety and minimize exposure to potentially carcinogenic materials found in various paper products. One of the best known regulatory requirements is the recommendations of the German Federal Institute for Risk Assessment (BfR), which defines the levels of 1,3-DCP and 3-MCPD that can be extracted by water from various food contact grades of paper. These criteria led to the development of third generation (G3) products that contain very low levels of 1,3-DCP (typically <10 parts per million in the as-received/delivered resin). This paper outlines the PAE resin chemical contributors to adsorbable organic halogens and 3-MCPD in paper and provides recommendations for the use of each PAE resin product generation (G1, G1.5, G2, G2.5, and G3).

HPV-associated cervical diseases: screening, methods of examination, principles of treatment

GYNECOLOGY ◽  
2019 ◽  
Vol 21 (3) ◽  
pp. 6-8
Author(s):  
Vera N Prilepskaya
Keyword(s):  
Cervical Cancer ◽  
Human Papillomavirus ◽  
Cancer Prevention ◽  
Mortality Rates ◽  
Diagnostic Methods ◽  
Screening Methods ◽  
The Past ◽  
Associated Diseases ◽  
Principles Of Treatment ◽  
Cervical Diseases

This article presents information about modern principles of diagnosis and treatment of HPV-associated diseases. Behind cervical cancer morbidity and mortality rates over the past 10 years increase significantly. Examination and observation of patients with human papillomavirus persistence of highly oncogenic types is important a link in cancer prevention. The article presents diagnostic methods, treatment of cervical diseases, as well as the possibility of pharmacotherapy in HPV-associated diseases.

History—an overview

2018 ◽  
Author(s):  
Oriol Bohigas ◽  
Hans A. Weidenmüller
Keyword(s):  
Random Matrix Theory ◽  
Random Matrix ◽  
Matrix Theory ◽  
Rapid Development ◽  
The Past ◽  
History Of ◽  
And Mathematics

An overview of the history of random matrix theory (RMT) is provided in this chapter. Starting from its inception, the authors sketch the history of RMT until about 1990, focusing their attention on the first four decades of RMT. Later developments are partially covered. In the past 20 years RMT has experienced rapid development and has expanded into a number of areas of physics and mathematics.

scholarly journals Challenges for Evaluation of the Safety of Engineered Nanomaterials

2021 ◽  
Vol 43 (1) ◽  
pp. 4-7
Author(s):  
Linda J. Johnston ◽  
Norma Gonzalez-Rojano ◽  
Kevin J. Wilkinson ◽  
Baoshan Xing
Keyword(s):  
Rapid Development ◽  
Sustainable Use ◽  
Cost Effective ◽  
Engineered Nanomaterials ◽  
Full Potential ◽  
Effective Strategies ◽  
Toxicological Studies ◽  
Regulatory Guidelines ◽  
Significant Effort ◽  
Safe By Design

Abstract Nanotechnology has developed rapidly in the last two decades with significant effort focused on the development of nano-enabled materials with new or improved properties that offer solutions for current world challenges. The commercialization of products containing engineered nanomaterials (ENM) has progressed much more rapidly than the development of practical approaches to ensure their safe and sustainable use. The lack of adequate detection and characterization techniques and reproducible and validated methods for toxicological studies have been identified as major limitations. The rapid development of ENM of increasing complexity and diversity and concerns over the adequacy of existing regulations also contribute to safety concerns with these materials. The full potential of nanotechnology can only be realized when feasible, cost-effective strategies to ensure a safe-by-design approach, effective risk assessment approaches and appropriate regulatory guidelines are in place.

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