A Comparative Study on the Hemodynamic Performance Within Cross and Non-cross Stent-Grafts for Abdominal Aortic Aneurysms With an Angulated Neck

Objectives: Cross-limb stent grafts for endovascular aneurysm repair (EVAR) are often employed for abdominal aortic aneurysms (AAAs) with significant aortic neck angulation. Neck angulation may be coronal or sagittal; however, previous hemodynamic studies of cross-limb EVAR stent grafts (SGs) primarily utilized simplified planar neck geometries. This study examined the differences in flow patterns and hemodynamic parameters between crossed and non-crossed limb SGs at different spatial neck angulations.Methods: Ideal models consisting of 13 cross and 13 non-cross limbs were established, with coronal and sagittal angles ranging from 0 to 90°. Computational fluid dynamics (CFD) was used to capture the hemodynamic information, and the differences were compared.Results: With regards to the pressure drop index, the maximum difference caused by the configuration and angular direction was 4.6 and 8.0%, respectively, but the difference resulting from the change in aneurysm neck angle can reach 27.1%. With regards to the SAR-TAWSS index, the maximum difference caused by the configuration and angular direction was 7.8 and 9.8%, respectively, but the difference resulting from the change in aneurysm neck angle can reach 26.7%. In addition, when the aneurysm neck angle is lower than 45°, the configuration and angular direction significantly influence the OSI and helical flow intensity index. However, when the aneurysm neck angle is greater than 45°, the hemodynamic differences of each model at the same aneurysm neck angle are reduced.Conclusion: The main factor affecting the hemodynamic index was the angle of the aneurysm neck, while the configuration and angular direction had little effect on the hemodynamics. Furthermore, when the aneurysm neck was greatly angulated, the cross-limb technique did not increase the risk of thrombosis.

Morphological changes after lower eyelid epiblepharon surgery in Asian children

Background This study aimed to determine the morphological changes in Asian lower eyelid epiblepharon patients after surgery. Methods The medical records of 59 patients who underwent lower eyelid epiblepharon repair were reviewed retrospectively. Eighty-nine patients who underwent strabismus surgery were set as the control group. The photographs for each group were analyzed based on the following factors: inferior half area (IHA) of the eye, eyelash angular direction (EAD), angle between the eyelashes and the cornea, marginal reflex distance 1 (MRD1) and marginal reflex distance 2 (MRD2). Results After surgery, the medial EAD changed from 92.45° ± 20.21° (mean ± SD) to 79.43° ± 23.31°, while the central and lateral EADs were unchanged. IHA increased from 36.33 ± 9.78 mm3 to 43.06 ± 10.57 mm3, and MRD1 increased from 1.92 ± 0.99 mm to 2.50 ± 0.93 mm, whereas MRD2 did not change. The mean angle between the eyelashes and the cornea increased from 39.64° to 72.19° immediately postoperatively, but had reduced to 58.75° 3 months later, followed by no further significant change at the 6-month and 9-month postoperative follow-ups. Conclusions There is morphological changes of the eyelid after lower eyelid epiblepharon surgery, with increases in the IHA and MRD1. In addition, contact between the eyelashes and the cornea occurred mainly in the medial portion of the eyelid the position, which everted and stabilized over 3 months. Thus, follow-up observations are required for at least 3 months to properly evaluate the surgical outcome.

J. J. Gibson’s “Ground Theory of Space Perception”

J. J. Gibson's ground theory of space perception is contrasted with Descartes’ theory, which reduces all of space perception to the perception of distance and angular direction, relative to an abstract viewpoint. Instead, Gibson posits an embodied perceiver, grounded by gravity, in a stable layout of realistically textured, extended surfaces and more delimited objects supported by these surfaces. Gibson's concept of optical contact ties together this spatial layout, locating each surface relative to the others and specifying the position of each object by its location relative to its surface of support. His concept of surface texture—augmented by perspective structures such as the horizon—specifies the scale of objects and extents within this layout. And his concept of geographical slant provides surfaces with environment-centered orientations that remain stable as the perceiver moves around. Contact-specified locations on extended environmental surfaces may be the unattended primitives of the visual world, rather than egocentric or allocentric distances. The perception of such distances may best be understood using Gibson's concept of affordances. Distances may be perceived only as needed, bound through affordances to the particular actions that require them.

Decreasing the Uncertainty of the Target Center Estimation at Terrestrial Laser Scanning by Choosing the Best Algorithm and by Improving the Target Design

During the registration and georeferencing of terrestrial laser scans, it is common to use targets to mark discrete points. To improve the accuracy of the registration, the uncertainties of the target center estimation (TCE) have to be minimized. The present study examines different factors influencing the precision of the TCE. Here, the focus is on the algorithm and the target design. It is determined that, in general, the uncertainties of the TCE are much smaller than those indicated by the manufacturers. By comparing different algorithms for the first time, it was possible to clearly determine that an algorithm using image correlations yields the smallest standard deviations for the TCE. A comparison of different target designs could not identify an ideal commercially available target. For this reason, a new target, the BOTA8 (BOnn TArget with 8-fold pattern) was developed, which leads to smaller standard deviations than the previous targets. By choosing the best algorithm and improving the target design, standard deviations of 0.5 mm in distance direction and 1.2 arcsec in angular direction for a scan distance up to 100 m were achieved with the laser scanner Leica ScanStation P20. The uncertainties could be reduced by several millimetres and angular seconds compared to the manufacturer’s targets and software.

Singular asymptotic expansion of the elastic solution along an edge around which material properties depend on the angular coordinate

The solution to the elasticity problem in three-dimensional polyhedral domains in the vicinity of an edge around which the material properties depend on the angular angle is addressed. This asymptotic solution involves a family of eigenpairs and their shadows which are being computed by means of p-finite element methods. In particular the examples we give explicitly provide the asymptotic solution for cracks and V-notch edges and explore the eigenvalues as a function of the change in material properties in the angular direction. We demonstrate that the singular exponents may change considerably by changing the material properties variation in the angular direction. These eigenpairs are necessary to allow the extraction of the edge stress intensity functions.