scholarly journals The Development of Laparoscopy—A Historical Overview

2021 ◽  
Vol 8 ◽  
Author(s):  
Ibrahim Alkatout ◽  
Ulrich Mechler ◽  
Liselotte Mettler ◽  
Julian Pape ◽  
Nicolai Maass ◽  
...  
Keyword(s):  
Surgical Approach ◽  
First Century ◽  
Robot Assisted ◽  
Future Developments ◽  
Short Period ◽  
Future Challenges ◽  
The Times ◽  
Medical Disciplines ◽  
First Time ◽  
Robot Assisted Surgery

The advent of laparoscopy marked a fundamental change in the evolution of medicine. The procedure progressed consistently after the first time it was performed in a human being nearly a hundred years ago. The 1960's and 1980's witnessed groundbreaking changes. During this time, laparoscopy evolved from a purely diagnostic procedure into an independent surgical approach. Outstanding pioneers of the times were Palmer, Frangenheim and Semm. Laparoscopy advanced rapidly and influenced gynecology as well. The procedure was initially attacked most vociferously by the surgical fraternity. However, within a short period of time the pendulum shifted: laparoscopy became the preferred surgical approach for a variety of diseases—whether benign or malignant—in several medical disciplines. Laparoscopy has become a routine approach in the twenty-first century. Technical advancements have led to robot-assisted surgery. Future developments will include artificial intelligence and augmented reality. In the present article we address past milestones, current practices, and future challenges in laparoscopy.

scholarly journals Quest for the tertiary component in Cyg OB2 #5

2019 ◽  
Vol 627 ◽  
pp. A2
Author(s):  
Gregor Rauw ◽  
Yaël Nazé ◽  
Fran Campos
Keyword(s):  
Light Curve ◽  
High Energy ◽  
Optical Data ◽  
X Ray ◽  
Systemic Velocity ◽  
Short Period ◽  
Velocity Changes ◽  
The Times ◽  
High Energy Emission ◽  
First Time

Aims. The Cyg OB2 #5 system is thought to consist of a short-period (6.6 d) eclipsing massive binary orbited by an OB-star with a period of ~6.7 yr; these stars in turn are orbited by a distant early B-star with a period of thousands of years. However, while the inner binary has been studied many times, information is missing on the other stars, in particular the third star whose presence was indirectly postulated from recurrent modulations in the radio domain. Besides, to this date, the X-ray light curve could not be fully interpreted, for example in the framework of colliding-wind emission linked to one of the systems. Methods. We obtained new optical and X-ray observations of Cyg OB2 #5, which we combined to archival data. We performed a thorough and homogeneous investigation of all available data, notably revisiting the times of primary minimum in photometry. Results. In the X-ray domain, XMM-Newton provides scattered exposures over ~5000 d whilst Swift provides a nearly continuous monitoring for the last couple of years. Although the X-ray light curve reveals clear variability, no significant period can be found hence the high-energy emission cannot be explained solely in terms of colliding winds varying along either the short or intermediate orbits. The optical data reveal for the first time clear signs of reflex motion. The photometry indicates the presence of a 2366 d (i.e. 6.5 yr) period while the associated radial velocity changes are detected at the 3σ level in the systemic velocity of the He II λ 4686 emission line. With the revised period, the radio light curve is interpreted consistently in terms of a wind interaction between the inner binary and the tertiary star. From these optical and radio data, we derive constraints on the physical properties of the tertiary star and its orbit.

Do People Trust in Robot-Assisted Surgery? Evidence from Europe (Preprint)

2020 ◽  
Author(s):  
Joan Torrent-Sellens ◽  
Ana Jiménez-Zarco ◽  
Francesc Saigí-Rubió
Keyword(s):  
Technology Acceptance ◽  
Surgical Intervention ◽  
Negative Relationship ◽  
Predictor Variable ◽  
Major Change ◽  
Ease Of Use ◽  
The European Union ◽  
Robot Assisted ◽  
Surgical Interventions ◽  
Robot Assisted Surgery

BACKGROUND Increasingly intelligent and autonomous robots are destined to have a huge impact on our society. Their adoption, however, represents a major change to the healthcare sector’s traditional practices, which, in turn, poses certain challenges. To what extent is it possible to foresee a near-future scenario in which minor routine surgery is directed by robots? And what are the patients’ or general public’s perceptions of having surgical procedures performed on them by robots, be it totally or partially? A patient’s trust in robots and AI may facilitate the spread and use of such technologies. OBJECTIVE The goal of our study was to establish the factors that influence how people feel about having a medical operation performed on them by a robot. METHODS We used data from a 2017 Flash Eurobarometer (number 460) of European Commission with 27,901 citizens aged 15 years and over in the 28 countries of the European Union. The research designs and tests a technology acceptance model (TAM). Logistic regression (odds ratios, OR) to model the predictors of trust in robot-assisted surgery was calculated through motivational factors, robots using experience and sociodemographic independent variables. RESULTS The negative relationship between most of the predictors of ease of use, expected benefits and attitude towards robots, and confidence in robot-assisted surgery was contrasted. The only non-sociodemographic predictor variable that has a positive relationship with trust in robots participating in a surgical intervention is previous experience in the use of robots. In this context, we analyze the confidence predictors for three different levels of robot use experience (zero use, average use, and high use). The results obtained indicate that, as the experience of using robots increases, the predictive coefficients related to information, attitude and perception of robots become more negative. Research results also determined that variables of a sociodemographic nature played an important predictive role. It was confirmed that the effect of experience on trust in robots for surgical interventions was greater among men, people between 40 and 54 years old, and those with higher educational levels. CONCLUSIONS Despite the considerable benefits for the patient that the use of robots can bring in a surgical intervention, the results obtained show that trust in robots goes beyond rational decision-making. By contrasting the reasons that generate trust and mistrust in robots, especially by highlighting the experience of use as a key element, the research makes a new contribution to the state of the art and draws practical implications of the use of robots for health policy and practice.

Delhi in Transition, 1821 and Beyond

2018 ◽  
Keyword(s):  
Nineteenth Century ◽  
Lived Experience ◽  
English Translation ◽  
East India Company ◽  
Multiple Sources ◽  
Original Manuscript ◽  
English East India Company ◽  
The Times ◽  
First Time ◽  
The City

Commissioned by the English East India Company to write about contemporary nineteenth-century Delhi, Mirza Sangin Beg walked around the city to capture its highly fascinating urban and suburban extravaganza. Laced with epigraphy and fascinating anecdotes, the city as ‘lived experience’ has an overwhelming presence in his work, Sair-ul Manazil. Sair-ul Manazil dominates the historiography of eighteenth- and nineteenth-century compositions on Delhi in Persian and Urdu, and remains unparalleled in its architecture and detailed content. It deals with the habitations of people, bazars, professions and professionals, places of worship and revelry, and issues of contestation. Over fifty typologies of structures and several institutions that find resonance in the Persian and Ottoman Empires can also be gleaned from Sair-ul Manazil. Interestingly, Beg made no attempt to ‘monumentalize’ buildings; instead, he explored them as spaces reflective of the sociocultural milieu of the times. Delhi in Transition is the first comprehensive English translation of Beg’s work, which was originally published in Persian. It is the only translation to compare the four known versions of Sair-ul Manazil, including the original manuscript located in Berlin, which is being consulted for the first time. It has an exhaustive introduction and extensive notes, along with the use of varied styles in the book to indicate the multiple sources of the text, contextualize Beg’s work for the reader and engage him with the debate concerning the different variants of this unique and eclectic work.

scholarly journals Telemanipulation of an Articulated Robotic Arm using a Commercial Virtual Reality Controller

2020 ◽  
Vol 6 (3) ◽  
pp. 127-130
Author(s):  
Max B. Schäfer ◽  
Kent W. Stewart ◽  
Nico Lösch ◽  
Peter P. Pott
Keyword(s):  
Virtual Reality ◽  
Real Time ◽  
Robotic Arm ◽  
Input Device ◽  
Robot Assisted ◽  
Promising Alternative ◽  
Input Devices ◽  
Current Input ◽  
Current Systems ◽  
Robot Assisted Surgery

AbstractAccess to systems for robot-assisted surgery is limited due to high costs. To enable widespread use, numerous issues have to be addressed to improve and/or simplify their components. Current systems commonly use universal linkage-based input devices, and only a few applicationoriented and specialized designs are used. A versatile virtual reality controller is proposed as an alternative input device for the control of a seven degree of freedom articulated robotic arm. The real-time capabilities of the setup, replicating a system for robot-assisted teleoperated surgery, are investigated to assess suitability. Image-based assessment showed a considerable system latency of 81.7 ± 27.7 ms. However, due to its versatility, the virtual reality controller is a promising alternative to current input devices for research around medical telemanipulation systems.

Technology teaching of college table tennis players based on virtual simulation technology

2021 ◽  
pp. 002072092098608
Author(s):  
Jincheng Yu ◽  
Yonatan Asher Vexler ◽  
Rongzhi Li
Keyword(s):  
Physical Education ◽  
Teaching Method ◽  
Student Interest ◽  
Table Tennis ◽  
Tennis Players ◽  
Modern Information Technology ◽  
Multimedia Teaching ◽  
Short Period ◽  
Competition Process ◽  
The Times

Modern information technology is more and more widely used in school physical education. At the same time, the application of multimedia technology is becoming more and more extensive in education. As a teaching method, multimedia has developed into an important component of modern educational technology and science, and also provides support for teaching reform. The use of multimedia organization teaching can make up for the shortcomings of traditional physical education, promote the development of physical education, cultivate students' lifelong sports awareness and enhance physical fitness. Physical education is an important component of modern education, and its reform is also the trend of the times. According to the characteristics of the ordinary group of college table tennis, exploring the use of multimedia teaching platform can make the table tennis class more vivid and interesting, let students master some basic skills and skills of table tennis in a short period of time, understand and experience table tennis. The competition process enhances student interest and serves lifelong sports.

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