Development of a Virtual Laparoscopic Trainer using Accelerometer Augmented Tools to Assess Performance in Surgical training

Previous research suggests that virtual reality (VR) may supplement conventional training in laparoscopy. It may prove useful in the selection of surgical trainees in terms of their dexterity and spatial awareness skills in the near future. Current VR training solutions provide levels of realism and in some instances, haptic feedback, but they are cumbersome by being tethered and not ergonomically close to the actual surgical instruments for weight and freedom of use factors. In addition, they are expensive hence making them less accessible to departments than conventional box trainers. The box trainers in comparison, although more economical, lack tangible feedback and realism for handling delicate tissue structures. We have previously reported on the development of a modified digitally enhanced surgical instrument for laparoscopic training, named the Parkar Tool. This tool contains wireless accelerometer and gyroscopic sensors integrated into actual laparoscopic instruments. By design, it alleviates the need for both tethered and physically different shaped tools thereby enhancing the realism when performing surgical procedures. Additionally the software (Valhalla) has the ability to digitally record surgical motions, thereby enabling it to remotely capture surgical training data to analyse and objectively evaluate performance. We have adapted and further developed our initial single training tool method as used with a laparoscopic pyloromyotomy scenario, to an enhanced method using multiple Parkar wireless tools simultaneously, for use in several different case scenarios. This allows the use and measurement of right and left handed dexterity with the benefit of using several tasks of differing complexity. The development of a 3D tissue-surface deformations solution written in OpenGL gives us several different virtual surgical training scenario approximations to use with the instruments. The trainee can start with learning simple tasks e.g. incising tissue, grasping, squeezing and stretching tissue, to more complex procedures such as suturing, herniotomies, bowel anastomoses, as well as the original pyloromyotomy as used in the first model

δ\delta meson effects on neutron stars in the modified quark-meson coupling model

The properties of neutron stars are investigated by including $\delta$ meson field in the Lagrangian density of modified quark-meson coupling model. The $\Sigma^-$ population with $\delta$ meson is larger than that without $\delta$ meson at the beginning, but it becomes smaller than that without $\delta$ meson as the appearance of $\Xi^-$. The $\delta$ meson has opposite effects on hadronic matter with or without hyperons: it softens the EOSes of hadronic matter with hyperons, while it stiffens the EOSes of pure nucleonic matter. Furthermore, the leptons and the hyperons have the similar influence on $\delta$ meson effects. The $\delta$ meson increases the maximum masses of neutron stars. The influence of $(\sigma^*,\phi)$ on the $\delta$ meson effects are also investigated.Comment: 10 pages, 6 figures, 4 table

Listening to Unheard Voices: Exploring Salespeople’s Perspective on The Value of Corporate Heritage

Purpose This study aims to examine salespeople’s perspectives on the value of corporate heritage to relationship selling and the issue of trust in personal selling situations in the context of emerging markets. Design/methodology/approach An interpretive approach was adopted, and 16 semi-structured interviews were conducted with senior salespeople in heritage institutions operating in Jordan. Findings This study reveals that corporate heritage is a valuable organizational resource for relationship selling. Reflecting the values of “trust” and “affinity,” corporate heritage confers trust to salespeople and their products in personal selling situations. Sales managers are advised to use corporate heritage to strengthen sales activities and empower salespeople. Originality/value While previous research has explained the significance of corporate heritage to relationship marketing, the significance of corporate heritage to relationship selling and the issue of trust in personal selling situations remain unexplored. Jordan represents a context that has been largely neglected despite being typical of the corporate heritage phenomenon

Occupational safety considerations with hydrazine fuels

A simple pharmacokinetic model and a specially designed dermal vapor exposure chamber which provides respiratory protection were used to determine the rate of penetration of hydrazine and 1,1-dimethylhydrazine (UDMH) vapor through the skin of rats. Parameters for the pharmacokinetic model were determined from intravenous and inhalation exposure data. The model was then used to estimate the skin permeation coefficient for hydrazine or UDMH vapor from the dermal-vapor exposure data. This analysis indicates that UDMH vapor has a relatively high permeability through skin (0.7 cm/hr), a value somewhat higher than was obtained for hydrazine by the same procedure (0.09 cm/hr). Based on these skin permeability results, a skin-only vapor exposure limit giving protection equivalent to the inhalation Threshold Limit Value (TLV) could be calculated. The current TLV's for UDMH and hydrazine are 0.5 and 0.1 ppm, respectively. The corresponding skin-only TLV equivalents, for personnel wearing respiratory protection, are 32 ppm for UDMH and 48 ppm for hydrazine. Should the proposed lowering to the TLV's for these compounds to 0.01 ppm be adopted, the equivalent skin-only TLV's would become 0.64 ppm for UDMH and 4.8 for hydrazine

Apis florea in Jordan: source of the founder population

A recent isolated population of Apis florea has been reported from Aqaba in Jordan at the Red Sea, consisting of numerous colonies within a still limited range which apparently is expanding. This region is about 1500 km apart from its next occurrences in Sudan where it had been introduced and first detected in 1985 and about 2000 km apart from its next natural occurrences in Iran and Oman. These bees apparently have been imported by human transport, most likely by ship. This new location thus represents a major jump in the progression of the species still to fill a wide area of possible locations offering adequate living conditions. Here we attempt to track the possible origin of this new population by morphometric methods. This analysis indicated closest relation to A. florea from Oman, thus being the most likely source of this population

Relativistic linear stability equations for the nonlinear Dirac equation in Bose-Einstein condensates

We present relativistic linear stability equations (RLSE) for quasi-relativistic cold atoms in a honeycomb optical lattice. These equations are derived from first principles and provide a method for computing stabilities of arbitrary localized solutions of the nonlinear Dirac equation (NLDE), a relativistic generalization of the nonlinear Schr\"odinger equation. We present a variety of such localized solutions: skyrmions, solitons, vortices, and half-quantum vortices, and study their stabilities via the RLSE. When applied to a uniform background, our calculations reveal an experimentally observable effect in the form of Cherenkov radiation. Remarkably, the Berry phase from the bipartite structure of the honeycomb lattice induces a boson-fermion transmutation in the quasi-particle operator statistics.Comment: 6 pages, 3 figure

Rotational and ply-level uncertainty in response of composite shallow conical shells

This paper presents the quantification of rotational and ply level uncertainty of random natural frequency for laminated composite conical shells by using surrogate modeling approach. The stochastic eigenvalue problem is solved by using QR iteration algorithm. Sensitivity analysis is carried out to address the influence of different input parameters on the output natural frequencies. The sampling size and computational cost is reduced by employing the present approach compared to direct Monte Carlo simulation. The stochastic mode shapes are also depicted for a typical laminate configuration. Statistical analysis is presented to illustrate the results and its performance

Detariffing and the Death of the Filed Tariff Doctrine: Deregulating in the “Self” Interest

This Article reviews the history of the FCC\u27s detariffing efforts, addressing the major issue raised not so much by detariffing itself, but by the FCC\u27s view of detariffing orders impact on the Filed Tariff Doctrine. Notwithstanding the existence of the Doctrine for nearly a century, the FCC, through detariffing, has declared the Doctrine dead. This Article formally opposes the FCC\u27s declaration and suggests that the FCC\u27s motivations behind detariffing have failed to consider, much less attempted to properly balance, the conflicting public interests involved. Comparing and contrasting the legal rights enjoyed by long-distance carriers under the Filed Tariff Doctrine to the rights and potential liabilities of carriers in its absence, this Article discusses the actions several states have taken immediately following the July 31, 2001 effective date of the FCC\u27s mass-market detariffing order. The Article concludes that the FCC\u27s action is a manifest injustice to both carriers and consumers alike, and is a prime example of irresponsible agency regulation

Modelling and regulating of cardio-respiratory response for the enhancement of interval training

Background: The interval training method has been a well known exercise protocol which helps strengthen and improve one's cardiovascular fitness.Purpose: To develop an effective training protocol to improve cardiovascular fitness based on modelling and analysis of Heart Rate (HR) and Oxygen Uptake (VO2) dynamics.Methods: In order to model the cardiorespiratory response to the onset and offset exercises, the (K4b2, Cosmed) gas analyzer was used to monitor and record the heart rate and oxygen uptake for ten healthy male subjects. An interval training protocol was developed for young health users and was simulated using a proposed RC switching model which was presented to accommodate the variations of the cardiorespiratory dynamics to running exercises. A hybrid system model was presented to describe the adaptation process and a multi-loop PI control scheme was designed for the tuning of interval training regime.Results: By observing the original data for each subject, we can clearly identify that all subjects have similar HR and VO2 profiles. The proposed model is capable to simulate the exercise responses during onset and offset exercises; it ensures the continuity of the outputs within the interval training protocol. Under some mild assumptions, a hybrid system model can describe the adaption process and accordingly a multi-loop PI controller can be designed for the tuning of interval training protocol. The self-adaption feature of the proposed controller gives the exerciser the opportunity to reach his desired setpoints after a certain number of training sessions.Conclusions: The established interval training protocol targets a range of 70-80% of HRmax which is mainly a training zone for the purpose of cardiovascular system development and improvement. Furthermore, the proposed multi-loop feedback controller has the potential to tune the interval training protocol according to the feedback from an individual exerciser. © 2014 Haddad et al.; licensee BioMed Central Ltd