A sports headlight retrofitted on magnifying loupes: A simple and cheap method for daily use

Medical professionals such as doctors, nurses and paramedics often use headlight to examine or to perform surgical intervention in the patients. However, there are concerns related to its use such as comfort for the user, mobility and asepsis for the cable, availability in the departments plus cost effectiveness. The concept of a retrofitted 1-watt sports headlight (adjusted on magnifying loupes) would give quick access to a light source, be available and reliable at any place, save vital funds and would be environmentally friendly as the battery can be replaced. The same concept can be applied to pre-hospital emergency care and disaster medicine as well. BACKGROUND Headlights with fibre optic cables have being used for two decades as an adjunct to the operating theatre lighting. The cable-powered headlights pose, to our experience, some limitations for the operating team: Smooth personnel circulation around the operating field is hindered by repeated unplugging and re-plugging of the cable when surgeon and assistants change sides. Protocols for draping and asepsis have to accommodate the cumbersome cable and the light source and in addition are time consuming and arising issues of flexibility. The weight of the headlight and cable may cause health issues for the bearer (head ache, low back pain) [1]. Portable surgical headlights have also been available for the last decade for a not negligible cost. They are powered by a battery pack, attached to the torso/waist and connected to the headlight by a shorter cable. They are priced at hundreds of pounds. METHOD As an alternative to cumbersome cables and expensive ‘ad hoc’ designs, we use a retrofitted 1-watt sports headlight with a weight of 100 grams. We acquired that for $ 14.99 (approximately £10) from an outdoor specialist retailer (Petzl America, Clearfield, Utah, USA). The headlight is powered by three 1.5 Volt AAA batteries and provides 60 lumen of luminous flux (Fig.1). We have wrapped the elastic bands of the headlight around the corresponding horizontal (axial circumferential) and sagittal elements of the headband, where the magnifying loupes are mounted (Keeler Ltd., Clewer Hill Road, Windsor SL4 4AA). The headlight can be aimed by tilting the housing (Fig.1, 2). DISCUSSION The luminous flux from our headlight according to our experience in cardiothoracic surgery is adequate for a variety of procedures: femoral and axillary arterial access, harvesting internal thoracic (mammary) arteries, open pulmonary resections, valve surgery. Being fully portable without cable, light source or pouches, it is especially handy outside the operating suite (ITU, A&E, wards) for emergency re-explorations for bleeding, secondary wound closures, application of vacuum therapy dressings, trauma, for ECMO work etc. Finally, we have had no evidence of thermal injury, as has being reported from strong xenon beams [2]. This simple affordable headlight system can be easily adapted to the needs of the entire spectrum of surgical specialties, especially those using magnifying loupes. Therefore, can be part of basic life support kits for use in prehospital emergency care, disaster and military medicine [3]. The device has the following advantages: 1. ‘‘Two-in-one’’ function of Loupes and Torch. 2. Battery can be changed (so no need to throw away the item) and is environmentally friendly 3. No need for asepsis 4. Cost effective 5. Availability everywhere In conclusion, we believe this is a practical medical device

Magnetic levitation of large liquid volume

It is well known from experiments and industrial applications of cold crucible melting that an intense AC magnetic field can be used to levitate large volumes of liquid metal in the terrestrial conditions. The levitation confinement mechanism for large volumes of fluid is considerably different from the case of a small droplet, where surface tension plays a key role in constraining the liquid outflow at the critical bottom point. The dynamic interaction between the oscillatory motion of the free surface and the effects of turbulent flow is analysed using a unified numerical model, which describes the time dependent behaviour of the liquid metal and the magnetic field. The MHD modified k-? turbulence model is used to describe the mixing and damping properties at smaller scales not resolved by the macro model. The numerical multiphysics simulations suggest that it is possible to levitate a few kilograms of liquid metal in a cold crucible without requiring mechanical support from the container walls. Possible applications to the processing of reactive metals are discussed

Use of a Static Magnetic Field in Measuring the Thermal Conductivity of a Levitated Molten Droplet

Numerical models are used to analyze the complex behaviour of magnetically levitated droplets in the context of determining their thermophysical properties. We focus on a novel method reported in Tsukada et al. [4] which uses periodic laser heating to determine the thermal conductivity of an electromagnetically levitated droplet in the presence of a static DC field to suppress convection. The results obtained from the spectral-collocation based free surface code SPHINX and the commercial package COMSOL independently confirm and extend previous findings in [4]. By including the effects of turbulence and movement of the free surface SPHINX can predict the behaviour of the droplet in dynamic regimes with and without the DC magnetic field. COMSOL is used to investigate arbitrary amplitude axial translational oscillations when the spherical droplet is displaced off its equilibrium. The results demonstrate that relatively small amplitude oscillations could cause significant variation in Joule heating and redistribution of the temperature. The effect of translational oscillations on the lumped circuit inductance is analysed. When a fixed voltage drive is applied across the terminals of the levitation coil, this effect will cause the coil current to change and a correction is needed to the electromagnetic force acting on the droplet

Domestic Tourism and the Domestic Tourist Experience: Complexities, Idiosyncrasies, and Understandings

Domestic tourism is a crucial socioeconomic factor for destinations, regions, and local communities. Its peculiarity creates unique opportunities, as well as challenges and complexities, in the formulation of the tourist experience. Two studies examine the complexity of the factors involved in formulating the tourist experience in the context of domestic tourism. A fuzzy-set qualitative comparative analysis of data derived from 394 respondents emphasizes first the nexus of quality and social aspects, then the triad of hygiene, cultural, and price issues, and finally the nexus of quality and novelty aspects. The social element, which embraces social interactions with others and quality time with friends, predominates in forming a positive overall domestic experience, according to an additional qualitative study that delves deeper into the investigated phenomenon by analyzing the responses of forty informants. The findings contribute to the academic milieu of the tourist experience and have direct managerial implications for domestic tourism stakeholders

Thermoelectric Magnetohydrodynamic effects on the crystal growth rate of undercooled Ni dendrites

In the undercooled solidification of pure metals, the dendrite tip velocity has been shown experimentally to have a strong dependence on the intensity of an external magnetic field, exhibiting several maxima and minima. In the experiments conducted in China, the undercooled solidification dynamics of pure Ni was studied using the glass fluxing method. Visual recordings of the progress of solidification are compared at different static fields up to 6 T. The introduction of microscopic convective transport through thermoelectric magnetohydrodynamics is a promising explanation for the observed changes of tip velocities. To address this problem, a purpose-built numerical code was used to solve the coupled equations representing the magnetohydrodynamic, thermal and solidification mechanisms. The underlying phenomena can be attributed to two competing flow fields, which were generated by orthogonal components of the magnetic field, parallel and transverse to the direction of growth. Their effects are either intensified or damped out with increasing magnetic field intensity, leading to the observed behaviour of the tip velocity. The results obtained reflect well the experimental findings. This article is part of the theme issue ‘From atomistic interfaces to dendritic patterns’

Vacuum arc remelting time dependent modelling

Vacuum arc remelting (VAR) aims at production of high quality, segregation-free alloys. The quality of the produced ingots depends on the operating conditions which could be monitored and analyzed using numerical modelling. The remelting process uniformity is controlled by critical medium scale time variations of the order 1-100 s, which are physically initiated by the droplet detachment and the large scale arc motion at the top of liquid pool [1,2]. The newly developed numerical modelling tools are addressing the 3-dimensional magnetohydrodynamic and thermal behaviour in the liquid zone and the adjacent ingot, electrode and crucible

A fourth-order PDE denoising model with an adaptive relaxation method

In this paper, an adaptive relaxation method and a discontinuity treatment of edges are proposed to improve the digital image denoising process by using the fourth-order partial differential equation (known as the YK model) first proposed by You and Kaveh. Since the YK model would generate some speckles into the denoised image, a relaxation method is incorporated into the model to reduce the formation of isolated speckles. An additional improvement is employed to handle the discontinuity on the edges of the image. In order to stop the iteration automatically, a control of the iteration is integrated into the denoising process. Numerical results demonstrate that such modifications not only make the denoised image look more natural, but also achieve a higher value of PSNR

A two dimensional unstructured staggered mesh method with special treatment of tangential velocity

A two dimensional staggered unstructured discretisation scheme for the solution of fluid flow problems has been developed. This scheme stores and solves the velocity vector resolutes normal and parallel to each cell face and other scalar variables (pressure, temperature) are stored at cell centres. The coupled momentum; continuity and energy equations are solved, using the well known pressure correction algorithm SIMPLE. The method is tested for accuracy and convergence behaviour against standard cell-centre solutions in a number of benchmark problems: The Lid-Driven Cavity, Natural Convection in a Cavity and the Melting of Gallium in a rectangular domain

Healing Through Movement: Dance/Movement Therapy for Major Depression

Dance. Movement. Expression. All three words are part of my everyday life, and they have been companions of my soul for the past fifteen years. Through pure movement of the human body, my body, I can express myself better than in any other way. One usually associates dance with clarity and beauty, a performing art that is pleasing to the eye. People go to theatres, concert halls, and outdoor venues to watch dance and appreciate the magnificence that lies in the technique and musicality of the dancers as well as the choreography itself. Most of us fail to realize, however, that dance goes beyond aesthetics. Dance is as powerful a therapeutic art as it is a performing art. Dance can heal and cure people. It can provide a healthy and comforting environment for individuals suffering from psychological disorders, mental retardation, autism, cancer, and other conditions. Dance can set people free on a physical and, especially, a psychological level. It is a means of expressing oneself without any boundaries. In this paper I will focus on the use of dance/movement therapy to deal with major depression, another term for clinical depression. Today, depression is believed to be one of the most common and distinctive mood disorders; yet, people continue to look at depression as a temporary psychological state of mind. People suffering from depression are either too embarrassed to talk about it or remain silent in the hope that someday the heavy load of disappointment and grief they bear will somehow disappear. It is important to understand, though, that depression is not a condition that people can successfully overcome themselves. Depression is a real medical disorder, like anorexia, epilepsy, and autism. It is strongly recommended that people who suffer from depression for long periods of time get professional help. To date, relatively few studies have focused on the effects of dance/movement therapy on people with depression. However, the results have pointed in a positive direction. The down-mood of patients seemed to improve on days they were in therapy as opposed to days they were not. Even if past studies have not closely examined the long-term effects of dance/movement therapy on depression, I have found a number of sources verifying its impact on the lives of people with major depression. I believe that if movement therapists as well as psychotherapists pay close attention to this condition, there will be a significant increase in research on using dance to reduce severe depression and melancholia. Why dose the body with antidepressants or force words out of a person's mouth when there are better methods to treat depression? A significant part of my research is based on looking at past studies of dance/movement therapy on people suffering from this disorder. By comparing the studies and patients' responses, I explain whether dance/movement therapy can really be effective, and how and why it is a better option than medication and talk therapy