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Virk Sohrab S SS *Department of Orthopaedics, The Ohio State University, Columbus, OH †Department of Neurosurgery, The Ohio State University, Columbus, OH ‡Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, - - 2014
Cost effectiveness analysis using a Markov model with inputs from published literature. To learn which graft or hardware option used in a single-level anterior cervical discectomy and fusion (ACDF) is most beneficial in terms of cost, quality of life and overall cost effectiveness. Options studied were autograft (auto), allograft (allo) ...
Khan Raheej R King's College London - MRC Centre for Transplantation, London, United - - 2014
WHAT'S KNOWN ON THE SUBJECT? AND WHAT DOES THE STUDY ADD?: The advance of medical technology has had a significant impact upon the management of prostatic disease. Trainees are expected to embrace new technologies and also meet increasing patient expectations, within the time constraints imposed by the European Working-Time Directive. ...
Chen Yunjin - - 2014
This paper addresses a new learning algorithm for the recently introduced co-sparse analysis model. First, we give new insights into the co-sparse analysis model by establishing connections to filter-based MRF models, such as the field of experts model of Roth and Black. For training, we introduce a technique called bi-level ...
Joyce Cormac Weekes CW Department of Plastic Surgery, St. Vincent's University Hospital, Elm Park, Dubin 4, - - 2014
The number of citations that a published article has received reflects the importance of the paper in the particular area of practice. In microsurgery, thus far, which journal articles are cited most frequently is unknown. The purpose of this study was to identify and analyze the characteristics of the top ...
Carthey Jane - - 2014
Operating theatre teams work in an imperfect system characterised by time pressure, goal conflicts, lack of team stability and steep authority gradients between consultants and other team members. Despite this, they often foresee and forestall errors that could harm patients. The paper discusses the strengths and limitations of using Reason's ...
Billah Baki B Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia. Electronic address: - - 2014
To update the Australian System for Cardiac Operative Risk Evaluation (AusSCORE) model for operative estimation of 30-day mortality risk after isolated coronary artery bypass grafting in the Australian population. Data were collected by the Australian and New Zealand Society of Cardiac and Thoracic Surgeons registry from 2001 to 2011 in ...
Biswas Atanu A 1Applied Statistics Unit, Indian Statistical Institute, Kolkata, - - 2014
Circular data are a natural outcome in many biomedical studies, e.g. some measurements in ophthalmologic studies, degrees of rotation of hand or waist, etc. With reference to a real data set on astigmatism induced in two types of cataract surgeries we carry out some two-sample testing problems with the possibility ...
Vine Samuel J SJ College of Life and Environmental Sciences, University of Exeter, St. Luke's Campus, Heavitree Road, Exeter, Devon, EX1 2LU, UK, - - 2014
Although virtual reality (VR) simulators serve an important role in the training and assessment of surgeons, they need to be evaluated for evidence of validity. Eye-tracking technology and measures of visual control have been used as an adjunct to the performance parameters produced by VR simulators to help in objectively ...
Trehan Kanika K Division of Thoracic Surgery, Department of Surgery, The Johns Hopkins Medical Institutions, Baltimore, - - 2014
Simulation may reduce the risks associated with the complex operations of cardiothoracic surgery and help create a more efficient, thorough, and uniform curriculum for cardiothoracic surgery fellowship. Here, we review the current status of simulation in cardiothoracic surgical training and provide an overview of all simulation models applicable to cardiothoracic ...
Nobis Christopher-Philipp - - 2013
The great value of the radial forearm flap (RFF) for reconstructive surgery stresses the importance of developing effective teaching methods. Our aim was to develop a realistic anatomic model that concisely simulates vital surgical steps while offering a haptic and visual experience. It should be cost-effective, easy to use, reusable, ...
D Kosy Jonathan - - 2013
Introduction: The authors set out to investigate the accuracy of the information their unit was inputting onto the National Joint Registry. This is important both in relation to implant surveillance and also to the use of these data to monitor the performance of surgeons. Method: A single consultant's arthroplasty patients ...
Greene Michael J - - 2013
In this second half of a 2-part series, chief/lead pilots were invited to complete a 40-question survey modeled on the AirMed 2000 Helicopter Avionics and Operations Survey via an online survey. The survey was available to rotor-wing (RW) and fixed-wing air medical transport services in the United States, although year ...
Kenny David E DE Conservation Biology and Animal Health, The Denver Zoological Foundation, Denver, CO, USA. Electronic address: - - 2013
Working as a veterinarian in remote field locations can be physically and intellectually challenging. A collaborative multi-disciplinary approach is often required for successful data collection. Technologies and methodologies frequently need to be modified to work in these harsh field environments. This article will describe a collaboration in southeastern Mongolia collecting ...
Turner Rushia - - 2013
Estimating the reactivity of 2'-hydroxyl groups along an RNA chain of interest aids in the modeling of the folded RNA structure; flexible loops tend to be reactive, whereas duplex regions are generally not. Among the most useful reagents for probing 2'-hydroxyl reactivity is 1-methyl-7-nitroisatoic anhydride (1m7), but the absence of ...
Georgii Joachim - - 2013
Breast augmentation was the most commonly performed cosmetic surgery procedure in 2011 in the United States. Although aesthetically pleasing surgical results can only be achieved if the correct breast implant is selected from a large variety of different prosthesis sizes and shapes available on the market, surgeons still rely on ...
Selden Nathan R - - 2013
Restrictions on duty hours and shift length by the Accreditation Council for Graduate Medical Education and public pressure to reduce complications and to improve outcomes in the clinical educational environment have enhanced interest in the use of procedural and surgical simulation to train neurosurgical residents. To introduce simple, available, and, ...
Tsang Alfred Chee-Ching - - 2013
A new technique of model surgery using LEGO plates as key-spacers is described. This technique requires less time to set up compared with the conventional plaster model method. It also retains the preoperative setup with the same set of models. Movement of the segments can be measured and examined in ...
Lalys Florent - - 2013
Surgery is continuously subject to technological and medical innovations that are transforming daily surgical routines. In order to gain a better understanding and description of surgeries, the field of surgical process modelling (SPM) has recently emerged. The challenge is to support surgery through the quantitative analysis and understanding of operating ...
Vaccaro Christine M - - 2013
The objective of this study was to compare the effect of virtual reality simulation training plus robotic orientation versus robotic orientation alone on performance of surgical tasks using an inanimate model. Surgical resident physicians were enrolled in this assessor-blinded randomized controlled trial. Residents were randomized to receive either (1) robotic ...
Ryan Jason C - - 2013
Planning operations across a number of domains can be considered as resource allocation problems with timing constraints. An unexplored instance of such a problem domain is the aircraft carrier flight deck, where, in current operations, replanning is done without the aid of any computerized decision support. Rather, veteran operators employ ...
Tunc Lutfi - - 2013
Objectives: To examine the feasibility of retrograde intrarenal surgery (RIRS) in a porcine model. Materials and Methods: Female pigs (n = 3) were placed in a dorsal lithotomy position under general anesthesia, and stone material was inserted into the renal pelvis of the pigs. The bladder was entered with a ...
Porta Alberto - - 2013
Cardiac baroreflex is a fundamental component of the cardiovascular control. The continuous assessment of baroreflex sensitivity (BRS) from spontaneous heart period (HP) and systolic arterial pressure (SAP) variations during general anesthesia provides relevant information about cardiovascular regulation in physiological conditions. Unfortunately, several difficulties including unknown HP-SAP causal relations, negligible SAP ...
Sanagou M - - 2013
SUMMARY The generalizability of a prediction model from North America for incident nosocomial pneumonia following coronary artery bypass graft surgery was assessed for 23247 patients on the Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) registry. The performance of the North American model was evaluated using measures ...
Forestier Germain - - 2013
Surgical Process Modelling (SPM) was introduced to improve understanding the different parameters that influence the performance of a Surgical Process (SP). Data acquired from SPM methodology is enormous and complex. Several analysis methods based on comparison or classification of Surgical Process Models (SPMs) have previously been proposed. Such methods compare ...
Hassan Zahid - - 2013
The European Working Time Directive and streamlined training has led to reduced training time. Surgery, as an experience-dependent craft specialty is affected more than other medical specialties. Trainees want to maximize all training opportunities in the clinical setting, and having predeveloped basic skills acquired on a simulated model can facilitate ...
Swartz Daniel D - - 2013
Because of rise in cardiovascular disease throughout the world, there is increasing demand for small diameter blood vessels as replacement grafts. The present review focuses on the animal models that have been used to test small-diameter TEVs with emphasis on the attributes of each model. Small animal models are used ...
Wu Fule - - 2013
BACKGROUND: VR-based surgery simulation provides a cost-effective and efficient method to train novices. In this study, a virtual training system for maxillofacial surgery (VR-MFS), which aims mainly at the simulation of operations on mandible and maxilla, was developed and demonstrated. METHODS: The virtual models of the anatomic structures were reconstructed ...
Gerasimov Yuri - - 2013
A comparison of 14 currently applicable wood harvesting systems was assessed with respect to ergonomic point of view. For this purpose, the research method, based on the Hodges-Lehmann rule and the integrated work-severity rate of single machinery, was developed for ergonomic evaluation of cut-to-length, tree-length and full-tree harvesting systems. Altogether, ...
Willemet Marie - - 2013
The validation of a coupled 1D-0D model of the lower-limb arterial hemodynamics is presented. This study focuses on pathological subjects (6 patients, 72.7±11.1years) suffering from atherosclerosis who underwent a femoro-popliteal bypass surgery. The 1D model comprises four vessels from the upper-leg, peripheral networks are modeled with three-element windkessels and in ...
Slieker Juliette C - - 2013
BACKGROUND: In colorectal surgery, anastomotic leakage (AL) is the most significant complication. Sealants applied around the colon anastomosis may help prevent AL by giving the anastomosis time to heal by mechanically supporting the anastomosis and preventing bacteria leaking into the peritoneal cavity. The aim of this study is to compare ...
Riordan Alexander M - - 2013
The rabbit model of spinal fusion with the autogenous iliac crest bone graft (ICBG) control is widely used to evaluate bone graft substitutes and enhancers. This study examined the reliability of this model using meta-analysis. A systematic literature search from January 1995 to May 2011 identified 56 studies, involving 733 ...
Moore Tyler Robert - - 2013
Abstract Intra-operative investigation of the subthalamic nucleus (STN) requires concurrent measurement of microelectrode voltage, electrode depth and joint movement during deep brain stimulation (DBS) surgery. Commercial solutions to this problem exist but are more expensive. Multiple instruments from different manufacturers can collect the same data, but data from incompatible instruments ...
Park N - - 2013
The purpose of this study was to assess our method of analytic model planning in achieving a planned maxillary advancement for the correction of a dentofacial deformity. A consecutive series of 20 patients who underwent bimaxillary orthognathic surgery, at a minimum, were included in the study group. For each study ...
Sahu Nityananda - - 2013
High level ab initio investigations on molecular clusters are generally restricted to those of small size essentially due to the nonlinear scaling of corresponding computational cost. Molecular tailoring approach (MTA) is a fragmentation-based method, which offers an economical and efficient route for studying larger clusters. However, due to its approximate ...
Hung Andrew J - - 2013
OBJECTIVES: To evaluate three standardized robotic surgery training methods, inanimate, virtual reality and in vivo, for their construct validity. To explore the concept of cross-method validity, where the relative performance of each method is compared. MATERIALS AND METHODS: Robotic surgical skills were prospectively assessed in 49 participating surgeons who were ...
Suslu Hikmet Turan - - 2013
Laboratory training models are essential for developing and refining surgical skills prior to clinical application of spinal surgery. A simple simulation model is needed for young residents to learn how to handle instruments and to perform safe lumbar approaches. Our aim is to present a practical laboratory model using a ...
Langer Philip - - 2013
As every software artifact, also software models are subject to continuous evolution. The operations applied between two successive versions of a model are crucial for understanding its evolution. Generic approaches for detecting operations a posteriori identify atomic operations, but neglect composite operations, such as refactorings, which leads to cluttered difference ...
Cristancho Sayra M - - 2013
Surgery is an environment in which being an expert requires the ability to manage the unexpected. This feature has necessitated a shift in surgical decision-making research. The present study explores the processes by which surgeons assess and respond to nonroutine challenges in the operating room. We used a grounded theory ...
Goldberg Stanley I - - 2013
Construction and operation of a laboratory model, which combines the lately discovered enantioenrichment method of the author (2007) with the sun-powered evaporative pumping process of Hsu and Siegenthaler (Sedimentology 12:11-25 1969), is described. The model operated continuously for 120 days before it was intentionally shut down, even though it could have ...
Daniel Rollin K - - 2013
Currently, most rhinoplasty surgeons focus their analysis and operative techniques on the upper nasal base, with its alar cartilages. They tend to minimize the lower nasal base, composed of the columellar base, nostril sills, and alar lobules. The requisite operative techniques are often considered ancillary techniques. In this article, the ...
Ehmer Ulrike - - 2013
ABSTRACT: BACKGROUND: Model surgery is an integral part of the planning procedure in orthognathic surgery. Most concepts comprise cutting the dental cast off its socket. The standardized spacer plates of the KD-MMS provide for a non-destructive, reversible and reproducible means of maxillary and/or mandibular plaster cast separation METHODS: In the ...
Lin Chiuhsiang Joe - - 2013
Laparoscopic surgery avoids large incisions for intra-abdominal operations as required in conventional open surgery. Whereas the patient benefits from laparoscopic techniques, the surgeon encounters new difficulties that were not present during open surgery procedures. However, limited literature has been published in the essential movement characteristics such as magnification, amplitude, and ...
Kazmitcheff Guillaume G Shacra, Inria, Université Lille 1, Villeneuve d'Ascq, - - 2013
This paper is centered on the development of a new training and rehearsal simulation system for middle ear surgery. First, we have developed and validated a mechanical atlas based on finite element method of the human middle ear. The atlas is based on a microMRI. Its mechanical behavior computed in ...
Hwang Minki M Department of Mechanical Engineering, University of Florida, Gainesville, Florida, United States of - - 2013
When vein segments are implanted into the arterial system for use in arterial bypass grafting, adaptation to the higher pressure and flow of the arterial system is accomplished thorough wall thickening and expansion. These early remodeling events have been found to be closely coupled to the local hemodynamic forces, such ...
Brown Trevor S - - 2012
Introduction: Machine learning can enable the development of predictive models that incorporate multiple variables for a systems approach to organ allocation. We explored the principle of Bayesian Belief Network (BBN) to determine whether a predictive model of graft survival can be derived using pretransplant variables. Our hypothesis was that pretransplant ...
Steiner Lisa J - - 2013
Operators of roof bolting machines in underground coal mines do so in confined spaces and in very close proximity to the moving equipment. Errors in the operation of these machines can have serious consequences, and the design of the equipment interface has a critical role in reducing the probability of ...
Kougias Panagiotis - - 2012
We performed a retrospective study to compare the precision of a regression model (RM) system with the precision of the standard method of surgical length prediction using historical means (HM). Data were collected on patients who underwent carotid endarterectomy and lower-extremity bypass. Multiple linear regression was used to model the ...
Huang Lei - - 2012
Least-squares integration is one of the most effective and widely used methods for shape reconstruction from gradient data, which result from gradient measurement techniques. However, its reconstruction accuracy is limited due to the imperfection of the Southwell grid model, which is commonly applied in the least-squares integration method. An operation ...
Waran Vicknes - - 2012
Surgical navigation systems have been used increasingly in guiding complex ear, nose, and throat surgery. Although these are helpful, they are only beneficial intraoperatively; thus, the novice surgeon will not have the preoperative training or exposure that can be vital in complex procedures. In addition, there is a lack of ...
Peskov Kirill - - 2012
In the present study, we developed a detailed kinetic model of Escherichia coli central carbon metabolism. The main model assumptions were based on the results of metabolic and regulatory reconstruction of the system and thorough model verification with experimental data. The development and verification of the model included several stages, ...
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