A Three-dimensional Printed Low-cost Anterior Shoulder Dislocation Model for Ultrasound-guided Injection Training.

Anterior shoulder dislocations are the most common, large joint dislocations that present to the emergency department (ED). Numerous studies support the use of intraarticular local anesthetic injections for the safe, effective, and time-saving reduction of these dislocations. Simulation training is an alternative and effective method for training compared to bedside learning. There are no commercially available ultrasound-compatible shoulder dislocation models. We utilized a three-dimensional (3D) printer to print a model that allows the visualization of the ultrasound anatomy (sonoanatomy) of an anterior shoulder dislocation. We utilized an open-source file of a shoulder, available from embodi3D® (Bellevue, WA, US). After approximating the relative orientation of the humerus to the glenoid fossa in an anterior dislocation, the humerus and scapula model was printed with an Ultimaker-2 Extended+ 3D® (Ultimaker, Cambridge, MA, US) printer using polylactic acid filaments. A 3D model of the external shoulder anatomy of a live human model was then created using Structure Sensor®(Occipital, San Francisco, CA, US), a 3D scanner. We aligned the printed dislocation model of the humerus and scapula within the resultant external shoulder mold. A pourable ballistics gel solution was used to create the final shoulder phantom. The use of simulation in medicine is widespread and growing, given the restrictions on work hours and a renewed focus on patient safety. The adage of see one, do one, teach one is being replaced by deliberate practice. Simulation allows such training to occur in a safe teaching environment. The ballistic gel and polylactic acid structure effectively reproduced the sonoanatomy of an anterior shoulder dislocation. The 3D printed model was effective for practicing an in-plane ultrasound-guided intraarticular joint injection. 3D printing is effective in producing a low-cost, ultrasound-capable model simulating an anterior shoulder dislocation. Future research will determine whether provider confidence and the use of intraarticular anesthesia for the management of shoulder dislocations will improve after utilizing this model

Plasticised regenerated silk/gold nanorods hybrids as sealant and bio-piezoelectric materials

Manual and mechanical suturing are currently the gold standard for bowel anastomosis. If tissue approximation fails, anastomotic leaks occur. Anastomotic leaks may have catastrophic consequences. The development of a fully absorbable, biocompatible sealant material based on a bio-ink silk fibroin can reduce the chance of anastomotic leaks. We have produced a Ca-modified plasticised regenerated silk (RS) with gold nanorods sealant. This sealant was applied to anastomosed porcine intestine. Water absorption from wet tissue substrate applied compressive strains on hybrid RS films. This compression results in a sealant effect on anastomosis. The increased toughness of the hybrid plasticised RS resulted in the designing of a bio-film with superior elongation at break (i.e., ≈200%) and bursting pressure. We have also reported structure-dependent piezoelectricity of the RS film that shows a piezoelectric effect out of the plane. We hope that in the future, bowel anastomosis can be simplified by providing a multifunctional bio-film that makes feasible the mechanical tissue joint without the need for specific tools and could be used in piezoelectric sealant heads

The Line Emission Region in III Zw 2: Kinematics and Variability

We have studied the Ly-al, Hbeta, Halpha and Mg II2798 line profiles of the Seyfert 1 galaxy III Zw 2. The shapes of these broad emission lines show evidence of a multicomponent origin and also features which may be identified as the peaks due to a rotating disk. We have proposed a two-component Broad Line Region (BLR) model consisting of an inner Keplerian relativistic disk and an outer structure surrounding the disk. The results of the fitting of the four Broad Emission Lines (BELs) here considered, are highly consistent in both the inner and outer component parameters. Adopting a mass of approx. 2 E8 sollar masses for the central object we found that the outer radius of the disk is approximately equal for the four considered lines (approx 0.01 pc). However, the inner radius of the disk is not the same: 0.0018 pc for Ly-alpha, 0.0027 pc for Mg II, and 0.0038 pc for the Balmer lines. This as well as the relatively broad component present in the blue wings of the narrow [OIII] lines indicate stratification in the emission-line region. Using long-term Hbeta observations (1972-1990, 1998) we found a flux variation of the BEL with respect to the [OIII] lines.Comment: ApJ, accepted, 22 pages, 10 figure

Infrared Excess and Molecular Gas in the Galactic Worm GW46.4+5.5

We have carried out high-resolution (~3') HI and CO line observations along one-dimensional cuts through the Galactic worm GW46.4+5.5. By comparing the HI data with IRAS data, we have derived the distributions of I_100 excess and tau_100 excess, which are respectively the 100 mum intensity and 100 mum optical depth in excess of what would be expected from HI emission. In two observed regions, we were able to make a detailed comparison of the infrared excess and the CO emission. We have found that tau_100 excess has a very good correlation with the integrated intensity of CO emission, W_CO, but I_100 excess does not. There are two reasons for the poor correlation between I_100 excess and W_CO: firstly, there are regions with enhanced infrared emissivity without CO, and secondly, dust grains associated with molecular gas have a low infrared emissivity. In one region, these two factors completely hide the presence of molecular gas in the infrared. In the second region, we could identify the area with molecular gas, but I_100 excess significantly underestimates the column density of molecular hydrogen because of the second factor mentioned above. We therefore conclude that tau_100 excess, rather than I_100 excess, is an accurate indicator of molecular content along the line of sight. We derive tau_100/N(H)=(1.00+-0.02)*10^-5~(10^20 cm^-2)^-1, and X=N(H_2)/W_CO=~0.7*10^20 cm^-2 (K km s^-1)^-1. Our results suggest that I_100 excess could still be used to estimate the molecular content if the result is multiplied by a correction factor xi_c=_HI/_H_2 (~2 in the second region), which accounts for the different infrared emissivities of atomic and molecular gas. We also discuss some limitations of this work.Comment: 10 pages, 9 postscript figures, uses aas2pp4.sty to be published in Astrophyslcal Journa

Spectroscopy and spectropolarimetry of AGN: from observations to modelling

Active galactic nuclei (AGN) are one of the most luminous objects in the Universe, emitting powerful continuum and line emission across all wavelength bands. They represent an important link in the investigations of the galaxy evolution and cosmology. The resolving of the AGN inner structure is still a difficult task with current instruments, therefore the spectroscopy and spectropolarimetry are crucial tools to investigate these objects and their components, such as the properties of the supermassive black hole, the broad line region, and the dusty torus. In this review, we present the results of the project "Astrophysical spectroscopy of extragalactic objects", from the observations, data processing and analysis, to the modelling of different regions in AGN.Comment: Proceedings of the Serbian Astronomical Conference 201

Validity of the rigid band picture for the t-J model

We present an exact diagonalization study of the doping dependence of the single particle Green's function in 16, 18 and 20 site clusters of t-J model. We find evidence for rigid-band behaviour starting from the half-filled case: upon doping, the topmost states of the quasiparticle band observed in the photoemisson spectrum at half-filling cross the chemical potential and reappear as the lowermost states of the inverse photoemission spectrum. Features in the inverse photoemission spectra which are inconsistent with rigid-band behaviour are shown to originate from the nontrivial point group symmetry of the ground state with two holes, which enforces different selection rules than at half-filling. Deviations from rigid band behaviour which lead to the formation of the `large Fermi surface' in the momentum distribution occur only at energies far from the chemical potential. A Luttinger Fermi surface and a nearest neighbor hopping band do not exist.Comment: Remarks: Revtex file + 7 figures attached as compressed postscript files Figures can also be obtained by ordinary mail on reques