Minimally invasive video-assisted thyroidectomy. Two small retractors are used to maintain the operative space. The endoscope and the instruments are all insert
Waller, D.A. and Rengarajan, A. (2001) Thoracoscopic Decortication A Role for Video-Assisted Surgery in Chronic Postpneumonic Pleural Empyema. The Annals of Thoracic Surgery, 71, 1813-1816.
A multi-disciplinary team at Brigham and Womens Hospital (BWH) that includes radiologists is demonstrating success with a new surgical procedure that combines video-assisted surgery with real-time imaging guidance to remove lung nodules while preserving healthy tissue.. While guidelines recommend surgical removal of lung nodules less than 2 centimeters in diameter that are suspicious for cancer, such removal presents a significant challenge for surgeons. Nodules located on pre-operative CT scans change position once the lung is partially collapsed for surgery.. "Its like taking one point inside an inflated balloon and trying to find it after you deflate the balloon," said Jayender Jagadeesan, PhD, a co-investigator of the clinical trial and a research scientist at the National Center for Image Guided Therapy (NCIGT), a National Institutes of Health (NIH)/National Institute of Biomedical Imaging and Bioengineering (NIBIB)-funded program at BWH and Harvard Medical School. The late Ferenc A. ...
Ideas for working space - ce mobila sa-ti alegi, cum sa iti pozitionezi biroul acasa, ce decoratiuni nu ar trebui sa iti lipseasca.
A controllable damper for resisting movement between two relatively moveable members includes a first member and a second member coupled for relative movement having a working space between them, and a controllable medium retaining structure, for example, an absorbent matrix, to hold a controllable medium only in the working space. A cage preferably supports the matrix. A field generating coil is mounted to one of the first and second members to generate a field acting on the first and second members and the controllable medium in the working space. The rheology change in the medium produced by the field results in resistance to relative movement of the first and second members. A device according to the invention may be used in apparatus, such as washing machines, exercise equipment, air supported tables, and a range of other apparatuses that would benefit from controlled damping or braking. Devices including a two-piece outer housing are described.
The introduction of new surgical techniques, that allow rapid functional recovery, and short-lasting anesthetics has made it possible to include a wider range of procedures in day surgery regimes. Videolaparoscopic colecistectomy (VLC) , a video-assisted surgical model, is one of these. The University Hospital of Pisa has responded to the growing needs of clients by creating an autonomous unit for this purpose, the Day Surgery Service for general surgery, in order to identify an efficient model in terms of organization, management and quality ...
Improved methods and devices for performing an endoscopic surgery including a system for performing minimally invasive procedures including a flexible catheter having a first lumen, a first flexible tube positioned in the first lumen, and a second flexible tube positioned in the first lumen. The first lumen defines a first space configured and dimensioned to receive an endoscope. The first flexible tube and second flexible tube are fixed at a proximal portion and configured to float within the first lumen of the catheter. First and second flexible guides are slidably positioned within the first and second flexible tubes and dimensioned to receive a first instrument for axial movement therein, the first and second flexible guides movable to an angled position with respect to a longitudinal axis. A working space expanding system positioned at a distal portion of the flexible catheter, the working space expanding system movable from a non-expanded insertion position to an expanded position forming an
Question: My urologist started a lap prostatectomy. Mobilizing the bladder revealed a high prostate with limited working space for dissection. Given the patient s morbid obesity, limited working space, and the patient s age, the urologist determined it was best to abort the procedure. Is there a separate code for bladder mobilization [...]
This is undoubtedly the most important step of your risk assessment. Just recording the hazards in your working space doesnt leave your clients any less at risk - you need to take the necessary action to eradicate these hazards. Anything you spot that could be deemed a hazard needs to be acted upon before you hold a class or session. If you are hiring the location, inform the renter of the issue and make sure they or you take appropriate steps.. So, for example, if you spot water on the floor, either grab a mop and make sure the surface is completely dry to avoid slippages or put up a sign to notify others. If you spot that there is an issue in your working space and you need to consult with the gym manager, you should postpone your class while you come up with a solution. If youve finished a class and theres equipment lying around, make sure you store it all away safely to avoid someone tripping over it and hurting themselves.. Although this might seem like common sense, youd be amazed at ...
I recently talked to Matt Owens, Executive Director of Harlem Biospace. For anyone interested in biotech, startups, or the up and coming New York biotech scene, his interview below is a must-read. Check it out!. Q: Why was Harlem Biospace created?. Matt: There was so much incredible research taking place at the institutions in New York City, but there was no support system for developing that research into a company. One important first step to building those companies and commercializing that research is affordable lab space. So we built an affordable lab and working space for early-stage life science companies.. Q: What is the goal of Harlem Biospace?. Matt: The goal is to lower the barrier for commercializing a hypothesis into a technology.. Q: What kind of companies are you looking for? Whats the ideal stage and mission of the companies that apply?. Matt: The stages are very early, 1-4 people. That still covers a wide spectrum of readiness to ship a product, because the ideas are very ...
Laptop screens are not known for their grand size but you cant take a second monitor everywhere you go, or can you? The SPUD is a 24-inch display that collapses like an umbrella so you can take it wherever you go.. This screen is basically a projector and screen, rolled into one portable device. You connect via HDMI port and you can use the screen for whatever you want whether its watching movies or extra working space. Its portable nature means that you can take it anywhere and its all in one set up means that you dont have to fuss with a lot of extra moving parts.. ...
to raise awareness among workers involved in hazardous operations of their rights to a safe working space, to health and compensation wherever exposure to hazard occurs either due to lax occupational safety practices or otherwise ...
Accurate Image Manipulation for Desktop Publishing (AIM) is devoted for the best possible quality in the desktop publishing workflow. This calls for accurate calibration and correct choice for the working space ...
Accurate Image Manipulation for Desktop Publishing (AIM) is devoted for the best possible quality in the desktop publishing workflow. This calls for accurate calibration and correct choice for the working space ...
Introduction: Minimally invasive approches in treatment of acute necrotizing pancreatitis and/or infected pancreatic necrosis gain a notable advantage compared with open surgery.. Aim: We present our experience in treatment of acute necrotizing pancreatitis by an original minimally invasive retroperitoneal necrosectomy technique, evaluate feasibility and safety of this method, compare our results to other studies.. Patients and methods: A retrospective analysis of 22 patients with acute necrotizing pancreatitis and large fluid collections in retroperitoneal space was performed. All patients underwent retroperitoneal necrosectomy as an initial interventional procedure in treatment of infected pancreatic necrosis.. Results: Sixteen males and six females aged between 24 and 60 with an average age of 42.59 ±7.3 years were included. Alcohol abuse was an etiologic factor of acute necrotizing pancreatitis for 18 patients (81.8%). Average time between diagnosis and performance of necrosectomy was 28.6 ...
We investigate the current status of endoscopic thyroidectomy in Korea. A representative questionnaire was sent to 21 members of the Korean Association of Endocrine Surgeons who were thought to be performing endoscopic thyroidectomy. All the reply letters were collected and analyzed. The response rate was 95%. A total of 1616 cases of endoscopic thyroidectomy were performed from the year 1998 to the year 2005. The patients included 71 men and 1545 women, with a mean age of 36.17 years. The mean operation time was 124.18 minutes and overall length of hospital stay was 4.31 days. Thyroid lobectomy and nodular hyperplasia were the most common procedures and prominent pathologic findings. Axillary approach was the most popular operative approach method. Gas insufflation and skin-lifting gasless method were used in 800 cases and 816 cases, respectively. Postoperative complication rate was 14.2%. Skin paresthesia was the most common complication. Conversion rate to conventional thyroidectomy was 2.2%. ...
Surgery is the standard of care for early-stage lung cancer, but the best surgical approach is yet to be determined. Minimally invasive surgery, such as Video-Assisted Thoracoscopic Surgery (VATS), is now the preferred approach over traditional open surgery.1 In a study presented at the International Association for the Study of Lung Cancer (IASLC) 2019 World Conference on Lung Cancer (WCLC) at Barcelona, Spain, the data showed VATS is equivalent to open lobectomy for early-stage lung cancer in terms of oncologic outcomes and patients quality of life.2 VATS in the early-stage lung cancer. Complete anatomic resection via open thoracotomy has been the conventional approach in the early-stage lung cancer, but since the introduction of VATS, better clinical outcomes can be achieved. Nowadays, VATS is being performed more commonly as a first-line treatment for the early-stage lung cancer.3. The VATS procedure is conducted through small incisions, called "key holes" in the chest wall. Then, a tiny ...
Introduction: Currently, minimally invasive esophagectomy (MIE) is being performed using Video-Assisted Thoracoscopic Surgery (VATS) for mediastinal esophageal dissection. The VATS approach is still associated with pulmonary and cardiovascular morbidity, as well as incisional pain. This study investigates the feasibility of MIE using a single-incision transcervical videoscopic esophageal dissection (TVED). A simultaneous laparoscopic and transcervical videoscopic approach would allow MIE without the need for patient repositioning or single lung ventilation.. Methods: Technical steps of the procedure include a standard cervical incision large enough to accommodate a modified hand-assisted access device. Cervical esophageal dissection was done in standard fashion. The modified access device was placed, and pneumomediastinum was established with laparoscopic trocars placed through the access port. The tracheoesophageal plane was developed above and below the thoracic inlet. Vagal nerves were ...
TY - JOUR. T1 - Longstanding tracheobronchial foreign body in an adult. AU - Wu, Ti Hei. AU - Cheng, Yeung Leung. AU - Tzao, Ching. AU - Chang, Hung. AU - Hsieh, Chih Ming. AU - Lee, Shih Chun. PY - 2012/5. Y1 - 2012/5. UR - http://www.scopus.com/inward/record.url?scp=84860512055&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=84860512055&partnerID=8YFLogxK. U2 - 10.4187/respcare.01445. DO - 10.4187/respcare.01445. M3 - Article. VL - 57. SP - 808. EP - 810. JO - Respiratory Care. JF - Respiratory Care. SN - 0020-1324. IS - 5. ER - ...
The investigators had performed more than 250 cases of breast approach endoscopic thyroidectomy (BAET). The goal of this study is to evaluate whether BA
Post-operative pain after minimally invasive video-assisted thoracoscopic surgery (VATS) in adults is commonly managed with oral and parenteral opioids and invasive regional techniques such as thoracic epidural blockade. Emerging research has shown that the novel erector spinae plane (ESP) block, can be employed as a simple and safe alternative analgesic technique for acute post-surgical, post-traumatic and chronic neuropathic thoracic pain in adults. We illustrate this by presenting a paediatric case of VATS, in which an ESP block provided better analgesia, due to greater dermatomal coverage, as well as reduced side-effects when compared with a thoracic epidural that had previously been employed on the same patient for a similar procedure on the opposite side ...
Motivations. Building the Burrows-Wheeler transform (BWT) and computing the Lempel-Ziv parsing (LZ77) of huge collections of genomes is becoming an important task in bioinformatic analyses as these datasets often need to be compressed and indexed prior to analysis. Given that the sizes of such datasets often exceed RAM capacity of common machines however, standard algorithms cannot be used to solve this problem as they require a working space at least linear in the input size. One way to solve this problem is to exploit the intrinsic compressibility of such datasets: two genomes from the same species share most of their information (often more than 99%), so families of genomes can be considerably compressed. A solution to the above problem could therefore be that of designing algorithms working in compressed working space, i.e. algorithms that stream the input from disk and require in RAM a space that is proportional to the size of the compressed text. Methods. In this work we present algorithms and
International Scholarly Research Notices is a peer-reviewed, Open Access journal covering a wide range of subjects in science, technology, and medicine. The journals Editorial Board as well as its Table of Contents are divided into 108 subject areas that are covered within the journals scope.
We performed tumor resection by a video-assisted thoracic surgery approach. There was strong fibrous adhesion between the tumor and right lung
This paper introduces Delaunay graph into path planning for mobile robot for the shortest path. Delaunay Graph is used for modeling the working space, an a
Low Profile Scooptram: Higher Capacity, Quicker, Safer and Cleaner. Atlas Copco says its new Scooptram ST7LP represents the next generation of underground loaders for low headroom operations.. By Kyran Casteel, European Editor. For load-haul-dump (LHD) machines used in large-scale underground mines, cutting edge technology development is addressing autonomous, automated or at least sophisticated remote-controlled operation. But in narrow vein and thin reef metal mines the emphasis remains on basic machine improvements able to achieve loading and transport that is economic and safe in working spaces that avoid dilution, with machines that can attain high availability with normal maintenance. Performance has been significantly improved over the past 20 years or more, aided by the introduction of more powerful, suitable engines.. The latest LHD designed to meet these needs, Atlas Copcos Scooptram ST7LP, continues the trend, providing higher tramming capacity under a lower back height, greater ...
A space elevator is just the thing that is needed to open up the high frontier of space. A working space elevator is still not a reality as of yet. But s
This is all simple in theory. The trick is of course in the details: First the TUM researchers had to build a selective binding unit. The over-dimensioned printer fills an entire laboratory room in the basement at the Chairs premises: Sand is distributed using an automatic scattering system. A three-dimensional system of tracks makes sure the print head can be positioned at any desired point in the working space and a nozzle can apply fluid to exactly the desired points. The researchers tinkered with the process for three long years: Success depends among other things on the thickness of the layers, the grain size of the sand, the speed at which the print head moves and the selection of the right nozzle. The engineers have optimized the various parameters together with the TUM Centre for Building Materials. Together with partners from industry, the team is currently developing a 3D printer whose print head will be equipped with several thousand nozzles. The device will make it possible for the ...
Re-Pair [5] is an effective grammar-based compression scheme achieving strong compression rates in practice. Let n, σ, and d be the text length, alphabet size, and dictionary size of the final grammar, respectively. In their original paper, the authors show how to compute the Re-Pair grammar in expected linear time and 5n + 4σ2 + 4d + √n words of working space on top of the text. In this work, we propose two algorithms improving on the space of their original solution. Our model assumes a memory word of [log2 n] bits and a re-writable input text composed by n such words. Our first algorithm runs in expected O(n/ε) time and uses (1+ε)n+√n words of space on top of the text for any parameter 0 ,∊ ≤ 1 chosen in advance. Our second algorithm runs in expected O(n log n) time and improves the space to n + √n words ...
A single-acting pump only discharges water when the piston rises (if mounted vertically) and the down stroke is utilised simply to displace more water into the working space ready for the next stroke. It is possible to arrange things so that while one side of the piston displaces water to discharge it, the other induces more water, so that discharge takes place on both the up and the down stroke. Such pumps are known as double-acting pumps and are significantly more productive for their size than single-acting ones.. Fig. 32, diagrams A to H, illustrate various reciprocating displacement pump principles, and shows various single and double-acting configurations:. Diagram A in the figure shows a conventional single acting pitcher pump, as in Fig. 29.. Diagram B shows how, if the water needs to be delivered to a level higher than the point at which the pump rod enters the pump, a sealed lid is needed to prevent leakage. The seal is usually achieved by fitting a stuffing box through which the ...
Necrosectomy, intensive care treatment (costs for program #152681) ✔ University Hospital Tubingen ✔ Department of General, Abdominal and Transplant Surgery ✔ BookingHealth.com
Global warmings problem and also the deterrence of illegal signing increasingly being echoed in our ears. baby crib veil. Additionally, as being a tropical state that likewise competed with a job as the lungs of the entire world and a role.
The clinical role of endoscopic thyroidectomy and sentinel lymph node biopsy (SLNB) for differentiated thyroid cancer remains open to debate. Conventional thyroidectomy requires a cervical incision and often leaves an unsightly scar on the anterior neck. Endoscopic thyroidectomy is technically feasible and safe, with much better cosmetic results. The prognostic importance of lymph node metastasis in thyroid cancer makes central lymph node dissection a crucial option in thyroid cancer surgery. However, it is associated with an increased risk of complications such as recurrent laryngeal nerve injury or hypoparathyroidism, even in expert hands. Thus, the feasibility and future role of SLNB in thyroid cancer remains controversial. We describe our technique of performing endoscopic thyroidectomy with SLNB and central lymph node dissection via a gasless anterior chest approach for thyroid cancer.
Length of stay (ICU, hospital) Mortality .. RESULTS: We studied the outcome of 15 cases of infected pancreatic necrosis managed by laparoscopic pancreatic necrosectomy as regards morbidity, length of stay & mortality.. In present study transperitoneal approach access to lesser sac, right and left paracolic gutter, perinepheric space, retroduodenal space & root of mesentery was accomplished for drainage.. Each patients treatment was individualized & preoperative CT scan guided the approach.. Stay of patients was average 8 days, 10 developed pancreatic fistula, all required irrigation which was taught to patients relatives.. 2 patients required laparotomy. 2 others required pigtail drainage of residual collections by CT guided radiological drains.. There was one mortality.. CONCLUSIONS: Laparoscopic necrosectomy is a feasible procedure in acute infected pancreatic necrosis. We report similar rate of complications as open necrosectomy but with less morbidity to the patients. ...
Originally described by Carlens in 1959,3 mediastinoscopy has been the subject of a number of studies. It has been shown to be a safe procedure, with morbidity rates between 0.6% and 3.7% and mortality rates ranging from 0% to 3% in several large series.4 In comparison with noninvasive diagnostic procedures, such as CT scanning and MRI, studies have shown a sensitivity for cervical mediastinoscopy ranging from 0.44 to 0.92.5 Specificities and positive predictive values of 1.00 have been described, but this is often secondary to the study design, with reference made to findings during mediastinoscopy, rather than actual disease at various lymph node stations. Although mediastinoscopy is currently the "gold standard" for assessing lymph node status (its negative predictive value is >90%), this chapter also addresses other existing and emerging imaging modalities that can be used to augment staging accuracy. The indications and contraindications to cervical mediastinoscopy are outlined in Table ...
Comparison of perioperative and oncological outcomes between video-assisted segmentectomy and lobectomy for patients with clinical stage IA non-small cell lung cancer: a propensity score matching study
Single-incision video-assisted thoracoscopic evaluation and emergent surgery for severe lung and chest wall injury after thoracic trauma in a water park
Achieve accurate, rapid diagnoses by refining your skills and making the most of in-house clinical pathology. Do you want to maximise the benefits of your bench-top.. Due to limited access endo experts often want more flexibility from their instruments. Pre-bendable tools can extend the horizon into new dimensions. Particularly in a limited working space, modular nickel-titanium systems display their full strength. From now on dentists can choose from a series of additional file sizes for a.. Children with Down Syndrome (3 contact hours for $12 ) Identify specific neurological, sensory, orthopedic, cardiac, respiratory, autoimmune.. NAVTA/WCEA: The NAVTA CE Portal is powered by the World Continuing Education Alliance (WCEA). All active NAVTA members have free access to over 900 courses.. Courses Online Dental Ethics (CODE) is a major section of Dental Ethics and consists of online courses and self-assessment activities in dental ethics and professionalism-with most available for C.E. credit. ...
The biophilic design invites the outdoors into the working spaces, which helps in managing stress levels and mood. The central breakout space dazzles with a row of ceiling lights, set at an angle along the length of the space.. A performance stage with a long ramp made of pinewood panels is placed on an artificial turf flooring that invites the employees to sit around in bean bags on the floor or even walk the ramp in an exuberant style.. This space is very well connected to workstations, a private lounge, cabins and a conference hall that makes it extensively flexible to be used as a discussion zone or even to host events. The eating area is a linear volume of space below the mezzanine level with a long table fixed in the center that vibrantly opens to the central area.. A feature wall in the central area has faux arches that span across the length, each arch following a minimalistic design with an interactive artwork.. The exposed concrete columns feature doodle graffiti art that exudes a ...
This study highlights the importance of cognition-affect interaction pathways in the construction of mathematical knowledge. Scientific output demands further research on the conceptual structure underlying such interaction aimed at coping with the high complexity of its interpretation. The paper discusses the effectiveness of using a dynamic model such as that outlined in the Mathematical Working Spaces (MWS) framework, in order to describe the interplay between cognition and affect in the transitions from instrumental to discursive geneses in geometrical reasoning. The results based on empirical data from a teaching experiment at a middle school show that the use of dynamic geometry software favours students attitudinal and volitional dimensions and helps them to maintain productive affective pathways, affording greater intellectual independence in mathematical work and interaction with the context that impact learning opportunities in geometric proofs. The reflective and heuristic dimensions ...
When it comes to making a good first impression on potential customers, the right office furniture is an essential element. But affordable furniture isnt just about positively impacting clients: It can also create a work environment thats effective and efficient, with cabinets, tables, and desks that last and fit into your budget constraints.. At Quill, we provide affordable office furniture expertise, with products to fit every type of office space-from cubicles and closed environments to shared working spaces and conference rooms. We are the source for comfortable and functional office tables and chairs; office dividers that enhance privacy; and cabinets to effectively store and organize critical company information.. Take a new office desk, for example: Quill offers products that help improve workflow, whether you work from home or the office, or are a new employee or an executive. Need to refresh a classroom space? Check out our selection of student desks. Prefer standing at work? We have ...
Google Xs imagination is sky-high.A working space elevator is still, sadly, not a reality. But sci-fi geeks may be excited to know that some of the most intelligent and imaginative minds on Earth have indeed looked into the logistics of building such a fanciful contraption. Rich DeVaul, head of Google Xs Rapid Evaluation team, has confirmed for the first time ever that Googles super hush-hush R&D lab actually tried to design one.
It would be a massive capital investment, he said in this months issue of Fast Company. But once this hypothetical machine was built, it could take you from ground to orbit with a net of basically zero energy. It drives down the space-access costs, operationally, to being incredibly low.
Unfortunately, our current technological landscape has its limitations: The team knew the cable would have to be exceptionally strong-- at least a hundred times stronger than the strongest steel that we have, by -[Google X researcher Dan Piponi]s calculations. He found one
Hand sanitizers are a sheltered method to dispose of germs, infections, viruses, and microbes that can prompt sicknesses. The formulas are suggested for children, youngsters, and the individuals who offer working spaces.
|p||p||bold|The aim of the study|/bold| was to present our experience in the treatment of pheochromocytoma, which can have untypical manifestations or their complete lack. Surgery still is the main treatment. Since introducing minimally invasive method the operative choice between open and videoscopic still remains.|/p||p|The proper diagnosis, preparation and surgical treatment allow to avoid serious cardiovascular complications. In the treatment, pre-or intraoperative hypertensive crisis and hypotension appearing after removing the tumor are the important issues. Based on our study from 29.10.1997 to 31.01.2009 authors are showing methods and principles of preparation and the intra- and post-operative complications associated with performed operation.|/p||p|Additionally the problem of pheochromocytomas, clinically asymptomatic, so-called silent pheochromocytoma is discussed. Evaluated material consisted of 125 patients with pheochromocytoma. 32 (25,6%) were operated by open, classical
Evidence-based recommendations on endoscopic transluminal pancreatic necrosectomy in adults. This involves removing dead tissue from the pancreas
Der er indtil nu identificeret 117 virusfamilier, hvoraf der i 24 virusfamilier kendes virus, der inficerer mennesket.[9] Vira har ikke et traditionelt, taksonomisk slægtskab, de er nærmest beslægtet med deres værtsorganismer, et genetisk slægtsskab, der fremkommer fordi virus og tidligere værter har har efterladt spor i hinanden igennem udveksling af gener og genstumper, jf. endogen retrovirus. Tobaksmosaikvirus er tættere beslægtet med tobaksplanten end den er beslægtet med influenzavirus, der igen er tættere beslægtet med mennesket[10]. Dog kan nært beslægtede vira (efter Baltimore-klassifikationen) inficere forskellige værter. 2/3 af alle kendte vira inficerer planter, resten inficerer dyr og bakterier (bakteriofag). Virus synes at være utroligt mangfoldige og synes at være overalt i et overordentligt stort antal, således er der i havvand fundet næsten 200.000 slags virus.[11] Det anslås at der blandt pattedyr og fugle cirkulerer o. 1.670.000 ukendte virus, hvoraf op til ...
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Minimally invasive spinal surgical techniques and tools are provided. The methods include separating the iliocostalis lumborum muscle from the anterior leaf of the thoracolumbar fascia to create a channel from the patients skin to the intertransverse interval. In one embodiment, the method also includes delivering graft material through the channel to the intertransverse interval. A device according to one aspect of the present invention includes a retraction portion having a flattened plate configured to atraumatically retract tissue to create a working space within an endosurgical site and a curved shaft attached to the retraction portion. The shaft includes a bend having a radius of preferably 160 degrees. A gripping portion is attached to the shaft and is configured for manually gripping and manipulating the device.