A Video Quality Testing : Review of Human Visual Aspect

Various types of video player applications have been widely used by the community. The emergence of the latest version and a variety of features make people need to make a choice to use a video player application with a good visual level. The type of video that is often played is a file with an MP4 extension. This file type is not heavy but is usually intended for long file durations such as movies. In this paper, we will use a dataset in the form of a movie file with an MP4 extension. The video player applications used include VLC, Quick time, Potplayer, KMPLayer, Media Player Classic (MPC), DivX Player, ACG Player, Kodi, MediaMonkey. Through various empirical calculations, such as Mean Square Error (MSE), Peak Signal to Noise Ratio (PSNR), Structutral Similarity Index Measurement (SSIM), Threshold F-ratio, Visual Signal to Noise Ratio (VSNR), Visual Quality Metric (VQM), and Multiscale - Structutral Similarity Index Measurement (MS-SSIM) has analyzed the visual capabilities of each video player application. Experimental results prove that the KMPlayer application gets the best visual results compared to other selected applications.

Applications of the Columbus steerable guidewire

The Columbus steerable guidewire (Rapid Medical, Israel) is a 0.014 inch guidewire with a remotely controlled deflectable tip intended for neuronavigational purposes. 1 The tip can be shaped by pulling or pushing the handle. Pulling the handle decreases the radius (from 4 mm to 2 mm) and curves the tip, while pushing the handle increases the curvature radius and straightens the tip until it bends in the opposite direction. The amount of deflection is at the discretion of the operator. Video 1 The response of the Columbus guidewire to rotational movements is inferior to that of standard wires, and the tip is very soft and malleable but brings great support when bent. We present two cases where the Columbus guidewire was used. In the first case, the Columbus enabled us to probe a posterior cerebral artery arising from a giant basilar tip aneurysm without wall contact. In the second case, the Columbus was used as a secondary wire to help cannulate the pericallosal artery in a patient with a recurrent anterior complex aneurysm; this subsequently permitted successful stent-assisted coiling of the aneurysm.Video 1

Transvenous embolization of a cerebrospinal fluid–venous fistula for the treatment of spontaneous intracranial hypotension

Cerebrospinal fluid–venous fistula is an increasingly recognized cause of spontaneous intracranial hypotension.1 The site of the leak is between the dural sleeve around a spinal nerve root and the surrounding foraminal veins. In appropriately investigated patients, transvenous embolization of the draining foraminal and paraspinal veins has been shown to be an effective way of treating the disease, with low periprocedural morbidity, improvement in symptoms and radiological appearances.2 Video 1 shows the technique employed in a typical case using Onyx (Medtronic, Minnesota, USA) to embolize a CSF–venous fistula at the right T10 neural foramen.Video 1

Optimizing the Understanding of Practical Tasks in Distance Learning by Using YouTube Media

This study aims to see the optimization of the understanding of practical tasks in distance learning using YouTube media. The method used in this research is the ex post facto method. The object of this research is Gunadarma University students who take the General Management course totaling 297 students. Based on the research conducted, it is known that giving examples of practical assignments submitted through YouTube, can provide an optimal understanding of practical assignments to as many as 272 students. These results indicate that giving examples of practical assignments through YouTube in distance learning has proven optimal for 91.6% of students. For this reason, in giving practical assignments, educators should provide examples in the form of videos that can be accessed easily by students. One of the popular video player media and easily accessible online by students is by using YouTube media.

Transcarotid artery revascularization (TCAR): a technical video

Carotid revascularization is an important method of stroke prevention and includes carotid endarterectomy and transfemoral carotid angioplasty and stenting. More recently, a hybrid open-endovascular approach, termed transcarotid artery revascularization (TCAR), is garnering increased attention. Although fundamentally a ‘stenting procedure’, unlike transfemoral carotid angioplasty and stenting, TCAR allows for a proximal neuroprotection strategy based on flow reversal. In this technical video, we will review operative techniques and nuances of the TCAR procedure, with a particular focus on the neurovascular proceduralist looking to adopt this technique into routine clinical practice(video 1).Video 1

Use of Walrus balloon-guide catheter through sheathless radial approach for mechanical thrombectomy of right middle cerebral artery occlusion

The literature demonstrates a favorable first pass effect with balloon-guide catheter (BGC) for mechanical thrombectomy. An 8F BGC is routinely used with femoral access. We present the first video report of 8F BGC advanced through the radial artery using a sheathless technique (video 1). An approximately 70-year-old patient presented with left-sided hemiplegia, neglect, and dysarthria. A CT angiogram demonstrated right M1 occlusion, and the patient underwent urgent mechanical thrombectomy. Radial approach was preferred owing to patient history of anticoagulation. A 6F Sim Select intermediate catheter was used to minimize the step off as the 8F BGC was advanced into the radial artery over an 035 exchange-length Advantage Glidewire. A skin nick over the Glidewire Advantage facilitated the introduction of the 8F BGC into the radial artery. Standard mechanical thrombectomy using a combination of stent retriever and aspiration catheter (Solumbra technique) was performed, and thrombolysis in cerebral infarction 3 recanalization was achieved after a single pass. The National Institutes of Health Scale score improved from 12 to 4, with mild left facial droop, dysarthria, and decreased speech fluency. The patient was discharged from the hospital on postoperative day 2. Ultrasound should be used for immediate assessment of radial artery size and conversion to femoral access without delay if the radial artery is less than 2.5 mm.Video 1

Retrograde thrombectomy of basilar artery thrombus through the posterior communicating artery

Transcirculation thrombectomy through the communicating arteries of the circle of Willis has been previously described as a bailout in cases where direct thrombectomy is not feasible.1–3 Here we present a unique case where a retrograde thrombectomy of the proximal basilar artery was performed using the right posterior communicating artery (PCOM) in a patient with bilateral occlusions of the vertebral arteries, believed to be chronic. This was done using a quadriaxial system with multiple concentric catheters to minimize the ledge effect and achieve smooth and safe transition of the catheters from anterior to posterior circulations. A combination of stent retrieval, aspiration and balloon occlusion guide catheters helped retrieve the thrombus, while minimizing emboli in new territory (ENT). The patient had complete resolution of symptoms. The thrombus is believed to be due to stasis at the vertebrobasilar junction and competing flow, hence, the patient was started on anticoagulation. (video 1)Video 1

OPTIMALISASI PENGGUNAAN PROYEKTOR DALAM PEMBELAJARAN PADA MATA PELAJARAN I.P.A

The objectives to be achieved in this study are to determine the us of projector media in I.P.A learning and to determine the impact of using projector media in I.P.A learning. The use of projector learning media can help teachers develop teaching techniques so that they can get maximum result. Optimal use of the projector in the teaching and learning process, especially in science subjects, is expected to increase student motivation in learning. This research is a library research type with document data collection techniques in this study in the from of journals from previous research related to the us of projectors in I.P.A learning. From the discussion, it can be concluded that the us of projectors in I.P.A learning is useful as a presentation tool, as an information medium and as a video player. In additiom, the us of projector learning media in science subjects can increase student motivation in learning so that it has apositive impact in increasing student achievement.

Nautilus-assisted coil embolization for a complex AcomA wide-necked aneurysm in the setting of acute subarachnoid hemorrhage

Numerous devices and sophisticated strategies have been developed to further increase the number of aneurysms amenable to endovascular treatment.1–4 Despite the superfluity of available neurovascular armamentarium, wide-necked bifurcation aneurysms can still pose a significant technical challenge to the treating clinician.5–7 Neck bridging is a conceptually new approach, which provides increased occlusion rates with lower recurrence and complications rates.8–10 The Nautilus (EndoStream Medical) is an intrasaccular bridging device intended to assist in coil embolization of wide-necked cerebral aneurysms. This CE-marked device, available in various sizes, consists of flexible-layers, and is a nitinol-based, detachable implant. The device is delivered through a standard microcatheter with a minimal 0.0165" inner diameter and is fully radiopaque and completely resheathable.Owing to its unique ‘tornado’ like shape the device entirely reconstructs the aneurysmal neck, which facilitates the following coil embolization. In this video 1, we demonstrate the use of Nautilus - assisted coil embolization for a complex anterior communicating artery (AcomA) wide-necked aneurysm in the setting of acute subarachnoid hemorrhage.Video 1