Robotic Milling of Electrode Lead Channels During Cochlear Implantation in an ex-vivo Model

Objective: Robotic cochlear implantation is an emerging surgical technique for patients with sensorineural hearing loss. Access to the middle and inner ear is provided through a small-diameter hole created by a robotic drilling process without a mastoidectomy. Using the same image-guided robotic system, we propose an electrode lead management technique using robotic milling that replaces the standard process of stowing excess electrode lead in the mastoidectomy cavity. Before accessing the middle ear, an electrode channel is milled robotically based on intraoperative planning. The goal is to further standardize cochlear implantation, minimize the risk of iatrogenic intracochlear damage, and to create optimal conditions for a long implant life through protection from external trauma and immobilization in a slight press fit to prevent mechanical fatigue and electrode migrations.Methods: The proposed workflow was executed on 12 ex-vivo temporal bones and evaluated for safety and efficacy. For safety, the difference between planned and resulting channels were measured postoperatively in micro-computed tomography, and the length outside the planned safety margin of 1.0 mm was determined. For efficacy, the channel width and depth were measured to assess the press fit immobilization and the protection from external trauma, respectively.Results: All 12 cases were completed with successful electrode fixations after cochlear insertions. The milled channels stayed within the planned safety margins and the probability of their violation was lower than one in 10,000 patients. Maximal deviations in lateral and depth directions of 0.35 and 0.29 mm were measured, respectively. The channels could be milled with a width that immobilized the electrode leads. The average channel depth was 2.20 mm, while the planned channel depth was 2.30 mm. The shallowest channel depth was 1.82 mm, still deep enough to contain the full 1.30 mm diameter of the electrode used for the experiments.Conclusion: This study proposes a robotic electrode lead management and fixation technique and verified its safety and efficacy in an ex-vivo study. The method of image-guided robotic bone removal presented here with average errors of 0.2 mm and maximal errors below 0.5 mm could be used for a variety of other otologic surgical procedures.

Estuarine morphodynamics and development modified by floodplain formation

Rivers and estuaries are flanked by floodplains built by mud and vegetation. Floodplains affect channel dynamics and the overall system's pattern through apparent cohesion in the channel banks and through filling of accommodation space and hydraulic resistance. For rivers, effects of mud, vegetation and the combination are thought to stabilise the banks and narrow the channel. However, the thinness of mudflats and salt marsh in estuaries compared to channel depth raises questions about the effects of floodplain as constraints on estuary dimensions. To test these effects, we created three estuaries in a tidal flume: one with mud, one with recruitment events of two live vegetation species and a control with neither. Both mud and vegetation reduced channel migration and bank erosion and stabilised channels and bars. Effects of vegetation include local flow velocity reduction and concentration of flow into the channels, while flow velocities remained higher over mudflats. On the other hand, the lower reach of the muddy estuary showed more reduced channel migration than the vegetated estuary. The main system-wide effect of mudflats and salt marsh is to reduce the tidal prism over time from upstream to downstream. The landward reach of the estuary narrows and fills progressively, particularly for the muddy estuary, which effectively shortens the tidally influenced reach and also reduces the tidal energy in the seaward reach and mouth area.

A Study of the Potential Impact of Dredging the Corpus Christi Ship Channel on Passive Particle Transport

We present a study of the potential impact of deepening the Corpus Christi Ship Channel through Aransas Pass; in particular, we study the effect on the transport of red drum fish larvae due to the change in channel depth. The study was conducted by high resolution simulation of the circulation of the seawater entering and exiting the pass for the current and proposed Ship Channel depths. The computer model incorporates tides and meteorological forcing and includes the entire Gulf of Mexico and the North American Atlantic coast. The corresponding transport of larvae modeled as passive particles due to the sea water circulation is established by releasing particles in the nearshore region outside Aransas Pass and subsequently tracking their trajectories. We compare the difference in the number of larvae that successfully reach appropriate nursery grounds inside Aransas Pass for four distinctive initial larvae positions in the nearshore region. Our results indicate that the change in channel depth does not significantly alter the number of red drum larvae that reach suitable nursery grounds, overall, across all considered scenarios, we see a net increase of 0.5%.

Channel Depth or Consistency? A Study on Establishing a Sustainable Omnichannel Strategy for Fashion Department Store Retailers

In recent years, fashion department stores have struggled to sustain their foothold in the competitive market due to changing consumer behavior as well as technological advancement. This study aimed to examine customers’ perspectives on the shopping channels of omnichannel fashion department stores. The analysis was based on data from 552 customers who shopped at U.S. omnichannel fashion department stores. Confirmatory factor analysis and structural equation modeling were utilized to analyze the hypothesized relationship. The results showed that brand attitude mediated the influence of perceived fluency of customers’ purchase intentions in the omnichannel fashion department store setting. Content consistency and process consistency also positively affected customers’ perceived fluency of the channels of those fashion department stores. Customers are more likely to purchase from a fashion department store that provides consistent content and processes across the multiple shopping channels from which they can purchase merchandise. Further, customers value consistency of the content and processes across all fashion department store channels. The results are insightful especially for industry practitioners, as it enables them to develop a sustainable omnichannel business strategy by focusing on the depth of the channels and channel consistencies (content and process) while improving customers’ purchase intention from their stores.

Study of the Performance of a Novel Radiator with Three Inlets and One Outlet Based on Topology Optimization

In recent years, in order to obtain a radiator with strong heat exchange capacity, researchers have proposed a lot of heat exchangers to improve heat exchange capacity significantly. However, the cooling abilities of heat exchangers designed by traditional design methods is limited even if the geometric parameters are optimized at the same time. However, using topology optimization to design heat exchangers can overcome this design limitation. Furthermore, researchers have used topology optimization theory to designed one-to-one and many-to-many inlet and outlet heat exchangers because it can effectively increase the heat dissipation rate. In particular, it can further decrease the hot-spot temperature for many-to-many inlet and outlet heat exchangers. Therefore, this article proposes novel heat exchangers with three inlets and one outlet designed by topology optimization to decrease the fluid temperature at the outlet. Subsequently, the effect of the channel depth on the heat exchanger design is also studied. The results show that the type of exchanger varies with the channel depth, and there exists a critical depth value for obtaining the minimum substrate temperature difference. Then, the flow and heat transfer performance of the heat exchangers are numerically investigated. The numerical results show that the heat exchanger derived by topology optimization with the minimum temperature difference as the goal (Model-2) is the best design for flow and heat transfer performance compared to other heat sink designs, including the heat exchanger derived by topology optimization having the average temperature as the goal (Model-1) and conventional straight channels (Model-3). The temperature difference of Model-1 can be reduced by 37.5%, and that of Model-2 can be decreased by 62.5% compared to Model-3. Compared with Model-3, the thermal resistance of Model-1 can be reduced by 21.86%, while that of Model-2 can be decreased by 47.99%. At room temperature, we carried out the forced convention experimental test for Model-2 to measure its physical parameters (temperature, pressure drop) to verify the numerical results. The error of the average wall temperature between experimental results and simulation results is within 2.6 K, while that of the fluid temperature between the experimental and simulation results is within 1.4 K, and the maximum deviation of the measured Nu and simulated Nu was less than 5%. This indicated that the numerical results agreed well with the experimental results.

Nanosecond and sub-nanosecond laser-assisted microscribing of Cu thin films in a salt solution

Pulsed laser-based material removal is a preferred technique for microscribing of copper (Cu) film coated on polymers, as the pulse width limits the heat diffusion. However, experimental studies have shown that microscribing of Cu in air results in recast/redeposit formation and oxidation. Although the water medium can reduce these effects to a certain extent, the material removal rate is lesser for Cu. This article reports the influence of laser pulse duration on a hybrid method to enhance the pulsed laser-assisted microscribing of a copper thin film in the presence of an environmentally friendly sodium chloride salt solution (NaCl). The focused laser beam irradiation of Cu film results in ablation with a temperature of the zone well above the boiling point of Cu, which in turn, can assist in accelerating the chemical reaction. In this hybrid scribing technique, along with laser-based material removal, laser-activated chemical etching also helps in removing the material selectively. A sub-nanosecond laser with a pulse width of 500 ps (picosecond [ps] laser) and a nanosecond laser with a pulse width of 6 ns (nanosecond [ns] laser), with a wavelength of 532 nm, are used to understand the influence of laser pulse duration on this hybrid material removal mechanism. Hybrid microscribing with the ps- and ns lasers in salt solution resulted in an increase in the channel depth by ≈5 µm and ≈9 µm, respectively, compared to the channel depth obtained in deionized water. The theoretical model shows that during the ns laser ablation, the cooling rate is slower, resulting in a high temperature in the ablation zone for a longer duration and improved material removal.

Quantification of fluvial-peat interactions in the Pikeville formation Central Appalachian Basin, USA.

<p>Basin-scale fluvial architecture is, to a large extent, determined by the ability of river systems to migrate and avulse across their own floodplain. River avulsion takes place when a river aggrades by one channel depth to achieve super-elevation above the surrounding floodplain. However, peat enhancement of floodplain aggradation is likely to affect this fluvial behaviour and has received little attention. The interaction between river channels and peat-dominated floodplains is likely to have the effect of inhibiting or prolonging the conditions required for river avulsion, and so will impact on basin scale architecture during prolonged peat accumulation on floodplains. To elucidate and quantify the nature of this channel-floodplain interaction we investigate the coal-bearing clastic interval of the Carboniferous Pikeville Formation, Central Appalachian Basin, USA. Using a combination of well data and outcrop data, two coal horizons and intervening sand bodies, were mapped across an area of 5700 km<sup>2</sup> to ascertain overall basin-scale architecture. Comparison of the accumulation rate of the coal units (corrected for decompaction) with the synchronously deposited sand bodies suggests that extensive and rapid peat accumulation can increase avulsion timescales by 3 orders of magnitude and dramatically alter basin-scale fluvial architecture.</p>

Fabrication of aluminum bipolar plates with Archimedes' screw-shaped channels: a rubber pad forming process assessment

Bipolar plates are one of the most important components of polymer membrane fuel cells. In this manuscript, the rubber pad forming of aluminum bipolar plates with Archimedes' screw-shaped channels and draft angle of 90$$^\circ$$ ∘ has been investigated. Hence, all possible combinations of the process parameters were determined and corresponding experimentations performed in order to investigate the effects of the rubber hardness, punch speed and the hydraulic press force. In this regard, three rubber pads including polyurethane, silicone and natural rubber were used. Channel depth and thinning percentage in the corner of the channel are measured and the effect of each parameter is analyzed. Based on the results, the maximum channel depth was achieved using a silicone pad with a hardness of 60 Shore A. Using a rubber pad with a very high and low hardness number, both, reduces the depth of channel. Furthermore, as the punch speed increases, the channel depth increases and the thinning percentage, as well.

A Quantitative Study of Hydraulic Parameters of Thamirabarani River

Each channel has unique characteristics of its own; River Thamirabarani being no exception. The project proposal aims at investigating the hydraulic geometry of the Thamirabarani River from Pothigai to the downstream up to Srivaikundam [1]. The interrelationship among stream sediment load, channel width and channel depth shows the nature of hydraulic geometry of Thamirabarani River channel. Due to the effect of Papanasam dam the natural flow of this river has been obstructed, and this is resulting in reduced discharge at downstream [2]. Confluences of major tributaries such as Manimuthar, Servalaru, Gadana and Ramanadhi may play significant role for the influx of extra discharge and sediment load to the main river. This extra sediment influx is also responsible for frequent bar formation in the river channel. The input morphometric maps have to be prepared using GIS and Remote Sensing tools like Arc GIS 10.1 and Global Mapper [3].

Simulation of Flow Through Variable Permeability Darcy-Brinkman Layers

In this paper, coupled parallel flow in a triple layer channel is studied numerically. The channel consists of a clear fluid sandwiched between two Darcy-Brinkman permeable layers of variable porousness. A single binary equation is presented, in which the penetrability within transition porous layers, is portrayed by a nth degree objective capacity. However, because of the absence of explanatory arrangement of the issue, direct numerical simulations are performed in order to give a novel knowledge into the fluid dynamics inside permeable media of variable porousness. These simulations are carried out through utilizing a modified steady state finite volume solver from the open source programming bundle OpenFOAM. After check and approval of the solver and mathematical technique, parametric investigation is acted in which the Darcy number, intensity of the penetrability degree, transition layer thickness, channel depth, fluid viscosity, and pressure gradient vary. The findings of the current study show that velocity increases when: First, the Darcy number, the degree, or the channel depth increases. Second, when the transition layer thickness decreases. Also, strain rate is almost independent of both Darcy number and degree, and nearly doubles when either the thickness of transition layer halves or the channel depth doubles. In addition, velocity and strain rate are found to scale with viscosity and pressure gradient.