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Добірка наукової літератури з теми "Surgelé"

Автор: Grafiati

Опубліковано: 10 червня 2022

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Статті в журналах з теми "Surgelé"

Kalender, Mehmet, Ali Fedakar, Taylan Adademir, Salih Salihi, Kamil Boyacıoğlu, Babürhan Özbek, Mehmet Taşar, and Mehmet Balkanay. "CARDIAC SURGERY Trends in mechanical aortic valve replacement surgery in a large, multi-surgeon, single hospital practice." Polish Journal of Cardio-Thoracic Surgery 4 (2014): 367–72. http://dx.doi.org/10.5114/kitp.2014.47334.

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Sund, Monica, Trond Eiken, Jon Ove Hagen, and Andreas Kääb. "Svalbard surge dynamics derived from geometric changes." Annals of Glaciology 50, no. 52 (2009): 50–60. http://dx.doi.org/10.3189/172756409789624265.

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AbstractGeometric changes on a sample of Svalbard glaciers were studied using subtraction of repeat digital terrain models to determine early surge-stage dynamics. Changes in surface features were also analyzed. A number of new surges were found for glaciers not known to have surged previously. The surge development could be followed through three stages, of which the first two had not been previously described in Svalbard. The first two stages are mainly identified from glacier thickness changes and showed little visual evidence. In stage 1, initial surface lowering was found in the upper part of the glacier, followed by a thickening further down-glacier in stage 2. Stage 3 represents the period of well-developed surge dynamics that is usually reported. Some surges ceased at stage 2 as a partial surge and never developed into a fully active surge. These partial surges could be misinterpreted as rapid response to climate change. The results of this study further support previous findings that the majority of Svalbard glaciers are of surge type.

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Jiskoot, Hester, Asger Ken Pedersen, and Tavi Murray. "Multi-model photogrammetric analysis of the 1990s surge of Sortebræ, East Greenland." Journal of Glaciology 47, no. 159 (2001): 677–87. http://dx.doi.org/10.3189/172756501781831846.

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AbstractSortebræ is a surge-type tidewater glacier complex draining southeastward from the Geikie Plateau, East Greenland. Sortebræ’s main flow unit surged around 1950 and again between 1992 and 1995. The 1990s surge affected the lower 50 km of Sortebræ over an area of approximately 335 km2. Over a period of <1 year the tidewater front advanced >5 km. Surge velocities in the order of kilometres per annum are about 100-fold the quiescent velocities. Multi-model photogrammetric analysis shows a thinning of the reservoir zone of up to 219 m and thickening of the receiving zone of up to 74 m. The surge transported approximately 18.6 km3 of ice down-glacier. The total calving volume as a result of the surge amounted to 11.7 km3, equivalent to a calving flux of 3.9–7.3 km3 a−1. The surge characteristics and environmental setting suggest that the surge mechanism involves a switch in the subglacial drainage. This surge of Sortebræ is more similar to the fast, short Alaskan-type surges than to the sluggish, long Svalbard-type surges.

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Parthasarathi, Karisni, Surya Rao Rao Venkata Mahipathy, Alagar Raja Durairaj, Narayanamurthy Sundaramurthy, and Praveen Ganesh Natarajan. "Evaluation of awareness and perception of plastic surgery among general public at a suburban teaching hospital." International Surgery Journal 6, no. 12 (November 26, 2019): 4449. http://dx.doi.org/10.18203/2349-2902.isj20195411.

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Background: The general public is usually unaware of the available services of a plastic surgeon. Thus, we are trying to identify the perceptions of the public towards plastic surgery in a setting of a suburban tertiary teaching hospital by means of a questionnaire and the results were analyzed.Methods: 250 people took part in this study of varying ages, socioeconomic backgrounds, education levels and of either sex. These people were those visiting the different outpatient departments of our hospital. A short and simple questionnaire was devised in three languages of English, Tamil and Hindi. The questionnaires were analyzed and tabulated and the results were inferred.Results: 60.4% of the public think plastic surgery and cosmetic surgery are the same. 69.6% of the public think that plastic is used in plastic surgery. 90% of them think that there will be no scars following plastic surgery and that plastic surgery is only for the rich and famous. 39.6% of them think that plastic surgery is a risky operation whereas 30.4% feel that there is no risk involved. 80% of the population voted that a common procedure like rhinoplasty is done by a plastic surgeon. 70% of the public think that getting plastic surgery is good. All the public have heard the term plastic surgery, while 84.4% of them think that plastic surgery is only cosmetic surgery. 79.6% of the population has heard of plastic surgery from radio and television.Conclusions: There has been a sudden surge of plastic surgery performed over the recent years but the public are not much aware regarding these procedures and we must educate them for the speciality to progress.

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Hewitt, Kenneth. "Tributary glacier surges: an exceptional concentration at Panmah Glacier, Karakoram Himalaya." Journal of Glaciology 53, no. 181 (2007): 181–88. http://dx.doi.org/10.3189/172756507782202829.

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AbstractFour tributaries of Panmah Glacier have surged in less than a decade, three in quick succession between 2001 and 2005. Since 1985, 13 surges have been recorded in the Karakoram Himalaya, more than in any comparable period since the 1850s. Ten were tributary surges. In these ten a full run-out of surge ice is prevented, but extended post-surge episodes affect the tributary and main glacier. The sudden concentration of events at Panmah Glacier is without precedent and at odds with known surge intervals for the glaciers. Interpretations must consider the response of thermally complex glaciers, at exceptionally high altitudes and of high relief, to changes in a distinctive regional climate. It is suggested that high-altitude warming affecting snow and glacier thermal regimes, or bringing intense, short-term melting episodes, may be more significant than mass-balance change.

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Krane, Louis S., and Ashok K. Hemal. "Surgeon-controlled robotic ureteral surgery." Current Opinion in Urology 22, no. 1 (January 2012): 70–77. http://dx.doi.org/10.1097/mou.0b013e32834d4c8c.

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Vaira, Dino, Stuart R. Cairns, Mario Miglioli, Paolo Mulé, Marcello Menegatti, and Luigi Barbara. "Biliary Surgery without the Surgeon!" Digestive Diseases 11, no. 4-5 (1993): 278–87. http://dx.doi.org/10.1159/000171419.

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Quincey, D. J., and A. Luckman. "Brief Communication: On the magnitude and frequency of Khurdopin glacier surge events." Cryosphere 8, no. 2 (April 3, 2014): 571–74. http://dx.doi.org/10.5194/tc-8-571-2014.

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Abstract. The return periods of Karakoram glacier surges are poorly quantified. Here, we present evidence of an historic surge of the Khurdopin Glacier that began in the mid-1970s and peaked in 1979. Measured surface displacements reached >5 km a−1, two orders of magnitude faster than during quiescence. The Khurdopin Glacier next surged in the late 1990s, equating to a return period of 20 years. Surge evolution in the two events shows remarkable similarity suggesting a common trigger. Surge activity in the Karakoram needs to be better understood if accurate mass balance assessments of Hindu-Kush–Karakoram–Himalaya glaciers are to be made.

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Hancock, Ellen A., Kevin J. Hancock, Nandhika Wijay, and Danielle Andry. "Does Surgeon Gender Matter for Aesthetic Patients?" Aesthetic Surgery Journal 41, no. 9 (April 22, 2021): NP1237—NP1241. http://dx.doi.org/10.1093/asj/sjab201.

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Abstract Background Plastic surgery patients have expectations for an ideal practice to visit. However, patients’ preferences regarding their plastic surgeon are still being described. Objectives The aim of this study was to investigate if elective cosmetic plastic surgery patients exhibit gender preference in their plastic surgeon when making online inquiries. Methods A retrospective, single-practice review of all online inquiries for elective plastic surgery and nonsurgical injectable treatment from June 2019 to June 2020 was performed. The study was based on a private practice located in Houston, TX. The practice surgeons were a married couple, 1 female and 1 male, with identical training, age, and post-residency experience. Patients submitted an online inquiry for their procedure of interest and surgeon preference via the practice website. Results The private practice received 873 online inquiries during the year-long study period. The majority of patients were female, 855 (97.9%), and the remaining 18 (2.1%) were male. Of the female patients, 476 (55.7%) preferred a female surgeon and 138 (16.1%) preferred a male surgeon; 241 (28.2%) female patients expressed no surgeon preference. Regardless of surgeon preference, the majority of procedures inquired about were breast and body contouring. Conclusions This cohort of female patients prefers the female surgeon for breast procedures or multiple procedures involving the breast, and the male surgeon for injectable procedures and facial procedures. There is no preference for the male or female surgeon for body procedures. Female plastic surgery patients may be influenced by surgeon gender in choosing their surgeon, depending on their surgery of interest.

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Moore, PD, and GR Pupp. "Latex surgery and the podiatric surgeon." Journal of Orthopaedic Nursing 3, no. 3 (August 1999): 183. http://dx.doi.org/10.1016/s1361-3111(99)80074-0.

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Більше джерел

Дисертації з теми "Surgelé"

Jury, Vanessa. "Transferts couplés masse chaleur d'une matrice alvéolée : application à la décongélation-cuisson du pain précuit surgelé." Nantes, 2007. http://www.theses.fr/2007NANT2149.

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Cette thèse concerne l'étude des transferts couplés de masse et de chaleur au sein d'une matrice poreuse. Le pain précuit a été pris comme matrice d'étude avec comme objectif final une meilleure compréhension des phénomènes de transfert de masse et de chaleur prenant place lors de l'opération finale de décongélation – cuisson de ces produits. Les propriétés thermophysiques du pain précuit congelé ont été mesurées et modélisées. Un système de mesure de la conductivité thermique en continu lors de la décongélation-cuisson a été mis au point. La conductivité thermique a été modélisée avec un modèle parallèle prenant en compte le phénomène d'évaporation-condensation. L'étude des transferts de masse a pris en compte les transferts générés par un gradient de concentration (diffusivité) et ceux générés par un gradient de pression (perméabilité). Ces deux propriétés ont été reliées aux paramètres de structure (tortuosité, porosité et surface spécifique dynamique) de la matrice poreuse. Les résultats obtenus mettent en évidence la complexité des phénomènes physiques impliqués dans le transfert couplé de masse et de chaleur. La modélisation des transferts couplés masse-chaleur a été réalisée en géométrie cylindrique après avoir caractérisé l'activité de l'eau et mesuré le coefficient de convection. Le modèle prend en compte les phénomènes de transfert de masse liés au gradient de concentration mais aussi au gradient de pression. Les profils de température et de la teneur en eau ont été validés par comparaison avec l'expérience
This PhD dissertation concerns a study on coupled mass and heat transfer in porous media. Partially baked bread has been considered as a case study with the final objective a better understanding of the mass transfer and heat transfer phenomena taking place during the combined thawing – baking unit operation of such products. The thermophysical properties of partially baked bread have been measured an model has been used. An experimental set up has been designed to measure the thermal conductivity during the combined thawing baking operation. The thermal conductivity has been modelled with a parallel model taking into account the evaporation – condensation phenomenon. The study of the mass transfer has accommodated the mass transfer induced by a concentration gradient (mass diffusivity) and the mean related to structure parameters (tortuosity, porosity, specific surface) of the porous matrix. The results obtained stress out the complexity ot the phenomena involved in coupled heat and mass transfer. The modeling of the coupled heat and mass transfer has been done considering a cyclindrical geometry. Water activity and convective heat transfer have been determined previously. The model accommodates the mass transfer linked to the concentration gradient and also to the partial pressure gradient. Calculated temperature and water content profiles have been compared to experimental data

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Leinot, Alain. "Propriétés gélifiantes des protéines myofibrillaires (surimi) de sardines en fonction de la saison de pêche et de la durée d'entreposage réfrigéré ou congelé des poissons." Montpellier 2, 1991. http://www.theses.fr/1991MON20025.

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La valorisation d'un poisson gras pelagique, la sardine de mediterranee (sardina pilchardus), a ete etudiee en utilisant la technologie japonaise de preparation de surimi (concentre de proteines myofibrillaires). Les proprietes gelifiantes de ces proteines ont ete evaluees en mesurant la texture des gels de surimi prepares par incubation en presence de nacl, et par cuisson. L'alteration progressive des proprietes gelifiantes des proteines myofibrillaires a ete systematiquement etudiee en fonction de la temperature et de la duree d'entreposage refrigere ou congele des sardines. La vitesse d'alteration est toujours plus elevee avec les sardines pechees en periode de reproduction (mars ou juin 89) qu'avec celles pechees a d'autres periodes de l'annee (octobre ou decembre 88 ou 89). Les mecanismes biochimiques responsables de l'alteration des proprietes gelifiantes des proteines myofibrillaires ont ete etudies par mesures de solubilite a diverses forces ioniques, par electrophorese, et par calorimetrie differentielle a balayage

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Lejeune, Maxime. "Optimisation du couplage entre froid statique et inertie thermique. Application à un véhicule de livraison à domicile de produits surgelés." Electronic Thesis or Diss., Paris 6, 2016. http://www.theses.fr/2016PA066754.

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Dans le domaine du transport de denrées périssables à température dirigée, on distingue un type de livraison à domicile de produits surgelés qui utilise des petits véhicules réfrigérés à plaques eutectiques et à portes latérales. Leur concept se base sur un stockage de froid à forte inertie thermique permis par l’utilisation de Matériaux à Changement de Phase (MCP). Aujourd’hui, les objectifs de protection environnementale et les contraintes qui en découlent pour les industriels conduisent à devoir optimiser ces systèmes et à repenser leur conception. Dans cette étude une démarche expérimentale et numérique a été adoptée dans le but de mieux comprendre le comportement thermique de ce type de véhicule à froid statique, et de prévoir l’évolution en température des produits transportés afin de garantir le respect de la chaine du froid. Des essais ont été réalisés en conditions simulées de fonctionnement (véhicule à l’arrêt) ainsi qu’en conditions réelles de fonctionnement (en livraison). La conception de deux prototypes a également été engagée, un premier qui contient une masse réduite de MCP et un deuxième qui n’en contient plus. En parallèle une modélisation semi-empirique de type nodale nous a permis de simuler différents systèmes caractérisés par des échanges thermiques par convection naturelle. Finalement une analyse multicritères des performances de trois concepts de véhicules a été menée selon un cahier des charges établi auprès d’un professionnel de la livraison à domicile de produits surgelés
A type of frozen food home delivery vehicles consist of light commercial vehicles made of eutectic plates and multiple lateral doors. Their concept is based on the high thermal inertia of a cold storage made of a phase change material (PCM). Nowadays sustainability concern and consequences create opportunities and challenges to proof new concepts for this type of refrigerated vehicles and to optimize existing system design. In this study an experimental and numerical approach has enabled to better understand the thermal behavior of such static cold systems as well as to predict the temperature evolution in transported goods for the cold chain continuity. Two prototypes with a new design have been built, one containing a reduced masse of PCM and another one without any PCM. Tests under controlled conditions and field tests have been performed. Meanwhile, a semi-empirical nodal modeling has been developed and used to simulate these different systems dominated by natural convection. Finally, a multi criteria performance analysis has been made regarding the requirement of a frozen food delivery vehicle user

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Marlard, Sylvain. "Différenciation de filets de poisson frais de filets congelés/décongelés sur le modèle du bar (Dicentrarchus labrax)." Thesis, Littoral, 2013. http://www.theses.fr/2013DUNK0411.

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En alimentation humaine, le poisson représente non seulement une source importante de protéines mais il apporte aussi des acides gras essentiels et des minéraux. Actuellement, en France, il est majoritairement consommé sous forme fraîche et préparé en filets sans peau. Cependant, face à la diminution des captures, à l'augmentation de la demande et à l'évolution des modes de consommation, l'importation de produits de la mer est de plus en plus importante dans notre pays. Or, depuis quelques années, les importateurs suspectent des fraudes consistant à vendre des filets de poisson décongelés sous la dénomination "frais". Ces produits entrent ainsi en concurrence directe avec les produits de la pêche française. L'objectif de la thèse consiste à mettre au point et à optimiser des méthodes de différenciation des filets de poisson frais de filets décongelés. La technique de l'électrophorèse bidimensionnelle comparative couplée à la spectrométrie de masse nous a permis d'identifier la parvalbumine comme marqueur de différenciation frais/décongelé à partir des exsudats de filets de bar (Dicentrarchus labrax). Nous avons utilisé la composition des exsudats comme source potentielle d'autres indicateurs pour différencier les filets frais des filets décongelés. Nous nous sommes ainsi intéressés à différents paramètres tels que l'activité de l'α-glucosidase lysosomique (marqueur historique), le dosage du calcium libre et le dosage des nucléotides et de leurs dérivés, des protéines et des parvalbumines. Nous avons procédé à une analyse statistique par Classification Hiérarchique Ascendante (CHA) et nous avons ainsi mis en évidence trois groupes dissimilaires : les indicateurs de lyse cellulaire, les indicateurs d'altération des nucléotides et les indicateurs d'altération des protéines. Nous disposons ainsi d'outils de différenciation frais/décongelé complémentaires, rapides et peu onéreux susceptibles de répondre aux attentes des industriels de la filière
Inhuman diet, seafood is an important source of proteins, essential fatty acids and minerals. Nowadays, in France, fresh fish is mainly consumed as skinless fillets. Due to the decrease of the fishing and the increase and evolution of fish consumption, the importation of fish becomes more significant in our country. Since several years, the importers suspect fraudulent pratices consisting in selling thawed fish fillets labeled as fresh ones. These products are directly in competition with the national fish market. The main aim of this thesis consisted in developing and improving methods to differentiate fresh versus frozen/thawed fish fillets. A comparative two-dimensional electrophoresis and tandem mass spectrometry proteins identification strategy, performed on fish fillet exudates of European sea bass (Dicentrarchus labrax) allowed us to identify parvalbumin as a protein marker for differentiation. Further analysis of exudates composition could be a good way to find other indicators. The lysosomal alpha-glucosodase activity is already used to differentiate fresh versus frozen/thawed fillets. Two new indicators were studied : concentration of the nucleotides and their derivatives and free calcium concentration. The total protein and the parvalbumin concentrations were also measured. An Ascendant Hierarchical Clustering (AHC) was done to aggregate the variables into three dissimular clusters : the cellular lysis indicators, the proteins damages indicators and the nucleotides alteration

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Magampa, Ramanare. "Surgeon directed transcranial motor evoked potential spinal cord monitoring in spinal deformity surgery: A review of viability, safety and efficacy." Master's thesis, Faculty of Health Sciences, 2021. http://hdl.handle.net/11427/32793.

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Aims Spinal deformity surgery carries the risk of neurological injury. Neurophysiological monitoring allows early identification of intraoperative cord injury facilitating early intervention which has a better prognosis. Although multimodal monitoring is the ideal, resource constraints make surgeon directed intra-operative transcranial motor evoked potential (TcMEP) monitoring a useful compromise. Our experience using surgeon directed TcMEP is presented in terms of viability, safety and efficacy. Methods A retrospective review was performed on a single surgeon's prospectively maintained database from 2010 to 2017 where TcMEP monitoring was utilised. The upper limbs were used as the control. A true alert was recorded when there was a 50% or more loss of amplitude of the lower limbs with maintained upper limb signals. Patients with true alerts were identified and their case history analysed. Results Of the 299 cases were reviewed, 279 (93.3%) had acceptable traces throughout and awoke with normal clinical neurological function. No case with normal traces had a post-operative clinical neurological deficit. True alerts occurred in 20 (6.7%) cases. The alert group diagnoses included adolescent idiopathic scoliosis 9 (45%) and congenital scoliosis 6 (30%). The incidence of deterioration based on diagnosis AIS was 9/153 (6%), congenital 6/30 (20%) and TB spine 2/16 (12.5%). Deterioration in congenital is much more common (p=0.02) when compared to AIS. 65% of alerts occurred during rod instrumentation and 15% during decompression of the internal apex in vertebral column resection surgery. 4 (20%) alert cases awoke with clinically detectable neurological compromise Conclusion Surgeon directed TcMEP monitoring has a 100% negative predictive value and allows early identification of physiological cord distress and immediate intervention. In resource constrained environments, surgeon directed TcMEP is a viable and effective method of intra-operative spinal cord monitoring. Clinical relevance • Surgeon directed TcMEP monitoring has a 100% negative predictive value. • In resource constrained environments, surgeon directed TcMEP is viable and effective • Level 3 evidence

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Zolotaryova, A. "Plastic surgery." Thesis, Сумський державний університет, 2013. http://essuir.sumdu.edu.ua/handle/123456789/33929.

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Plastic surgery is a medical specialty concerned with the correction or restoration of form and function. Though cosmetic or aesthetic surgery is the best-known kind of plastic surgery, most plastic surgery is not cosmetic: plastic surgery includes many types of reconstructive surgery, hand surgery, microsurgery, and the treatment of burns. When you are citing the document, use the following link http://essuir.sumdu.edu.ua/handle/123456789/33929

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Morkvin, Y., R. Kremeznoy, Наталія Ігорівна Муліна, Наталия Игоревна Мулина, and Nataliia Ihorivna Mulina. "Robotic surgery." Thesis, Сумський державний університет, 2013. http://essuir.sumdu.edu.ua/handle/123456789/31098.

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Surgery is a field of study that deals mainly with lives especially that of the human life. A lot of activities take place in the theatre, as surgeons and other medical personnel are usually faced with problem of saving human live via surgical operations. Sometimes, errors occur in course of operating on delicate parts of the body, which might result to severe injury and sometimes death due to inaccuracy on the side of surgeons. This is the reason why it is imperative that the issue of error should be corrected using a well developed machine called ROBOT to perform delicate surgical operations as they can only do that which they have been programmed for. When you are citing the document, use the following link http://essuir.sumdu.edu.ua/handle/123456789/31098

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Shen, Jun. "Framework for ultrasonography-based augmented reality in robotic surgery : application to transoral surgery and gastrointestinal surgery." Thesis, Rennes 1, 2019. http://www.theses.fr/2019REN1S078.

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Cette thèse porte sur le développement d’une solution de réalité augmentée dans le cadre de la chirurgie robotisée et plus particulièrement pour la chirurgie transorale des tumeurs de la base de langue et la chirurgie laparoscopique des cancers du bas rectum. Une des problématiques pour les chirurgiens est de repérer sur la vue endoscopique les limites de la tumeur et les marges de résections. Celles-ci sont en effet non visibles directement. L’échographie peropératoire est largement utilisée pour repérer les tumeurs lors des interventions. Nous proposons donc une solution de réalité augmentée dans laquelle l’information extraite de l’échographie est reprojetée sur la vision binoculaire de la station de chirurgie robotisée afin de guider le chirurgien dans la résection de la tumeur. Plusieurs verrous de cette chaîne de traitement ont été repérés et étudiés. Nous avons ainsi proposé une nouvelle méthode pour la calibration de sondes d’échographie. Nous avons démontré que cette méthode était plus facile à mettre en œuvre, plus rapide et plus précise que les méthodes proposées dans la littérature. Cette sonde calibrée, associée à des outils de localisation et de calibration de la sonde endoscopique nous a permis de proposer une solution de réalité augmentée qui permettait de reprojeter l’information acquise sur l’image sur la vue endoscopique avec des erreurs inférieures à 1 mm. Nous avons alors établi la preuve de concept de l’application de cette chaîne de réalité augmentée dans deux expérimentations, l’une sur un fantôme physique en silicone du rectum et l’autre sur une langue de mouton en ex-vivo. Les résultats expérimentaux ont montré que l’information augmentée avait permis au chirurgien de percevoir avec précision les marges de résections des tumeurs simulées et d’accomplir le geste opératoire à l’aide de cette perception
The medical context of this thesis is transoral robotic surgery for base of tongue cancer and robot-assisted laparoscopic surgery for low-rectal cancer. One of the main challenges for surgeons to perform these two surgical procedures is to identify the tumor resection margins accurately, because tumors are often concealed in base of tongues or rectal walls and there is lack of efficient intraoperative guidance systems. However, ultrasonography is widely used to image soft-tissue tumors, which motivates our proposition of an augmented reality framework based on intraoperative ultrasonography images for tumor resection guidance. The framework, proposed, with clinical partners, consists to adapt to the surgical workflow of robot-assisted surgery for treating base of tongue cancer and low-rectal cancer. For this purpose, we developed a fast and accurate 3D ultrasound probe calibration method to track the probe and facilitate its intraoperative use. Moreover, we evaluated the performance of the proposed framework augmenting an intraoperative endoscopic camera with ultrasound information, which shows less than 1mm error. Furthermore, we designed experimental protocols using a silicone rectum phantom and an ex-vivo lamb tongue, that simulate the integration of the implemented framework into the current surgical workflow. The experimental results show that, according to the augmented endoscopic views provided by the proposed framework, a surgeon is able to accurately identify the resection margins of the simulated tumors in these phantoms

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Hauck, Robert. "Virtual surgery and orthopaedic surgery : towards training using haptic technology." Thesis, University of Nottingham, 2017. http://eprints.nottingham.ac.uk/38530/.

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Medical education and practical training in surgery is changing, by shifting from an on the job learning paradigm, which possesses problems such as that it is unpredictable, dependent on clinical needs and that patient safety may be jeopardised, to an evidence-based surgical skills training driven by curricular needs, and acquiring basic surgical skills prior to assisting in the operating theatre and thus reducing operation duration. Towards achieving this goal, virtual reality (VR) simulators are used in minimally invasive surgery for technical skills training at the beginning of the learning curve, but have not yet been adapted for open surgery due to its complexity for simulation. This thesis investigated the potential of using a VR simulator for training in orthopaedic hand surgery, with an emphasis on providing a meaningful, effective and motivating addition to current training methods for surgical procedures. A review of literature, preliminary research projects and currently available surgical systems revealed limited results on whether a VR simulation of orthopaedic hand surgery could be created, fulfilling the needs of medical experts. Therefore, a study investigating the current state of medical education and to understand the expectations on such a simulator was carried out, which resulted in the identification of promising medical scenarios for simulation (such as carpal tunnel release, distal radius fracture treatment or surgical incision) and in requirements for its development. Different software frameworks have been evaluated for their ability for use by analysing five developed demonstrators, with the result that a custom implementation of a six-degrees-of-freedom haptic algorithm was required. By following a human-centred design approach, a VR surgical simulator with inbuilt objective measures of assessment has been developed, allowing applying a plate, drilling holes, measuring their lengths, inserting screws and taking virtual X-rays, supported by haptic feedback for increased realism and teaching aspects not possible by common computer-based simulators, such as feeling the resistance when drilling through the cortical bone. By close collaboration with medical experts and following user interface design principles, a carried out medical evaluation of the simulator showed that the simulator was well-received by the targeted young doctors and medical students, that relevant aspects of the implemented medical scenario are taught and that the users’ performance can be assessed. The findings of this work showed that it is possible to create an interactive VR simulator aimed at early stages to learn basic orthopaedic principles of open surgery using the example of the treatment of distal radius fractures in a meaningful manner. It addresses issues in the current medical education and enables learning educational objectives repeatedly in reusable medical scenarios and in a safe and controlled environment, without the risk of harming patients, and thus contributing to improved quality and patient safety when proceeding to the operating theatre.

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Streletskyi, Ye S., and S. S. Strizhak. "Robotics serving surgery." Thesis, Sumy State University, 2017. http://essuir.sumdu.edu.ua/handle/123456789/62810.

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Книги з теми "Surgelé"

Galante, Joseph M., and Raul Coimbra, eds. Thoracic Surgery for the Acute Care Surgeon. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-48493-4.

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H, Antia N., and Furnas David W. 1931-, eds. Handbook of plastic surgery for the general surgeon. 2nd ed. New Delhi: Oxford University Press, 2000.

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Gahtan, Vivian, and Michael J. Costanza, eds. Essentials of Vascular Surgery for the General Surgeon. New York, NY: Springer New York, 2015. http://dx.doi.org/10.1007/978-1-4939-1326-8.

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Klimberg, V. Suzanne, Tibor Kovacs, and Isabel T. Rubio, eds. Oncoplastic Breast Surgery Techniques for the General Surgeon. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-40196-2.

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Wichmann, Matthias. Rural Surgery: Challenges and Solutions for the Rural Surgeon. Berlin, Heidelberg: Springer-Verlag Berlin Heidelberg, 2011.

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K, Wood Donald, ed. Lloyd M. Nyhus, MD, FACS: Surgeon, mentor, visionary for 20th century surgery. Chicago, Illinois: University of Illinois at Chicago, Department of Surgery, 2013.

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Sex, lies and cosmetic surgery: Things you'll never learn from your plastic surgeon. West Conshohocken, PA: Infinity, 2006.

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Bruno, da Longoburgo, ca. 1200-1286. and Bruno, da Longoburgo, ca. 1200-1286., eds. The surgery of Bruno da Longoburgo: An Italian surgeon of the thirteenth century. Pittsburgh, Pa: Dorrance Pub., 2003.

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Tamar, Haspel, ed. I've got your back: The truth about back surgery, straight from a surgeon. New York, N.Y: New American Library, 2007.

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Neely, James C. How your surgeon feels: Lifetime essays in the art and science of surgery. Bloomington, IN: IUniverse, 2009.

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Частини книг з теми "Surgelé"

Paul, George, and Manjunath Rai. "Medicolegal Issues in Maxillofacial Surgery." In Oral and Maxillofacial Surgery for the Clinician, 883–925. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-15-1346-6_44.

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AbstractEvery profession is governed by a set of rules and regulations, and the same applies to the field of maxillofacial surgery. The young surgeon must therefore be aware of what legal requirements he/she must fulfil while practising the profession. Maxillofacial surgery is a challenging field that straddles both medicine and surgery, and therefore surgeons must be very aware of the legal scope of this field. Record keeping such as the informed consent and procedure notes are important legal requirements and must be maintained to provide legal proof of service and respect patient’s rights Maxillofacial surgeons play an important role as expert witnesses in cases of violence that have affected the head and neck region. In addition to all these legal requirements, the maxillofacial surgeon is also extremely vulnerable to civil or criminal litigation in the form of negligence. Surgeons must be aware of their duties and rights. They must also be familiar with legal issues like negligence and how to deal with it.

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van Weert, Stijn, Sat Parmar, and C. René Leemans. "Salvage Surgery in Head and Neck Cancer." In Critical Issues in Head and Neck Oncology, 233–46. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-63234-2_16.

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AbstractSalvage surgery (SS) in head and neck cancer is considered a last resort treatment after failure of organ preservation treatments. It offers challenges to the patients and the surgeon. The outcome of SS is often uncertain in terms of survival and quality of life. This paper offers an overview of evolution in SS, tumor and patient factors to be considered, challenges in reconstructive surgery, complications of SS and the changing landscape with regard to increasing incidence of human papillomavirus positive tumours, the role of transoral robotic surgery, the importance of multidisciplinary management and shared decision making.

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Renapurkar, Shravan, and Sowjanya Nagamalla. "Piezosurgery in Oral and Maxillofacial Surgery." In Oral and Maxillofacial Surgery for the Clinician, 831–39. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-15-1346-6_40.

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AbstractPiezoelectric devices are a revolutionary surgical tool with original application in Oral and Maxillofacial Surgery and then adapted to multiple other surgical specialties, including orthopedic surgery, neurosurgery, and otorhinolaryngology. The major advantage for the surgeon is protection of the soft tissues, which are vital for the outcome and patient’s quality of life. This chapter deals with a description of the equipment, principles of use, advantages/disadvantages, and some common clinical applications. With time, the device and its applications have evolved and continue to diversify.

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Jimson, Samson. "Residual Deformities of the Maxillofacial Region." In Oral and Maxillofacial Surgery for the Clinician, 1303–39. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-15-1346-6_61.

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AbstractA maxillofacial surgeon plays a vital role in not only restoring the structural form of the maxillofacial unit but also aims to restore the pre-traumatic functional status of the patient. Diagnosis and Clinical evaluation with enhanced treatment planning and restoration of aesthetics and function is the key for any maxillofacial surgery. However, it is not always possible to achieve the most appropriate results in all cases. It is not uncommon to see failure or more mediocre outcomes following maxillofacial trauma surgery. The outcome of the primary treatment may depend on factors like the extent of the injury/defect, delay in diagnosis/management, improper treatment plan, lack of use in modern diagnostic/treatment planning utilities, poor execution of treatment plan, inexperience of the surgeon leading to not expecting the eventful deformities, not coordinating with other specialists to yield the most standard and deserving treatment for the patient with restoration of both form and function. Residual deformities are seen following primary treatment of trauma due to one more reason mentioned earlier. Correction of such residual deformities may be challenging to the surgeon but very often a life-changing experience for patients. It is the experience of the surgeon that helps to recognise the challenges ahead in restoring the form and function. Residual deformities are often evaluated by the extent of deformities following primary management. Apart from reasons that may pertain to the experience of the operating surgeon, pathobiology of the healing zone may also contribute to the residual deformities. This chapter discusses in detail about the traumatic residual deformities and its management, also in brief about post-oncosurgical residual deformities.

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Chambers, Anthony J., and Janice L. Pasieka. "Thyroid Surgery for the Community General Surgeon." In Rural Surgery, 309–14. Berlin, Heidelberg: Springer Berlin Heidelberg, 2011. http://dx.doi.org/10.1007/978-3-540-78680-1_41.

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Nayak, Kishore. "Oral and Maxillofacial Surgery in India: How Did We Get Here and Where Are We Going?" In Oral and Maxillofacial Surgery for the Clinician, 3–7. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-15-1346-6_1.

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AbstractAny discussion about the history of surgery inevitably begins with an invariable reference to Suśruta and his contributions to facial surgery, in particular. While the contributions of the sixth-century sage surgeon may somewhat be nebulous in a foggy poorly documented history, they are inevitably (and arguably) numerous but need not be elaborated here in any manner. What is lesser known and not often spoken about is that Suśruta considered surgery the first and foremost branch of medicine and stated, “Surgery has the superior advantage of producing instantaneous effects by means of surgical instruments and appliances. Hence, it is the highest in value of all the medical tantras. It is eternal and a source of infinite piety, imports fame and opens the gates of Heaven to its votaries. It prolongs the duration of human existence on earth and helps men in successfully fulfilling their missions and earning a decent competence in life.”

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Zucca-Matthes, Gustavo. "Oncoplastic Breast Surgery Techniques for the General Surgeon." In Oncoplastic Breast Surgery Techniques for the General Surgeon, 613–23. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-40196-2_36.

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Thermann, Hajo, and Christoph Becher. "Achilles Tendon Surgery: Perspective from an Orthopedic Surgeon." In Sports Injuries, 2127–35. Berlin, Heidelberg: Springer Berlin Heidelberg, 2015. http://dx.doi.org/10.1007/978-3-642-36569-0_184.

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Thermann, Hajo, and Christoph Becher. "Achilles Tendon Surgery: Perspective from an Orthopedic Surgeon." In Sports Injuries, 1–11. Berlin, Heidelberg: Springer Berlin Heidelberg, 2014. http://dx.doi.org/10.1007/978-3-642-36801-1_184-1.

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Ceriani, Valerio, Ferdinando Pinna, and Marta Tagliabue. "Accreditation of the Surgeon in Emergency Bariatric Surgery." In Emergency Surgery in Obese Patients, 189–92. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-17305-0_25.

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Тези доповідей конференцій з теми "Surgelé"

Vahrmeijer, Alexander L., Labrinus van Manen, and J. Sven D. Mieog. "Optics in surgery: the surgeon perspective." In Unconventional Optical Imaging, edited by Corinne Fournier, Marc P. Georges, and Gabriel Popescu. SPIE, 2018. http://dx.doi.org/10.1117/12.2318071.

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Zhou, Tian, Jackie S. Cha, Glebys T. Gonzalez, Juan P. Wachs, Chandru Sundaram, and Denny Yu. "Joint Surgeon Attributes Estimation in Robot-Assisted Surgery." In HRI '18: ACM/IEEE International Conference on Human-Robot Interaction. New York, NY, USA: ACM, 2018. http://dx.doi.org/10.1145/3173386.3176981.

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Stricko, Robert G., Brett Page, Amy E. Kerdok, Brandon Itkowitz, and Jason Pile. "Port Placement Optimization for Robotically-Assisted Minimally Invasive Surgery." In 2018 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2018. http://dx.doi.org/10.1115/dmd2018-6840.

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Minimally invasive surgery (MIS) requires ports to be placed through the body wall in a manner such that instruments can reach a desired area. Limitations of laparoscopic surgery include maintaining triangulation and ergonomics for the surgeon while allowing access to the anatomy with non-wristed instruments [1]. In robotically-assisted MIS, the surgeon does not stand bedside, and they have wristed instruments that the robot manipulates. Limitations of robotically-assisted MIS include range of motion (ROM) limits and decreased spatial awareness, resulting in the potential for interfering robotic components. As a result, port placement varies between laparoscopic and robotically-assisted surgery.

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Estebanez, B., G. Jimenez, V. Munoz, I. Garcia-Morales, E. Bauzano, and J. Molina. "Minimally invasive surgery maneuver recognition based on surgeon model." In 2009 IEEE/RSJ International Conference on Intelligent Robots and Systems (IROS 2009). IEEE, 2009. http://dx.doi.org/10.1109/iros.2009.5354157.

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Dai, Xinxin, Baoliang Zhao, Yucheng He, Yu Sun, and Ying Hu. "A Foot-Controlled Interface for Endoscope Holder in Functional Endoscopic Sinus Surgery." In 2017 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/dmd2017-3421.

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Endoscopic nasal surgery is with minimal invasiveness for the surgical treatment of nasal disease. During traditional functional endoscopic sinus surgery (FESS), the surgeon uses one hand to hold the surgical instrument leaving the other hand to hold the endoscope. When the surgeon needs to use two hands to perform some complex procedure, an assistant surgeon is required to help holding the endoscope, and this requires good teamwork and long-time training. To solve this problem, researchers proposed to use robots to hold the endoscope, freeing the surgeon’s hands for bimanual operation. Sun developed a passive arm with pneumatic locking mechanism to hold the endoscope in FESS, but the surgeon needs to adjust the pose of the endoscope manually, which interrupts the surgery flow and lengthens the surgery time [1]. Many motor-driven endoscope holders have been proposed in literature [2], the surgeon interact with the robot with joystick, voice command, pedals or head movement [3–5]. However, there exists some drawbacks with these interacting methods, for example, joystick requires one of the surgeon’s hands, voice command is usually subject to interference and has long time-delay, foot pedals and head movement distract surgeon’s attention. Lin used a foot-attached IMU sensor to control an active robotic endoscopic holder, the inversion/eversion and abduction/adduction motions of foot are used to select and control different joints, but the motor can be only selected in order, which is unhandy for the four-joint scenario [6]. In this paper, a similar foot-attached IMU sensor is used, and the joints are selected in an easier manner, based on the angle of plantarflexion. Rather than the angle, the angular velocity of abduction/adduction is utilized to control the moving direction of the active joint. This paper describes the test result of the proposed control interface.

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Hisamatsu, Rikito, Sooyoul Kim, and Shigeru Tabeta. "Storm Surge Estimation Along Tokyo Bay Based on a Simple Stochastic Approach." In ASME 2018 37th International Conference on Ocean, Offshore and Arctic Engineering. American Society of Mechanical Engineers, 2018. http://dx.doi.org/10.1115/omae2018-77353.

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In recent years, refinement of stochastic storm surge estimation is essential for risk management in insurance industries because the Japanese government promotes flood risk transfer to insurance companies. Insurance systems may reach peak risk when storm surge damage occurs; however, there are only a few studies on the stochastic analysis of storm surges. This paper presents the stochastic evaluation of storm surges in Tokyo Bay. First, storm surges are assessed using two methods of an empirical formula and a numerical model. Then, the return period of storm surges is stochastically evaluated. It is found that an empirical formula underestimates the surge level in comparison to the numerical model. Based on the results of numerical model, the return period of a storm surge is proposed in Tokyo Bay.

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Cepolina, F., and M. Zoppi. "Snail surgeon: a new robotic system for minimally invasive surgery." In Proceedings of the Fifth International Workshop on Robot Motion and Control. IEEE, 2005. http://dx.doi.org/10.1109/romoco.2005.201399.

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Bauzano, E., V. F. Muñoz, and I. Garcia-Morales. "Auto-guided movements on Minimally Invasive Surgery for surgeon assistance." In 2010 IEEE/RSJ International Conference on Intelligent Robots and Systems (IROS 2010). IEEE, 2010. http://dx.doi.org/10.1109/iros.2010.5650875.

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Li, Qinghang, Lucia Zamorano, Zhaowei Jiang, Hans J. Holdener, Paul King, and Fernando Diaz. "Interactive Image Guided Surgery: The Experience of Wayne State University." In ASME 1997 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 1997. http://dx.doi.org/10.1115/imece1997-0323.

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Abstract Stereotactic localization using multimodality of medical images (such as CT or MRI) is increasingly employed to guide neurosurgical procedures 1,2,3,5. This technique provides highly accurate intraoperative localization and allows the surgeon to resect a lesion in its entirety while sparing critical areas of the brain. Image guided interactive frameless stereotaxy has been successfully applied to intracranial surgery and spine surgery. It has demonstrated a potential for reducing both operative time and morbidity. In this paper we described our interactive image guided surgery system and the experience of appling to different kind of surgery.

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Treat, M. R. "A Surgeon’s Perspective on MEMS for Surgery." In ASME 1997 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 1997. http://dx.doi.org/10.1115/imece1997-0343.

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Abstract Surgery has changed a great deal in the past decade. The change is denoted by the term “minimally invasive surgery”. The essence of minimally invasive surgery is the use of technology to enable the surgeon to perform his therapeutic tasks in ways which are less physically and physiologically harmful to the patient. At present, the technologies principally in use are imaging technologies (chiefly video and x-ray) coupled with some very basic mechanical devices which allow the surgeon to manipulate organs in various body cavities without opening the body cavity. There is still a long way to go in achieving the full potential of minimally invasive surgery. MEMS technologies can definitely play a role here. I envision the main use for MEMS technology to be in allowing us to design surgical instruments which incorporate various kinds of sensors. Placing micro sensors on the instruments will restore for the surgeon the tactile immediacy of operating with his hands directly on the tissue, instead of through the intermediary of an insensitive and awkward mechanical device. The sensor types which will probably be useful for surgical instruments fall into two overall categories: the first category is sensors which give the surgeon some force feedback as he goes about the job of placing various types of tissue fasteners (staples or sutures). Many surgical complications arise because there is insufficient or inaccurate force feedback to regulate the closing pressure of staples or sutures. Excessive closing pressures can result in tissue necrosis while insufficient pressures may result in leakage through the staple/suture line. The other category of sensors would be various chemo sensors, which can detect the pH, oxygen and carbon dioxide levels in tissue, as well as other chemical entities of clinical importance such as lactic acid.

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Repository, Science. How Laparoscopic Surgery Has Taken Over Open Surgery. Science Repository, November 2020. http://dx.doi.org/10.31487/sr.blog.17.

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A single large incision is made during “open surgery”, whereas the “laparoscopic surgery” takes the help of several smaller incisions for entering the abdomen and the recovery time of the patient is also faster compared to traditional open surgeries

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Martzloff, Francois D. Surge protection in low-voltage AC power circuits - an anthology, part 4 - propagation and coupling of surges. Gaithersburg, MD: National Institute of Standards and Technology, 2002. http://dx.doi.org/10.6028/nist.ir.6714-4.

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Cleary, Kevin. Periscopic Spine Surgery. Fort Belvoir, VA: Defense Technical Information Center, January 2002. http://dx.doi.org/10.21236/ada402363.

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Cleary, Kevin R. Periscopic Spine Surgery. Fort Belvoir, VA: Defense Technical Information Center, January 2005. http://dx.doi.org/10.21236/ada433062.

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Murphy, Curtiss. Safe Surgery Trainer. Fort Belvoir, VA: Defense Technical Information Center, August 2014. http://dx.doi.org/10.21236/ada608718.

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Murphy, Curtiss. Safe Surgery Trainer. Fort Belvoir, VA: Defense Technical Information Center, July 2014. http://dx.doi.org/10.21236/ada606668.

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Murphy, Curtiss. Safe Surgery Trainer. Fort Belvoir, VA: Defense Technical Information Center, October 2014. http://dx.doi.org/10.21236/ada610557.

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Murphy, Curtiss. Safe Surgery Trainer. Fort Belvoir, VA: Defense Technical Information Center, December 2014. http://dx.doi.org/10.21236/ada613393.

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Cleary, Kevin R. Periscopic Spine Surgery. Fort Belvoir, VA: Defense Technical Information Center, March 2005. http://dx.doi.org/10.21236/ada434394.

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Murphy, Curtiss. Safe Surgery Trainer. Fort Belvoir, VA: Defense Technical Information Center, November 2014. http://dx.doi.org/10.21236/ada613392.

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