Genauigkeit eines bildfreien Navigationssystemes für die Hüftpfannenimplantation – eine anatomische Studie

The position of the acetabular cup is of decisive importance for. the function of a total hip replacement (THR). Using the conventional surgical technique, correct placement of the cup often fails due to a lack of information about pelvic tilt. With CT-based and fluoroscopically-assisted navigation procedures the accuracy of implantation has been significantly improved. However, additional radiation exposure, high cost and the increased time requirement have hampered the acceptance of these techniques. The present anatomical study evaluates the accuracy of an alternative procedure-image-free navigation. This method requires little extra effort, does not substantially delay surgery, and needs no additional imaging. Press-fit cups were implanted in 10 human cadaveric hips with the help of the image-free navigation system, and the position of the cups was checked intraoperatively with a CT-based navigation system and postoperatively by computed tomography. All cups were implanted within the targeted safe zone with an average inclination of 44degrees (range 40degrees-48degrees, SABW 2.7degrees) and an average anteversion of 18degrees (range 12-24degrees, SABW 4.1degrees). Analysis of accuracy of the image-free navigation software revealed only a small, clinically tolerable deviation in cup anteversion and cup inclination in comparison with the CT-based navigation system and the post operative CT scans. The evaluated image-free navigation system appears to be a practicable and reliable alternative to the computer-assisted implantation of acetabular cups in total hip arthroplasty

Structured Smoking Cessation Training for Medical Students: a prospective study

Introduction: Physician adherence to guideline recommendations regarding the provision of counseling and support for smokers willing to quit is low. A lack of training during undergraduate medical education has been identified as a potential cause. This prospective intervention study evaluated a novel teaching module for medical students. Methods: As part of a 6-week cardiovascular course, 125 fourth-year undergraduate medical students received a multimodal and interactive teaching module on smoking cessation, including online learning material, lectures, seminars, and practical skills training. Short- and medium-term effects on knowledge, skills, attitudes, and self-reported practice were measured using written examinations and an objective structured clinical examination at the end of the module and 6 months later. Results were compared to data obtained from a historical control cohort (n = 70) unexposed to the intervention. Results: At the 6-month follow-up, scores in the knowledge test were significantly higher in the intervention than the control group (61.1% vs. 51.7%; p < .001). A similar pattern was observed in the objective structured clinical examination (71.5% vs. 60.5%; p < .001). More students in the intervention than control group agreed that smoking was a chronic disease (83.1% vs. 68.1%; p = .045). The control group was more likely to report recording smoking status (p = .018), but no group difference was detected regarding the report of advising to quit (p = .154). Conclusions: A novel teaching module for undergraduate medical students produced a sustained learning outcome in terms of knowledge, skills, and attitudes but not self-reported practice. Implications: Studies across the world have identified considerable knowledge gaps and deficits in practical training with regard to smoking cessation counseling in undergraduate medical students. This paper describes a teaching intervention informed by current recommendations for the design of educational activities aimed at enabling medical students to deliver adequate behavior change counseling. The teaching module was tailored to the needs of a specific healthcare system. Given its effectiveness as demonstrated in this prospective study, a rollout of this intervention in medical schools might have the potential to substantially improve medical students’ knowledge, skills, and attitudes in relation to smoking cessation counseling

First Steps into Practical Engineering for Freshman Students Using MATLAB and LEGO Mindstorms Robots

Besides lectures on basic theoretical topics, contemporary teaching and learning concepts for first semester students give more and more consideration to practically motivated courses. In this context, a new first-year introductory course in practical engineering has been established in the first semester curriculum of Electrical Engineering at RWTH Aachen University, Germany. Based on a threefold learning concept, programming skills in MATLAB are taught to 309 students within a full-time block course laboratory. The students are encouraged to transfer known mathematical basics to program algorithms and real-world applications performed by 100 LEGO Mindstorms robots. A new MATLAB toolbox and twofold project tasks have been developed for this purpose by a small team of supervisors. The students are supervised by over 60 tutors at 23 institutes, and are encouraged to create their own robotics applications. We describe how the laboratory motivates the students to act and think like engineers and to solve real-world issues with limited resources. The evaluation results show that the proposed practical course concept successfully boosts students’ motivation, advances their programming skills, and encourages the peer learning process.

Electrostatic correlations on the ionic selectivity of cylindrical membrane nanopores

We characterize the role of electrostatic fluctuations on the charge selectivity of cylindrical nanopores confining electrolyte mixtures. To this end, we develop an extended one-loop theory that can account for correlation effects induced by the surface charge, nanoconfinement of the electrolyte, and interfacial polarization charges associated with the low permittivity membrane. We validate the quantitative accuracy of the theory by comparisons with previously obtained Monte-Carlo simulation data from the literature, and scrutinize in detail the underlying forces driving the ionic selectivity of the nanopore. In the biologically relevant case of electrolytes with divalent cations such as CaCl2 in negatively charged nanopores, electrostatic correlations associated with the dense counterion layer in the channel result in an increase of the pore coion density with the surface charge. This peculiarity analogous to the charge inversion phenomenon remains intact for dielectrically inhomogeneous pores, which indicates that the effect should be observable in nanofiltration membranes or DNA-blocked nanopores characterized by a low membrane permittivity. Our results show that a quantitatively accurate consideration of correlation effects is necessary to determine the ionic selectivity of nanopores in the presence of electrolytes with multivalent counterions.Peer reviewe

Analysis of Visible/SWIR surface reflectance ratios for aerosol retrievals from satellite in Mexico City urban area

International audienceThe surface reflectance ratio between the visible (VIS) and shortwave infrared (SWIR) radiation is an important quantity for the retrieval of the aerosol optical depth (?a) from the MODIS sensor data. Based on empirically determined VIS/SWIR ratios, MODIS ?a retrieval uses the surface reflectance in the SWIR band (2.1 µm), where the interaction between solar radiation and the aerosol layer is small, to predict the visible reflectances in the blue (0.47 µm) and red (0.66 µm) bands. Therefore, accurate knowledge of the VIS/SWIR ratio is essential for achieving accurate retrieval of aerosol optical depth from MODIS. We analyzed the surface reflectance over some distinct surface covers in and around the Mexico City metropolitan area (MCMA) using MODIS radiances at 0.66 µm and 2.1 µm. The analysis was performed at 1.5 km×1.5 km spatial resolution. Also, ground-based AERONET sun-photometer data acquired in Mexico City from 2002 to 2005 were analyzed for aerosol depth and other aerosol optical properties. In addition, a network of hand-held sun-photometers deployed in Mexico City, as part of the MCMA-2006 Study during the MILAGRO Campaign, provided an unprecedented measurement of ?a in 5 different sites well distributed in the city. We found that the average RED/SWIR ratio representative of the urbanized sites analyzed is 0.73±0.06 for scattering angles a averaged from sun-photometer measurements. The use of the new RED/SWIR ratio of 0.73 in the MODIS retrieval over Mexico City led to a significant improvement in the agreement between the MODIS and sun-photometer AOD results; with the slope, offset, and the correlation coefficient of the linear regression changing from (?aMODIS=0.91?a sun-photometer+0.33, R2=0.66) to (?aMODIS=0.96 ?a sun-photometer?0.006, R2=0.87). Indeed, an underestimation of this ratio in urban areas lead to a significant overestimation of the AOD retrieved from satellite. Therefore, we strongly encourage similar analyses in other urban areas to enhance the development of a parameterization of the surface ratios accounting for urban heterogeneities

Urban Visible/SWIR surface reflectance ratios from satellite and sun photometer measurements in Mexico City

International audienceThe surface reflectance ratio between the visible (VIS) and shortwave infrared (SWIR) radiation is an important quantity for the retrieval of the aerosol optical depth (?a) from the MODIS sensor data. Based on empirically determined VIS/SWIR ratios, MODIS ?a retrieval uses the surface reflectance in the SWIR band (2.1 ?m), where the interaction between solar radiation and the aerosol layer is small, to predict the visible reflectances in the blue (0.47 ?m) and red (0.66 ?m) bands. Therefore, accurate knowledge of the VIS/SWIR ratio is essential for achieving accurate retrieval of aerosol optical depth from MODIS. The heterogeneity of the surface cover in an urban environment increases the uncertainties in the estimation of the surface reflectance and, consequently, ?a. We analyzed the surface reflectance over some distinct surface covers in and around the Mexico City metropolitan area (MCMA) using MODIS radiances at 0.66 ?m and 2.1 ?m. The analysis was performed at 1.5 km×1.5 km spatial resolution. Also, ground-based AERONET sun-photometer data acquired in Mexico City from 2002 to 2005 were analyzed for aerosol optical thickness and other aerosol optical properties. In addition, a network of hand-held sun-photometers deployed in Mexico City, as part of the MCMA-2006 Study during the MILAGRO Campaign, provided an unprecedented measurement of ?a in 5 different sites well distributed in the city. We found that the average RED/SWIR ratio representative of the urbanized sites analyzed is 0.73±0.06. This average ratio was significantly different for non-urban sites, which was approximately 0.55. The aerosol optical thickness retrieved from MODIS radiances at a spatial resolution of 1.5 km×1.5 km and averaged within 10 x 10 km boxes were compared with collocated 1-h ?a averaged from sun-photometer measurements. The use of the new RED/SWIR ratio of 0.73 in the MODIS retrieval led to a significant improvement in the agreement between the MODIS and sun-photometer results; with the slope, offset, and the correlation coefficient of the linear regression changing from (?aMODIS = 0.91 ?a sun-photometer + 0.33 ,R2=0.66) to (?aMODIS = 0.96 ?a sun-photometer ?0.006, R2=0.87)

Does the Normalized Difference Vegetation Index explain spatial and temporal variability in sap velocity in temperate forest ecosystems?

Understanding the link between vegetation characteristics and tree transpiration is a critical need to facilitate satellite-based transpiration estimation. Many studies use the Normalized Difference Vegetation Index (NDVI), a proxy for tree biophysical characteristics, to estimate evapotranspiration. In this study, we investigated the link between sap velocity and 30 m resolution Landsat-derived NDVI for 20 days during 2 contrasting precipitation years in a temperate deciduous forest catchment. Sap velocity was measured in the Attert catchment in Luxembourg in 25 plots of 20×20 m covering three geologies with sensors installed in two to four trees per plot. The results show that, spatially, sap velocity and NDVI were significantly positively correlated in April, i.e. NDVI successfully captured the pattern of sap velocity during the phase of green-up. After green-up, a significant negative correlation was found during half of the studied days. During a dry period, sap velocity was uncorrelated with NDVI but influenced by geology and aspect. In summary, in our study area, the correlation between sap velocity and NDVI was not constant, but varied with phenology and water availability. The same behaviour was found for the Enhanced Vegetation Index (EVI). This suggests that methods using NDVI or EVI to predict small-scale variability in (evapo)transpiration should be carefully applied, and that NDVI and EVI cannot be used to scale sap velocity to stand-level transpiration in temperate forest ecosystems

New perspectives on the ecology of tree structure and tree communities through terrestrial laser scanning

Terrestrial laser scanning (TLS) opens up the possibility of describing the three-dimensional structures of trees in natural environments with unprecedented detail and accuracy. It is already being extensively applied to describe how ecosystem biomass and structure vary between sites, but can also facilitate major advances in developing and testing mechanistic theories of tree form and forest structure, thereby enabling us to understand why trees and forests have the biomass and three-dimensional structure they do. Here we focus on the ecological challenges and benefits of understanding tree form, and highlight some advances related to capturing and describing tree shape that are becoming possible with the advent of TLS. We present examples of ongoing work that applies, or could potentially apply, new TLS measurements to better understand the constraints on optimization of tree form. Theories of resource distribution networks, such as metabolic scaling theory, can be tested and further refined. TLS can also provide new approaches to the scaling of woody surface area and crown area, and thereby better quantify the metabolism of trees. Finally, we demonstrate how we can develop a more mechanistic understanding of the effects of avoidance of wind risk on tree form and maximum size. Over the next few years, TLS promises to deliver both major empirical and conceptual advances in the quantitative understanding of trees and tree-dominated ecosystems, leading to advances in understanding the ecology of why trees and ecosystems look and grow the way they do

Change detection of isolated housing using a new hybrid approach based on object classification with optical and TerraSAR-X data

Optical and microwave high spatial resolution images are now available for a wide range of applications. In this work, they have been applied for the semi-automatic change detection of isolated housing in agricultural areas. This article presents a new hybrid methodology based on segmentation of high-resolution images and image differencing. This new approach mixes the main techniques used in change detection methods and it also adds a final segmentation process in order to classify the change detection product. First, isolated building classification is carried out using only optical data. Then, synthetic aperture radar (SAR) information is added to the classification process, obtaining excellent results with lower complexity cost. Since the first classification step is improved, the total change detection scheme is also enhanced when the radar data are used for classification. Finally, a comparison between the different methods is presented and some conclusions are extracted from the study. © 2011 Taylor & Francis.Vidal Pantaleoni, A.; Moreno Cambroreno, MDR. (2011). Change detection of isolated housing using a new hybrid approach based on object classification with optical and TerraSAR-X data. International Journal of Remote Sensing. 32(24):9621-9635. doi:10.1080/01431161.2011.571297S962196353224BLAES, X., VANHALLE, L., & DEFOURNY, P. (2005). Efficiency of crop identification based on optical and SAR image time series. Remote Sensing of Environment, 96(3-4), 352-365. doi:10.1016/j.rse.2005.03.010Chen, Y., Shi, P., Fung, T., Wang, J., & Li, X. (2007). Object‐oriented classification for urban land cover mapping with ASTER imagery. International Journal of Remote Sensing, 28(20), 4645-4651. doi:10.1080/01431160500444731Dalla Mura, M., Benediktsson, J. A., Bovolo, F., & Bruzzone, L. (2008). An Unsupervised Technique Based on Morphological Filters for Change Detection in Very High Resolution Images. IEEE Geoscience and Remote Sensing Letters, 5(3), 433-437. doi:10.1109/lgrs.2008.917726Dell’Acqua, F., & Gamba, P. (2006). Discriminating urban environments using multiscale texture and multiple SAR images. International Journal of Remote Sensing, 27(18), 3797-3812. doi:10.1080/01431160600557572Haralick, R. M., Shanmugam, K., & Dinstein, I. (1973). Textural Features for Image Classification. IEEE Transactions on Systems, Man, and Cybernetics, SMC-3(6), 610-621. doi:10.1109/tsmc.1973.4309314Im, J., Jensen, J. R., & Tullis, J. A. (2008). Object‐based change detection using correlation image analysis and image segmentation. International Journal of Remote Sensing, 29(2), 399-423. doi:10.1080/01431160601075582Lhomme, S., He, D., Weber, C., & Morin, D. (2009). A new approach to building identification from very‐high‐spatial‐resolution images. International Journal of Remote Sensing, 30(5), 1341-1354. doi:10.1080/01431160802509017LOBO, A., CHIC, O., & CASTERAD, A. (1996). Classification of Mediterranean crops with multisensor data: per-pixel versus per-object statistics and image segmentation. International Journal of Remote Sensing, 17(12), 2385-2400. doi:10.1080/01431169608948779Lu, D., Mausel, P., Brondízio, E., & Moran, E. (2004). Change detection techniques. International Journal of Remote Sensing, 25(12), 2365-2401. doi:10.1080/0143116031000139863Shimabukuro, Y. E., Almeida‐Filho, R., Kuplich, T. M., & de Freitas, R. M. (2007). Quantifying optical and SAR image relationships for tropical landscape features in the Amazônia. International Journal of Remote Sensing, 28(17), 3831-3840. doi:10.1080/01431160701236829Stramondo, S., Bignami, C., Chini, M., Pierdicca, N., & Tertulliani, A. (2006). Satellite radar and optical remote sensing for earthquake damage detection: results from different case studies. International Journal of Remote Sensing, 27(20), 4433-4447. doi:10.1080/01431160600675895Yuan, D., & Elvidge, C. D. (1996). Comparison of relative radiometric normalization techniques. ISPRS Journal of Photogrammetry and Remote Sensing, 51(3), 117-126. doi:10.1016/0924-2716(96)00018-