Simple training tricks for mastering and taming bypass procedures in neurosurgery

Background: Neurosurgeons devoted to bypass neurosurgery or revascularization neurosurgery are becoming scarcer. From a practical point of view, 'bypass neurosurgeons' are anastomosis makers, vessels technicians, and time-racing repairers of vessel walls. This requires understanding the key features and hidden tricks of bypass surgery. The goal of this paper is to provide simple and inexpensive tricks for taming the art of bypass neurosurgery. Most of these tricks and materials described can be borrowed, donated, or purchased inexpensively. Methods: We performed a review of relevant training materials and recorded videos for training bypass procedures for 3 years between June 2014 and July 2017. In total, 1,300 training bypass procedures were performed, of which 200 procedures were chosen for this paper. Results : A training laboratory bypass procedures is required to enable a neurosurgeon to develop the necessary skills. The important skills for training bypass procedures gained through meticulous practice to be as reflexes are coordination, speed, agility, flexibility, and reaction time. Bypassing requires synchronization between the surgeon's gross movements, fine motoric skills, and mental strength. The suturing rhythm must be timed in a brain-body-hand fashion. Conclusion: Bypass-Training is a critical part of neurosurgical training and not for a selected few. Diligent and meticulous training can enable every neurosurgeon to tame the art of bypass neurosurgery. This requires understanding the key features and hidden tricks of bypass surgery, as well as uncountable hours of training. In bypass neurosurgery, quality and time goes hand in hand. © 2017 Surgical Neurology International | Published by Wolters Kluwer - Medknow.Peer reviewe

Classical Analogue of the Ionic Hubbard Model

In our earlier work [M. Hafez, {\em et al.}, Phys. Lett. A {\bf 373} (2009) 4479] we employed the flow equation method to obtain a classic effective model from a quantum mechanical parent Hamiltonian called, the ionic Hubbard model (IHM). The classical ionic Hubbard model (CIHM) obtained in this way contains solely Fermionic occupation numbers of two species corresponding to particles with \up and \down spin, respectively. In this paper, we employ the transfer matrix method to analytically solve the CIHM at finite temperature in one dimension. In the limit of zero temperature, we find two insulating phases at large and small Coulomb interaction strength, $U$, mediated with a gap-less metallic phase, resulting in two continuous metal-insulator transitions. Our results are further supported with Monte Carlo simulations.Comment: 12 figure

INFLUENCE OF WELL LOCATION ON DRAWDOWN IN AREA SURROUNDED BY VERTICAL CUTOFF WALLS

Dewatering systems with vertical partially penetrating cutoff walls are usually used in the case of deep excavation for side support system and further increases the efficiency of the groundwater control system. In this study a parametric analysis was carried out using the finite difference software VISUAL MODFLOW4.2® to study the effect of placing a deep well at different locations inside the excavated area surrounded by impervious wall on drawdown results. The dewatering system under consideration consists of a single partially penetrating deep well having a penetration depth (lw) and well yield (Q). The well is located at variable distances from the corner (the origin of X and Y axes) inside the excavated area surrounded by an impervious wall. The vertical impervious wall has a depth (lc), and the excavated area (A) surrounded with impervious wall is square and having a width (W). The aquifer is unconfined with a depth (H) and is underlain by an impervious layer. The aquifer consists of an extended layer of fine to medium sand having permeability (k). The soil is assumed to be homogenous and isotropic

A Pseudospectral Algorithm for Solving Multipantograph Delay Systems on a Semi-Infinite Interval Using Legendre Rational Functions

A new Legendre rational pseudospectral scheme is proposed and developed for solving numerically systems of linear and nonlinear multipantograph equations on a semi-infinite interval. A Legendre rational collocation method based on Legendre rational-Gauss quadrature points is utilized to reduce the solution of such systems to systems of linear and nonlinear algebraic equations. In addition, accurate approximations are achieved by selecting few Legendre rational-Gauss collocation points. The numerical results obtained by this method have been compared with various exact solutions in order to demonstrate the accuracy and efficiency of the proposed method. Indeed, for relatively limited nodes used, the absolute error in our numerical solutions is sufficiently small

Diversity of Coronaviruses with Particular Attention to the Interspecies Transmission of SARS-CoV-2

In December 2019, the outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was reported in China with serious impacts on global health and economy that is still ongoing. Although interspecies transmission of coronaviruses is common and well documented, each coronavirus has a narrowly restricted host range. Coronaviruses utilize different receptors to mediate membrane fusion and replication in the cell cytoplasm. The interplay between the receptor-binding domain (RBD) of coronaviruses and their coevolution are determinants for host susceptibility. The recently emerged SARS-CoV-2 caused the coronavirus disease 2019 (COVID-19) pandemic and has also been reported in domestic and wild animals, raising the question about the responsibility of animals in virus evolution. Additionally, the COVID-19 pandemic might also substantially have an impact on animal production for a long time. In the present review, we discussed the diversity of coronaviruses in animals and thus the diversity of their receptors. Moreover, the determinants of the susceptibility of SARS-CoV-2 in several animals, with special reference to the current evidence of SARS-CoV-2 in animals, were highlighted. Finally, we shed light on the urgent demand for the implementation of the One Health concept as a collaborative global approach to mitigate the threat for both humans and animals

A high-finesse Fabry-Perot cavity with a frequency-doubled green laser for precision Compton polarimetry at Jefferson Lab

A high-finesse Fabry-Perot cavity with a frequency-doubled continuous wave green laser (532~nm) has been built and installed in Hall A of Jefferson Lab for high precision Compton polarimetry. The infrared (1064~nm) beam from a ytterbium-doped fiber amplifier seeded by a Nd:YAG nonplanar ring oscillator laser is frequency doubled in a single-pass periodically poled MgO:LiNbO$_{3}$ crystal. The maximum achieved green power at 5 W IR pump power is 1.74 W with a total conversion efficiency of 34.8\%. The green beam is injected into the optical resonant cavity and enhanced up to 3.7~kW with a corresponding enhancement of 3800. The polarization transfer function has been measured in order to determine the intra-cavity circular laser polarization within a measurement uncertainty of 0.7\%. The PREx experiment at Jefferson Lab used this system for the first time and achieved 1.0\% precision in polarization measurements of an electron beam with energy and current of 1.0~GeV and 50~$\mu$A.Comment: 20 pages, 22 figures, revised version of arXiv:1601.00251v1, submitted to NIM

Two-Dimensional Nonlinear Propagation of Ion Acoustic Waves through KPB and KP Equations in Weakly Relativistic Plasmas

Two-dimensional three-component plasma system consisting of nonextensive electrons, positrons, and relativistic thermal ions is considered. The well-known Kadomtsev-Petviashvili-Burgers and Kadomtsev-Petviashvili equations are derived to study the basic characteristics of small but finite amplitude ion acoustic waves of the plasmas by using the reductive perturbation method. The influences of positron concentration, electron-positron and ion-electron temperature ratios, strength of electron and positrons nonextensivity, and relativistic streaming factor on the propagation of ion acoustic waves in the plasmas are investigated. It is revealed that the electrostatic compressive and rarefactive ion acoustic waves are obtained for superthermal electrons and positrons, but only compressive ion acoustic waves are found and the potential profiles become steeper in case of subthermal positrons and electrons