Science.gov

Sample records for operational magnitudes implantation

  1. Low-magnitude high-frequency loading via whole body vibration enhances bone-implant osseointegration in ovariectomized rats.

    PubMed

    Chen, BaiLing; Li, YiQiang; Xie, DengHui; Yang, XiaoXi

    2012-05-01

    Osseointegration is vital to avoid long-time implants loosening after implantation surgery. This study investigated the effect of low-magnitude high-frequency (LMHF) loading via whole body vibration on bone-implant osseointegration in osteoporotic rats, and a comparison was made between LMHF vibration and alendronate on their effects. Thirty rats were ovariectomized to induce osteoporosis, and then treated with LMHF vibration (VIB) or alendronate (ALN) or a control treatment (OVX). Another 10 rats underwent sham operation to establish Sham control group. Prior to treatment, hydroxyapatite (HA)-coated titanium implants were inserted into proximal tibiae bilaterally. Both LMHF vibration and alendronate treatment lasted for 8 weeks. Histomorphometrical assess showed that both group VIB, ALN and Sham significantly increased bone-to-implant contact and peri-implant bone fraction (p < 0.05) when compared with group OVX. Nevertheless the bone-to-implant contact and peri-implant bone fraction of group VIB were inferior to group ALN and Sham (p < 0.05). Biomechanical tests also revealed similar results in maximum push out force and interfacial shear strength. Accordingly, it is concluded that LMHF loading via whole body vibration enhances bone-to-implant osseointegration in ovariectomized rats, but its effectiveness is weaker than alendronate. Copyright © 2011 Orthopaedic Research Society.

  2. Enhancement of Implant Osseointegration by High-Frequency Low-Magnitude Loading

    PubMed Central

    Zhang, Xiaolei; Torcasio, Antonia; Vandamme, Katleen; Ogawa, Toru; van Lenthe, G. Harry; Naert, Ignace; Duyck, Joke

    2012-01-01

    Background Mechanical loading is known to play an important role in bone remodelling. This study aimed to evaluate the effect of high- and low-frequency axial loading, applied directly to the implant, on peri-implant bone healing and implant osseointegration. Methodology Titanium implants were bilaterally installed in rat tibiae. For every animal, one implant was loaded (test) while the other one was not (control). The test implants were randomly divided into 8 groups according to 4 loading regimes and 2 experimental periods (1 and 4 weeks). The loaded implants were subject to an axial displacement. Within the high- (HF, 40 Hz) or low-frequency (LF, 8 Hz) loading category, the displacements varied 2-fold and were ranked as low- or high-magnitude (LM, HM), respectively. The strain rate amplitudes were kept constant between the two frequency groups. This resulted in the following 4 loading regimes: 1) HF-LM, 40 Hz-8 µm; 2) HF-HM, 40 Hz-16 µm; 3) LF-LM, 8 Hz-41 µm; 4) LF-HM, 8 Hz-82 µm. The tissue samples were processed for resin embedding and subjected to histological and histomorphometrical analyses. Data were analyzed statistically with the significance set at p<0.05. Principal Findings After loading for 4 weeks, HF-LM loading (40 Hz-8 µm) induced more bone-to-implant contact (BIC) at the level of the cortex compared to its unloaded control. No significant effect of the four loading regimes on the peri-implant bone fraction (BF) was found in the 2 experimental periods. Conclusions The stimulatory effect of immediate implant loading on bone-to-implant contact was only observed in case of high-frequency (40 Hz) low-magnitude (8 µm) loading. The applied load regimes failed to influence the peri-implant bone mass. PMID:22808172

  3. Enhancement of implant osseointegration by high-frequency low-magnitude loading.

    PubMed

    Zhang, Xiaolei; Torcasio, Antonia; Vandamme, Katleen; Ogawa, Toru; van Lenthe, G Harry; Naert, Ignace; Duyck, Joke

    2012-01-01

    Mechanical loading is known to play an important role in bone remodelling. This study aimed to evaluate the effect of high- and low-frequency axial loading, applied directly to the implant, on peri-implant bone healing and implant osseointegration. Titanium implants were bilaterally installed in rat tibiae. For every animal, one implant was loaded (test) while the other one was not (control). The test implants were randomly divided into 8 groups according to 4 loading regimes and 2 experimental periods (1 and 4 weeks). The loaded implants were subject to an axial displacement. Within the high- (HF, 40 Hz) or low-frequency (LF, 8 Hz) loading category, the displacements varied 2-fold and were ranked as low- or high-magnitude (LM, HM), respectively. The strain rate amplitudes were kept constant between the two frequency groups. This resulted in the following 4 loading regimes: 1) HF-LM, 40 Hz-8 µm; 2) HF-HM, 40 Hz-16 µm; 3) LF-LM, 8 Hz-41 µm; 4) LF-HM, 8 Hz-82 µm. The tissue samples were processed for resin embedding and subjected to histological and histomorphometrical analyses. Data were analyzed statistically with the significance set at p<0.05. After loading for 4 weeks, HF-LM loading (40 Hz-8 µm) induced more bone-to-implant contact (BIC) at the level of the cortex compared to its unloaded control. No significant effect of the four loading regimes on the peri-implant bone fraction (BF) was found in the 2 experimental periods. The stimulatory effect of immediate implant loading on bone-to-implant contact was only observed in case of high-frequency (40 Hz) low-magnitude (8 µm) loading. The applied load regimes failed to influence the peri-implant bone mass.

  4. Operative mechanisms of noncontingent reinforcement at varying magnitudes and schedules.

    PubMed

    Wilder, D A; Fisher, W W; Anders, B M; Cercone, J J; Neidert, P L

    2001-01-01

    In order to examine the mechanism(s) responsible for response reductions from noncontingent reinforcement (NCR), multiple magnitudes and densities of NCR were superimposed on a variable ratio (VR) 3 schedule of contingent reinforcement for the performance of an arbitrary manual response. Data were collected on responding that occurred during access to the reinforcer separately from responding that occurred between reinforcer access intervals (i.e.. when the participant did not have access to the reinforcer). Higher magnitudes and denser schedules of NCR produced greater reductions in responding than did lower magnitudes and leaner schedules. Within-session response patterns suggested that decrements in responding were primarily a function of the increased amount of reinforcer access time associated with higher magnitudes and denser schedules of NCR. That is, it appeared that the participant consumed reinforcers (regardless of whether they were delivered contingently or noncontingently) when they were available and responded for contingent reinforcers primarily when reinforcers were absent.

  5. Low-magnitude high-frequency loading, by whole-body vibration, accelerates early implant osseointegration in ovariectomized rats

    PubMed Central

    LIANG, YONG-QIANG; QI, MENG-CHUN; XU, JIANG; XU, JUAN; LIU, HUA-WEI; DONG, WEI; LI, JIN-YUAN; HU, MIN

    2014-01-01

    Osteoporosis deteriorates jaw bone quality and may compromise early implant osseointegration and early implant loading. The influence of low-magnitude, high-frequency (LMHF) vibration on peri-implant bone healing and implant integration in osteoporotic bones remains poorly understood. LMHF loading via whole-body vibration (WBV) for 8 weeks has previously been demonstrated to significantly enhance bone-to-implant contact, peri-implant bone fraction and implant mechanical properties in osteoporotic rats. In the present study, LMHF loading by WBV was performed in osteoporotic rats, with a loading duration of 4 weeks during the early stages of bone healing. The results indicated that 4-week LMHF loading by WBV partly reversed the negative effects of osteoporosis and accelerated early peri-implant osseointegration in ovariectomized rats. PMID:25270245

  6. Osseointegrated implants for auricular defects: operative techniques and complication management.

    PubMed

    Rocke, Daniel J; Tucci, Debara L; Marcus, Jeffrey; McClennen, Jay; Kaylie, David

    2014-10-01

    Auricular defects are challenging to reconstruct with native tissue. We describe operative techniques and complication management for patients undergoing osseointegrated implants for auriculectomy defects and microtia. Tertiary referral center. All patients at Duke University Medical Center with auricular defects treated with osseointegrated implants for prosthetic (OIP) auricles from January 1, 2010, until September 16, 2013. Osseointegrated implantation for auricular defects. Description of operative techniques, complications, and complication management. Sixteen patients met inclusion criteria. Five patients had microtia and atresia. Two of these patients had bilateral microtia and atresia and underwent bilateral simultaneous implantation of both OIP and osseointegrated hearing implants (OHIs). Two other microtia/atresia patients underwent simultaneous unilateral OIP and OHI. Eleven patients had unilateral defects from either trauma or skin cancer resection. Three patients received adjuvant radiation before implantation. Complications included tissue overgrowth requiring revision surgery (two patients), inadequate bone stock requiring split calvarial bone graft and later implantation, loss of implant secondary to osteoradionecrosis requiring hyperbaric oxygen therapy, and skin infection requiring antibiotic therapy. Reconstruction of auriculectomy defects and microtia is difficult to accomplish using native tissue. Complications are common, and these complications can have devastating consequences on the final result. Osseointegrated implantation offers an outstanding alternative for reconstructing these defects. We describe our multidisciplinary team approach, examine operative techniques, and focus on the unique challenges of simultaneous and bilateral simultaneous OIP and OHI implantation.

  7. A touch probe method of operating an implantable RFID tag for orthopedic implant identification.

    PubMed

    Liu, Xiaoyu; Berger, J Lee; Ogirala, Ajay; Mickle, Marlin H

    2013-06-01

    The major problem in operating an implantable radio-frequency identification (RFID) tag embedded on an orthopedic implant is low efficiency because of metallic interference. To improve the efficiency, this paper proposes a method of operating an implantable passive RFID tag using a touch probe at 13.56 MHz. This technology relies on the electric field interaction between two pairs of electrodes, one being a part of the touch probe placed on the surface of tissue and the other being a part of the tag installed under the tissue. Compared with using a conventional RFID antenna such as a loop antenna, this method has a better performance in the near field operation range to reduce interference with the orthopedic implant. Properly matching the touch probe and the tag to the tissue and the implant reduces signal attenuation and increases the overall system efficiency. The experiments have shown that this method has a great performance in the near field transcutaneous operation and can be used for orthopedic implant identification.

  8. Accidental falls involving medical implant re-operation.

    PubMed

    Ong, Kevin L; Lau, Edmund; Moore, Tara; Heller, Michelle F

    2009-10-01

    Implantation of medical devices is becoming more prevalent, and as a result, a greater number of patients who fall accidentally are expected to have a medical implant. The Nationwide Inpatient Sample (NIS) was used to evaluate hospital admissions following accidental falls involving re-operation of existing medical implants (hip, knee, spine, and fracture fixation) from 1990 to 2005. From 1990 to 2005, hospitalisations due to accidental falls on level surfaces increased by 306%, and hospitalisations due to falls from stairs increased by 310%. Falls involving orthopaedic revision surgery (re-operation) are relatively rare, but the incidence has increased by approximately 35%. Hospital stays after falls on level surfaces involving re-operation were 1.0 day (median) longer and cost 50% (median) more than those that did not involve re-operation in 2005. After staircase falls, hospital stays for patients undergoing re-operations were 2.0 days (median) longer and cost 108% (median) more. The greater hospital costs and hospital stay for patients needing re-operations indicate that additional medical treatment was required.

  9. Operative wound implantation of inflammatory sarcomatoid carcinoma of the lung.

    PubMed

    Hata, Atsushi; Sekine, Yasuo; Koh, Eitetsu; Hiroshima, Kenzo

    2014-09-01

    We describe a patient with iatrogenic chest wall implantation of inflammatory sarcomatoid carcinoma. A 43-year-old man underwent right partial lung resection for hemopneumothorax, with large bullae and an alveolar accumulation of histiocytes found on pathology. Three months later, a subcutaneous tumor appeared at a thoracoscopic port site. Needle aspiration of this tumor suggested a malignant neoplasm; therefore, a right upper lobectomy and chest wall resection were performed, and a pathologic diagnosis of sarcomatoid carcinoma was made. Pathologic reexamination of the original sample suggested that the tumor has been implanted in the patient's chest wall at the time of the first operation.

  10. Industrial hygiene and control technology assessment of ion implantation operations.

    PubMed

    Ungers, L J; Jones, J H

    1986-10-01

    Ion implantation is a process used to create the functional units (pn junctions) of integrated circuits, photovoltaic (solar) cells and other semiconductor devices. During the process, ions of an impurity or a "dopant" material are created, accelerated and imbedded in wafers of silicon. Workers responsible for implantation equipment are believed to be at risk from exposure to both chemical (dopant compounds) and physical (ionizing radiation) agents. In an effort to characterize the chemical exposures, monitoring for chemical hazards was conducted near eleven ion implanters at three integrated circuit facilities, while ionizing radiation was monitored near four of these units at two of the facilities. The workplace monitoring suggests that ion implantation operators routinely are exposed to low-level concentrations of dopants. Although the exact nature of dopant compounds released to the work environment was not determined, area and personal samples taken during normal operating activities found concentrations of arsenic, boron and phosphorous below OSHA Permissible Exposure Limits (PELs) for related compounds; area samples collected during implanter maintenance activities suggest that a potential exists for more serious exposures. The results of badge dosimetry monitoring for ionizing radiation indicate that serious exposures are unlikely to occur while engineering controls remain intact. All emissions were detected at levels unlikely to result in exposures above the OSHA standard for the whole body (1.25 rems per calendar quarter). The success of existing controls in preventing worker exposures is discussed. Particular emphasis is given to the differential exposures likely to be experienced by operators and maintenance personnel.(ABSTRACT TRUNCATED AT 250 WORDS)

  11. Intra-operative implantation errors during Austin Moore Hemiarthroplasty.

    PubMed

    Naqvi, Zohaib Gulzar; Markhand, Javed Ali; Ahmed, Syed Kamran; Chinoy, Amin; Khan, Mansoor Ali

    2016-10-01

    Austin Moore hemiarthroplasty is an established treatment in elderly patients with neck of femur fractures. Being commonly performed, it is also associated with several technical errors of implantation which results in complications and failure requiring revision surgery. This retrospective pre- and post-operative radiographic study to determine the frequency of technical errors was conducted at the Indus Hospital, Karachi, and comprised data of 50 patients who underwent Austin Moore hemiarthroplasty between January and November 2016. Of the total, 29(58%%) patients had no error of implantation. Overhanging of prosthesis was observed in 21(42%) patients, followed by inadequate length of the neck remnant in 18(36%). Moreover, 8(16%) patients sustained intra-operative periprosthetic fractures managed with cerclage wire. Also, 33(66%) patients had a Dorr type-Afemur morphologic pattern. Hemiarthroplasty was found to be a technically demanding procedure associated with avoidable intra-operative implantation errors by proper preoperative planning, careful patient selection, proper training of surgeons, hence avoiding failure.

  12. Incidence of First Implant Failure: A Retroprospective Study of 27 Years of Implant Operations at One Specialist Clinic.

    PubMed

    Jemt, Torsten; Olsson, Malin; Franke Stenport, Victoria

    2015-10-01

    Even though there are many studies available reporting on implant failures, there are few studies that follow implant failures over time in large populations. The purpose of this article is to present an overview of the annual incidence of reported implant failures for patients and operations over a 28-year period. A total of 8,528 patients were consecutively provided with 39,077 implants in 10,719 implant operations during a 27-year period (1986-2012) at one specialist clinic. All patients with reported failures of implants during a 28-year routine follow-up period (1986-2013) were included, and data from the patients' files were retrieved and reported. Altogether, 857 patients (882 jaws/operations) were identified with one or more failures (10.0% of patients/8.5% of operations). Mean annual incidence of first failure showed obvious variations between years, even between seemingly clinically similar situations. However, incidence of first implant failure was higher for upper than lower jaws (p < .05), within 1 year of surgery (69%) than after 1 year (p < .05), and for implants with a turned surface compared with implants with a moderately rough surface (p < .05). With regard to annual failure incidence in relation to total number of operations over time, obvious variations in failure rate can be observed between seemingly similar clinical situations, as well as significant differences in incidence of first implant failure between the first year after surgery and later time points, between upper and lower jaws using implants with turned surfaces, and between operations to install implants with turned surfaces and those to install implants with moderately rough surfaces. © 2014 Wiley Periodicals, Inc.

  13. The unique and shared contributions of arithmetic operation understanding and numerical magnitude representation to children's mathematics achievement.

    PubMed

    Wong, Terry Tin-Yau

    2017-12-01

    The current study examined the unique and shared contributions of arithmetic operation understanding and numerical magnitude representation to children's mathematics achievement. A sample of 124 fourth graders was tested on their arithmetic operation understanding (as reflected by their understanding of arithmetic principles and the knowledge about the application of arithmetic operations) and their precision of rational number magnitude representation. They were also tested on their mathematics achievement and arithmetic computation performance as well as the potential confounding factors. The findings suggested that both arithmetic operation understanding and numerical magnitude representation uniquely predicted children's mathematics achievement. The findings highlight the significance of arithmetic operation understanding in mathematics learning. Copyright © 2017 Elsevier Inc. All rights reserved.

  14. Operative and technical complications of vagus nerve stimulator implantation.

    PubMed

    Spuck, Sebastian; Tronnier, Volker; Orosz, Iren; Schönweiler, Rainer; Sepehrnia, Abolgassem; Nowak, Georg; Sperner, Jürgen

    2010-12-01

    The treatment of refractory epilepsy by vagus nerve stimulation (VNS) is a well-established therapy option for patients not suitable for epilepsy surgery and therapy refractory depressions. To analyze surgical and technical complications after implantation of left-sided VNS in patients with therapy-refractory epilepsy and depression. One hundred five patients receiving a VNS or VNS-related operations (n = 118) from 1999 to 2008 were investigated retrospectively. At the time of operation, 84 patients were younger than 18 years, with a mean age of 10.5 years. Twenty (19%) patients had technical problems or complications. In 6 (5.7%) patients these problems were caused by the operation. The device was removed in 8 cases. The range of surgically and technically induced complications included electrode fractures, early and late onset of deep wound infections, transient vocal cord palsy, cardiac arrhythmia under test stimulation, electrode malfunction, and posttraumatic dysfunction of the stimulator. VNS therapy is combined with a wide spread of possible complications. Technical problems are to be expected, including electrode fracture, dislocation, and generator malfunction. The major complication in younger patients is the electrode fracture, which might be induced by growth during adolescence. Surgically induced complications of VNS implantation are comparably low. Cardiac symptoms and recurrent nerve palsy need to be taken into consideration.

  15. Integrated factory interface for the precision implant 9000 ion implanter operator. Operator, service personnel, factory management host, and remote diagnostics

    NASA Astrophysics Data System (ADS)

    Southwood, P. D.; Bright, N. J.

    Modern wafer fabrication techniques, which include ever decreasing device geometries, demand greater uniformity and yield. To cope with these requirements, equipment is becoming more advanced, more expensive and far more complex. Addressing the complexity inherent in the new generation of equipment demands further advances in automation. To achieve cost-effectivity, equipment utilization must be maximized. Thus reliability must be high and mean time-to-repair must be minimized. The industry is also demanding that normal control of equipment requires less skilled personnel for operation than has been necessary in the past. However, since all equipment malfunctions occasionally, it is vital that, when problems do occur, they can be diagnosed and solved simply, quickly, and correctly. To meet these requirements an extremely versatile, yet simple approach to equipment control is mandatory. This paper describes the Light Touch™ control system which is implemented in the Applied Materials Precision Implant 9000 System. Light Touch is a trademark of Applied Materials, Inc.

  16. The Modulation of Operant Variation by the Probability, Magnitude, and Delay of Reinforcement

    ERIC Educational Resources Information Center

    Stahlman, W. David; Blaisdell, Aaron P.

    2011-01-01

    Recent studies have demonstrated that the expectation of reward delivery has an inverse relationship with operant behavioral variation (e.g., Stahlman, Roberts, & Blaisdell, 2010). Research thus far has largely focused on one aspect of reinforcement--the likelihood of food delivery. In two experiments with pigeons, we examined the effect of two…

  17. The Modulation of Operant Variation by the Probability, Magnitude, and Delay of Reinforcement

    ERIC Educational Resources Information Center

    Stahlman, W. David; Blaisdell, Aaron P.

    2011-01-01

    Recent studies have demonstrated that the expectation of reward delivery has an inverse relationship with operant behavioral variation (e.g., Stahlman, Roberts, & Blaisdell, 2010). Research thus far has largely focused on one aspect of reinforcement--the likelihood of food delivery. In two experiments with pigeons, we examined the effect of two…

  18. The effect of the magnitude of the food deprivation motivating operation on free operant preference in mice.

    PubMed

    Lewon, Matthew; Hayes, Linda J

    2015-06-01

    A number of recent studies have demonstrated that organisms prefer stimuli correlated with food under high deprivation conditions over stimuli correlated with food under low deprivation conditions. The purpose of the present study was to extend the literature on this phenomenon by testing for preference under extinction conditions, testing for preference at baseline, employing a free operant preference test, and using mice as subjects. Our results appear to support the existing literature in that most subjects preferred a stimulus correlated with food under high deprivation conditions in the post-training preference test. We provide an analysis of this phenomenon based on the concept of the motivating operation (MO) and discuss how this analysis suggests a number of avenues for further research on this topic. Copyright © 2015 Elsevier B.V. All rights reserved.

  19. Optimal operating frequency in wireless power transmission for implantable devices.

    PubMed

    Poon, Ada S Y; O'Driscoll, Stephen; Meng, Teresa H

    2007-01-01

    This paper examines short-range wireless powering for implantable devices and shows that existing analysis techniques are not adequate to conclude the characteristics of power transfer efficiency over a wide frequency range. It shows, theoretically and experimentally, that the optimal frequency for power transmission in biological media can be in the GHz-range while existing solutions exclusively focus on the MHz-range. This implies that the size of the receive coil can be reduced by 10(4) times which enables the realization of fully integrated implantable devices.

  20. Operative considerations in implantation of the Perma-Flow graft.

    PubMed

    Emery, R W; Joyce, L D; Arom, K V; King, R M; Nicoloff, D M

    1994-12-01

    The Perma-Flow coronary bypass graft (Possis Medical, Inc, Minneapolis, MN) currently is undergoing expanded clinical trial. From November 1992 through June 1994 we have used this artificial conduit in 8 patients without autologous alternatives. These cases allowed the establishment of a technical basis for successful implantation of this graft. All studied coronary anastomoses are patent.

  1. A retro-prospective effectiveness study on 3448 implant operations at one referral clinic: A multifactorial analysis. Part I: Clinical factors associated to early implant failures.

    PubMed

    Jemt, Torsten

    2017-09-08

    Limited numbers of large effectiveness studies on routine dental implant treatment are available in the literature. To report retro-prospective data on prevalence of early implant failures in a large number of routine patients/operations at 1 referral clinic. A total of 2848 patients were consecutively provided with 9582 implants with an anodized surface (Nobel Biocare AB) during 3448 implant operations between 2003 and 2011. All patients were invited to a follow-up program and early implant failures up to first annual examination were consecutively identified. A logistic multivariate data analysis was performed to identify possible factors with an association to early implant failures. A total of 43, 73, and 81 implant operations were denoted as early failures depending on when cut-off time was defined, using: abutment connection, prosthesis placement, or at first year of follow-up, respectively. Five factors showed significant association to "early implant failures," where the highest risk for a failure was associated to "surgeon" (hazard ratio [HR] 5.13), followed by "not prosthetic treatment at the referral clinic" (HR 2.71). When all 5 significant factors were present, the risk for an early failure after an operation was 7.0%, and the risk decreased to 0.1% when none/lowest risk factors were present. The role of the surgeons/dentists involved in the rehabilitation of the implant patients and numbers of placed implants (degree of tooth loss) showed the strongest associations to early implant failures in the present clinic. Also increased bone resorption was associated to increased risk for implant failure. © 2017 Wiley Periodicals, Inc.

  2. Design and operation of a fully implantable SMA actuated implant for correcting short bowel syndrome

    NASA Astrophysics Data System (ADS)

    Utter, Brent; Luntz, Jonathan; Brei, Diann; Teitelbaum, Daniel; Okawada, Manabu; Miyasaka, Eiichi

    2009-03-01

    Short Bowel Syndrome (SBS) is medical condition characterized by insufficient small intestine length, leading to improper nutrient absorption and significant mortality rates. The complications of current treatment methods have encouraged the development of a novel treatment method based on mechanotransduction, the process through which mechanical tensile loading induces longitudinal growth of intestine. Animal based studies with simple extension devices have demonstrated the potential of the treatment to grow healthy bowel, but an implantable device suitable for clinical use remains undeveloped. This paper presents the development of an instrumented fully implantable bowel extender based upon a shape memory alloy driven linear ratchet that can be controlled and monitored remotely. The overall bowel extender system is described with respect to specifications for pig experimental tests. The functionality of the mechanical and electrical subsystems of the device are detailed and experimentally validated on the bench top, in segments of living bowel tissue removed from a pig, and in cadaveric pigs. Mechanical loading characteristics and safe load limits on bowel tissue are identified. Results from these experiments establish the readiness of the device to be tested in living pigs, enabling studies to move one step closer to clinical studies.

  3. A retro-prospective effectiveness study on 3448 implant operations at one referral clinic: A multifactorial analysis. Part II: Clinical factors associated to peri-implantitis surgery and late implant failures.

    PubMed

    Jemt, Torsten

    2017-09-08

    Little knowledge is available on implant treatment in large effectiveness studies in routine practice. To report retro-prospective data on prevalence of peri-implantitis surgery and late implant failures in a large number of routine patients at 1 referral clinic. Altogether 9582 implants with an anodized surface (Nobel Biocare AB) were consecutively placed between 2003 and 2011 and followed-up to end of 2015. All peri-implantitis operations and late implant failures were consecutively identified. A logistic multivariate data analysis was performed to identify association between the complications and different clinical factors. Furthermore, data on prevalence on risk for inflammation and bone loss at implants ("peri-implantitis") and surgery related to peri-implantitis was collected for another reference group of about 10 000 implant patients during 3 consecutive years (2013-2015). Cumulative survival rates for implant operations without peri-implantitis surgery or implant failures were calculated to 96.4% (95% CI: 97.3-95.4) and 95.0% (95% CI: 96.0-94.1) after 10 years, respectively. Risk for "peri-implantitis surgery" showed a significant association (P < .05) to number of placed implants (hazard ratio [HR] 1.40; 95% CI: 1.24-1.59). Three factors showed significant association to risk for "late implant failures," where "treatment in lower jaw" had the highest risk; HR 2.03. "Overall implant failures" were associated to 4 significant factors where "surgeon" (HR 2.50) showed highest impact on risk. "Numbers of implants" and "bone resorption" at surgery were the 2 significant factors that were consistent for all the time periods of failures during follow-up (early/late/total). On an average 7.4% of examined patients in the reference group were denoted with highest risk group ("peri-implantitis") of which on an average 12.7% of these patients had surgery related to peri-implantitis. "The dentist" involved in the surgical and prosthetic rehabilitation of the

  4. Influence of ion source configuration and its operation parameters on the target sputtering and implantation process.

    PubMed

    Shalnov, K V; Kukhta, V R; Uemura, K; Ito, Y

    2012-06-01

    In the work, investigation of the features and operation regimes of sputter enhanced ion-plasma source are presented. The source is based on the target sputtering with the dense plasma formed in the crossed electric and magnetic fields. It allows operation with noble or reactive gases at low pressure discharge regimes, and, the resulting ion beam is the mixture of ions from the working gas and sputtering target. Any conductive material, such as metals, alloys, or compounds, can be used as the sputtering target. Effectiveness of target sputtering process with the plasma was investigated dependently on the gun geometry, plasma parameters, and the target bias voltage. With the applied accelerating voltage from 0 to 20 kV, the source can be operated in regimes of thin film deposition, ion-beam mixing, and ion implantation. Multi-component ion beam implantation was applied to α-Fe, which leads to the surface hardness increasing from 2 GPa in the initial condition up to 3.5 GPa in case of combined N(2)-C implantation. Projected range of the implanted elements is up to 20 nm with the implantation energy 20 keV that was obtained with XPS depth profiling.

  5. Operations manual for the plasma source ion implantation economics program

    SciTech Connect

    Bibeault, M.L.; Thayer, G.R.

    1995-10-01

    Plasma Source Ion Implantation (PSII) is a surface modification technique for metal. PSIICOSTMODEL95 is an EXCEL-based program that estimates the cost for implementing a PSII system in a manufacturing setting where the number of parts to be processed is over 5,000 parts per day and the shape of each part does not change from day to day. Overall, the manufacturing process must be very well defined and should not change. This document is a self-contained manual for PSIICOSTMODEL95. It assumes the reader has some general knowledge of the technical requirements for PSII. Configuration of the PSII process versus design is used as the methodology in PSIICOSTMODEL95. The reason behind this is twofold. First, the design process cannot be programmed into a computer when the relationships between design variables are not understood. Second, the configuration methodology reduces the number of assumptions that must be programmed into our software. Misuse of results are less likely to occur if the user has fewer assumptions to understand.

  6. A Manually Operated, Advance Off-Stylet Insertion Tool for Minimally Invasive Cochlear Implantation Surgery

    PubMed Central

    Kratchman, Louis B.; Schurzig, Daniel; McRackan, Theodore R.; Balachandran, Ramya; Noble, Jack H.; Webster, Robert J.; Labadie, Robert F.

    2014-01-01

    The current technique for cochlear implantation (CI) surgery requires a mastoidectomy to gain access to the cochlea for electrode array insertion. It has been shown that microstereotactic frames can enable an image-guided, minimally invasive approach to CI surgery called percutaneous cochlear implantation (PCI) that uses a single drill hole for electrode array insertion, avoiding a more invasive mastoidectomy. Current clinical methods for electrode array insertion are not compatible with PCI surgery because they require a mastoidectomy to access the cochlea; thus, we have developed a manually operated electrode array insertion tool that can be deployed through a PCI drill hole. The tool can be adjusted using a preoperative CT scan for accurate execution of the advance off-stylet (AOS) insertion technique and requires less skill to operate than is currently required to implant electrode arrays. We performed three cadaver insertion experiments using the AOS technique and determined that all insertions were successful using CT and microdissection. PMID:22851233

  7. [Clinical application of one-stage operation of epicardial permanent pacemaker implantation and cardiac surgery].

    PubMed

    Ren, C L; Jiang, S L; Xiao, C S; Wang, R; Gao, C Q

    2017-04-25

    Objective: To summarize the results and clinical application experience of one-stage operation of epicardial permanent pacemaker implantation and cardiac surgery. Methods: From November 2014 to July 2016, 15 patients (9 males and 6 females) with ages ranging from 50 to 73 (63.5±6.2) years requiring cardiac surgery with bradycardia underwent one-stage operation of epicardial permanent pacemaker implantation and cardiac surgery. All operations were performed under general anesthesia with chest median incision approach. Among them, single chamber pacemaker (n=10) and dual chamber pacemaker (n=5) permanent epicardial pacing leads were implanted. Simultaneous procedures included valve replacement in 7 cases, valve replacement combined with atrial fibrillation ablation in 3 cases, coronary artery bypass grafting in 2 cases, aortic root replacement in 2 cases, and valve replacement combined with coronary artery bypass surgery in 1 case. Their parameters of pacemaker including sensitivity, pacing threshold, pacing impedance were measured during surgery and closely followed up at 1 week and 3, 6 months after surgery. Results: All 15 patients with epicardial permanent pacemaker implantation in the same period of cardiac surgery were successfully cured and discharged, without any surgical complications. A total of 20 epicardial electrodes were implanted for them including 5 right atrial electrodes and 15 right ventricular electrodes. The postoperative follow-up period ranged from 3 to 22 months. No electrode fracture and surgical wound infection occurred in those patients, and their impedance, sensing and stimulation thresholds were all in normal ranges during follow-up. Conclusions: For patients with bradycardia who required cardiac surgery, one-stage operation of epicardial permanent pacemaker implantation and cardiac surgery is safe and effective, and the results in the short-term and medium-term are satisfactory, avoiding the risk of staged surgery.

  8. A retrospective study on 1592 consecutively performed operations in one private referral clinic. Part II: Peri-implantitis and implant failures.

    PubMed

    Jemt, Torsten; Karouni, Michel; Abitbol, Jérémy; Zouiten, Ons; Antoun, Hadi

    2017-06-01

    Few large-scale follow-up studies are reported on routine implant treatment. To report retrospective data on peri-implantitis and overall implant failures at one private referral clinic (effectiveness study). A total of 1017 patients were consecutively provided with 3082 implants with an anodized surface during 1592 operations between 2000 and 2011. All patients with any of four events of problems were identified; "peri-implantitis," "surgery related to peri-implantitis," "overall implant failure," and "late implant failures." A logistic multivariate analysis was performed to identify possible factors with association to the four events. "Lower jaw surgery" (HR = 3.03) and "immediate gingival grafting" at implant surgery (HR = 3.34) were factors with the highest risk associated to the two peri-implantitis events, respectively. Risk of peri-implantitis increased by year of inclusion from year 2000 (HR = 1.28). "Overall implant failures" were associated to "smoking" (HR = 2.11), "surgical technique" (highest for direct placement; HR = 1.67), and "type of implant" (NobelActive CC; HR = 2.48). NobelActive CC was more used in upper jaws, using immediate or one-stage surgery with bone and mucosa grafting procedures than other implants (P < .05). Implants lost after first year only showed an association to "lower jaw" (HR = 2.63) and "early inflammation" (HR = 17.95). Peri-implantitis seem to be associated to surgical protocols more often in the posterior lower jaw in routine practice. The problems seem to increase during the inclusion period, possibly related to increased use of direct implant placement technique and grafting protocols. Early inflammatory problems have in the previous report on the present patient group been associated to the mid-aged patient. Overall/late implant failures were shown to be associated to earlier inflammatory problems, smoking habits, surgical technique, and treatment in the posterior lower jaw. © 2017

  9. Outcomes of operative treatment of unstable ankle fractures: a comparison of metallic and biodegradable implants.

    PubMed

    Noh, Jung Ho; Roh, Young Hak; Yang, Bo Gyu; Kim, Seong Wan; Lee, Jun Suk; Oh, Moo Kyung

    2012-11-21

    Biodegradable implants for internal fixation of ankle fractures may overcome some disadvantages of metallic implants, such as imaging interference and the potential need for additional surgery to remove the implants. The purpose of this study was to evaluate the outcomes after fixation of ankle fractures with biodegradable implants compared with metallic implants. In this prospectively randomized study, 109 subjects with an ankle fracture underwent surgery with metallic (Group I) or biodegradable implants (Group II). Radiographic results were assessed by the criteria of the Klossner classification system and time to bone union. Clinical results were assessed with use of the American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot scale, Short Musculoskeletal Function Assessment (SMFA) dysfunction index, and the SMFA bother index at three, six, and twelve months after surgery. One hundred and two subjects completed the study. At a mean of 19.7 months, there were no differences in reduction quality between the groups. The mean operative time was 30.2 minutes in Group I and 56.4 minutes in Group II (p < 0.001). The mean time to bone union was 15.8 weeks in Group I and 17.6 weeks in Group II (p = 0.002). The mean AOFAS score was 87.5 points in Group I and 84.3 points in Group II at twelve months after surgery (p = 0.004). The mean SMFA dysfunction index was 8.7 points in Group I and 10.5 points in Group II at twelve months after surgery (p = 0.060). The mean SMFA bother index averaged 3.3 points in Group I and 4.6 points in Group II at twelve months after surgery (p = 0.052). No difference existed between the groups with regard to clinical outcomes for the subjects with an isolated lateral malleolar fracture. The outcomes after fixation of bimalleolar ankle fractures with biodegradable implants were inferior to those after fixation with metallic implants in terms of the score on the AOFAS scale and time to bone union. However, the difference in the final AOFAS

  10. Magnification rate of digital panoramic radiographs and its effectiveness for pre-operative assessment of dental implants

    PubMed Central

    Kim, Y-K; Park, J-Y; Kim, S-G; Kim, J-S; Kim, J-D

    2011-01-01

    Objectives The purpose of this study was to determine the accuracy and effectiveness of digital panoramic radiographs for pre-operative assessment of dental implants. Methods We selected 86 patients (221 implants) and calculated the length of the planned implant based on the distance between a selection of critical anatomical structures and the alveolar crest using the scaling tools provided in the digital panoramic system. We analysed the magnification rate and the difference between the actual inserted implant length and planned implant length according to the location of the implant placement and the clarity of anatomical structures seen in the panoramic radiographs. Results There was no significant difference between the planned implant length and actual inserted implant length (P > 0.05). The magnification rate of the width and length of the inserted implants, seen in the digital panoramic radiographs, was 127.28 ± 13.47% and 128.22 ± 4.17%, respectively. The magnification rate of the implant width was largest in the mandibular anterior part and there was a significant difference in the magnification rate of the length of implants between the maxilla and the mandible (P < 0.05). When the clarity of anatomical structures seen in the panoramic radiographs is low, the magnification rate of the width of the inserted implants is significantly higher (P < 0.05), but there is no significant difference between the planned implant length and actual inserted implant length according to the clarity of anatomical structures (P < 0.05). Conclusions Digital panoramic radiography can be considered a simple, readily available and considerably accurate pre-operative assessment tool in the vertical dimension for dental implant therapy. PMID:21239569

  11. Operator-induced compressive axial forces during implant gold screw fastening.

    PubMed

    Pesun, I J; Brosky, M E; Korioth, T W; Hodges, J; Devoe, B J

    2001-07-01

    The gold screw of an implant is put under tension during fastening. An increase in operator-induced compressive axial force during fastening may diminish screw tension, lower the friction between the screw threads, and allow for increased tightening torque. This study was undertaken to assess and compare the compressive axial forces and torques placed simultaneously on implant gold screws by persons with varying degrees of expertise. A calibrated electric torque driver was used to fasten implant gold screws. Three groups of operators with various levels of implant experience (faculty [F; n = 4], prosthodontic residents [R; n = 4], and undergraduate dental students [S; n = 6]) were asked to repeatedly tighten and loosen a new gold abutment screw into a standard 3.75-mm diameter Branemark abutment. Compressive axial forces during torquing were assessed over the tightening time by means of a miniature load cell adapted to the electric torque driver. Each operator repeated the experiment 3 times after calibration. Within operator and between operator reliability were evaluated. Loosening compressive axial forces were always higher than tightening compressive axial forces, and peak torque was less on loosening than tightening. Faculty placed a smaller range of forces on the screws (mean = 3.29 N, SD +/- 1.45 N) than did the residents (mean = 2.74 N, SD +/- 1.96) or the students (mean = 3.01 N, SD +/- 2.54). The clinical experience of operators seems to influence their application of compressive axial force during gold screw tightening. Less torque during unfastening of gold screws seems to be related to increased axial loading.

  12. Active implantable medical device EMI assessment for wireless power transfer operating in LF and HF bands

    NASA Astrophysics Data System (ADS)

    Hikage, Takashi; Nojima, Toshio; Fujimoto, Hiroshi

    2016-06-01

    The electromagnetic interference (EMI) imposed on active implantable medical devices by wireless power transfer systems (WPTSs) is discussed based upon results of in vitro experiments. The purpose of this study is to present comprehensive EMI test results gathered from implantable-cardiac pacemakers and implantable cardioverter defibrillators exposed to the electromagnetic field generated by several WPTSs operating in low-frequency (70 kHz-460 kHz) and high-frequency (6.78 MHz) bands. The constructed in vitro experimental test system based upon an Irnich’s flat torso phantom was applied. EMI test experiments are conducted on 14 types of WPTSs including Qi-compliant system and EV-charging WPT system mounted on current production EVs. In addition, a numerical simulation model for active implantable medical device (AIMD) EMI estimation based on the experimental test system is newly proposed. The experimental results demonstrate the risk of WPTSs emitting intermittent signal to affect the correct behavior of AIMDs when operating at very short distances. The proposed numerical simulation model is applicable to obtain basically the EMI characteristics of various types of WPTSs.

  13. Active implantable medical device EMI assessment for wireless power transfer operating in LF and HF bands.

    PubMed

    Hikage, Takashi; Nojima, Toshio; Fujimoto, Hiroshi

    2016-06-21

    The electromagnetic interference (EMI) imposed on active implantable medical devices by wireless power transfer systems (WPTSs) is discussed based upon results of in vitro experiments. The purpose of this study is to present comprehensive EMI test results gathered from implantable-cardiac pacemakers and implantable cardioverter defibrillators exposed to the electromagnetic field generated by several WPTSs operating in low-frequency (70 kHz-460 kHz) and high-frequency (6.78 MHz) bands. The constructed in vitro experimental test system based upon an Irnich's flat torso phantom was applied. EMI test experiments are conducted on 14 types of WPTSs including Qi-compliant system and EV-charging WPT system mounted on current production EVs. In addition, a numerical simulation model for active implantable medical device (AIMD) EMI estimation based on the experimental test system is newly proposed. The experimental results demonstrate the risk of WPTSs emitting intermittent signal to affect the correct behavior of AIMDs when operating at very short distances. The proposed numerical simulation model is applicable to obtain basically the EMI characteristics of various types of WPTSs.

  14. Early Implant Failures Related to Individual Surgeons: An Analysis Covering 11,074 Operations Performed during 28 Years.

    PubMed

    Jemt, Torsten; Olsson, Malin; Renouard, Franck; Stenport, Victoria; Friberg, Bertil

    2016-10-01

    Compared with knowledge on patient and implant component factors, little knowledge is available on surgeons' role in early implant failures. To report incidence of early implant failures related to total number of operations performed by individual surgeons. Early implant failures (≤1 year of implant prosthesis function) were reported after a total of 11,074 implant operations at one specialist clinic during 28 years of surgery. Altogether, 8,808 individual patients were treated by 23 different dentists, of whom 21 surgeons were specialists in oral surgery or periodontology. Recorded failures were related to total numbers of performed operations per surgeon, followed by statistical comparisons (χ(2) ) between surgeons with regard to type of treated jaw and implant surface. Altogether, 616 operations were recorded with early implant failures (5.6%), most often observed in edentulous upper jaws after placing implants with a turned surface (p < .05). Significant differences between surgeons, gender of surgeon, type of treated jaws by the surgeon, and implant surface used by the surgeon could be observed (p < .05). Early implant failures are complex, multifactorial problems associated with many aspects in the surgical procedure. A stochastic variation of failures for individual surgeons could be observed over the years. Different levels of failure rate could be observed between the surgeons, occasionally reaching significant levels as a total or for different jaw situations (p < .05). The surgeons reduced their failure rates when using implants with moderately rough surfaces (p < .5), but the relationship of failure rate between the surgeons was maintained. © 2015 Wiley Periodicals, Inc.

  15. CT pre-operative planning of a new semi-implantable bone conduction hearing device.

    PubMed

    Law, Eric K C; Bhatia, Kunwar S S; Tsang, Willis S S; Tong, Michael C F; Shi, Lin

    2016-06-01

    Accommodating a novel semi-implantable bone conduction hearing device within the temporal bone presents challenges for surgical planning. This study describes the utility of CT in pre-operative assessment of such an implant. Retrospective review of pre-operative CT, clinical and surgical records of 16 adults considered for device implantation. Radiological suitability was assessed on CT using 3D simulation software. Antero-posterior (AP) dimensions of the mastoid bone and minimum skull thickness were measured. CT planning results were correlated with operative records. Eight and five candidates were suitable for device placement in the transmastoid and retrosigmoid positions, respectively, and three were radiologically unsuitable. The mean AP diameter of the mastoid cavity was 14.6 mm for the transmastoid group and 4.6 mm for the retrosigmoid group (p < 0.05). Contracted mastoid and/or prior surgery were predisposing factors for unsuitability. Four transmastoid and five retrosigmoid positions required sigmoid sinus/dural depression and/or use of lifts due to insufficient bone capacity. A high proportion of patients being considered have contracted or operated mastoids, which reduces the feasibility of the transmastoid approach. This finding combined with the complex temporal bone geometry illustrates the importance of careful CT evaluation using 3D software for precise device simulation. • Preoperative temporal bone CT is essential for determining Bonebridge device suitability. • Mastoid under-pneumatisation and prior mastoidectomy predict a retrosigmoid Bonebridge position. • 3D simulation software is recommended for precise device positioning.

  16. Accuracy of a digital impression system based on active wavefront sampling technology for implants considering operator experience, implant angulation, and depth.

    PubMed

    Giménez, Beatriz; Özcan, Mutlu; Martínez-Rus, Francisco; Pradíes, Guillermo

    2015-01-01

    There is a scarce knowledge on the accuracy of intraoral digital impression systems for dental implants. The purpose of this study is to evaluate the accuracy of a digital impression system considering clinical parameters. A master model with six implants (27, 25, 22, 12, 15, 17) was fitted with polyether ether ketone scan bodies. Implant no. 25 was placed with 30° mesial angulation in relation to the vertical plane (y axis), and implant no. 15 was positioned with 30° distal angulation. Implant no. 22 was placed 2 mm and no. 12, 4 mm below the gingiva. Experienced (n = 2) and inexperienced operators (n = 2) performed scanning (Lava Chairside Oral Scanner; 3 M ESPE, St Paul, MN, USA) at standard and high accuracy mode. Measurements involved five distances (27-25, 27-22, 27-12, 27-15, 27-17). Measurements with high accuracy three-dimensional coordinated measuring machine (CMM) of the master model acted as the true values. The data obtained were subtracted from those of the CMM values. Experience of the operator significantly influenced the results (p = .000). Angulation (p = .195) and depth of implant (p = .399) did not show significant deviation from the true values. The mean difference between standard and high accuracy mode was 90 μm. With the active wavefront sampling, technology-based digital impression system training seems to be compulsory. Impressions of angulated implants may diminish the accuracy of the impression, yet the results were not significant. © 2013 Wiley Periodicals, Inc.

  17. Influence of Trainee Participation on Operative Times for Adult and Pediatric Cochlear Implantation

    PubMed Central

    Puram, Sidharth V.; Kozin, Elliot; Sethi, Rosh; Hight, A.E.; Shrime, Mark; Gray, Stacey T.; Cohen, Michael; Lee, Daniel J

    2015-01-01

    Objective Few studies have examined operative times for cochlear implantation (CI) using multivariable linear regression analyses to identify predictors of case length. Herein, we assess whether trainee participation, among other factors, influences OR times. Methods We retrospectively reviewed total OR and procedural times for isolated unilateral implants over a five-year period (2009-2013) in children and adults. Cases performed by 14 different surgeons at a single tertiary care center were evaluated. Total operating and procedural times were compared. Multivariable linear regression analyses were used to identify predictors of procedural time, including presence of trainee (resident or fellow), American Society of Anesthesiologists (ASA) physical classification, age, gender, and surgeon identity. Results We identified a total of 455 unilateral CI procedures (n = 35 pediatric, n = 420 adult). Mean total OR time was 193.6 min (SD = 58.9 min) and mean procedural time was 147.1 min (SD = 56.2). The presence of trainees was associated with a significant difference in procedure time (149.9 min [SD = 54.9] with trainees vs. 136.6 min [SD= 59.9] without, p=0.0375). Trainee involvement did not significantly increase total OR time (196.3 minutes [SD=56.9] with residents, 183.8 minutes [SD=65.0] without, p=0.0653). Surgeon identity was also associated with differences in procedural time (p<0.001). Patient age, gender, ASA classification, pediatric designation had no significant impact on length of case. Conclusions Major predictors of longer procedural OR times for CI are surgeon identity and trainee participation. Few published data exist on length of cochlear implantation in an academic setting using multivariable linear regression analyses. Our data may be instructive for comparative analyses and has implications for operative planning and surgical education. PMID:25387322

  18. Minimally Invasive Catheter Procedures to Assist Complicated Pacemaker Lead Extraction and Implantation in the Operating Room

    SciTech Connect

    Kroepil, Patric; Lanzman, Rotem S. Miese, Falk R.; Blondin, Dirk; Winter, Joachim; Scherer, Axel; Fuerst, Guenter

    2011-04-15

    We report on percutaneous catheter procedures in the operating room (OR) to assist complicated manual extraction or insertion of pacemaker (PM) and implantable cardioverter defibrillator leads. We retrospectively reviewed complicated PM revisions and implantations performed between 2004 and 2009 that required percutaneous catheter procedures performed in the OR. The type of interventional procedure, catheter and retrieval system used, venous access, success rates, and procedural complications were analyzed. In 41 (12 female and 29 male [mean age 62 {+-} 17 years]) of 3021 (1.4%) patients, standard manual retrieval of old leads or insertion of new leads was not achievable and thus required percutaneous catheter intervention for retrieval of misplaced leads and/or recanalisation of occluded central veins. Thirteen of 18 (72.2%) catheter-guided retrieval procedures for misplaced (right atrium [RA] or ventricle [RV; n = 3], superior vena cava [n = 2], brachiocephalic vein [n = 5], and subclavian vein [n = 3]) lead fragments in 16 patients were successful. Percutaneous catheter retrieval failed in five patients because there were extremely fixed or adhered lead fragments. Percutaneous transluminal angiography (PTA) of central veins for occlusion or high-grade stenosis was performed in 25 patients. In 22 of 25 patients (88%), recanalization of central veins was successful, thus enabling subsequent lead replacement. Major periprocedural complications were not observed. In the case of complicated manual PM lead implantation or revision, percutaneous catheter-guided extraction of misplaced lead fragments or recanalisation of central veins can be performed safely in the OR, thus enabling subsequent implantation or revision of PM systems in the majority of patients.

  19. Minimally invasive catheter procedures to assist complicated pacemaker lead extraction and implantation in the operating room.

    PubMed

    Kröpil, Patric; Lanzman, Rotem S; Miese, Falk R; Blondin, Dirk; Winter, Joachim; Scherer, Axel; Fürst, Günter

    2011-04-01

    We report on percutaneous catheter procedures in the operating room (OR) to assist complicated manual extraction or insertion of pacemaker (PM) and implantable cardioverter defibrillator leads. We retrospectively reviewed complicated PM revisions and implantations performed between 2004 and 2009 that required percutaneous catheter procedures performed in the OR. The type of interventional procedure, catheter and retrieval system used, venous access, success rates, and procedural complications were analyzed. In 41 (12 female and 29 male [mean age 62 ± 17 years]) of 3021 (1.4%) patients, standard manual retrieval of old leads or insertion of new leads was not achievable and thus required percutaneous catheter intervention for retrieval of misplaced leads and/or recanalisation of occluded central veins. Thirteen of 18 (72.2%) catheter-guided retrieval procedures for misplaced (right atrium [RA] or ventricle [RV; n = 3], superior vena cava [n = 2], brachiocephalic vein [n = 5], and subclavian vein [n = 3]) lead fragments in 16 patients were successful. Percutaneous catheter retrieval failed in five patients because there were extremely fixed or adhered lead fragments. Percutaneous transluminal angiography (PTA) of central veins for occlusion or high-grade stenosis was performed in 25 patients. In 22 of 25 patients (88%), recanalization of central veins was successful, thus enabling subsequent lead replacement. Major periprocedural complications were not observed. In the case of complicated manual PM lead implantation or revision, percutaneous catheter-guided extraction of misplaced lead fragments or recanalisation of central veins can be performed safely in the OR, thus enabling subsequent implantation or revision of PM systems in the majority of patients.

  20. Scaling up delivery of contraceptive implants in sub-Saharan Africa: operational experiences of Marie Stopes International

    PubMed Central

    Duvall, Susan; Thurston, Sarah; Weinberger, Michelle; Nuccio, Olivia; Fuchs-Montgomery, Nomi

    2014-01-01

    Contraceptive implants offer promising opportunities for addressing the high and growing unmet need for modern contraceptives in sub-Saharan Africa. Marie Stopes International (MSI) offers implants as one of many family planning options. Between 2008 and 2012, MSI scaled up voluntary access to implants in 15 sub-Saharan African countries, from 80,041 implants in 2008 to 754,329 implants in 2012. This 9-fold increase amounted to more than 1.7 million implants delivered cumulatively over the 5-year period. High levels of client satisfaction were attained alongside service provision scale up by using existing MSI service delivery channels—mobile outreach, social franchising, and clinics—to implement strategies that broadened access for underserved clients and maintained service quality. Use of adaptive and context-specific service delivery models and attention to key operational components, including sufficient numbers of trained providers, strong supply chains, diverse financing mechanisms, and implant removal services, underpinned our service delivery efforts. Accounting for 70% of the implants delivered by MSI in 2012, mobile outreach services through dedicated MSI provider teams played a central role in scale-up efforts, fueled in part by the provision of free or heavily subsidized services. Social franchising also demonstrated promise for future program growth, along with MSI clinics. Continued high growth in implant provision between 2011 and 2012 in all sub-Saharan African countries indicates the region's capacity for further service delivery expansion. Meeting the expected rising demand for implants and ensuring long-term sustainable access to the method, as part of a comprehensive method mix, will require continued use of appropriate service delivery models, effective operations, and ongoing collaboration between the private, public, and nongovernmental sectors. MSI's experience can be instructive for future efforts to ensure contraceptive access and

  1. Scaling up delivery of contraceptive implants in sub-Saharan Africa: operational experiences of Marie Stopes International.

    PubMed

    Duvall, Susan; Thurston, Sarah; Weinberger, Michelle; Nuccio, Olivia; Fuchs-Montgomery, Nomi

    2014-02-01

    Contraceptive implants offer promising opportunities for addressing the high and growing unmet need for modern contraceptives in sub-Saharan Africa. Marie Stopes International (MSI) offers implants as one of many family planning options. Between 2008 and 2012, MSI scaled up voluntary access to implants in 15 sub-Saharan African countries, from 80,041 implants in 2008 to 754,329 implants in 2012. This 9-fold increase amounted to more than 1.7 million implants delivered cumulatively over the 5-year period. High levels of client satisfaction were attained alongside service provision scale up by using existing MSI service delivery channels-mobile outreach, social franchising, and clinics-to implement strategies that broadened access for underserved clients and maintained service quality. Use of adaptive and context-specific service delivery models and attention to key operational components, including sufficient numbers of trained providers, strong supply chains, diverse financing mechanisms, and implant removal services, underpinned our service delivery efforts. Accounting for 70% of the implants delivered by MSI in 2012, mobile outreach services through dedicated MSI provider teams played a central role in scale-up efforts, fueled in part by the provision of free or heavily subsidized services. Social franchising also demonstrated promise for future program growth, along with MSI clinics. Continued high growth in implant provision between 2011 and 2012 in all sub-Saharan African countries indicates the region's capacity for further service delivery expansion. Meeting the expected rising demand for implants and ensuring long-term sustainable access to the method, as part of a comprehensive method mix, will require continued use of appropriate service delivery models, effective operations, and ongoing collaboration between the private, public, and nongovernmental sectors. MSI's experience can be instructive for future efforts to ensure contraceptive access and choice

  2. PRE-OPERATIVE HEALTH STATUS AND OUTCOMES FOLLOWING CONTINUOUS-FLOW LEFT VENTRICULAR ASSIST DEVICE IMPLANTATION

    PubMed Central

    Flint, Kelsey M.; Matlock, Daniel D.; Sundareswaran, Kartik; Lindenfeld, JoAnn; Spertus, John A.; Farrar, David J.; Allen, Larry A.

    2013-01-01

    Background Health status predicts adverse outcomes in heart failure and cardiac surgery patients, but its prognostic value in left ventricular assist device (LVAD) placement is unknown. Methods We examined the association of pre-operative health status, as measured by the Kansas City Cardiomyopathy Questionnaire (KCCQ), with survival and hospitalization after LVAD using KCCQ as a continuous variable and stratified by KCCQ score quartile plus missing KCCQ in 1125 clinical trial participants receiving the HeartMate II as either destination therapy (n=635) or bridge to transplantation (n=490). Results Mean pre-operative KCCQ score was 29.4±18.7 among survivors (n=719), and 27.1±18.3 (n=406) in those who died. In time-to-event analysis for all available follow up using health status as a continuous variable, pre-operative KCCQ score did not correlate with overall mortality after LVAD implantation (p=0.178). Small absolute differences were seen between pre-operative KCCQ quartile and 30-day survival (Q4 95% vs. Q1 89% vs. missing 87%; p=0.0009 for trend), 180-day survival (Q4 83% vs. Q1 76% vs. missing 79%; p=0.060 for trend), and days hospitalized at 180 days (Q4 29.8±25.6 vs. Q1 34.1±27.1 vs. missing 36.5±29.9; p=0.009 for trend). Conclusion Our findings suggest that pre-operative health status has limited association with outcomes after LVAD implantation. Although these data require further study in a diverse population, mechanical circulatory support may represent a relatively unique clinical situation, distinct from heart failure and other cardiac surgeries, in which heart failure-specific health status measures may be largely reversed. PMID:24119729

  3. Eddy current inspection tool which is selectively operable in a discontinuity detection mode and a discontinuity magnitude mode

    DOEpatents

    Petrini, R.R.; Van Lue, D.F.

    1983-10-25

    A miniaturized inspection tool, for testing and inspection of metal objects in locations with difficult accessibility, which comprises eddy current sensing equipment with a probe coil, and associated coaxial coil cable, coil energizing means, and circuit means responsive to impedance changes in the coil as effected by induced eddy currents in a test object to produce a data output signal proportional to such changes. The coil and cable are slideably received in the utility channel of the flexible insertion tube of fiberoptic scope. The scope is provided with light transmitting and receiving fiberoptics for viewing through the flexible tube, and articulation means for articulating the distal end of the tube and permitting close control of coil placement relative to a test object. The eddy current sensing equipment includes a tone generator 30 for generating audibly signals responsive to the data output signal. In one selected mode of operation, the tone generator responsive to the output signal above a selected level generates a constant single frequency tone for signaling detection of a discontinuity and, in a second selected mode, generates a tone whose frequency is proportional to the difference between the output signal and a predetermined selected threshold level. 5 figs.

  4. Eddy current inspection tool which is selectively operable in a discontinuity detection mode and a discontinuity magnitude mode

    DOEpatents

    Petrini, Richard R.; Van Lue, Dorin F.

    1983-01-01

    A miniaturized inspection tool, for testing and inspection of metal objects in locations with difficult accessibility, which comprises eddy current sensing equipment (12) with a probe coil (11), and associated coaxial coil cable (13), coil energizing means (21), and circuit means (21, 12) responsive to impedance changes in the coil as effected by induced eddy currents in a test object to produce a data output signal proportional to such changes. The coil and cable are slideably received in the utility channel of the flexible insertion tube 17 of fiberoptic scope 10. The scope 10 is provided with light transmitting and receiving fiberoptics for viewing through the flexible tube, and articulation means (19, 20) for articulating the distal end of the tube and permitting close control of coil placement relative to a test object. The eddy current sensing equipment includes a tone generator 30 for generating audibly signals responsive to the data output signal. In one selected mode of operation, the tone generator responsive to the output signal above a selected level generates a constant single frequency tone for signalling detection of a discontinuity and, in a second selected mode, generates a tone whose frequency is proportional to the difference between the output signal and a predetermined selected threshold level.

  5. Are critical pathways and implant standardization programs effective in reducing costs in total knee replacement operations?

    PubMed

    Ho, David M; Huo, Michael H

    2007-07-01

    Total knee replacement (TKR) operation is one of the most effective procedures, both clinically and in terms of cost. Because of increased volume and cost for this procedure during the past 3 decades, TKRs are often targeted for cost reduction. The purpose of this study was to evaluate the efficacy of two cost reducing methodologies, establishment of critical clinical pathways, and standardization of implant costs. Ninety patients (90 knees) were randomly selected from a population undergoing primary TKR during a 2-year period at a tertiary teaching hospital. Patients were assigned to three groups that corresponded to different strategies implemented during the evolution of the joint-replacement program. Medical records were reviewed for type of anesthesia, operative time, length of stay, and any perioperative complications. Financial information for each patient was compared among the three groups. Data analysis demonstrated that the institution of a critical pathway significantly shortened length of hospital stay and was effective in reducing the hospital costs by 18% (p < 0.05). In addition, standardization of surgical techniques under the care of a single surgeon substantially reduced the operative time. Selection of implants from a single vendor did not have any substantial effect in additionally reducing the costs. Standardized postoperative management protocols and critical clinical pathways can reduce costs and operative time. Future efforts must focus on lowering the costs of the prostheses, particularly with competitive bidding or capitation of prostheses costs. Although a single-vendor approach was not effective in this study, it is possible that a cost reduction could have been realized if more TKRs were performed, because the pricing contract was based on projected volume of TKRs to be done by the hospital.

  6. High early post-operative complication rate after elective aseptic orthopedic implant removal of upper and lower limb.

    PubMed

    Suda, Arnold J; Heilgeist, Eva; Tinelli, Marco; Bischel, Oliver E

    2017-09-01

    The necessity of orthopedic implant removal is under intense discussion and even if it is performed as an elective procedure, the risk of complications is present. Aim of the study was to identify parameters responsible for an increased risk of early post-operative complications after elective aseptic orthopedic implant removal. We reviewed 1545 cases of aseptic and elective orthopedic implant removal between 2009 and 2011. The patient's demographic data, time and duration of operation, patient's comorbidities and presence of complications in the first four weeks after implant removal were evaluated. Patients with signs of infection at the time of the surgical procedure were excluded from this study. 579 women and 966 men who underwent elective aseptic orthopedic implant removal were identified. Mean age at implant removal was 42 years and mean duration of the surgical procedure was 37 minutes. In this cohort, 70 patients (4.5%) underwent elective aseptic implant removal after 6pm. 52 patients (3.37%) operated on during daytime suffered from complications postoperatively and 5 patients (0.3%) who were operated on during the night experienced complications. The parameters age, sex, BMI and surgeon showed no statistically significant differences for the risk of postoperative complications. Patients' comorbidities such as diabetes seem to have influence but were not statistically significant either. Patients with revision surgery since their first operation, nocturnal surgery and longer duration of the procedure showed a statistically significant higher risk for complications, especially in the lower leg. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  7. Three-dimensional image contribution for evaluation of operative procedural errors in endodontic therapy and dental implants.

    PubMed

    Silva, Julio Almeida; de Alencar, Ana Helena Gonçalves; da Rocha, Sicknan Soares; Lopes, Lawrence Gonzaga; Estrela, Carlos

    2012-01-01

    Acceptable therapeutic protocol in dentistry depends on the outcomes obtained with follow up. Operative procedural errors (OPE) may occur and they represent risk factors able to compromise a tooth or a dental implant. The aim of this study was to detect the OPE in endodontically treated teeth and dental implants, using cone beam computed tomography (CBCT).Eight hundred and sixteen CBCT exams were performed between January 2009 and October 2010, and only those which presented endodontically treated teeth and/or dental implants were selected. The sample was as follows: 195 CBCT exams (n=200 teeth and 200 dental implants), 72 male, 123 female, with mean age of 51 years.In endodontically treated teeth, OPE included underfilling, overfilling, and root perforation; OPEin dental implants were thread exposures, contact with anatomical structures, and contact with adjacent teeth. Kolmogorov-Smirnov test was used for statistical analysis, with significance level set at α=0.05. Underfilling, overfilling, and root perforations were detected in 33.5%, 8% and 4.5% of the teeth, respectively. Dental implants with thread exposures, contact with important anatomical structures and contact with adjacent teeth were seen in 37.5%, 13% and 6.5% of the cases, respectively. OPE were detected in endodontically treated teeth and dental implants, and underfilling and thread exposures were the most frequent occurrences, respectively.

  8. Order-of-magnitude differences in retention of low-energy Ar implanted in Si and SiO{sub 2}

    SciTech Connect

    Wittmaack, Klaus; Giordani, Andrew; Umbel, Rachel; Hunter, Jerry L.

    2016-09-15

    The retention of 1 and 5 keV Ar implanted at 45° in Si and 4.3 nm SiO{sub 2} on Si was studied at fluences between 3 × 10{sup 14} and 1.5 × 10{sup 16} cm{sup −2}. X-ray photoelectron spectroscopy (XPS) served to monitor the accumulation of Ar as well as the removal of SiO{sub 2}. Bombardment induced changes in oxygen chemistry caused the O 1s peak position to move toward lower binding energies by as much as 2.2 eV. Plotted versus depth of erosion, the fluence dependent changes in oxygen content, and peak position were similar at 1 and 5 keV. The Ar content of Si increased with increasing exposure, saturating at fluences of ∼2 × 10{sup 15} cm{sup −2} (1 keV) and ∼6 × 10{sup 15} cm{sup −2} (5 keV). Much less Ar was retained in the SiO{sub 2}/Si sample, notably at 1 keV, in which case the low-fluence Ar signal amounted to only 8% of the Si reference. The results imply that essentially no Ar was trapped in undamaged SiO{sub 2}, i.e., the Ar atoms initially observed by XPS were located underneath the oxide. At the lowest fluence of 5 keV Ar, the retention ratio was much higher (43%) because the oxide was already highly damaged, with an associated loss of oxygen. The interpretation was assisted by TRIM(SRIM) calculations of damage production. Partial maloperation of the ion beam raster unit, identified only at a late stage of this work, enforced a study on the uniformity of bombardment. The desired information could be obtained by determining x,y line scan profiles of O 1s across partially eroded SiO{sub 2}/Si samples. Fluence dependent Ar retention in Si was described using an extended version of the rapid relocation model which takes into account that insoluble implanted rare-gas atoms tend to migrate to the surface readily under ongoing bombardment. The range parameters required for the modeling were determined using TRIM(SRIM); sputtering yields were derived from the literature. The other three parameters

  9. [Validation of standard operating procedures in nursing care of patients with totally implanted catheters].

    PubMed

    Honório, Rita Paiva Pereira; Caetano, Joselany Áfio; Almeida, Paulo César de

    2011-01-01

    Care protocols are important technological resources in health practice and should be validated for the sake of scientific credibility in professional practice. This research aimed to validate the items of the proposed standard operating procedures (SOPs) related to access, heparinization and dressing of totally implanted catheters, using concept analysis as proposed by Hoskins. The study involved two phases. In the first, a form was elaborated to validate the SOPs. In the second, the SOPs contents were subject to expert validation. Suggestions addressed aspects like reformulations, adding actions to make them clearer and more comprehensive, the order of procedure steps and the material to adapt the instrument. Further research is needed to orient professionals, mainly regarding the heparinization of catheters and the first dressing change after the access, with a view to standardizing conducts based on safe scientific evidence.

  10. Modifying Post-Operative Medical Care after EBV Implant May Reduce Pneumothorax Incidence

    PubMed Central

    Herzog, Dominik; Poellinger, Alexander; Doellinger, Felix; Schuermann, Dirk; Temmesfeld-Wollbrueck, Bettina; Froeling, Vera; Schreiter, Nils F.; Neumann, Konrad; Hippenstiel, Stefan; Suttorp, Norbert; Hubner, Ralf-Harto

    2015-01-01

    Objective Endoscopic lung volume reduction (ELVR) with valves has been shown to improve COPD patients with severe emphysema. However, a major complication is pneumothoraces, occurring typically soon after valve implantation, with severe consequences if not managed promptly. Based on the knowledge that strain activity is related to a higher risk of pneumothoraces, we asked whether modifying post-operative medical care with the inclusion of strict short-term limitation of strain activity is associated with a lower incidence of pneumothorax. Methods Seventy-two (72) emphysematous patients without collateral ventilation were treated with bronchial valves and included in the study. Thirty-two (32) patients received standard post-implantation medical management (Standard Medical Care (SMC)), and 40 patients received a modified medical care that included an additional bed rest for 48 hours and cough suppression, as needed (Modified Medical Care (MMC)). Results The baseline characteristics were similar for the two groups, except there were more males in the SMC cohort. Overall, ten pneumothoraces occurred up to four days after ELVR, eight pneumothoraces in the SMC, and only two in the MMC cohorts (p=0.02). Complicated pneumothoraces and pneumothoraces after upper lobe treatment were significantly lower in MMC (p=0.02). Major clinical outcomes showed no significant differences between the two cohorts. Conclusions In conclusion, modifying post-operative medical care to include bed rest for 48 hours after ELVR and cough suppression, if needed, might reduce the incidence of pneumothoraces. Prospective randomized studies with larger numbers of well-matched patients are needed to confirm the data. PMID:26010886

  11. Time efficiency, difficulty, and operator's preference comparing digital and conventional implant impressions: a randomized controlled trial.

    PubMed

    Joda, Tim; Lenherr, Patrik; Dedem, Philipp; Kovaltschuk, Irina; Bragger, Urs; Zitzmann, Nicola U

    2016-09-05

    The aim of this randomized controlled trial was to analyze implant impression techniques applying intraoral scanning (IOS) and the conventional method according to time efficiency, difficulty, and operator's preference. One hundred participants (n = 100) with diverse levels of dental experience were included and randomly assigned to Group A performing digital scanning (TRIOS Pod) first or Group B conducting conventional impression (open tray with elastomer) first, while the second method was performed consecutively. A customized maxillary model with a bone-level-type implant in the right canine position (FDI-position 13) was mounted on a phantom training unit realizing a standardized situation for all participants. Outcome parameter was time efficiency, and potential influence of clinical experience, operator's perception of level of difficulty, applicability of each method, and subjective preferences were analyzed with Wilcoxon -Mann-Whitney and Kruskal-Wallis tests. Mean total work time varied between 5.01 ± 1.56 min (students) and 4.53 ± 1.34 min (dentists) for IOS, and between 12.03 ± 2.00 min (students) and 10.09 ± 1.15 min (dentists) for conventional impressions with significant differences between the two methods. Neither assignment to Group A or B, nor gender nor number of impression-taking procedures did influence working time. Difficulty and applicability of IOS was perceived more favorable compared to conventional impressions, and effectiveness of IOS was rated better by the majority of students (88%) and dentists (64%). While 76% of the students preferred IOS, 48% of the dentists were favoring conventional impressions, and 26% each IOS and either technique. For single-implant sites, the quadrant-like intraoral scanning (IOS) was more time efficient than the conventional full-arch impression technique in a phantom head simulating standardized optimal conditions. A high level of acceptance for IOS was observed among students and

  12. Design parameters and the material coupling are decisive for the micromotion magnitude at the stem-neck interface of bi-modular hip implants.

    PubMed

    Jauch, S Y; Huber, G; Haschke, H; Sellenschloh, K; Morlock, M M

    2014-03-01

    Several bi-modular hip prostheses exhibit an elevated number of fretting-related postoperative complications most probably caused by excessive micromotions at taper connections. This study investigated micromotions at the stem-neck interface of two different designs: one design (Metha, Aesculap AG) has demonstrated a substantial number of in vivo neck fractures for Ti-Ti couplings, but there are no documented fractures for Ti-CoCr couplings. Conversely, for a comparable design (H-Max M, Limacorporate) with a Ti-Ti coupling only one clinical failure has been reported. Prostheses were mechanically tested and the micromotions were recorded using a contactless measurement system. For Ti-Ti couplings, the Metha prosthesis showed a trend towards higher micromotions compared to the H-Max M (6.5 ± 1.6 μm vs. 3.6 ± 1.5 μm, p=0.08). Independent of the design, prostheses with Ti neck adapter caused significantly higher interface micromotions than those with CoCr ones (5.1 ± 2.1 μm vs. 0.8 ± 1.6 μm, p=0.001). No differences in micromotions between the Metha prosthesis with CoCr neck and the H-Max M with Ti neck were observed (2.6 ± 2.0 μm, p=0.25). The material coupling and the design are both crucial for the micromotions magnitude. The extent of micromotions seems to correspond to the number of clinically observed fractures and confirm the relationship between those and the occurrence of fretting corrosion. Copyright © 2013 IPEM. Published by Elsevier Ltd. All rights reserved.

  13. Effect of non-linearity of a predictor on the shape and magnitude of its receiver-operating-characteristic curve in predicting a binary outcome.

    PubMed

    Ho, Kwok M

    2017-08-31

    Area under a receiver-operating-characteristic (AUROC) curve is widely used in medicine to summarize the ability of a continuous predictive marker to predict a binary outcome. This study illustrated how a U-shaped or inverted U-shaped continuous predictor would affect the shape and magnitude of its AUROC curve in predicting a binary outcome by comparing the ROC curves of the worst first 24-hour arterial pH values of 9549 consecutive critically ill patients in predicting hospital mortality before and after centering the predictor by its mean or median. A simulation dataset with an inverted U-shaped predictor was used to assess how this would affect the shape and magnitude of the AUROC curve. An asymmetrical U-shaped relationship between pH and hospital mortality, resulting in an inverse-sigmoidal ROC curve, was observed. The AUROC substantially increased after centering the predictor by its mean (0.611 vs 0.722, difference = 0.111, 95% confidence interval [CI] 0.087-0.135), and was further improved after centering by its median (0.611 vs 0.745, difference = 0.133, 95%CI 0.110-0.157). A sigmoidal-shaped ROC curve was observed for an inverted U-shaped predictor. In summary, a non-linear predictor can result in a biphasic-shaped ROC curve; and centering the predictor can reduce its bias towards null predictive ability.

  14. Powering low-power implants using PZT transducer discs operated in the radial mode

    NASA Astrophysics Data System (ADS)

    Sanni, Ayodele; Vilches, Antonio

    2013-11-01

    This paper reports experimental results that are used to compare operation characteristics of lead zirconate titanate (PZT) piezoelectric ceramic discs operated in the radial mode. The devices are driven to radially vibrate at their lowest fundamental resonant frequency and thus transmit and receive power when immersed in a liquid phantom. A number of 1 mm × 10 mm (thickness × diameter) PZT discs are characterized experimentally within a propagation tank and results discussed. On the basis of these measured characteristics, a novel application is developed and reported for the first time. This consists of a tuned LC resonator circuit which is used at the receiving disc to maximize sensitivity as well as a Seiko start-up IC S-882Z which is employed to charge a capacitor that drives a PIC microcontroller (μC) once the voltage exceeds 2 V DC. We show that a mean input power of 486 mW RMS results in 976 μW RMS received over a range of 80 mm and that this is sufficient to periodically (every 60 s) power the μC to directly drive a red LED for 5 ms with a current of 4.8 mA/flash. This approach is suitable for low-power, periodically activated analogue bio-implant applications.

  15. REINFORCER MAGNITUDE ATTENUATES

    PubMed Central

    Pinkston, Jonathan W.; Lamb, R. J.

    2012-01-01

    When given to pigeons, the direct-acting dopamine agonist apomorphine elicits pecking. The response has been likened to foraging pecking because it bears remarkable similarity to foraging behavior, and it is enhanced by food deprivation. On the other hand, other data suggest the response is not related to foraging behavior and may even interfere with food ingestion. Although elicited pecking interferes with food capture, it may selectively alter procurement phases of feeding, which can be isolated in operant preparations. To explore the relation between operant and elicited pecking, we provided pigeons the opportunity to earn different reinforcer magnitudes during experimental sessions. During signaled components, each of 4 pigeons could earn 2-, 4-, or 8-s access to grain for a single peck made at the end of a 5-min interval. In general, responding increased as a function of reinforcer magnitude. Apomorphine increased pecking for 2 pigeons and decreased pecking for the other 2. In both cases, apomorphine was more potent under the component providing the smallest reinforcer magnitude. Analysis of the pattern of pecking across the interval indicated that behavior lost its temporal organization as dose increased. Because apomorphine-induced pecking varied inversely with reinforcer magnitude, we conclude that elicited pecks are not functionally related to food procurement. The data are consistent with the literature on behavioral resistance to change and suggest that the effects of apomorphine may be modulated by prevailing stimulus–reinforcer relationships. PMID:23144505

  16. Exposed Subcutaneous Implantable Devices: An Operative Protocol for Management and Salvage

    PubMed Central

    D’Arpa, Salvatore; Cordova, Adriana; Moschella, Francesco

    2015-01-01

    Background: Implantable venous and electrical devices are prone to exposure and infection. Indications for management are controversial, but—especially if infected—exposed devices are often removed and an additional operation is needed to replace the device, causing a delay in chemotherapy and prolonging healing time. We present our protocol for device salvage, on which limited literature is available. Methods: Between 2007 and 2013, 17 patients were treated (12 venous access ports, 3 cardiac pacemakers, and 2 subcutaneous neural stimulators). Most patients were operated within 7 days from exposure. All patients received only a single perioperative dose of prophylactic antibiotic. In cases of gross infection (n = 1), the device was immediately replaced. In the absence of clinical signs of infection: Complete capsulectomy and aggressive cleaning with an n-acetylcysteine solution and saline solution. Primary exposure of venous ports with sufficient skin coverage (n = 10): the device was covered with local skin flaps. Recurrent cases, cases with insufficient skin coverage or big devices (n = 7): the device was moved to a subpectoral pocket. Mean follow-up was 19 months. Results: Sixteen devices were saved. Only one grossly infected pacemaker was removed and replaced immediately. Only in 1 case, exposure of a venous port recurred after 18 months and was successfully moved to a subpectoral pocket. Chemotherapy was always restarted as scheduled and electrical devices remained functional. Conclusions: This protocol allows—with a straightforward operation and simple measures—to save exposed devices even several days after exposure. Submuscular placement or immediate replacement is indicated only in selected cases. PMID:26034650

  17. A standard operating procedure for the surgical implantation of transmitters in juvenile salmonids

    USGS Publications Warehouse

    Liedtke, T.L.; Beeman, J.W.; Gee, L.P.

    2012-01-01

    Biotelemetry is a useful tool to monitor the movements of animals and is widely applied in fisheries research. Radio or acoustic technology can be used, depending on the study design and the environmental conditions in the study area. A broad definition of telemetry also includes the use of Passive Integrated Transponder (PIT) tags, either separately or with a radio or acoustic transmitter. To use telemetry, fish must be equipped with a transmitter. Although there are several attachment procedures available, surgical implantation of transmitters in the abdominal cavity is recognized as the best technique for long-term telemetry studies in general (Stasko and Pincock, 1977; Winter, 1996; Jepsen, 2003), and specifically for juvenile salmonids, Oncorhynchus spp. (Adams and others, 1998a, 1998b; Martinelli and others, 1998; Hall and others, 2009). Studies that use telemetry assume that the processes by which the animals are captured, handled, and tagged, as well as the act of carrying the transmitter, will have minimal effect on their behavior and performance. This assumption, commonly stated as a lack of transmitter effects, must be valid if telemetry studies are to describe accurately the movements and behavior of an entire population of interest, rather than the subset of that population that carries transmitters. This document describes a standard operating procedure (SOP) for surgical implantation of radio or acoustic transmitters in juvenile salmonids. The procedures were developed from a broad base of published information, laboratory experiments, and practical experience in tagging thousands of fish for numerous studies of juvenile salmon movements near Columbia River and Snake River hydroelectric dams. Staff from the Western Fisheries Research Center's Columbia River Research Laboratory (CRRL) frequently have used telemetry studies to evaluate new structures or operations at hydroelectric dams in the Columbia River Basin, and these evaluations typically

  18. Operative technique for insertion of a totally implantable system for venous access.

    PubMed

    Sterchi, J M; Fulks, D; Cruz, J; Paschold, E

    1986-10-01

    A totally implantable venous access device is described and a step by step technique for implanting the device is given. Among 203 patients in whom the technique has been used, thrombosis of the subclavian or jugular vein has occurred in only three. There have been no pulmonary complications, and only three devices have been removed because of infection.

  19. A wireless power interface for rechargeable battery operated neural recording implants.

    PubMed

    Li, Pengfei; Principe, Jose C; Bashirullah, Rizwan

    2006-01-01

    This paper describes an integrated analog front-end for wireless powering and recharging of miniature Li-ion batteries used in implantable neural recording microsystems. DC signal extraction from a wireless carrier is accomplished using Schottky barrier contact diodes with lower forward voltage drop for improved efficiency. The battery charger employs a new control loop that relaxes comparator resolution requirements, provides simultaneous operation of constant-current and constant-voltage loops, and eliminates the external current sense resistor from the charging path. The accuracy of the end-of-charge detection is primarily determined by the voltage drop across matched resistors and current-sources and the offset voltage of the sense comparator. Experimental results in 0.6 mum bulk CMOS technology indicate that +/- 1.3% (or +/-20 microA) end-of-charge accuracy can be obtained under worst-case conditions for a comparator offset voltage of +/-5mV. The circuits occupy 1.735 mm(2) with a power dissipation of 8.4 mW when delivering a load current of 1.5 mA at 4.1 V (or 6.15 mW) for an efficiency of 73%

  20. Radiation exposure to operator and patients during cardiac electrophysiology study, radiofrequency catheter ablation and cardiac device implantation procedures

    NASA Astrophysics Data System (ADS)

    Lee, C. H.; Cho, J. H.; Park, S. J.; Kim, J. S.; On, Y. K.; Huh, J.

    2015-10-01

    The purpose of this study was to measure the radiation exposure to operator and patient during cardiac electrophysiology study, radiofrequency catheter ablation and cardiac device implantation procedures and to calculate the allowable number of cases per year. We carried out 9 electrophysiology studies, 40 radiofrequency catheter ablation and 11 cardiac device implantation procedures. To measure occupational radiation dose and dose-area product (DAP), 13 photoluminescence glass dosimeters were placed at eyes (inside and outside lead glass), thyroids (inside and outside thyroid collar), chest (inside and outside lead apron), wrists, genital of the operator (inside lead apron), and 6 of photoluminescence glass dosimeters were placed at eyes, thyroids, chest and genital of the patient. Exposure time and DAP values were 11.7 ± 11.8 min and 23.2 ± 26.2 Gy cm2 for electrophysiology study; 36.5 ± 42.1 min and 822.4 ± 125.5 Gy cm2 for radiofrequency catheter ablation; 16.2 ± 9.3 min and 27.8 ± 16.5 Gy cm2 for cardiac device implantation procedure, prospectively. 4591 electrophysiology studies can be conducted within the occupational exposure limit for the eyes (150 mSv), and 658-electrophysiology studies with radiofrequency catheter ablation can be carried out within the occupational exposure limit for the hands (500 mSv). 1654 cardiac device implantation procedure can be conducted within the occupational exposure limit for the eyes (150 mSv). The amounts of the operator and patient's radiation exposure were comparatively small. So, electrophysiology study, radio frequency catheter ablation and cardiac device implantation procedures are safe when performed with modern equipment and optimized protective radiation protect equipment.

  1. Retrospective analysis of reasons for failure of DDD pacemaker implantation in patients operated on between 1993 and 2005.

    PubMed

    Lelakowski, Jacek; Majewski, Jacek; Małecka, Barbara; Bednarek, Jacek; Stypuła, Paweł; Szeglowski, Marcin

    2007-01-01

    During implantation of a DDD pacemaker the following difficulties may be encountered: venous anomalies (the absence of vessels of adequate calibre or difficulty in subclavian vein puncture), arrhythmias during implantation (episodes of atrial flutter/fibrillation while the atrial leads are being positioned), lack of mechanical stability of the electrode in the heart chamber and inability to achieve an acceptable pacing and sensing threshold during implantation. The purpose of the study was to analyse retrospectively the reasons for DDD pacemaker failure in patients operated on between 1993 and 2005. We reviewed retrospectively all implantation data from 1988 to 2005 to identify patients with primary failure of DDD pacemaker implantation. Further analysis included patients who had received a DDD pacemaker between 1993 and 2005, when this type of pacemaker made up between 9 and 40% of all pacemaker implantations. We implanted 7469 pacemakers, including 1958 (26.2%) dual-chamber pacemakers, in 783 patients with atrioventricular block (AVB), 392 with sick sinus syndrome (SSS), 450 with AVB +/- SSS and 333 with tachy-brady syndrome (TBS). The mean age of the patients was 65.5 +/- 17.3 years. DDD pacing was unsuccessful in 108 (1.4%) patients, including 32 with AVB, 22 with SSS, 16 with SSS +/- AVB and 38 with TBS. The mean age of these patients was 78.5 +/- 19.4 years. The reasons for failed implantation were venous anomalies in 12%, an arrhythmia episode in 27.8%, a high pacing threshold in the atrium in 17.6%, low atrial potential amplitude in 25.9% and lack of mechanical stability of the electrode in 16.7% of patients. The difficulties were encountered in elderly patients (p < 0.01), most frequently in patients with SSS and TBS (71). Between 2004 and 2005 venous anomalies and a high pacing threshold were the main causes of failure. Currently the main difficulties encountered during pacemaker implantation are venous anomalies and a high pacing threshold. Arrhythmia

  2. A Review of the Ahmed Glaucoma Valve Implant and Comparison with Other Surgical Operations.

    PubMed

    Riva, Ivano; Roberti, Gloria; Katsanos, Andreas; Oddone, Francesco; Quaranta, Luciano

    2017-04-01

    The Ahmed glaucoma valve (AGV) is a popular glaucoma drainage implant used for the control of intraocular pressure in patients with glaucoma. While in the past AGV implantation was reserved for glaucoma patients poorly controlled after one or more filtration procedures, mounting evidence has recently encouraged its use as a primary surgery in selected cases. AGV has been demonstrated to be safe and effective in reducing intraocular pressure in patients with primary or secondary refractory glaucoma. Compared to other glaucoma surgeries, AGV implantation has shown favorable efficacy and safety. The aim of this article is to review the results of studies directly comparing AGV with other surgical procedures in patients with glaucoma.

  3. A new operative method for obtaining full-arch prostheses for immediate loading dental implants.

    PubMed

    de Mello, Guilherme Paulo Scarpel; Mello, Elaine Duarte Artuso de; Corazza, Pedro Henrique

    2017-04-01

    Implant supported full-arch immediate prosthesis (also called the immediate Brånemark protocol) revolutionized dental clinical practice due to the aesthetic/functional benefits it offers to the patient. This work presents a simplified and efficient technique for implant supported full-arch immediate prosthesis fabrication. After diagnosing the necessity of the protocol, the implants were installed with a minimum torque of 35Ncm. For implant impression, the use of previously prepared castable cylinders (dispensing with impression posts), and a U-shaped acrylic (Mello technique) generated a cast without distortion. The Brånemark protocol was fabricated on this cast without the metal test specimen. The simplified technique proposed in this article for Brånemark protocol fabrication seemed to be effective. Copyright © 2016 Japan Prosthodontic Society. Published by Elsevier Ltd. All rights reserved.

  4. Intra-operative deviation in limb alignment occurring at implantation in total knee arthroplasty.

    PubMed

    Howie, D F; Love, G J; Deakin, A H; Kinninmonth, A W G

    2015-01-01

    Long-term survival of knee replacement depends on accurate alignment. Despite improvements in cut accuracy mal-alignment of 3° or more is still seen. All methods share common implantation techniques. This study examines the effect of implantation on overall limb alignment relating it to cut alignment and trial alignment. A retrospective review of navigated primary knee replacements was undertaken (n=113). Overall coronal limb alignments for the aggregated cuts, trial and final implanted components were examined. All 113 knees had coronal aggregated cut alignment within 2° of neutral (range: 2° varus to 2° valgus). With trial components 99 knees (88%) had an overall coronal limb alignment within 2° of neutral (range: 3° varus to 4° valgus). After final implantation 106 knees (94%) were within 2° of neutral (range: 4° varus to 4° valgus). Forty eight knees (42%) showed no alignment deviation occurring between trial and the final implanted prostheses and 16 knees (14%) shoed a deviation of 2° or more. There was a correlation of both aggregated cut (r=0.284, p=0.002) and trial (r=0.794, p<0.001) with final alignment. There was no significant difference between the final alignment and the aggregated cut alignment(mean difference=-0.15°, p=0.254) or trial alignment (mean difference -0.13°, p=0.155). Even when the aggregated alignment produced by the bone cuts is accurate, inaccuracy in final alignment can result from the implantation process. It may be productive for surgeons to concentrate on the implantation process to improve alignment and reduce outliers. Copyright © 2014 Elsevier B.V. All rights reserved.

  5. Post-operative hemimaxillectomy rehabilitation using prostheses supported by zygoma implants and remaining natural teeth

    PubMed Central

    Qu, Xing Zhou; Wang, Ming Yi; Ong, Hui Shan; Zhang, Chen Ping

    2016-01-01

    OBJECTIVES: This study aimed to evaluate the stability of prostheses supported by zygoma implants and remaining teeth for subjects who had undergone hemi-maxillectomy. METHODS: Ten patients were included in the study. Oral rehabilitation was performed using a temporary prosthesis that was supported by remaining teeth for the first three months. Then, a zygoma implant was placed to provide support for a final prosthesis in addition to the remaining teeth. Each prosthesis was tailor-made according to biomechanical three-dimensional finite element analysis results. The patients were assessed using the prosthesis functioning scale of the Memorial Sloan-Kettering Cancer Center. In addition, retention and bite force were recorded for both the temporary prosthesis and the final prosthesis. RESULTS: The mean bite force of the prosthetic first molar was increased to 69.2 N. The mean retentive force increased to 13.5 N after zygoma implant insertion. The bite force on the prosthetic first molar was improved to 229.3 N. CONCLUSION: Bite force increased significantly with the support of a zygoma implant. The use of zygoma implants in the restoration of maxillary defects improved functional outcome and patient satisfaction. PMID:27759845

  6. Initial Operative Experience and Short-term Hearing Preservation Results With a Mid-scala Cochlear Implant Electrode Array.

    PubMed

    Svrakic, Maja; Roland, J Thomas; McMenomey, Sean O; Svirsky, Mario A

    2016-12-01

    To describe our initial operative experience and hearing preservation results with the Advanced Bionics (AB) Mid Scala Electrode (MSE). Retrospective review. Tertiary referral center. Sixty-three MSE implants in pediatric and adult patients were compared with age- and sex-matched 1j electrode implants from the same manufacturer. All patients were severe to profoundly deaf. Cochlear implantation with either the AB 1j electrode or the AB MSE. The MSE and 1j electrodes were compared in their angular depth of insertion and pre to postoperative change in hearing thresholds. Hearing preservation was analyzed as a function of angular depth of insertion. Secondary outcome measures included operative time, incidence of abnormal intraoperative impedance and telemetry values, and incidence of postsurgical complications. Depth of insertion was similar for both electrodes, but was more consistent for the MSE array and more variable for the 1j array. Patients with MSE electrodes had better hearing preservation. Thresholds shifts at four audiometric frequencies ranging from 250 to 2000 Hz were 10, 7, 2, and 6 dB smaller for the MSE electrode than for the 1j (p < 0.05). Hearing preservation at low frequencies was worse with deeper insertion, regardless of array. Secondary outcome measures were similar for both electrodes. The MSE electrode resulted in more consistent insertion depth and somewhat better hearing preservation than the 1j electrode. Differences in other surgical outcome measures were small or unlikely to have a meaningful effect.

  7. Task Shifting Provision of Contraceptive Implants to Community Health Extension Workers: Results of Operations Research in Northern Nigeria.

    PubMed

    Charyeva, Zulfiya; Oguntunde, Olugbenga; Orobaton, Nosa; Otolorin, Emmanuel; Inuwa, Fatima; Alalade, Olubisi; Abegunde, Dele; Danladi, Saba'atu

    2015-09-01

    Contraceptive use remains low in Nigeria, with only 11% of women reporting use of any modern method. Access to long-acting reversible contraceptives (LARCs) is constrained by a severe shortage of human resources. To assess feasibility of task shifting provision of implants, we trained community health extension workers (CHEWs) to insert and remove contraceptive implants in rural communities of Bauchi and Sokoto states in northern Nigeria. We conducted 2- to 3-week training sessions for 166 selected CHEWs from 82 facilities in Sokoto state (September 2013) and 84 health facilities in Bauchi state (December 2013). To assess feasibility of the task shifting approach, we conducted operations research using a pretest-posttest design using multiple sources of information, including surveys with 151 trained CHEWs (9% were lost to follow-up) and with 150 family planning clients; facility observations using supply checklists (N = 149); direct observation of counseling provided by CHEWs (N = 144) and of their clinical (N = 113) skills; as well as a review of service statistics (N = 151 health facilities). The endline assessment was conducted 6 months after the training in each state. CHEWs inserted a total of 3,588 implants in 151 health facilities over a period of 6 months, generating 10,088 couple-years of protection (CYP). After practicing on anatomic arm models, most CHEWs achieved competency in implant insertions after insertions with 4-5 actual clients. Clinical observations revealed that CHEWs performed implant insertion tasks correctly 90% of the time or more for nearly all checklist items. The amount of information that CHEWs provided clients increased between baseline and endline, and over 95% of surveyed clients reported being satisfied with CHEWs' services in both surveys. The study found that supervisors not only observed and corrected insertion skills, as needed, during supervisory visits but also encouraged CHEWs to conduct more community

  8. Task Shifting Provision of Contraceptive Implants to Community Health Extension Workers: Results of Operations Research in Northern Nigeria

    PubMed Central

    Oguntunde, Olugbenga; Orobaton, Nosa; Otolorin, Emmanuel; Inuwa, Fatima; Alalade, Olubisi; Abegunde, Dele; Danladi, Saba’atu

    2015-01-01

    Background: Contraceptive use remains low in Nigeria, with only 11% of women reporting use of any modern method. Access to long-acting reversible contraceptives (LARCs) is constrained by a severe shortage of human resources. To assess feasibility of task shifting provision of implants, we trained community health extension workers (CHEWs) to insert and remove contraceptive implants in rural communities of Bauchi and Sokoto states in northern Nigeria. Methods: We conducted 2- to 3-week training sessions for 166 selected CHEWs from 82 facilities in Sokoto state (September 2013) and 84 health facilities in Bauchi state (December 2013). To assess feasibility of the task shifting approach, we conducted operations research using a pretest–posttest design using multiple sources of information, including surveys with 151 trained CHEWs (9% were lost to follow-up) and with 150 family planning clients; facility observations using supply checklists (N = 149); direct observation of counseling provided by CHEWs (N = 144) and of their clinical (N = 113) skills; as well as a review of service statistics (N = 151 health facilities). The endline assessment was conducted 6 months after the training in each state. Results: CHEWs inserted a total of 3,588 implants in 151 health facilities over a period of 6 months, generating 10,088 couple-years of protection (CYP). After practicing on anatomic arm models, most CHEWs achieved competency in implant insertions after insertions with 4–5 actual clients. Clinical observations revealed that CHEWs performed implant insertion tasks correctly 90% of the time or more for nearly all checklist items. The amount of information that CHEWs provided clients increased between baseline and endline, and over 95% of surveyed clients reported being satisfied with CHEWs’ services in both surveys. The study found that supervisors not only observed and corrected insertion skills, as needed, during supervisory visits but also encouraged

  9. Reliable experimental setup to test the pressure modulation of Baerveldt Implant tubes for reducing post-operative hypotony

    NASA Astrophysics Data System (ADS)

    Ramani, Ajay

    Glaucoma encompasses a group of conditions that result in damage to the optic nerve and can cause loss of vision and blindness. The nerve is damaged due to an increase in the eye's internal (intraocular) pressure (IOP) above the nominal range of 15 -- 20 mm Hg. There are many treatments available for this group of diseases depending on the complexity and stage of nerve degradation. In extreme cases where drugs or laser surgery do not create better conditions for the patient, ophthalmologists use glaucoma drainage devices to help alleviate the IOP. Many drainage implants have been developed over the years and are in use; but two popular implants are the Baerveldt Glaucoma Implant and the Ahmed Glaucoma Valve Implant. Baerveldt Implants are non-valved and provide low initial resistance to outflow of fluid, resulting in post-operative complications such as hypotony, where the IOP drops below 5 mm of Hg. Ahmed Glaucoma Valve Implants are valved implants which initially restrict the amount of fluid flowing out of the eye. The long term success rates of Baerveldt Implants surpass those of Ahmed Valve Implants because of post-surgical issues; but Baerveldt Implants' initial effectiveness is poor without proper flow restriction. This drives the need to develop new ways to improve the initial effectiveness of Baerveldt Implants. A possible solution proposed by our research team is to place an insert in the Baerveldt Implant tube of inner diameter 305 microns. The insert must be designed to provide flow resistance for the early time frame [e.g., first 30 -- 60 post-operative days] until sufficient scar tissue has formed on the implant. After that initial stage with the insert, the scar tissue will provide the necessary flow resistance to maintain the IOP above 5 mm Hg. The main objective of this project was to develop and validate an experimental apparatus to measure pressure drop across a Baerveldt Implant tube, with and without inserts. This setup will be used in the

  10. Intra-operative evaluation of cementless hip implant stability: a prototype device based on vibration analysis.

    PubMed

    Lannocca, Maurizio; Varini, Elena; Cappello, Angelo; Cristofolini, Luca; Bialoblocka, Ewa

    2007-10-01

    Cementless implants are mechanically stabilized during surgery by a press-fitting procedure. Good initial stability is crucial to avoid stem loosening and bone cracking, therefore, the surgeon must achieve optimal press-fitting. A possible approach to solve this problem and assist the surgeon in achieving the optimal compromise, involves the use of vibration analysis. The present study aimed to design and test a prototype device able to evaluate the primary mechanical stability of a cementless prosthesis, based on vibration analysis. In particular, the goal was to discriminate between stable and quasi-stable implants; thus the stem-bone system was assumed to be linear in both cases. For that reason, it was decided to study the frequency responses of the system, instead of the harmonic distortion. The prototype developed consists of a piezoelectric exciter connected to the stem and an accelerometer attached to the femur. Preliminary tests were performed on four composite femurs implanted with a conventional stem. The results showed that the input signal was repeatable and the output could be recorded accurately. The most sensitive parameter to stability was the shift in resonance frequency of the stem-bone system, which was highly correlated with residual micromotion on all four specimens.

  11. The impact of acellular dermal matrix on tissue expander/implant loss in breast reconstruction: an analysis of the tracking outcomes and operations in plastic surgery database.

    PubMed

    Pannucci, Christopher J; Antony, Anuja K; Wilkins, Edwin G

    2013-07-01

    Use of acellular dermal matrix in breast reconstruction has been associated with increased complications. However, existing studies are generally small, from single centers, and underpowered to control for confounding using regression techniques. Here, the Tracking Outcomes and Operations in Plastic Surgery database was used to examine the effect of acellular dermal matrix on expander/implant loss when controlling for other confounders. Analysis was limited to patients having tissue expander or implant-based breast reconstruction. Surgeon-reported data, International Classification of Diseases, Ninth Edition codes, and Current Procedural Terminology codes were used to identify independent variables. The dependent variable of interest was 30-day rates of tissue expander or implant loss. Bivariate statistics were performed. Multivariable logistic regression identified independent predictors of expander/implant loss when controlling for other confounders. Data were available for 14,249 patients. The overall rate of expander/implant loss was 2.05 percent. Bivariate analysis demonstrated acellular dermal matrix was associated with an absolute increase in expander/implant loss of 0.7 percent (1.88 percent versus 2.58 percent, p = 0.012). The regression model demonstrated that rising body mass index, current smoking, and presence of diabetes were each independent predictors of expander/implant loss. When controlling for all other identified confounders, use of acellular dermal matrix was associated with a significant increase in expander/implant loss (odds ratio, 1.42; 95 percent confidence interval, 1.04 to 1.94; p = 0.026). Thirty-day risk for expander/implant loss after tissue expander or implant-based breast reconstruction was 2.05 percent. Use of acellular dermal matrix was associated with a 0.7 percent absolute risk increase for expander/implant loss. Risk, III.

  12. Automaticity of Conceptual Magnitude.

    PubMed

    Gliksman, Yarden; Itamar, Shai; Leibovich, Tali; Melman, Yonatan; Henik, Avishai

    2016-02-16

    What is bigger, an elephant or a mouse? This question can be answered without seeing the two animals, since these objects elicit conceptual magnitude. How is an object's conceptual magnitude processed? It was suggested that conceptual magnitude is automatically processed; namely, irrelevant conceptual magnitude can affect performance when comparing physical magnitudes. The current study further examined this question and aimed to expand the understanding of automaticity of conceptual magnitude. Two different objects were presented and participants were asked to decide which object was larger on the screen (physical magnitude) or in the real world (conceptual magnitude), in separate blocks. By creating congruent (the conceptually larger object was physically larger) and incongruent (the conceptually larger object was physically smaller) pairs of stimuli it was possible to examine the automatic processing of each magnitude. A significant congruity effect was found for both magnitudes. Furthermore, quartile analysis revealed that the congruity was affected similarly by processing time for both magnitudes. These results suggest that the processing of conceptual and physical magnitudes is automatic to the same extent. The results support recent theories suggested that different types of magnitude processing and representation share the same core system.

  13. Automaticity of Conceptual Magnitude

    PubMed Central

    Gliksman, Yarden; Itamar, Shai; Leibovich, Tali; Melman, Yonatan; Henik, Avishai

    2016-01-01

    What is bigger, an elephant or a mouse? This question can be answered without seeing the two animals, since these objects elicit conceptual magnitude. How is an object’s conceptual magnitude processed? It was suggested that conceptual magnitude is automatically processed; namely, irrelevant conceptual magnitude can affect performance when comparing physical magnitudes. The current study further examined this question and aimed to expand the understanding of automaticity of conceptual magnitude. Two different objects were presented and participants were asked to decide which object was larger on the screen (physical magnitude) or in the real world (conceptual magnitude), in separate blocks. By creating congruent (the conceptually larger object was physically larger) and incongruent (the conceptually larger object was physically smaller) pairs of stimuli it was possible to examine the automatic processing of each magnitude. A significant congruity effect was found for both magnitudes. Furthermore, quartile analysis revealed that the congruity was affected similarly by processing time for both magnitudes. These results suggest that the processing of conceptual and physical magnitudes is automatic to the same extent. The results support recent theories suggested that different types of magnitude processing and representation share the same core system. PMID:26879153

  14. In vitro initial stability of a stemless humeral implant.

    PubMed

    Favre, Philippe; Seebeck, Jörn; Thistlethwaite, Paul A E; Obrist, Marc; Steffens, Jason G; Hopkins, Andrew R; Hulme, Paul A

    2016-02-01

    Stemless humeral prostheses have been recently introduced. We measured for the first time their in vitro primary stability and analyzed the influence of three clinically important parameters (bone quality, implant size and post-operative loading) on micromotion. We also assessed if displacement sensors are appropriate to measure implant micromotion. A stemless humeral implant (Sidus® Stem-Free Shoulder, Zimmer GmbH, Winterthur, Switzerland) was implanted in 18 cadaveric humeri. Three-dimensional motion of the implant was measured under dynamic loading at three load magnitudes with displacement sensors. Additionally, the relative motion at the bone-implant interface was measured with an optical system in four specimens. Micromotion values derived from the displacement sensors were significantly higher than those measured by the optical system (P<0.005). Analysis of variance (ANOVA) indicated that bone density (P<0.0005) and load (P<0.0001) had a significant effect on implant micromotion, however the effect of implant size was not statistically significant (P=0.123). Micromotion of this stemless design was shown to be significantly dependent on cancellous bone density. Patients must therefore have adequate bone quality for this procedure. The influence of load magnitude on micromotion emphasizes the need for controlled post-operative rehabilitation. Measurements with displacement sensors overestimate true interface micromotion by up to 50% and correction by an optical system is strongly recommended. Copyright © 2015 Elsevier Ltd. All rights reserved.

  15. A retrospective study on 1592 consecutively performed operations in one private referral clinic. Part I: Early inflammation and early implant failures.

    PubMed

    Antoun, Hadi; Karouni, Michel; Abitbol, Jérémy; Zouiten, Ons; Jemt, Torsten

    2017-06-01

    Few large-scale follow-up studies are reported on routine implant treatment. To report retrospective data on early inflammatory and early implant failures in a large number of routine patients at one private referral clinic. A total of 1017 patients were consecutively provided with 3082 implants with an anodized surface (Nobel Biocare AB) at 1592 implant operations between 2000 and 2011. All patients reported with mucosa inflammation and bone loss and/or implant failures to the first annual examination were identified. A logistic multivariate data analysis was performed to identify possible factors with an association to the two events. Altogether 33 patients/operations presented early inflammation (2.1% operations). "History of periodontitis" (OR 3.91; 95% CI: 1.86-8.21), "numbers of implants" (OR1.33; 95% CI:1.07-1.67 per implant), "two stage surgical technique" (OR 3.70; 95% CI: 1.75-7.85), and "lower jaw" treatment (OR 4.73; 95% CI: 2.12-10.57) increased the risk for early mucositis with bone loss (P < .05). Highest risk for early inflammation was observed for patients at an age of 50-55 years at surgery (P < .05). "Smoking habits" (OR 2.08; 95% CI: 1.06-4.10) "Immediate implant placement" (OR 2.09; 95% CI: 1.23-3.54), and "immediate grafting procedures" (OR 2.09; 95% CI: 1.04-4.19) had a significant association to early implant failures (P < .05). Furthermore, risk for an early failure decreased with 22% per year of inclusion (2000 >2011; OR 1.22; 95% CI;1.08-1.39). History of periodontitis and two-stage surgery protocols with bone grafts in the (posterior) lower jaw increased the risk for early inflammatory problems after surgery (P < .05), with the highest risk for mid-aged patients (P < .05). Preventable factors related to the patient (smoking) and experience of surgeon showed to have a significant association to early implant failures in routine clinical practice (P < .05). © 2017 Wiley Periodicals, Inc.

  16. New operational techniques of implantation of biomaterials and titanium implants in the jaw with the atrophy of the bone and soft tissues

    NASA Astrophysics Data System (ADS)

    Nikityuk, D. B.; Urakov, A. L.; Reshetnikov, A. P.; Kopylov, M. V.; Baimurzin, D. Yu.

    2015-11-01

    The research into dynamics of quality of clinical use in 2003 - 2012 of autologous and xenogeneic biomaterials at dental transplantation and implantation among 1,100 of adult patients was made. The analysis results show that at autologous bone transplantation implant survival is observed only in 72% of cases, and the "necessary" result of bone repair occurred only in 6 - 9 months. Transplantation of biomaterials of OsteoBiol® (materials "mp3", "Genos" and "Evolution") provided engraftment and bone regeneration in 100 % of cases and allowed the use of dental implantation immediately after transplantation even in case of reduction in the patient's alveolar crest down to 2.0 mm. Replace Select implants of Nobel Biocare® were used at plantation. In order to exclude Schneiderian membrane's perforation lighting of Highmore's sinus with the cold blue-violet light from inside at sinus elevation is recommended as well as deepening of dental instruments into the bone only until the blue-violet light appears under them. To exclude deficiency of soft tissue under the cervical part of the ceramic crown application of special anti-fissure technology involving biomaterial flap dissection and its laying around the implant is suggested.

  17. [Possible Instrument Contamination in the Operating Room During Implantation of Knee and Hip Arthroplasty].

    PubMed

    Quint, U; Benen, T

    2016-04-01

    Integrated ventilation systems with low turbulence displacement flow (TAV) are generally legally required in the architectural structure of operating theatres. However, it seems that the instruments laid out on sterile covered tables do not have the best possible protection from bacteria. Within an operating theatre, different bacteria counts are possible on the instruments. This prospective controlled study was conducted to demonstrate the influence of instrument tables with integrated horizontal flow on contamination with pathogens in comparison with conventional tables. In an operating theatre (OT) with a ceiling legally appropriate for TAV (2.40 m × 1.20 m), microbiological samples were placed on a table with integrated TAV flow (n = 100) and on a conventional instrument table (n = 100). The routine qualification of the OT was on an ongoing basis and was in accordance with DIN 1946-4: 1999 standards (in accordance with DIN measurement of recovery time 1946-4: 12-2008). This corresponds to the OT of the room class Ib. The results show significant differences between the two tables. The bacteria count and the percentage of contamination were many times higher on the conventional table. It is important to understand that the instruments are not completely protected against contamination after opening the pack and during the operation. Remedial measures are possible to optimise the sterility the instrument table.

  18. Are Earthquake Magnitudes Clustered?

    SciTech Connect

    Davidsen, Joern; Green, Adam

    2011-03-11

    The question of earthquake predictability is a long-standing and important challenge. Recent results [Phys. Rev. Lett. 98, 098501 (2007); ibid.100, 038501 (2008)] have suggested that earthquake magnitudes are clustered, thus indicating that they are not independent in contrast to what is typically assumed. Here, we present evidence that the observed magnitude correlations are to a large extent, if not entirely, an artifact due to the incompleteness of earthquake catalogs and the well-known modified Omori law. The latter leads to variations in the frequency-magnitude distribution if the distribution is constrained to those earthquakes that are close in space and time to the directly following event.

  19. An analysis of intraoperative versus post-operative dosimetry with CT, CT-MRI fusion and XMR for the evaluation of permanent prostate brachytherapy implants.

    PubMed

    Acher, Peter; Puttagunta, Srikanth; Rhode, Kawal; Morris, Stephen; Kinsella, Janette; Gaya, Andrew; Dasgupta, Prokar; Deehan, Charles; Beaney, Ronald; Popert, Rick; Keevil, Stephen

    2010-08-01

    To assess the agreement between intraoperative and post-operative dosimetry and to identify factors that influence dose calculations of prostate brachytherapy implants. Patients treated with prostate brachytherapy implants underwent post-operative CT and XMR (combined X-ray and MR) imaging. Dose-volume histograms were calculated from CT, XMR and CT-MR fusion data and compared with intraoperative values for two observers. Multiple linear regression models assessed the influences of intraoperative D90, gland oedema, gland volume, source loss and migration, and implanted activity/volume prostate on post-operative D90. Forty-nine patients were studied. The mean D90 differences (95% confidence limits) between intraoperative and post-operative CT, XMR and CT-MR fusion assessments were: 11 Gy (-22, 45), 18 Gy (-13, 49) and 20 Gy (-17, 58) for Observer 1; and 15 Gy (-34, 63), 13 Gy (-29, 55) and 14 Gy (-27, 54) for Observer 2. Multiple linear regression modelling showed that the observed oedema and intraoperative D90 were significant independent variables for the prediction of post-operative D90 values for both observers using all modalities. This is the first study to report Bland-Altman agreement analysis between intraoperative and post-operative dosimetry. Agreement is poor. Post-operative dosimetry is dependent on the intraoperative D90 and the subjectively outlined gland volume. Copyright 2010 Elsevier Ireland Ltd. All rights reserved.

  20. Clinical ventricular tachycardia and surgical epicardial ICD implantation in a patient with a Fontan operation for double-inlet left ventricle.

    PubMed

    Agir, Aysen Agacdiken; Celikyurt, Umut; Karauzum, Kurtulus; Yilmaz, Irem; Ozbudak, Ersan; Bozyel, Serdar; Kanko, Muhip; Vural, Ahmet; Ural, Dilek

    2014-11-23

    The Fontan operation is the primary surgical technique used for palliation of patients with single-ventricle physiology. Arrhythmias are frequently observed and associated with morbidity and mortality in Fontan patients. The frequency of arrhythmias after the Fontan procedure increases over time and it was reported to reach 50% in a 20-year follow up. Atrial tachyarrhythmias, especially atrial tachycardia and sinus bradycardia, are most frequently observed in these patients. Ventricular arrhythmias are rarely observed. Generally, medical therapy, catheter ablation, pacemaker or implantable cardioverter defibrillator (ICD) implantation are options in the treatment of these arrhythmias. It may be difficult to implant either a pacemaker or an ICD in patients on whom the Fontan procedure has been performed. In conditions where access to the right ventricle is from the venous system, it is anatomically impossible. Where there is no functional right ventricle, device implantation can be performed with alternative methods other than the conventional transvenous approach. In this report, we discuss a middle-aged woman with a Fontan operation performed 14 years earlier, who presented with ventricular tachycardia (VT) and in whom an epicardial ICD was implanted. The literature on this issue is also reviewed.

  1. [Gold standard for implant selection in operative therapy of spondylitis/spondylodiscitis].

    PubMed

    Wiedenhöfer, B; Hemmer, S; Akbar, M; Lehner, B; Schmidmaier, G; Klöckner, C

    2012-09-01

    The operative therapy management of vertebral osteomyelitis including debridement and stabilization is well established. Autologous bone is the preferred graft material but is limited due to availability, failure of consolidation in large defects and donor morbidity. Titanium mesh cages are alternatively equally well evaluated and other materials are also mentioned. Immobilization of affected segments is the fundamental requirement for healing of osteomyelitis. The operative therapy of choice is meticulous debridement and internal stabilization of the defect. Autologous bone seems to provide the best conditions to bridge and consolidate defects. Bone marrow aspirate, reaming irrigator aspiration (RIA) and bone marrow protein (BMP) in combination with cages have the same qualities considering bone healing but they are not yet sufficiently evaluated for management of vertebral osteomyelitis. Autologous bone graft remains the gold standard, nevertheless, its disadvantages point out the need for alternative grafts. Titanium is well proven to provide stability but bone substitutes are not sufficiently evaluated but seem to be promising.

  2. Misconceptions about astronomical magnitudes

    NASA Astrophysics Data System (ADS)

    Schulman, Eric; Cox, Caroline V.

    1997-10-01

    The present system of astronomical magnitudes was created as an inverse scale by Claudius Ptolemy in about 140 A.D. and was defined to be logarithmic in 1856 by Norman Pogson, who believed that human eyes respond logarithmically to the intensity of light. Although scientists have known for some time that the response is instead a power law, astronomers continue to use the Pogson magnitude scale. The peculiarities of this system make it easy for students to develop numerous misconceptions about how and why to use magnitudes. We present a useful exercise in the use of magnitudes to derive a cosmologically interesting quantity (the mass-to-light ratio for spiral galaxies), with potential pitfalls pointed out and explained.

  3. Turning an organic semiconductor into a low-resistance material by ion implantation.

    PubMed

    Fraboni, Beatrice; Scidà, Alessandra; Cosseddu, Piero; Wang, Yongqiang; Nastasi, Michael; Milita, Silvia; Bonfiglio, Annalisa

    2015-12-01

    We report on the effects of low energy ion implantation on thin films of pentacene, carried out to investigate the efficacy of this process in the fabrication of organic electronic devices. Two different ions, Ne and N, have been implanted and compared, to assess the effects of different reactivity within the hydrocarbon matrix. Strong modification of the electrical conductivity, stable in time, is observed following ion implantation. This effect is significantly larger for N implants (up to six orders of magnitude), which are shown to introduce stable charged species within the hydrocarbon matrix, not only damage as is the case for Ne implants. Fully operational pentacene thin film transistors have also been implanted and we show how a controlled N ion implantation process can induce stable modifications in the threshold voltage, without affecting the device performance.

  4. Turning an organic semiconductor into a low-resistance material by ion implantation

    PubMed Central

    Fraboni, Beatrice; Scidà, Alessandra; Cosseddu, Piero; Wang, Yongqiang; Nastasi, Michael; Milita, Silvia; Bonfiglio, Annalisa

    2015-01-01

    We report on the effects of low energy ion implantation on thin films of pentacene, carried out to investigate the efficacy of this process in the fabrication of organic electronic devices. Two different ions, Ne and N, have been implanted and compared, to assess the effects of different reactivity within the hydrocarbon matrix. Strong modification of the electrical conductivity, stable in time, is observed following ion implantation. This effect is significantly larger for N implants (up to six orders of magnitude), which are shown to introduce stable charged species within the hydrocarbon matrix, not only damage as is the case for Ne implants. Fully operational pentacene thin film transistors have also been implanted and we show how a controlled N ion implantation process can induce stable modifications in the threshold voltage, without affecting the device performance. PMID:27877850

  5. Telescopic limiting magnitudes

    NASA Technical Reports Server (NTRS)

    Schaefer, Bradley E.

    1990-01-01

    The prediction of the magnitude of the faintest star visible through a telescope by a visual observer is a difficult problem in physiology. Many prediction formulas have been advanced over the years, but most do not even consider the magnification used. Here, the prediction algorithm problem is attacked with two complimentary approaches: (1) First, a theoretical algorithm was developed based on physiological data for the sensitivity of the eye. This algorithm also accounts for the transmission of the atmosphere and the telescope, the brightness of the sky, the color of the star, the age of the observer, the aperture, and the magnification. (2) Second, 314 observed values for the limiting magnitude were collected as a test of the formula. It is found that the formula does accurately predict the average observed limiting magnitudes under all conditions.

  6. Should Astronomy Abolish Magnitudes?

    NASA Astrophysics Data System (ADS)

    Brecher, K.

    2001-12-01

    Astronomy is riddled with a number of anachronistic and counterintuitive practices. Among these are: plotting increasing stellar temperature from right to left in the H-R diagram; giving the distances to remote astronomical objects in parsecs; and reporting the brightness of astronomical objects in magnitudes. Historical accident and observational technique, respectively, are the bases for the first two practices, and they will undoubtedly persist in the future. However, the use of magnitudes is especially egregious when essentially linear optical detectors like CCDs are used for measuring brightness, which are then reported in a logarithmic (base 2.512 deg!) scale. The use of magnitudes has its origin in three historical artifacts: Ptolemy's method of reporting the brightness of stars in the "Almagest"; the 19th century need for a photographic photometry scale; and the 19th century studies by psychophysicists E. H. Weber and G. T. Fechner on the response of the human eye to light. The latter work sought to uncover the relationship between the subjective response of the human eye and brain to the objective brightness of external optical stimuli. The resulting Fechner-Weber law states that this response is logarithmic: that is, that the eye essentially takes the logarithm of the incoming optical signal. However, after more than a century of perceptual studies, most intensively by S. S. Stevens, it is now well established that this relation is not logarithmic. For naked eye detection of stars from the first to sixth magnitudes, it can be reasonably well fit by a power law with index of about 0.3. Therefore, the modern experimental studies undermine the physiological basis for the use of magnitudes in astronomy. Should the historical origins of magnitudes alone be reason enough for their continued use? Probably not, since astronomical magnitudes are based on outdated studies of human perception; make little sense in an era of linear optical detection; and provide a

  7. Acellular dermal matrix compared with synthetic implant material for repair of ventral hernia in the setting of peri-operative Staphylococcus aureus implant contamination: a rabbit model.

    PubMed

    Milburn, Meghan L; Holton, Luther H; Chung, Thomas L; Li, Edward N; Bochicchio, Grant V; Goldberg, Nelson H; Silverman, Ronald P

    2008-08-01

    Implant infection is a common clinical complication of abdominal hernia repair. Our objectives were to determine if acellular dermal matrix (ADM) grafts resisted Staphylococcus aureus infection better (as measured by ability to reduce or clear bacterial counts) than synthetic (polytetrafluoroethylene [PTFE]) mesh when used in abdominal wall reconstruction, and to determine whether vascularization of the implant occurred. We hypothesized that the ability of the ADM grafts to vascularize and allow cellular ingrowth would allow the immune system to clear the infection better in these animals. In New Zealand White rabbits (average weight, 3.0 kg), a full-thickness 3 x 3 cm(2) abdominal defect was created, then repaired with an interpositional implant (ADM, n = 62; PTFE, n = 57). Before skin closure, the epidermal surface of each implant was inoculated with 1 mL of S. aureus at various concentrations (10(4) colony-forming units [CFU]/mL, n = 82; 10(6) CFU/mL, n = 27; 10(9) CFU/mL, n = 10), and the rabbits were harvested at either day 7 or day 21. At day 7, ADM grafts inoculated with 10(4) CFU had lower counts or no bacteria (p = 0.006), fewer adhesions (p = 0.005), and fewer abscesses (p = 0.008) than PTFE grafts. By day 21, more ADM (n = 12) than PTFE (n = 0) grafts were free of bacteria (p = 0.002). Fewer rabbits with ADM grafts formed abscesses (13 vs. 19; p = 0.03). When evaluating the 7- and 21-day 10(4) CFU groups combined, a total of 15 rabbits with ADM cleared the bacteria completely vs. none of those with PTFE grafts (p < 0.001). There was no significant difference in bacterial counts or wound complications at days 7 or 21 between PTFE and ADM implants when inoculated with 10(6) CFU. All rabbits inoculated with 10(9) CFU died of sepsis within 48 h. Herniation did not occur in any of the animals. Our study demonstrates that ADM resists surgical site infection caused by S. aureus in an animal model without compromising the ventral hernia repair. This ability of

  8. Benefit of an implanted solid barrier for the feasibility of a sequence of three different hepato-biliary operations in a small animal model.

    PubMed

    Richter, B; Sänger, C; Mussbach, F; Scheuerlein, H; Settmacher, U; Dahmen, U

    2017-04-08

    Current liver surgery includes complex multi-stage procedures such as portal vein ligation (PVL) followed by extended liver resection, especially in patients with Klatskin tumours. The risk for severe adhesions increases with every procedure. Finally, this complex sequence could fail because of malignant adhesions. Therefore, we proved the hypothesis of reducing malignant adhesions and increasing feasibility of a sequence with three hepato-biliary operations by implantation of a solid barrier. We operated in male rats (n=40). Our sequence included as 1st operation bile duct ligation mimicking Klatskin III° or IV°, the 2nd operation was a selective portal vein ligation (sPVL) and 3rd procedure was a 70% liver resection. The mechanical barrier (part of a sterile glove) was implanted at the end of the first operation between the upper (median lobe+left lateral lobe [ML+LLL]) and lower (right lobe+caudate lobe [RL+CL]) rat liver lobes. We assessed the degree of adhesions and the feasibility of the 2nd and 3rd operation by using an established adhesion score (Zühlke) and a feasibility score. The severity of the adhesions and the pro-inflammatory cellular response were further evaluated by morphometry of thickness (HE) of the adhesion layer and quantification of infiltrating neutrophils (ASDCL) in the adhesion layer on the liver surface. The planned liver resection as the third procedure was only feasible when a mechanical barrier was placed. Extent of cholestasis or time interval between the operations had no significant impact on adhesions score or feasibility of the whole sequence. A sequence of three hepato-biliary operations in a small animal model (rat) is feasible. It should be considered to implant a mechanical barrier in a sequence of more than two surgical interventions in an experimental model in order to assure the feasibility of the final operation. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  9. The discovery and comparison of symbolic magnitudes.

    PubMed

    Chen, Dawn; Lu, Hongjing; Holyoak, Keith J

    2014-06-01

    Humans and other primates are able to make relative magnitude comparisons, both with perceptual stimuli and with symbolic inputs that convey magnitude information. Although numerous models of magnitude comparison have been proposed, the basic question of how symbolic magnitudes (e.g., size or intelligence of animals) are derived and represented in memory has received little attention. We argue that symbolic magnitudes often will not correspond directly to elementary features of individual concepts. Rather, magnitudes may be formed in working memory based on computations over more basic features stored in long-term memory. We present a model of how magnitudes can be acquired and compared based on BARTlet, a representationally simpler version of Bayesian Analogy with Relational Transformations (BART; Lu, Chen, & Holyoak, 2012). BARTlet operates on distributions of magnitude variables created by applying dimension-specific weights (learned with the aid of empirical priors derived from pre-categorical comparisons) to more primitive features of objects. The resulting magnitude distributions, formed and maintained in working memory, are sensitive to contextual influences such as the range of stimuli and polarity of the question. By incorporating psychological reference points that control the precision of magnitudes in working memory and applying the tools of signal detection theory, BARTlet is able to account for a wide range of empirical phenomena involving magnitude comparisons, including the symbolic distance effect and the semantic congruity effect. We discuss the role of reference points in cognitive and social decision-making, and implications for the evolution of relational representations.

  10. A pacemaker powered by an implantable biofuel cell operating under conditions mimicking the human blood circulatory system--battery not included.

    PubMed

    Southcott, Mark; MacVittie, Kevin; Halámek, Jan; Halámková, Lenka; Jemison, William D; Lobel, Robert; Katz, Evgeny

    2013-05-07

    Biocatalytic electrodes made of buckypaper were modified with PQQ-dependent glucose dehydrogenase on the anode and with laccase on the cathode and were assembled in a flow biofuel cell filled with serum solution mimicking the human blood circulatory system. The biofuel cell generated an open circuitry voltage, Voc, of ca. 470 mV and a short circuitry current, Isc, of ca. 5 mA (a current density of 0.83 mA cm(-2)). The power generated by the implantable biofuel cell was used to activate a pacemaker connected to the cell via a charge pump and a DC-DC converter interface circuit to adjust the voltage produced by the biofuel cell to the value required by the pacemaker. The voltage-current dependencies were analyzed for the biofuel cell connected to an Ohmic load and to the electronic loads composed of the interface circuit, or the power converter, and the pacemaker to study their operation. The correct pacemaker operation was confirmed using a medical device - an implantable loop recorder. Sustainable operation of the pacemaker was achieved with the system closely mimicking human physiological conditions using a single biofuel cell. This first demonstration of the pacemaker activated by the physiologically produced electrical energy shows promise for future electronic implantable medical devices powered by electricity harvested from the human body.

  11. Magnitude estimation of softness

    PubMed Central

    Friedman, Robert M.; Hester, Kim D.; Green, Barry G.

    2008-01-01

    The human capacity to estimate the magnitude of softness of silicone rubber disks of differing compliance was studied under experimental conditions that altered the mode of contact. Subjects were able to scale softness regardless of whether they (1) actively indented each specimen by tapping or pressing it with the finger pad, (2) received passive indentation of the finger pad by each specimen via a force controlled tactile stimulator, thus eliminating kinesthetic cues, or (3) actively indented each specimen with a stylus that was manipulated either by tapping with one finger, or held by two fingers in a precision grip, thereby removing tactile cues provided by direct mechanical contact between the finger pad and specimen. Ratings of softness were independent of moderate variations in peak compressional force and force-rate. Additionally, functions for scaling softness were affected by the mode of contact; the slopes of the functions were greater in the tasks with a complete complement of compliance cues. When subjects were asked to classify objects as either hard or soft, specimens were classified as soft if the compliance were greater than that of the human finger. This suggests that the classification of softness depends on whether the object conforms to the body, and that tactile information about the spatial profile of object deformation is sufficient for the magnitude scaling of softness. But typically, kinesthetic information about the magnitude of object displacement, along with contact vibratory cues is also used while judging softness especially in the absence of direct skin contact with the object when using a tool. PMID:18679665

  12. Melody® pulmonary valve implantation in two teenage patients with congenitally corrected transposition of the great arteries status after Senning atrial switch operation.

    PubMed

    Rios, Rodrigo; Foerster, Susan R; Gudausky, Todd M

    2017-04-01

    The Melody® transcatheter pulmonary valve system was developed for placement within right ventricle-to-pulmonary artery conduits in patients with CHD for treatment of stenosis or regurgitation, providing an alternative to open-heart surgery. Abnormal systemic venous connections altering the catheter course to the right ventricle-to-pulmonary artery conduit may present a challenge to Melody® valve implantation. We present two such cases, in which the Melody® valve was successfully implanted in teenage patients with congenitally corrected transposition of the great arteries after Senning atrial switch operation. Despite the abnormal catheter course, the right ventricle-to-pulmonary artery was approachable via the right femoral vein allowing for deployment of the Melody® valve in the appropriate position. This suggests that systemic vein-to-left atrium baffles are not prohibitive of Melody® valve implantation. This is an important implication considering the substantial population of ageing patients with CHD who have undergone atrial switch. Melody® valve implantation can be considered as a viable option for treatment of these patients if they develop right ventricle-to-pulmonary artery conduit failure.

  13. Landslide seismic magnitude

    NASA Astrophysics Data System (ADS)

    Lin, C. H.; Jan, J. C.; Pu, H. C.; Tu, Y.; Chen, C. C.; Wu, Y. M.

    2015-11-01

    Landslides have become one of the most deadly natural disasters on earth, not only due to a significant increase in extreme climate change caused by global warming, but also rapid economic development in topographic relief areas. How to detect landslides using a real-time system has become an important question for reducing possible landslide impacts on human society. However, traditional detection of landslides, either through direct surveys in the field or remote sensing images obtained via aircraft or satellites, is highly time consuming. Here we analyze very long period seismic signals (20-50 s) generated by large landslides such as Typhoon Morakot, which passed though Taiwan in August 2009. In addition to successfully locating 109 large landslides, we define landslide seismic magnitude based on an empirical formula: Lm = log ⁡ (A) + 0.55 log ⁡ (Δ) + 2.44, where A is the maximum displacement (μm) recorded at one seismic station and Δ is its distance (km) from the landslide. We conclude that both the location and seismic magnitude of large landslides can be rapidly estimated from broadband seismic networks for both academic and applied purposes, similar to earthquake monitoring. We suggest a real-time algorithm be set up for routine monitoring of landslides in places where they pose a frequent threat.

  14. Limiting magnitude of hypertelescopes

    NASA Astrophysics Data System (ADS)

    Surya, Arun

    Optical stellar interferometers have demonstrated milli-arcsecond resolution with few apertures spaced hundreds of meters apart. To obtain rich direct images, many apertures will be needed, for a better sampling of the incoming wavefront. The coherent imaging thus achievable improves the sensitivity with respect to the incoherent combination of successive fringed exposures, heretofore achieved in the form of optical aperture synthesis. For efficient use of highly diluted apertures, this can be done with pupil densification, a technique also called ``Hypertelescope Imaging". Using numerical simulations we have found out the limiting magnitude of hypertelescopes over different baselines and pupil densifications. Here we discuss the advantages of using hypertelescope systems over classical pairwise optical interferometry.

  15. One-stage operation of large oroantral fistula closure, sinus lifting, and autogenous bone grafting for dental implant installation.

    PubMed

    Lee, Bu-Kyu

    2008-06-01

    Bone grafts to the maxillary sinus are often required after closure of an oroantral fistula (OAF) to allow for subsequent implant installation. This report describes a single procedure that closes a large OAF using bone grafting to the involved sinus. This technique involves sinus mucosal lifting via elevating the sinus membrane, which is recovered as a continuous layer by combining the residual sinus membranes with a rotated part of oral mucosa around the OAF. Autogenous bone from the ilium was grafted into the prepared sinus space, and the oral side of the graft was covered by a rotated palatal flap. This technique was used to treat 3 patients who had large OAFs in the atrophied posterior maxillary region owing to previous multiple implant failures after sinus lifting. The treatment was successful in all cases. This technique appears to be suitable for large OAFs where implants are subsequently desired.

  16. Cochlear Implants

    MedlinePlus

    ... Medical Procedures Implants and Prosthetics Cochlear Implants Cochlear Implants Share Tweet Linkedin Pin it More sharing options ... normal ear, ear with hearing loss, and cochlear implant procedure Welcome to the Food and Drug Administration ( ...

  17. Transcatheter aortic valve-in-valve implantation for severe bioprosthetic stenosis after Bentall operation using a homograft in a patient with Behçet's disease.

    PubMed

    Joo, Hyung Joon; Hong, Soon Jun; Yu, Cheol Woong

    2015-03-01

    A 43-year-old man presented with severe aortic stenosis. Eight years previously, he had undergone primary surgical aortic valve replacement (AVR) for severe aortic regurgitation, but one year later developed cardiac arrest and complete atrioventricular block as a result of non-bacterial thrombotic endocarditis with severe valvular dehiscence. Following the diagnosis of prosthetic valve failure caused by Behçet's disease, the patient underwent a Bentall operation using 23 mm aortic homograft with permanent pacemaker implantation and coronary artery bypass grafting. Subsequently, he was stable with steroid administration and azathioprine for seven years after the second operation, but recently suffered from severe dyspnea and chest pain. Echocardiography revealed the development of severe aortic stenosis. A preprocedural evaluation demonstrated a porcelain aorta with severe calcification in the previous homograft valve on computed tomography, and critical stenosis at the ostium of the left circumflex artery on coronary angiography. After percutaneous coronary intervention for the ostium of the left circumflex artery, a transcatheter AVR was successfully performed using a 26 mm Edwards SAPIEN XT valve. The patient recovered without any complications after the procedure. This is the first report of a successful transcatheter aortic valve-in valve implantation for severe homograft aortic stenosis after a Bentall operation, using a homograft, in a patient with Behçet's disease.

  18. New cochlear implant technologies improve performance in post-meningitic deaf patients.

    PubMed

    Mosnier, Isabelle; Felice, Andrea; Esquia, Gonzalo; Borel, Stéphanie; Bouccara, Didier; Ambert-Dahan, Emmanuèle; Smadja, Martine; Ferrary, Evelyne; Sterkers, Olivier

    2013-01-01

    The objective of the study was to compare the performance of cochlear implantation between post-meningitic and non-meningitic patients, and to evaluate the impact on hearing outcome of technical advances in cochlear implant technology. Retrospective chart review was used as the study design. Twenty adults with post-meningitic profound hearing loss receiving unilateral or bilateral cochlear implants between 1990 and 2008 were tested. Results were compared to a control group of 46 adults implanted for a non-meningitic hearing loss, with the same pre-operative speech scores. Speech scores were poorer in post-meningitic patients compared to those of control group, whatever the duration after implantation (p < 0.0001). Speech scores of subjects implanted and fitted before 2001 were compared to those of subjects implanted after 2001, with the same duration of hearing loss. Performance improved with implants and processors available after 2001, with a magnitude of improvement higher in post-meningitic patients (p < 0.0001 and p < 0.05 in post-meningitic and control groups, respectively, two-way ANOVA). Consequently, speech scores of post-meningitic patients implanted after 2001 achieved those of control subjects (two-way ANOVA). Advances in cochlear implant technology and coding strategy improve hearing outcome in post-meningitic adult patients, who now achieve similar performance as those of non-meningitic patients.

  19. Cochlear Implants.

    ERIC Educational Resources Information Center

    Clark, Catherine; Scott, Larry

    This brochure explains what a cochlear implant is, lists the types of individuals with deafness who may be helped by a cochlear implant, describes the process of evaluating people for cochlear implants, discusses the surgical process for implanting the aid, traces the path of sound through the cochlear implant to the brain, notes the costs of…

  20. Cochlear Implants.

    ERIC Educational Resources Information Center

    Clark, Catherine; Scott, Larry

    This brochure explains what a cochlear implant is, lists the types of individuals with deafness who may be helped by a cochlear implant, describes the process of evaluating people for cochlear implants, discusses the surgical process for implanting the aid, traces the path of sound through the cochlear implant to the brain, notes the costs of…

  1. Extension gap needs more than 1-mm laxity after implantation to avoid post-operative flexion contracture in total knee arthroplasty.

    PubMed

    Okamoto, Shigetoshi; Okazaki, Ken; Mitsuyasu, Hiroaki; Matsuda, Shuichi; Mizu-Uchi, Hideki; Hamai, Satoshi; Tashiro, Yasutaka; Iwamoto, Yukihide

    2014-12-01

    In total knee arthroplasty (TKA), a high soft-tissue tension in extension at the time of operation would cause a post-operative flexion contracture. However, how tight the extension gap should be during surgery to avoid a post-operative flexion contracture remains unclear. The hypothesis is that some laxity in the intraoperative extension gap is necessary to avoid the post-operative flexion contracture. A posterior-stabilized TKA was performed for 75 osteoarthritic knees with a varus deformity. The intraoperative extension gap was measured using a tensor device that provides the gap length and the angle between the femoral component and the tibial cut surface. The medial component gap was defined as the gap calculated by subtracting the selected thickness of the tibial component, including the polyethylene liner, from the extension gap at the medial side. Then, the patients were divided into three groups according to the medial component gap, and post-operative extension angle measured 1 year after the surgery was compared between each groups. One year post-operatively, a flexion contracture of more than 5° was found in 0/34 patients when the medial component gap was more than 1 mm, in 2/26 (8%) patients when the gap was between 0 and 1 mm, and in 3/15 (20%) patients when the gap was <0 mm. Three factors were associated significantly with the post-operative extension angle: age, preoperative extension angle, and medial component gap. The intraoperative extension gap is related to the post-operative extension angle. Surgeons should leave more than 1-mm laxity after the implantation to avoid the post-operative flexion contracture. As a clinical relevance, this study clarified the optimal extension gap to avoid the post-operative flexion contracture. Prospective comparative study, Level II.

  2. Penile Implants

    MedlinePlus

    Penile Implants Overview By Mayo Clinic Staff Penile implants are devices placed inside the penis to allow men with erectile dysfunction (ED) to get an erection. Penile implants are typically recommended after other treatments for ED ...

  3. Dental Implants.

    PubMed

    Griggs, Jason A

    2017-10-01

    Systematic reviews of literature over the period between 2008 and 2017 are discussed regarding clinical evidence for the factors affecting survival and failure of dental implants. The factors addressed include publication bias, tooth location, insertion torque, collar design, implant-abutment connection design, implant length, implant width, bone augmentation, platform switching, surface roughness, implant coatings, and the use of ceramic materials in the implant body and abutment. Copyright © 2017 Elsevier Inc. All rights reserved.

  4. Are all metal-on-metal hip revision operations contributing to the National Joint Registry implant survival curves?

    PubMed Central

    Sabah, S. A.; Henckel, J.; Koutsouris, S.; Rajani, R.; Hothi, H.; Skinner, J. A.; Hart, A. J.

    2016-01-01

    Aims The National Joint Registry for England, Wales and Northern Ireland (NJR) has extended its scope to report on hospital, surgeon and implant performance. Data linkage of the NJR to the London Implant Retrieval Centre (LIRC) has previously evaluated data quality for hip primary procedures, but did not assess revision records. Methods We analysed metal-on-metal hip revision procedures performed between 2003 and 2013. A total of 69 929 revision procedures from the NJR and 929 revised pairs of components from the LIRC were included. Results We were able to link 716 (77.1%) revision procedures on the NJR to the LIRC. This meant that 213 (22.9%) revision procedures at the LIRC could not be identified on the NJR. We found that 349 (37.6%) explants at the LIRC completed the full linkage process to both NJR primary and revision databases. Data completion was excellent (> 99.9%) for revision procedures reported to the NJR. Discussion This study has shown that only approximately one third of retrieved components at the LIRC, contributed to survival curves on the NJR. We recommend prospective registry-retrieval linkage as a tool to feedback missing and erroneous data to the NJR and improve data quality. Take home message: Prospective Registry – retrieval linkage is a simple tool to evaluate and improve data quality on the NJR. Cite this article: Bone Joint J 2016;98-B:33–9. PMID:26733513

  5. Implantable electrical device

    NASA Technical Reports Server (NTRS)

    Jhabvala, M. D. (Inventor)

    1982-01-01

    A fully implantable and self contained device is disclosed composed of a flexible electrode array for surrounding damaged nerves and a signal generator for driving the electrode array with periodic electrical impulses of nanoampere magnitude to induce regeneration of the damaged nerves.

  6. Determination of the Limiting Magnitude

    NASA Technical Reports Server (NTRS)

    Kingery, Aaron; Blaauw, Rhiannon

    2017-01-01

    The limiting magnitude of an optical camera system is an important property to understand since it is used to find the completeness limit of observations. Limiting magnitude depends on the hardware and software of the system, current weather conditions, and the angular speed of the objects observed. If an object exhibits a substantial angular rate during the exposure, its light spreads out over more pixels than the stationary stars. This spreading causes the limiting magnitude to be brighter when compared to the stellar limiting magnitude. The effect, which begins to become important when the object moves a full width at half max during a single exposure or video frame. For targets with high angular speeds or camera systems with narrow field of view or long exposures, this correction can be significant, up to several magnitudes. The stars in an image are often used to measure the limiting magnitude since they are stationary, have known brightness, and are present in large numbers, making the determination of the limiting magnitude fairly simple. In order to transform stellar limiting magnitude to object limiting magnitude, a correction must be applied accounting for the angular velocity. This technique is adopted in meteor and other fast-moving object observations, as the lack of a statistically significant sample of targets makes it virtually impossible to determine the limiting magnitude before the weather conditions change. While the weather is the dominant factor in observing satellites, the limiting magnitude for meteors also changes throughout the night due to the motion of a meteor shower or sporadic source radiant across the sky. This paper presents methods for determining the limiting stellar magnitude and the conversion to the target limiting magnitude.

  7. Interactions among osteoblastic cells, Staphylococcus aureus and chitosan-immobilized titanium implants in a post-operative co-culture system: An in vitro study.

    PubMed

    Ghimire, Niranjan; Foss, Berit L; Sun, Yuyu; Deng, Ying

    2015-10-21

    Biomaterial-related infections (BRIs) have become a major challenge in the field of orthopedic implants. In this study, we delved into the problem of BRI and attempted to reduce the possibility of BRI incidence via surface modification of titanium (Ti) with chitosan (SA-CS-Ti). To comprehensively evaluate the anti-infection potential of SA-CS-Ti, we first constructed a post-operative infection (POI) model with varying concentrations of bacteria (10(2) CFU/sample and 10(4) CFU/sample) and a constant number of SaOS-2 cells (10(5) /sample). Then, we biologically characterized the interactions between the SaOS-2 cells, bacteria, and different Ti implants using the POI model. The results from the osteoblastic cell and bacterial attachment tests demonstrated that the SA-CS-Ti surfaces exhibit superior osteogenic behavior relative to other Ti surfaces studied while showing significant anti-infective activities in the POI model with a low infection ratio (bacteria: cell ratio of 0.001:1) 30 minutes after infection. Additionally, the SA-CS-Ti surfaces showed significantly reduced (p<0.05) bacteria proliferation compared to the control Ti surfaces (UN-Ti), demonstrating their anti-fouling property. The significantly increased (p<0.05) sensitivity of S. aureus adhered to the SA-CS-Ti surfaces against cefazolin (1 mg/L treatment) and gentamicin (10 mg/L and 100 mg/L treatment) in the co-culture system augmented potential of SA-CS-Ti to be used as orthopedic implants. This article is protected by copyright. All rights reserved.

  8. Unicompartmental knee arthroplasties implanted for osteoarthritis with partial loss of joint space have high re-operation rates.

    PubMed

    Niinimäki, Tuukka T; Murray, David W; Partanen, Juha; Pajala, Ari; Leppilahti, Juhana I

    2011-12-01

    The indications and contraindications for unicompartmental knee arthroplasty (UKA) are controversial. The aim of the study was to determine the risk factors for re-operation in our practice. A series of 113 medial UKAs with mean follow-up of 63 months were reviewed retrospectively. Pre-operatively all knees had radiographic or arthroscopic evidence of severe cartilage damage. The re-operation rate was not related to age, gender, arthroscopic finding or body mass index. It was related to the joint space on pre-operative standing weight bearing radiographs taken in extension. The re-operation rate was 6 (95% CI 2.1-17, P<0.001) times higher when the thickness of the pre-operative medial joint space was >2 mm rather than ≤2 mm. It was 8 (95% CI 2.8-22.5, P<0.001) times higher when the thickness of the pre-operative medial space was >40% of the thickness of the lateral space. The ratio of pre-operative joint spaces has a greater influence on revision rate than the absolute measurement and is independent of radiographic magnification or the patient's normal cartilage thickness. We therefore recommend that, in medial knee osteoarthritis, UKA should only be used if the pre-operative medial joint space on standing radiographs is ≤40% of the lateral joint space, even if severe cartilage damage is seen arthroscopically.

  9. Comparison of TV magnitudes and visual magnitudes of meteors

    NASA Astrophysics Data System (ADS)

    Shigeno, Yoshihiko; Toda, Masayuki

    2008-08-01

    The generally accepted belief is that a meteor, with a large amount of infrared rays, can be captured brighter than it actually is by infrared-sensitive image intensifiers (I.I.) or CCD. We conducted observations of meteors using three methodologies: 1) I.I. with an attached filter that has the same spectral response as the human eye at night vision, 2) I.I. without the filter and 3) visually to determine meteor magnitudes. A total of 31 members of the astronomical club at Meiji University observed 50 Perseid meteors, 19 Geminid meteors as well as 44 sporadic meteors and the results were tabulated. The results helped us understand that on average I.I. can record meteors as brighter than visual observation by the magnitude equivalent of 0.5 for Perseids, 1.0 for Geminids and 0.5 for sporadic meteors. For I.I. with a filter that has the same spectral response the human eye at night vision, it turned out that we could obtain almost the same magnitude with observation by the human eye. We learned that a bright meteor with negative magnitude can be observed by I.I. brighter than the human eye. From several examples, we found I.I. could record a meteor with about -1 visual magnitude as brighter by about three magnitudes. We could probably do so because a bright meteor with negative magnitude may contain more infrared rays and the brightness could be amplified.

  10. Integrated Circuit Stellar Magnitude Simulator

    ERIC Educational Resources Information Center

    Blackburn, James A.

    1978-01-01

    Describes an electronic circuit which can be used to demonstrate the stellar magnitude scale. Six rectangular light-emitting diodes with independently adjustable duty cycles represent stars of magnitudes 1 through 6. Experimentally verifies the logarithmic response of the eye. (Author/GA)

  11. Integrated Circuit Stellar Magnitude Simulator

    ERIC Educational Resources Information Center

    Blackburn, James A.

    1978-01-01

    Describes an electronic circuit which can be used to demonstrate the stellar magnitude scale. Six rectangular light-emitting diodes with independently adjustable duty cycles represent stars of magnitudes 1 through 6. Experimentally verifies the logarithmic response of the eye. (Author/GA)

  12. Amplitude-dependent station magnitude

    NASA Astrophysics Data System (ADS)

    Radzyner, Yael; Ben Horin, Yochai; Steinberg, David M.

    2016-04-01

    Magnitude, a concept first presented by Gutenberg and Richter, adjusts measurements of ground motion for epicentral distance and source depth. Following this principle, the IDC defines the j'th station body wave magnitude for event i as mb(stai,j) = log 10(Aj,i/Tj,i) + V C(Δj,i,hi) , where VC is the Veith-Clawson (VC) correction to compensate for the epicentral distance of the station and the depth of the source. The network magnitude is calculated as the average of station magnitudes. The IDC magnitude estimation is used for event characterization and discrimination and it should be as accurate as possible. Ideally, the network magnitude should be close in value to the station magnitudes. In reality, it is observed that the residuals range between -1 and 1 mu or ±25% of a given mb(neti) value. We show that the residual, mb(neti) -mb(staj,i), depends linearly on log 10(Aj,i/Tj,i), and we correct for this dependence using the following procedure: Calculate a "jackknifed" network magnitude, mbj,n(neti), i.e. an average over all participating stations except station n. Using all measurements at station n, calculate the parameters an, bn of the linear fit of the residual mbj,n(neti) - mb(stan,i to log 10(An,i/Tn,i). For each event i at station n calculate the new station magnitude mbnew(stan,i) = (an + 1)log(An,i/Tn,i) + V C(Δn,i,hi) + bn Calculate the new network magnitude: mbnew(neti) = 1N- ∑ n=1nmbnew(stan,i) The procedure was used on more than two million station-event pairs. Correcting for the station-specific dependence on log amplitude reduces the residuals by roughly a third. We have calculated the spread of the distributions, and compared the original values and those for the corrected magnitudes. The spread is the ratio between the variance of the network magnitudes, and the variance of the residual. Calculations show an increase in the ratio of the variance, meaning that the correction process presented in this document did not lead to loss of variance

  13. Implantable apparatus for localized heating of tissue

    DOEpatents

    Doss, James D.

    1987-01-01

    With the object of repetitively treating deep-seated, inoperable tumors by hyperthermia as well as locally heating other internal tissue masses repetitively, a receiving antenna, transmission line, and electrode arrangment are implanted completely within the patient's body, with the receiving antenna just under the surface of the skin and with the electrode arrangement being located so as to most effectively heat the tissue to be treated. An external, transmitting antenna, driven by an external radio-frequency energy source, is closely coupled to the implanted receiving antenna so that the energy coupled across the air-skin interface provides electromagnetic energy suitable for heating the tissue in the vicinity of the implanted electrodes. The resulting increase in tissue temperature may be estimated by an indirect measurement of the decrease in tissue resistivity in the heated region. This change in resistivity appears as a change in the loading of the receiving antenna which can be measured by either determining the change in the phase relationship between the voltage and the current appearing on the transmitting antenna or by measuring the change in the magnitude of the impedance thereof. Optionally, multiple electrode arrays may be activated or inactivated by the application of magnetic fields to operate implanted magnetic reed switches.

  14. Implantable apparatus for localized heating of tissue

    DOEpatents

    Doss, J.D.

    1985-05-20

    With the object of repetitively treating deep-seated, inoperable tumors by hyperthermia as well as locally heating other internal tissue masses repetitively, a receiving antenna, transmission line and electrode arrangement are implanted completely within the patient's body, with the receiving antenna just under the surface of the skin and with the electrode arrangement being located so as to most effectively heat the tissue to be treated. An external, transmitting antenna, driven by an external radio-frequency energy source, is closely coupled to the implanted receiving antenna so that the energy coupled across the air-skin interface provides electromagnetic energy suitable for heating the tissue in the vicinity of the implanted electrodes. The resulting increase in tissue temperature may be estimated by an indirect measurement of the decrease in tissue resistivity in the heat region. This change in resistivity appears as a change in the loading of the receiving antenna which can be measured by either determining the change in the phase relationship between the voltage and the current appearing on the transmitting antenna or by measuring the change in the magnitude of the impedance thereof. Optionally, multiple electrode arrays may be activated or inactivated by the application of magnetic fields to operate implanted magnetic reed swtiches. 5 figs.

  15. Intra-operative 2-D ultrasound and dynamic 3-D aortic model registration for magnetic navigation of transcatheter aortic valve implantation.

    PubMed

    Luo, Zhe; Cai, Junfeng; Peters, Terry M; Gu, Lixu

    2013-11-01

    We propose a navigation system for transcatheter aortic valve implantation that employs a magnetic tracking system (MTS) along with a dynamic aortic model and intra-operative ultrasound (US) images. This work is motivated by the desire of our cardiology and cardiac surgical colleagues to minimize or eliminate the use of radiation in the interventional suite or operating room. The dynamic 3-D aortic model is constructed from a preoperative 4-D computed tomography dataset that is animated in synchrony with the real time electrocardiograph input of patient, and then preoperative planning is performed to determine the target position of the aortic valve prosthesis. The contours of the aortic root are extracted automatically from short axis US images in real-time for registering the 2-D intra-operative US image to the preoperative dynamic aortic model. The augmented MTS guides the interventionist during positioning and deployment of the aortic valve prosthesis to the target. The results of the aortic root segmentation algorithm demonstrate an error of 0.92±0.85 mm with a computational time of 36.13±6.26 ms. The navigation approach was validated in porcine studies, yielding fiducial localization errors, target registration errors, deployment distance, and tilting errors of 3.02±0.39 mm, 3.31±1.55 mm, 3.23±0.94 mm, and 5.85±3.06(°) , respectively.

  16. Multi-catheter interstitial brachytherapy for partial breast irradiation: an audit of implant quality based on dosimetric evaluation comparing intra-operative versus post-operative placement

    PubMed Central

    Gurram, Lavanya; Joshi, Kishor; Phurailatpam, Reena; Paul, Siji; Sarin, Rajiv

    2016-01-01

    Purpose The use of multicatheter interstitial brachytherapy (MIB) for accelerated partial breast irradiation (APBI) in early breast cancer (EBC) patients outside the trial setting has increased. Hence, there is a need to critically evaluate implant quality. Moreover, there is a scarcity of reports using an open cavity technique. We report the dosimetric indices of open and closed cavity MIB techniques. Material and methods The dosimetric parameters of 60 EBC patients treated with MIB (open and closed cavity) who underwent three dimensional, computerized tomography (CT) based planning for APBI from November 2011 to July 2015 were evaluated. Coverage Index (CI), Dose Homogeneity Index (DHI), Conformity Index (COIN), Plan Quality Index (PQI), and Dose Non-uniformity Index (DNR) were assessed. Results Forty-one patients underwent open cavity and 19 patients underwent closed cavity placement of brachytherapy catheters. The median number of planes was 4 and median number of needles was 20. Median dose was 34 Gy with dose per fraction of 3.4 Gy, given twice a day, 6 hours apart. The D90 of the cavity and clinical target volume (CTV) were 105% and 89%, respectively. The median doses to the surgical clips were greater than 100%. The median CI of the cavity and CTV was 0.96 and 0.82, respectively. The DHI and COIN index of the CTV was 0.73 and 0.67. There were no significant differences in the dosimetric parameters based on whether the technique was done open or closed. Conclusions Critical evaluation of the dosimetric parameters of MIB-APBI is important for optimal results. While the open and closed techniques have similar dosimetry, our institutional preference is for an open technique which eases the procedure due to direct visualization of the tumor cavity. PMID:27257415

  17. Backscattering and electron microscopy study of mega-electron volt gold implantation into silicon

    NASA Astrophysics Data System (ADS)

    Alford, T. L.; Theodore, N. David

    1994-12-01

    Rutherford backscattering spectrometry and cross-section transmission electron microscopy have been used to study implantation of MeV Au(+) ions into silicon. Measured range (Rp) and straggle (Delta Rp) values for MeV Au(+) implanted silicon are found to be consistently larger than values predicted by TRIM simulations. The magnitude of the discrepancies are such that the differences cannot be attributed to implantation effects alone. We conclude that the TRIM computer program does not accurately predict Rp and Delta Rp values for MeV Au(+) implantation into crystalline Si. Experimental results show that for low-current low-energy implants a single Gaussian Au profile is achieved. Low-power implants produce a single band of damage consisting of simple point defects. High-current high-energy implants lead to the creation of more complex defect structures such as dislocation networks; these arise as a result of dynamic beam recrystallization. Multiple layers of precipitation are observed in silicon implanted with MeV Au(+) ions in those samples where dynamic recrystallization occurred. Precipitation occurs as a result of the local Au concentration exceeding the solid-solubility during beam-induced recrystallization. Different mechanisms operate in conjunction to cause anomalous Au motion which results in formation of multiple precipitate layers. A first mechanism has the implanted Au segregating into a densely defected region; when the concentration exceeds the local solid solubility Au precipitates out of the matrix. A second mechanism has motion of Au along dislocations in a network; the diffusing Au reaches a dislocation-node where it exceeds the local threshold for precipitation and the Au therefore precipitates. Enhanced Au diffusion is dependent upon the magnitude of dynamic recrystallization occurring during the implantation.

  18. Bidirectional Modulation of Numerical Magnitude.

    PubMed

    Arshad, Qadeer; Nigmatullina, Yuliya; Nigmatullin, Ramil; Asavarut, Paladd; Goga, Usman; Khan, Sarah; Sander, Kaija; Siddiqui, Shuaib; Roberts, R E; Cohen Kadosh, Roi; Bronstein, Adolfo M; Malhotra, Paresh A

    2016-05-01

    Numerical cognition is critical for modern life; however, the precise neural mechanisms underpinning numerical magnitude allocation in humans remain obscure. Based upon previous reports demonstrating the close behavioral and neuro-anatomical relationship between number allocation and spatial attention, we hypothesized that these systems would be subject to similar control mechanisms, namely dynamic interhemispheric competition. We employed a physiological paradigm, combining visual and vestibular stimulation, to induce interhemispheric conflict and subsequent unihemispheric inhibition, as confirmed by transcranial direct current stimulation (tDCS). This allowed us to demonstrate the first systematic bidirectional modulation of numerical magnitude toward either higher or lower numbers, independently of either eye movements or spatial attention mediated biases. We incorporated both our findings and those from the most widely accepted theoretical framework for numerical cognition to present a novel unifying computational model that describes how numerical magnitude allocation is subject to dynamic interhemispheric competition. That is, numerical allocation is continually updated in a contextual manner based upon relative magnitude, with the right hemisphere responsible for smaller magnitudes and the left hemisphere for larger magnitudes.

  19. Bidirectional Modulation of Numerical Magnitude

    PubMed Central

    Arshad, Qadeer; Nigmatullina, Yuliya; Nigmatullin, Ramil; Asavarut, Paladd; Goga, Usman; Khan, Sarah; Sander, Kaija; Siddiqui, Shuaib; Roberts, R. E.; Cohen Kadosh, Roi; Bronstein, Adolfo M.; Malhotra, Paresh A.

    2016-01-01

    Numerical cognition is critical for modern life; however, the precise neural mechanisms underpinning numerical magnitude allocation in humans remain obscure. Based upon previous reports demonstrating the close behavioral and neuro-anatomical relationship between number allocation and spatial attention, we hypothesized that these systems would be subject to similar control mechanisms, namely dynamic interhemispheric competition. We employed a physiological paradigm, combining visual and vestibular stimulation, to induce interhemispheric conflict and subsequent unihemispheric inhibition, as confirmed by transcranial direct current stimulation (tDCS). This allowed us to demonstrate the first systematic bidirectional modulation of numerical magnitude toward either higher or lower numbers, independently of either eye movements or spatial attention mediated biases. We incorporated both our findings and those from the most widely accepted theoretical framework for numerical cognition to present a novel unifying computational model that describes how numerical magnitude allocation is subject to dynamic interhemispheric competition. That is, numerical allocation is continually updated in a contextual manner based upon relative magnitude, with the right hemisphere responsible for smaller magnitudes and the left hemisphere for larger magnitudes. PMID:26879093

  20. [Cochlear implants].

    PubMed

    Lehnhardt, E; Battmer, R D; Nakahodo, K; Laszig, R

    1986-07-01

    Since the middle of 1984, the HNO-Klinik der Medizinischen Hochschule Hannover has provided deaf adults with a 22-channel cochlear implant (CI) device of Clark-NUCLEUS. The digital working system consists of an implantable stimulator/receiver and an externally worn speech processor. Energy and signals are transmitted transcutaneously via a transmitter coil. During the prevailing 26 operations (April 1986) the electrode array could be inserted at least 17 mm into the cochlea. The threshold and comfort levels of all patients were adjusted very quickly; the dynamic range usually grows during the first postoperative weeks. The individual rehabilitation results vary greatly, but all patients show a significant increase of vowel and consonant comprehension while using the speech processor and an improvement of words understood per minute in speech tracking from lip-reading alone to lip-reading with speech processor. Four months after surgery seven of 17 patients (group I) are able to understand on average 42.7 words per minute by speech tracking without lip-reading. Six patients (group II) recognise 69.2% of vowels and 42.5% of consonants by speech processor alone. Four patients (group III) can correctly repeat only vowels (52.3%) without lip-reading, but using the speech processor together with lip reading they have an improvement in consonant understanding of 37.9% and under freefield conditions they are able to understand up to 17.8% numbers of the Freiburg speech test.

  1. Implantable ultrasound devices

    NASA Astrophysics Data System (ADS)

    Vilkomerson, David; Chilipka, Thomas; Bogan, John; Blebea, John; Choudry, Rashad; Wang, John; Salvatore, Michael; Rotella, Vittorio; Soundararajan, Krishnan

    2008-03-01

    Using medical implants to wirelessly report physiological data is a technique that is rapidly growing. Ultrasound is well-suited for implants -- it requires little power and this form of radiated energy has no ill effects on the body. We report here on techniques we have developed in our experience gained in implanting over a dozen Doppler ultrasound flow-measuring implants in dogs. The goal of our implantable device is to measure flow in an arterial graft. To accomplish this, we place a Doppler transducer in the wall of a graft and an implant unit under the skin that energizes the 20 MHz Doppler transducer system, either when started by external command or by internal timetable. The implant records the digitized Doppler real and imaginary channels and transmits the data to a nearby portable computer for storage and evaluation. After outlining the overall operation of the system, we will concentrate on three areas of implant design where special techniques are required: ensuring safety, including biocompatibility to prevent the body from reacting to its invasion; powering the device, including minimizing energy used so that a small battery can provide long-life; and transmitting the data obtained.

  2. Implantable Cook-Swartz Doppler probe versus Synovis Flow Coupler for the post-operative monitoring of free flap breast reconstruction.

    PubMed

    Um, Grace T; Chang, Jeff; Louie, Otway; Colohan, Shannon M; Said, Hakim K; Neligan, Peter C; Mathes, David W

    2014-07-01

    The Cook-Swartz Doppler has long been a trusted tool for close monitoring of blood flow after microvascular reconstruction; however, device implantation requires additional operating time. Synovis Life Technologies, Inc. received FDA approval in 2010 for the Flow Coupler, which combines an end-to-end anastomotic coupler with a removable 20 MHz Doppler, allowing both procedures to be performed simultaneously. However, its short history of widespread use necessitates further evaluation in the clinical setting. The authors studied the Synovis Flow Coupler in comparison to the more well-established Cook-Swartz Doppler for effectiveness and reliability in detection of vascular compromise. The authors reviewed 220 free flap breast reconstructions in 150 patients over a three-year period in which either the Cook-Swartz Doppler or the Synovis Flow Coupler was implanted to monitor blood flow. Outcomes measured include false-positive or false-negative rates (FPR, FNR); rates of OR take-back and salvage; and flap survival. FPR was 1.0% for the Cook-Swartz Doppler and 1.9% for the Synovis Flow Coupler (p>0.05). FNR was 0.0% for both groups. Take-back rates were 10.1% for the Cook-Swartz, and 4.5% for Synovis (p>0.05). Flap failure rates were 1.8% and 0.9% for the Cook-Swartz and Synovis devices, respectively (p>0.05). Our study reveals no statistically significant differences in outcomes for free flap breast reconstruction where either the Cook-Swartz Doppler or the Synovis Flow Coupler was used to monitor blood flow to the perforator flap. III. Copyright © 2014 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

  3. Optimization of dental implantation

    NASA Astrophysics Data System (ADS)

    Dol, Aleksandr V.; Ivanov, Dmitriy V.

    2017-02-01

    Modern dentistry can not exist without dental implantation. This work is devoted to study of the "bone-implant" system and to optimization of dental prostheses installation. Modern non-invasive methods such as MRI an 3D-scanning as well as numerical calculations and 3D-prototyping allow to optimize all of stages of dental prosthetics. An integrated approach to the planning of implant surgery can significantly reduce the risk of complications in the first few days after treatment, and throughout the period of operation of the prosthesis.

  4. Pre-operative Screening and Manual Drilling Strategies to Reduce the Risk of Thermal Injury During Minimally Invasive Cochlear Implantation Surgery.

    PubMed

    Dillon, Neal P; Fichera, Loris; Kesler, Kyle; Zuniga, M Geraldine; Mitchell, Jason E; Webster, Robert J; Labadie, Robert F

    2017-05-18

    This article presents the development and experimental validation of a methodology to reduce the risk of thermal injury to the facial nerve during minimally invasive cochlear implantation surgery. The first step in this methodology is a pre-operative screening process, in which medical imaging is used to identify those patients that present a significant risk of developing high temperatures at the facial nerve during the drilling phase of the procedure. Such a risk is calculated based on the density of the bone along the drilling path and the thermal conductance between the drilling path and the nerve, and provides a criterion to exclude high-risk patients from receiving the minimally invasive procedure. The second component of the methodology is a drilling strategy for manually-guided drilling near the facial nerve. The strategy utilizes interval drilling and mechanical constraints to enable better control over the procedure and the resulting generation of heat. The approach is tested in fresh cadaver temporal bones using a thermal camera to monitor temperature near the facial nerve. Results indicate that pre-operative screening may successfully exclude high-risk patients and that the proposed drilling strategy enables safe drilling for low-to-moderate risk patients.

  5. Dental Implants.

    PubMed

    Zohrabian, Vahe M; Sonick, Michael; Hwang, Debby; Abrahams, James J

    2015-10-01

    Dental implants restore function to near normal in partially or completely edentulous patients. A root-form implant is the most frequently used type of dental implant today. The basis for dental implants is osseointegration, in which osteoblasts grow and directly integrate with the surface of titanium posts surgically embedded into the jaw. Radiologic assessment is critical in the preoperative evaluation of the dental implant patient, as the exact height, width, and contour of the alveolar ridge must be determined. Moreover, the precise locations of the maxillary sinuses and mandibular canals, as well as their relationships to the site of implant surgery must be ascertained. As such, radiologists must be familiar with implant design and surgical placement, as well as augmentation procedures utilized in those patients with insufficient bone in the maxilla and mandible to support dental implants.

  6. Penile Implants

    MedlinePlus

    ... Three-piece inflatable implants use a fluid-filled reservoir implanted under the abdominal wall, a pump and ... an erection, you pump the fluid from the reservoir into the cylinders. Afterward, you release the valve ...

  7. Traffic flow in the operating room: an explorative and descriptive study on air quality during orthopedic trauma implant surgery.

    PubMed

    Andersson, Annette Erichsen; Bergh, Ingrid; Karlsson, Jón; Eriksson, Bengt I; Nilsson, Kerstin

    2012-10-01

    Understanding the protective potential of operating room (OR) ventilation under different conditions is crucial to optimizing the surgical environment. This study investigated the air quality, expressed as colony-forming units (CFU)/m(3), during orthopedic trauma surgery in a displacement-ventilated OR; explored how traffic flow and the number of persons present in the OR affects the air contamination rate in the vicinity of surgical wounds; and identified reasons for door openings in the OR. Data collection, consisting of active air sampling and observations, was performed during 30 orthopedic procedures. In 52 of the 91 air samples collected (57%), the CFU/m(3) values exceeded the recommended level of <10 CFU/m(3). In addition, the data showed a strongly positive correlation between the total CFU/m(3) per operation and total traffic flow per operation (r = 0.74; P = .001; n = 24), after controlling for duration of surgery. A weaker, yet still positive correlation between CFU/m(3) and the number of persons present in the OR (r = 0.22; P = .04; n = 82) was also found. Traffic flow, number of persons present, and duration of surgery explained 68% of the variance in total CFU/m(3) (P = .001). Traffic flow has a strong negative impact on the OR environment. The results of this study support interventions aimed at preventing surgical site infections by reducing traffic flow in the OR. Copyright © 2012 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.

  8. Scientists Design Heat-Activated Penis Implant

    MedlinePlus

    ... implant, Le used a heat-activated exoskeleton of nitinol, a metal known for its elasticity. A urologist could do a simplified operation to insert the nitinol implant, which would remain flaccid at body temperature ...

  9. Maximum magnitude earthquakes induced by fluid injection

    NASA Astrophysics Data System (ADS)

    McGarr, A.

    2014-02-01

    Analysis of numerous case histories of earthquake sequences induced by fluid injection at depth reveals that the maximum magnitude appears to be limited according to the total volume of fluid injected. Similarly, the maximum seismic moment seems to have an upper bound proportional to the total volume of injected fluid. Activities involving fluid injection include (1) hydraulic fracturing of shale formations or coal seams to extract gas and oil, (2) disposal of wastewater from these gas and oil activities by injection into deep aquifers, and (3) the development of enhanced geothermal systems by injecting water into hot, low-permeability rock. Of these three operations, wastewater disposal is observed to be associated with the largest earthquakes, with maximum magnitudes sometimes exceeding 5. To estimate the maximum earthquake that could be induced by a given fluid injection project, the rock mass is assumed to be fully saturated, brittle, to respond to injection with a sequence of earthquakes localized to the region weakened by the pore pressure increase of the injection operation and to have a Gutenberg-Richter magnitude distribution with a b value of 1. If these assumptions correctly describe the circumstances of the largest earthquake, then the maximum seismic moment is limited to the volume of injected liquid times the modulus of rigidity. Observations from the available case histories of earthquakes induced by fluid injection are consistent with this bound on seismic moment. In view of the uncertainties in this analysis, however, this should not be regarded as an absolute physical limit.

  10. Maximum magnitude earthquakes induced by fluid injection

    USGS Publications Warehouse

    McGarr, Arthur F.

    2014-01-01

    Analysis of numerous case histories of earthquake sequences induced by fluid injection at depth reveals that the maximum magnitude appears to be limited according to the total volume of fluid injected. Similarly, the maximum seismic moment seems to have an upper bound proportional to the total volume of injected fluid. Activities involving fluid injection include (1) hydraulic fracturing of shale formations or coal seams to extract gas and oil, (2) disposal of wastewater from these gas and oil activities by injection into deep aquifers, and (3) the development of enhanced geothermal systems by injecting water into hot, low-permeability rock. Of these three operations, wastewater disposal is observed to be associated with the largest earthquakes, with maximum magnitudes sometimes exceeding 5. To estimate the maximum earthquake that could be induced by a given fluid injection project, the rock mass is assumed to be fully saturated, brittle, to respond to injection with a sequence of earthquakes localized to the region weakened by the pore pressure increase of the injection operation and to have a Gutenberg-Richter magnitude distribution with a b value of 1. If these assumptions correctly describe the circumstances of the largest earthquake, then the maximum seismic moment is limited to the volume of injected liquid times the modulus of rigidity. Observations from the available case histories of earthquakes induced by fluid injection are consistent with this bound on seismic moment. In view of the uncertainties in this analysis, however, this should not be regarded as an absolute physical limit.

  11. Understanding Magnitudes to Understand Fractions

    ERIC Educational Resources Information Center

    Gabriel, Florence

    2016-01-01

    Fractions are known to be difficult to learn and difficult to teach, yet they are vital for students to have access to further mathematical concepts. This article uses evidence to support teachers employing teaching methods that focus on the conceptual understanding of the magnitude of fractions.

  12. Understanding Magnitudes to Understand Fractions

    ERIC Educational Resources Information Center

    Gabriel, Florence

    2016-01-01

    Fractions are known to be difficult to learn and difficult to teach, yet they are vital for students to have access to further mathematical concepts. This article uses evidence to support teachers employing teaching methods that focus on the conceptual understanding of the magnitude of fractions.

  13. Radioisotopic assessment of bone metabolism of the operated vertebra after inter-process stabilizer implantation in the lumbar segment of the spine

    PubMed Central

    Radek, Maciej; Radek, Andrzej; Rysz, Jacek; Maziarz, Zbigniew; Gadzicki, Mariusz

    2016-01-01

    Introduction Lack of efficacy of pharmacotherapy and physiotherapy in spinal pain syndrome is an indication for intervertebral stabilizer implantation between the processes in the lumbar segment of the spine. Material and methods The group consisted of 32 patients qualified after radioisotopic single-photon emission computed tomography/computed tomography (SPECT/CT) examinations with assessment of bone metabolism and mineral density. For comparative purposes, the L2 vertebra was defined as normal. Parameters defined in the area of operated vertebrae were comparable to L2. Imaging examinations and a pain intensity test were performed before and 12 months after the procedure. Results In SPECT, osteotropic isotope (OI) activity in spinous bodies and processes was close to L2 values. Density assessed in CT of analysed vertebrae was close to L2. In the control examination, activity of OI in spinous bodies and processes was higher in the procedure area. Under the stabilizer, there was a strong positive correlation with the L2 parameters. The differences were statistically significant (p = 0.0002). The increase of OI activity in the elements above the stabilizer was variable. In the control examination, there was higher density of spinous processes and bodies above and under the stabilizer. The difference, compared to the L2 density, was statistically significant. Conclusions The radioisotopic method with SPECT/CT allows for the precise assessment of bone metabolism in the spine. After the procedure, a negative correlation was observed between bone metabolism changes and pain intensity test results. PMID:28144269

  14. The Ml Magnitude Scale In Italy

    NASA Astrophysics Data System (ADS)

    Gasperini, P.; Lolli, B.; Filippucci, M.; de Simoni, B.

    To improve the reliability of Ml magnitude estimates in Italy, we have updated the database of real Wood-Anderson (WA) and of simulated Wood Anderson (SWA) am- plitudes recently revised by Gasperini (2002). This was done by the re-reading of orig- inal WA seismograms, made available by the SISMOS Project of the Istituto Nazionale di Geofisica (INGV), as well as by the analysis of further Very Broad Band (VBB) recordings of the MEDNET network of INGV for the period from 1996 to 1998. The full operability, in the last five years, of a VBB station located exactly at the same site (TRI) of a former WA instrument allowed us to reliably infer a new attenuation function from the joined WA and SWA dataset. We found a significant deviation of the attenuation law from the standard Richter table at distances larger than 400 km where the latter overestimates the magnitude up to about 0.3 units. We also computed regionalized attenuation functions accounting for the differences in the propagation properties of seismic waves between the Adriatic (less attenuating) and Tyrrhenian (more attenuating) sides of the Italian peninsula. Using this improved Ml magnitude database we were also able to further improve the computation of duration (Md) and amplitude (Ma) magnitudes computed from short period vertical seismometers of the INGV as well as to analyze the time variation of the station calibrations. We found that the absolute amplification of INGV stations is underestimated almost exactly by a factor 2 starting from the entering upon in operation of the digital acquisition system at INGV in middle 1984.

  15. Implant contamination during spine surgery.

    PubMed

    Bible, Jesse E; O'Neill, Kevin R; Crosby, Colin G; Schoenecker, Jonathan G; McGirt, Matthew J; Devin, Clinton J

    2013-06-01

    Postoperative spine infections have been reported to occur in 1% to 15% of patients and subsequently lead to significant morbidity and cost, with an elevated risk for instrumented cases. Every effort should be made to minimize the risk of intraoperative wound contamination. Consequently, certain practices are followed in the operating room to prevent contamination, many of which are not evidence based. Conversely, certain objects believed to be sterile are frequently overlooked as potential sources of contamination. To assess to what degree contamination of spinal implants occurs during spine surgery and evaluate whether coverage of implants alters the rate of contamination. Prospective study. This study included 105 consecutive noninfection surgical cases performed by a single spine surgeon that required the use of instrumentation. Spinal implant contamination. Cases were randomized to have all implant trays either remain uncovered (n=54) or covered (n=51) with sterile surgical towels on opening until implants were required for the case. After the last implant was placed, a sterile culture swab was used to obtain a sample from all open implants that had been present at the start of the case. The paper outer wraps of the implant trays were sampled in each case as a positive control, and an additional 105 swabs were capped immediately after they were opened to obtain negative controls. Swab samples were assessed for bacterial growth on 5% sheep blood Columbia agar plates. Of note, only departmental funding was used and no applicable financial relationships exist with any author. No growth was observed on any of the 105 negative controls, whereas 99.1% of positive controls demonstrated obvious contamination. Cultures from implant samples demonstrated a 9.5% overall rate of contamination with 2.0% (n=1) of covered implants versus 16.7% (n=9) of uncovered implants demonstrating contamination. Length of time implant trays were open before sample collection; implant type

  16. Operations

    ERIC Educational Resources Information Center

    Wilkins, Jesse L. M.; Norton, Anderson; Boyce, Steven J.

    2013-01-01

    Previous research has documented schemes and operations that undergird students' understanding of fractions. This prior research was based, in large part, on small-group teaching experiments. However, written assessments are needed in order for teachers and researchers to assess students' ways of operating on a whole-class scale. In this study,…

  17. Tectonic stress - Models and magnitudes

    NASA Technical Reports Server (NTRS)

    Solomon, S. C.; Bergman, E. A.; Richardson, R. M.

    1980-01-01

    It is shown that global data on directions of principal stresses in plate interiors can serve as a test of possible plate tectonic force models. Such tests performed to date favor force models in which ridge pushing forces play a significant role. For such models the general magnitude of regional deviatoric stresses is comparable to the 200-300 bar compressive stress exerted by spreading ridges. An alternative approach to estimating magnitudes of regional deviatoric stresses from stress orientations is to seek regions of local stress either demonstrably smaller than or larger than the regional stresses. The regional stresses in oceanic intraplate regions are larger than the 100-bar compression exerted by the Ninetyeast Ridge and less than the bending stresses (not less than 1 kbar) beneath Hawaii.

  18. Subject position affects EEG magnitudes.

    PubMed

    Rice, Justin K; Rorden, Christopher; Little, Jessica S; Parra, Lucas C

    2013-01-01

    EEG (electroencephalography) has been used for decades in thousands of research studies and is today a routine clinical tool despite the small magnitude of measured scalp potentials. It is widely accepted that the currents originating in the brain are strongly influenced by the high resistivity of skull bone, but it is less well known that the thin layer of CSF (cerebrospinal fluid) has perhaps an even more important effect on EEG scalp magnitude by spatially blurring the signals. Here it is shown that brain shift and the resulting small changes in CSF layer thickness, induced by changing the subject's position, have a significant effect on EEG signal magnitudes in several standard visual paradigms. For spatially incoherent high-frequency activity the effect produced by switching from prone to supine can be dramatic, increasing occipital signal power by several times for some subjects (on average 80%). MRI measurements showed that the occipital CSF layer between the brain and skull decreases by approximately 30% in thickness when a subject moves from prone to supine position. A multiple dipole model demonstrated that this can indeed lead to occipital EEG signal power increases in the same direction and order of magnitude as those observed here. These results suggest that future EEG studies should control for subjects' posture, and that some studies may consider placing their subjects into the most favorable position for the experiment. These findings also imply that special consideration should be given to EEG measurements from subjects with brain atrophy due to normal aging or neurodegenerative diseases, since the resulting increase in CSF layer thickness could profoundly decrease scalp potential measurements.

  19. Orientation and Magnitude of Mars' Magnetic Field

    NASA Technical Reports Server (NTRS)

    1997-01-01

    This image shows the orientation and magnitude of the magnetic field measured by the MGS magnetometer as it sped over the surface of Mars during an early aerobraking pass (Day of the year, 264; 'P6' periapsis pass). At each point along the spacecraft trajectory we've drawn vectors in the direction of the magnetic field measured at that instant; the length of the line is scaled to show the relative magnitude of the field. Imagine traveling along with the MGS spacecraft, holding a string with a magnetized needle on one end: this essentially a compass with a needle that is free to spin in all directions. As you pass over the surface the needle would swing rapidly, first pointing towards the planet and then rotating quickly towards 'up' and back down again. All in a relatively short span of time, say a minute or two, during which time the spacecraft has traveled a couple of hundred miles. You've just passed over one of many 'magnetic anomalies' thus far detected near the surface of Mars. A second major anomaly appears a little later along the spacecraft track, about 1/4 the magnitude of the first - can you find it? The short scale length of the magnetic field signature locates the source near the surface of Mars, perhaps in the crust, a 10 to 75 kilometer thick outer shell of the planet (radius 3397 km).

    The Jet Propulsion Laboratory's Mars Surveyor Operations Project operates the Mars Global Surveyor spacecraft with its industrial partner, Lockheed Martin Astronautics, from facilities in Pasadena, CA and Denver, CO. JPL is an operating division of California Institute of Technology (Caltech).

  20. Orientation and Magnitude of Mars' Magnetic Field

    NASA Technical Reports Server (NTRS)

    1997-01-01

    This image shows the orientation and magnitude of the magnetic field measured by the MGS magnetometer as it sped over the surface of Mars during an early aerobraking pass (Day of the year, 264; 'P6' periapsis pass). At each point along the spacecraft trajectory we've drawn vectors in the direction of the magnetic field measured at that instant; the length of the line is scaled to show the relative magnitude of the field. Imagine traveling along with the MGS spacecraft, holding a string with a magnetized needle on one end: this essentially a compass with a needle that is free to spin in all directions. As you pass over the surface the needle would swing rapidly, first pointing towards the planet and then rotating quickly towards 'up' and back down again. All in a relatively short span of time, say a minute or two, during which time the spacecraft has traveled a couple of hundred miles. You've just passed over one of many 'magnetic anomalies' thus far detected near the surface of Mars. A second major anomaly appears a little later along the spacecraft track, about 1/4 the magnitude of the first - can you find it? The short scale length of the magnetic field signature locates the source near the surface of Mars, perhaps in the crust, a 10 to 75 kilometer thick outer shell of the planet (radius 3397 km).

    The Jet Propulsion Laboratory's Mars Surveyor Operations Project operates the Mars Global Surveyor spacecraft with its industrial partner, Lockheed Martin Astronautics, from facilities in Pasadena, CA and Denver, CO. JPL is an operating division of California Institute of Technology (Caltech).

  1. Implantable Microimagers

    PubMed Central

    Ng, David C.; Tokuda, Takashi; Shiosaka, Sadao; Tano, Yasuo; Ohta, Jun

    2008-01-01

    Implantable devices such as cardiac pacemakers, drug-delivery systems, and defibrillators have had a tremendous impact on the quality of live for many disabled people. To date, many devices have been developed for implantation into various parts of the human body. In this paper, we focus on devices implanted in the head. In particular, we describe the technologies necessary to create implantable microimagers. Design, fabrication, and implementation issues are discussed vis-à-vis two examples of implantable microimagers; the retinal prosthesis and in vivo neuro-microimager. Testing of these devices in animals verify the use of the microimagers in the implanted state. We believe that further advancement of these devices will lead to the development of a new method for medical and scientific applications. PMID:27879873

  2. High Productivity Implantation ''PARTIAL IMPLANT''

    SciTech Connect

    Hino, Masayoshi; Miyamoto, Naoki; Sakai, Shigeki; Matsumoto, Takao

    2008-11-03

    The patterned ion implantation 'PARTIAL IMPLANT' has been developed as a productivity improvement tool. The Partial Implant can form several different ion dose areas on the wafer surface by controlling the speed of wafer moving and the stepwise rotation of twist axis. The Partial Implant system contains two implant methods. One method is 'DIVIDE PARTIAL IMPLANT', that is aimed at reducing the consumption of the wafer. The Divide Partial Implant evenly divides dose area on one wafer surface into two or three different dose part. Any dose can be selected in each area. So the consumption of the wafer for experimental implantation can be reduced. The second method is 'RING PARTIAL IMPLANT' that is aimed at improving yield by correcting electrical characteristic of devices. The Ring Partial Implant can form concentric ion dose areas. The dose of wafer external area can be selected to be within plus or minus 30% of dose of wafer central area. So the electrical characteristic of devices can be corrected by controlling dose at edge side on the wafer.

  3. Endodontic implants

    PubMed Central

    Yadav, Rakesh K.; Tikku, A. P.; Chandra, Anil; Wadhwani, K. K.; Ashutosh kr; Singh, Mayank

    2014-01-01

    Endodontic implants were introduced back in 1960. Endodontic implants enjoyed few successes and many failures. Various reasons for failures include improper case selection, improper use of materials and sealers and poor preparation for implants. Proper case selection had given remarkable long-term success. Two different cases are being presented here, which have been treated successfully with endodontic implants and mineral trioxide aggregate Fillapex (Andreaus, Brazil), an MTA based sealer. We suggest that carefully selected cases can give a higher success rate and this method should be considered as one of the treatment modalities. PMID:25298723

  4. Oxygen implanter for simox

    NASA Astrophysics Data System (ADS)

    Guerra, M.; Benveniste, V.; Ryding, G.; Douglas-Hamilton, D. H.; Reed, M.; Gagne, G.; Armstrong, A.; Mack, M.

    1985-01-01

    Interest in silicon or) insulator (SOI) technology has led to the development of several alternatives to silicon on sapphire. One of the most promising techniques makes use of an ion implanter to form a buried oxide layer directly in the silicon substrate. To have useful single crystalline silicon on top of the oxide layer, it is necessary to do the implant at high wafer temperatures and rely on solid phase epitaxy to maintain surface structure. A high current, 160 keV, Nova ion implanter has been adapted to provide the ability to perform oxygen implants at elevated temperatures. The operator is free to choose any temperature in the range between 400°C and 600°C. The system then preheats the wafers to the selected temperature before the implant begins. A novel technique for providing both heating and cooling capability to the end station is employed. An infrared signal from the wafers is monitored by a room temperature lead salt detector. This signal is then used by a servo-loop to control the heating of the end station and to maintain the wafer temperature to within ± 20°C during the implant. High doses of the type necessary to form a silicon dioxide buried layer require long lived, high current oxygen sources. An oxygen source has been specially developed, which provides as much as 10 mA of ion current. At a 6 mA output, source lifetimes in excess of 40 hours have been achieved. The implanter uses a specifically designed high temperature disk, which holds ten wafers, each of four inch diameter. A variety of implant angles lying between 0° and 15° is available. The beam is scanned mechanically and an electron flood gun can be used to prevent wafer charging. Special thermal barriers have been employed to protect the apparatus from extreme temperatures and to make the heating sequence more efficient and more rapid. Every effort has been made to avoid contamination of the implant. The implant disk, for example, is overcoated with silicon monoxide. Silicon

  5. The representation of numerical magnitude

    PubMed Central

    Brannon, Elizabeth M

    2006-01-01

    The combined efforts of many fields are advancing our understanding of how number is represented. Researchers studying numerical reasoning in adult humans, developing humans and non-human animals are using a suite of behavioral and neurobiological methods to uncover similarities and differences in how each population enumerates and compares quantities to identify the neural substrates of numerical cognition. An important picture emerging from this research is that adult humans share with non-human animals a system for representing number as language-independent mental magnitudes and that this system emerges early in development. PMID:16546373

  6. Simple Implant Augmentation Rhinoplasty

    PubMed Central

    Nguyen, Anh H.; Bartlett, Erica L.; Kania, Katarzyna; Bae, Sang Mo

    2015-01-01

    Augmentation rhinoplasty among Asian patients is often performed to improve the height of the nasal dorsum. As the use of autogenous tissues poses certain limitations, alloplastic materials are a viable alternative with a long history of use in Asia. The superiority of one implant prosthesis over another for augmentation rhinoplasty is a matter of debate, with each material representing varying strengths and weaknesses, indications for use, and precautions to consider in nasal implant placement. An implant prosthesis should be used on a case-by-case basis. Augmentation rhinoplasty requires the consideration of specific anatomical preoperative factors, including the external nose, nasal length, nasofrontal angle, humps, and facial proportions. It is equally important to consider several operative guidelines to appropriately shape implants to minimize the occurrence of adverse effects and postoperative complications. The most common postoperative complications include infection, nasal height change, movement of implant prosthesis, and silicone implant protrusion. In addition, the surgeon should consider the current standards of Asian beauty aesthetics to better understand the patient's desired outcome. PMID:26648804

  7. Remote actuated valve implant

    DOEpatents

    McKnight, Timothy E; Johnson, Anthony; Moise, Jr., Kenneth J; Ericson, Milton Nance; Baba, Justin S; Wilgen, John B; Evans, III, Boyd McCutchen

    2014-02-25

    Valve implant systems positionable within a flow passage, the systems having an inlet, an outlet, and a remotely activatable valve between the inlet and outlet, with the valves being operable to provide intermittent occlusion of the flow path. A remote field is applied to provide thermal or magnetic activation of the valves.

  8. Remote actuated valve implant

    DOEpatents

    McKnight, Timothy E.; Johnson, Anthony; Moise, Kenneth J.; Ericson, Milton Nance; Baba, Justin S.; Wilgen, John B.; Evans, Boyd Mccutchen

    2016-05-10

    Valve implant systems positionable within a flow passage, the systems having an inlet, an outlet, and a remotely activatable valve between the inlet and outlet, with the valves being operable to provide intermittent occlusion of the flow path. A remote field is applied to provide thermal or magnetic activation of the valves.

  9. Implants for draining neovascular glaucoma.

    PubMed Central

    Molteno, A C; Van Rooyen, M M; Bartholomew, R S

    1977-01-01

    The implant design, surgical technique, and pharmacological methods of controlling bleb fibrosis, used to treat neovascular glaucoma, are described, together with the results of 14 operations performed on 12 eyes. Images PMID:843508

  10. About Implantable Contraception

    MedlinePlus

    ... TV, Video Games, and the Internet About Implantable Contraception KidsHealth > For Parents > About Implantable Contraception Print A ... How Much Does It Cost? What Is Implantable Contraception? Implantable contraception (often called the birth control implant) ...

  11. Tribological properties of nitrogen implanted and boron implanted steels

    SciTech Connect

    Kern, K.T.; Walter, K.C.; Griffin, A.J. Jr.; Kung, H.; Lu, Y.; Nastasi, M.; Tesmer, J.R.; Fayeulle, S.

    1996-06-01

    Samples of a steel with high chrome content was implanted separately with 75 keV nitrogen ions and with 75 keV boron ions. Implanted doses of each ion species were 2-, 4-, and 8 {times} 10{sup 17}/cm{sup 2}. Retained doses were measured using resonant non-Rutherford Backscattering Spectrometry. Tribological properties were determined using a pin-on-disk test with a 6-mm diameter ruby pin with a velocity of 0.94 m/min. Testing was done at 10% humidity with a load of 377 g. Wear rate and coefficient of friction were determined from these tests. While reduction in the wear rate for nitrogen implanted materials was observed, greater reduction (more than an order of magnitude) was observed for boron implanted materials. In addition, reduction in the coefficient of friction for high-dose boron implanted materials was observed. Nano-indentation revealed a hardened layer near the surface of the material. Results from grazing incidence x-ray diffraction suggest the formation of Fe{sub 2}N and Fe{sub 3}N in the nitrogen implanted materials and Fe{sub 3}B in the boron implanted materials. Results from transmission electron microscopy will be presented.

  12. [Poverty in Mexico. II. Magnitude].

    PubMed

    Boltvinik, J

    1995-01-01

    This is the second part of a research report on the evolution and magnitude of poverty in Mexico. Application of the Integrated Poverty Measurement Method, explained in the first part of this report, shows a poverty headcount ratio (H) of 70.6% and an extreme poverty H of 44.7%. H turns out higher by the UBN (Unsatisfied Basic Needs) method than by the PLT (Poverty Line plus working time) approach. The poverty gap or poverty intensity (I), is for all poor 0.44 but reaches 0.58 for the extremely poor. Both H and I are substantially higher in the rural than in the urban areas. UBN poverty gap is bigger than the PLT gap. When UBN is disaggregated into its components, deprivation turns out the highest in health care and social security. Degree of poverty calculations (HI), the product of H and I, which constitute a good basis for anti-poverty expenditures allocation, show that despite the fact that a larger number of poor persons live in the urban areas, the number of equivalent poor people is higher in the rural areas.

  13. Rank distributions: Frequency vs. magnitude.

    PubMed

    Velarde, Carlos; Robledo, Alberto

    2017-01-01

    We examine the relationship between two different types of ranked data, frequencies and magnitudes. We consider data that can be sorted out either way, through numbers of occurrences or size of the measures, as it is the case, say, of moon craters, earthquakes, billionaires, etc. We indicate that these two types of distributions are functional inverses of each other, and specify this link, first in terms of the assumed parent probability distribution that generates the data samples, and then in terms of an analog (deterministic) nonlinear iterated map that reproduces them. For the particular case of hyperbolic decay with rank the distributions are identical, that is, the classical Zipf plot, a pure power law. But their difference is largest when one displays logarithmic decay and its counterpart shows the inverse exponential decay, as it is the case of Benford law, or viceversa. For all intermediate decay rates generic differences appear not only between the power-law exponents for the midway rank decline but also for small and large rank. We extend the theoretical framework to include thermodynamic and statistical-mechanical concepts, such as entropies and configuration.

  14. Cochlear implant

    MedlinePlus

    ... bilateral cochlear implantation: a review. Curr Opin Otolaryngol Head Neck Surg . 2007;15(5):315-318. PMID: 17823546. ... BH, Lund V, et al, eds. Cummings Otolaryngology: Head & Neck Surgery . 6th ed. Philadelphia, PA: Elsevier Saunders; 2015: ...

  15. Histrelin Implant

    MedlinePlus

    ... implant (Supprelin LA) is used to treat central precocious puberty (CPP; a condition causing children to enter puberty too soon, resulting in faster than normal bone growth and development of sexual characteristics) in girls ...

  16. Breast Implants

    MedlinePlus

    ... in the United States: saline-filled and silicone gel-filled. Both types have a silicone outer shell. ... them. Provide information on saline-filled and silicone gel-filled breast implants, including data supporting a reasonable ...

  17. Cochlear implants.

    PubMed

    Connell, Sarah S; Balkany, Thomas J

    2006-08-01

    Cochlear implants are cost-effective auditory prostheses that safely provide a high-quality sensation of hearing to adults who are severely or profoundly deaf. In the past 5 years, progress has been made in hardware and software design, candidate selection, surgical techniques, device programming, education and rehabilitation,and, most importantly, outcomes. Cochlear implantation in the elderly is well tolerated and provides marked improvement in auditory performance and psychosocial functioning.

  18. Tubo-uterine implantation.

    PubMed

    Green-armytage, V G

    1957-02-01

    After characterizing 2 types of patients presenting with tubal infertility (1 that is "as a rule overweight (the uterus is fixed (and there is easily palpable tubo-uterine pathology," and 1 that is "slim, young, intelligent and often beautiful", 12 1-sentence suggestions are made to increase the success of tubo-uterine implantations in the second type of presenting patient (because the first group has, in the author's mind, disappointing prognosis). Figures are the bulk of the document, with 3 figures demonstrating the type of operation, 3 showing the scheme of the operation, 1 figure showing a posterior view of the implanted tube in utero with a polyethylene prosthesis in situ down to the cervix, and 1 figure showing the instruments used in the operation. A few points of experience the author shares are: 1) operate immediately after a menstrual period; 2) give antibiotics prophylactically and after the procedure; 3) use a Bonney Myomectomy Clamp to elevate the uterus; 4) never use a knife or bistoury at the cornua; 5) use polyethylene rods, when available; and 6) caesarean section is the indicated delivery route after tubo-uterine implantation. Out of 38 patients with the requisite history and findings who have been operated on by this author, 14 have gone to full-term, i.e., 36.1%; 2 have aborted, giving a pregnancy rate of 42.2%, and there was 1 ectopic pregnancy.

  19. A scheme to set preferred magnitudes in the ISC Bulletin

    NASA Astrophysics Data System (ADS)

    Di Giacomo, Domenico; Storchak, Dmitry A.

    2016-04-01

    One of the main purposes of the International Seismological Centre (ISC) is to collect, integrate and reprocess seismic bulletins provided by agencies around the world in order to produce the ISC Bulletin. This is regarded as the most comprehensive bulletin of the Earth's seismicity, and its production is based on a unique cooperation in the seismological community that allows the ISC to complement the work of seismological agencies operating at global and/or local-regional scale. In addition, by using the seismic wave measurements provided by reporting agencies, the ISC computes, where possible, its own event locations and magnitudes such as short-period body wave m b and surface wave M S . Therefore, the ISC Bulletin contains the results of the reporting agencies as well as the ISC own solutions. Among the most used seismic event parameters listed in seismological bulletins, the event magnitude is of particular importance for characterizing a seismic event. The selection of a magnitude value (or multiple ones) for various research purposes or practical applications is not always a straightforward task for users of the ISC Bulletin and related products since a multitude of magnitude types is currently computed by seismological agencies (sometimes using different standards for the same magnitude type). Here, we describe a scheme that we intend to implement in routine ISC operations to mark the preferred magnitudes in order to help ISC users in the selection of events with magnitudes of their interest.

  20. Contraceptive implants.

    PubMed

    McDonald-Mosley, Raegan; Burke, Anne E

    2010-03-01

    Implantable contraception has been extensively used worldwide. Implants are one of the most effective and reversible methods of contraception available. These devices may be particularly appropriate for certain populations of women, including women who cannot use estrogen-containing contraception. Implants are safe for use by women with many chronic medical problems. The newest implant, Implanon (Organon International, Oss, The Netherlands), is the only device currently available in the United States and was approved in 2006. It is registered for 3 years of pregnancy prevention. Contraceptive implants have failure rates similar to tubal ligation, and yet they are readily reversible with a return to fertility within days of removal. Moreover, these contraceptive devices can be safely placed in the immediate postpartum period, ensuring good contraceptive coverage for women who may be at risk for an unintended pregnancy. Irregular bleeding is a common side effect for all progestin-only contraceptive implants. Preinsertion counseling should address possible side effects, and treatment may be offered to women who experience prolonged or frequent bleeding.

  1. Different magnitudes of tensile strain induce human osteoblasts differentiation associated with the activation of ERK1/2 phosphorylation.

    PubMed

    Zhu, Junfeng; Zhang, Xiaoling; Wang, Chengtao; Peng, Xiaochun; Zhang, Xianlong

    2008-12-01

    Mechanical factors are related to periprosthetic osseointegration following total hip arthroplasty. However, osteoblast response to strain in implanted femurs is unclear because of the absence of accurate stress-measuring methods. In our study, finite element analysis was performed to calculate strain distribution in implanted femurs. 0.8-3.2% tensile strain was then applied to human osteoblasts. Higher magnitudes of strain enhanced the expression of osteocalcin, type I collagen, and Cbfa1/Runx2. Lower magnitudes significantly increased ALP activity. Among these, type I collagen expression increased with the activation of ERK1/2 phosphorylation in a strain-magnitude-dependent manner. Our study marks the first investigation of osteoblast response at different magnitudes of periprosthetic strain. The results indicate that the functional status of human osteoblasts is determined by strain magnitude. The strain distribution in the proximal region of implanted femur should be improved for osseointegration.

  2. PRE-OPERATIVE PLANNING AND SURGICAL TECHNIQUE OF THE OPEN WEDGE SUPRACONDYLAR OSTEOTOMY FOR CORRECTION OF VALGUS KNEE AND FIXATION WITH A FIXED-ANGLE IMPLANT

    PubMed Central

    Paccola, Cleber Antonio Jansen

    2015-01-01

    The step-by-step preoperative planning for supracondylar opening wedge osteotomy of the femur for precise correction of the load axis of the lower limb using a fixed-angle implant (95° AO blade plate) is presented. The surgical technique and the use of a bone graft from the same site for filling in the defect are also presented. PMID:27026976

  3. Bone-to-implant contact of orthodontic implants in humans subjected to horizontal loading.

    PubMed

    Wehrbein, H; Merz, B R; Hämmerle, C H; Lang, N P

    1998-10-01

    Implant-based anchorage in orthodontics is increasingly obtaining significance. In this study, implants were temporarily inserted into the mid-palatal and the mandibular retromolar areas in humans for orthodontic anchorage. Histological analysis of the implant-bone interface was performed following the retrieval of implants which were subjected to prolonged oblique orthodontic loading. The results of the histomorphometric evaluation indicated that all the implants serving for orthodontic anchorage were well integrated into the bone despite the prolonged application of the orthodontic loading. Hence, it may be concluded that small-size, one-part transmucosal implants with a self-tapping thread and an SLA surface seemed to provide adequate anchorage for orthodontic therapy. Furthermore, the successful integration and the subsequent oblique loading of these orthodontic implants provide evidence that continuous forces in the order of magnitude of 2-6 N are compatible with the maintenance of osseointegration.

  4. Astronomical Limiting Magnitude at Langkawi Observatory

    NASA Astrophysics Data System (ADS)

    Zainuddin, Mohd. Zambri; Loon, Chin Wei; Harun, Saedah

    2010-07-01

    Astronomical limiting magnitude is an indicator for astronomer to conduct astronomical measurement at a particular site. It gives an idea to astronomer of that site what magnitude of celestial object can be measured. Langkawi National Observatory (LNO) is situated at Bukit Malut with latitude 6°18' 25'' North and longitude 99°46' 52'' East in Langkawi Island. Sky brightness measurement has been performed at this site using the standard astronomical technique. The value of the limiting magnitude measured is V = 18.6+/-1.0 magnitude. This will indicate that astronomical measurement at Langkawi observatory can only be done for celestial objects having magnitude less than V = 18.6 magnitudes.

  5. Reinforcer Magnitude Attenuates Apomorphine's Effects on Operant Pecking

    ERIC Educational Resources Information Center

    Pinkston, Jonathan W.; Lamb, R. J.

    2012-01-01

    When given to pigeons, the direct-acting dopamine agonist apomorphine elicits pecking. The response has been likened to foraging pecking because it bears remarkable similarity to foraging behavior, and it is enhanced by food deprivation. On the other hand, other data suggest the response is not related to foraging behavior and may even interfere…

  6. Reinforcer Magnitude Attenuates Apomorphine's Effects on Operant Pecking

    ERIC Educational Resources Information Center

    Pinkston, Jonathan W.; Lamb, R. J.

    2012-01-01

    When given to pigeons, the direct-acting dopamine agonist apomorphine elicits pecking. The response has been likened to foraging pecking because it bears remarkable similarity to foraging behavior, and it is enhanced by food deprivation. On the other hand, other data suggest the response is not related to foraging behavior and may even interfere…

  7. [Implantation in severe myopia cataract].

    PubMed

    Metge, P; Ginestet, X; Morin, B; Platon, O

    1989-01-01

    Based upon biometric and statistical analysis of 163 eyes (26 mm or longer), it appears that high myopia cataract occur all the earlier as the eye is long; on average, these were operated on ten years earlier than cataracts in the general population. Extra-capsular extraction and intercapsular implantation were generally used. Pre and post-operative complications are remarkably rare for such abnormal eyes. After a mean period of 22 months, detachment of the retina was observed in 1.84% of patients and secondary capsulotomy performed in 8%. Because they prevent secondary capsular opacification and anterior vitreous propagation, it appears that such barrier-type implants should be systematically placed. Current large-diameter implants allow for vitreoretinal observation. Based upon this patient population, a formula for implant power calculation specific to high myopia has been elaborated. The desired degree of refraction varies with age and patient activity.

  8. Reinforcement magnitude and responding during treatment with differential reinforcement.

    PubMed Central

    Lerman, Dorothea C; Kelley, Michael E; Vorndran, Christina M; Kuhn, Stephanie A C; LaRue, Robert H

    2002-01-01

    Basic findings indicate that the amount or magnitude of reinforcement can influence free-operant responding prior to and during extinction. In this study, the relation between reinforcement magnitude and adaptive behavior was evaluated with 3 children as part of treatment with differential reinforcement. In the first experiment, a communicative response was shaped and maintained by the same reinforcer that was found to maintain problem behavior. Two reinforcement magnitudes (20-s or 60-s access to toys or escape from demands) were compared and found to be associated with similar levels of resistance to extinction. The relation between reinforcement magnitude and response maintenance was further evaluated in the second experiment by exposing the communicative response to 20-s or 300-s access to toys or escape. Results for 2 participants suggested that this factor may alter the duration of postreinforcement pauses. PMID:11936544

  9. Magnitude and sign correlations in heartbeat fluctuations

    NASA Technical Reports Server (NTRS)

    Ashkenazy, Y.; Ivanov, P. C.; Havlin, S.; Peng, C. K.; Goldberger, A. L.; Stanley, H. E.

    2001-01-01

    We propose an approach for analyzing signals with long-range correlations by decomposing the signal increment series into magnitude and sign series and analyzing their scaling properties. We show that signals with identical long-range correlations can exhibit different time organization for the magnitude and sign. We find that the magnitude series relates to the nonlinear properties of the original time series, while the sign series relates to the linear properties. We apply our approach to the heartbeat interval series and find that the magnitude series is long-range correlated, while the sign series is anticorrelated and that both magnitude and sign series may have clinical applications.

  10. Magnitude and sign correlations in heartbeat fluctuations

    NASA Technical Reports Server (NTRS)

    Ashkenazy, Y.; Ivanov, P. C.; Havlin, S.; Peng, C. K.; Goldberger, A. L.; Stanley, H. E.

    2001-01-01

    We propose an approach for analyzing signals with long-range correlations by decomposing the signal increment series into magnitude and sign series and analyzing their scaling properties. We show that signals with identical long-range correlations can exhibit different time organization for the magnitude and sign. We find that the magnitude series relates to the nonlinear properties of the original time series, while the sign series relates to the linear properties. We apply our approach to the heartbeat interval series and find that the magnitude series is long-range correlated, while the sign series is anticorrelated and that both magnitude and sign series may have clinical applications.

  11. Determination of the meteor limiting magnitude

    NASA Astrophysics Data System (ADS)

    Kingery, A.; Blaauw, R. C.

    2017-09-01

    We present our method to calculate the meteor limiting magnitude. The limiting meteor magnitude defines the faintest magnitude at which all meteors are still detected by a given system. An accurate measurement of the limiting magnitude is important in order to calculate the meteoroid flux from a meteor shower or sporadic source. Since meteor brightness is linked to meteor mass, the limiting magnitude is needed to calculate the limiting mass of the meteor flux measurement. The mass distribution of meteoroids is thought to follow a power law, thus being slightly off in the limiting magnitude can have a significant effect on the measured flux. Sky conditions can change on fairly short timescales; therefore one must monitor the meteor limiting magnitude at regular intervals throughout the night, rather than just measuring it once. We use the stellar limiting magnitude as a proxy of the meteor limiting magnitude. Our method for determining the stellar limiting magnitude and how we transform it into the meteor limiting magnitude is presented. These methods are currently applied to NASA's wide-field meteor camera network to determine nightly fluxes, but are applicable to other camera networks.

  12. Magnitude systems in old star catalogues

    NASA Astrophysics Data System (ADS)

    Fujiwara, Tomoko; Yamaoka, Hitoshi

    2005-06-01

    The current system of stellar magnitudes originally introduced by Hipparchus was strictly defined by Norman Pogson in 1856. He based his system on Ptolemy's star catalogue, the Almagest, recorded in about AD137, and defined the magnitude-intensity relationship on a logarithmic scale. Stellar magnitudes observed with the naked eye recorded in seven old star catalogues were analyzed in order to examine the visual magnitude systems. Although psychophysicists have proposed that human visual sensitivity follows a power-law scale, it is shown here that the degree of agreement is far better for a logarithmic scale than for a power-law scale. It is also found that light ratios in each star catalogue are nearly equal to 2.512, if the brightest (1st magnitude) and the faintest (6th magnitude and dimmer) stars are excluded from the study. This means that the visual magnitudes in the old star catalogues agree fully with Pogson's logarithmic scale.

  13. Cochlear Implants

    MedlinePlus

    ... outside of the body, behind the ear. A second part is surgically placed under the skin. An implant does not restore normal hearing. It can help a person understand speech. Children and adults can benefit from them. National Institute on Deafness and Other Communication Disorders

  14. Defining Tsunami Magnitude as Measure of Potential Impact

    NASA Astrophysics Data System (ADS)

    Titov, V. V.; Tang, L.

    2016-12-01

    The goal of tsunami forecast, as a system for predicting potential impact of a tsunami at coastlines, requires quick estimate of a tsunami magnitude. This goal has been recognized since the beginning of tsunami research. The work of Kajiura, Soloviev, Abe, Murty, and many others discussed several scales for tsunami magnitude based on estimates of tsunami energy. However, difficulties of estimating tsunami energy based on available tsunami measurements at coastal sea-level stations has carried significant uncertainties and has been virtually impossible in real time, before tsunami impacts coastlines. The slow process of tsunami magnitude estimates, including collection of vast amount of available coastal sea-level data from affected coastlines, made it impractical to use any tsunami magnitude scales in tsunami warning operations. Uncertainties of estimates made tsunami magnitudes difficult to use as universal scale for tsunami analysis. Historically, the earthquake magnitude has been used as a proxy of tsunami impact estimates, since real-time seismic data is available of real-time processing and ample amount of seismic data is available for an elaborate post event analysis. This measure of tsunami impact carries significant uncertainties in quantitative tsunami impact estimates, since the relation between the earthquake and generated tsunami energy varies from case to case. In this work, we argue that current tsunami measurement capabilities and real-time modeling tools allow for establishing robust tsunami magnitude that will be useful for tsunami warning as a quick estimate for tsunami impact and for post-event analysis as a universal scale for tsunamis inter-comparison. We present a method for estimating the tsunami magnitude based on tsunami energy and present application of the magnitude analysis for several historical events for inter-comparison with existing methods.

  15. Cochlear Implantation in Neurobrucellosis

    PubMed Central

    Bajin, Münir Demir; Savaş, Özden; Aslan, Filiz; Sennaroğlu, Levent

    2016-01-01

    Background: Neurobrucellosis is a disease consisting of a wide spectrum of complications such as peripheral neuropathy, cranial nerve involvement, ataxia, meningeal irritation, paraplegia, seizures, coma, and even death. The vestibulocochlear nerve seems to be the most commonly affected cranial nerve (10%). We present a patient with neurobrucellosis whose auditory perception and speech intelligibility skill performances improved after cochlear implantation. Case Report: A 35 year-old woman was admitted to another hospital 2 years ago with the symptoms of headache, nausea, and altered consciousness, who was finally diagnosed with neurobrucellosis. She developed bilateral profound sensorineural hearing loss during the following 6 months. There was no benefit of using hearing aids. After successful treatment of her illness, she was found to be suitable for cochlear implantation. After the operation, her auditory perception skills improved significantly with a Categories of Auditory Performance (CAP) score of 5. According to clinical observations and her family members’ statements, her Speech Intelligibility Rating (SIR) score was 3. Her speech intelligibility skills are still improving. Conclusion: Our case report represents the second case of hearing rehabilitation with cochlear implantation after neurobrucellosis. Cochlear implantation is a cost-effective and time-proven successful intervention in post-lingual adult patients with sensorineural hearing loss. Early timing of the surgery after appropriate treatment of meningitis helps the patient to achieve better postoperative results. PMID:26966626

  16. Chemical, corrosion and topographical analysis of stainless steel implants after different implantation periods.

    PubMed

    Chrzanowski, Wojciech; Armitage, David Andrew; Knowles, Jonathan Campbell; Szade, Jacek; Korlacki, Wojciech; Marciniak, Jan

    2008-07-01

    The aim of this work is to examine the corrosion properties, chemical composition, and material-implant interaction after different periods of implantation of plates used to correct funnel chest. The implants are made of 316L stainless steel. Examinations are carried out on three implants: new (nonimplanted) and two implanted for 29 and 35 months. The corrosion study reveals that in the potential range that could occur in the physiological condition the new bar has the lowest current density and the highest corrosion potential. This indicates that the new plate has the highest corrosion resistance and the corrosion resistance could be reduced during implantation by the instruments used during the operation. XPS analysis reveals changes in the surface chemistry. The longer the implantation time the more carbon and oxygen are observed and only trace of elements such as Cr, Mo are detected indicating that surface is covered by an organic layer. On some parts of the implants whitish tissue is observed: the thickness of which increased with the time of implantation. This tissue was identified as an organic layer; mainly attached to the surface on the areas close to where the implant was bent to attain anatomical fit and thus where the implant has higher surface roughness. The study indicates that the chest plates are impaired by the implantation procedure and contact with biological environment. The organic layer on the surface shows that the implant did not stay passive but some reactions at the tissue-implant interface occurred. These reactions should be seen as positive, as it indicates that the implants were accepted by the tissues. Nevertheless, if the implants react, they may continue to release chromium, nickel, and other harmful ions long term as indicated by lower corrosion resistance of the implants following implantation.

  17. Developmental Foundations of Children's Fraction Magnitude Knowledge.

    PubMed

    Mou, Yi; Li, Yaoran; Hoard, Mary K; Nugent, Lara D; Chu, Felicia W; Rouder, Jeffrey N; Geary, David C

    2016-01-01

    The conceptual insight that fractions represent magnitudes is a critical yet daunting step in children's mathematical development, and the knowledge of fraction magnitudes influences children's later mathematics learning including algebra. In this study, longitudinal data were analyzed to identify the mathematical knowledge and domain-general competencies that predicted 8(th) and 9(th) graders' (n=122) knowledge of fraction magnitudes and its cross-grade gains. Performance on the fraction magnitude measures predicted 9(th) grade algebra achievement. Understanding and fluently identifying the numerator-denominator relation in 7(th) grade emerged as the key predictor of later fraction magnitudes knowledge in both 8(th) and 9(th) grades. Competence at using fraction procedures, knowledge of whole number magnitudes, and the central executive contributed to 9(th) but not 8(th) graders' fraction magnitude knowledge, and knowledge of whole number magnitude contributed to cross-grade gains. The key results suggest fluent processing of numerator-denominator relations presages students' understanding of fractions as magnitudes and that the integration of whole number and fraction magnitudes occurs gradually.

  18. Two problems and a single solution: Covered stent implantation to close an anterograde pulmonary flow and treat hypoplastic left pulmonary artery after Fontan operation.

    PubMed

    Butera, Gianfranco; Taha, Fatma

    2016-05-01

    Several issues may impact on the function of a Fontan circulation including accessory source of pulmonary blood flow and pulmonary artery anatomy. Here we report on a 5.5-year-old boy who showed failing Fontan circulation due to left pulmonary artery stenosis/hypoplasia and significant forward pulmonary blood flow through the native pulmonary artery. Successful implantation of a 34-mm CP covered stent in the left pulmonary artery in a Fontan patient was useful for simultaneous successful treatment of residual antegrade flow from the systemic ventricle to the pulmonary artery and enlargement of hypoplastic left pulmonary artery. © 2015 Wiley Periodicals, Inc. © 2015 Wiley Periodicals, Inc.

  19. Estimating magnitude and duration of incident delays

    SciTech Connect

    Garib, A.; Radwan, A.E.; Al-Deek, H.

    1997-11-01

    Traffic congestion is a major operational problem on urban freeways. In the case of recurring congestion, travelers can plan their trips according to the expected occurrence and severity of recurring congestion. However, nonrecurring congestion cannot be managed without real-time prediction. Evaluating the efficiency of intelligent transportation systems (ITS) technologies in reducing incident effects requires developing models that can accurately predict incident duration along with the magnitude of nonrecurring congestion. This paper provides two statistical models for estimating incident delay and a model for predicting incident duration. The incident delay models showed that up to 85% of variation in incident delay can be explained by incident duration, number of lanes affected, number of vehicles involved, and traffic demand before the incident. The incident duration prediction model showed that 81% of variation in incident duration can be predicted by number of lanes affected, number of vehicles involved, truck involvement, time of day, police response time, and weather condition. These findings have implications for on-line applications within the context of advanced traveler information systems (ATIS).

  20. Magnitude-based scaling of tsunami propagation

    NASA Astrophysics Data System (ADS)

    Simanjuntak, M. Arthur; Greenslade, Diana J. M.

    2011-07-01

    Most current operational tsunami prediction systems are based upon databases of precomputed tsunami scenarios, where some form of linear scaling is applied to the precomputed model runs in order to represent specific earthquake magnitudes. This can introduce errors due to assumptions made about the rupture width and possible effects on dispersion. In this paper, we perform a series of numerical experiments on uniform depth domains, using the Method of Splitting Tsunamis (MOST) model, and develop estimates of the maximum error that an assumed discrepancy in the width of a rupture will produce in the resulting field of maximum tsunami amplitude. This estimate was produced from fitting the decay of maximum amplitude with normalized distance for various resolutions of the source widths to the grid size, resulting in a simple power law whose coefficients effectively vary with wavelength resolution. This provides a quantification of the effect that linear scaling of precomputed scenarios will have on forecasts of tsunami amplitude. This estimate of scaling bias is investigated in relation to the scenario database that is currently in use within the Joint Australian Tsunami Warning Centre.

  1. A Bayesian perspective on magnitude estimation.

    PubMed

    Petzschner, Frederike H; Glasauer, Stefan; Stephan, Klaas E

    2015-05-01

    Our representation of the physical world requires judgments of magnitudes, such as loudness, distance, or time. Interestingly, magnitude estimates are often not veridical but subject to characteristic biases. These biases are strikingly similar across different sensory modalities, suggesting common processing mechanisms that are shared by different sensory systems. However, the search for universal neurobiological principles of magnitude judgments requires guidance by formal theories. Here, we discuss a unifying Bayesian framework for understanding biases in magnitude estimation. This Bayesian perspective enables a re-interpretation of a range of established psychophysical findings, reconciles seemingly incompatible classical views on magnitude estimation, and can guide future investigations of magnitude estimation and its neurobiological mechanisms in health and in psychiatric diseases, such as schizophrenia.

  2. Peri-implant complications for posterior endosteal implants.

    PubMed

    Esquivel-Upshaw, Josephine; Mehler, Alex; Clark, Arthur; Neal, Dan; Gonzaga, Luiz; Anusavice, Kenneth

    2015-12-01

    (1) To assess whether there is evidence of an association between the number of peri-implant tissue complications and patient characteristics such as gender, diabetes status, smoking status, and bite force; (2) To assess whether there is evidence of an association between the number of peri-implant tissue complications and location of the implant, surgical technique used, bone graft status and sinus lift status. This randomized, controlled clinical trial included a total of 176 implants (OsseoSpeed, DENTSPLY) in 67 participants with 88 fixed dental prostheses. Information was obtained from health histories, a baseline exam, surgical notes, and post-operative exams. The data were analyzed using Fisher's exact and Mann-Whitney tests and generalized estimating equations using logistic regression with a significance level set at 0.05. All 176 implants survived within a recall period of 3 years, but 11 implants demonstrated peri-implant tissue complications. Ten sites showed dehiscence and one case exhibited vertical bone loss. There was a statistically significant association between surgical technique used (1-stage or 2-stage) and the presence of soft tissue complications (P = 0.005), where 2-stage surgery was associated with a higher frequency of peri-implant soft tissue complications. A correlation, although not statistically significant (P = 0.077), was noted, between peri-implant tissue complications and bone grafting, suggesting a possible role for this factor as well. Participants who did not require any second-stage surgery at the implant sites experienced fewer complications. Therefore, additional surgical procedures should be performed judiciously considering their possible effects on peri-implant tissue health. The clinical implication of this research study is that secondary surgery should be considered with caution during implant placement and it should be performed only when other options have been exhausted, as it has been shown to have a direct

  3. Influence of the implant cervical topography on the crestal bone resorption and immediate implant survival.

    PubMed

    Heinemann, F; Bourauel, C; Hasan, I; Gedrange, T

    2009-12-01

    The aim of the study was the investigation of the survival rate of immediate implants in addition to the evaluation of the level of the alveolar bone around the neck region of immediately placed implants of different macrodesigns. To address the question whether the "biological", highly polished area of the implant neck is more associated with crestal resorpiton than the rough neck region, the influence of the surface characters of the implant cervical region was studied. The survival rate of 129 implants from 52 patients was evaluated on different time points after immediate implantation. The level of peri-implant bone contacts to the implant border from 24 implants, which included implants types Tiolox, NobelReplace Tapered and PrimaConnex Tapered, was measured radiographically in seven patients who received immediate implants followed by a healing period of 3-6 months. Various periods from the time of insertion were considered for the measurement depending on the clinically available data. No differences in the status of the alveolar crest around highly polished and roughened cervical-implant regions were observed in the seven patients. The most noticeable resorption was detected in the distal margin of the alveolar crest. The present study shows that highly polished- or roughened neck implants are inserted into a fresh extraction socket do not differ significantly in the clinical and radiographical outcomes after various post-operative periods.

  4. A Novel Operative Procedure for Pelvic Organ Prolapse Utilizing a MRI-Visible Mesh Implant: Safety and Outcome of Modified Laparoscopic Bilateral Sacropexy

    PubMed Central

    Meyberg-Solomayer, Gabriele; Radosa, Julia; Bader, Werner; Schneider, Guenther; Solomayer, Erich

    2015-01-01

    Introduction. Sacropexy is a generally applied treatment of prolapse, yet there are known possible complications of it. An essential need exists for better alloplastic materials. Methods. Between April 2013 and June 2014, we performed a modified laparoscopic bilateral sacropexy (MLBS) in 10 patients using a MRI-visible PVDF mesh implant. Selected patients had prolapse POP-Q stages II-III and concomitant OAB. We studied surgery-related morbidity, anatomical and functional outcome, and mesh-visibility in MRI. Mean follow-up was 7.4 months. Results. Concomitant colporrhaphy was conducted in 1/10 patients. Anatomical success was defined as POP-Q stage 0-I. Apical success rate was 100% and remained stable. A recurrent cystocele was seen in 1/10 patients during follow-up without need for intervention. Out of 6 (6/10) patients with preoperative SUI, 5/6 were healed and 1/6 persisted. De-novo SUI was seen in 1/10 patients. Complications requiring a relaparoscopy were seen in 2/10 patients. 8/10 patients with OAB were relieved postoperatively. The first in-human magnetic resonance visualization of a prolapse mesh implant was performed and showed good quality of visualization. Conclusion. MLBS is a feasible and safe procedure with favorable anatomical and functional outcome and good concomitant healing rates of SUI and OAB. Prospective data and larger samples are required. PMID:25961042

  5. Local magnitude calibration of the Hellenic Unified Seismic Network

    NASA Astrophysics Data System (ADS)

    Scordilis, E. M.; Kementzetzidou, D.; Papazachos, B. C.

    2016-01-01

    A new relation is proposed for accurate determination of local magnitudes in Greece. This relation is based on a large number of synthetic Wood-Anderson (SWA) seismograms corresponding to 782 regional shallow earthquakes which occurred during the period 2007-2013 and recorded by 98 digital broad-band stations. These stations are installed and operated by the following: (a) the National Observatory of Athens (HL), (b) the Department of Geophysics of the Aristotle University of Thessaloniki (HT), (c) the Seismological Laboratory of the University of Athens (HA), and (d) the Seismological Laboratory of the Patras University (HP). The seismological networks of the above institutions constitute the recently (2004) established Hellenic Unified Seismic Network (HUSN). These records are used to calculate a refined geometrical spreading factor and an anelastic attenuation coefficient, representative for Greece and surrounding areas, proper for accurate calculation of local magnitudes in this region. Individual station corrections depending on the crustal structure variations in their vicinity and possible inconsistencies in instruments responses are also considered in order to further ameliorate magnitude estimation accuracy. Comparison of such calculated local magnitudes with corresponding original moment magnitudes, based on an independent dataset, revealed that these magnitude scales are equivalent for a wide range of values.

  6. Advances in lens implant technology

    PubMed Central

    Kampik, Anselm; Dexl, Alois K.; Zimmermann, Nicole; Glasser, Adrian; Baumeister, Martin; Kohnen, Thomas

    2013-01-01

    Cataract surgery is one of the oldest and the most frequent outpatient clinic operations in medicine performed worldwide. The clouded human crystalline lens is replaced by an artificial intraocular lens implanted into the capsular bag. During the last six decades, cataract surgery has undergone rapid development from a traumatic, manual surgical procedure with implantation of a simple lens to a minimally invasive intervention increasingly assisted by high technology and a broad variety of implants customized for each patient’s individual requirements. This review discusses the major advances in this field and focuses on the main challenge remaining – the treatment of presbyopia. The demand for correction of presbyopia is increasing, reflecting the global growth of the ageing population. Pearls and pitfalls of currently applied methods to correct presbyopia and different approaches under investigation, both in lens implant technology and in surgical technology, are discussed. PMID:23413369

  7. The Color-Magnitude Distribution of Small Jupiter Trojans

    NASA Astrophysics Data System (ADS)

    Wong, Ian; Brown, Michael E.

    2015-12-01

    We present an analysis of survey observations targeting the leading L4 Jupiter Trojan cloud near opposition using the wide-field Suprime-Cam CCD camera on the 8.2 m Subaru Telescope. The survey covered about 38 deg2 of sky and imaged 147 fields spread across a wide region of the L4 cloud. Each field was imaged in both the g‧ and the i‧ band, allowing for the measurement of g - i color. We detected 557 Trojans in the observed fields, ranging in absolute magnitude from H = 10.0 to H = 20.3. We fit the total magnitude distribution to a broken power law and show that the power-law slope rolls over from 0.45 ± 0.05 to {0.36}-0.09+0.05 at a break magnitude of {H}b={14.93}-0.88+0.73. Combining the best-fit magnitude distribution of faint objects from our survey with an analysis of the magnitude distribution of bright objects listed in the Minor Planet Center catalog, we obtain the absolute magnitude distribution of Trojans over the entire range from H = 7.2 to H = 16.4. We show that the g - i color of Trojans decreases with increasing magnitude. In the context of the less-red and red color populations, as classified in Wong et al. using photometric and spectroscopic data, we demonstrate that the observed trend in color for the faint Trojans is consistent with the expected trend derived from extrapolation of the best-fit color population magnitude distributions for bright cataloged Trojans. This indicates a steady increase in the relative number of less-red objects with decreasing size. Finally, we interpret our results using collisional modeling and propose several hypotheses for the color evolution of the Jupiter Trojan population. Based on data collected at Subaru Telescope, which is operated by the National Astronomical Observatory of Japan.

  8. Short Implants: New Horizon in Implant Dentistry

    PubMed Central

    Gulati, Manisha; Garg, Meenu; Pathak, Chetan

    2016-01-01

    The choice of implant length is an essential factor in deciding the survival rates of these implants and the overall success of the prosthesis. Placing an implant in the posterior part of the maxilla and mandible has always been very critical due to poor bone quality and quantity. Long implants can be placed in association with complex surgical procedures such as sinus lift and bone augmentation. These techniques are associated with higher cost, increased treatment time and greater morbidity. Hence, there is need for a less invasive treatment option in areas of poor bone quantity and quality. Data related to survival rates of short implants, their design and prosthetic considerations has been compiled and structured in this manuscript with emphasis on the indications, advantages of short implants and critical biomechanical factors to be taken into consideration when choosing to place them. Studies have shown that comparable success rates can be achieved with short implants as those with long implants by decreasing the lateral forces to the prosthesis, eliminating cantilevers, increasing implant surface area and improving implant to abutment connection. Short implants can be considered as an effective treatment alternative in resorbed ridges. Short implants can be considered as a viable treatment option in atrophic ridge cases in order to avoid complex surgical procedures required to place long implants. With improvement in the implant surface geometry and surface texture, there is an increase in the bone implant contact area which provides a good primary stability during osseo-integration. PMID:27790598

  9. Short Implants: New Horizon in Implant Dentistry.

    PubMed

    Jain, Neha; Gulati, Manisha; Garg, Meenu; Pathak, Chetan

    2016-09-01

    The choice of implant length is an essential factor in deciding the survival rates of these implants and the overall success of the prosthesis. Placing an implant in the posterior part of the maxilla and mandible has always been very critical due to poor bone quality and quantity. Long implants can be placed in association with complex surgical procedures such as sinus lift and bone augmentation. These techniques are associated with higher cost, increased treatment time and greater morbidity. Hence, there is need for a less invasive treatment option in areas of poor bone quantity and quality. Data related to survival rates of short implants, their design and prosthetic considerations has been compiled and structured in this manuscript with emphasis on the indications, advantages of short implants and critical biomechanical factors to be taken into consideration when choosing to place them. Studies have shown that comparable success rates can be achieved with short implants as those with long implants by decreasing the lateral forces to the prosthesis, eliminating cantilevers, increasing implant surface area and improving implant to abutment connection. Short implants can be considered as an effective treatment alternative in resorbed ridges. Short implants can be considered as a viable treatment option in atrophic ridge cases in order to avoid complex surgical procedures required to place long implants. With improvement in the implant surface geometry and surface texture, there is an increase in the bone implant contact area which provides a good primary stability during osseo-integration.

  10. Microsystems Technology for Retinal Implants

    NASA Astrophysics Data System (ADS)

    Weiland, James

    2005-03-01

    The retinal prosthesis is targeted to treat age-related macular degeneration, retinitis pigmentosa, and other outer retinal degenerations. Simulations of artificial vision have predicted that 600-1000 individual pixels will be needed if a retinal prosthesis is to restore function such as reading large print and face recognition. An implantable device with this many electrode contacts will require microsystems technology as part of its design. An implantable retinal prosthesis will consist of several subsystems including an electrode array and hermetic packaging. Microsystems and microtechnology approaches are being investigated as possible solutions for these design problems. Flexible polydimethylsiloxane (PDMS) substrate electrode arrays and silicon micromachined electrode arrays are under development. Inactive PDMS electrodes have been implanted in 3 dogs to assess mechanical biocompatibility. 3 dogs were followed for 6 months. The implanted was securely fastened to the retina with a single retinal tack. No post-operative complications were evident. The array remained within 100 microns of the retinal surface. Histological evaluation showed a well preserved retina underneath the electrode array. A silicon device with electrodes suspended on micromachined springs has been implanted in 4 dogs (2 acute implants, 2 chronic implants). The device, though large, could be inserted into the eye and positioned on the retina. Histological analysis of the retina from the spring electrode implants showed that spring mounted posts penetrated the retina, thus the device will be redesigned to reduce the strength of the springs. These initial implants will provide information for the designers to make the next generation silicon device. We conclude that microsystems technology has the potential to make possible a retinal prosthesis with 1000 individual contacts in close proximity to the retina.

  11. Reward Magnitude Effects on Temporal Discrimination

    ERIC Educational Resources Information Center

    Galtress, Tiffany; Kirkpatrick, Kimberly

    2010-01-01

    Changes in reward magnitude or value have been reported to produce effects on timing behavior, which have been attributed to changes in the speed of an internal pacemaker in some instances and to attentional factors in other cases. The present experiments therefore aimed to clarify the effects of reward magnitude on timing processes. In Experiment…

  12. Magnitude Anomalies and Propagation of Local Phases

    DTIC Science & Technology

    1983-01-31

    statistically significant variation of magnitude anomalies versus one of this above parameters. A contrario, we observed a significant dependance between...enough to demand a more detailed analysis. III - Local dependance of magnitude anomalies. A smoothing of our data on all quakes originating in the same

  13. Reward Magnitude Effects on Temporal Discrimination

    ERIC Educational Resources Information Center

    Galtress, Tiffany; Kirkpatrick, Kimberly

    2010-01-01

    Changes in reward magnitude or value have been reported to produce effects on timing behavior, which have been attributed to changes in the speed of an internal pacemaker in some instances and to attentional factors in other cases. The present experiments therefore aimed to clarify the effects of reward magnitude on timing processes. In Experiment…

  14. Representations of the Magnitudes of Fractions

    ERIC Educational Resources Information Center

    Schneider, Michael; Siegler, Robert S.

    2010-01-01

    We tested whether adults can use integrated, analog, magnitude representations to compare the values of fractions. The only previous study on this question concluded that even college students cannot form such representations and instead compare fraction magnitudes by representing numerators and denominators as separate whole numbers. However,…

  15. Toward total implantability using free-range resonant electrical energy delivery system: achieving untethered ventricular assist device operation over large distances.

    PubMed

    Waters, Benjamin; Sample, Alanson; Smith, Joshua; Bonde, Pramod

    2011-11-01

    Heart failure is a terminal disease with a very poor prognosis. Although the gold standard of treatment remains heart transplant, only a minority of patients can benefit from transplants. Another promising alternative is mechanical circulatory assistance using ventricular assist devices. The authors envision a completely implantable cardiac assist system affording tether-free mobility in an unrestricted space powered wirelessly by the innovative Free-Range Resonant Electrical Energy Device (FREE-D) system. Patients will have no power drivelines traversing the skin, and this system will allow power to be delivered over room distances and will eliminate trouble-prone wirings, bulky consoles, and replaceable batteries. Copyright © 2011 Elsevier Inc. All rights reserved.

  16. Local magnitudes of small contained explosions.

    SciTech Connect

    Chael, Eric Paul

    2009-12-01

    The relationship between explosive yield and seismic magnitude has been extensively studied for underground nuclear tests larger than about 1 kt. For monitoring smaller tests over local ranges (within 200 km), we need to know whether the available formulas can be extrapolated to much lower yields. Here, we review published information on amplitude decay with distance, and on the seismic magnitudes of industrial blasts and refraction explosions in the western U. S. Next we measure the magnitudes of some similar shots in the northeast. We find that local magnitudes ML of small, contained explosions are reasonably consistent with the magnitude-yield formulas developed for nuclear tests. These results are useful for estimating the detection performance of proposed local seismic networks.

  17. Reward magnitude effects on temporal discrimination

    PubMed Central

    Galtress, Tiffany; Kirkpatrick, Kimberly

    2014-01-01

    Changes in reward magnitude or value have been reported to produce effects on timing behavior, which have been attributed to changes in the speed of an internal pacemaker in some instances and to attentional factors in other cases. The present experiments therefore aimed to clarify the effects of reward magnitude on timing processes. In Experiment 1, rats were trained to discriminate a short (2 s) vs. a long (8 s) signal followed by testing with intermediate durations. Then, the reward on short or long trials was increased from 1 to 4 pellets in separate groups. Experiment 2 measured the effect of different reward magnitudes associated with the short vs. long signals throughout training. Finally, Experiment 3 controlled for satiety effects during the reward magnitude manipulation phase. A general flattening of the psychophysical function was evident in all three experiments, suggesting that unequal reward magnitudes may disrupt attention to duration. PMID:24965705

  18. [Effects of 50 to 60 Hz and of 20 to 50 kHz magnetic fields on the operation of implanted cardiac pacemakers].

    PubMed

    Frank, R; Souques, M; Himbert, C; Hidden-Lucet, F; Petitot, J C; Fontaine, G; Lambrozo, J; Magne, I; Bailly, J M

    2003-04-01

    The effect of 50 Hz and 60 Hz (frequencies of current distribution) and 20 kHz to 50 kHz (frequencies of induction cooktop) magnetic interference on implanted pacemakers have been assessed with the present generation of device technology. Sixty patients implanted in 1998 and 1999 with dual chamber pacemakers from 9 different manufacturers were monitored with telemetry while passing through, and standing between a system of two coils. They generated a 50 Hz or a 60 Hz magnetic field at 50 microT. Then, patients used a cooktop at different power. The recordings were made with the standard setting of "medically correct" sensing parameters chosen for the patients. Then pacemakers were reprogrammed to the unipolar mode, with the highest atrial (A) and ventricular (V) sensitivity that did not induce muscular inhibition while moving. Between each exposure (50 Hz, 60 Hz or 20 kHz to 50 kHz), the pacemaker programmation was controlled. At the end of the tests, pacemakers will be reprogrammed with the standard setting. The medical observer being blind to the existence or not of the magnetic field. No pacemaker was influenced by the vicinity of the magnetic field at medically correct settings. At unipolar high sensitivity, no inhibition nor reprogramming was observed. Transient reversion to interference mode was observed in 6 cases, 3 transient acceleration due to atrial detection of the interference, and one T wave detection by the ventricular lead. All were observed with the 60 Hz, and only 3 with the 50 Hz magnetic field. One device (Biotronik) shifted out of its special program (hysteresis research) during the tests with the induction cooktop, but it maintained its standard program, and the event could not be repeated despite further testing. Actual pacemakers do not present any electromagnetic interference with 50 Hz and 60 Hz or induction cooktop frequency working. They are insensitive with medically correct settings. Unusual high sensitivity leads only to noise

  19. Optimization of the ion implantation process

    NASA Astrophysics Data System (ADS)

    Maczka, D.; Latuszynski, A.; Kuduk, R.; Partyka, J.

    This work is devoted to the optimization of the ion implantation process in the implanter Unimas of the Institute of Physics, Maria Curie-Sklodowska University, Lublin. The results obtained during several years of operation allow us to determine the optimal work parameters of the device [1-3].

  20. Wireless power transfer to a cardiac implant

    NASA Astrophysics Data System (ADS)

    Kim, Sanghoek; Ho, John S.; Chen, Lisa Y.; Poon, Ada S. Y.

    2012-08-01

    We analyze wireless power transfer between a source and a weakly coupled implant on the heart. Numerical studies show that mid-field wireless powering achieves much higher power transfer efficiency than traditional inductively coupled systems. With proper system design, power sufficient to operate typical cardiac implants can be received by millimeter-sized coils.

  1. [Radiographic evaluation of cone-beam computed tomography for oral implants: maxillary sinus].

    PubMed

    Wang, Hu

    2015-08-01

    Cone-beam computed tomography (CBCT) has an important function in understanding implant operations. CBCT can be used to evaluate the basic condition of implant site before implant operation and decide whether it is suitable for implanting. CBCT also ensures whether the direction of implant and the operation method are satisfactory. CBCT can be used pre- or post-operation as long as the case involves the maxillary sinus. Clinical implant cases using CBCT were introduced to evaluate the maxillary sinus pre- or post-operation.

  2. The case for a generic implant processor.

    PubMed

    Strydis, Christos; Gaydadjiev, Georgi N

    2008-01-01

    A more structured and streamlined design of implants is nowadays possible. In this paper we focus on implant processors located in the heart of implantable systems. We present a real and representative biomedical-application scenario where such a new processor can be employed. Based on a suitably selected processor simulator, various operational aspects of the application are being monitored. Findings on performance, cache behavior, branch prediction, power consumption, energy expenditure and instruction mixes are presented and analyzed. The suitability of such an implant processor and directions for future work are given.

  3. CO2 laser surface treatment of failed dental implants for re-implantation: an animal study.

    PubMed

    Kasraei, Shahin; Torkzaban, Parviz; Shams, Bahar; Hosseinipanah, Seyed Mohammad; Farhadian, Maryam

    2016-07-01

    The aim of the present study was to evaluate the success rate of failed implants re-implanted after surface treatment with CO2 laser. Despite the widespread use of dental implants, there are many incidents of failures. It is believed that lasers can be applied to decontaminate the implant surface without damaging the implant. Ten dental implants that had failed for various reasons other than fracture or surface abrasion were subjected to CO2 laser surface treatment and randomly placed in the maxillae of dogs. Three failed implants were also placed as the negative controls after irrigation with saline solution without laser surface treatment. The stability of the implants was evaluated by the use of the Periotest values (PTVs) on the first day after surgery and at 1, 3, and 6 months post-operatively. The mean PTVs of treated implants increased at the first month interval, indicating a decrease in implant stability due to inflammation followed by healing of the tissue. At 3 and 6 months, the mean PTVs decreased compared to the 1-month interval (P < 0.05), indicating improved implant stability. The mean PTVs increased in the negative control group compared to baseline (P < 0.05). Independent t-test showed that the mean PTVs of treated implants were significantly lower than control group at 3 and 6 months after implant placement (P < 0.05). Based on the PTVs, re-implantation of failed implants in Jack Russell Terrier dogs after CO2 laser surface debridement is associated with a high success rate in terms of implant stability.

  4. Dental Implant Surgery

    MedlinePlus

    Dental implant surgery Overview By Mayo Clinic Staff Dental implant surgery is a procedure that replaces tooth roots ... that look and function much like real ones. Dental implant surgery can offer a welcome alternative to dentures ...

  5. Hip Implant Systems

    MedlinePlus

    ... Medical Devices Products and Medical Procedures Implants and Prosthetics Metal-on-Metal Hip Implants Hip Implants Share ... femoral head) is removed and replaced with a prosthetic ball made of metal or ceramic, and the ...

  6. Can degradation products released from dental implants affect peri-implant tissues?

    PubMed

    Noronha Oliveira, M; Schunemann, W V H; Mathew, M T; Henriques, B; Magini, R S; Teughels, W; Souza, J C M

    2017-08-02

    This study aimed to assess the literature available on the effects, on peri-implant tissues, of degradation products released from dental implants as a consequence of therapeutic treatment for peri-implantitis and/or of wear-corrosion of titanium. A literature review of the PubMed medline database was performed up to December 31, 2016. The following search terms were used: "titanium wear and dental implant"; "titanium corrosion and dental implant"; "bio-tribocorrosion"; "peri-implantitis"; "treatment of peri-implantitis"; "titanium particles release and dental implant"; and "titanium ion release and dental implant". The keywords were applied to the database in different combinations without limits of time period or type of work. In addition, the reference lists of relevant articles were searched for further studies. Seventy-nine relevant scientific articles on the topic were retrieved. The results showed that pro-inflammatory cytokines, infiltration of inflammatory response cells and activation of the osteoclasts activity are stimulated in peri-implant tissues in the presence of metal particles and ions. Moreover, degenerative changes were reported in macrophages and neutrophils that phagocytosed titanium microparticles, and mutations occurred in human cells cultured in medium containing titanium-based nanoparticles. Debris released from the degradation of dental implants has cytotoxic and genotoxic potential for peri-implant tissues. Thus, the amount and physicochemical properties of the degradation products determine the magnitude of the detrimental effect on peri-implant tissues. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  7. [Enucleation: causes of extrusion of orbital implants (author's transl)].

    PubMed

    Hanselmayer, H; Ritzinger, I

    1978-02-01

    The frequency and the causes of extrusion of orbital implants have been investigated. Of the 294 patients in which enucleation was done, in 17 cases (5.8%) extrusion of the first implant developed; in 9 cases with second or third implantations another 5 implants have been extruded. The extrusion of implants is caused mainly by the operative technique and only rarely by intolerance reactions. For a reliable healing exact sutures of the muscles and also exact closure of the implant with plenty of covering tissue is important.

  8. Production technology for high efficiency ion implanted solar cells

    NASA Technical Reports Server (NTRS)

    Kirkpatrick, A. R.; Minnucci, J. A.; Greenwald, A. C.; Josephs, R. H.

    1978-01-01

    Ion implantation is being developed for high volume automated production of silicon solar cells. An implanter designed for solar cell processing and able to properly implant up to 300 4-inch wafers per hour is now operational. A machine to implant 180 sq m/hr of solar cell material has been designed. Implanted silicon solar cells with efficiencies exceeding 16% AM1 are now being produced and higher efficiencies are expected. Ion implantation and transient processing by pulsed electron beams are being integrated with electrostatic bonding to accomplish a simple method for large scale, low cost production of high efficiency solar cell arrays.

  9. Combining dissimilar metals in orthopaedic implants: revisited.

    PubMed

    Zartman, Kevin C; Berlet, Gregory C; Hyer, Christopher F; Woodard, Joseph R

    2011-10-01

    The use of metals as implant materials has become common practice in the field of orthopaedics. A wide variety of conditions are treated with metallic implants, and designers have used an assortment of materials to meet the unique mechanical demands of each application. The majority of implants used today, whether pins, plates, screws, or total joints, are made of cobalt-chrome alloy, stainless steel, or titanium. Common metallurgic wisdom cautions against bonding dissimilar metals in a biologically active environment. Surgeons have therefore shied away from combining dissimilar metal implants because of the fear of inciting corrosion that could potentially compromise the implants and lead to aseptic loosening, implant failure, or adverse biological reaction in host tissue. As surgical reconstruction and arthroplasty options expand with the advent of newer implants and expanded operative techniques, the orthopaedic surgeon will increasingly be faced with weighing the risks and benefits of combining implants made of dissimilar metals in a patient. Here, the authors examine the origins of the concern over using mixed metals, discuss mechanisms of corrosion as they relate to surgical implants, and review both in vitro and in vivo studies concerning the most common combinations of dissimilar metals in order to guide the surgeon in choosing implants.

  10. Ion implanted dielectric elastomer circuits

    NASA Astrophysics Data System (ADS)

    O'Brien, Benjamin M.; Rosset, Samuel; Anderson, Iain A.; Shea, Herbert R.

    2013-06-01

    Starfish and octopuses control their infinite degree-of-freedom arms with panache—capabilities typical of nature where the distribution of reflex-like intelligence throughout soft muscular networks greatly outperforms anything hard, heavy, and man-made. Dielectric elastomer actuators show great promise for soft artificial muscle networks. One way to make them smart is with piezo-resistive Dielectric Elastomer Switches (DES) that can be combined with artificial muscles to create arbitrary digital logic circuits. Unfortunately there are currently no reliable materials or fabrication process. Thus devices typically fail within a few thousand cycles. As a first step in the search for better materials we present a preliminary exploration of piezo-resistors made with filtered cathodic vacuum arc metal ion implantation. DES were formed on polydimethylsiloxane silicone membranes out of ion implanted gold nano-clusters. We propose that there are four distinct regimes (high dose, above percolation, on percolation, low dose) in which gold ion implanted piezo-resistors can operate and present experimental results on implanted piezo-resistors switching high voltages as well as a simple artificial muscle inverter. While gold ion implanted DES are limited by high hysteresis and low sensitivity, they already show promise for a range of applications including hysteretic oscillators and soft generators. With improvements to implanter process control the promise of artificial muscle circuitry for soft smart actuator networks could become a reality.

  11. The effect of bruxism on treatment planning for dental implants.

    PubMed

    Misch, Carl E

    2002-09-01

    Bruxism is a potential risk factor for implant failure. Excessive force is the primary cause of late implant complications. An appreciation of the etiology of crestal bone loss, failure of implants, failure to retain implant restorations, and fracture of components will lead the practitioner to develop a treatment plan that reduces force on implants and their restorations. The forces are considered in terms of magnitude, duration, direction, type, and magnification. Once the dentist has identified the source(s) of additional force on the implant system, the treatment plan is altered to contend with and reduce the negative sequelae on the bone, implant, and final restoration. One viable approach is to increase the implant-bone surface area. Additional implants can be placed to decrease stress on any one implant, and implants in molar regions should have an increased width. Use of more and wider implants decreases the strain on the prosthesis and also dissipates stress to the bone, especially at the crest. The additional implants should be positioned with intent to eliminate cantilevers when possible. Greater surface area implant designs made of titanium alloy and with an external hex design can also prove advantageous. Anterior guidance in mandibular excursions further decreases force and eliminates or reduces lateral posterior force. Metal occlusal surfaces decrease the risk of porcelain fracture and do not require as much abutment reduction, which in turn enhances prosthesis retention. The retention of the final prosthesis or super-structure is also improved with additional implant abutments. Night guards designed with specific features also are a benefit to initially diagnose the influence of occlusal factors for the patient, and as importantly, to reduce the influence of extraneous stress on implants and implant-retained restorations.

  12. Simultaneous transcatheter implantation of systemic and pulmonary venous baffle stents after mustard operation for d-transposition of the great arteries.

    PubMed

    Parekh, Dhaval R; Cabrera, Marcelo S; Ing, Frank F

    2015-10-01

    We report a case of simultaneous transcatheter systemic and pulmonary venous baffle obstruction stenting in a post operative Mustard patient with d-transposition of the great arteries. © 2015 Wiley Periodicals, Inc.

  13. Determination of the Meteor Limiting Magnitude

    NASA Technical Reports Server (NTRS)

    Kingery, A.; Blaauw, R.; Cooke, W. J.

    2016-01-01

    The limiting meteor magnitude of a meteor camera system will depend on the camera hardware and software, sky conditions, and the location of the meteor radiant. Some of these factors are constants for a given meteor camera system, but many change between meteor shower or sporadic source and on both long and short timescales. Since the limiting meteor magnitude ultimately gets used to calculate the limiting meteor mass for a given data set, it is important to have an understanding of these factors and to monitor how they change throughout the night, as a 0.5 magnitude uncertainty in limiting magnitude translates to a uncertainty in limiting mass by a factor of two.

  14. Seismic hazard in Greece. I. Magnitude recurrence

    NASA Astrophysics Data System (ADS)

    Makropoulos, Kostas C.; Burton, Paul W.

    1985-08-01

    Two different methods are applied to the earthquake catalogue for Greece (Makropoulos and Burton, 1981), MB catalogue, to evaluate Greek seismic hazard in terms of magnitude: earthquake strain energy release and Gumbel's third asymptotic distribution of extreme values. It is found that there is a close relationship between results from the two methods. In places where the cumulative strain energy release graphs include at least one well defined cycle of periodicity of strain release, then the parameters of the third type asymptote are well defined with small uncertainties. In almost all cases the magnitude distribution shows a remarkably good third type asymptotic behaviour. The results are presented in the form of graphs and contour maps of annual and 80-year modes, and magnitudes with 70% probability of not being exceeded in the next 50 and 100 years. For six of the most heavily industrial and highly populated centres of Greece magnitude hazard parameters are also derived and examined in more detail, thereby illustrating the direct applicability of the methods in terms of zoning. The close agreement between observed and predicted extreme magnitudes shows that the sample period considered (1900-1978), is long enough to obtain statistically stable estimates. For Athens the upper bound magnitude is found to be 6.7 ± 0.3 (within 100 km) and 6.8 ± 0.4 (100 km) from the two methods respectively, whereas for Corinth an earthquake of magnitude 6.5 has a mean return period of 43 years. Greece as a whole has an upper bound magnitude 8.7 ± 0.6 and earthquakes of a size similar to the 1903 Kithira event ( M ≈ 8.0) have a mean return period of about 200 years. The significantly different maps contouring magnitudes of the annual and 80-year modes result from the fact that each place has its own distribution curvature for magnitude occurrence, and thus they are not a linear extrapolation of each other. However, as longer return periods are considered, these differences

  15. Cochlear Implantation in Older Adults

    PubMed Central

    Lin, Frank R.; Chien, Wade W.; Li, Lingsheng; Niparko, John K.; Francis, Howard W.

    2012-01-01

    Cochlear implants allow individuals with severe-to-profound hearing loss access to sound and spoken language. The number of older adults in the United States who are potential candidates for cochlear implantation is approximately 150,000 and will continue to increase with the aging of the population. Should cochlear implantation (CI) be routinely recommended for these older adults, and do these individuals benefit from CI? We reviewed our 12 year experience with cochlear implantation in adults ≥60 years (n = 445) at Johns Hopkins to investigate the impact of CI on speech understanding and to identify factors associated with speech performance. Complete data on speech outcomes at baseline and 1 year post-CI were available for 83 individuals. Our results demonstrate that cochlear implantation in adults ≥60 years consistently improved speech understanding scores with a mean increase of 60. 0% (S. D. 24. 1) on HINT sentences in quiet . The magnitude of the gain in speech scores was negatively associated with age at implantation such that for every increasing year of age at CI the gain in speech scores was 1. 3 percentage points less (95% CI: 0. 6 – 1. 9) after adjusting for age at hearing loss onset. Conversely, individuals with higher pre-CI speech scores (HINT scores between 40–60%) had significantly greater post-CI speech scores by a mean of 10. 0 percentage points (95% CI: 0. 4 – 19. 6) than those with lower pre-CI speech scores (HINT <40%) after adjusting for age at CI and age at hearing loss onset. These results suggest that older adult CI candidates who are younger at implantation and with higher preoperative speech scores obtain the highest speech understanding scores after cochlear implantation with possible implications for current Medicare policy. Finally, we provide an extended discussion of the epidemiology and impact of hearing loss in older adults. Future research of CI in older adults should expand beyond simple speech outcomes to take into

  16. Implant marketing: cost effective implant dentistry.

    PubMed

    Wohrle, P S; Levin, R P

    1996-01-01

    The application of the KAL-Technique to the field of implant dentistry allows both patients and dental practices to benefit. It is an exciting advance that decreases frustration and stress in providing implant procedures and lowers overall costs. Professionals using the KAL-Technique report significant predictability in achieving passive framework fit. They are also lowering overall cost of implant cases, which increases the number of patients who can accept implant treatment. It has been well established that the more individuals in a practice that receive implants, the more referrals a practice will gain. This is because implant patients find tremendous advances in the quality of life, and do not hesitate to tell others who can take advantage of this opportunity. Implant dentistry is one of the fastest growing fields in dentistry today. While some other areas of dentistry begin to decline in volume and need, implant dentistry provides the opportunity to keep practices strong and to insure long-term success.

  17. Form-stable silicone gel breast implants.

    PubMed

    Jewell, Mark

    2009-01-01

    This article addresses the question of what is the optimal shape for a breast implant. It is oriented toward processes, system engineering, and operational excellence versus being a treatise on the author's personal technique.

  18. Magnitude M w in metropolitan France

    NASA Astrophysics Data System (ADS)

    Cara, Michel; Denieul, Marylin; Sèbe, Olivier; Delouis, Bertrand; Cansi, Yves; Schlupp, Antoine

    2016-12-01

    The recent seismicity catalogue of metropolitan France Sismicité Instrumentale de l'Hexagone (SI-Hex) covers the period 1962-2009. It is the outcome of a multipartner project conducted between 2010 and 2013. In this catalogue, moment magnitudes (M w) are mainly determined from short-period velocimetric records, the same records as those used by the Laboratoire de Détection Géophysique (LDG) for issuing local magnitudes (M L) since 1962. Two distinct procedures are used, whether M L-LDG is larger or smaller than 4. For M L-LDG >4, M w is computed by fitting the coda-wave amplitude on the raw records. Station corrections and regional properties of coda-wave attenuation are taken into account in the computations. For M L-LDG ≤4, M w is converted from M L-LDG through linear regression rules. In the smallest magnitude range M L-LDG <3.1, special attention is paid to the non-unity slope of the relation between the local magnitudes and M w. All M w determined during the SI-Hex project is calibrated according to reference M w of recent events. As for some small events, no M L-LDG has been determined; local magnitudes issued by other French networks or LDG duration magnitude (M D) are first converted into M L-LDG before applying the conversion rules. This paper shows how the different sources of information and the different magnitude ranges are combined in order to determine an unbiased set of M w for the whole 38,027 events of the catalogue.

  19. Limiting Maximum Magnitude by Fault Dimensions (Invited)

    NASA Astrophysics Data System (ADS)

    Stirling, M. W.

    2010-12-01

    A standard practise of seismic hazard modeling is to combine fault and background seismicity sources to produce a multidisciplinary source model for a region. Background sources are typically modeled with a Gutenberg-Richter magnitude-frequency distribution developed from historical seismicity catalogs, and fault sources are typically modeled with earthquakes that are limited in size by the mapped fault rupture dimensions. The combined source model typically exhibits a Gutenberg-Richter-like distribution due to there being many short faults relative to the number of longer faults. The assumption that earthquakes are limited by the mapped fault dimensions therefore appears to be consistent with the Gutenberg-Richter relationship, one of the fundamental laws of seismology. Recent studies of magnitude-frequency distributions for California and New Zealand have highlighted an excess of fault-derived earthquakes relative to the log-linear extrapolation of the Gutenberg-Richter relationship from the smaller magnitudes (known as the “bulge”). Relaxing the requirement of maximum magnitude being limited by fault dimensions is a possible solution for removing the “bulge” to produce a perfectly log-linear Gutenberg-Richter distribution. An alternative perspective is that the “bulge” does not represent a significant departure from a Gutenberg-Richter distribution, and may simply be an artefact of a small earthquake dataset relative to the more plentiful data at the smaller magnitudes. In other words the uncertainty bounds of the magnitude-frequency distribution at the moderate-to-large magnitudes may be far greater than the size of the “bulge”.

  20. Bilayer Implants

    PubMed Central

    Schagemann, Jan C.; Rudert, Nicola; Taylor, Michelle E.; Sim, Sotcheadt; Quenneville, Eric; Garon, Martin; Klinger, Mathias; Buschmann, Michael D.; Mittelstaedt, Hagen

    2016-01-01

    Objective To compare the regenerative capacity of 2 distinct bilayer implants for the restoration of osteochondral defects in a preliminary sheep model. Methods Critical sized osteochondral defects were treated with a novel biomimetic poly-ε-caprolactone (PCL) implant (Treatment No. 2; n = 6) or a combination of Chondro-Gide and Orthoss (Treatment No. 1; n = 6). At 19 months postoperation, repair tissue (n = 5 each) was analyzed for histology and biochemistry. Electromechanical mappings (Arthro-BST) were performed ex vivo. Results Histological scores, electromechanical quantitative parameter values, dsDNA and sGAG contents measured at the repair sites were statistically lower than those obtained from the contralateral surfaces. Electromechanical mappings and higher dsDNA and sGAG/weight levels indicated better regeneration for Treatment No. 1. However, these differences were not significant. For both treatments, Arthro-BST revealed early signs of degeneration of the cartilage surrounding the repair site. The International Cartilage Repair Society II histological scores of the repair tissue were significantly higher for Treatment No. 1 (10.3 ± 0.38 SE) compared to Treatment No. 2 (8.7 ± 0.45 SE). The parameters cell morphology and vascularization scored highest whereas tidemark formation scored the lowest. Conclusion There was cell infiltration and regeneration of bone and cartilage. However, repair was incomplete and fibrocartilaginous. There were no significant differences in the quality of regeneration between the treatments except in some histological scoring categories. The results from Arthro-BST measurements were comparable to traditional invasive/destructive methods of measuring quality of cartilage repair. PMID:27688843

  1. A Percutaneously Implantable Fetal Pacemaker

    PubMed Central

    Zhou, Li; Vest, Adriana N.; Chmait, Ramen H.; Bar-Cohen, Yaniv; Pruetz, Jay; Silka, Michael; Zheng, Kaihui; Peck, Ray; Loeb, Gerald E.

    2015-01-01

    A miniaturized, self-contained pacemaker that could be implanted with a minimally invasive technique would dramatically improve the survival rate for fetuses that develop hydrops fetalis as a result of congenital heart block. We are currently validating a device that we developed to address this bradyarrhythmia. Preclinical studies in a fetal sheep model are underway to demonstrate that the device can be implanted via a minimally invasive approach, can mechanically withstand the harsh bodily environment, can induce effective contractions of the heart muscle with an adequate safety factor, and can successfully operate for the required device lifetime of three months using the previously-developed closed loop transcutaneous recharging system. PMID:25570982

  2. Development of an auditory implant manipulator for minimally invasive surgical insertion of implantable hearing devices.

    PubMed

    Stieger, C; Caversaccio, M; Arnold, A; Zheng, G; Salzmann, J; Widmer, D; Gerber, N; Thurner, M; Nauer, C; Mussard, Y; Kompis, M; Nolte, L P; Häusler, R; Weber, S

    2011-03-01

    To present the auditory implant manipulator, a navigation-controlled mechanical and electronic system which enables minimally invasive ('keyhole') transmastoid access to the tympanic cavity. The auditory implant manipulator is a miniaturised robotic system with five axes of movement and an integrated drill. It can be mounted on the operating table. We evaluated the surgical work field provided by the system, and the work sequence involved, using an anatomical whole head specimen. The work field provided by the auditory implant manipulator is considerably greater than required for conventional mastoidectomy. The work sequence for a keyhole procedure included pre-operative planning, arrangement of equipment, the procedure itself and post-operative analysis. Although system improvements are necessary, our preliminary results indicate that the auditory implant manipulator has the potential to perform keyhole insertion of implantable hearing devices.

  3. Treatment of peri-implant diseases: a review of the literature and protocol proposal.

    PubMed

    Armas, Joshé; Culshaw, Shauna; Savarrio, Lee

    2013-01-01

    Over 100,000 implants were placed in the UK in 2010. As the numbers of patients with implant-retained prostheses increases, operators are encountering an increasing number of biological implant complications, most commonly peri-implant mucositis and peri-implantitis. The effective management of these complications is crucial to maintain patients' oral health. In particular, in contrast to common periodontal infections, some peri-implant infections may benefit from surgical intervention as a first line approach. This article reviews the literature on the treatment options for peri-implant mucositis and peri-implantitis and proposes a protocol for their treatment.

  4. Magnitude and frequency of floods in Alabama

    USGS Publications Warehouse

    Atkins, J. Brian

    1996-01-01

    Methods of estimating flood magnitudes for recurrence intervals of 2, 5, 10, 25, 50, 100, 200, and 500 years are described for rural streams in Alabama that are not affected by regulation or urbanization. Flood-frequency characteristics are presented for 198 gaging stations in Alabama having 10 or more years of record through September 1991, that are used in the regional analysis. Regression relations were developed using generalized least-squares regression techniques to estimate flood magnitude and frequency on ungaged streams as a function of the drainage area of a basin. Sites on gaged streams should be weighted with gaging station data that are presented in the report. Graphical relations of peak discharges to drainage areas are also presented for sites along the Alabama, Black Warrior, Cahaba, Choctawhatchee, Conecub, and Tombigbee Rivers. Equations for estimating flood magnitudes on ungaged urban streams (taken from a previous report) that use drainage area and percentage of impervious cover as independent variables also are given.

  5. The development of a rotational magnitude scale

    NASA Astrophysics Data System (ADS)

    Chow, Bryant; Simonelli, Andrea; Hadziiannou, Celine; Donner, Stefanie; Igel, Heiner

    2017-04-01

    Current surface wave magnitude equations normally take into account only the vertical component of peak ground displacement, and therefore only contributions from Rayleigh waves. Horizontal components contain both Rayleigh and Love waves, which potentially obscure attenuation characteristics. With the advent of rotational ground motion observations from instruments such as ring laser gyroscopes and fibre-optic gyroscopes, it is now possible to determine peak amplitudes of rotations about the vertical axis. At teleseismic distances, these are dominated by Love waves and are in principle unaffected by Rayleigh waves. We aim to use this concept to determine a Love wave based surface wave magnitude equation; with a large database of rotational ground motion events of varying source parameters, we intend to empirically define a rotational magnitude scale and consequently an amplitude decay law for Love waves.

  6. Improving Children's Knowledge of Fraction Magnitudes.

    PubMed

    Fazio, Lisa K; Kennedy, Casey A; Siegler, Robert S

    2016-01-01

    We examined whether playing a computerized fraction game, based on the integrated theory of numerical development and on the Common Core State Standards' suggestions for teaching fractions, would improve children's fraction magnitude understanding. Fourth and fifth-graders were given brief instruction about unit fractions and played Catch the Monster with Fractions, a game in which they estimated fraction locations on a number line and received feedback on the accuracy of their estimates. The intervention lasted less than 15 minutes. In our initial study, children showed large gains from pretest to posttest in their fraction number line estimates, magnitude comparisons, and recall accuracy. In a more rigorous second study, the experimental group showed similarly large improvements, whereas a control group showed no improvement from practicing fraction number line estimates without feedback. The results provide evidence for the effectiveness of interventions emphasizing fraction magnitudes and indicate how psychological theories and research can be used to evaluate specific recommendations of the Common Core State Standards.

  7. Representations of the magnitudes of fractions.

    PubMed

    Schneider, Michael; Siegler, Robert S

    2010-10-01

    We tested whether adults can use integrated, analog, magnitude representations to compare the values of fractions. The only previous study on this question concluded that even college students cannot form such representations and instead compare fraction magnitudes by representing numerators and denominators as separate whole numbers. However, atypical characteristics of the presented fractions might have provoked the use of atypical comparison strategies in that study. In our 3 experiments, university and community college students compared more balanced sets of single-digit and multi-digit fractions and consistently exhibited a logarithmic distance effect. Thus, adults used integrated, analog representations, akin to a mental number line, to compare fraction magnitudes. We interpret differences between the past and present findings in terms of different stimuli eliciting different solution strategies.

  8. Paleostress magnitudes in folded sedimentary rocks

    NASA Astrophysics Data System (ADS)

    Amrouch, Khalid; Beaudoin, Nicolas; Lacombe, Olivier; Bellahsen, Nicolas; Daniel, Jean-Marc

    2011-09-01

    Using Sheep Mountain Anticline (Wyoming, USA) as a case study, we propose a new approach to quantify effective paleo-principal stress magnitudes in the uppermost crust. The proposed mechanical scenario relies on a well-documented kinematic and chronological sequence of development of faults, fractures and microstructures in the folded strata. Paleostress orientations and regimes as well as differential stress magnitudes based on calcite twinning paleopiezometry are combined with rock mechanics data in a Mohr construction to derive principal stress magnitudes related to the successive steps of layer-parallel shortening and to late stage fold tightening. Such quantification also provides original insights into the evolution of the fluid (over)pressure and amount of syn-folding erosion.

  9. A second type of magnitude effect: Reinforcer magnitude differentiates delay discounting between substance users and controls.

    PubMed

    Mellis, Alexandra M; Woodford, Alina E; Stein, Jeffrey S; Bickel, Warren K

    2017-01-01

    Basic research on delay discounting, examining preference for smaller-sooner or larger-later reinforcers, has demonstrated a variety of findings of considerable generality. One of these, the magnitude effect, is the observation that individuals tend to exhibit greater preference for the immediate with smaller magnitude reinforcers. Delay discounting has also proved to be a useful marker of addiction, as demonstrated by the highly replicated finding of greater discounting rates in substance users compared to controls. However, some research on delay discounting rates in substance users, particularly research examining discounting of small-magnitude reinforcers, has not found significant differences compared to controls. Here, we hypothesize that the magnitude effect could produce ceiling effects at small magnitudes, thus obscuring differences in delay discounting between groups. We examined differences in discounting between high-risk substance users and controls over a broad range of magnitudes of monetary amounts ($0.10, $1.00, $10.00, $100.00, and $1000.00) in 116 Amazon Mechanical Turk workers. We found no significant differences in discounting rates between users and controls at the smallest reinforcer magnitudes ($0.10 and $1.00) and further found that differences became more pronounced as magnitudes increased. These results provide an understanding of a second form of the magnitude effect: That is, differences in discounting between populations can become more evident as a function of reinforcer magnitude.

  10. Treatment Alternatives to Negotiate Peri-Implantitis

    PubMed Central

    Machtei, Eli E.

    2014-01-01

    Peri-implant diseases are becoming a major health issue in dentistry. Despite the magnitude of this problem and the potential grave consequences, commonly acceptable treatment protocols are missing. Hence, the present paper reviews the literature treatment of peri-implantitis in order to explore their benefits and limitations. Treatment of peri-implantitis may include surgical and nonsurgical approaches, either individually or combined. Nonsurgical therapy is aimed at removing local irritants from the implants' surface with or without surface decontamination and possibly some additional adjunctive therapies agents or devices. Systemic antibiotics may also be incorporated. Surgical therapy is aimed at removing any residual subgingival deposits and additionally reducing the peri-implant pockets depth. This can be done alone or in conjunction with either osseous respective approach or regenerative approach. Finally, if all fails, explantation might be the best alternative in order to arrest the destruction of the osseous structure around the implant, thus preserving whatever is left in this site for future reconstruction. The available literature is still lacking with large heterogeneity in the clinical response thus suggesting possible underlying predisposing conditions that are not all clear to us. Therefore, at present time treatment of peri-implantitis should be considered possible but not necessarily predictable. PMID:26556414

  11. Saccadic Compression of Symbolic Numerical Magnitude

    PubMed Central

    Binda, Paola; Morrone, M. Concetta; Bremmer, Frank

    2012-01-01

    Stimuli flashed briefly around the time of saccadic eye movements are subject to complex distortions: compression of space and time; underestimate of numerosity. Here we show that saccadic distortions extend to abstract quantities, affecting the representation of symbolic numerical magnitude. Subjects consistently underestimated the results of rapidly computed mental additions and subtractions, when the operands were briefly displayed before a saccade. However, the recognition of the number symbols was unimpaired. These results are consistent with the hypothesis of a common, abstract metric encoding magnitude along multiple dimensions. They suggest that a surprising link exists between the preparation of action and the representation of abstract quantities. PMID:23166720

  12. [Bilateral cochlear implantation].

    PubMed

    Kronenberg, Jona; Migirov, Lela; Taitelbaum-Swead, Rikey; Hildesheimer, Minka

    2010-06-01

    Cochlear implant surgery became the standard of care in hearing rehabilitation of patients with severe to profound sensorineural hearing loss. This procedure may alter the lives of children and adults enabling them to integrate with the hearing population. In the past, implantation was performed only in one ear, despite the fact that binaural hearing is superior to unilateral, especially in noisy conditions. Cochlear implantation may be performed sequentially or simultaneously. The "sensitive period" of time between hearing loss and implantation and between the two implantations, when performed sequentially, significantly influences the results. Shorter time spans between implantations improve the hearing results after implantation. Hearing success after implantation is highly dependent on the rehabilitation process which includes mapping, implant adjustments and hearing training. Bilateral cochlear implantation in children is recommended as the proposed procedure in spite of the additional financial burden.

  13. Silicone implants in augmentation rhinoplasty.

    PubMed

    Zeng, Yanjun; Wu, Weihua; Yu, Hongmei; Yang, Jian; Chen, Guangshen

    2002-01-01

    During the past six years, we have treated 406 patients with classical silicon augmentation rhinoplasty. The types and incidence of complications after subcutaneous or subfascial implantation were examined and discussed. We proposed that most complications are related to the depth of the implant and the character of the tissues. In order to improve our operation and prove our hypothesis, we performed subperiosteal augmentation rhinoplasty in 22 cases with satisfactory results. At the same time, we investigated the biomechanical properties of human nasal periosteum and fascia, including tensile strength, stress-strain relationship and stress relaxation characters under uniaxial tension. Although less elastic, the periosteum has more tensile strength than fascia. So, in the view of biomechanics, the periosteum is thicker, tougher, and stiffer than fascia, thus more suitable for covering silicon implants.

  14. Silicone implant in augmentation rhinoplasty.

    PubMed

    Zeng, Yanjun; Wu, Weihua; Yu, Hongmei; Yang, Jian; Chen, Guangshen

    2002-11-01

    During the past 6 years the authors have treated 406 patients with classic silicone augmentation rhinoplasty. The types and incidence of complications after subcutaneous or subfascial implantation are examined and discussed. They propose that most complications are related to the depth of the implant and the character of the tissues. To improve their operation and to prove their hypothesis, they performed subperiosteal augmentation rhinoplasty in 22 patients with satisfactory results. At the same time, they investigated the biomechanical properties of human nasal periosteum and fascia, including tensile strength, the stress-strain relationship, and stress relaxation characteristics under uniaxial tension. Although it has less failure strain, the periosteum has more tensile strength than fascia. So, in the view of biomechanics, the periosteum is thicker, tougher, and stiffer than fascia, and thus more suitable for covering silicone implants.

  15. Color and magnitude dependence of galaxy clustering

    NASA Astrophysics Data System (ADS)

    Müller, Volker

    2016-10-01

    A quantitative study of the clustering properties of galaxies in the cosmic web as a function of absolute magnitude and colour is presented using the SDSS Data Release 7 galaxy redshift survey. We compare our results with mock galaxy samples obtained with four different semi-analytical models of galaxy formation imposed on the merger trees of the Millenium simulation.

  16. Incentive theory: IV. Magnitude of reward

    PubMed Central

    Killeen, Peter R.

    1985-01-01

    Incentive theory is successfully applied to data from experiments in which the amount of food reward is varied. This is accomplished by assuming that incentive value is a negatively accelerated function of reward duration. The interaction of the magnitude of a reward with its delay is confirmed, and the causes and implications of this interaction are discussed. PMID:16812421

  17. Improving Children's Knowledge of Fraction Magnitudes

    ERIC Educational Resources Information Center

    Fazio, Lisa K.; Kennedy, Casey A.; Siegler, Robert S.

    2016-01-01

    We examined whether playing a computerized fraction game, based on the integrated theory of numerical development and on the Common Core State Standards' suggestions for teaching fractions, would improve children's fraction magnitude understanding. Fourth and fifth-graders were given brief instruction about unit fractions and played "Catch…

  18. Geometric Derivation of Radial Acceleration Magnitude.

    ERIC Educational Resources Information Center

    Kraft, David W.; Motz, Lloyd

    1995-01-01

    Standard treatments of uniform circular motion generally employ a combination of geometric and kinematic arguments to obtain the magnitude of radial acceleration. Presents a novel approach to the geometric portion of the derivation that uses the property that vectors can be translated parallel to themselves. (JRH)

  19. Improving Children's Knowledge of Fraction Magnitudes

    ERIC Educational Resources Information Center

    Fazio, Lisa K.; Kennedy, Casey A.; Siegler, Robert S.

    2016-01-01

    We examined whether playing a computerized fraction game, based on the integrated theory of numerical development and on the Common Core State Standards' suggestions for teaching fractions, would improve children's fraction magnitude understanding. Fourth and fifth-graders were given brief instruction about unit fractions and played "Catch…

  20. Interaction of Number Magnitude and Auditory Localization.

    PubMed

    Golob, Edward J; Lewald, Jörg; Jungilligens, Johannes; Getzmann, Stephan

    2016-01-01

    The interplay of perception and memory is very evident when we perceive and then recognize familiar stimuli. Conversely, information in long-term memory may also influence how a stimulus is perceived. Prior work on number cognition in the visual modality has shown that in Western number systems long-term memory for the magnitude of smaller numbers can influence performance involving the left side of space, while larger numbers have an influence toward the right. Here, we investigated in the auditory modality whether a related effect may bias the perception of sound location. Subjects (n = 28) used a swivel pointer to localize noise bursts presented from various azimuth positions. The noise bursts were preceded by a spoken number (1-9) or, as a nonsemantic control condition, numbers that were played in reverse. The relative constant error in noise localization (forward minus reversed speech) indicated a systematic shift in localization toward more central locations when the number was smaller and toward more peripheral positions when the preceding number magnitude was larger. These findings do not support the traditional left-right number mapping. Instead, the results may reflect an overlap between codes for number magnitude and codes for sound location as implemented by two channel models of sound localization, or possibly a categorical mapping stage of small versus large magnitudes. © The Author(s) 2015.

  1. Multiscale Analyses of the Bone-implant Interface

    PubMed Central

    Cha, J.Y.; Pereira, M.D.; Smith, A.A.; Houschyar, K.S.; Yin, X.; Mouraret, S.; Brunski, J.B.

    2015-01-01

    Implants placed with high insertion torque (IT) typically exhibit primary stability, which enables early loading. Whether high IT has a negative impact on peri-implant bone health, however, remains to be determined. The purpose of this study was to ascertain how peri-implant bone responds to strains and stresses created when implants are placed with low and high IT. Titanium micro-implants were inserted into murine femurs with low and high IT using torque values that were scaled to approximate those used to place clinically sized implants. Torque created in peri-implant tissues a distribution and magnitude of strains, which were calculated through finite element modeling. Stiffness tests quantified primary and secondary implant stability. At multiple time points, molecular, cellular, and histomorphometric analyses were performed to quantitatively determine the effect of high and low strains on apoptosis, mineralization, resorption, and collagen matrix deposition in peri-implant bone. Preparation of an osteotomy results in a narrow zone of dead and dying osteocytes in peri-implant bone that is not significantly enlarged in response to implants placed with low IT. Placing implants with high IT more than doubles this zone of dead and dying osteocytes. As a result, peri-implant bone develops micro-fractures, bone resorption is increased, and bone formation is decreased. Using high IT to place an implant creates high interfacial stress and strain that are associated with damage to peri-implant bone and therefore should be avoided to best preserve the viability of this tissue. PMID:25628271

  2. Multiscale analyses of the bone-implant interface.

    PubMed

    Cha, J Y; Pereira, M D; Smith, A A; Houschyar, K S; Yin, X; Mouraret, S; Brunski, J B; Helms, J A

    2015-03-01

    Implants placed with high insertion torque (IT) typically exhibit primary stability, which enables early loading. Whether high IT has a negative impact on peri-implant bone health, however, remains to be determined. The purpose of this study was to ascertain how peri-implant bone responds to strains and stresses created when implants are placed with low and high IT. Titanium micro-implants were inserted into murine femurs with low and high IT using torque values that were scaled to approximate those used to place clinically sized implants. Torque created in peri-implant tissues a distribution and magnitude of strains, which were calculated through finite element modeling. Stiffness tests quantified primary and secondary implant stability. At multiple time points, molecular, cellular, and histomorphometric analyses were performed to quantitatively determine the effect of high and low strains on apoptosis, mineralization, resorption, and collagen matrix deposition in peri-implant bone. Preparation of an osteotomy results in a narrow zone of dead and dying osteocytes in peri-implant bone that is not significantly enlarged in response to implants placed with low IT. Placing implants with high IT more than doubles this zone of dead and dying osteocytes. As a result, peri-implant bone develops micro-fractures, bone resorption is increased, and bone formation is decreased. Using high IT to place an implant creates high interfacial stress and strain that are associated with damage to peri-implant bone and therefore should be avoided to best preserve the viability of this tissue. © International & American Associations for Dental Research 2015.

  3. Fast Regional Magnitude Determination at INGV

    NASA Astrophysics Data System (ADS)

    Michelini, A.; Lomax, A.; Bono, A.; Amato, A.

    2006-12-01

    The recent, very large earthquakes in the Indian Ocean and Indonesia have shown the importance of rapid magnitude determination for tsunami warning. In the Mediterranean region, destructive tsunamis have occurred repeatedly in the past; however, because of the proximity of the tsunami sources to populated coasts, very rapid analysis is necessary for effective warning. Reliable estimates of the earthquake location and size should be available within tens of seconds after the first arriving P-waves are recorded at local and regional distances. Currently in Europe there is no centralized agency such as the PTWC for the Pacific Ocean dedicated to issue tsunami warnings, though, recent initiatives, such as the NEAMTWS (North-East Atlantic and Mediterranean Tsunami Warning System), aim toward the establishment of such an agency. Thus established seismic monitoring centers, such as INGV, Rome, are currently relied upon for rapid earthquake analysis and information dissemination. In this study, we describe the recent, experimental implementation at the INGV seismic center of a procedure for rapid magnitude determination at regional distances based on the Mwp methodology (Tsuboi et al., 1995), which exploits information in the P-wave train. For our Mwp determinations, we have implemented an automatic procedure that windows the relevant part of the seismograms and picks the amplitudes of the first two largest peaks, providing within seconds after each P arrival an estimate of earthquake size. Manual revision is completed using interactive software that presents an analysis with the seismograms, amplitude picks and magnitude estimates. We have compared our Mwp magnitudes for recent earthquakes within the Mediterranean region with Mw determined through the Harvard CMT procedure. For the majority of the events, the Mwp and Mw magnitudes agree closely, indicating that the rapid Mwp estimates forms a useful tool for effective tsunami warning on a regional scale.

  4. Experimentally induced abutment strains in three types of single-molar implant restorations.

    PubMed

    Seong, W J; Korioth, T W; Hodges, J S

    2000-09-01

    The choice of single-molar implant design is difficult because of a lack of controlled, quantitative biomechanical analyses. This study determined the effect of 3 single-molar implant designs on implant strains under a variety of homologous loading conditions. On each implant abutment, 4 strain gauges were placed axially at 90 degrees to each other on the buccal, lingual, mesial, and distal surfaces. Effects of implant design, load location, direction, and magnitude were tested on axial and bending (buccolingual and mesiodistal) strains of 3 single-molar implant designs: (1) single, 3.75-mm (regular) diameter implant, (2) single, 5-mm (wide) diameter implant, and (3) two 3.75-mm diameter (double) implants connected through a single-molar crown. Results were analyzed with ANOVA. Variations in loading conditions induced 3-dimensionally complex abutment strains on the tested implant designs. Peak absolute strains in mesiodistal direction were 6493 microepsilon for design 1 and 3958 microepsilon on design 2, and 3160 microepsilon in buccolingual direction on design 3. For all loading conditions, the single 3.75-mm diameter implant consistently experienced the largest strains compared with wide-diameter and double implant designs. Changes in centric contact location affected implant abutment strains differently among the 3 designs. Angulated force direction resulted in larger bending strains. For single-molar implant designs, an increase in implant number and diameter may effectively reduce experimental implant abutment strains.

  5. From 'sense of number' to 'sense of magnitude' - The role of continuous magnitudes in numerical cognition.

    PubMed

    Leibovich, Tali; Katzin, Naama; Harel, Maayan; Henik, Avishai

    2016-08-17

    In this review, we are pitting two theories against each other: the more accepted theory-the 'number sense' theory-suggesting that a sense of number is innate and non-symbolic numerosity is being processed independently of continuous magnitudes (e.g., size, area, density); and the newly emerging theory suggesting that (1) both numerosities and continuous magnitudes are processed holistically when comparing numerosities, and (2) a sense of number might not be innate. In the first part of this review, we discuss the 'number sense' theory. Against this background, we demonstrate how the natural correlation between numerosities and continuous magnitudes makes it nearly impossible to study non-symbolic numerosity processing in isolation from continuous magnitudes, and therefore the results of behavioral and imaging studies with infants, adults and animals can be explained, at least in part, by relying on continuous magnitudes. In the second part, we explain the 'sense of magnitude' theory and review studies that directly demonstrate that continuous magnitudes are more automatic and basic than numerosities. Finally, we present outstanding questions. Our conclusion is that there is not enough convincing evidence to support the number sense theory anymore. Therefore, we encourage researchers not to assume that number sense is simply innate, but to put this hypothesis to the test, and to consider if such an assumption is even testable in light of the correlation of numerosity and continuous magnitudes.

  6. Subitizing, Magnitude Representation, and Magnitude Retrieval in Deaf and Hearing Adults

    ERIC Educational Resources Information Center

    Bull, Rebecca; Blatto-Vallee, Gary; Fabich, Megan

    2006-01-01

    This study examines basic number processing (subitizing, automaticity, and magnitude representation) as the possible underpinning of mathematical difficulties often evidenced in deaf adults. Hearing and deaf participants completed tasks to assess the automaticity with which magnitude information was activated and retrieved from long-term memory…

  7. Norplant implants.

    PubMed

    Henley, E

    1993-06-01

    This letter to the editor is in response to 3 articles on the use of the Norplant implant contraceptive in The Indian Health Service (IHS) Provider. Norplant and the FDA-approved Depo-Provera now expand contraceptive options for women. All IHS and 638 sites might be able to offer both options. Several of the authors expressed concern regarding decreased Norplant effectiveness in heavier patients. Norplant is still more effective than any other currently available reversible contraceptive in the US at all weights. Many experts feel the current silastic capsule provides adequate hormone levels even in heavier women. The Crow Service Unit has initiated their Norplant program, although the Wyeth consent form seems unnecessarily extensive. The Albuquerque Service Unit consent form simply describes the procedure and confirms that patients have read and understand the fact sheet. The theoretical risk of thromboembolism is vastly outweighed by the potential benefit of reliable contraception in high risk alcoholic women, except perhaps in women with severe liver disease. While Norplant is expensive, programs need to consider the actual cost of a pregnancy, potential complications, and the financial and social costs of unintended pregnancy. For those in difficult straits, the manufacturer has set up a foundation for obtaining Norplant free of charge. Depo-Provera comes in a 150 mg dose vial that is given every 3 months. The mean time to ovulation is 4.5 months from the last dose. The adverse reaction spectrum is similar to Norplant as they are both progesterone-related agents. Providers and clinics should reduce barriers to family planning by giving out more pill packs at a time; letting adolescents who wish to delay their first pelvic exam have 3 months of pills without an exam; making condoms available in exam rooms rather than through pharmacy prescriptions; and increasing patient accessibility to the morning-after pill.

  8. Absolute-magnitude distributions of supernovae

    SciTech Connect

    Richardson, Dean; Wright, John; Jenkins III, Robert L.; Maddox, Larry

    2014-05-01

    The absolute-magnitude distributions of seven supernova (SN) types are presented. The data used here were primarily taken from the Asiago Supernova Catalogue, but were supplemented with additional data. We accounted for both foreground and host-galaxy extinction. A bootstrap method is used to correct the samples for Malmquist bias. Separately, we generate volume-limited samples, restricted to events within 100 Mpc. We find that the superluminous events (M{sub B} < –21) make up only about 0.1% of all SNe in the bias-corrected sample. The subluminous events (M{sub B} > –15) make up about 3%. The normal Ia distribution was the brightest with a mean absolute blue magnitude of –19.25. The IIP distribution was the dimmest at –16.75.

  9. Absolute magnitudes and kinematic properties of Cepheids.

    NASA Astrophysics Data System (ADS)

    Wilson, T. D.; Jefferys, W. H.; Barnes, T. G., III; Hawley, S. L.

    A maximum-likelihood statistical parallax analysis of classical Cepheids has been performed to determine the relative solar motion, Oort constants, velocity ellipsoid parameters, and zero points of the PL and PLC relations. The analysis is based upon 90 proper motions drawn from the list of Karimova and Pavlovskaya 1981 and upon the analytical approach of Hawley et al. 1986. The authors' results give a best estimate for the mean absolute magnitude of Cepheids at log P = 0.8 of = -3.46±0.33 mag. This estimate for the Cepheid absolute magnitude zero point is highly stable against refinements in the mathematical technique and against additional Cepheid proper motion data of quality similar to the existing proper motions. Improvement in this value will likely come only from a marked improvement in the quality of the Cepheid proper motions.

  10. Asteroid absolute magnitudes and slope parameters

    NASA Technical Reports Server (NTRS)

    Tedesco, Edward F.

    1991-01-01

    A new listing of absolute magnitudes (H) and slope parameters (G) has been created and published in the Minor Planet Circulars; this same listing will appear in the 1992 Ephemerides of Minor Planets. Unlike previous listings, the values of the current list were derived from fits of data at the V band. All observations were reduced in the same fashion using, where appropriate, a single basis default value of 0.15 for the slope parameter. Distances and phase angles were computed for each observation. The data for 113 asteroids was of sufficiently high quality to permit derivation of their H and G. These improved absolute magnitudes and slope parameters will be used to deduce the most reliable bias-corrected asteroid size-frequency distribution yet made.

  11. Six-implant-supported immediate fixed rehabilitation of atrophic edentulous maxillae with tilted distal implants.

    PubMed

    Wentaschek, S; Hartmann, S; Walter, C; Wagner, W

    2017-12-01

    The aim of this retrospective study was to evaluate the treatment outcome of six Bredent blueSky™ implants (Bredent GmbH, Senden, Germany) immediately loaded with a fixed full-arch prosthesis (two tilted posterior and four axial frontal and premolar implants). All 10 patients with atrophic edentulous maxillae being treated with a standardized procedure from 09/2009 to 01/2013, who had a follow-up of at least 3 years, were included. Sixty implants were placed to support 10 screwed prostheses. Twenty-one of them were inserted in fresh extraction sockets. Lab-side-prepared provisional fixed prostheses were placed at the day of implantation. Periotest (PT) values and implant stability quotient (ISQ) were measured after implant surgery and after 3 months of healing in all patients. The analyzed implants were in function in mean 64 ± 13 months (range 42 to 84 months). One axial and two tilted implants failed in three patients. The mean PT values decreased, and ISQ increased significantly after the first 3 months at the osseointegrated tilted and axial implants. With an area under the curve of 0.503 and 0.506 in the receiver operating characteristic, the PT values and the ISQ were unspecific parameters and unsuitable as a predictor for the risk of non-osseointegration. Within the limits of this small group (n = 10 patients/60 implants), the failure rate of the analyzed implant system (n = 3 respective 5% implant loss) seems to be comparable with other immediate-loading protocols. The failure rate of tilted implants in the atrophic upper jaw was quite high, but the aimed treatment concept could be achieved in every patient. The rehabilitation of the posterior region in edentulous maxilla remains a challenge.

  12. Standardized Loads Acting in Hip Implants

    PubMed Central

    Bergmann, Georg; Bender, Alwina; Dymke, Jörn; Duda, Georg; Damm, Philipp

    2016-01-01

    With the increasing success of hip joint replacements, the average age of patients has decreased, patients have become more active and their expectations of the implant durability have risen. Thus, pre-clinical endurance tests on hip implants require defining realistic in vivo loads from younger and more active patients. These loads require simplifications to be applicable for simulator tests and numerical analyses. Here, the contact forces in the joint were measured with instrumented hip implants in ten subjects during nine of the most physically demanding and frequent activities of daily living. Typical levels and directions of average and high joint loads were extracted from the intra- and inter-individually widely varying individual data. These data can also be used to analyse bone remodelling at the implant-bone interface, evaluate tissue straining in finite element studies or validate analytical loading predictions, among other uses. The current ISO standards for endurance tests of implant stems and necks are based on historic analytical data from the 1970s. Comparisons of these test forces with in vivo loads unveiled that their unidirectional orientations deviate from the time-dependent in vivo directions during walking and most other activities. The ISO force for testing the stem is substantially too low while the ISO force for the neck better matches typical in vivo magnitudes. Because the magnitudes and orientations of peak forces substantially vary among the activities, load scenarios that reflect a collection of time-dependent high forces should be applied rather than using unidirectional forces. Based on data from ten patients, proposals for the most demanding activities, the time courses of the contact forces and the required cycle numbers for testing are given here. Friction moments in the joint were measured in addition to the contact forces. The moment data were also standardized and can be applied to wear tests of the implant. It was shown that

  13. Magnitude and frequency of floods in Washington

    USGS Publications Warehouse

    Cummans, J.E.; Collings, Michael R.; Nasser, Edmund George

    1975-01-01

    Relations are provided to estimate the magnitude and frequency of floods on Washington streams. Annual-peak-flow data from stream gaging stations on unregulated streams having 1 years or more of record were used to determine a log-Pearson Type III frequency curve for each station. Flood magnitudes having recurrence intervals of 2, 5, i0, 25, 50, and 10years were then related to physical and climatic indices of the drainage basins by multiple-regression analysis using the Biomedical Computer Program BMDO2R. These regression relations are useful for estimating flood magnitudes of the specified recurrence intervals at ungaged or short-record sites. Separate sets of regression equations were defined for western and eastern parts of the State, and the State was further subdivided into 12 regions in which the annual floods exhibit similar flood characteristics. Peak flows are related most significantly in western Washington to drainage-area size and mean annual precipitation. In eastern Washington-they are related most significantly to drainage-area size, mean annual precipitation, and percentage of forest cover. Standard errors of estimate of the estimating relations range from 25 to 129 percent, and the smallest errors are generally associated with the more humid regions.

  14. Local magnitude scale for earthquakes in Turkey

    NASA Astrophysics Data System (ADS)

    Kılıç, T.; Ottemöller, L.; Havskov, J.; Yanık, K.; Kılıçarslan, Ö.; Alver, F.; Özyazıcıoğlu, M.

    2017-01-01

    Based on the earthquake event data accumulated by the Turkish National Seismic Network between 2007 and 2013, the local magnitude (Richter, Ml) scale is calibrated for Turkey and the close neighborhood. A total of 137 earthquakes (Mw > 3.5) are used for the Ml inversion for the whole country. Three Ml scales, whole country, East, and West Turkey, are developed, and the scales also include the station correction terms. Since the scales for the two parts of the country are very similar, it is concluded that a single Ml scale is suitable for the whole country. Available data indicate the new scale to suffer from saturation beyond magnitude 6.5. For this data set, the horizontal amplitudes are on average larger than vertical amplitudes by a factor of 1.8. The recommendation made is to measure Ml amplitudes on the vertical channels and then add the logarithm scale factor to have a measure of maximum amplitude on the horizontal. The new Ml is compared to Mw from EMSC, and there is almost a 1:1 relationship, indicating that the new scale gives reliable magnitudes for Turkey.

  15. Antibiotics in dental implants: A review of literature

    PubMed Central

    Surapaneni, Hemchand; Yalamanchili, Pallavi Samatha; Basha, Md. Hafeez; Potluri, Sushma; Elisetti, Nirupa; Kiran Kumar, M. V.

    2016-01-01

    The routine use of antibiotics in oral implant treatment seems to be widespread. The pre- or post-operative use of antibiotics in conjunction with implant surgery and its correlation with failure and success rates are poorly documented in the literature. The debate regarding overprescription of antibiotics raises the need for a critical evaluation of proper antibiotic coverage in association with implant treatment. The benefits of prophylactic antibiotics are well-recognized in dentistry. However, their routine use in the placement of endosseous dental implants remains controversial. The purpose of this review is to know the efficacy of antibiotic prophylaxis in implant dentistry. PMID:27829741

  16. Evolution and magnitudes of candidate Planet Nine

    NASA Astrophysics Data System (ADS)

    Linder, Esther F.; Mordasini, Christoph

    2016-05-01

    Context. The recently renewed interest in a possible additional major body in the outer solar system prompted us to study the thermodynamic evolution of such an object. We assumed that it is a smaller version of Uranus and Neptune. Aims: We modeled the temporal evolution of the radius, temperature, intrinsic luminosity, and the blackbody spectrum of distant ice giant planets. The aim is also to provide estimates of the magnitudes in different bands to assess whether the object might be detectable. Methods: Simulations of the cooling and contraction were conducted for ice giants with masses of 5, 10, 20, and 50 M⊕ that are located at 280, 700, and 1120 AU from the Sun. The core composition, the fraction of H/He, the efficiency of energy transport, and the initial luminosity were varied. The atmospheric opacity was set to 1, 50, and 100 times solar metallicity. Results: We find for a nominal 10 M⊕ planet at 700 AU at the current age of the solar system an effective temperature of 47 K, much higher than the equilibrium temperature of about 10 K, a radius of 3.7 R⊕, and an intrinsic luminosity of 0.006 L♃. It has estimated apparent magnitudes of Johnson V, R, I, L, N, Q of 21.7, 21.4, 21.0, 20.1, 19.9, and 10.7, and WISE W1-W4 magnitudes of 20.1, 20.1, 18.6, and 10.2. The Q and W4 band and other observations longward of about 13 μm pick up the intrinsic flux. Conclusions: If candidate Planet 9 has a significant H/He layer and an efficient energy transport in the interior, then its luminosity is dominated by the intrinsic contribution, making it a self-luminous planet. At a likely position on its orbit near aphelion, we estimate for a mass of 5, 10, 20, and 50 M⊕ a V magnitude from the reflected light of 24.3, 23.7, 23.3, and 22.6 and a Q magnitude from the intrinsic radiation of 14.6, 11.7, 9.2, and 5.8. The latter would probably have been detected by past surveys.

  17. Magnitude and frequency of floods in Arkansas

    USGS Publications Warehouse

    Hodge, Scott A.; Tasker, Gary D.

    1995-01-01

    Methods are presented for estimating the magnitude and frequency of peak discharges of streams in Arkansas. Regression analyses were developed in which a stream's physical and flood characteristics were related. Four sets of regional regression equations were derived to predict peak discharges with selected recurrence intervals of 2, 5, 10, 25, 50, 100, and 500 years on streams draining less than 7,770 square kilometers. The regression analyses indicate that size of drainage area, main channel slope, mean basin elevation, and the basin shape factor were the most significant basin characteristics that affect magnitude and frequency of floods. The region of influence method is included in this report. This method is still being improved and is to be considered only as a second alternative to the standard method of producing regional regression equations. This method estimates unique regression equations for each recurrence interval for each ungaged site. The regression analyses indicate that size of drainage area, main channel slope, mean annual precipitation, mean basin elevation, and the basin shape factor were the most significant basin and climatic characteristics that affect magnitude and frequency of floods for this method. Certain recommendations on the use of this method are provided. A method is described for estimating the magnitude and frequency of peak discharges of streams for urban areas in Arkansas. The method is from a nationwide U.S. Geeological Survey flood frequency report which uses urban basin characteristics combined with rural discharges to estimate urban discharges. Annual peak discharges from 204 gaging stations, with drainage areas less than 7,770 square kilometers and at least 10 years of unregulated record, were used in the analysis. These data provide the basis for this analysis and are published in the Appendix of this report as supplemental data. Large rivers such as the Red, Arkansas, White, Black, St. Francis, Mississippi, and

  18. [Biomaterials in cochlear implants].

    PubMed

    Stöver, T; Lenarz, T

    2009-05-01

    Cochlear implants (CI) represent the "gold standard" for the treatment of congenitally deaf children and postlingually deafened adults. Thus, cochlear implantation is a success story of new bionic prosthesis development. Owing to routine application of cochlear implants in adults but also in very young children (below the age of one), high demands are placed on the implants. This is especially true for biocompatibility aspects of surface materials of implant parts which are in contact with the human body. In addition, there are various mechanical requirements which certain components of the implants must fulfil, such as flexibility of the electrode array and mechanical resistance of the implant housing. Due to the close contact of the implant to the middle ear mucosa and because the electrode array is positioned in the perilymphatic space via cochleostomy, there is a potential risk of bacterial transferral along the electrode array into the cochlea. Various requirements that have to be fulfilled by cochlear implants, such as biocompatibility, electrode micromechanics, and although a very high level of technical standards has been carried out there is still demand for the improvement of implants as well as of the materials used for manufacturing, ultimately leading to increased implant performance. General considerations of material aspects related to cochlear implants as well as potential future perspectives of implant development will be discussed.

  19. Hypersensitivity to biomedical implants: Prevention and diagnosis.

    PubMed

    Rosner, Gregory A; Fonacier, Luz S

    2017-05-01

    There has been growing interest in the potential for adverse immunologic reactions to metals in biomedical devices and increasing referrals for the evaluation and management of metal hypersensitivity reactions reported in orthopedic, cardiac, gynecologic, and dental implant devices. However, there are few studies that give evidence-based recommendations on how to evaluate this issue in our practices. We reviewed reasonable evidence and expert opinion on biomedical device hypersensitivity and published guidelines on pre- and postimplantation evaluation of delayed hypersensitivity reactions in patients suspected of possible metal hypersensitivity to biomedical devices. There is consensus that routine preimplantation evaluation in individuals with no history of adverse cutaneous reactions to metals or a history of implant-related adverse events is not necessary. However, patients with a history of metal hypersensitivity of a magnitude sufficient to cause concern for the patient or health care provider may benefit from evaluation by patch testing (PT) before device implantation. Patients after implantation and with chronic unexplained implant failure or with dermatitis may benefit from patch test evaluation after other causes, such as infection and biomechanical issues, are ruled out. However, a positive metal patch test result does not prove symptom causality, and the decision regarding implant revision can only be made after a thorough discussion among the patient, the allergist or dermatologist, and the orthopedic surgeon. Consensus guidelines for the evaluation of hypersensitivity to biomedical devices can be used by the practicing physician while awaiting for the results of further investigations.

  20. Infrared reflectance measurement of ion implanted silica

    SciTech Connect

    Magruder, R.H. III; Morgan, S.H.; Weeks, R.A.; Zuhr, R.

    1988-01-01

    Infrared reflectance spectra of silica glass implanted with Ti, Cr, Mn, Fe, and Bi to doses between 0.5 - 6 /times/10/sup 16/ cm/sup /minus/2/ have been measured from 5000 cm/sup /minus/1/ to 400 cm/sup /minus/1/ at room temperature. The ion energy of the implantation was 160 keV and the current was 10..mu..A. Alterations in reflectance of bands at 1125 and 481 cm/sup /minus/1/ in the spectrum of an unimplanted sample of the order of 20% are observed. A band attributed to non-bridging oxygen ions at /approximately/1015 cm/sup /minus/1/ is observed to increase in intensity with increasing dose for all species. The band at 1125 cm/sup /minus/1/ is observed to shift to lower wavenumber with implantation. Bands due to implanted ion-oxygen vibrations were not detected. The magnitudes of the effects on the existing bands were ion specific. This ion specificity is attributed to the differing chemical states of the implanted ions after implantation. 15 refs., 8 figs.

  1. Distant energy transfer for artificial human implants.

    PubMed

    Theodoridis, Michael P; Mollov, Stefan V

    2005-11-01

    The powering of human implants via inductive coupling has been an object of interest for the past two decades. This paper discusses some of the issues concerning a distant energy link used for supplying artificial human implants, operating at the frequency of 13.56 MHz. A procedure for the design of an energy-receiving coil is given for general applications. A design procedure is also developed, with focus on coils used for supplying human implants. The correctness of the analysis of this later design procedure has been verified by experimental results. Measurements with a human tissue simulant also show little deviation from the predictions.

  2. Microbattery technologies for miniaturized implantable medical devices.

    PubMed

    Nathan, Menachem

    2010-06-01

    Implanted medical devices (IMDs), in particular neuro-stimulators, drug delivery chips and cochlear implants are undergoing miniaturization. Some of these miniaturized IMDs are "active" in the sense that they require a power source for operation. In most cases, the ideal power source needs to be an implanted battery of dimensions similar to that of the device. The state-of-the-art of battery miniaturization is reviewed with emphasis on novel Li and Li-ion two- and three-dimensional thin-film microbatteries. It is shown that three-dimensional thin-film batteries may provide a solution to the power requirements of miniaturized IMDs.

  3. Reinforcement magnitude and pausing on progressive-ratio schedules

    PubMed Central

    Baron, Alan; Mikorski, Jeffrey; Schlund, Michael

    1992-01-01

    Rats responded under progressive-ratio schedules for sweetened milk reinforcers; each session ended when responding ceased for 10 min. Experiment 1 varied the concentration of milk and the duration of postreinforcement timeouts. Postreinforcement pausing increased as a positively accelerated function of the size of the ratio, and the rate of increase was reduced as a function of concentration and by timeouts of 10 s or longer. Experiment 2 varied reinforcement magnitude within sessions (number of dipper operations per reinforcer) in conjunction with stimuli correlated with the upcoming magnitude. In the absence of discriminative stimuli, pausing was longer following a large reinforcer than following a small one. Pauses were reduced by a stimulus signaling a large upcoming reinforcer, particularly at the highest ratios, and the animals tended to quit responding when the past reinforcer was large and the stimulus signaled that the next one would be small. Results of both experiments revealed parallels between responding under progressive-ratio schedules and other schedules containing ratio contingencies. Relationships between pausing and magnitude suggest that ratio pausing is under the joint control of inhibitory properties of the past reinforcer and excitatory properties of stimuli correlated with the upcoming reinforcer, rather than under the exclusive control of either factor alone. PMID:16812671

  4. Spatiotemporal evolution of the completeness magnitude of the Icelandic earthquake catalogue from 1991 to 2013

    NASA Astrophysics Data System (ADS)

    Panzera, Francesco; Mignan, Arnaud; Vogfjörð, Kristin S.

    2016-11-01

    In 1991, a digital seismic monitoring network was installed in Iceland with a digital seismic system and automatic operation. After 20 years of operation, we explore for the first time its nationwide performance by analysing the spatiotemporal variations of the completeness magnitude. We use the Bayesian magnitude of completeness (BMC) method that combines local completeness magnitude observations with prior information based on the density of seismic stations. Additionally, we test the impact of earthquake location uncertainties on the BMC results, by filtering the catalogue using a multivariate analysis that identifies outliers in the hypocentre error distribution. We find that the entire North-to-South active rift zone shows a relatively low magnitude of completeness Mc in the range 0.5-1.0, highlighting the ability of the Icelandic network to detect small earthquakes. This work also demonstrates the influence of earthquake location uncertainties on the spatiotemporal magnitude of completeness analysis.

  5. Spatiotemporal evolution of the completeness magnitude of the Icelandic earthquake catalogue from 1991 to 2013

    NASA Astrophysics Data System (ADS)

    Panzera, Francesco; Mignan, Arnaud; Vogfjörð, Kristin S.

    2017-07-01

    In 1991, a digital seismic monitoring network was installed in Iceland with a digital seismic system and automatic operation. After 20 years of operation, we explore for the first time its nationwide performance by analysing the spatiotemporal variations of the completeness magnitude. We use the Bayesian magnitude of completeness (BMC) method that combines local completeness magnitude observations with prior information based on the density of seismic stations. Additionally, we test the impact of earthquake location uncertainties on the BMC results, by filtering the catalogue using a multivariate analysis that identifies outliers in the hypocentre error distribution. We find that the entire North-to-South active rift zone shows a relatively low magnitude of completeness Mc in the range 0.5-1.0, highlighting the ability of the Icelandic network to detect small earthquakes. This work also demonstrates the influence of earthquake location uncertainties on the spatiotemporal magnitude of completeness analysis.

  6. Peri-Implant Diseases

    MedlinePlus

    ... Alcohol Consumption and Gum Health Workshop on Regeneration Periodontal Disease More Prevalent among Ethnic Minorities Dental Implants Periodontal ... factors for developing peri-implant disease include previous periodontal disease diagnosis, poor plaque control, smoking , and diabetes . It ...

  7. Implants for lucky few

    NASA Astrophysics Data System (ADS)

    Brandon, David

    2011-08-01

    In his article "Vision of beauty" (May pp22-27), Richard Taylor points the way to fractal design for retinal implants and makes an enthusiastic case for incorporating such features into the next generation of such implants.

  8. On the effects of noncontingent delivery of differing magnitudes of reinforcement.

    PubMed

    Carr, J E; Bailey, J S; Ecott, C L; Lucker, K D; Weil, T M

    1998-01-01

    We conducted a parametric analysis of response suppression associated with different magnitudes of noncontingent reinforcement (NCR). Participants were 5 adults with severe or profound mental retardation who engaged in a manual response that was reinforced on variable-ratio schedules during baseline. Participants were then exposed to NCR via multielement and reversal designs. The fixed-time schedules were kept constant while the magnitude of the reinforcing stimulus was varied across three levels (low, medium, and high). Results showed that high-magnitude NCR schedules produced large and consistent reductions in response rates, medium-magnitude schedules produced less consistent and smaller reductions, and low-magnitude schedules produced little or no effect on responding. These results suggest that (a) NCR affects responding by altering an establishing operation (i.e., attenuating a deprivation state) rather than through extinction, and (b) magnitude of reinforcement is an important variable in determining the effectiveness of NCR.

  9. On the effects of noncontingent delivery of differing magnitudes of reinforcement.

    PubMed Central

    Carr, J E; Bailey, J S; Ecott, C L; Lucker, K D; Weil, T M

    1998-01-01

    We conducted a parametric analysis of response suppression associated with different magnitudes of noncontingent reinforcement (NCR). Participants were 5 adults with severe or profound mental retardation who engaged in a manual response that was reinforced on variable-ratio schedules during baseline. Participants were then exposed to NCR via multielement and reversal designs. The fixed-time schedules were kept constant while the magnitude of the reinforcing stimulus was varied across three levels (low, medium, and high). Results showed that high-magnitude NCR schedules produced large and consistent reductions in response rates, medium-magnitude schedules produced less consistent and smaller reductions, and low-magnitude schedules produced little or no effect on responding. These results suggest that (a) NCR affects responding by altering an establishing operation (i.e., attenuating a deprivation state) rather than through extinction, and (b) magnitude of reinforcement is an important variable in determining the effectiveness of NCR. PMID:9757577

  10. Implantable Myoelectric Sensors (IMESs) for Intramuscular Electromyogram Recording

    PubMed Central

    Weir, Richard F. ff.; Troyk, Phil R.; DeMichele, Glen A.; Kerns, Douglas A.; Schorsch, Jack F.; Maas, Huub

    2011-01-01

    We have developed a multichannel electrogmyography sensor system capable of receiving and processing signals from up to 32 implanted myoelectric sensors (IMES). The appeal of implanted sensors for myoelectric control is that electromyography (EMG) signals can be measured at their source providing relatively cross-talk-free signals that can be treated as independent control sites. An external telemetry controller receives telemetry sent over a transcutaneous magnetic link by the implanted electrodes. The same link provides power and commands to the implanted electrodes. Wireless telemetry of EMG signals from sensors implanted in the residual musculature eliminates the problems associated with percutaneous wires, such as infection, breakage, and marsupialization. Each implantable sensor consists of a custom-designed application-specified integrated circuit that is packaged into a bio-compatible RF BION capsule from the Alfred E. Mann Foundation. Implants are designed for permanent long-term implantation with no servicing requirements. We have a fully operational system. The system has been tested in animals. Implants have been chronically implanted in the legs of three cats and are still completely operational four months after implantation. PMID:19224729

  11. Resurgence and alternative-reinforcer magnitude.

    PubMed

    Craig, Andrew R; Browning, Kaitlyn O; Nall, Rusty W; Marshall, Ciara M; Shahan, Timothy A

    2017-03-01

    Resurgence is defined as an increase in the frequency of a previously reinforced target response when an alternative source of reinforcement is suspended. Despite an extensive body of research examining factors that affect resurgence, the effects of alternative-reinforcer magnitude have not been examined. Thus, the present experiments aimed to fill this gap in the literature. In Experiment 1, rats pressed levers for single-pellet reinforcers during Phase 1. In Phase 2, target-lever pressing was extinguished, and alternative-lever pressing produced either five-pellet, one-pellet, or no alternative reinforcement. In Phase 3, alternative reinforcement was suspended to test for resurgence. Five-pellet alternative reinforcement produced faster elimination and greater resurgence of target-lever pressing than one-pellet alternative reinforcement. In Experiment 2, effects of decreasing alternative-reinforcer magnitude on resurgence were examined. Rats pressed levers and pulled chains for six-pellet reinforcers during Phases 1 and 2, respectively. In Phase 3, alternative reinforcement was decreased to three pellets for one group, one pellet for a second group, and suspended altogether for a third group. Shifting from six-pellet to one-pellet alternative reinforcement produced as much resurgence as suspending alternative reinforcement altogether, while shifting from six pellets to three pellets did not produce resurgence. These results suggest that alternative-reinforcer magnitude has effects on elimination and resurgence of target behavior that are similar to those of alternative-reinforcer rate. Thus, both suppression of target behavior during alternative reinforcement and resurgence when conditions of alternative reinforcement are altered may be related to variables that affect the value of the alternative-reinforcement source.

  12. Apparent magnitude of earthshine: a simple calculation

    NASA Astrophysics Data System (ADS)

    Agrawal, Dulli Chandra

    2016-05-01

    The Sun illuminates both the Moon and the Earth with practically the same luminous fluxes which are in turn reflected by them. The Moon provides a dim light to the Earth whereas the Earth illuminates the Moon with somewhat brighter light which can be seen from the Earth and is called earthshine. As the amount of light reflected from the Earth depends on part of the Earth and the cloud cover, the strength of earthshine varies throughout the year. The measure of the earthshine light is luminance, which is defined in photometry as the total luminous flux of light hitting or passing through a surface. The expression for the earthshine light in terms of the apparent magnitude has been derived for the first time and evaluated for two extreme cases; firstly, when the Sun’s rays are reflected by the water of the oceans and secondly when the reflector is either thick clouds or snow. The corresponding values are -1.30 and -3.69, respectively. The earthshine value -3.22 reported by Jackson lies within these apparent magnitudes. This paper will motivate the students and teachers of physics to look for the illuminated Moon by earthlight during the waning or waxing crescent phase of the Moon and to reproduce the expressions derived here by making use of the inverse-square law of radiation, Planck’s expression for the power in electromagnetic radiation, photopic spectral luminous efficiency function and expression for the apparent magnitude of a body in terms of luminous fluxes.

  13. Precise Relative Earthquake Magnitudes from Cross Correlation

    DOE PAGES

    Cleveland, K. Michael; Ammon, Charles J.

    2015-04-21

    We present a method to estimate precise relative magnitudes using cross correlation of seismic waveforms. Our method incorporates the intercorrelation of all events in a group of earthquakes, as opposed to individual event pairings relative to a reference event. This method works well when a reliable reference event does not exist. We illustrate the method using vertical strike-slip earthquakes located in the northeast Pacific and Panama fracture zone regions. Our results are generally consistent with the Global Centroid Moment Tensor catalog, which we use to establish a baseline for the relative event sizes.

  14. Precise Relative Earthquake Magnitudes from Cross Correlation

    SciTech Connect

    Cleveland, K. Michael; Ammon, Charles J.

    2015-04-21

    We present a method to estimate precise relative magnitudes using cross correlation of seismic waveforms. Our method incorporates the intercorrelation of all events in a group of earthquakes, as opposed to individual event pairings relative to a reference event. This method works well when a reliable reference event does not exist. We illustrate the method using vertical strike-slip earthquakes located in the northeast Pacific and Panama fracture zone regions. Our results are generally consistent with the Global Centroid Moment Tensor catalog, which we use to establish a baseline for the relative event sizes.

  15. [Use of Medpor spherical implant: analysis of 61 orbital surgeries].

    PubMed

    Moura, Eurípedes da Mota; Vieira, Gisele Scholte de Souza

    2007-01-01

    To analyze the use of Medpor biointegrated implant in surgeries of evisceration, enucleation or secondary implantation in anophthalmic sockets. The Medpor orbitary implant was used in 61 surgeries. In 18 cases of evisceration the implant's wrapping was not necessary. In 12 enucleation and secondary implantation surgeries the utilized material to wrap the implant was homologous duramater. In the other 31 surgeries, the implant wrapping was made from autologous tissue (sclera, dermis, orbicular muscle or auricular cartilage), utilizing the "cap" technique--covering only the anterior surface of Medpor. The patients were operated from January 1998 to December 2004 with an average follow-up period of 30 months. In all cases the implant was well accepted, allowing for a good adaptation of the prosthesis. Late exposure of the implant occurred in two patients: the first was corrected by the replacement of the implant in the cavity, while in the second case the exposure was wrapped with a tarsus flap. In our experience the Medpor implant presents good acceptance, with a small exposure rate (only 2 cases), no infection or migration cases, and a good prosthesis adaptation in all patients. The use of autologous tissue to wrap the implant's anterior surface eliminates the inherent risk of using homologous tissues.

  16. Morphology and Absolute Magnitudes of the SDSS DR7 QSOs

    NASA Astrophysics Data System (ADS)

    Coelho, B.; Andrei, A. H.; Antón, S.

    2014-10-01

    The ESA mission Gaia will furnish a complete census of the Milky Way, delivering astrometrics, dynamics, and astrophysics information for 1 billion stars. Operating in all-sky repeated survey mode, Gaia will also provide measurements of extra-galactic objects. Among the later there will be at least 500,000 QSOs that will be used to build the reference frame upon which the several independent observations will be combined and interpreted. Not all the QSOs are equally suited to fulfill this role of fundamental, fiducial grid-points. Brightness, morphology, and variability define the astrometric error budget for each object. We made use of 3 morphological parameters based on the PSF sharpness, circularity and gaussianity, which enable us to distinguish the "real point-like" QSOs. These parameters are being explored on the spectroscopically certified QSOs of the SDSS DR7, to compare the performance against other morphology classification schemes, as well as to derive properties of the host galaxy. We present a new method, based on the Gaia quasar database, to derive absolute magnitudes, on the SDSS filters domain. The method can be extrapolated all over the optical window, including the Gaia filters. We discuss colors derived from SDSS apparent magnitudes and colors based on absolute magnitudes that we obtained tanking into account corrections for dust extinction, either intergalactic or from the QSO host, and for the Lyman α forest. In the future we want to further discuss properties of the host galaxies, comparing for e.g. the obtained morphological classification with the color, the apparent and absolute magnitudes, and the redshift distributions.

  17. EVALUATION REINFORCER MAGNITUDE AND RATE DEPENDENCY OF RESISTANCE TO CHANGE MECHANIMS

    PubMed Central

    Pinkston, Jonathan W.; Ginsburg, Brett C.; Lamb, R. J.

    2015-01-01

    In many circumstances, reinforcer magnitude appears to modulate the rate-dependent effects of drugs, such that when schedules arrange for relatively larger reinforcer magnitude, rate dependency is attenuated compared to behavior maintained by smaller magnitudes. The current literature on resistance to change suggests that increased reinforcer density strengthens operant behavior, and such strengthening effects appear to extend to the temporal control of behavior. As rate dependency may be understood as a loss of temporal control, the effects of reinforcer magnitude on rate dependency may be due to increased resistance to disruption of temporally controlled behavior. In the present experiments, pigeons earned different magnitudes of grain during signaled components of a multiple fixed-interval schedule. Three drugs, clonidine, haloperidol, and morphine, were examined: all three decreased overall rates of key pecking; however, only the effects of clonidine were attenuated as reinforcer magnitude increased. An analysis of within-interval performance found rate-dependent effects for clonidine and morphine, but those effects were not modulated by reinforcer magnitude. Additionally, we included prefeeding and extinction conditions, standard tests used to measure resistance to change. In general, rate-decreasing effects of prefeeding and extinction were attenuated by increasing reinforcer magnitudes. Rate-dependent analyses of prefeeding showed rate-dependency following those tests, but in no case were these effects modulated by reinforcer magnitude. The results suggest a resistance-to-change interpretation of the effects of reinforcer magnitude on rate dependency is not viable. PMID:25115595

  18. Reinforcer magnitude and rate dependency: evaluation of resistance-to-change mechanisms.

    PubMed

    Pinkston, Jonathan W; Ginsburg, Brett C; Lamb, Richard J

    2014-10-01

    Under many circumstances, reinforcer magnitude appears to modulate the rate-dependent effects of drugs such that when schedules arrange for relatively larger reinforcer magnitudes rate dependency is attenuated compared with behavior maintained by smaller magnitudes. The current literature on resistance to change suggests that increased reinforcer density strengthens operant behavior, and such strengthening effects appear to extend to the temporal control of behavior. As rate dependency may be understood as a loss of temporal control, the effects of reinforcer magnitude on rate dependency may be due to increased resistance to disruption of temporally controlled behavior. In the present experiments, pigeons earned different magnitudes of grain during signaled components of a multiple FI schedule. Three drugs, clonidine, haloperidol, and morphine, were examined. All three decreased overall rates of key pecking; however, only the effects of clonidine were attenuated as reinforcer magnitude increased. An analysis of within-interval performance found rate-dependent effects for clonidine and morphine; however, these effects were not modulated by reinforcer magnitude. In addition, we included prefeeding and extinction conditions, standard tests used to measure resistance to change. In general, rate-decreasing effects of prefeeding and extinction were attenuated by increasing reinforcer magnitudes. Rate-dependent analyses of prefeeding showed rate-dependency following those tests, but in no case were these effects modulated by reinforcer magnitude. The results suggest that a resistance-to-change interpretation of the effects of reinforcer magnitude on rate dependency is not viable.

  19. Cochlear Implants for Children.

    ERIC Educational Resources Information Center

    Hasenstab, M. Suzanne; Laughton, Joan

    1991-01-01

    The use of cochlear implants in children with profound bilateral hearing loss is discussed, focusing on how a cochlear implant works; steps in a cochlear implant program (evaluation, surgery, programing, and training); and rehabilitation procedures involved in auditory development and speech development. (JDD)

  20. Implantable Heart Aid

    NASA Technical Reports Server (NTRS)

    1984-01-01

    CPI's human-implantable automatic implantable defibrillator (AID) is a heart assist system, derived from NASA's space circuitry technology, that can prevent erratic heart action known as arrhythmias. Implanted AID, consisting of microcomputer power source and two electrodes for sensing heart activity, recognizes onset of ventricular fibrillation (VF) and delivers corrective electrical countershock to restore rhythmic heartbeat.

  1. Strong motion duration and earthquake magnitude relationships

    SciTech Connect

    Salmon, M.W.; Short, S.A.; Kennedy, R.P.

    1992-06-01

    Earthquake duration is the total time of ground shaking from the arrival of seismic waves until the return to ambient conditions. Much of this time is at relatively low shaking levels which have little effect on seismic structural response and on earthquake damage potential. As a result, a parameter termed ``strong motion duration`` has been defined by a number of investigators to be used for the purpose of evaluating seismic response and assessing the potential for structural damage due to earthquakes. This report presents methods for determining strong motion duration and a time history envelope function appropriate for various evaluation purposes, for earthquake magnitude and distance, and for site soil properties. There are numerous definitions of strong motion duration. For most of these definitions, empirical studies have been completed which relate duration to earthquake magnitude and distance and to site soil properties. Each of these definitions recognizes that only the portion of an earthquake record which has sufficiently high acceleration amplitude, energy content, or some other parameters significantly affects seismic response. Studies have been performed which indicate that the portion of an earthquake record in which the power (average rate of energy input) is maximum correlates most closely with potential damage to stiff nuclear power plant structures. Hence, this report will concentrate on energy based strong motion duration definitions.

  2. Electrophonic hearing and cochlear implants.

    PubMed

    Risberg, A; Agelfors, E; Lindström, B; Bredberg, G

    1990-01-01

    It has been difficult to explain the good speech understanding obtained by some cochlear implant patients fitted with a single-channel electrode and analog transmissions of the speech signal (Vienna/3M implant). It has also been difficult to explain the variation in results reported by different groups using the same implant. One hypothesis asserts that the above differences can be explained by the observation that electric stimulation with an implanted electrode might result in two different auditory sensations, the first resulting from the stimulation of the remaining hair cells (electrophonic component) and the second from the electric stimulation of the auditory nerve (electro-neural component). The two sensations are very different. As a result of different definitions of total deafness (functional or threshold definition), patients with remaining hair cells are operated on by some groups, but not by other groups. Some published results from different studies are discussed with reference to the above hypothesis and the possible consequences for the selection of the patients, the use of extra- or intracochlear electrodes, and the selection of the speech coding strategy are discussed.

  3. In-vivo orthopedic implant diagnostic device for sensing load, wear, and infection

    DOEpatents

    Evans, III, Boyd McCutchen; Thundat, Thomas G.; Komistek, Richard D.; Dennis, Douglas A.; Mahfouz, Mohamed

    2006-08-29

    A device for providing in vivo diagnostics of loads, wear, and infection in orthopedic implants having at least one load sensor associated with the implant, at least one temperature sensor associated with the implant, at least one vibration sensor associated with the implant, and at least one signal processing device operatively coupled with the sensors. The signal processing device is operable to receive the output signal from the sensors and transmit a signal corresponding with the output signal.

  4. Nitrogen-vacancy centers created by N+ ion implantation through screening SiO2 layers on diamond

    NASA Astrophysics Data System (ADS)

    Ito, Kazuki; Saito, Hiroshi; Sasaki, Kento; Watanabe, Hideyuki; Teraji, Tokuyuki; Itoh, Kohei M.; Abe, Eisuke

    2017-05-01

    We report on an ion implantation technique utilizing a screening mask made of SiO2 to control both the depth profile and the dose. By appropriately selecting the thickness of the screening layer, this method fully suppresses the ion channeling, brings the location of the highest nitrogen-vacancy (NV) density to the surface, and effectively reduces the dose by more than three orders of magnitude. With a standard ion implantation system operating at the energy of 10 keV and the dose of 1011 cm2 and without an additional etching process, we create single NV centers close to the surface with coherence times of a few tens of μs.

  5. Floods in Utah, magnitude and frequency

    USGS Publications Warehouse

    Berwick, Vernon K.

    1962-01-01

    This report presents a procedure for estimating the magnitude and frequency of floods, within the range of the base data, for any site, gaged or ungaged. From the relation of annual floods to the mean annual flood, a composite frequency curve was derived for recurrence intervals of 1.1 to 50 years. For regions of similar hydrologic characteristics, curves were developed by multiple correlation to express the relation of mean annual flood to drainage area and mean altitude. The records of gaging stations having 5 or more years of record were used as base data when the natural conditions of streamflow are not affected by works of man. For major rivers where the flow is affected by diversion or regulation, separate analyses were made for each stream. The results may be applied to any area in Utah, except the Great Salt Lake Desert and a small area of the State in the Snake River basin.

  6. Violence against women: global scope and magnitude.

    PubMed

    Watts, Charlotte; Zimmerman, Cathy

    2002-04-06

    An increasing amount of research is beginning to offer a global overview of the extent of violence against women. In this paper we discuss the magnitude of some of the most common and most severe forms of violence against women: intimate partner violence; sexual abuse by non-intimate partners; trafficking, forced prostitution, exploitation of labour, and debt bondage of women and girls; physical and sexual violence against prostitutes; sex selective abortion, female infanticide, and the deliberate neglect of girls; and rape in war. There are many potential perpetrators, including spouses and partners, parents, other family members, neighbours, and men in positions of power or influence. Most forms of violence are not unique incidents but are ongoing, and can even continue for decades. Because of the sensitivity of the subject, violence is almost universally under-reported. Nevertheless, the prevalence of such violence suggests that globally, millions of women are experiencing violence or living with its consequences.

  7. Trends in Cochlear Implants

    PubMed Central

    Zeng, Fan-Gang

    2004-01-01

    More than 60,000 people worldwide use cochlear implants as a means to restore functional hearing. Although individual performance variability is still high, an average implant user can talk on the phone in a quiet environment. Cochlear-implant research has also matured as a field, as evidenced by the exponential growth in both the patient population and scientific publication. The present report examines current issues related to audiologic, clinical, engineering, anatomic, and physiologic aspects of cochlear implants, focusing on their psychophysical, speech, music, and cognitive performance. This report also forecasts clinical and research trends related to presurgical evaluation, fitting protocols, signal processing, and postsurgical rehabilitation in cochlear implants. Finally, a future landscape in amplification is presented that requires a unique, yet complementary, contribution from hearing aids, middle ear implants, and cochlear implants to achieve a total solution to the entire spectrum of hearing loss treatment and management. PMID:15247993

  8. Numerical assessment of bone remodeling around conventionally and early loaded titanium and titanium-zirconium alloy dental implants.

    PubMed

    Akça, Kıvanç; Eser, Atılım; Çavuşoğlu, Yeliz; Sağırkaya, Elçin; Çehreli, Murat Cavit

    2015-05-01

    The aim of this study was to investigate conventionally and early loaded titanium and titanium-zirconium alloy implants by three-dimensional finite element stress analysis. Three-dimensional model of a dental implant was created and a thread area was established as a region of interest in trabecular bone to study a localized part of the global model with a refined mesh. The peri-implant tissues around conventionally loaded (model 1) and early loaded (model 2) implants were implemented and were used to explore principal stresses, displacement values, and equivalent strains in the peri-implant region of titanium and titanium-zirconium implants under static load of 300 N with or without 30° inclination applied on top of the abutment surface. Under axial loading, principal stresses in both models were comparable for both implants and models. Under oblique loading, principal stresses around titanium-zirconium implants were slightly higher in both models. Comparable stress magnitudes were observed in both models. The displacement values and equivalent strain amplitudes around both implants and models were similar. Peri-implant bone around titanium and titanium-zirconium implants experiences similar stress magnitudes coupled with intraosseous implant displacement values under conventional loading and early loading simulations. Titanium-zirconium implants have biomechanical outcome comparable to conventional titanium implants under conventional loading and early loading.

  9. Power tiller: vibration magnitudes and intervention development for vibration reduction.

    PubMed

    Chaturvedi, Varun; Kumar, Adarsh; Singh, J K

    2012-09-01

    The operators of power tiller are exposed to a high level of vibration originating from the dynamic interaction between the soil and the machine. The vibration from the power tiller is transmitted from the handle to hands, arms and shoulders. In the present study, experiments were conducted in three operational conditions i.e. transportation on farm roads, tilling with cultivator and rota-tilling with rota-vator. The highest vibration values were observed in x-direction in all the experiments. The maximum vibration rms values for x-direction were 5.96, 6.81 and 8.00 ms(-2) in tilling with cultivator, transportation and rota-tilling respectively. Three materials were used for intervention development to reduce vibration magnitude. The maximum reduction of 25.30, 31.21 and 30.45% in transportation; 23.50, 30.64 and 20.86% in tilling with cultivator and 24.03, 29.18 and 25.52% in rota-tilling were achieved with polyurethane (PU), rubber and combination of PU and rubber intervention. It was found that the maximum vibration reductions were achieved with the rubber in all three operational conditions. The average exposure time for occurrence of white finger syndrome increased by 28-50% with incorporation of intervention in different operations. Physiological and postural parameters also improved with incorporation of interventions. Copyright © 2012 Elsevier Ltd and The Ergonomics Society. All rights reserved.

  10. Planar InAs photodiodes fabricated using He ion implantation.

    PubMed

    Sandall, Ian; Tan, Chee Hing; Smith, Andrew; Gwilliam, Russell

    2012-04-09

    We have performed Helium (He) ion implantation on InAs and performed post implant annealing to investigate the effect on the sheet resistance. Using the transmission line model (TLM) we have shown that the sheet resistance of a p⁺ InAs layer, with a nominal doping concentration of 1x10¹⁸ cm⁻³, can increase by over 5 orders of magnitude upon implantation. We achieved a sheet resistance of 1x10⁵ Ω/Square in an 'as-implanted' sample and with subsequent annealing this can be further increased to 1x10⁷ Ω/Square. By also performing implantation on p-i-n structures we have shown that it is possible to produce planar photodiodes with comparable dark currents and quantum efficiencies to chemically etched reference mesa InAs photodiodes.

  11. Orthodontic mechanics using mini-implant measured by FBG

    NASA Astrophysics Data System (ADS)

    Trannin, Pamela G.; Milczewski, Maura S.; de Oliveira, Walmir; Guariza Filho, Odilon; Lopes, Stephani C. P. S.; Kalinowski, Hypolito J.

    2015-07-01

    The magnitude of the force generated during orthodontic mechanics anchored in mini-implant in a maxilla model was analyzed. Data was collected during the insertion of the mini-implant and at the moment of applying forces to the structure of the maxilla and dentition. To obtain quantitative results, the Fibre Bragg Gratings (FBG) were inserted in an elastomeric material reproducing a maxilla model. It was observed levels of forces of approximately 3,78N next to the root of first premolar by the insertion of the mini-implant and different levels of the force to different orthodontic mechanics applied on the dental system.

  12. Tritium implantation in the accelerator production of tritium device

    SciTech Connect

    Kidman, R.B.

    1997-11-01

    We briefly describe the methods we have developed to compute the magnitude and spatial distribution of born and implanted tritons and protons in the Accelerator Production of Tritium (AFT) device. The methods are verified against experimental measurements and then used to predict that 16% of the tritium is implanted in the walls of the APT distribution tubes. The methods are also used to estimate the spatial distribution of implanted tritium, which will be required for determining the possible diffusion of tritium out of the walls and back into the gas stream.

  13. Restoration of congenitally missing maxillary lateral incisors using mini implants.

    PubMed

    Collins, Ron

    2013-07-01

    In this author's opinion, the advent of mini implants, or small diameter implants (SDIs) as they are more frequently being called, are becoming in many situations a viable alternative to the more traditional root form implants. They offer advantages of less cost, a more simplified placement technique, usually faster healing times, and generally less post-operative complications. A case presentation is given to demonstrate their usage for a narrow ridge application to restore congenitally missing maxillary lateral incisors.

  14. Restoration of congenitally missing maxillary lateral incisors using mini implants.

    PubMed

    Collins, Ron

    2013-11-01

    In this author's opinion, the advent of mini implants, or small diameter implants (SDIs) as they are more frequently being called, is becoming in many situations a viable alternative to the more traditional root form implants. They offer advantages of less cost, a more simplified placement technique, usually faster healing times, and generally less post-operative complications. A case presentation is given to demonstrate their usage for a narrow ridge application to restore congenitally missing maxillary lateral incisors.

  15. Dental implants in medically complex patients-a retrospective study.

    PubMed

    Manor, Yifat; Simon, Roy; Haim, Doron; Garfunkel, Adi; Moses, Ofer

    2017-03-01

    Dental implant insertion for oral rehabilitation is a worldwide procedure for healthy and medically compromised patients. The impact of systemic disease risks on the outcome of implant therapy is unclear, since there are few if any published randomized controlled trials (RCTs). The objective of this study is to investigate the rate of complications and failures following dental implantation in medically compromised patients in order to elucidate risk factors and prevent them. A retrospective cohort study was conducted from patient files treated with dental implantation between the years 2008-2014. The study group consisted of medically complex patients while the control group consisted of healthy patients. Preoperative, intraoperative, and post operative clinical details were retrieved from patients' files. The survival rate and the success rate of the dental implants were evaluated clinically and radiographically. A total of 204 patients (1003 dental implants) were included in the research, in the study group, 93 patients with 528 dental implants and in the control group, 111 patients with 475 dental implants. No significant differences were found between the groups regarding implant failures or complications. The failure rate of dental implants among the patients was 11.8 % in the study group and 16.2 % in the control group (P = 0.04). It was found that patients with a higher number of implants (mean 6.8) had failures compared with patients with a lower number of implants (mean 4.2) regardless of their health status (P < 0.01). We found a similar rate of failure and complications of dental implantation in medically complex patients and in healthy patients. Medically complex patients can undergo dental implantation. There are similar rates of complications and failures of dental implants in medically complex patients and in healthy patients.

  16. Indications of implant removal: A study of 83 cases

    PubMed Central

    Haseeb, Muhammad; Butt, Muhammad Farooq; Altaf, Tariq; Muzaffar, Khalid; Gupta, Anil; Jallu, Aleena

    2017-01-01

    Introduction: Fracture fixation has become advanced with the advent of new and custom metal implants for each type of bone/fracture. After union though, the implant ceases to be important and may be removed. Routine removal is advocated by some and opposed by others. Nevertheless, some patients require removal of the hardware because of various implant-related problems. Our study was aimed at identifying the most common causes for implant removal. Objective: To investigate the common indications of orthopedic implant removal surgeries. Methods: Adult patients admitted for implant removal in our department were included in the study. They were operated in the next OT list. They were then followed for an average 4 months for resolutions of symptoms or appearance of new problems. Results: A total of 83 patients were studied. 71 of them were males. The mean age was 38 years. The reasons for removal of implants were found to lie in five categories: Pain/discomfort/prominent hardware, infected hardware, implant failure, elective (patient’s insistence), and other reasons. Overall, the most frequently removed implants in our series were distal tibial/ankle plates (14.45% of implants removed), femoral intramedullary (IM) nails (13.25%), olecranon wires and plates (12.04%), and tibial IM nails and patellar tension band wirings (9.53% each). Discussion and Conclusion: The clinical indications of implant removal are not well established, and few definitive data exist to guide whether routine implant removal is appropriate. Symptomatic hardware frequently needs removal. We found that pain and implant prominence (mechanical symptoms) are the most common indications. Infection is the next most common, followed by hardware failure. Other indications are implant failure, bone resorption due to excessive stress shielding and patient’s will. Removal is, however, not an easy surgery, and several factors such as bone ingrowth and wear of the implant may make its removal difficult

  17. Quasi real-time estimation of the moment magnitude of large earthquake from static strain changes

    NASA Astrophysics Data System (ADS)

    Itaba, S.

    2016-12-01

    The 2011 Tohoku-Oki (off the Pacific coast of Tohoku) earthquake, of moment magnitude 9.0, was accompanied by large static strain changes (10-7), as measured by borehole strainmeters operated by the Geological Survey of Japan in the Tokai, Kii Peninsula, and Shikoku regions. A fault model for the earthquake on the boundary between the Pacific and North American plates, based on these borehole strainmeter data, yielded a moment magnitude of 8.7. On the other hand, based on the seismic wave, the prompt report of the magnitude which the Japan Meteorological Agency (JMA) announced just after earthquake occurrence was 7.9. Such geodetic moment magnitudes, derived from static strain changes, can be estimated almost as rapidly as determinations using seismic waves. I have to verify the validity of this method in some cases. In the case of this earthquake's largest aftershock, which occurred 29 minutes after the mainshock. The prompt report issued by JMA assigned this aftershock a magnitude of 7.3, whereas the moment magnitude derived from borehole strain data is 7.6, which is much closer to the actual moment magnitude of 7.7. In order to grasp the magnitude of a great earthquake earlier, several methods are now being suggested to reduce the earthquake disasters including tsunami. Our simple method of using static strain changes is one of the strong methods for rapid estimation of the magnitude of large earthquakes, and useful to improve the accuracy of Earthquake Early Warning.

  18. Lunate implant arthroplasty. Evaluation of 19 patients.

    PubMed

    Eiken, O; Necking, L E

    1984-01-01

    The results of lunate implant arthroplasty are unpredictable and many untoward postoperative problems are encountered. A retrospective review of 19 patients operated on for lunatomalacia (Kienböck's disease) by Silastic (HP) implant arthroplasty suggests that prevention of postoperative scapholunate dissociation seems to be the key to successful results. Knowledge of the predominant role played by the palmar ulnolunate and radiolunate ligaments is important to the understanding of this mechanism. The intrinsic stability accomplished by the geometry of the carpal bones requires adequate ligamentous support. This restraint, however, may be weakened by pre-existing absence of certain palmar fibres, by the disease process or by the surgery. In the present study three operative methods have been assessed: dorsal approach and implant stem fixation; dorsal approach, removal of implant stem and Kirschner-wire fixation; volar approach, removal of implant stem, no internal fixation but palmar capsuloligamentous reinforcement. Consistently good results have been obtained using the latter technique. It seems as if most of the usual postoperative problems of lunate implant arthroplasty can be avoided by this method which warrants continued trial.

  19. Double valve Implantation

    PubMed Central

    Stassano, Paolo; Mannacio, Vito; Musumeci, Antonino; Golino, Alessandro; Maida, Piero; Ferrigno, Vincenzo; Buonocore, Gaetano; Spampinato, Nicola

    1991-01-01

    From January 1976 through December 1987, 194 patients with a mean age of 43.3 ± 13.7 years (range, 11 to 74 years) underwent double (mitral and aortic) replacement of native valves with 8 types of bioprostheses: Carpentier-Edwards, 127 valves; Hancock, 76 valves; Liotta-Bioimplant, 57 valves; Ionescu-Shiley, 53 valves; Vascor, 27 valves; Carpentier-Edwards Pericardial, 22 valves; Angell-Shiley, 20 valves; and Implamedic, 6 valves. Concomitant cardiac procedures were performed in 25 patients (12.8%). There were 18 operative deaths (9.27%). Our retrospective analysis was restricted to 352 bioprostheses implanted in the 176 patients who survived surgery and were considered at risk for valve tissue failure. The overall cumulative duration of follow-up was 1,174.1 patient-years (range, 1 to 13 years). The durations of follow-up for specific valves were: Carpentier-Edwards, 920.2 valve-years; Hancock, 383.8 valve-years; Liotta-Bioimplant, 310.2 valve-years; Ionescu-Shiley, 357.7 valve-years; Vascor, 131.2 valve-years; Carpentier-Edwards Pericardial, 52.0 valve-years; Angell-Shiley, 167.0 valve-years; and Implamedic, 31.0 valve-years. Thirty patients had thromboembolic accidents, for a linearized incidence of 2.5% per patient-year. At 13 years, the actuarial freedom from thromboembolic accidents was 85.8% ± 10.7%. Nine patients had endocarditis, for a linearized incidence of 0.7% per patient-year. At 13 years, the actuarial freedom from endocarditis was 92.0% ± 1.5%. Twenty-four patients had valve tissue failure, for a cumulative linearized incidence of 1.87% per valve-year. The cumulative actuarial probability of freedom from valve tissue failure was 78.6% ± 3.7% at 10 years and 51.2% ± 10.7% at 13 years. The 24 patients with valve tissue failure all underwent reoperation: 20 of these had double valve replacement, 3 had aortic valve replacement alone, and 1 had mitral valve replacement alone. The mean interval between initial valve implantation and reoperation was

  20. Composite implants coated with biodegradable polymers prevent stimulating tumor progression

    NASA Astrophysics Data System (ADS)

    Litviakov, N. V.; Tverdokhlebov, S. I.; Perelmuter, V. M.; Kulbakin, D. E.; Bolbasov, E. N.; Tsyganov, M. M.; Zheravin, A. A.; Svetlichnyi, V. A.; Cherdyntseva, N. V.

    2016-08-01

    In this experiment we studied oncologic safety of model implants created using the solution blow spinning method with the use of the PURASORB PL-38 polylactic acid polymer and organic mineral filler which was obtained via laser ablation of a solid target made of dibasic calcium phosphate dihydrate. For this purpose the implant was introduced into the area of Wistar rats' iliums, and on day 17 after the surgery the Walker sarcoma was transplanted into the area of the implant. We evaluated the implant's influence on the primary tumor growth, hematogenous and lymphogenous metastasis of the Walker sarcoma. In comparison with sham operated animals the implant group demonstrated significant inhibition of hematogenous metastasis on day 34 after the surgery. The metastasis inhibition index (MII) equaled 94% and the metastases growth inhibition index (MGII) equaled 83%. The metastasis frequency of the Walker sarcoma in para aortic lymph nodes in the implant group was not statistically different from the control frequency; there was also no influence of the implant on the primary tumor growth noted. In case of the Walker sarcoma transplantation into the calf and the palmar pad of the ipsilateral limb to the one with the implant in the ilium, we could not note any attraction of tumor cells to the implant area, i.e. stimulation of the Walker sarcoma relapse by the implant. Thus, the research concluded that the studied implant meets the requirements of oncologic safety.

  1. Reading the Small Print – Labelling Recommendations for Orthopaedic Implants

    PubMed Central

    Haene, Roger A; Sandhu, Ranbir S; Baxandall, Richard

    2009-01-01

    INTRODUCTION There exist, currently, no clear guidelines regarding standards for surgical implant labelling. Dimensions of the laminar flow canopies in orthopaedic use fixes the distance at which implant labels can be read. Mistakes when reading the label on an implant box can pose health risks for patients, and financial consequences for medical institutions. SUBJECTS AND METHODS Using scientifically validated tools such as the Snellen Chart Formula, a theoretical minimum standard for text on implant labels was reached. This theoretical standard was then tested under real operating conditions. After discovering a minimum practical standard for implant labels, the authors then audited current labels in use on a wide range of orthopaedic implant packages. Furthermore, other non-text-related labelling problems were also noted. RESULTS There is a definite minimum standard which should be observed when implant labels are manufactured. Implants in current use bear labels on the packaging that are of an insufficient standard to ensure patient safety in theatre. CONCLUSIONS The authors have established text parameters that will increase the legibility of implant labels. In the interests of improving risk management in theatre, therefore, the authors propose a standard for orthopaedic implant labelling, and believe this will provide a useful foundation for further discussion between the orthopaedic community and implant manufacturers. PMID:19686615

  2. An implantable blood pressure and flow transmitter.

    NASA Technical Reports Server (NTRS)

    Rader, R. D.; Meehan, J. P.; Henriksen, J. K. C.

    1973-01-01

    A miniature totally implantable FM/FM telemetry system has been developed to simultaneously measure blood pressure and blood flow, thus providing an appreciation of the hemodynamics of the circulation to the entire body or to a particular organ. Developed for work with animal subjects, the telemetry system's transmission time is controlled by an RF signal that permits an operating life of several months. Pressure is detected by a miniature intravascular transducer and flow is detected by an extravascular interferometric ultrasonic technique. Both pressure and flow are calibrated prior to implanting. The pressure calibration can be checked after the implanting by cannulation; flow calibration can be verified only at the end of the experiment by determining the voltage output from the implanted sensing system as a function of several measured flow rates. The utility of this device has been established by its use in investigating canine renal circulation during exercise, emotional encounters, administration of drugs, and application of accelerative forces.

  3. An implantable blood pressure and flow transmitter.

    NASA Technical Reports Server (NTRS)

    Rader, R. D.; Meehan, J. P.; Henriksen, J. K. C.

    1973-01-01

    A miniature totally implantable FM/FM telemetry system has been developed to simultaneously measure blood pressure and blood flow, thus providing an appreciation of the hemodynamics of the circulation to the entire body or to a particular organ. Developed for work with animal subjects, the telemetry system's transmission time is controlled by an RF signal that permits an operating life of several months. Pressure is detected by a miniature intravascular transducer and flow is detected by an extravascular interferometric ultrasonic technique. Both pressure and flow are calibrated prior to implanting. The pressure calibration can be checked after the implanting by cannulation; flow calibration can be verified only at the end of the experiment by determining the voltage output from the implanted sensing system as a function of several measured flow rates. The utility of this device has been established by its use in investigating canine renal circulation during exercise, emotional encounters, administration of drugs, and application of accelerative forces.

  4. Stress and strain distribution in three different mini dental implant designs using in implant retained overdenture: a finite element analysis study

    PubMed Central

    AUNMEUNGTONG, W.; KHONGKHUNTHIAN, P.; RUNGSIYAKULL, P.

    2016-01-01

    SUMMARY Finite Element Analysis (FEA) has been used for prediction of stress and strain between dental implant components and bone in the implant design process. Purpose Purpose of this study was to characterize and analyze stress and strain distribution occurring in bone and implants and to compare stress and strain of three different implant designs. Materials and methods Three different mini dental implant designs were included in this study: 1. a mini dental implant with an internal implant-abutment connection (MDIi); 2. a mini dental implant with an external implant-abutment connection (MDIe); 3. a single piece mini dental implant (MDIs). All implant designs were scanned using micro-CT scans. The imaging details of the implants were used to simulate models for FEA. An artificial bone volume of 9×9 mm in size was constructed and each implant was placed separately at the center of each bone model. All bone-implant models were simulatively loaded under an axial compressive force of 100 N and a 45-degree force of 100 N loading at the top of the implants using computer software to evaluate stress and strain distribution. Results There was no difference in stress or strain between the three implant designs. The stress and strain occurring in all three mini dental implant designs were mainly localized at the cortical bone around the bone-implant interface. Oblique 45° loading caused increased deformation, magnitude and distribution of stress and strain in all implant models. Conclusions Within the limits of this study, the average stress and strain in bone and implant models with MDIi were similar to those with MDIe and MDIs. The oblique 45° load played an important role in dramatically increased average stress and strain in all bone-implant models. Clinical implications Mini dental implants with external or internal connections have similar stress distribution to single piece mini dental implants. In clinical situations, the three types of mini dental implant

  5. Plasma-based ion implantation: a valuable technology for the elaboration of innovative materials and nanostructured thin films

    NASA Astrophysics Data System (ADS)

    Vempaire, D.; Pelletier, J.; Lacoste, A.; Béchu, S.; Sirou, J.; Miraglia, S.; Fruchart, D.

    2005-05-01

    Plasma-based ion implantation (PBII), invented in 1987, can now be considered as a mature technology for thin film modification. After a brief recapitulation of the principle and physics of PBII, its advantages and disadvantages, as compared to conventional ion beam implantation, are listed and discussed. The elaboration of thin films and the modification of their functional properties by PBII have already been achieved in many fields, such as microelectronics (plasma doping/PLAD), biomaterials (surgical implants, bio- and blood-compatible materials), plastics (grafting, surface adhesion) and metallurgy (hard coatings, tribology), to name a few. The major advantages of PBII processing lie, on the one hand, in its flexibility in terms of ion implantation energy (from 0 to 100 keV) and operating conditions (plasma density, collisional or non-collisional ion sheath), and, on the other hand, in the easy transferrability of processes from the laboratory to industry. The possibility of modifying the composition and physical nature of the films, or of drastically changing their physical properties over several orders of magnitude makes this technology very attractive for the elaboration of innovative materials, including metastable materials, and the realization of micro- or nanostructures. A review of the state of the art in these domains is presented and illustrated through a few selected examples. The perspectives opened up by PBII processing, as well as its limitations, are discussed.

  6. Child prostitution: magnitude and related problems.

    PubMed

    Ayalew, T; Berhane, Y

    2000-07-01

    In Ethiopia, very little is known about prostitution in general and about child prostitution in particular. The objective of this study was to determine the magnitude of child prostitution and to identify problems associated with it. A cross-sectional study design was utilized. Data were collected using structured questionnaire. A total of 650 commercial sex workers were interviewed. Eighty eight (13.5%) were below the age of 18 years at the time of data collection. At the time of joining prostitution 268 (41.2%) were under 18 years of age. Poverty, disagreement with family, and peer influence were the major reasons leading to prostitution. Child prostitutes were likely to be victim of physical violence [OR = (95% C.I.) = 1.93(1.18,3.15)] and sexual violence [OR = (95% C.I.) = 2.20(1.36,3.35)] compared to adult prostitutes. Child prostitutes were about five times more likely to desire rejoining their family than the adult prostitutes [OR = (95% C.I) = 5.47(3.01;9.93)]. Strategies need to be developed to rescue child prostitutes from on-job violence, and to establish a rehabilitation program for those interested to discontinue prostitution along with efforts to minimize entry into prostitution.

  7. Symbolic magnitude modulates perceptual strength in binocular rivalry.

    PubMed

    Paffen, Chris L E; Plukaard, Sarah; Kanai, Ryota

    2011-06-01

    Basic aspects of magnitude (such as luminance contrast) are directly represented by sensory representations in early visual areas. However, it is unclear how symbolic magnitudes (such as Arabic numerals) are represented in the brain. Here we show that symbolic magnitude affects binocular rivalry: perceptual dominance of numbers and objects of known size increases with their magnitude. Importantly, variations in symbolic magnitude acted like variations in luminance contrast: we found that an increase in numerical magnitude of adding one lead to an equivalent increase in perceptual dominance as a contrast increment of 0.32%. Our results support the claim that magnitude is extracted automatically, since the increase in perceptual dominance came about in the absence of a magnitude-related task. Our findings show that symbolic, acculturated knowledge about magnitude interacts with visual perception and affects perception in a manner similar to lower-level aspects of magnitude such as luminance contrast.

  8. Analysis of earthquake body wave spectra for potency and magnitude values: implications for magnitude scaling relations

    NASA Astrophysics Data System (ADS)

    Ross, Zachary E.; Ben-Zion, Yehuda; White, Malcolm C.; Vernon, Frank L.

    2016-11-01

    We develop a simple methodology for reliable automated estimation of the low-frequency asymptote in seismic body wave spectra of small to moderate local earthquakes. The procedure corrects individual P- and S-wave spectra for propagation and site effects and estimates the seismic potency from a stacked spectrum. The method is applied to >11 000 earthquakes with local magnitudes 0 < ML < 4 that occurred in the Southern California plate-boundary region around the San Jacinto fault zone during 2013. Moment magnitude Mw values, derived from the spectra and the scaling relation of Hanks & Kanamori, follow a Gutenberg-Richter distribution with a larger b-value (1.22) from that associated with the ML values (0.93) for the same earthquakes. The completeness magnitude for the Mw values is 1.6 while for ML it is 1.0. The quantity (Mw - ML) linearly increases in the analysed magnitude range as ML decreases. An average earthquake with ML = 0 in the study area has an Mw of about 0.9. The developed methodology and results have important implications for earthquake source studies and statistical seismology.

  9. Total Galaxy Magnitudes and Effective Radii from Petrosian Magnitudes and Radii

    NASA Astrophysics Data System (ADS)

    Graham, Alister W.; Driver, Simon P.; Petrosian, Vahé; Conselice, Christopher J.; Bershady, Matthew A.; Crawford, Steven M.; Goto, Tomotsugu

    2005-10-01

    Petrosian magnitudes were designed to help with the difficult task of determining a galaxy's total light. Although these magnitudes [taken here as the flux within 2RP, with the inverted Petrosian index 1/η(RP)=0.2] can represent most of an object's flux, they do of course miss the light outside the Petrosian aperture (2RP). The size of this flux deficit varies monotonically with the shape of a galaxy's light profile, i.e., its concentration. In the case of a de Vaucouleurs R1/4 profile, the deficit is 0.20 mag; for an R1/8 profile this figure rises to 0.50 mag. Here we provide a simple method for recovering total (Sérsic) magnitudes from Petrosian magnitudes using only the galaxy concentration (R90/R50 or R80/R20) within the Petrosian aperture. The corrections hold to the extent that Sérsic's model provides a good description of a galaxy's luminosity profile. We show how the concentration can also be used to convert Petrosian radii into effective half-light radii, enabling a robust measure of the mean effective surface brightness. Our technique is applied to the Sloan Digital Sky Survey Data Release 2 (SDSS DR2) Petrosian parameters, yielding good agreement with the total magnitudes, effective radii, and mean effective surface brightnesses obtained from the New York University Value-Added Galaxy Catalog Sérsic R1/n fits by Blanton and coworkers. Although the corrective procedure described here is specifically applicable to the SDSS DR2 and DR3, it is generally applicable to all imaging data where any Petrosian index and concentration can be constructed.

  10. Calibration of the local magnitude scale ( M L ) for Peru

    NASA Astrophysics Data System (ADS)

    Condori, Cristobal; Tavera, Hernando; Marotta, Giuliano Sant'Anna; Rocha, Marcelo Peres; França, George Sand

    2017-07-01

    We propose a local magnitude scale ( M L ) for Peru, based on the original Richter definition, using 210 seismic events between 2011 and 2014, recorded by 35 broadband stations of the National Seismic Network operated by the Geophysical Institute of Peru. In the solution model, we considered 1057 traces of maximum amplitude records on the vertical channel from simulated Wood-Anderson seismograms of shallow events (depths between 0 and 60 km) and hypocentral distances less than 600 km. The attenuation factor has been evaluated in terms of geometrical spreading and anelastic attenuation coefficients. The magnitude M L was defined as M L = L o g 10 A W A +1.5855 L o g 10( R/100)+0.0008( R-100)+3± S, where, A W A is the displacement amplitude in millimeters (Wood-Anderson), R is the hypocentral distance (km), and S is the station correction. The results obtained for M L have good correlation with the m b , M s and M w values reported the ISC and NEIC. The anelastic attenuation curve obtained has a similar behavior to that other highly seismic regions. Station corrections were determined for all stations during the regression analysis resulting in values ranging between -0.97 and +0.73, suggesting a strong influence of local site effects on amplitude.

  11. Calibration of the local magnitude scale (M L ) for Peru

    NASA Astrophysics Data System (ADS)

    Condori, Cristobal; Tavera, Hernando; Marotta, Giuliano Sant'Anna; Rocha, Marcelo Peres; França, George Sand

    2017-02-01

    We propose a local magnitude scale (M L ) for Peru, based on the original Richter definition, using 210 seismic events between 2011 and 2014, recorded by 35 broadband stations of the National Seismic Network operated by the Geophysical Institute of Peru. In the solution model, we considered 1057 traces of maximum amplitude records on the vertical channel from simulated Wood-Anderson seismograms of shallow events (depths between 0 and 60 km) and hypocentral distances less than 600 km. The attenuation factor has been evaluated in terms of geometrical spreading and anelastic attenuation coefficients. The magnitude M L was defined as M L = L o g 10 A W A +1.5855L o g 10(R/100)+0.0008(R-100)+3±S, where, A W A is the displacement amplitude in millimeters (Wood-Anderson), R is the hypocentral distance (km), and S is the station correction. The results obtained for M L have good correlation with the m b , M s and M w values reported the ISC and NEIC. The anelastic attenuation curve obtained has a similar behavior to that other highly seismic regions. Station corrections were determined for all stations during the regression analysis resulting in values ranging between -0.97 and +0.73, suggesting a strong influence of local site effects on amplitude.

  12. Electrochemical Evaluation of Nanocrystalline Diamond Thin Films on Ti-6Al-4V Implant Alloy

    NASA Astrophysics Data System (ADS)

    Fries, Marc; Venugopalan, Ramakrishna; Vohra, Yogesh

    2002-03-01

    Some 186,000 hip replacement surgeries are peformed every year in the United States alone. About 10surgeries are revision operations to replace an implant that has most likely failed through mechanical-electrochemical interactions resulting in implant wear. The ability to enhance the resistance to such mechanical-electrochemical interaction and thereby reduce wear could result in significantly increased device lifespan. Nanocrystalline diamond (NCD) thin films were deposited on Ti-6Al-4V disk samples (processed per ASTM F86 standard for medical implant surface conditions) using microwave plasma chemical vapor deposition (MPCVD). As a first step, these samples (n=3/test per group) were subjected to electrochemical evaluation in inorganic neutral salt solution at 37 C. The electrochemical evaluation involved both impedence spectroscopy (per ASTM G106) and polarization testing (per ASTM G5). The impedence spectroscopy data indicated a significantly higher charge transfer resistance at the interface due to the protective NCD as compared to the bare or uncoated substrate. The polarization test data confirmed that this increased charge transfer resistance resulted in a decreased current density measurement. This decreased current density measurement resulted in an order of magnitude lower calculated static corrosion rate from the NCD coated samples as opposed to the uncoated controls. Future studies will focus on investigations that will facilitate transfer of these static electrochemical resistance results to a more relevant mechanical-electrochemical interaction milieu.

  13. [Cochlear implant in adults].

    PubMed

    Bouccara, D; Mosnier, I; Bernardeschi, D; Ferrary, E; Sterkers, O

    2012-03-01

    Cochlear implant in adults is a procedure, dedicated to rehabilitate severe to profound hearing loss. Because of technological progresses and their applications for signal strategies, new devices can improve hearing, even in noise conditions. Binaural stimulation, cochlear implant and hearing aid or bilateral cochlear implants are the best opportunities to access to better level of comprehension in all conditions and space localisation. By now minimally invasive surgery is possible to preserve residual hearing and use a double stimulation modality for the same ear: electrical for high frequencies and acoustic for low frequencies. In several conditions, cochlear implant is not possible due to cochlear nerve tumour or major malformations of the inner ear. In these cases, a brainstem implantation can be considered. Clinical data demonstrate that improvement in daily communication, for both cochlear and brainstem implants, is correlated with cerebral activation of auditory cortex.

  14. Ion-implanted extrinsic Ge photodetectors with extended cutoff wavelength

    NASA Technical Reports Server (NTRS)

    Wu, I. C.; Beeman, J. W.; Luke, P. N.; Hansen, W. L.; Haller, E. E.

    1991-01-01

    Far-IR Ge detectors fabricated using boron ion implantation are shown to exhibit operating characteristics compatible with requirements for low background applications. Device parameters such as low dark currents, reasonably good sensitivity, and extended wavelength threshold demonstrate that ion-implanted Ge far-IR detectors offer promise for use in astrophysics instrumentation.

  15. Implant treatment planning considerations.

    PubMed

    Kao, Richard T

    2008-04-01

    As dental implants become a more accepted treatment modality, there is a need for all parties involved with implant dentistry to be familiar with various treatment planning issues. Though the success can be highly rewarding, failure to forecast treatment planning issues can result in an increase of surgical needs, surgical cost, and even case failure. In this issue, the focus is on implant treatment planning considerations.

  16. Magnitude Estimation for the 2011 Tohoku-Oki Earthquake Based on Ground Motion Prediction Equations

    NASA Astrophysics Data System (ADS)

    Eshaghi, Attieh; Tiampo, Kristy F.; Ghofrani, Hadi; Atkinson, Gail M.

    2015-08-01

    This study investigates whether real-time strong ground motion data from seismic stations could have been used to provide an accurate estimate of the magnitude of the 2011 Tohoku-Oki earthquake in Japan. Ultimately, such an estimate could be used as input data for a tsunami forecast and would lead to more robust earthquake and tsunami early warning. We collected the strong motion accelerograms recorded by borehole and free-field (surface) Kiban Kyoshin network stations that registered this mega-thrust earthquake in order to perform an off-line test to estimate the magnitude based on ground motion prediction equations (GMPEs). GMPEs for peak ground acceleration and peak ground velocity (PGV) from a previous study by Eshaghi et al. in the Bulletin of the Seismological Society of America 103. (2013) derived using events with moment magnitude ( M) ≥ 5.0, 1998-2010, were used to estimate the magnitude of this event. We developed new GMPEs using a more complete database (1998-2011), which added only 1 year but approximately twice as much data to the initial catalog (including important large events), to improve the determination of attenuation parameters and magnitude scaling. These new GMPEs were used to estimate the magnitude of the Tohoku-Oki event. The estimates obtained were compared with real time magnitude estimates provided by the existing earthquake early warning system in Japan. Unlike the current operational magnitude estimation methods, our method did not saturate and can provide robust estimates of moment magnitude within ~100 s after earthquake onset for both catalogs. It was found that correcting for average shear-wave velocity in the uppermost 30 m () improved the accuracy of magnitude estimates from surface recordings, particularly for magnitude estimates of PGV (Mpgv). The new GMPEs also were used to estimate the magnitude of all earthquakes in the new catalog with at least 20 records. Results show that the magnitude estimate from PGV values using

  17. Aerogel Antennas Communications Study Using Error Vector Magnitude Measurements

    NASA Technical Reports Server (NTRS)

    Miranda, Felix A.; Mueller, Carl H.; Meador, Mary Ann B.

    2014-01-01

    This paper discusses an aerogel antennas communication study using error vector magnitude (EVM) measurements. The study was performed using 4x2 element polyimide (PI) aerogel-based phased arrays designed for operation at 5 GHz as transmit (Tx) and receive (Rx) antennas separated by a line of sight (LOS) distance of 8.5 meters. The results of the EVM measurements demonstrate that polyimide aerogel antennas work appropriately to support digital communication links with typically used modulation schemes such as QPSK and pi/4 DQPSK. As such, PI aerogel antennas with higher gain, larger bandwidth and lower mass than typically used microwave laminates could be suitable to enable aerospace-to-ground communication links with enough channel capacity to support voice, data and video links from cubesats, unmanned air vehicles (UAV), and commercial aircraft.

  18. Aerogel Antennas Communications Study Using Error Vector Magnitude Measurements

    NASA Technical Reports Server (NTRS)

    Miranda, Felix A.; Mueller, Carl H.; Meador, Mary Ann B.

    2014-01-01

    This presentation discusses an aerogel antennas communication study using error vector magnitude (EVM) measurements. The study was performed using 2x4 element polyimide (PI) aerogel-based phased arrays designed for operation at 5 GHz as transmit (Tx) and receive (Rx) antennas separated by a line of sight (LOS) distance of 8.5 meters. The results of the EVM measurements demonstrate that polyimide aerogel antennas work appropriately to support digital communication links with typically used modulation schemes such as QPSK and 4 DQPSK. As such, PI aerogel antennas with higher gain, larger bandwidth and lower mass than typically used microwave laminates could be suitable to enable aerospace-to- ground communication links with enough channel capacity to support voice, data and video links from CubeSats, unmanned air vehicles (UAV), and commercial aircraft.

  19. Practical Local Magnitude Calculation for Local Networks

    NASA Astrophysics Data System (ADS)

    Tunc, B.; Tunc, S.; Caka, D.

    2012-12-01

    In this study, we developed a Matlab application (Ml_Calc) to calculate local magnitude (Ml) for small institudes which has just one or more seismic stations. Ml_Calc algorithm suitable for velocity or acceleration sensors' data obtained by Güralp Systems digitizers. The selected earthquake data can be transferred from SCREAM software to Ml_Calc online or offline. The Ml_Calc algorithm provides two types of solutions for distance, one of them is P-S time differences and the other one is epicentre of earthquake and station coordinates, if earthquake is known. During Ml calculation, instrument correction has been removed and converted to real displacement in milimeter. The obtained displacement data converted to Wood Anderson Seismometer output by using Z=[0;0]; P=[-6.28+4.71j; -6.28-4.71j]; A0=[2080]. Obtained maximum displacement amplitude (A) and distances (dist) used in formula (1) for distances less than 200km and formula (2) for more than 200km. Ml=log10(A)-(-1.118-0.0647*dist+0.00071*dist2-3.39E-6*dist3+5.71e-9*dist4) (1) Ml=log10(A)+(2.1173+0.0082*dist-0.0000059628*dist2) (2) Ml_Calc is a software that easy to implement, can be used for educational purpose and user friendly. Due to this characteristics, Ml_Calc software offered a practical solution to individual users to Ml calculation.

  20. Nonlinear Susceptibility Magnitude Imaging of Magnetic Nanoparticles.

    PubMed

    Ficko, Bradley W; Giacometti, Paolo; Diamond, Solomon G

    2015-03-15

    This study demonstrates a method for improving the resolution of susceptibility magnitude imaging (SMI) using spatial information that arises from the nonlinear magnetization characteristics of magnetic nanoparticles (mNPs). In this proof-of-concept study of nonlinear SMI, a pair of drive coils and several permanent magnets generate applied magnetic fields and a coil is used as a magnetic field sensor. Sinusoidal alternating current (AC) in the drive coils results in linear mNP magnetization responses at primary frequencies, and nonlinear responses at harmonic frequencies and intermodulation frequencies. The spatial information content of the nonlinear responses is evaluated by reconstructing tomographic images with sequentially increasing voxel counts using the combined linear and nonlinear data. Using the linear data alone it is not possible to accurately reconstruct more than 2 voxels with a pair of drive coils and a single sensor. However, nonlinear SMI is found to accurately reconstruct 12 voxels (R(2) = 0.99, CNR = 84.9) using the same physical configuration. Several time-multiplexing methods are then explored to determine if additional spatial information can be obtained by varying the amplitude, phase and frequency of the applied magnetic fields from the two drive coils. Asynchronous phase modulation, amplitude modulation, intermodulation phase modulation, and frequency modulation all resulted in accurate reconstruction of 6 voxels (R(2) > 0.9) indicating that time multiplexing is a valid approach to further increase the resolution of nonlinear SMI. The spatial information content of nonlinear mNP responses and the potential for resolution enhancement with time multiplexing demonstrate the concept and advantages of nonlinear SMI.

  1. The moment magnitude M w and the energy magnitude M e: common roots and differences

    NASA Astrophysics Data System (ADS)

    Bormann, Peter; di Giacomo, Domenico

    2011-04-01

    Starting from the classical empirical magnitude-energy relationships, in this article, the derivation of the modern scales for moment magnitude M w and energy magnitude M e is outlined and critically discussed. The formulas for M w and M e calculation are presented in a way that reveals, besides the contributions of the physically defined measurement parameters seismic moment M 0 and radiated seismic energy E S, the role of the constants in the classical Gutenberg-Richter magnitude-energy relationship. Further, it is shown that M w and M e are linked via the parameter Θ = log( E S/ M 0), and the formula for M e can be written as M e = M w + (Θ + 4.7)/1.5. This relationship directly links M e with M w via their common scaling to classical magnitudes and, at the same time, highlights the reason why M w and M e can significantly differ. In fact, Θ is assumed to be constant when calculating M w. However, variations over three to four orders of magnitude in stress drop Δ σ (as well as related variations in rupture velocity V R and seismic wave radiation efficiency η R) are responsible for the large variability of actual Θ values of earthquakes. As a result, for the same earthquake, M e may sometimes differ by more than one magnitude unit from M w. Such a difference is highly relevant when assessing the actual damage potential associated with a given earthquake, because it expresses rather different static and dynamic source properties. While M w is most appropriate for estimating the earthquake size (i.e., the product of rupture area times average displacement) and thus the potential tsunami hazard posed by strong and great earthquakes in marine environs, M e is more suitable than M w for assessing the potential hazard of damage due to strong ground shaking, i.e., the earthquake strength. Therefore, whenever possible, these two magnitudes should be both independently determined and jointly considered. Usually, only M w is taken as a unified magnitude in many

  2. Osseointegrated implant prosthodontics.

    PubMed

    Rogoff, G S

    1992-06-01

    This review covers recent literature on prosthodontic aspects of osseointegrated implants. Long-term prognosis, diagnosis and treatment planning, and clinical impression techniques and fabrication technology are discussed.

  3. [Silastic implant and synovitis].

    PubMed

    Sennwald, G

    1989-07-22

    The silastic implant based on siloxane polymere induces granulomatous synovitis in certain predisposed individuals, a reaction which may continue even after removal of the implant. This is also true of a prosthesis of the trapezium in two of our patients, though to a lesser degree. This is probably the reason why the problem has not yet been widely recognized. The hypothesis is put forward that an enzymatic predisposition may allow chemical degradation of the fragmented silastic implant into a toxic component responsible for the pathologic condition. The slow progression of the lesions is a challenge for the future and puts in question the further use of silastic implants.

  4. Traditional Postextractive Implant Site Preparation Compared with Pre-extractive Interradicular Implant Bed Preparation in the Mandibular Molar Region, Using an Ultrasonic Device: A Randomized Pilot Study.

    PubMed

    Scarano, Antonio

    The immediate placement of single postextractive implants is increasing in the everyday clinical practice. Due to insufficient bone tissue volume, proper primary stability, essential for subsequent osseointegration, is sometimes not reached. The aim of this work was to compare two different approaches: implant bed preparation before and after root extraction. Twenty-two patients of both sexes were selected who needed an implant-prosthetic rehabilitation of the fractured first mandibular molar or presented an untreatable endodontic pathology. The sites were randomly assigned to the test group (treated with implant bed preparation before molar extractions) or control group (treated with implant bed preparation after molar extractions) by a computer-generated table. All implants were placed by the same operator, who was experienced in both traditional and ultrasonic techniques. The implant stability quotient (ISQ) and the position of the implant were evaluated. Statistical analysis was carried out. In the control group, three implants were placed in the central portion of the bone septum, while eight implants were placed with a tilted axis in relation to the septum; in the test group, all implants were placed in ideal positions within the root extraction sockets. The different position of the implants between the two procedures was statistically significant. This work presented an innovative approach for implant placement at the time of mandibular molar extraction. Preparing the implant bed with an ultrasonic device before root extraction is a simple technique and also allows greater stability to be reached in a selective case.

  5. Theoretical model of a piezoelectric composite spinal fusion interbody implant.

    PubMed

    Tobaben, Nicholas E; Domann, John P; Arnold, Paul M; Friis, Elizabeth A

    2014-04-01

    Failure rates of spinal fusion are high in smokers and diabetics. The authors are investigating the development of a piezoelectric composite biomaterial and interbody device design that could generate clinically relevant levels of electrical stimulation to help improve the rate of fusion for these patients. A lumped parameter model of the piezoelectric composite implant was developed based on a model that has been utilized to successfully predict power generation for piezoceramics. Seven variables (fiber material, matrix material, fiber volume fraction, fiber aspect ratio, implant cross-sectional area, implant thickness, and electrical load resistance) were parametrically analyzed to determine their effects on power generation within reasonable implant constraints. Influences of implant geometry and fiber aspect ratio were independent of material parameters. For a cyclic force of constant magnitude, implant thickness was directly and cross-sectional area inversely proportional to power generation potential. Fiber aspect ratios above 30 yielded maximum power generation potential while volume fractions above 15% showed superior performance. This investigation demonstrates the feasibility of using composite piezoelectric biomaterials in medical implants to generate therapeutic levels of direct current electrical stimulation. The piezoelectric spinal fusion interbody implant shows promise for helping increase success rates of spinal fusion. Copyright © 2013 Wiley Periodicals, Inc.

  6. [Comparative study of two different types of dental implants in dogs. Experimental study].

    PubMed

    Sanromán, F; Montolio, J; Llorens, M P

    1990-03-01

    Mandibular incisors were taken out in 13 adult dogs. Twenty days after the extraction, two implants either of titanium or hydroxylapatite were placed in a second operation. The clinical, pathological and radiological results suggest that metallic implants produce fibrous tissue around the implant. In most cases, fibrous tissue does not ossify and this facilitates the formation of a malunion and the mobilization of the implant. However, the results with hydroxylapatite implants appear to be satisfactory due to the formation of an osseous tissue mandibular bone. This tissue prevents the mobilization of the implant allowing support to a dental prostheses.

  7. Moment Magnitude ( M W) and Local Magnitude ( M L) Relationship for Earthquakes in Northeast India

    NASA Astrophysics Data System (ADS)

    Baruah, Santanu; Baruah, Saurabh; Bora, P. K.; Duarah, R.; Kalita, Aditya; Biswas, Rajib; Gogoi, N.; Kayal, J. R.

    2012-11-01

    An attempt has been made to examine an empirical relationship between moment magnitude ( M W) and local magnitude ( M L) for the earthquakes in the northeast Indian region. Some 364 earthquakes that were recorded during 1950-2009 are used in this study. Focal mechanism solutions of these earthquakes include 189 Harvard-CMT solutions ( M W ≥ 4.0) for the period 1976-2009, 61 published solutions and 114 solutions obtained for the local earthquakes (2.0 ≤ M L ≤ 5.0) recorded by a 27-station permanent broadband network during 2001-2009 in the region. The M W- M L relationships in seven selected zones of the region are determined by linear regression analysis. A significant variation in the M W- M L relationship and its zone specific dependence are reported here. It is found that M W is equivalent to M L with an average uncertainty of about 0.13 magnitude units. A single relationship is, however, not adequate to scale the entire northeast Indian region because of heterogeneous geologic and geotectonic environments where earthquakes occur due to collisions, subduction and complex intra-plate tectonics.

  8. Type IV hypersensitivity to a textured silicone breast implant.

    PubMed

    Dargan, D; McGoldrick, C; Khan, K

    2012-07-01

    We present a case of hypersensitivity to a breast implant in a 57-year old female with breast cancer and hypersensitivity to adhesive dressings. A mastectomy, axillary node clearance, latissimus dorsi flap and silicone implant-based reconstruction were performed. The mammary wound dehisced within three weeks and the implant required removal. No pus was present, and cultures were negative. Three years later, a further silicone implant was inserted. Within three weeks from insertion, the patient required readmission with serous discharge from the wound, flu-like symptoms, low-grade pyrexia and painful swelling at the operative site. The implant was removed. Capsule biopsies demonstrated a large lymphoid cell reaction, in keeping with a delayed hypersensitivity reaction. Patch testing to samples of the implant was positive. Copyright © 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

  9. Composite implants coated with biodegradable polymers prevent stimulating tumor progression

    SciTech Connect

    Litviakov, N. V. Tsyganov, M. M. Cherdyntseva, N. V.; Tverdokhlebov, S. I. Bolbasov, E. N.; Perelmuter, V. M. Kulbakin, D. E.; Zheravin, A. A.; Svetlichnyi, V. A.

    2016-08-02

    In this experiment we studied oncologic safety of model implants created using the solution blow spinning method with the use of the PURASORB PL-38 polylactic acid polymer and organic mineral filler which was obtained via laser ablation of a solid target made of dibasic calcium phosphate dihydrate. For this purpose the implant was introduced into the area of Wistar rats’ iliums, and on day 17 after the surgery the Walker sarcoma was transplanted into the area of the implant. We evaluated the implant’s influence on the primary tumor growth, hematogenous and lymphogenous metastasis of the Walker sarcoma. In comparison with sham operated animals the implant group demonstrated significant inhibition of hematogenous metastasis on day 34 after the surgery. The metastasis inhibition index (MII) equaled 94% and the metastases growth inhibition index (MGII) equaled 83%. The metastasis frequency of the Walker sarcoma in para aortic lymph nodes in the implant group was not statistically different from the control frequency; there was also no influence of the implant on the primary tumor growth noted. In case of the Walker sarcoma transplantation into the calf and the palmar pad of the ipsilateral limb to the one with the implant in the ilium, we could not note any attraction of tumor cells to the implant area, i.e. stimulation of the Walker sarcoma relapse by the implant. Thus, the research concluded that the studied implant meets the requirements of oncologic safety.

  10. Finite element analysis of stress extent at peri-implant bone surrounding external hexagon or Morse taper implants.

    PubMed

    Macedo, J P; Pereira, J; Faria, J; Pereira, C A; Alves, J L; Henriques, B; Souza, J C M; López-López, J

    2017-07-01

    The purpose of the present study was to evaluate the distribution of stresses and consequent bone volume affected surrounding external hexagon or Morse taper dental implant systems by finite element analysis. Two different dental implant-abutment designs were assessed: external hexagon or Morse taper joints. A mandibular bone model obtained from a computed tomography scan was used. The implant-abutment systems were axially or obliquely (45°) loaded on 150 N relatively to the central axis of the implant. The von Mises stresses were analysed in terms of magnitude and volume of affected surrounding bone. The von Mises equivalent values found on the cortical bone were higher than that recorded on the trabecular bone. Additionally, the bone volume associated with high stress values was higher in cortical and trabecular bone for oblique loading compared to axial loading. The values of von Mises equivalent stress around Morse taper implant-abutment system were lower on both axial and oblique loads than those recorded for external hexagon implant-abutment systems. Morse taper implant joints revealed a proper biomechanical behavior when compared to external hexagon systems concerning a significant volume of surrounding peri-implant bone subjected to lower stresses values. Copyright © 2017 Elsevier Ltd. All rights reserved.

  11. Numerical magnitude affects temporal memories but not time encoding.

    PubMed

    Cai, Zhenguang G; Wang, Ruiming

    2014-01-01

    Previous research has suggested that the perception of time is influenced by concurrent magnitude information (e.g., numerical magnitude in digits, spatial distance), but the locus of the effect is unclear, with some findings suggesting that concurrent magnitudes such as space affect temporal memories and others suggesting that numerical magnitudes in digits affect the clock speed during time encoding. The current paper reports 6 experiments in which participants perceived a stimulus duration and then reproduced it. We showed that though a digit of a large magnitude (e.g., 9), relative to a digit of a small magnitude (e.g., 2), led to a longer reproduced duration when the digits were presented during the perception of the stimulus duration, such a magnitude effect disappeared when the digits were presented during the reproduction of the stimulus duration. These findings disconfirm the account that large numerical magnitudes accelerate the speed of an internal clock during time encoding, as such an account incorrectly predicts that a large numerical magnitude should lead to a shorter reproduced duration when presented during reproduction. Instead, the findings suggest that numerical magnitudes, like other magnitudes such as space, affect temporal memories when numerical magnitudes and temporal durations are concurrently held in memory. Under this account, concurrent numerical magnitudes have the chance to influence the memory of the perceived duration when they are presented during perception but not when they are presented at the reproduction stage.

  12. The modulation of implicit magnitude on time estimates.

    PubMed

    Ma, Qingxia; Yang, Zhen; Zhang, Zhijie

    2012-01-01

    Studies in time and quantity have shown that explicit magnitude (e.g. Arabic numerals, luminance, or size) modulates time estimates with smaller magnitude biasing the judgment of time towards underestimation and larger magnitude towards overestimation. However, few studies have examined the effect of implicit magnitude on time estimates. The current study used a duration estimation task to investigate the effects of implicit magnitude on time estimation in three experiments. During the duration estimation task, the target words named objects of various lengths (Experiment 1), weights (Experiment 2) and volumes (Experiment 3) were presented on the screen and participants were asked to reproduce the amount of time the words remained on the screen via button presses. Results indicated that the time estimates were modulated by the implicit magnitude of the word's referent with words named objects of smaller magnitude (shorter, lighter, or smaller) being judged to last a shorter time, and words named objects of greater magnitude (longer, heavier, or bigger) being judged to last a longer time. These findings were consistent with previous studies examining the effect of implicit spatial length on time estimates. More importantly, current results extended the implicit magnitude of length to the implicit magnitude of weight and volume and demonstrated a functional interaction between time and implicit magnitude in all three aspects of quantity, suggesting a common generalized magnitude system. These results provided new evidence to support a theory of magnitude (ATOM).

  13. Batteryless implanted echosonometer

    NASA Technical Reports Server (NTRS)

    Kojima, G. K.

    1977-01-01

    Miniature ultrasonic echosonometer implanted within laboratory animals obtains energy from RF power oscillator that is electronically transduced via induction loop to power receiving loop located just under animal's skin. Method of powering device offers significant advantages over those in which battery is part of implanted package.

  14. Implantable, Ingestible Electronic Thermometer

    NASA Technical Reports Server (NTRS)

    Kleinberg, Leonard

    1987-01-01

    Small quartz-crystal-controlled oscillator swallowed or surgically implanted provides continuous monitoring of patient's internal temperature. Receiver placed near patient measures oscillator frequency, and temperature inferred from previously determined variation of frequency with temperature. Frequency of crystal-controlled oscillator varies with temperature. Circuit made very small and implanted or ingested to measure internal body temperature.

  15. A no bleed implant.

    PubMed

    Ersek, R A; Navarro, J A; Nemeth, D Z; Sas, G

    1993-01-01

    Breast implants have evolved from the original saline-filled, smooth-surfaced silicone rubber bag to silicone gel-filled smooth-walled sacs to a combination of a silicone gel-filled bag within a saline-filled sac, and, most recently, a reversed, double-lumen implant with a saline bag inside of a gel-filled bag. Texture-surfaced implants were first used in 1970 when the standard silicone gel-filled implant was covered with a polyurethane foam. Because of concerns about the degradation products of this foam, they were removed from the market in 1991. In 1975 double-lumen silicone textured implants were developed, followed by silicone gel-filled textured implants. In 1990 a new radiolucent, biocompatible gel was produced that reduced the problem of radioopacity of silicone implants. Because of the gel's sufficiently low coefficient of friction, leakage caused by fold flaw fracture may also be decreased. We present a case where this new biocompatible gel implant was repositioned after four months. The resulting scar capsule in this soft breast was thin [< 0.002 cm (0.008 in.)] and evenly textured as a mirror image of the textured silicone surface. Scanning electron microscopy and x-ray defraction spectrophotometry revealed no silicone bleed.

  16. Smoking and dental implants

    PubMed Central

    Kasat, V.; Ladda, R.

    2012-01-01

    Smoking is a prevalent behaviour in the population. The aim of this review is to bring to light the effects of smoking on dental implants. These facts will assist dental professionals when implants are planned in tobacco users. A search of “PubMed” was made with the key words “dental implant,” “nicotine,” “smoking,” “tobacco,” and “osseointegration.” Also, publications on tobacco control by the Government of India were considered. For review, only those articles published from 1988 onward in English language were selected. Smoking has its influence on general as well as oral health of an individual. Tobacco negatively affects the outcome of almost all therapeutic procedures performed in the oral cavity. The failure rate of implant osseointegration is considerably higher among smokers, and maintenance of oral hygiene around the implants and the risk of peri-implantitis are adversely affected by smoking. To increase implant survival in smokers, various protocols have been recommended. Although osseointegrated dental implants have become the state of the art for tooth replacement, they are not without limitations or complications. In this litigious era, it is extremely important that the practitioner clearly understands and is able and willing to convey the spectrum of possible complications and their frequency to the patients. PMID:24478965

  17. Batteryless implanted echosonometer

    NASA Technical Reports Server (NTRS)

    Kojima, G. K.

    1977-01-01

    Miniature ultrasonic echosonometer implanted within laboratory animals obtains energy from RF power oscillator that is electronically transduced via induction loop to power receiving loop located just under animal's skin. Method of powering device offers significant advantages over those in which battery is part of implanted package.

  18. Implantable CMOS Biomedical Devices

    PubMed Central

    Ohta, Jun; Tokuda, Takashi; Sasagawa, Kiyotaka; Noda, Toshihiko

    2009-01-01

    The results of recent research on our implantable CMOS biomedical devices are reviewed. Topics include retinal prosthesis devices and deep-brain implantation devices for small animals. Fundamental device structures and characteristics as well as in vivo experiments are presented. PMID:22291554

  19. Teeth and implants.

    PubMed

    Palmer, R

    1999-08-28

    An osseointegrated implant restoration may closely resemble a natural tooth. However, the absence of a periodontal ligament and connective tissue attachment via cementum, results in fundamental differences in the adaptation of the implant to occlusal forces, and the structure of the gingival cuff.

  20. Percutaneous and skeletal biocarbon implants

    NASA Technical Reports Server (NTRS)

    Mooney, V.

    1977-01-01

    Review of carbon implants developed by NASA discussed four different types of implants and subsequent improvements. Improvements could be of specific interest to rehabilitation centers and similar organizations.

  1. Percutaneous and skeletal biocarbon implants

    NASA Technical Reports Server (NTRS)

    Mooney, V.

    1977-01-01

    Review of carbon implants developed by NASA discussed four different types of implants and subsequent improvements. Improvements could be of specific interest to rehabilitation centers and similar organizations.

  2. Graphene for Biomedical Implants

    NASA Astrophysics Data System (ADS)

    Moore, Thomas; Podila, Ramakrishna; Alexis, Frank; Rao, Apparao; Clemson Bioengineering Team; Clemson Physics Team

    2013-03-01

    In this study, we used graphene, a one-atom thick sheet of carbon atoms, to modify the surfaces of existing implant materials to enhance both bio- and hemo-compatibility. This novel effort meets all functional criteria for a biomedical implant coating as it is chemically inert, atomically smooth and highly durable, with the potential for greatly enhancing the effectiveness of such implants. Specifically, graphene coatings on nitinol, a widely used implant and stent material, showed that graphene coated nitinol (Gr-NiTi) supports excellent smooth muscle and endothelial cell growth leading to better cell proliferation. We further determined that the serum albumin adsorption on Gr-NiTi is greater than that of fibrinogen, an important and well understood criterion for promoting a lower thrombosis rate. These hemo-and biocompatible properties and associated charge transfer mechanisms, along with high strength, chemical inertness and durability give graphene an edge over most antithrombogenic coatings for biomedical implants and devices.

  3. Insulation lifetime improvement of polyimide thin film neural implants.

    PubMed

    Ceyssens, Frederik; Puers, Robert

    2015-10-01

    This work deals with studying and improving the insulation lifetime of polyimide-insulated thin film neural implants, or related polyimide-based medical implants. The evolution of the leak impedance of insulated conductors was investigated in saline water at 40 °C. The fabrication process as commonly found in literature for polyimide/platinum/polyimide microelectrode arrays was compared with three possible improvements: one based on lowering the curing temperature of the lower layer, one based on chemical activation and one based on an additional plasma activation step. The lower curing temperature process was found to yield a 7.5-fold improved lifetime compared with the state of the art process. Also, the leak impedances found after soak testing are an order of magnitude higher compared to the standard process. By improving the lifetime and insulation impedance of polyimide insulation with one order of magnitude, this work increases the applicability of polyimide in chronic thin film neural implants considerably.

  4. REM (relative element magnitude): program explanation and computer program listing

    USGS Publications Warehouse

    VanTrump, George; Alminas, Henry V.

    1978-01-01

    The REM (relative element magnitude) program is designed as an aid in the characterization of geochemical anomalies. The program ranks the magnitudes of anomalies of individual elements within a multielement geochemical anomaly.

  5. Exploring the relationship between the magnitudes of seismic events

    NASA Astrophysics Data System (ADS)

    Spassiani, Ilaria; Sebastiani, Giovanni

    2016-02-01

    The distribution of the magnitudes of seismic events is generally assumed to be independent on past seismicity. However, by considering events in causal relation, for example, mother-daughter, it seems natural to assume that the magnitude of a daughter event is conditionally dependent on one of the corresponding mother events. In order to find experimental evidence supporting this hypothesis, we analyze different catalogs, both real and simulated, in two different ways. From each catalog, we obtain the law of the magnitude of the triggered events by kernel density. The results obtained show that the distribution density of the magnitude of the triggered events varies with the magnitude of their corresponding mother events. As the intuition suggests, an increase of the magnitude of the mother events induces an increase of the probability of having "high" values of the magnitude of the triggered events. In addition, we see a statistically significant increasing linear dependence of the magnitude means.

  6. [Craniofacial augmentation with porous polyethylene implants (Medpor: first clinical results].

    PubMed

    Gosau, M; Schiel, S; Draenert, G F; Ihrler, S; Mast, G; Ehrenfeld, M

    2006-05-01

    Porous polyethylene (Medpor) is an alloplastic material commonly used in craniofacial reconstruction. We report about our first clinical experiences with Medpor for facial augmentation procedures. We treated 27 patients between 2001 and 2005 (11 female, 16 male) with 48 Medpor-implants. The indications for application of porous polyethylene implants in our clinic were congenital malformations (15), post-traumatic defects (10), and reconstructions after tumor resection (2). The implants were used for nasal/paranasal augmentations (16), for zygomatico-orbital augmentations (18), and for augmentations of the chin and malar region (11). The procedures were performed in a standardized manner. We used prefabricated, self-contoured implants and fixed them subperiosteally with titanium osteosynthesis screws. All operations were performed under general anesthesia. We evaluated the aesthetic results and the ingrowth behavior clinically and histologically. We achieved good aesthetic results and the patients showed no signs of discomfort or rejection. Four patients required a second intervention. These revision surgeries included two cases of local infections and two for aesthetic contouring. The necessary reduction of the implants allowed the harvesting of tissue and implant samples for microscopy. Porous polyethylene implants showed a good fibrovascular integration without encapsulation under the light microscope. Giant cells were detected on the surface of the implants. Besides this there was evidence for resorption of the implant material. Fixation with titanium screws is very effective. No implant dislocation or implant fracture occurred. The implants showed high volume stability and were easily handled and contoured. It is not possible to visualize Medpor implants with current imaging techniques, because polyethylene shows no contrast.

  7. Cochlear implantation in older adults.

    PubMed

    Lin, Frank R; Chien, Wade W; Li, Lingsheng; Clarrett, Danisa M; Niparko, John K; Francis, Howard W

    2012-09-01

    Cochlear implants allow individuals with severe to profound hearing loss access to sound and spoken language. The number of older adults in the United States who are potential candidates for cochlear implantation (CI) is approximately 150,000 and will continue to increase with the aging of the population. Should CI be routinely recommended for these older adults, and do these individuals benefit from CI? We reviewed our 12-year experience with CI in adults aged ≥60 years (n = 445) at Johns Hopkins Medical Institutions to investigate the impact of CI on speech understanding and to identify factors associated with speech performance. Complete data on speech outcomes at baseline and 1 year post-CI were available for 83 individuals. Our results demonstrate that CI in adults aged ≥60 years consistently improved speech understanding scores, with a mean increase of 60.0% (SD 24.1) on HINT (Hearing in Noise Test) sentences in quiet. The magnitude of the gain in speech scores was negatively associated with age at implantation, such that for every increasing year of age at CI the gain in speech scores was 1.3 percentage points less (95% confidence interval [95% CI], 0.6-1.9) after adjusting for age at hearing loss onset. Conversely, individuals with higher pre-CI speech scores (HINT scores between 40% and 60%) had significantly greater post-CI speech scores by a mean of 10.0 percentage points (95% CI, 0.4-19.6) than those with lower pre-CI speech scores (HINT <40%) after adjusting for age at CI and age at hearing loss onset. These results suggest that older adult CI candidates who are younger at implantation and with higher preoperative speech scores obtain the highest speech understanding scores after CI, with possible implications for current United States Medicare policy. Finally, we provide an extended discussion of the epidemiology and impact of hearing loss in older adults. Future research of CI in older adults should expand beyond simple speech outcomes to take

  8. Symbolic Magnitude Modulates Perceptual Strength in Binocular Rivalry

    ERIC Educational Resources Information Center

    Paffen, Chris L. E.; Plukaard, Sarah; Kanai, Ryota

    2011-01-01

    Basic aspects of magnitude (such as luminance contrast) are directly represented by sensory representations in early visual areas. However, it is unclear how symbolic magnitudes (such as Arabic numerals) are represented in the brain. Here we show that symbolic magnitude affects binocular rivalry: perceptual dominance of numbers and objects of…

  9. 48 CFR 1852.236-74 - Magnitude of requirement.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 6 2013-10-01 2013-10-01 false Magnitude of requirement... 1852.236-74 Magnitude of requirement. As prescribed in 1836.570(d), insert the following provision: Magnitude of Requirement (DEC 1988) The Government estimated price range of this project is...

  10. Numerical Magnitude Processing in Children with Mild Intellectual Disabilities

    ERIC Educational Resources Information Center

    Brankaer, Carmen; Ghesquiere, Pol; De Smedt, Bert

    2011-01-01

    The present study investigated numerical magnitude processing in children with mild intellectual disabilities (MID) and examined whether these children have difficulties in the ability to represent numerical magnitudes and/or difficulties in the ability to access numerical magnitudes from formal symbols. We compared the performance of 26 children…

  11. 48 CFR 1852.236-74 - Magnitude of requirement.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 6 2010-10-01 2010-10-01 true Magnitude of requirement... 1852.236-74 Magnitude of requirement. As prescribed in 1836.570(d), insert the following provision: Magnitude of Requirement (DEC 1988) The Government estimated price range of this project is...

  12. 48 CFR 1852.236-74 - Magnitude of requirement.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 6 2014-10-01 2014-10-01 false Magnitude of requirement... 1852.236-74 Magnitude of requirement. As prescribed in 1836.570(d), insert the following provision: Magnitude of Requirement (DEC 1988) The Government estimated price range of this project is...

  13. 48 CFR 1852.236-74 - Magnitude of requirement.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 6 2011-10-01 2011-10-01 false Magnitude of requirement... 1852.236-74 Magnitude of requirement. As prescribed in 1836.570(d), insert the following provision: Magnitude of Requirement (DEC 1988) The Government estimated price range of this project is...

  14. 48 CFR 1852.236-74 - Magnitude of requirement.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 6 2012-10-01 2012-10-01 false Magnitude of requirement... 1852.236-74 Magnitude of requirement. As prescribed in 1836.570(d), insert the following provision: Magnitude of Requirement (DEC 1988) The Government estimated price range of this project is...

  15. Sign-And-Magnitude Up/Down Counter

    NASA Technical Reports Server (NTRS)

    Cole, Steven W.

    1991-01-01

    Magnitude-and-sign counter includes conventional up/down counter for magnitude part and special additional circuitry for sign part. Negative numbers indicated more directly. Counter implemented by programming erasable programmable logic device (EPLD) or programmable logic array (PLA). Used in place of conventional up/down counter to provide sign and magnitude values directly to other circuits.

  16. Sign-And-Magnitude Up/Down Counter

    NASA Technical Reports Server (NTRS)

    Cole, Steven W.

    1991-01-01

    Magnitude-and-sign counter includes conventional up/down counter for magnitude part and special additional circuitry for sign part. Negative numbers indicated more directly. Counter implemented by programming erasable programmable logic device (EPLD) or programmable logic array (PLA). Used in place of conventional up/down counter to provide sign and magnitude values directly to other circuits.

  17. Numerical Magnitude Processing in Children with Mild Intellectual Disabilities

    ERIC Educational Resources Information Center

    Brankaer, Carmen; Ghesquiere, Pol; De Smedt, Bert

    2011-01-01

    The present study investigated numerical magnitude processing in children with mild intellectual disabilities (MID) and examined whether these children have difficulties in the ability to represent numerical magnitudes and/or difficulties in the ability to access numerical magnitudes from formal symbols. We compared the performance of 26 children…

  18. Functional shape of the earthquake frequency-magnitude distribution and completeness magnitude

    NASA Astrophysics Data System (ADS)

    Mignan, A.

    2012-08-01

    We investigated the functional shape of the earthquake frequency-magnitude distribution (FMD) to identify its dependence on the completeness magnitude Mc. The FMD takes the form N(m) ∝ exp(-βm)q(m) where N(m) is the event number, m the magnitude, exp(-βm) the Gutenberg-Richter law and q(m) a detection function. q(m) is commonly defined as the cumulative Normal distribution to describe the gradual curvature of bulk FMDs. Recent results however suggest that this gradual curvature is due to Mc heterogeneities, meaning that the functional shape of the elemental FMD has yet to be described. We propose a detection function of the form q(m) = exp(κ(m - Mc)) for m < Mc and q(m) = 1 for m ≥ Mc, which leads to an FMD of angular shape. The two FMD models are compared in earthquake catalogs from Southern California and Nevada and in synthetic catalogs. We show that the angular FMD model better describes the elemental FMD and that the sum of elemental angular FMDs leads to the gradually curved bulk FMD. We propose an FMD shape ontology consisting of 5 categories depending on the Mc spatial distribution, from Mc constant to Mc highly heterogeneous: (I) Angular FMD, (II) Intermediary FMD, (III) Intermediary FMD with multiple maxima, (IV) Gradually curved FMD and (V) Gradually curved FMD with multiple maxima. We also demonstrate that the gradually curved FMD model overestimates Mc. This study provides new insights into earthquake detectability properties by using seismicity as a proxy and the means to accurately estimate Mc in any given volume.

  19. Is 26 + 26 smaller than 24 + 28? Estimating the approximate magnitude of repeated versus different numbers.

    PubMed

    Charras, Pom; Brod, Garvin; Lupiáñez, Juan

    2012-01-01

    It has recently been suggested that regardless of the dimension at hand (i.e., numerosity, length, time), similar operational mechanisms are involved in the comparison process based on approximate magnitude representation. One piece of evidence for this hypothesis lies in the presence of similar behavioral effects for any comparison (i.e., the distance effect). In the case of length comparison, the comparison process can be biased by summation toward either an underestimation or an overestimation: The sum of equal-size stimuli is underestimated, whereas the sum of different-size stimuli is overestimated. Relying on the hypothesis that similar operational mechanisms underlie the comparison process of any magnitude, we aim at extending these findings to another magnitude dimension. A number comparison task with digit numbers was used in the two experiments reported presently. The objective was to investigate whether summation also biases magnitude representation of numerical and symbolic information. The results provided evidence that the summation bias can also apply to numerical magnitude comparison, since the sum of repeated numbers (26 + 26) was underestimated whereas the sum of different numbers (24 + 28) was overestimated. We propose that these effects could be accounted for by a heuristic linking cognitive effort and magnitude estimation.

  20. Peri-implant mucositis and peri-implantitis: bacterial infection.

    PubMed

    Khammissa, R A G; Feller, L; Meyerov, R; Lemmer, J

    2012-03-01

    Osseointegrated dental implants have a ong-term success rate of over 90%, but may be threatened by peri-implant mucostis and peri-implantitis, bacteria biofilm-induced inflammatory conditions. While peri-implant mucositis is a reversible inflammatory condition confined to the peri-implant soft-tissue unit, peri-implantitis is characterised by progressive inflammatory destruction of the crest of the alveolar bone supporting the implant, by increased peri-implant probing depths, and by bleeding and/or suppuration on probing. Effective treatment of peri-implant mucositis will prevent the development of peri-implantitis. Plaque accumulation on the implant/abutment surface juxtaposed to the junctional epithelium and to the connective tissue zone of the peri-implant soft-tissue unit induces the development of peri-implant mucositis which can subsequently progress to peri-implantitis. The aim of this paper is to review some aspects of bacterial infection of the tissue supporting dental implants, and to explore how to maintain the healthy peri-implant soft-tissue unit.

  1. [Extra-oral implants: principal areas of implantation].

    PubMed

    Badie-Modiri, B; Kaplanski, P

    2001-08-01

    The success of extra-oral implants raises a certain number of technical and medical problems. Among these, the anatomy of the implant zone and bone quality are determining factors for osteointegration of the implants. We describe the principal zones of implantation detailing the risks involved in each area.

  2. Development of an Empirical Local Magnitude Formula for Northern Oklahoma

    NASA Astrophysics Data System (ADS)

    Spriggs, N.; Karimi, S.; Moores, A. O.

    2015-12-01

    In this paper we focus on determining a local magnitude formula for northern Oklahoma that is unbiased with distance by empirically constraining the attenuation properties within the region of interest based on the amplitude of observed seismograms. For regional networks detecting events over several hundred kilometres, distance correction terms play an important role in determining the magnitude of an event. Standard distance correction terms such as Hutton and Boore (1987) may have a significant bias with distance if applied in a region with different attenuation properties, resulting in an incorrect magnitude. We have presented data from a regional network of broadband seismometers installed in bedrock in northern Oklahoma. The events with magnitude in the range of 2.0 and 4.5, distributed evenly across this network are considered. We find that existing models show a bias with respect to hypocentral distance. Observed amplitude measurements demonstrate that there is a significant Moho bounce effect that mandates the use of a trilinear attenuation model in order to avoid bias in the distance correction terms. We present two different approaches of local magnitude calibration. The first maintains the classic definition of local magnitude as proposed by Richter. The second method calibrates local magnitude so that it agrees with moment magnitude where a regional moment tensor can be computed. To this end, regional moment tensor solutions and moment magnitudes are computed for events with magnitude larger than 3.5 to allow calibration of local magnitude to moment magnitude. For both methods the new formula results in magnitudes systematically lower than previous values computed with Eaton's (1992) model. We compare the resulting magnitudes and discuss the benefits and drawbacks of each method. Our results highlight the importance of correct calibration of the distance correction terms for accurate local magnitude assessment in regional networks.

  3. Plasma immersion ion implantation for reducing metal ion release

    NASA Astrophysics Data System (ADS)

    Díaz, C.; García, J. A.; Mändl, S.; Pereiro, R.; Fernández, B.; Rodríguez, R. J.

    2012-11-01

    Plasma immersion ion implantation of Nitrogen and Oxygen on CoCrMo alloys was carried out to improve the tribological and corrosion behaviors of these biomedical alloys. In order to optimize the implantation results we were carried experiments at different temperatures. Tribocorrosion tests in bovine serum were used to measure Co, Cr and Mo releasing by using Inductively Coupled Plasma Mass Spectrometry analysis after tests. Also, X-ray Diffraction analysis were employed in order to explain any obtained difference in wear rate and corrosion tests. Wear tests reveals important decreases in rate of more than one order of magnitude for the best treatment. Moreover decreases in metal release were found for all the implanted samples, preserving the same corrosion resistance of the unimplanted samples. Finally this paper gathers an analysis, in terms of implantation parameters and achieved properties for industrial implementation of these treatments.

  4. Plasma immersion ion implantation for reducing metal ion release

    SciTech Connect

    Diaz, C.; Garcia, J. A.; Maendl, S.; Pereiro, R.; Fernandez, B.; Rodriguez, R. J.

    2012-11-06

    Plasma immersion ion implantation of Nitrogen and Oxygen on CoCrMo alloys was carried out to improve the tribological and corrosion behaviors of these biomedical alloys. In order to optimize the implantation results we were carried experiments at different temperatures. Tribocorrosion tests in bovine serum were used to measure Co, Cr and Mo releasing by using Inductively Coupled Plasma Mass Spectrometry analysis after tests. Also, X-ray Diffraction analysis were employed in order to explain any obtained difference in wear rate and corrosion tests. Wear tests reveals important decreases in rate of more than one order of magnitude for the best treatment. Moreover decreases in metal release were found for all the implanted samples, preserving the same corrosion resistance of the unimplanted samples. Finally this paper gathers an analysis, in terms of implantation parameters and achieved properties for industrial implementation of these treatments.

  5. Dental Implant Systems

    PubMed Central

    Oshida, Yoshiki; Tuna, Elif B.; Aktören, Oya; Gençay, Koray

    2010-01-01

    Among various dental materials and their successful applications, a dental implant is a good example of the integrated system of science and technology involved in multiple disciplines including surface chemistry and physics, biomechanics, from macro-scale to nano-scale manufacturing technologies and surface engineering. As many other dental materials and devices, there are crucial requirements taken upon on dental implants systems, since surface of dental implants is directly in contact with vital hard/soft tissue and is subjected to chemical as well as mechanical bio-environments. Such requirements should, at least, include biological compatibility, mechanical compatibility, and morphological compatibility to surrounding vital tissues. In this review, based on carefully selected about 500 published articles, these requirements plus MRI compatibility are firstly reviewed, followed by surface texturing methods in details. Normally dental implants are placed to lost tooth/teeth location(s) in adult patients whose skeleton and bony growth have already completed. However, there are some controversial issues for placing dental implants in growing patients. This point has been, in most of dental articles, overlooked. This review, therefore, throws a deliberate sight on this point. Concluding this review, we are proposing a novel implant system that integrates materials science and up-dated surface technology to improve dental implant systems exhibiting bio- and mechano-functionalities. PMID:20480036

  6. Single implant tooth replacement.

    PubMed

    Briley, T F

    1998-01-01

    It has been shown that direct bone anchorage of dental implants will provide long-term predictability for single tooth implants and multi-unit implants. The function of implant-supported restoration is now routinely achieved. The real challenge facing the restorative dentist and laboratory technician is to achieve optimal aesthetics. The learning objective of this article is to review the prosthodontic procedures essential to maximizing natural aesthetics in implant supported restorations. It will provide a review of master impression techniques, prepable titanium abutments and designing the cement on restoration. Particular emphasis is directed to the soft tissue model from which a series of sequenced techniques can be followed to achieve optimal aesthetics. Analysis of the implant alignment with regard to the neighboring teeth will result in having to make a choice of which prepable abutment will maximize the aesthetic result. The following case outlines how to replace a single missing tooth using an externally hexed implant system and a prefabricated titanium abutment on a 26-year-old male patient.

  7. Boron implanted strontium titanate

    NASA Astrophysics Data System (ADS)

    Cooper, C. J. M.

    Single crystals of strontium titanate implanted with boron were found to have highly conductive surface layers. The effects of varying dose from 10 to the 16th power to 10 to the 17th power ions/sq cm, implantation voltage from 50 to 175 keV and annealing conditions on the room temperature surface resistance and Hall mobility are presented. Variation of the implantation voltage did not have a major effect on the sheet resistances obtained by boron implantation of strontium titanate, while dose and annealing conditions have major effects. Doses of 5 x 10 to the 16th power ions/sq cm required annealing on the order of one hour at 500 K for maximum reduction of the room temperature resistance in the implanted layer. Samples implanted with a dose of 1 x 10 to the 17th power ions/sq cm required slightly higher temperatures (approximately 575 K) to obtain a minimum resistance at room temperature. Long term (several weeks) room temperature annealing was found to occur in high dose samples. After one to two months at room temperature followed by an anneal to 575 K, the surface resistances were found to be lower than those produced by the annealing of a freshly implanted sample to 575 K.

  8. Effect of cochlear implantation on middle ear function: A three-month prospective study.

    PubMed

    Wasson, Joseph D; Campbell, Luke; Chambers, Scott; Hampson, Amy; Briggs, Robert J S; O'Leary, Stephen J

    2017-10-08

    To determine if cochlear implantation has a delayed effect on the middle ear conductive hearing mechanism by measuring laser Doppler vibrometry (LDV) of the tympanic membrane (TM) in both implanted and contralateral control ears preoperatively and 3 months postoperatively, and then comparing the relative change in LDV outcome measures between implanted and control ears. Prospective cohort study. Eleven preoperative adult unilateral cochlear implant recipients in previously unoperated ears with normal anatomy and aerated temporal bones were included in this study. The magnitude and phase angle of umbo velocity transfer function in response to air- conduction (AC) stimulus, and the magnitude of umbo velocity in response to bone- conduction (BC) stimulus were measured in the implant ear and the contralateral control ear preoperatively and 3 months postoperatively and compared. No significant changes in the magnitude or phase angle of TM velocity in response to either AC or BC stimulus were observed in the implanted ear relative to the contralateral control ear 3 months following cochlear implantation. From the results of LDV measurements, it can be said that cochlear implantation has no significant delayed effect on the middle ear conductive mechanism. 4 Laryngoscope, 2017. © 2017 The American Laryngological, Rhinological and Otological Society, Inc.

  9. Nanotechnology for dental implants.

    PubMed

    Tomsia, Antoni P; Lee, Janice S; Wegst, Ulrike G K; Saiz, Eduardo

    2013-01-01

    With the advent of nanotechnology, an opportunity exists for the engineering of new dental implant materials. Metallic dental implants have been successfully used for decades, but they have shortcomings related to osseointegration and mechanical properties that do not match those of bone. Absent the development of an entirely new class of materials, faster osseointegration of currently available dental implants can be accomplished by various surface modifications. To date, there is no consensus regarding the preferred method(s) of implant surface modification, and further development will be required before the ideal implant surface can be created, let alone become available for clinical use. Current approaches can generally be categorized into three areas: ceramic coatings, surface functionalization, and patterning on the micro- to nanoscale. The distinctions among these are imprecise, as some or all of these approaches can be combined to improve in vivo implant performance. These surface improvements have resulted in durable implants with a high percentage of success and long-term function. Nanotechnology has provided another set of opportunities for the manipulation of implant surfaces in its capacity to mimic the surface topography formed by extracellular matrix components of natural tissue. The possibilities introduced by nanotechnology now permit the tailoring of implant chemistry and structure with an unprecedented degree of control. For the first time, tools are available that can be used to manipulate the physicochemical environment and monitor key cellular events at the molecular level. These new tools and capabilities will result in faster bone formation, reduced healing time, and rapid recovery to function.

  10. Correlation between MRI results and intraoperative findings in patients with silicone breast implants

    PubMed Central

    Lindenblatt, Nicole; El-Rabadi, Karem; Helbich, Thomas H; Czembirek, Heinrich; Deutinger, Maria; Benditte-Klepetko, Heike

    2014-01-01

    Background Silicone gel breast implants may silently rupture without detection. This has been the main reason for magnetic resonance imaging (MRI) of the augmented or reconstructed breast. The aim of the present study was to investigate the accuracy of MRI for implant rupture. Methods Fifty consecutive patients with 85 silicone gel implants were included in the study. The mean age of the patients was 51 (range 21–72) years, with a mean duration of implantation of 3.8 (range 1–28) years. All patients underwent clinical examination and breast MRI. Intraoperative implant rupture was diagnosed by the operating surgeon. Results Nineteen of the 50 patients suffered from clinical symptoms. An implant rupture was diagnosed by MRI in 22 of 85 implants (26%). In seven of 17 removed implants (41%), the intraoperative diagnosis corresponded with the positive MRI result. However, only 57% of these patients were symptomatic. Ultrasound imaging of the harvested implants showed signs of interrupted inner layers of the implant despite integrity of the outer shell. By microsurgical separation of the different layers of the implant shell, we were able to reproduce this phenomenon and to produce signs of implant rupture on MRI. Conclusion Our results show that rupture of only the inner layers of the implant shell with integrity of the outer shell leads to a misdiagnosis on MRI. Correlation with clinical symptoms and the specific wishes of the patient should guide the indication for implant removal. PMID:25114595

  11. Electrochemical Disinfection of Dental Implants – a Proof of Concept

    PubMed Central

    Mohn, Dirk; Zehnder, Matthias; Stark, Wendelin J.; Imfeld, Thomas

    2011-01-01

    Background Peri-implantitis has gained significant clinical attention in recent years. This disease is an inflammatory reaction to microorganisms around dental implants. Due to the limited accessibility, non-invasive antimicrobial strategies are of high interest. An unexpected approach to implant disinfection may evolve from electrolysis. Given the electrical conductivity of titanium implants, alkalinity or active oxidants can be generated in body fluids. We investigated the use of dental titanium implants as electrodes for the local generation of disinfectants. Our hypothesis was that electrolysis can reduce viable counts of adhering bacteria, and that this reduction should be greater if active oxidative species are generated. Methodology/Principal Findings As model systems, dental implants, covered with a mono-species biofilm of Escherichia coli C43, were placed in photographic gelatin prepared with physiological saline. Implants were treated by a continuous current of 0 - 10 mA for 15 minutes. The reduction of viable counts was investigated on cathodes and anodes. In separate experiments, the local change in pH was visualized using color indicators embedded in the gelatin. Oxidative species were qualitatively detected by potassium iodide-starch paper. The in situ generated alkaline environment around cathodic implants caused a reduction of up to 2 orders of magnitude in viable E. coli counts. On anodic implants, in contrast to cathodic counterparts, oxidative species were detected. Here, a current of merely 7.5 mA caused complete kill of the bacteria. Conclusions/Significance This laboratory study shows that electrochemical treatment may provide access to a new way to decontaminate dental implants in situ. PMID:21264247

  12. Electrochemical disinfection of dental implants--a proof of concept.

    PubMed

    Mohn, Dirk; Zehnder, Matthias; Stark, Wendelin J; Imfeld, Thomas

    2011-01-14

    Peri-implantitis has gained significant clinical attention in recent years. This disease is an inflammatory reaction to microorganisms around dental implants. Due to the limited accessibility, non-invasive antimicrobial strategies are of high interest. An unexpected approach to implant disinfection may evolve from electrolysis. Given the electrical conductivity of titanium implants, alkalinity or active oxidants can be generated in body fluids. We investigated the use of dental titanium implants as electrodes for the local generation of disinfectants. Our hypothesis was that electrolysis can reduce viable counts of adhering bacteria, and that this reduction should be greater if active oxidative species are generated. As model systems, dental implants, covered with a mono-species biofilm of Escherichia coli C43, were placed in photographic gelatin prepared with physiological saline. Implants were treated by a continuous current of 0-10 mA for 15 minutes. The reduction of viable counts was investigated on cathodes and anodes. In separate experiments, the local change in pH was visualized using color indicators embedded in the gelatin. Oxidative species were qualitatively detected by potassium iodide-starch paper. The in situ generated alkaline environment around cathodic implants caused a reduction of up to 2 orders of magnitude in viable E. coli counts. On anodic implants, in contrast to cathodic counterparts, oxidative species were detected. Here, a current of merely 7.5 mA caused complete kill of the bacteria. This laboratory study shows that electrochemical treatment may provide access to a new way to decontaminate dental implants in situ.

  13. Biomedical implantable microelectronics.

    PubMed

    Meindl, J D

    1980-10-17

    Innovative applications of microelectronics in new biomedical implantable instruments offer a singular opportunity for advances in medical research and practice because of two salient factors: (i) beyond all other types of biomedical instruments, implants exploit fully the inherent technical advantages--complex functional capability, high reliability, lower power drain, small size and weight-of microelectronics, and (ii) implants bring microelectronics into intimate association with biological systems. The combination of these two factors enables otherwise impossible new experiments to be conducted and new paostheses developed that will improve the quality of human life.

  14. Transcatheter aortic valve implantation.

    PubMed

    Oliemy, Ahmed; Al-Attar, Nawwar

    2014-01-01

    Transcatheter aortic valve implantation was developed to offer a therapeutic solution to patients with severe symptomatic aortic stenosis who are not candidates for conventional aortic valve replacement. The improvement in transcatheter aortic valve implantation outcomes is still of concern in the areas of stroke, vascular injury, heart block, paravalvular regurgitation and valve durability. Concomitantly, the progress, both technical and in terms of material advances of transcatheter valve systems, as well as in patient selection, renders transcatheter aortic valve implantation an increasingly viable treatment for more and more patients with structural heart disease.

  15. Mastication improvement after partial implant-supported prosthesis use.

    PubMed

    Gonçalves, T M S V; Campos, C H; Gonçalves, G M; de Moraes, M; Rodrigues Garcia, R C M

    2013-12-01

    Partially edentulous patients may be rehabilitated by the placement of removable dental prostheses, implant-supported removable dental prostheses, or partial implant fixed dental prostheses. However, it is unclear the impact of each prosthesis type over the masticatory aspects, which represents the objective of this paired clinical trial. Twelve patients sequentially received and used each of these 3 prosthesis types for 2 months, after which maximum bite force was assessed by a strain sensor and food comminution index was determined with the sieving method. Masseter and temporal muscle thicknesses during rest and maximal clenching were also evaluated by ultrasonography. Each maxillary arch received a new complete denture that was used throughout the study. Data were analyzed by analysis of variance for repeated measures, followed by the Tukey test (p < .05). Maximum bite force and food comminution index increased (p < .0001) after implant-supported dental prosthesis and implant fixed dental prosthesis use, with the higher improvement found after the latter's use. Regardless of implant-retained prosthesis type, masseter muscle thickness during maximal clenching also increased (p < .05) after implant insertion. Partial implant-supported prostheses significantly improved masseter muscle thickness and mastication, and the magnitude of this effect was related to prosthesis type.

  16. Mastication Improvement After Partial Implant-supported Prosthesis Use

    PubMed Central

    Gonçalves, T.M.S.V.; Campos, C.H.; Gonçalves, G.M.; de Moraes, M.; Rodrigues Garcia, R.C.M.

    2013-01-01

    Partially edentulous patients may be rehabilitated by the placement of removable dental prostheses, implant-supported removable dental prostheses, or partial implant fixed dental prostheses. However, it is unclear the impact of each prosthesis type over the masticatory aspects, which represents the objective of this paired clinical trial. Twelve patients sequentially received and used each of these 3 prosthesis types for 2 months, after which maximum bite force was assessed by a strain sensor and food comminution index was determined with the sieving method. Masseter and temporal muscle thicknesses during rest and maximal clenching were also evaluated by ultrasonography. Each maxillary arch received a new complete denture that was used throughout the study. Data were analyzed by analysis of variance for repeated measures, followed by the Tukey test (p < .05). Maximum bite force and food comminution index increased (p < .0001) after implant-supported dental prosthesis and implant fixed dental prosthesis use, with the higher improvement found after the latter’s use. Regardless of implant-retained prosthesis type, masseter muscle thickness during maximal clenching also increased (p < .05) after implant insertion. Partial implant-supported prostheses significantly improved masseter muscle thickness and mastication, and the magnitude of this effect was related to prosthesis type (International Clinical Trial Registration RBR-9J26XD). PMID:24158344

  17. Automated dental implantation using image-guided robotics: registration results.

    PubMed

    Sun, Xiaoyan; McKenzie, Frederic D; Bawab, Sebastian; Li, Jiang; Yoon, Yongki; Huang, Jen-K

    2011-09-01

    One of the most important factors affecting the outcome of dental implantation is the accurate insertion of the implant into the patient's jaw bone, which requires a high degree of anatomical accuracy. With the accuracy and stability of robots, image-guided robotics is expected to provide more reliable and successful outcomes for dental implantation. Here, we proposed the use of a robot for drilling the implant site in preparation for the insertion of the implant. An image-guided robotic system for automated dental implantation is described in this paper. Patient-specific 3D models are reconstructed from preoperative Cone-beam CT images, and implantation planning is performed with these virtual models. A two-step registration procedure is applied to transform the preoperative plan of the implant insertion into intra-operative operations of the robot with the help of a Coordinate Measurement Machine (CMM). Experiments are carried out with a phantom that is generated from the patient-specific 3D model. Fiducial Registration Error (FRE) and Target Registration Error (TRE) values are calculated to evaluate the accuracy of the registration procedure. FRE values are less than 0.30 mm. Final TRE values after the two-step registration are 1.42 ± 0.70 mm (N = 5). The registration results of an automated dental implantation system using image-guided robotics are reported in this paper. Phantom experiments show that the practice of robot in the dental implantation is feasible and the system accuracy is comparable to other similar systems for dental implantation.

  18. DEALING WITH DENTAL IMPLANT FAILURES

    PubMed Central

    Levin, Liran

    2008-01-01

    An implant-supported restoration offers a predictable treatment for tooth replacement. Reported success rates for dental implants are high. Nevertheless, failures that mandate immediate implant removal do occur. The consequences of implant removal jeopardize the clinician's efforts to accomplish satisfactory function and esthetics. For the patient, this usually involves further cost and additional procedures. The aim of this paper is to describe different methods and treatment modalities to deal with dental implant failure. The main topics for discussion include identifying the failing implant, implants replacing failed implants at the exact site, and the use of other restorative options. When an implant fails, a tailor made treatment plan should be provided to each patient according to all relevant variables. Patients should be informed regarding all possible treatment modalities following implant failure and give their consent to the most appropriate treatment option for them. PMID:19089213

  19. Dealing with dental implant failures.

    PubMed

    Levin, L

    2010-01-01

    An implant-supported restoration offers a predictable treatment for tooth replacement. Reported success rates for dental implants are high. Nevertheless, failures that mandate immediate implant removal do occur. The consequences of implant removal jeopardize the clinician's efforts to accomplish satisfactory function and esthetics. For the patient, this usually involves further cost and additional procedures. The aim of this paper is to describe different methods and treatment modalities to deal with dental implant failure. The main topics for discussion include identifying the failing implant, implants replacing failed implants at the exact site, and the use of other restorative options. When an implant fails, a tailor made treatment plan should be provided to each patient according to all relevant variables. Patients should be informed regarding all possible treatment modalities following implant failure and give their consent to the most appropriate treatment option for them.

  20. Dealing with dental implant failures.

    PubMed

    Levin, Liran

    2008-01-01

    An implant-supported restoration offers a predictable treatment for tooth replacement. Reported success rates for dental implants are high. Nevertheless, failures that mandate immediate implant removal do occur. The consequences of implant removal jeopardize the clinician's efforts to accomplish satisfactory function and esthetics. For the patient, this usually involves further cost and additional procedures. The aim of this paper is to describe different methods and treatment modalities to deal with dental implant failure. The main topics for discussion include identifying the failing implant, implants replacing failed implants at the exact site, and the use of other restorative options.When an implant fails, a tailor made treatment plan should be provided to each patient according to all relevant variables. Patients should be informed regarding all possible treatment modalities following implant failure and give their consent to the most appropriate treatment option for them.

  1. Dealing with dental implant failures.

    PubMed

    Levin, L

    2010-07-01

    An implant-supported restoration offers a predictable treatment for tooth replacement. Reported success rates for dental implants are high. Nevertheless, failures that mandate immediate implant removal do occur. The consequences of implant removal jeopardize the clinician's efforts to accomplish satisfactory function and esthetics. For the patient, this usually involves further cost and additional procedures. The aim of this paper is to describe different methods and treatment modalities to deal with dental implant failure. The main topics for discussion include identifying the failing implant, implants replacing failed implants at the exact site, and the use of other restorative options. When an implant fails, a tailor made treatment plan should be provided to each patient according to all relevant variables. Patients should be informed regarding all possible treatment modalities following implant failure and give their consent to the most appropriate treatment option for them.

  2. Stress magnitudes in the crust: constraints from stress orientation and relative magnitude data

    USGS Publications Warehouse

    Zoback, M.L.; Magee, M.

    1991-01-01

    The World Stress Map Project is a global cooperative effort to compile and interpret data on the orientation and relative magnitudes of the contemporary in situ tectonic stress field in the Earth's lithosphere. The intraplate stress field in both the oceans and continents is largely compressional with one or both of the horizontal stresses greater than the vertical stress. The regionally uniform horizontal intraplate stress orientations are generally consistent with either relative or absolute plate motions indicating that plate-boundary forces dominate the stress distribution within the plates. Current models of stresses due to whole mantle flow inferred from seismic topography models predict a general compressional stress state within continents but do not match the broad-scale horizontal stress orientations. The broad regionally uniform intraplate stress orientations are best correlated with compressional plate-boundary forces and the geometry of the plate boundaries. -from Authors

  3. The power of sound: miniaturized medical implants with ultrasonic links

    NASA Astrophysics Data System (ADS)

    Wang, Max L.; Chang, Ting Chia; Charthad, Jayant; Weber, Marcus J.; Arbabian, Amin

    2017-05-01

    Miniaturized wirelessly powered implants capable of operating and communicating deep in the body are necessary for the next-generation of diagnostics and therapeutics. A major challenge in developing these minimally invasive implants is the tradeoff between device size, functionality, and operating depth. Here, we review two different wireless powering methods, inductive and ultrasonic power transfer, examine how to analyze their power transfer efficiency, and evaluate their potential for powering implantable medical devices. In particular, we show how ultrasonic wireless power transfer can address these challenges due to its safety, low attenuation, and millimeter wavelengths in the body. Finally, we demonstrate two ultrasonically powered implants capable of active power harvesting and bidirectional communication for closed-loop operation while functioning through multiple centimeters of tissue.

  4. Anchors Aweigh: A Demonstration of Cross-Modality Anchoring and Magnitude Priming

    ERIC Educational Resources Information Center

    Oppenheimer, Daniel M.; LeBoeuf, Robyn A.; Brewer, Noel T.

    2008-01-01

    Research has shown that judgments tend to assimilate to irrelevant "anchors." We extend anchoring effects to show that anchors can even operate across modalities by, apparently, priming a general sense of magnitude that is not moored to any unit or scale. An initial study showed that participants drawing long "anchor" lines made higher numerical…

  5. Breast Reconstruction with Implants

    MedlinePlus

    ... removes your breast to treat or prevent breast cancer. One type of breast reconstruction uses breast implants — silicone devices filled with silicone gel or salt water (saline) — to reshape your breasts. Breast reconstruction ...

  6. Biocompatibility of surgical implants

    NASA Technical Reports Server (NTRS)

    Kaelble, D. H.

    1979-01-01

    Method of selecting biocompatible materials for surgical implants uses fracture mechanic relationships and surface energies of candidate materials in presence of blood plasma. Technique has been used to characterize 190 materials by parameters that reflect their biocompatibility.

  7. Biocompatibility of surgical implants

    NASA Technical Reports Server (NTRS)

    Kaelble, D. H.

    1979-01-01

    Method of selecting biocompatible materials for surgical implants uses fracture mechanic relationships and surface energies of candidate materials in presence of blood plasma. Technique has been used to characterize 190 materials by parameters that reflect their biocompatibility.

  8. Implantable Medical Devices

    MedlinePlus

    ... a Heart Attack Treatment of a Heart Attack Life After a Heart Attack Heart Failure About Heart Failure ... Attack Introduction Medications Surgical Procedures Implantable Medical Devices • Life After a Heart Attack • Heart Attack Tools & Resources • Support ...

  9. Urinary incontinence - injectable implant

    MedlinePlus

    Intrinsic sphincter deficiency repair; ISD repair; Injectable bulking agents for stress urinary incontinence ... Urine leakage that gets worse Pain where the injection was done Allergic reaction to the material Implant ...

  10. Superelastic Orthopedic Implant Coatings

    NASA Astrophysics Data System (ADS)

    Fournier, Eric; Devaney, Robert; Palmer, Matthew; Kramer, Joshua; El Khaja, Ragheb; Fonte, Matthew

    2014-07-01

    The demand for hip and knee replacement surgery is substantial and growing. Unfortunately, most joint replacement surgeries will fail within 10-25 years, thereby requiring an arduous, painful, and expensive revision surgery. To address this issue, a novel orthopedic implant coating material ("eXalt") has been developed. eXalt is comprised of super elastic nitinol wire that is knit into a three-dimensional spacer fabric structure. eXalt expands in vivo to conform to the implantation site and is porous to allow for bone ingrowth. The safety and efficacy of eXalt were evaluated through structural analysis, mechanical testing, and a rabbit implantation model. The results demonstrate that eXalt meets or exceeds the performance of current coating technologies with reduced micromotion, improved osseointegration, and stronger implant fixation in vivo.

  11. Breast reconstruction - implants

    MedlinePlus

    ... cosmetic surgery after breast cancer can improve your sense of well-being and your quality of life. Alternative Names Breast implants surgery References Roehl KR, Wilhelmi BJ, Phillips LG. Breast reconstruction. ...

  12. Developmental Foundations of Children’s Fraction Magnitude Knowledge

    PubMed Central

    Mou, Yi; Li, Yaoran; Hoard, Mary K.; Nugent, Lara D.; Chu, Felicia W.; Rouder, Jeffrey N.; Geary, David C.

    2016-01-01

    The conceptual insight that fractions represent magnitudes is a critical yet daunting step in children’s mathematical development, and the knowledge of fraction magnitudes influences children’s later mathematics learning including algebra. In this study, longitudinal data were analyzed to identify the mathematical knowledge and domain-general competencies that predicted 8th and 9th graders’ (n=122) knowledge of fraction magnitudes and its cross-grade gains. Performance on the fraction magnitude measures predicted 9th grade algebra achievement. Understanding and fluently identifying the numerator-denominator relation in 7th grade emerged as the key predictor of later fraction magnitudes knowledge in both 8th and 9th grades. Competence at using fraction procedures, knowledge of whole number magnitudes, and the central executive contributed to 9th but not 8th graders’ fraction magnitude knowledge, and knowledge of whole number magnitude contributed to cross-grade gains. The key results suggest fluent processing of numerator-denominator relations presages students’ understanding of fractions as magnitudes and that the integration of whole number and fraction magnitudes occurs gradually. PMID:27773965

  13. Comparison enhances size sensitivity: neural correlates of outcome magnitude processing.

    PubMed

    Luo, Qiuling; Qu, Chen

    2013-01-01

    Magnitude is a critical feature of outcomes. In the present study, two event-related potential (ERP) experiments were implemented to explore the neural substrates of outcome magnitude processing. In Experiment 1, we used an adapted gambling paradigm where physical area symbols were set to represent potential relative outcome magnitudes in order to exclude the possibility that the participants would be ignorant of the magnitudes. The context was manipulated as total monetary amount: ¥4 and ¥40. In these two contexts, the relative outcome magnitudes were ¥1 versus ¥3, and ¥10 versus ¥30, respectively. Experiment 2, which provided two area symbols with similar outcome magnitudes, was conducted to exclude the possible interpretation of physical area symbol for magnitude effect of feedback-related negativity (FRN) in Experiment 1. Our results showed that FRN responded to the relative outcome magnitude but not to the context or area symbol, with larger amplitudes for relatively small outcomes. A larger FRN effect (the difference between losses and wins) was found for relatively large outcomes than relatively small outcomes. Relatively large outcomes evoked greater positive ERP waves (P300) than relatively small outcomes. Furthermore, relatively large outcomes in a high amount context elicited a larger P300 than those in a low amount context. The current study indicated that FRN is sensitive to variations in magnitude. Moreover, relative magnitude was integrated in both the early and late stages of feedback processing, while the monetary amount context was processed only in the late stage of feedback processing.

  14. Improvement of device isolation using field implantation for GaN MOSFETs

    NASA Astrophysics Data System (ADS)

    Jiang, Ying; Wang, Qingpeng; Zhang, Fuzhe; Li, Liuan; Shinkai, Satoko; Wang, Dejun; Ao, Jin-Ping

    2016-03-01

    Gallium nitride (GaN) metal-oxide-semiconductor field-effect transistors (MOSFETs) with boron field implantation isolation and mesa isolation were fabricated and characterized. The process of boron field implantation was altered and subsequently conducted after performing high-temperature ohmic annealing and gate oxide thermal treatment. Implanted regions with high resistivity were achieved. The circular MOSFET fabricated in the implanted region showed an extremely low current of 6.5 × 10-12 A under a gate voltage value up to 10 V, thus demonstrating that the parasitic MOSFET in the isolation region was eliminated by boron field implantation. The off-state drain current of the rectangular MOSFET with boron field implantation was 5.5 × 10-11 A, which was only one order of magnitude higher than the 6.6 × 10-12 A of the circular device. By contrast, the rectangular MOSFET with mesa isolation presented an off-state drain current of 3.2 × 10-9 A. The field isolation for GaN MOSFETs was achieved by using boron field implantation. The implantation did not reduce the field-effect mobility. The isolation structure of both mesa and implantation did not influence the subthreshold swing, whereas the isolation structure of only the implantation increased the subthreshold swing. The breakdown voltage of the implanted region with 5 μm spacing was up to 901.5 V.

  15. Friction coefficient and effective interference at the implant-bone interface.

    PubMed

    Damm, Niklas B; Morlock, Michael M; Bishop, Nicholas E

    2015-09-18

    Although the contact pressure increases during implantation of a wedge-shaped implant, friction coefficients tend to be measured under constant contact pressure, as endorsed in standard procedures. Abrasion and plastic deformation of the bone during implantation are rarely reported, although they define the effective interference, by reducing the nominal interference between implant and bone cavity. In this study radial forces were analysed during simulated implantation and explantation of angled porous and polished implant surfaces against trabecular bone specimens, to determine the corresponding friction coefficients. Permanent deformation was also analysed to determine the effective interference after implantation. For the most porous surface tested, the friction coefficient initially increased with increasing normal contact stress during implantation and then decreased at higher contact stresses. For a less porous surface, the friction coefficient increased continually with normal contact stress during implantation but did not reach the peak magnitude measured for the rougher surface. Friction coefficients for the polished surface were independent of normal contact stress and much lower than for the porous surfaces. Friction coefficients were slightly lower for pull-out than for push-in for the porous surfaces but not for the polished surface. The effective interference was as little as 30% of the nominal interference for the porous surfaces. The determined variation in friction coefficient with radial contact force, as well as the loss of interference during implantation will enable a more accurate representation of implant press-fitting for simulations. Copyright © 2015 Elsevier Ltd. All rights reserved.

  16. The cochlear implant as a tinnitus treatment.

    PubMed

    Vallés-Varela, Héctor; Royo-López, Juan; Carmen-Sampériz, Luis; Sebastián-Cortés, José M; Alfonso-Collado, Ignacio

    2013-01-01

    Tinnitus is a symptom of high prevalence in patients with cochlear pathology. We studied the evolution of tinnitus in patients undergoing unilateral cochlear implantation for treatment of profound hearing loss. This was a longitudinal, retrospective study of patients that underwent unilateral cochlear implantation and who had bilateral tinnitus. Tinnitus was assessed quantitatively and qualitatively before surgery and at 6 and 12 months after surgery. We evaluated 20 patients that underwent unilateral cochlear implantation with a Nucleus(®) CI24RE Contour Advance™ electrode device. During the periods in which the device was in operation, improvement or disappearance of tinnitus was evidenced in the ipsilateral ear in 65% of patients, and in the contralateral ear, in 50%. In periods in which the device was disconnected, improvement or disappearance of tinnitus was found in the ipsilateral ear in 50% of patients, and in the ear contralateral to the implant in 45% of the patients. In 10% of the patients, a new tinnitus appeared in the ipsilateral ear. The patients with profound hearing loss and bilateral tinnitus treated with unilateral cochlear implantation improved in a high percentage of cases, in the ipsilateral ear and in the contralateral ear. Copyright © 2012 Elsevier España, S.L. All rights reserved.

  17. [Larynx: implants and stents].

    PubMed

    Sittel, C

    2009-05-01

    There is a wide variety of devices and materials to be implanted into the human larynx. Some are intended to remain only for a period of time, like laryngeal stents. If removal is not intended the device meets the definition for a medical implant. The majority of implants is used for the treatment of unilateral vocal fold immobility. There a 2 types of implants serving this purpose: Implants in a stricter sense are devices of solid material, which are brought into the paraglottic space through a window in the laryngeal framework (medialization thyroplasty). Several different products are presented in this review. In contrast, there are different substances available for endoscopic injection into the paralyzed vocal fold (injection laryngoplasty). Since some of these substances show a corpuscular consistency and a high viscosity they need to be deposited into the lateral paraglottic space. Therefore, the term "injectable implants" has been coined for these materials. The different substances available are discussed in detail in this review. Laryngeal stents are primarily used in the early postoperative phase after open reconstruction of the larynx. The different devices available on the market are described with their specific characteristics and intended use.

  18. Anodized dental implant surface.

    PubMed

    Mishra, Sunil Kumar; Kumar, Muktadar Anand; Chowdhary, Ramesh

    2017-01-01

    Anodized implants with moderately rough surface were introduced around 2000. Whether these implants enhanced biologic effect to improve the environment for better osseointegration was unclear. The purpose of this article was to review the literature available on anodized surface in terms of their clinical success rate and bone response in patients till now. A broad electronic search of MEDLINE and PubMed databases was performed. A focus was made on peer-reviewed dental journals. Only articles related to anodized implants were included. Both animal and human studies were included. The initial search of articles resulted in 581 articles on anodized implants. The initial screening of titles and abstracts resulted in 112 full-text papers; 40 animal studies, 16 studies on cell adhesion and bacterial adhesion onto anodized surfaced implants, and 47 human studies were included. Nine studies, which do not fulfill the inclusion criteria, were excluded. The long-term studies on anodized surface implants do favor the surface, but in most of the studies, anodized surface is compared with that of machined surface, but not with other surfaces commercially available. Anodized surface in terms of clinical success rate in cases of compromised bone and immediately extracted sockets has shown favorable success.

  19. Biocompatible implant surface treatments.

    PubMed

    Pattanaik, Bikash; Pawar, Sudhir; Pattanaik, Seema

    2012-01-01

    Surface plays a crucial role in biological interactions. Surface treatments have been applied to metallic biomaterials in order to improve their wear properties, corrosion resistance, and biocompatibility. A systematic review was performed on studies investigating the effects of implant surface treatments on biocompatibility. We searched the literature using PubMed, electronic databases from 1990 to 2009. Key words such as implant surface topography, surface roughness, surface treatment, surface characteristics, and surface coatings were used. The search was restricted to English language articles published from 1990 to December 2009. Additionally, a manual search in the major dental implant journals was performed. When considering studies, clinical studies were preferred followed by histological human studies, animal studies, and in vitro studies. A total of 115 articles were selected after elimination: clinical studies, 24; human histomorphometric studies, 11; animal histomorphometric studies, 46; in vitro studies, 34. The following observations were made in this review: · The focus has shifted from surface roughness to surface chemistry and a combination of chemical manipulations on the porous structure. More investigations are done regarding surface coatings. · Bone response to almost all the surface treatments was favorable. · Future trend is focused on the development of osteogenic implant surfaces. Limitation of this study is that we tried to give a broader overview related to implant surface treatments. It does not give any conclusion regarding the best biocompatible implant surface treatment investigated till date. Unfortunately, the eventually selected studies were too heterogeneous for inference of data.

  20. Biomaterials in cochlear implants

    PubMed Central

    Stöver, Timo; Lenarz, Thomas

    2011-01-01

    The cochlear implant (CI) represents, for almost 25 years now, the gold standard in the treatment of children born deaf and for postlingually deafened adults. These devices thus constitute the greatest success story in the field of ‘neurobionic’ prostheses. Their (now routine) fitting in adults, and especially in young children and even babies, places exacting demands on these implants, particularly with regard to the biocompatibility of a CI’s surface components. Furthermore, certain parts of the implant face considerable mechanical challenges, such as the need for the electrode array to be flexible and resistant to breakage, and for the implant casing to be able to withstand external forces. As these implants are in the immediate vicinity of the middle-ear mucosa and of the junction to the perilymph of the cochlea, the risk exists – at least in principle – that bacteria may spread along the electrode array into the cochlea. The wide-ranging requirements made of the CI in terms of biocompatibility and the electrode mechanism mean that there is still further scope – despite the fact that CIs are already technically highly sophisticated – for ongoing improvements to the properties of these implants and their constituent materials, thus enhancing the effectiveness of these devices. This paper will therefore discuss fundamental material aspects of CIs as well as the potential for their future development. PMID:22073103

  1. Contraceptive implants and lactation.

    PubMed

    Díaz, Soledad

    2002-01-01

    The safety and efficacy of four contraceptive implants, plant, Implanon, Nestorone and Elcometrine, have been evaluated during use in the postpartum period by lactating women. These implants provide highly effective contraceptive protection with no negative effect on breastfeeding or infant growth and development. Breastfeeding women initiating Norplant use in the second postpartum month experience significantly longer periods of amenorrhea than do untreated women or intrauterine device users. After weaning, the bleeding pattern is similar to that observed in non-nursing women. Norplant use does not affect bone turnover and density during lactation. Norplant and Implanon release orally active progestins while Nestorone and Elcometrine implants release an orally inactive progestin, which represents an advantage since the infant should be free of steroidal effects. The infant's daily intake of steroids (estimated from concentrations in maternal milk during the first month of use) range from 90 to 100 ng of levonorgestrel (Norplant), 75-120 ng of etonogestrel (Implanon), and 50 ng and 110 ng of Nestorone (Nestorone and Elcometrine implants, respectively). Nursing women needing contraception may use progestin-only implants when nonhormonal methods are not available or acceptable. Implants that deliver orally active steroids should only be used after 6 weeks postpartum to avoid transferring of steroids to the newborn.

  2. Innovative Management of Implant Exposure in ADM/Implant-Based Breast Reconstruction with Negative Pressure Wound Therapy.

    PubMed

    Accurso, Antonello; Rocco, Nicola; Accardo, Giuseppe; Reale, Paola; Salerno, Carmela; Mattera, Edi; D'Andrea, Francesco

    2017-02-01

    One-stage implant-based breast reconstruction has been recently improved by the introduction of biological [acellular dermal matrix (ADM)] and synthetic meshes. Advantages of ADMs in implant-based breast reconstruction derive from the expansion of the space available for the direct positioning of an implant, but their use could be associated with several complications. Although the majority of complications can be easily managed, mistakes in dealing with the first clinical signs of a potential adverse event can lead to implant loss. We report a case of ADM/implant exposure following NAC-sparing mastectomy and immediate implant-based reconstruction, successfully managed with an innovative staged treatment using negative pressure wound therapy, which allowed a rapid re-positioning of the prosthesis after complete clearance of bacteria from the implant pocket. The safest strategy to manage implant exposure and concomitant bacterial growth is reported to be implant removal and delayed re-positioning after several months, following prolonged targeted antibiotic therapy. Our case shows how a short-time implant re-positioning following implant removal for implant exposure could be successfully pursued thanks to the shrewd use of negative pressure wound therapy with great advantages in terms of patient satisfaction and post-operative quality of life, offering women experiencing this complication the option of not delaying reconstruction for months after resolution of the complication, potentially avoiding major surgical procedures such as autologous tissue reconstructions. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

  3. Developmental Dyscalculia in Adults: Beyond Numerical Magnitude Impairment.

    PubMed

    De Visscher, Alice; Noël, Marie-Pascale; Pesenti, Mauro; Dormal, Valérie

    2017-09-01

    Numerous studies have tried to identify the core deficit of developmental dyscalculia (DD), mainly by assessing a possible deficit of the mental representation of numerical magnitude. Research in healthy adults has shown that numerosity, duration, and space share a partly common system of magnitude processing and representation. However, in DD, numerosity processing has until now received much more attention than the processing of other non-numerical magnitudes. To assess whether or not the processing of non-numerical magnitudes is impaired in DD, the performance of 15 adults with DD and 15 control participants was compared in four categorization tasks using numerosities, lengths, durations, and faces (as non-magnitude-based control stimuli). Results showed that adults with DD were impaired in processing numerosity and duration, while their performance in length and face categorization did not differ from controls' performance. Our findings support the idea of a nonsymbolic magnitude deficit in DD, affecting numerosity and duration processing but not length processing.

  4. Short dental implants: an emerging concept in implant treatment.

    PubMed

    Al-Hashedi, Ashwaq Ali; Taiyeb Ali, Tara Bai; Yunus, Norsiah

    2014-06-01

    Short implants have been advocated as a treatment option in many clinical situations where the use of conventional implants is limited. This review outlines the effectiveness and clinical outcomes of using short implants as a valid treatment option in the rehabilitation of edentulous atrophic alveolar ridges. Initially, an electronic search was performed on the following databases: Medline, PubMed, Embase, Cochrane Database of Systematic Reviews, and DARE using key words from January 1990 until May 2012. An additional hand search was included for the relevant articles in the following journals: International Journal of Oral and Maxillofacial Implants, Clinical Oral Implants Research, Journal of Clinical Periodontology, International Journal of Periodontics, Journal of Periodontology, and Clinical Implant Dentistry and Related Research. Any relevant papers from the journals' references were hand searched. Articles were included if they provided detailed data on implant length, reported survival rates, mentioned measures for implant failure, were in the English language, involved human subjects, and researched implants inserted in healed atrophic ridges with a follow-up period of at least 1 year after implant-prosthesis loading. Short implants demonstrated a high rate of success in the replacement of missing teeth in especially atrophic alveolar ridges. The advanced technology and improvement of the implant surfaces have encouraged the success of short implants to a comparable level to that of standard implants. However, further randomized controlled clinical trials and prospective studies with longer follow-up periods are needed.

  5. Gravitation model for the magnitude of migration and its application.

    PubMed

    Zhang, T; Zhang, Z; Zhang, Q

    1997-01-01

    "The magnitude of migration is one part of the feasibility study on migration, its result being critical to the yield of positive or negative effect.... The key to the success of migration is that the magnitude of migration must be limited within the capacity of the place of destination with generous room for flexibility. It is therefore necessary to determine the appropriate magnitude by scientific methods." The geographical focus is on China. excerpt

  6. Kharkiv Asteroid Magnitude-Phase Relations V1.0

    NASA Astrophysics Data System (ADS)

    Shevchenko, V. G.; Belskaya, I. N.; Lupishko, D. F.; Krugly, Yu. N.; Chiorny, V. G.; Velichko, F. P.

    2010-08-01

    A database of asteroid magnitude-phase relations compiled at the Institute of Astronomy of Kharkiv Kharazin University by Shevchenko et al., including observations from 1978 through 2008. Mainly the observations were performed at the Institute of Astronomy (Kharkiv, Ukraine) and at the Astrophysics Institute (Dushanbe, Tadjikistan). For most asteroids the magnitude-phase relations were obtained down to phase angles less than 1 deg. For some asteroids the magnitudes are presented in three (UBV) or four (BVRI) standard spectral bands.

  7. Updating the Magnitudes of the Planets in The Astronomical Almanac

    DTIC Science & Technology

    2003-01-01

    USNO/AA Technical Note 2003-04 Updating the Magnitudes of the Planets in The Astronomical Almanac James L. Hilton The content of this Tech...the magnitudes of Mercury and Venus used in the AsA 2005 and 2006. Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden...SUBTITLE Updating The Magnitudes Of The Planets In The Astronomical Almanac 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6

  8. Craniofacial implants at a single centre 2005-2015: retrospective review of 451 implants.

    PubMed

    Elledge, R; Chaggar, J; Knapp, N; Martin, T; White, N; Evriviades, D; Edmondson, S; Parmar, S

    2017-04-01

    Craniofacial endosseous implants are regularly used to support prostheses in the rehabilitation of complex defects, but reported success rates vary. To review our own clinical practice over 10 years, and particularly to examine the impact of radiotherapy and the timing of placement on the survival of implants, we retrospectively audited the records for all patients who had endosseous implants for prosthetic rehabilitation in our unit between 2005 and 2015. We reviewed 167 records, which gave 451 implants, of which, 222 (49%) were auricular, 98 (22%) nasal, and 131 (29%) orbital. Most were placed after ablative operations for cutaneous malignancy (n=103 patients, 62%). The failure rate of implants placed in bone that was irradiated either before or after placement was significantly higher than that of those placed in non-irradiated bone (univariate analysis: 11% compared with 2%, p<0.001: Kaplan-Meier survival analysis: p<0.001). The timing of placement in relation to radiotherapy (before compared with after) seemed to have no impact on success (p=0.96). Our findings are in keeping with previous reports, and the principal observation is that radiotherapy adversely affects success. We work closely with our maxillofacial prosthetists and place implants at the time of ablation. Our findings seem to support this practice regardless of whether or not the patient will later require adjuvant radiotherapy.

  9. The Biolink Implantable Telemetry System

    NASA Technical Reports Server (NTRS)

    Betancourt-Zamora, Rafael J.

    1999-01-01

    Most biotelemetry applications deal with the moderated data rates of biological signals. Few people have studied the problem of transcutaneous data transmission at the rates required by NASA's Life Sciences-Advanced BioTelemetry System (LS-ABTS). Implanted telemetry eliminate the problems associated with wire breaking the skin, and permits experiments with awake and unrestrained subjects. Our goal is to build a low-power 174-216MHz Radio Frequency (RF) transmitter suitable for short range biosensor and implantable use. The BioLink Implantable Telemetry System (BITS) is composed of three major units: an Analog Data Module (ADM), a Telemetry Transmitter Module (TTM), and a Command Receiver Module (CRM). BioLink incorporates novel low-power techniques to implement a monolithic digital RF transmitter operating at 100kbps, using quadrature phase shift keying (QPSK) modulation in the 174-216MHz ISM band. As the ADM will be specific for each application, we focused on solving the problems associated with a monolithic implementation of the TTM and CRM, and this is the emphasis of this report. A system architecture based on a Frequency-Locked Loop (FLL) Frequency Synthesizer is presented, and a novel differential frequency that eliminates the need for a frequency divider is also shown. A self sizing phase modulation scheme suitable for low power implementation was also developed. A full system-level simulation of the FLL was performed and loop filter parameters were determined. The implantable antenna has been designed, simulated and constructed. An implant package compatible with the ABTS requirements is also being proposed. Extensive work performed at 200MHz in 0.5um complementary metal oxide semiconductors (CMOS) showed the feasibility of integrating the RF transmitter circuits in a single chip. The Hajimiri phase noise model was used to optimize the Voltage Controlled Oscillator (VCO) for minimum power consumption. Two test chips were fabricated in a 0.5pm, 3V CMOS

  10. Ion-implanted PLZT ceramics - A new high-sensitivity image storage medium

    NASA Astrophysics Data System (ADS)

    Peercy, P. S.; Land, C. E.

    1981-06-01

    Studies of photoferroelectric (PFE) image storage in H, He, and Ar, and more recently, Ar + Ne implanted PLZT reveal that the photosensitivity can be significantly increased by ion implantation into the image storage surface. For example, the photosensitivity after coimplantation of Ar + Ne is increased by about four orders of magnitude over that of unimplanted PLZT. The increase in photosensitivity is controlled by implantation-produced disorder which results in marked decreases in dark conductivity and dielectric constant and changes in the effective photoconductivity of the implanted layer. In this paper the effects of Ar and Ar + Ne implantation are presented along with a phenomenological model which describes the photosensitivity enhancement obtained by ion implantation.

  11. Electrical conductivity of MgO crystals implanted with lithium ions

    NASA Astrophysics Data System (ADS)

    Tardío, M.; Ramírez, R.; González, R.; Chen, Y.; Alves, E.

    2002-05-01

    MgO single crystals were implanted with a fluence of 1×10 17 Li +/cm 2 with 175 keV. Using ac and dc techniques, the electrical conductivity of these crystals was investigated in the temperature range 296-440 K. The electrical conductivity of the implanted region was 14 orders of magnitude higher than the unimplanted area. Measurements at different temperatures suggest a thermally activated process with an activation energy of about 0.33 eV. In the implanted area, electrical contacts are found to be ohmic whereas contacts are blocking in unimplanted crystals. Removal of thin layers of the implanted region by immersing the crystal in hot phosphoric acid suggests that the enhancement in conductivity in the implanted region is associated with the intrinsic defects created by the implantation, rather than with the Li ions.

  12. Fracture analysis of randomized implant-supported fixed dental prostheses

    PubMed Central

    Esquivel-Upshaw, Josephine F.; Mehler, Alex; Clark, Arthur E.; Neal, Dan; Anusavice, Kenneth J.

    2014-01-01

    Objective Fractures of posterior fixed dental all-ceramic prostheses can be caused by one or more factors including prosthesis design, flaw distribution, direction and magnitude of occlusal loading, and nature of supporting infrastructure (tooth root/implant), and presence of adjacent teeth. This clinical study of implant-supported, all-ceramic fixed dental prostheses, determined the effects of (1) presence of a tooth distal to the most distal retainer; (2) prosthesis loading either along the non-load bearing or load bearing areas; (3) presence of excursive contacts or maximum intercuspation contacts in the prosthesis; and (4) magnitude of bite force on the occurrence of veneer ceramic fracture. Methods 89 implant-supported FDPs were randomized as either a three-unit posterior metal-ceramic (Au-Pd-Ag alloy and InLine POM, Ivoclar, Vivadent) FDP or a ceramic-ceramic (ZirCAD and ZirPress, Ivoclar, Vivadent) FDP. Two implants (Osseospeed, Dentsply) and custom abutments (Atlantis, Dentsply) supported these FDPs, which were cemented with resin cement (RelyX Universal Cement). Baseline photographs were made with markings of teeth from maximum intercuspation (MI) and excursive function. Patients were recalled at 6 months and 1 to 3 years. Fractures were observed, their locations recorded, and images compared with baseline photographs of occlusal contacts. Conclusion No significant relationship exists between the occurrence of fracture and: (1) the magnitude of bite force; (2) a tooth distal to the most distal retainer; and (3) contacts in load-bearing or non-load-bearing areas. However, there was a significantly higher likelihood of fracture in areas with MI contacts only. Clinical Significance This clinical study demonstrates that there is a need to evaluate occlusion differently with implant-supported prostheses than with natural tooth supported prostheses because of the absence of a periodontal ligament. Implant supported prostheses should have minimal occlusion and

  13. Fracture analysis of randomized implant-supported fixed dental prostheses.

    PubMed

    Esquivel-Upshaw, Josephine F; Mehler, Alex; Clark, Arthur E; Neal, Dan; Anusavice, Kenneth J

    2014-10-01

    Fractures of posterior fixed dental all-ceramic prostheses can be caused by one or more factors including prosthesis design, flaw distribution, direction and magnitude of occlusal loading, nature of supporting infrastructure (tooth root/implant), and presence of adjacent teeth. This clinical study of implant-supported, all-ceramic fixed dental prostheses, determined the effects of (1) presence of a tooth distal to the most distal retainer; (2) prosthesis loading either along the non-load bearing or load bearing areas; (3) presence of excursive contacts or maximum intercuspation contacts in the prosthesis; and (4) magnitude of bite force on the occurrence of veneer ceramic fracture. 89 implant-supported FDPs were randomized as either a three-unit posterior metal-ceramic (Au-Pd-Ag alloy and InLine POM, Ivoclar, Vivadent) FDP or a ceramic-ceramic (ZirCAD and ZirPress, Ivoclar, Vivadent) FDP. Two implants (Osseospeed, Dentsply) and custom abutments (Atlantis, Dentsply) supported these FDPs, which were cemented with resin cement (RelyX Universal Cement). Baseline photographs were made with markings of teeth from maximum intercuspation (MI) and excursive function. Patients were recalled at 6 months and 1-3 years. Fractures were observed, their locations recorded, and images compared with baseline photographs of occlusal contacts. No significant relationship existed between the occurrence of fracture and: (1) the magnitude of bite force; (2) a tooth distal to the most distal retainer; and (3) contacts in load-bearing or non-load-bearing areas. However, there was a significantly higher likelihood of fracture in areas with MI contacts only. Because of the absence of a periodontal ligament, this clinical study demonstrates that there is a need to evaluate occlusion differently with implant-supported prostheses than with natural tooth supported prostheses. Implant supported prostheses should have minimal occlusion and lighter contacts than those supported by natural dentition

  14. Construction and modeling of a reconfigurable MRI coil for lowering SAR in patients with deep brain stimulation implants.

    PubMed

    Golestanirad, Laleh; Iacono, Maria Ida; Keil, Boris; Angelone, Leonardo M; Bonmassar, Giorgio; Fox, Michael D; Herrington, Todd; Adalsteinsson, Elfar; LaPierre, Cristen; Mareyam, Azma; Wald, Lawrence L

    2017-02-15

    Post-operative MRI of patients with deep brain simulation (DBS) implants is useful to assess complications and diagnose comorbidities, however more than one third of medical centers do not perform MRIs on this patient population due to stringent safety restrictions and liability risks. A new system of reconfigurable magnetic resonance imaging head coil composed of a rotatable linearly-polarized birdcage transmitter and a close-fitting 32-channel receive array is presented for low-SAR imaging of patients with DBS implants. The novel system works by generating a region with low electric field magnitude and steering it to coincide with the DBS lead trajectory. We demonstrate that the new coil system substantially reduces the SAR amplification around DBS electrodes compared to commercially available circularly polarized coils in a cohort of 9 patient-derived realistic DBS lead trajectories. We also show that the optimal coil configuration can be reliably identified from the image artifact on B1(+) field maps. Our preliminary results suggest that such a system may provide a viable solution for high-resolution imaging of DBS patients in the future. More data is needed to quantify safety limits and recommend imaging protocols before the novel coil system can be used on patients with DBS implants.

  15. [Dental implant-related infections].

    PubMed

    López-Cerero, Lorena

    2008-11-01

    Dental implant-associated infections are expected to be increasingly more common as the number of patients with implants for more than 10 years rises. There are 2 stages of peri-implant infection: early mucositis, consisting of inflammation of the peri-implant soft tissues without loss of supporting bone, and a more advanced form involving a loss of osseointegration, known as peri-implantitis. The estimated prevalence of this latter infection is 10% of 5-year implants and the main risk factor is previous periodontal disease. The etiopathogenesis of peri-implantitis is related with reservoirs of periodontal pathogens; however factors that lead to colonization of the implant surface or increased susceptibility to infection may also have an influence. Treatment should include removal of the bacterial biofilm, debridement of the exposed surface, and surgical regeneration of the peri-implant pocket.

  16. An empirical evolutionary magnitude estimation for earthquake early warning

    NASA Astrophysics Data System (ADS)

    Wu, Yih-Min; Chen, Da-Yi

    2016-04-01

    For earthquake early warning (EEW) system, it is a difficult mission to accurately estimate earthquake magnitude in the early nucleation stage of an earthquake occurrence because only few stations are triggered and the recorded seismic waveforms are short. One of the feasible methods to measure the size of earthquakes is to extract amplitude parameters within the initial portion of waveform after P-wave arrival. However, a large-magnitude earthquake (Mw > 7.0) may take longer time to complete the whole ruptures of the causative fault. Instead of adopting amplitude contents in fixed-length time window, that may underestimate magnitude for large-magnitude events, we suppose a fast, robust and unsaturated approach to estimate earthquake magnitudes. In this new method, the EEW system can initially give a bottom-bund magnitude in a few second time window and then update magnitude without saturation by extending the time window. Here we compared two kinds of time windows for adopting amplitudes. One is pure P-wave time widow (PTW); the other is whole-wave time window after P-wave arrival (WTW). The peak displacement amplitude in vertical component were adopted from 1- to 10-s length PTW and WTW, respectively. Linear regression analysis were implemented to find the empirical relationships between peak displacement, hypocentral distances, and magnitudes using the earthquake records from 1993 to 2012 with magnitude greater than 5.5 and focal depth less than 30 km. The result shows that using WTW to estimate magnitudes accompanies with smaller standard deviation. In addition, large uncertainties exist in the 1-second time widow. Therefore, for magnitude estimations we suggest the EEW system need to progressively adopt peak displacement amplitudes form 2- to 10-s WTW.

  17. Comparison of local magnitude scales in Central Europe

    NASA Astrophysics Data System (ADS)

    Kysel, Robert; Kristek, Jozef; Moczo, Peter; Cipciar, Andrej; Csicsay, Kristian; Srbecky, Miroslav; Kristekova, Miriam

    2015-04-01

    Efficient monitoring of earthquakes and determination of their magnitudes are necessary for developing earthquake catalogues at a regional and national levels. Unification and homogenization of the catalogues in terms of magnitudes has great importance for seismic hazard assessment. Calibrated local earthquake magnitude scales are commonly used for determining magnitudes of regional earthquakes by all national seismological services in the Central Europe. However, at the local scale, each seismological service uses its own magnitude determination procedure. There is no systematic comparison of the approaches and there is no unified procedure. We present a comparison of the local magnitude scales used by the national seismological services of Slovakia (Geophysical Institute, Slovak Academy of Sciences), Czech Republic (Institute of Geophysics, Academy of Sciences of the Czech Republic), Austria (ZAMG), Hungary (Geodetic and Geophysical Institute, Hungarian Academy of Sciences) and Poland (Institute of Geophysics, Polish Academy of Sciences), and by the local network of seismic stations located around the Nuclear Power Plant Jaslovske Bohunice, Slovakia. The comparison is based on the national earthquake catalogues and annually published earthquake bulletins for the period from 1985 to 2011. A data set of earthquakes has been compiled based on identification of common events in the national earthquake catalogues and bulletins. For each pair of seismic networks, magnitude differences have been determined and investigated as a function of time. The mean and standard deviations of the magnitude differences as well as regression coefficients between local magnitudes from the national seismological networks have been computed. Results show relatively big scatter between different national local magnitudes and its considerable time variation. A conversion between different national local magnitudes in a scale 1:1 seems inappropriate, especially for the compilation of the

  18. Typical whole body vibration exposure magnitudes encountered in the open pit mining industry.

    PubMed

    Howard, Bryan; Sesek, Richard; Bloswick, Don

    2009-01-01

    According to recent research, a causal link has been established between occupational exposure to whole body vibration and an increased occurrence of low back pain. To aid in the further development of an in-house health and safety program for a large open pit mining facility interested in reducing back pain among its operators, whole body vibration magnitudes were characterized for a range of jobs. Specifically, thirty-five individual jobs from five different areas across the facility were evaluated for tri-axial acceleration levels during normal operating conditions. Tri-axial acceleration magnitudes were categorized into thirteen job groups. Job groups were ranked according to exposure and compared to the ISO 2631-1 standard for health risk assessment. Three of the thirteen job groups produced tri-axial acceleration magnitudes below the ISO 2631-1 low/moderate health caution limit for a twelve hour exposure. Six of the thirteen job groups produced exposures within the moderate health risk range. Four job groups were found to subject operators to WBV acceleration magnitudes above the moderate/high health caution limit.

  19. Comparison of Carina active middle-ear implant with conventional hearing aids for mixed hearing loss.

    PubMed

    Savaş, V A; Gündüz, B; Karamert, R; Cevizci, R; Düzlü, M; Tutar, H; Bayazit, Y A

    2016-04-01

    To compare the auditory outcomes of Carina middle-ear implants with those of conventional hearing aids in patients with moderate-to-severe mixed hearing loss. The study comprised nine patients (six males, three females) who underwent middle-ear implantation with Carina fully implantable active middle-ear implants to treat bilateral moderate-to-severe mixed hearing loss. The patients initially used conventional hearing aids and subsequently received the Carina implants. The hearing thresholds with implants and hearing aids were compared. There were no significant differences between: the pre-operative and post-operative air and bone conduction thresholds (p > 0.05), the thresholds with hearing aids and Carina implants (p > 0.05), or the pre-operative (mean, 72.8 ± 19 per cent) and post-operative (mean, 69.9 ± 24 per cent) speech discrimination scores (p > 0.05). One of the patients suffered total sensorineural hearing loss three months following implantation despite an initial 38 dB functional gain. All except one patient showed clinical improvements after implantation according to quality of life questionnaire (Glasgow Benefit Inventory) scores. Acceptance of Carina implants is better than with conventional hearing aids in patients with mixed hearing loss, although both yield similar hearing amplification. Cosmetic reasons appear to be critical for patient acceptance.

  20. Osteogenicity of titanium implants coated with calcium phosphate or collagen type-I in osteoporotic rats.

    PubMed

    Alghamdi, Hamdan S; Bosco, Ruggero; van den Beucken, Jeroen J J P; Walboomers, X Frank; Jansen, John A

    2013-05-01

    This study hypothesized that modification of titanium implant surface, e.g. by the deposition of inorganic/organic coatings, can significantly improve the implant-bone response compared in osteoporotic vs. healthy conditions. After osteoporosis was induced in 15 female Wistar rats by ovariectomy (OVX) and confirmed by in vivo micro-CT analysis, implants coated with calcium phosphate (CaP) or collagen type-I and non-coated implants were placed into bilateral femoral condyles. Another 15 sham-operated rats served as controls. Twelve weeks after implantation, micro-CT bone volume (%BV) and histomorphometrical bone area (%BA) were lower around control implants in osteoporotic rats (BV = 60.4%, BA = 43.8%) compared to sham-operated rats (BV = 74.0%, BA = 62.0%). Interestingly, CaP and collagen type-I surface coatings enhanced bone-to-implant contact (%BIC) compared to non-coated implants in osteoporosis (51.9%, 58.2%) as well as in sham-operated (69.7%, 64.4%) groups. The study confirmed that an osteoporotic condition has a significant effect on the amount of bone present in close vicinity to implants. Evidently, the use of osteogenic surface coatings has a favorable effect on the bone implant interface in both osteoporotic and sham-operated conditions.

  1. Gold weight implants in the management of lagophthalmos in leprosy patients.

    PubMed

    El Toukhy, Essam

    2010-03-01

    To evaluate the use of gold weights as upper lid implants in the management of lagophthalmos due to facial nerve affection in leprosy patients. Gold implants of various weights were inserted in the upper eyelids of 12 patients with leprosy. Pre- and post-operative lid closures were recorded and patients were followed up for 1 year. Despite early satisfactory results with good closure, six out of 12 implants were extruded within the first year. Two more implants had to be removed due to chronic inflammatory reaction. Long term result of gold weight implants in leprosy patient is unsatisfactory and needs further evaluation.

  2. COMPARATION OF REFRACTIVE RESULTS WITH BIFOCAL IMPLANTS AT LISA 809 AND TRIFOCAL AT LISA TRI839.

    PubMed

    Postolache, Cristian; Postolache, Oana

    2015-01-01

    The purpose of this paper is to make a comparison between the results obtained with AT LISA 809 bifocal IOL and trifocal AT LISA 839. Interest was represented especially by the evaluation of intermediate vision for the 2 implants. 18 patients (36 eyes) operated in Gauss Clinic in 2014 were included in the study: 9 patients (18 eyes) with bifocal implant AT LISA 809 and 9 patients (18 eyes) with bilateral implantation AT LISA 839 trifocal lens. Results showed that implant trifocal provided better visual results for intermediate vision to bifocal implant, as there were not significant differences between the two, in terms of distance vision and near vision.

  3. The Weight of Time: Affordances for an Integrated Magnitude System

    ERIC Educational Resources Information Center

    Lu, Aitao; Mo, Lei; Hodges, Bert H.

    2011-01-01

    In five experiments we explored the effects of weight on time in different action contexts to test the hypothesis that an integrated magnitude system is tuned to affordances. Larger magnitudes generally seem longer; however, Lu and colleagues (2009) found that if numbers were presented as weights in a range heavy enough to affect lifting, the…

  4. The Weight of Time: Affordances for an Integrated Magnitude System

    ERIC Educational Resources Information Center

    Lu, Aitao; Mo, Lei; Hodges, Bert H.

    2011-01-01

    In five experiments we explored the effects of weight on time in different action contexts to test the hypothesis that an integrated magnitude system is tuned to affordances. Larger magnitudes generally seem longer; however, Lu and colleagues (2009) found that if numbers were presented as weights in a range heavy enough to affect lifting, the…

  5. Number Games, Magnitude Representation, and Basic Number Skills in Preschoolers

    ERIC Educational Resources Information Center

    Whyte, Jemma Catherine; Bull, Rebecca

    2008-01-01

    The effect of 3 intervention board games (linear number, linear color, and nonlinear number) on young children's (mean age = 3.8 years) counting abilities, number naming, magnitude comprehension, accuracy in number-to-position estimation tasks, and best-fit numerical magnitude representations was examined. Pre- and posttest performance was…

  6. Linear Numerical-Magnitude Representations Aid Children's Memory for Numbers

    ERIC Educational Resources Information Center

    Thompson, Clarissa A.; Siegler, Robert S.

    2010-01-01

    We investigated the relation between children's numerical-magnitude representations and their memory for numbers. Results of three experiments indicated that the more linear children's magnitude representations were, the more closely their memory of the numbers approximated the numbers presented. This relation was present for preschoolers and…

  7. Magnitude Knowledge: The Common Core of Numerical Development

    ERIC Educational Resources Information Center

    Siegler, Robert S.

    2016-01-01

    The integrated theory of numerical development posits that a central theme of numerical development from infancy to adulthood is progressive broadening of the types and ranges of numbers whose magnitudes are accurately represented. The process includes four overlapping trends: 1) representing increasingly precisely the magnitudes of non-symbolic…

  8. Magnitude Knowledge: The Common Core of Numerical Development

    ERIC Educational Resources Information Center

    Siegler, Robert S.

    2016-01-01

    The integrated theory of numerical development posits that a central theme of numerical development from infancy to adulthood is progressive broadening of the types and ranges of numbers whose magnitudes are accurately represented. The process includes four overlapping trends: (1) representing increasingly precisely the magnitudes of non-symbolic…

  9. Magnitude Knowledge: The Common Core of Numerical Development

    ERIC Educational Resources Information Center

    Siegler, Robert S.

    2016-01-01

    The integrated theory of numerical development posits that a central theme of numerical development from infancy to adulthood is progressive broadening of the types and ranges of numbers whose magnitudes are accurately represented. The process includes four overlapping trends: (1) representing increasingly precisely the magnitudes of non-symbolic…

  10. Magnitude Knowledge: The Common Core of Numerical Development

    ERIC Educational Resources Information Center

    Siegler, Robert S.

    2016-01-01

    The integrated theory of numerical development posits that a central theme of numerical development from infancy to adulthood is progressive broadening of the types and ranges of numbers whose magnitudes are accurately represented. The process includes four overlapping trends: 1) representing increasingly precisely the magnitudes of non-symbolic…

  11. Reinforcement Magnitude: An Evaluation of Preference and Reinforcer Efficacy

    ERIC Educational Resources Information Center

    Trosclair-Lasserre, Nicole M.; Lerman, Dorothea C.; Call, Nathan A.; Addison, Laura R.; Kodak, Tiffany

    2008-01-01

    Consideration of reinforcer magnitude may be important for maximizing the efficacy of treatment for problem behavior. Nonetheless, relatively little is known about children's preferences for different magnitudes of social reinforcement or the extent to which preference is related to differences in reinforcer efficacy. The purpose of the current…

  12. Some Effects of Magnitude of Reinforcement on Persistence of Responding

    ERIC Educational Resources Information Center

    McComas, Jennifer J.; Hartman, Ellie C.; Jimenez, Angel

    2008-01-01

    The influence of magnitude of reinforcement was examined on both response rate and behavioral persistence. During Phase 1, a multiple schedule of concurrent reinforcement was implemented in which reinforcement for one response option was held constant at VI 30 s across both components, while magnitude of reinforcement for the other response option…

  13. Congruency Effects between Number Magnitude and Response Force

    ERIC Educational Resources Information Center

    Vierck, Esther; Kiesel, Andrea

    2010-01-01

    Numbers are thought to be represented in space along a mental left-right oriented number line. Number magnitude has also been associated with the size of grip aperture, which might suggest a connection between number magnitude and intensity. The present experiment aimed to confirm this possibility more directly by using force as a response…

  14. Some Effects of Magnitude of Reinforcement on Persistence of Responding

    ERIC Educational Resources Information Center

    McComas, Jennifer J.; Hartman, Ellie C.; Jimenez, Angel

    2008-01-01

    The influence of magnitude of reinforcement was examined on both response rate and behavioral persistence. During Phase 1, a multiple schedule of concurrent reinforcement was implemented in which reinforcement for one response option was held constant at VI 30 s across both components, while magnitude of reinforcement for the other response option…

  15. The Effects of Reinforcer Magnitude on Timing in Rats

    ERIC Educational Resources Information Center

    Ludvig, Elliot A.; Conover, Kent; Shizgal, Peter

    2007-01-01

    The relation between reinforcer magnitude and timing behavior was studied using a peak procedure. Four rats received multiple consecutive sessions with both low and high levels of brain stimulation reward (BSR). Rats paused longer and had later start times during sessions when their responses were reinforced with low-magnitude BSR. When estimated…

  16. Positron implantation in solids

    SciTech Connect

    Ghosh, V.J.; Lynn, K.G.; Welch, D.O.

    1993-12-31

    The Monte Carlo technique for modeling positron prior to annihilation and electron implantation in semi-infinite metals is described. Particle implantation is modelled as a multistep process, a series of collisions with the atoms of the host material. In elastic collisions with neutral atoms there is no transfer of energy. The particle loses energy by several different channels, excitation of the electron gas, ionization of the ion cores, or, at low energies, by phonon excitation. These competing scattering mechanisms have been incorporated into the Monte Carlo framework and several different models are being used. Brief descriptions of these Monte Carlo schemes, as well as an analytic model for positron implantation are included. Results of the Monte Carlo simulations are presented and compared with expermental data. Problems associated with modeling positron implantation are discuss and the need for more expermental data on energy-loss in different materials is stressed. Positron implantation in multilayers of different metals is briefly described and extensions of this work to include a study of multilayers and heterostructures is suggested.

  17. The vestibular implant: quo vadis?

    PubMed

    van de Berg, Raymond; Guinand, Nils; Stokroos, Robert J; Guyot, Jean-Philippe; Kingma, Herman

    2011-01-01

    To assess the progress of the development of the vestibular implant (VI) and its feasibility short-term. A search was performed in Pubmed, Medline, and Embase. Key words used were "vestibular prosth*" and "VI." The only search limit was language: English or Dutch. Additional sources were medical books, conference lectures and our personal experience with per-operative vestibular stimulation in patients selected for cochlear implantation. All studies about the VI and related topics were included and evaluated by two reviewers. No study was excluded since every study investigated different aspects of the VI. Data was extracted by the first author from selected reports, supplemented by additional information, medical books conference lectures. Since each study had its own point of interest with its own outcomes, it was not possible to compare data of different studies. To use a basic VI in humans seems feasible in the very near future. Investigations show that electric stimulation of the canal nerves induces a nystagmus which corresponds to the plane of the canal which is innervated by the stimulated nerve branch. The brain is able to adapt to a higher baseline stimulation, while still reacting on a dynamic component. The best response will be achieved by a combination of the optimal stimulus (stimulus profile, stimulus location, precompensation), complemented by central vestibular adaptation. The degree of response will probably vary between individuals, depending on pathology and their ability to adapt.

  18. The Vestibular Implant: Quo Vadis?

    PubMed Central

    van de Berg, Raymond; Guinand, Nils; Stokroos, Robert J.; Guyot, Jean-Philippe; Kingma, Herman

    2011-01-01

    Objective: To assess the progress of the development of the vestibular implant (VI) and its feasibility short-term. Data sources: A search was performed in Pubmed, Medline, and Embase. Key words used were “vestibular prosth*” and “VI.” The only search limit was language: English or Dutch. Additional sources were medical books, conference lectures and our personal experience with per-operative vestibular stimulation in patients selected for cochlear implantation. Study selection: All studies about the VI and related topics were included and evaluated by two reviewers. No study was excluded since every study investigated different aspects of the VI. Data extraction and synthesis: Data was extracted by the first author from selected reports, supplemented by additional information, medical books conference lectures. Since each study had its own point of interest with its own outcomes, it was not possible to compare data of different studies. Conclusion: To use a basic VI in humans seems feasible in the very near future. Investigations show that electric stimulation of the canal nerves induces a nystagmus which corresponds to the plane of the canal which is innervated by the stimulated nerve branch. The brain is able to adapt to a higher baseline stimulation, while still reacting on a dynamic component. The best response will be achieved by a combination of the optimal stimulus (stimulus profile, stimulus location, precompensation), complemented by central vestibular adaptation. The degree of response will probably vary between individuals, depending on pathology and their ability to adapt. PMID:21991260

  19. Cochlear implant in Cogan's syndrome.

    PubMed

    Vishwakarma, Rajesh; Shawn, T Joseph

    2007-10-01

    Post-lingual deafness is a stressful condition which is rendered even more painful by the sudden emotional isolation that the patient suffers. Cogan's syndrome is a rare autoimmune cause for post-lingual deafness characterized by non-syphilitic interstitial keratitis, bilateral audio vestibular deficiencies and systemic vasculitis. World over very few cases of Cogan's syndrome have been reported. Cochlear implant surgery in such a patient is a challenging but highly satisfactory experience due to the multitude of clinical problems the patient faces. This demands a proper work up, meticulous surgery and stringent post-operative follow-up. Here we present a patient with atypical Cogan's syndrome, diabetes mellitus and hypothyroidism. She went into a major depression with suicidal tendency following the complete loss of hearing. We performed cochlear implant surgery in this patient, but not before facing several clinical obstacles, helped by a dedicated team consisting of a rheumatologist, endocrinologist, neurophysician, psychiatrist, anaesthetists and audiologist. The results are extremely satisfying for the patient and all the people involved. This case underlines the prime importance of hearing in maintaining the psychological well being of a human being.

  20. [Shunt tube implantation combining amniotic membrane transplantation and implantation of Molteno implant for glaucoma after penetrating keratoplasty].

    PubMed

    Liu, Y; Li, H; Chen, J

    2000-06-01

    To investigate the therapeutic effect of aqueous humor shunt implants with amniotic membrane transplantation on intractable glaucoma. Glaucoma was induced in rabbits by the injection of alpha-chymotrypsin into the posterior chamber of the eyes. The rabbits were divided into four groups. Group A: control group, Group B: single shunt tube group, Group C: shunt tube with amniotic membrane transplantation group, Group D: shunt tube with amniotic supporter and amniotic membrane transplantation group. The intraocular pressure(IOP), histology and filterable ability of the tissue around the tubes were studied. The therapeutic effect of the three methods for the glaucoma was compared. From 1998 to 1999, 42 eyes of 41 patients with uncontrolled glacoma after penetrating keratoplasty were randomly assigned into two groups. One group (12 eyes) underwent implantation of shunt tube combining transplantation of amniotic membrane. The other group underwent implantation of a single plate Molteno implant. Clinical records were reviewed to ascertain postoperative IOP, visual acuities, number of medications. The IOP elevated after the operation and reached at the peak on the third day for all groups and then dropped slowly. The IOP was 33.34 +/- 5.54 mmHg (1 mmHg = 0.133 kPa) for Group A and 27.88 +/- 8.86 mmHg for Group B three months after the operation. There was no statistical difference between the two groups (P = 0.274). The IOP was 22.33 +/- 3.73 mmHg for Group C and there was statistical significant difference between Group C and Group A (P = 0.02) and no difference between Group C and Group B (P = 0.113). The IOP was 15.74 +/- 2.94 mmHg for Group D and there was statistical significant difference between Group D and Group A (P = 0.001) and Group B (P = 0.036). There was no difference between Group D and Group C (P = 0.09). The study of horseradish peroxidase penetrability indicated that there was peroxidase in the tissues around the tube with amniotic membrane transplantation

  1. Exposure of implants using a modified multiple-flap transposition vestibuloplasty.

    PubMed

    Hakim, S G; Driemel, O; Jacobsen, H C; Hermes, D; Sieg, P

    2006-12-01

    To introduce a minimally invasive operation to improve the condition of the soft tissues around the implants in an atrophied mandible, at the same time, as uncovering the implants. A multiple-flap transposition vestibuloplasty was done in 11 patients after the insertion of four implants in the interforaminal region of an atrophied mandible. Improvement in soft tissues and successful exposure of implants and attached gingiva were evaluated during a follow-up period of 55 months. All the patients were operated on local anaesthesia as outpatients. Adequate exposure of implants and an area of attached gingiva 4-9 mm wide were attained. There was no bleeding on probing or local infection. The transposition multiple-flap vestibuloplasty is a simple and minimally invasive method of improving the condition of soft tissue after insertion of implants. It does not limit the patients' routine activities and avoids staged operations.

  2. Rapid Earthquake Magnitude Estimation for Early Warning Applications

    NASA Astrophysics Data System (ADS)

    Goldberg, Dara; Bock, Yehuda; Melgar, Diego

    2017-04-01

    Earthquake magnitude is a concise metric that provides invaluable information about the destructive potential of a seismic event. Rapid estimation of magnitude for earthquake and tsunami early warning purposes requires reliance on near-field instrumentation. For large magnitude events, ground motions can exceed the dynamic range of near-field broadband seismic instrumentation (clipping). Strong motion accelerometers are designed with low gains to better capture strong shaking. Estimating earthquake magnitude rapidly from near-source strong-motion data requires integration of acceleration waveforms to displacement. However, integration amplifies small errors, creating unphysical drift that must be eliminated with a high pass filter. The loss of the long period information due to filtering is an impediment to magnitude estimation in real-time; the relation between ground motion measured with strong-motion instrumentation and magnitude saturates, leading to underestimation of earthquake magnitude. Using station displacements from Global Navigation Satellite System (GNSS) observations, we can supplement the high frequency information recorded by traditional seismic systems with long-period observations to better inform rapid response. Unlike seismic-only instrumentation, ground motions measured with GNSS scale with magnitude without saturation [Crowell et al., 2013; Melgar et al., 2015]. We refine the current magnitude scaling relations using peak ground displacement (PGD) by adding a large GNSS dataset of earthquakes in Japan. Because it does not suffer from saturation, GNSS alone has significant advantages over seismic-only instrumentation for rapid magnitude estimation of large events. The earthquake's magnitude can be estimated within 2-3 minutes of earthquake onset time [Melgar et al., 2013]. We demonstrate that seismogeodesy, the optimal combination of GNSS and seismic data at collocated stations, provides the added benefit of improving the sensitivity of

  3. Modulation Techniques for Biomedical Implanted Devices and Their Challenges

    PubMed Central

    Hannan, Mahammad A.; Abbas, Saad M.; Samad, Salina A.; Hussain, Aini

    2012-01-01

    Implanted medical devices are very important electronic devices because of their usefulness in monitoring and diagnosis, safety and comfort for patients. Since 1950s, remarkable efforts have been undertaken for the development of bio-medical implanted and wireless telemetry bio-devices. Issues such as design of suitable modulation methods, use of power and monitoring devices, transfer energy from external to internal parts with high efficiency and high data rates and low power consumption all play an important role in the development of implantable devices. This paper provides a comprehensive survey on various modulation and demodulation techniques such as amplitude shift keying (ASK), frequency shift keying (FSK) and phase shift keying (PSK) of the existing wireless implanted devices. The details of specifications, including carrier frequency, CMOS size, data rate, power consumption and supply, chip area and application of the various modulation schemes of the implanted devices are investigated and summarized in the tables along with the corresponding key references. Current challenges and problems of the typical modulation applications of these technologies are illustrated with a brief suggestions and discussion for the progress of implanted device research in the future. It is observed that the prime requisites for the good quality of the implanted devices and their reliability are the energy transformation, data rate, CMOS size, power consumption and operation frequency. This review will hopefully lead to increasing efforts towards the development of low powered, high efficient, high data rate and reliable implanted devices. PMID:22368470

  4. Modulation techniques for biomedical implanted devices and their challenges.

    PubMed

    Hannan, Mahammad A; Abbas, Saad M; Samad, Salina A; Hussain, Aini

    2012-01-01

    Implanted medical devices are very important electronic devices because of their usefulness in monitoring and diagnosis, safety and comfort for patients. Since 1950s, remarkable efforts have been undertaken for the development of bio-medical implanted and wireless telemetry bio-devices. Issues such as design of suitable modulation methods, use of power and monitoring devices, transfer energy from external to internal parts with high efficiency and high data rates and low power consumption all play an important role in the development of implantable devices. This paper provides a comprehensive survey on various modulation and demodulation techniques such as amplitude shift keying (ASK), frequency shift keying (FSK) and phase shift keying (PSK) of the existing wireless implanted devices. The details of specifications, including carrier frequency, CMOS size, data rate, power consumption and supply, chip area and application of the various modulation schemes of the implanted devices are investigated and summarized in the tables along with the corresponding key references. Current challenges and problems of the typical modulation applications of these technologies are illustrated with a brief suggestions and discussion for the progress of implanted device research in the future. It is observed that the prime requisites for the good quality of the implanted devices and their reliability are the energy transformation, data rate, CMOS size, power consumption and operation frequency. This review will hopefully lead to increasing efforts towards the development of low powered, high efficient, high data rate and reliable implanted devices.

  5. The Effects Of Reinforcement Magnitude On Functional Analysis Outcomes

    PubMed Central

    2005-01-01

    The duration or magnitude of reinforcement has varied and often appears to have been selected arbitrarily in functional analysis research. Few studies have evaluated the effects of reinforcement magnitude on problem behavior, even though basic findings indicate that this parameter may affect response rates during functional analyses. In the current study, 6 children with autism or developmental disabilities who engaged in severe problem behavior were exposed to three separate functional analyses, each of which varied in reinforcement magnitude. Results of these functional analyses were compared to determine if a particular reinforcement magnitude was associated with the most conclusive outcomes. In most cases, the same conclusion about the functions of problem behavior was drawn regardless of the reinforcement magnitude. PMID:16033163

  6. Reinforcement magnitude: an evaluation of preference and reinforcer efficacy.

    PubMed

    Trosclair-Lasserre, Nicole M; Lerman, Dorothea C; Call, Nathan A; Addison, Laura R; Kodak, Tiffany

    2008-01-01

    Consideration of reinforcer magnitude may be important for maximizing the efficacy of treatment for problem behavior. Nonetheless, relatively little is known about children's preferences for different magnitudes of social reinforcement or the extent to which preference is related to differences in reinforcer efficacy. The purpose of the current study was to evaluate the relations among reinforcer magnitude, preference, and efficacy by drawing on the procedures and results of basic experimentation in this area. Three children who engaged in problem behavior that was maintained by social positive reinforcement (attention, access to tangible items) participated. Results indicated that preference for different magnitudes of social reinforcement may predict reinforcer efficacy and that magnitude effects may be mediated by the schedule requirement.

  7. Photoelastic stress analysis in screwed and cemented implant-supported dentures with external hexagon implants.

    PubMed

    Pellizzer, Eduardo Piza; Tonella, Bianca Piccolotto; Ferraço, Renato; Falcón-Antenucci, Rosse Mary; de Carvalho, Paulo Sérgio Perri; Alves-Rezende, Maria Cristina Rosifini

    2010-07-01

    The aim of this study was to assess the stress distribution of the retention systems (screwed and cemented) for implant-supported fixed partial dentures by means of photoelastic method. Two models were made of photoelastic resin PL-2 with 2 implants (phi = 4.00 x 10 mm) located in the second premolar and molar region in each photoelastic model, varying the retention system (screwed and cemented). The implant-supported fixed partial dentures were standardized and made of Ni-Cr alloy. Axial and oblique (45 degrees) forces of 100 N were applied on the occlusal surface by means of a Universal Testing Machine (EMIC-DL 3000; São José dos Pinhais, Paraná, Brazil). The results were observed and photographed in the field of a circular polariscope and qualitatively analyzed with the aid of computer software (Adobe Photoshop, San Jose, CA). The screw retention system presented the highest number of fringes when the loads were applied on the premolar, pontic, and molar and showed this behavior in all load applications, under axial and oblique loads. It was concluded that there was a better stress distribution and lower magnitude of stress on the cemented implant-supported dentures, under axial and oblique loads. Oblique load caused an increase in stress concentrations in all the models.

  8. Human ex vivo bone tissue strains around immediately-loaded implants supporting mandibular fixed prostheses.

    PubMed

    Kökat, Ali Murat; Cömert, Ayhan; Tekdemir, Ibrahim; Akkocaoğlu, Murat; Akça, Kvanç; Cehreli, Murat Cavit

    2009-04-01

    The purpose of this study was to qualify and quantify bone strains around immediately-loaded implants supporting mandibular fixed prostheses with regard to number of implant support. Linear strain gauges were bonded on the labial bone of 5 Straumann dental implants placed in the mandibular symphysis region of 2 completely edentulous mandibles of fresh human cadavers. Installation torque value of each implant was measured by a custom-made torque wrench and resonance frequency analyses were undertaken. A one-piece full-arch fixed prosthesis was fabricated for each cadaver and 2 miniature load cells were integrated in the cantilever region of the prostheses for controlled loading experiments. 5-, 4-, and 3-implant support designs were consecutively tested. Strain measurements were performed at a sample rate of 10 KHz and under a maximum load of 100 N, simultaneously monitored from a computer connected to data acquisition system. The installation torque values and implant stability quotient values of the implants ranged between 42.12 to 145.67 N cm and 61 to 80, respectively. Between-group comparisons revealed that the highest strain magnitudes were recorded for the 3-implant design followed by the 4- and 5-implant designs, although there was a tendency toward similar load partitioning between 4- and 5-implant designs (P < 0.05). Bone strains around 3-implant supported mandibular fixed prostheses is significantly higher than those around 4- and 5-implant designs, and this may lead to failure of supporting implants. Four- and 5-implant designs might have similar clinical outcome.

  9. MEMS-based power generation techniques for implantable biosensing applications.

    PubMed

    Lueke, Jonathan; Moussa, Walied A

    2011-01-01

    Implantable biosensing is attractive for both medical monitoring and diagnostic applications. It is possible to monitor phenomena such as physical loads on joints or implants, vital signs, or osseointegration in vivo and in real time. Microelectromechanical (MEMS)-based generation techniques can allow for the autonomous operation of implantable biosensors by generating electrical power to replace or supplement existing battery-based power systems. By supplementing existing battery-based power systems for implantable biosensors, the operational lifetime of the sensor is increased. In addition, the potential for a greater amount of available power allows additional components to be added to the biosensing module, such as computational and wireless and components, improving functionality and performance of the biosensor. Photovoltaic, thermovoltaic, micro fuel cell, electrostatic, electromagnetic, and piezoelectric based generation schemes are evaluated in this paper for applicability for implantable biosensing. MEMS-based generation techniques that harvest ambient energy, such as vibration, are much better suited for implantable biosensing applications than fuel-based approaches, producing up to milliwatts of electrical power. High power density MEMS-based approaches, such as piezoelectric and electromagnetic schemes, allow for supplemental and replacement power schemes for biosensing applications to improve device capabilities and performance. In addition, this may allow for the biosensor to be further miniaturized, reducing the need for relatively large batteries with respect to device size. This would cause the implanted biosensor to be less invasive, increasing the quality of care received by the patient.

  10. MEMS-Based Power Generation Techniques for Implantable Biosensing Applications

    PubMed Central

    Lueke, Jonathan; Moussa, Walied A.

    2011-01-01

    Implantable biosensing is attractive for both medical monitoring and diagnostic applications. It is possible to monitor phenomena such as physical loads on joints or implants, vital signs, or osseointegration in vivo and in real time. Microelectromechanical (MEMS)-based generation techniques can allow for the autonomous operation of implantable biosensors by generating electrical power to replace or supplement existing battery-based power systems. By supplementing existing battery-based power systems for implantable biosensors, the operational lifetime of the sensor is increased. In addition, the potential for a greater amount of available power allows additional components to be added to the biosensing module, such as computational and wireless and components, improving functionality and performance of the biosensor. Photovoltaic, thermovoltaic, micro fuel cell, electrostatic, electromagnetic, and piezoelectric based generation schemes are evaluated in this paper for applicability for implantable biosensing. MEMS-based generation techniques that harvest ambient energy, such as vibration, are much better suited for implantable biosensing applications than fuel-based approaches, producing up to milliwatts of electrical power. High power density MEMS-based approaches, such as piezoelectric and electromagnetic schemes, allow for supplemental and replacement power schemes for biosensing applications to improve device capabilities and performance. In addition, this may allow for the biosensor to be further miniaturized, reducing the need for relatively large batteries with respect to device size. This would cause the implanted biosensor to be less invasive, increasing the quality of care received by the patient. PMID:22319362

  11. Extraoral prostheses using extraoral implants.

    PubMed

    Pekkan, G; Tuna, S H; Oghan, F

    2011-04-01

    The aim of this study was to evaluate extraoral prostheses and the use of extraoral implants in patients with facial defects. 10 cases were treated utilizing maxillofacial prostheses employing extraoral implants in five cases. 16 extraoral implants were installed. Seven implants were placed in irradiated sites in the orbital regions. Six implants were placed in mastoid regions and three in a zygoma region that was irradiated. Two implants failed before initial integration was achieved in irradiated areas. Using 14 extraoral implants as anchors, five extraoral prostheses were set. The other five cases were treated with extraoral prostheses without using extraoral implants due to cost and patient-related factors. The data included age, sex, primary disease, implant length, implant failure, prosthetic attachment, radiation therapy, and peri-implant skin reactions. The use of extraoral implants for the retention of extraoral prostheses has simplified the placement, removal, and cleaning of the prosthesis by the patient. The stability of the prostheses was improved by anchors. Clinical and technical problems are presented with the techniques used for their resolution. Using extraoral implants resulted in a high rate of success in retaining facial prostheses and gave good stability and aesthetic satisfaction.

  12. Management of peri-implantitis

    PubMed Central

    Prathapachandran, Jayachandran; Suresh, Neethu

    2012-01-01

    Peri-implantitis is a site-specific infectious disease that causes an inflammatory process in soft tissues, and bone loss around an osseointegrated implant in function. The etiology of the implant infection is conditioned by the status of the tissue surrounding the implant, implant design, degree of roughness, external morphology, and excessive mechanical load. The microorganisms most commonly associated with implant failure are spirochetes and mobile forms of Gram-negative anaerobes, unless the origin is the result of simple mechanical overload. Diagnosis is based on changes of color in the gingiva, bleeding and probing depth of peri-implant pockets, suppuration, X-ray, and gradual loss of bone height around the tooth. Treatment will differ depending upon whether it is a case of peri-implant mucositis or peri-implantitis. The management of implant infection should be focused on the control of infection, the detoxification of the implant surface, and regeneration of the alveolar bone. This review article deals with the various treatment options in the management of peri-implantitis. The article also gives a brief description of the etiopathogenesis, clinical features, and diagnosis of peri-implantitis. PMID:23559913

  13. EFFECT OF MECHANICAL STIMULI ON SKELETAL REGENERATION AROUND IMPLANTS

    PubMed Central

    Leucht, Philipp; Kim, Jae-Beom; Wazen, Rima; Currey, Jennifer A.; Nanci, Antonio; Brunski, John B.; Helms, Jill A.

    2007-01-01

    Due to the aging population and the increasing need for total joint replacements, osseointegration is of a great interest for various clinical disciplines. Our objective was to investigate the molecular and cellular foundation that underlies this process. Here, we used an in vivo mouse model to study the cellular and molecular response in three distinct areas of unloaded implants: the periosteum, the gap between implant and cortical bone, and the marrow space. Our analyses began with the early phases of healing, and continued until the implants were completely osseointegrated. We investigated aspects of osseointegration ranging from vascularization, cell proliferation, differentiation, and bone remodeling. In doing so, we gained an understanding of the healing mechanisms of different skeletal tissues during unloaded implant osseointegration. To continue our analysis, we used a micromotion device to apply a defined physical stimulus to the implants, and in doing so, we dramatically enhanced bone formation in the peri-implant tissue. By comparing strain measurements with cellular and molecular analyses, we developed an understanding of the correlation between strain magnitudes and fate decisions of cells shaping the skeletal regenerate. PMID:17175211

  14. Implantable radio frequency identification sensors: wireless power and communication.

    PubMed

    Hutchens, Chriswell; Rennaker, Robert L; Venkataraman, Srinivasan; Ahmed, Rehan; Liao, Ran; Ibrahim, Tamer

    2011-01-01

    There are significant technical challenges in the development of a fully implantable wirelessly powered neural interface. Challenges include wireless transmission of sufficient power to the implanted device to ensure reliable operation for decades without replacement, minimizing tissue heating, and adequate reliable communications bandwidth. Overcoming these challenges is essential for the development of implantable closed loop system for the treatment of disorders ranging from epilepsy, incontinence, stroke and spinal cord injury. We discuss the development of the wireless power, communication and control for a Radio-Frequency Identification Sensor (RFIDS) system with targeted power range for a 700 mV, 30 to 40 uA load attained at -2 dBm.

  15. Dental implants: A review.

    PubMed

    Guillaume, B

    2016-12-01

    A high number of patients have one or more missing tooth and it is estimated that one in four American subjects over the age of 74 have lost all their natural teeth. Many options exist to replace missing teeth but dental implants have become one of the most used biomaterial to replace one (or more) missing tooth over the last decades. Contemporary dental implants made with titanium have been proven safe and effective in large series of patients. This review considers the main historical facts concerned with dental implants and present the different critical factors that will ensure a good osseo-integration that will ensure a stable prosthesis anchorage. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  16. Towards biodegradable wireless implants.

    PubMed

    Boutry, Clémentine M; Chandrahalim, Hengky; Streit, Patrick; Schinhammer, Michael; Hänzi, Anja C; Hierold, Christofer

    2012-05-28

    A new generation of partially or even fully biodegradable implants is emerging. The idea of using temporary devices is to avoid a second surgery to remove the implant after its period of use, thereby improving considerably the patient's comfort and safety. This paper provides a state-of-the-art overview and an experimental section that describes the key technological challenges for making biodegradable devices. The general considerations for the design and synthesis of biodegradable components are illustrated with radiofrequency-driven resistor-inductor-capacitor (RLC) resonators made of biodegradable metals (Mg, Mg alloy, Fe, Fe alloys) and biodegradable conductive polymer composites (polycaprolactone-polypyrrole, polylactide-polypyrrole). Two concepts for partially/fully biodegradable wireless implants are discussed, the ultimate goal being to obtain a fully biodegradable sensor for in vivo sensing.

  17. Complications in implant dentistry

    PubMed Central

    Hanif, Ayesha; Qureshi, Saima; Sheikh, Zeeshan; Rashid, Haroon

    2017-01-01

    After tooth loss, an individual may seek tooth replacement so that his/her function and esthetics could be restored. Clinical prosthodontics, during the past decade, has significantly improved and developed according to the advancements in the science and patient's demands and needs. Conventional options in prosthodontics for substituting a missing single tooth include the removable partial denture, partial and full coverage bridgework, and resin-bonded bridgework. Dental implants have gained increasing popularity over the years as they are capable of restoring the function to near normal in both partial and completely edentulous arches. With substantial evidence available, fixed implant-supported prosthesis are fully acknowledged as a reliable treatment option for the replacement of single or multiple missing teeth nowadays. While dental implants are increasingly becoming the choice of replacement for missing teeth, the impediments associated with them are progressively emerging too. PMID:28435381

  18. Biomechanical Effects of Platform Switching in Two Different Implant Systems: A Three-Dimensional Finite Element Analysis

    PubMed Central

    Sahabi, Mahasti; Adibrad, Mehdi; Mirhashemi, Fatemeh Sadat; Habibzadeh, Sareh

    2013-01-01

    Objectives: The purpose of this study was to determine the influence of platform switching on stress distribution of two different implant systems using three-dimensional (3D) finite element models. Materials and Methods: Six 3D finite element models were created to replicate two different implant systems with peri-implant bone tissue, in which six different implant-abutment configurations were represented: model XiVE-a: 3.8-mm-diameter implant and 3.8-mm-diameter abutment; model XiVE-b (platform-switching model): 4.5-mm-diameter implant and 3.8-mm-diameter abutment; model XiVE-c: 4.5-mm-diameter implant and 4.5-mm-diameter abutment; model 3i-a: 4.0-mm-diameter implant and 4.1-mm-diameter abutment; model 3i-b (platform-switching model): 5.0-mm-diameter implant and 4.1-mm-diameter abutment; model 3i-c: 5.0-mm-diameter implant and 5.0-mm-diameter abutment. vertical and oblique loads of 100 were applied to all models. Results: While the pattern of stress distribution was similar for both loading situations, oblique loading resulted in higher intensity and greater distribution of stress than axial loading in both cortical bone and implant-abutment- interface. Stress distribution at peri-implant bone was almost identical with similar magnitudes for all six models. In both implant systems, platform-switching models demonstrated lower maximum von Mises stress in cortical bone than conventional models. However, in both implant systems and under both loading situations, platform-switching models showed higher stresses at the implant-abutment interface than conventional models. Conclusion: In both implant systems, platform switching design reduced the stress concentration in the crestal bone and shifted it towards the area of implant-abutment interface. PMID:24396353

  19. Famine intensity and magnitude scales: a proposal for an instrumental definition of famine.

    PubMed

    Howe, Paul; Devereux, Stephen

    2004-12-01

    Ambiguities in current usage of the term "famine" have had tragic implications for response and accountability in a number of recent food crises. This paper proposes a new approach to defining famine based on the use of intensity and magnitude scales, where "intensity" refers to the severity of the crisis at a given location and point in time, while "magnitude" describes the aggregate impact of a crisis. The scales perform three operations on "famine": first, moving from a binary conception of "famine/no famine" to a graduated, multi-level definition; second, disaggregating the dimensions of intensity and magnitude; and third, assigning harmonised "objective" criteria in place of subjective, case-by-case judgements. If adopted, the famine scales should contribute to more effective and proportionate responses, as well as greater accountability in future food crises.

  20. Multi-objective control of nonlinear boiler-turbine dynamics with actuator magnitude and rate constraints.

    PubMed

    Chen, Pang-Chia

    2013-01-01

    This paper investigates multi-objective controller design approaches for nonlinear boiler-turbine dynamics subject to actuator magnitude and rate constraints. System nonlinearity is handled by a suitable linear parameter varying system representation with drum pressure as the system varying parameter. Variation of the drum pressure is represented by suitable norm-bounded uncertainty and affine dependence on system matrices. Based on linear matrix inequality algorithms, the magnitude and rate constraints on the actuator and the deviations of fluid density and water level are formulated while the tracking abilities on the drum pressure and power output are optimized. Variation ranges of drum pressure and magnitude tracking commands are used as controller design parameters, determined according to the boiler-turbine's operation range.

  1. An empirical evolutionary magnitude estimation for early warning of earthquakes

    NASA Astrophysics Data System (ADS)

    Chen, Da-Yi; Wu, Yih-Min; Chin, Tai-Lin

    2017-03-01

    The earthquake early warning (EEW) system is difficult to provide consistent magnitude estimate in the early stage of an earthquake occurrence because only few stations are triggered and few seismic signals are recorded. One of the feasible methods to measure the size of earthquakes is to extract amplitude parameters using the initial portion of the recorded waveforms after P-wave arrival. However, for a large-magnitude earthquake (Mw > 7.0), the time to complete the whole ruptures resulted from the corresponding fault may be very long. The magnitude estimations may not be correctly predicted by the initial portion of the seismograms. To estimate the magnitude of a large earthquake in real-time, the amplitude parameters should be updated with ongoing waveforms instead of adopting amplitude contents in a predefined fixed-length time window, since it may underestimate magnitude for large-magnitude events. In this paper, we propose a fast, robust and less-saturated approach to estimate earthquake magnitudes. The EEW system will initially give a lower-bound of the magnitude in a time window with a few seconds and then update magnitude with less saturation by extending the time window. Here we compared two kinds of time windows for measuring amplitudes. One is P-wave time window (PTW) after P-wave arrival; the other is whole-wave time window after P-wave arrival (WTW), which may include both P and S wave. One to ten second time windows for both PTW and WTW are considered to measure the peak ground displacement from the vertical component of the waveforms. Linear regression analysis are run at each time step (1- to 10-s time interval) to find the empirical relationships among peak ground displacement, hypocentral distances, and magnitudes using the earthquake records from 1993 to 2012 in Taiwan with magnitude greater than 5.5 and focal depth less than 30 km. The result shows that considering WTW to estimate magnitudes has smaller standard deviation than PTW. The

  2. Dealing with a left ventricular pseudoaneurysm during assist device implant.

    PubMed

    Ha, Richard V; Chiu, Peter; Banerjee, Dipanjan; Sheikh, Ahmad Y

    2016-06-01

    Despite increasing use of left ventricular devices for the surgical treatment of heart failure, there is limited experience with implantation of devices in the setting of challenging left apical anatomy. We report the case of a 68-year-old man with a chronic post-infarction calcified apical pseudoaneurysm, who underwent pseudoaneurysmectomy, ventricular myoplasty, and left ventricular assist device implantation. A review of the literature and operative strategies are presented. © The Author(s) 2015.

  3. The Instructional Dependency of SNARC Effects Reveals Flexibility of the Space-Magnitude Association of Nonsymbolic and Symbolic Magnitudes.

    PubMed

    Lee, Dasom; Chun, Joohyung; Cho, Soohyun

    2016-05-01

    The Spatial-Numerical Association of Response Codes (SNARC) effect refers to the phenomenon that small versus large numbers are responded to faster in the left versus right side of space, respectively. Using a pairwise comparison task, Shaki et al. found that task instruction influences the pattern of SNARC effects of certain types of magnitudes which are less rigid in their space-magnitude association .The present study examined the generalizability of this instruction effect using pairwise comparison of nonsymbolic and symbolic stimuli within a wide range of magnitudes. We contrasted performance between trials in which subjects were instructed to select the stimulus representing the smaller versus larger magnitude within each pair. We found an instruction-dependent pattern of SNARC effects for both nonsymbolic and symbolic magnitudes. Specifically, we observed a SNARC effect for the "Select Smaller" instruction, but a reverse SNARC effect for the "Select Larger" instruction. Considered together with previous studies, our findings suggest that nonsymbolic magnitudes and relatively large symbolic magnitudes have greater flexibility in their space-magnitude association.

  4. Implantable Heart Aid

    NASA Technical Reports Server (NTRS)

    1980-01-01

    Medrad utilized NASA's Apollo technology to develop a new device called the AID implantable automatic pulse generator which monitors the heart continuously, recognizes the onset of ventricular fibrillation and delivers a corrective electrical shock. AID pulse generator is, in effect, a miniaturized version of the defibrillator used by emergency squads and hospitals to restore rhythmic heartbeat after fibrillation, but has the unique advantage of being permanently available to the patient at risk. Once implanted, it needs no specially trained personnel or additional equipment. AID system consists of a microcomputer, a power source and two electrodes which sense heart activity.

  5. Hydroxylapatite Otologic Implants

    SciTech Connect

    McMillan, A.D.; Lauf, R.J.; Beale, B.; Johnson, R.

    2000-01-01

    A Cooperative Research and Development Agreement (CRADA) between Lockheed Martin Energy Research Corporation (LMER) and Smith and Nephew Richards Inc. of Bartlett, TN, was initiated in March 1997. The original completion date for the Agreement was March 25, 1998. The purpose of this work is to develop and commercialize net shape forming methods for directly creating dense hydroxylapatite (HA) ceramic otologic implants. The project includes three tasks: (1) modification of existing gelcasting formulations to accommodate HA slurries; (2) demonstration of gelcasting to fabricate green HA ceramic components of a size and shape appropriate to otologic implants: and (3) sintering and evaluation of the HA components.

  6. Current trends in dental implants

    PubMed Central

    Gaviria, Laura; Salcido, John Paul; Guda, Teja

    2014-01-01

    Tooth loss is very a very common problem; therefore, the use of dental implants is also a common practice. Although research on dental implant designs, materials and techniques has increased in the past few years and is expected to expand in the future, there is still a lot of work involved in the use of better biomaterials, implant design, surface modification and functionalization of surfaces to improve the long-term outcomes of the treatment. This paper provides a brief history and evolution of dental implants. It also describes the types of implants that have been developed, and the parameters that are presently used in the design of dental implants. Finally, it describes the trends that are employed to improve dental implant surfaces, and current technologies used for the analysis and design of the implants. PMID:24868501

  7. Injection moulding of biodegradable implants.

    PubMed

    von Oepen, R; Michaeli, W

    1992-01-01

    In medical engineering, degradable polymers represent an attractive alternative for conventional materials to be used as implants in the body. They are used as drug deliveries or as plates and screws to fix broken bones. Since they are completely broken down by the human body, the second operation, which is generally required, can be avoided. A central problem is the processing of these polymers, because no stabilisers are allowed. This causes a partially relevant loss in molecular weight, which correlates directly with the mechanical properties. Tests carried out on an injection moulding machine and on a conical plate rheometer show the influence of temperature, shear, residence time and moisture on molecular weight reduction and mechanical properties.

  8. Adolescents with Developmental Dyscalculia Do Not Have a Generalized Magnitude Deficit – Processing of Discrete and Continuous Magnitudes

    PubMed Central

    McCaskey, Ursina; von Aster, Michael; O’Gorman Tuura, Ruth; Kucian, Karin

    2017-01-01

    The link between number and space has been discussed in the literature for some time, resulting in the theory that number, space and time might be part of a generalized magnitude system. To date, several behavioral and neuroimaging findings support the notion of a generalized magnitude system, although contradictory results showing a partial overlap or separate magnitude systems are also found. The possible existence of a generalized magnitude processing area leads to the question how individuals with developmental dyscalculia (DD), known for deficits in numerical-arithmetical abilities, process magnitudes. By means of neuropsychological tests and functional magnetic resonance imaging (fMRI) we aimed to examine the relationship between number and space in typical and atypical development. Participants were 16 adolescents with DD (14.1 years) and 14 typically developing (TD) peers (13.8 years). In the fMRI paradigm participants had to perform discrete (arrays of dots) and continuous magnitude (angles) comparisons as well as a mental rotation task. In the neuropsychological tests, adolescents with dyscalculia performed significantly worse in numerical and complex visuo-spatial tasks. However, they showed similar results to TD peers when making discrete and continuous magnitude decisions during the neuropsychological tests and the fMRI paradigm. A conjunction analysis of the fMRI data revealed commonly activated higher order visual (inferior and middle occipital gyrus) and parietal (inferior and superior parietal lobe) magnitude areas for the discrete and continuous magnitude tasks. Moreover, no differences were found when contrasting both magnitude processing conditions, favoring the possibility of a generalized magnitude system. Group comparisons further revealed that dyscalculic subjects showed increased activation in domain general regions, whilst TD peers activate domain specific areas to a greater extent. In conclusion, our results point to the existence of a

  9. Adolescents with Developmental Dyscalculia Do Not Have a Generalized Magnitude Deficit - Processing of Discrete and Continuous Magnitudes.

    PubMed

    McCaskey, Ursina; von Aster, Michael; O'Gorman Tuura, Ruth; Kucian, Karin

    2017-01-01

    The link between number and space has been discussed in the literature for some time, resulting in the theory that number, space and time might be part of a generalized magnitude system. To date, several behavioral and neuroimaging findings support the notion of a generalized magnitude system, although contradictory results showing a partial overlap or separate magnitude systems are also found. The possible existence of a generalized magnitude processing area leads to the question how individuals with developmental dyscalculia (DD), known for deficits in numerical-arithmetical abilities, process magnitudes. By means of neuropsychological tests and functional magnetic resonance imaging (fMRI) we aimed to examine the relationship between number and space in typical and atypical development. Participants were 16 adolescents with DD (14.1 years) and 14 typically developing (TD) peers (13.8 years). In the fMRI paradigm participants had to perform discrete (arrays of dots) and continuous magnitude (angles) comparisons as well as a mental rotation task. In the neuropsychological tests, adolescents with dyscalculia performed significantly worse in numerical and complex visuo-spatial tasks. However, they showed similar results to TD peers when making discrete and continuous magnitude decisions during the neuropsychological tests and the fMRI paradigm. A conjunction analysis of the fMRI data revealed commonly activated higher order visual (inferior and middle occipital gyrus) and parietal (inferior and superior parietal lobe) magnitude areas for the discrete and continuous magnitude tasks. Moreover, no differences were found when contrasting both magnitude processing conditions, favoring the possibility of a generalized magnitude system. Group comparisons further revealed that dyscalculic subjects showed increased activation in domain general regions, whilst TD peers activate domain specific areas to a greater extent. In conclusion, our results point to the existence of a

  10. Regional long-period magnitude scales and their capabilities for tsunami warning

    NASA Astrophysics Data System (ADS)

    Gusev, A. A.; Chubarova, O. S.

    2016-12-01

    The tsunami warning system in the Russian Far East employs the medium-period magnitude MS (BB) by Vaniek-Soloviev. However, its use may lead to inadequacies and underestimates for the tsunamigenic potential of an earthquake. Specifically, this can happen in the case of a so-called tsunami-earthquake. This kind of earthquakes with a nonstandard spectrum was revealed by H. Kanamori in 1972. This problem can be overcome by using a magnitude scale that deals with longer period seismic waves. This study develops a technique for determining the magnitudes at regional distances (from 70 to 4500 km) using the amplitudes of surface seismic waves of periods of 40 and 80 s. At distances of 70-250 km, the amplitude of the joint group of shear and surface waves is used. For the new magnitudes designated M S(40) and M S(80), experimental calibration curves are constructed using more than 1250 three-component records at 12 stations of the region. The magnitudes are calibrated so as to produce an unbiased estimate of the moment magnitude M w in the critical range 7.5-8.8. The rms error of the single-station estimate M w is around 0.27. At distances below 250 km and M w ≥ 8.3, the estimate of M w obtained by the proposed technique becomes saturated at the level of M w 8.3, which is acceptable for operative analysis because no missed alarms arise. The technique can be used in operational tsunami warning based on seismological data. This can markedly decrease the number of false alarms.

  11. In vitro study of reduction of stress transferred onto tissues around implants using a resilient material in maxillary implant overdentures.

    PubMed

    Kanazawa, Manabu; Minakuchi, Shunsuke; Hayakawa, Iwao; Hirano, Shigezo; Uchida, Tatsuro

    2007-03-01

    The purpose of this in vitro study was to investigate the effect of hardness on the reduction of stress transferred to tissues around implants using a resilient material applied to the female parts of the ball attachment in maxillary implant overdentures. A cast chrome-cobalt framework was mounted onto a maxillary acrylic edentulous model, which contained two implants and four strain gauges attached to the implant. Ball abutments were screwed into the implant. One abutment was connected to a dedicated metal cap embedded in the housing, while the others were connected to resilient test materials with four different hardnesses. Loads were applied using a universal testing machine with a magnitude of 50 N. The sums of the absolute values recorded from the four strain gauges were used for stress evaluation. The measured strains were analyzed statistically using two-way ANOVA and multiple comparisons. A resilient material with hardness 90 exhibited strains that did not differ significantly from the control. In contrast, the other resilient materials showed significantly reduced strains under all conditions. In this limited study, application of resilient silicone materials with approximate hardness 80 to the female parts of ball attachments significantly reduced the stress on the tissues around the implant.

  12. An implantable fluidic vibrational energy harvester

    NASA Astrophysics Data System (ADS)

    Inoue, S.; Takahashi, T.; Kumemura, M.; Fujita, H.; Toshiyoshi, H.

    2016-11-01

    Targeting implantable medical devices such as respiratory pace-maker, we have developed a proof-of-concept level energy harvester device that could earn electric power of 44 μW/cm2 by the fluidic motion in a PDMS microchannel placed on a silicon substrate with built-in permanent electrical charges or so-called electrets. The motion of the working fluid will be operated by the heart beat or breathing as a final shape of the energy harvesting system.

  13. Quantifying Heartbeat Dynamics by Magnitude and Sign Correlations

    NASA Astrophysics Data System (ADS)

    Ivanov, Plamen Ch.; Ashkenazy, Yosef; Kantelhardt, Jan W.; Stanley, H. Eugene

    2003-05-01

    We review a recently developed approach for analyzing time series with long-range correlations by decomposing the signal increment series into magnitude and sign series and analyzing their scaling properties. We show that time series with identical long-range correlations can exhibit different time organization for the magnitude and sign. We apply our approach to series of time intervals between consecutive heartbeats. Using the detrended fluctuation analysis method we find that the magnitude series is long-range correlated, while the sign series is anticorrelated and that both magnitude and sign series may have clinical applications. Further, we study the heartbeat magnitude and sign series during different sleep stages — light sleep, deep sleep, and REM sleep. For the heartbeat sign time series we find short-range anticorrelations, which are strong during deep sleep, weaker during light sleep and even weaker during REM sleep. In contrast, for the heartbeat magnitude time series we find long-range positive correlations, which are strong during REM sleep and weaker during light sleep. Thus, the sign and the magnitude series provide information which is also useful for distinguishing between different sleep stages.

  14. Derivation of Johnson-Cousins Magnitudes from DSLR Camera Observations

    NASA Astrophysics Data System (ADS)

    Park, Woojin; Pak, Soojong; Shim, Hyunjin; Le, Huynh Anh N.; Im, Myungshin; Chang, Seunghyuk; Yu, Joonkyu

    2016-01-01

    The RGB Bayer filter system consists of a mosaic of R, G, and B filters on the grid of the photo sensors which typical commercial DSLR (Digital Single Lens Reflex) cameras and CCD cameras are equipped with. Lot of unique astronomical data obtained using an RGB Bayer filter system are available, including transient objects, e.g. supernovae, variable stars, and solar system bodies. The utilization of such data in scientific research requires that reliable photometric transformation methods are available between the systems. In this work, we develop a series of equations to convert the observed magnitudes in the RGB Bayer filter system (RB, GB, and BB) into the Johnson-Cousins BVR filter system (BJ, VJ, and RC). The new transformation equations derive the calculated magnitudes in the Johnson-Cousins filters (BJcal, VJcal, and RCcal) as functions of RGB magnitudes and colors. The mean differences between the transformed magnitudes and original magnitudes, i.e. the residuals, are (BJ - BJcal) = 0.064 mag, (VJ - VJcal) = 0.041 mag, and (RC - RCcal) = 0.039 mag. The calculated Johnson-Cousins magnitudes from the transformation equations show a good linear correlation with the observed Johnson-Cousins magnitudes.

  15. Does residual force enhancement increase with increasing stretch magnitudes?

    PubMed

    Hisey, Brandon; Leonard, Tim R; Herzog, Walter

    2009-07-22

    It is generally accepted that force enhancement in skeletal muscles increases with increasing stretch magnitudes. However, this property has not been tested across supra-physiological stretch magnitudes and different muscle lengths, thus it is not known whether this is a generic property of skeletal muscle, or merely a property that holds for small stretch magnitudes within the physiological range. Six cat soleus muscles were actively stretched with magnitudes varying from 3 to 24 mm at three different parts of the force-length relationship to test the hypothesis that force enhancement increases with increasing stretch magnitude, independent of muscle length. Residual force enhancement increased consistently with stretch amplitudes on the descending limb of the force-length relationship up to a threshold value, after which it reached a plateau. Force enhancement did not increase with stretch amplitude on the ascending limb of the force-length relationship. Passive force enhancement was observed for all test conditions, and paralleled the behavior of the residual force enhancement. Force enhancement increased with stretch magnitude when stretching occurred at lengths where there was natural passive force within the muscle. These results suggest that force enhancement does not increase unconditionally with increasing stretch magnitude, as is generally accepted, and that increasing force enhancement with stretch appears to be tightly linked to that part of the force-length relationship where there is naturally occurring passive force.

  16. Multiscale mapping of completeness magnitude of earthquake catalogs

    NASA Astrophysics Data System (ADS)

    Vorobieva, Inessa; Narteau, Clement; Shebalin, Peter; Beauducel, François; Nercessian, Alexandre; Clouard, Valérie; Bouin, Marie-Paule

    2013-04-01

    We propose a multiscale method to map spatial variations in completeness magnitude Mc of earthquake catalogs. The Mc value may significantly vary in space due to the change of the seismic network density. Here we suggest a way to use only earthquake catalogs to separate small areas of higher network density (lower Mc) and larger areas of smaller network density (higher Mc). We reduce the analysis of the FMDs to the limited magnitude ranges, thus allowing deviation of the FMD from the log-linearity outside the range. We associate ranges of larger magnitudes with increasing areas for data selection based on constant in average number of completely recorded earthquakes. Then, for each point in space, we document the earthquake frequency-magnitude distribution at all length scales within the corresponding earthquake magnitude ranges. High resolution of the Mc-value is achieved through the determination of the smallest space-magnitude scale in which the Gutenberg-Richter law (i. e. an exponential decay) is verified. The multiscale procedure isolates the magnitude range that meets the best local seismicity and local record capacity. Using artificial catalogs and earthquake catalogs of the Lesser Antilles arc, this Mc mapping method is shown to be efficient in regions with mixed types of seismicity, a variable density of epicenters and various levels of registration.

  17. Induced earthquake magnitudes are as large as (statistically) expected

    NASA Astrophysics Data System (ADS)

    Elst, Nicholas J.; Page, Morgan T.; Weiser, Deborah A.; Goebel, Thomas H. W.; Hosseini, S. Mehran

    2016-06-01

    A major question for the hazard posed by injection-induced seismicity is how large induced earthquakes can be. Are their maximum magnitudes determined by injection parameters or by tectonics? Deterministic limits on induced earthquake magnitudes have been proposed based on the size of the reservoir or the volume of fluid injected. However, if induced earthquakes occur on tectonic faults oriented favorably with respect to the tectonic stress field, then they may be limited only by the regional tectonics and connectivity of the fault network. In this study, we show that the largest magnitudes observed at fluid injection sites are consistent with the sampling statistics of the Gutenberg-Richter distribution for tectonic earthquakes, assuming no upper magnitude bound. The data pass three specific tests: (1) the largest observed earthquake at each site scales with the log of the total number of induced earthquakes, (2) the order of occurrence of the largest event is random within the induced sequence, and (3) the injected volume controls the total number of earthquakes rather than the total seismic moment. All three tests point to an injection control on earthquake nucleation but a tectonic control on earthquake magnitude. Given that the largest observed earthquakes are exactly as large as expected from the sampling statistics, we should not conclude that these are the largest earthquakes possible. Instead, the results imply that induced earthquake magnitudes should be treated with the same maximum magnitude bound that is currently used to treat seismic hazard from tectonic earthquakes.

  18. Induced earthquake magnitudes are as large as (statistically) expected

    USGS Publications Warehouse

    Van Der Elst, Nicholas; Page, Morgan T.; Weiser, Deborah A.; Goebel, Thomas; Hosseini, S. Mehran

    2016-01-01

    A major question for the hazard posed by injection-induced seismicity is how large induced earthquakes can be. Are their maximum magnitudes determined by injection parameters or by tectonics? Deterministic limits on induced earthquake magnitudes have been proposed based on the size of the reservoir or the volume of fluid injected. However, if induced earthquakes occur on tectonic faults oriented favorably with respect to the tectonic stress field, then they may be limited only by the regional tectonics and connectivity of the fault network. In this study, we show that the largest magnitudes observed at fluid injection sites are consistent with the sampling statistics of the Gutenberg-Richter distribution for tectonic earthquakes, assuming no upper magnitude bound. The data pass three specific tests: (1) the largest observed earthquake at each site scales with the log of the total number of induced earthquakes, (2) the order of occurrence of the largest event is random within the induced sequence, and (3) the injected volume controls the total number of earthquakes rather than the total seismic moment. All three tests point to an injection control on earthquake nucleation but a tectonic control on earthquake magnitude. Given that the largest observed earthquakes are exactly as large as expected from the sampling statistics, we should not conclude that these are the largest earthquakes possible. Instead, the results imply that induced earthquake magnitudes should be treated with the same maximum magnitude bound that is currently used to treat seismic hazard from tectonic earthquakes.

  19. Regression between earthquake magnitudes having errors with known variances

    NASA Astrophysics Data System (ADS)

    Pujol, Jose

    2016-07-01

    Recent publications on the regression between earthquake magnitudes assume that both magnitudes are affected by error and that only the ratio of error variances is known. If X and Y represent observed magnitudes, and x and y represent the corresponding theoretical values, the problem is to find the a and b of the best-fit line y = a x + b. This problem has a closed solution only for homoscedastic errors (their variances are all equal for each of the two variables). The published solution was derived using a method that cannot provide a sum of squares of residuals. Therefore, it is not possible to compare the goodness of fit for different pairs of magnitudes. Furthermore, the method does not provide expressions for the x and y. The least-squares method introduced here does not have these drawbacks. The two methods of solution result in the same equations for a and b. General properties of a discussed in the literature but not proved, or proved for particular cases, are derived here. A comparison of different expressions for the variances of a and b is provided. The paper also considers the statistical aspects of the ongoing debate regarding the prediction of y given X. Analysis of actual data from the literature shows that a new approach produces an average improvement of less than 0.1 magnitude units over the standard approach when applied to Mw vs. mb and Mw vs. MS regressions. This improvement is minor, within the typical error of Mw. Moreover, a test subset of 100 predicted magnitudes shows that the new approach results in magnitudes closer to the theoretically true magnitudes for only 65 % of them. For the remaining 35 %, the standard approach produces closer values. Therefore, the new approach does not always give the most accurate magnitude estimates.

  20. Biofilm related to dental implants.

    PubMed

    Lee, Angie; Wang, Hom-Lay

    2010-10-01

    Oral biofilm-related diseases such as periodontal and peri-implant diseases are unique infections in that they develop from the resident indigenous microflora. As more implants are nowadays being placed, clinicians may encounter more complications. Therefore, understanding the etiology is warranted to establish adequate diagnosis and provide proper treatment. This article focuses on understanding peri-implant microbiology and its roles in peri-implant diseases.

  1. Deep brain stimulation in the setting of cochlear implants: Case report and literature review

    PubMed Central

    Buell, Thomas J.; Ksendzovsky, Alexander; Shah, Binit B.; Kesser, Bradley W.; Elias, W. Jeffrey

    2015-01-01

    Background/Aims As technology continues to advance for our aging population, an increasing number of DBS candidates will have preexisting implanted electrical devices. In this article, we discuss safe and successful DBS in a patient with Parkinson's disease (PD) and bilateral cochlear implants. Methods A 70 year-old male with PD and bilateral cochlear implants underwent successful microelectrode-guided DBS implantation into bilateral subthalamic nuclei (STN). The patient's cochlear implant magnets were removed and replaced in outpatient clinic for pre-operative MRI and stereotactic targeting. The cochlear implants were turned off intraoperatively for STN microelectrode recordings. Results Precise, MRI-guided stereotactic DBS implantation was possible. Intraoperative high-fidelity microelectrode recordings confirmed STN neurons with the cochlear implants turned off. These recordings were not possible with active cochlear implant devices. Our literature review describes the other approaches/techniques that have been used to manage DBS surgery in the setting of cochlear implants. Conclusions Despite the risk of electrical interference between implanted medical devices, DBS and cochlear implants may be safe and compatible in the same patient if necessary precautions are taken. PMID:25998722

  2. Comparison of magnetic probe calibration at nano and millitesla magnitudes.

    PubMed

    Pahl, Ryan A; Rovey, Joshua L; Pommerenke, David J

    2014-01-01

    Magnetic field probes are invaluable diagnostics for pulsed inductive plasma devices where field magnitudes on the order of tenths of tesla or larger are common. Typical methods of providing a broadband calibration of [Formula: see text] probes involve either a Helmholtz coil driven by a function generator or a network analyzer. Both calibration methods typically produce field magnitudes of tens of microtesla or less, at least three and as many as six orders of magnitude lower than their intended use. This calibration factor is then assumed constant regardless of magnetic field magnitude and the effects of experimental setup are ignored. This work quantifies the variation in calibration factor observed when calibrating magnetic field probes in low field magnitudes. Calibration of two [Formula: see text] probe designs as functions of frequency and field magnitude are presented. The first [Formula: see text] probe design is the most commonly used design and is constructed from two hand-wound inductors in a differential configuration. The second probe uses surface mounted inductors in a differential configuration with balanced shielding to further reduce common mode noise. Calibration factors are determined experimentally using an 80.4 mm radius Helmholtz coil in two separate configurations over a frequency range of 100-1000 kHz. A conventional low magnitude calibration using a vector network analyzer produced a field magnitude of 158 nT and yielded calibration factors of 15 663 ± 1.7% and 4920 ± 0.6% [Formula: see text] at 457 kHz for the surface mounted and hand-wound probes, respectively. A relevant magnitude calibration using a pulsed-power setup with field magnitudes of 8.7-354 mT yielded calibration factors of 14 615 ± 0.3% and 4507 ± 0.4% [Formula: see text] at 457 kHz for the surface mounted inductor and hand-wound probe, respectively. Low-magnitude calibration resulted in a larger calibration factor, with an average difference of 9.7% for the surface

  3. Comparison of magnetic probe calibration at nano and millitesla magnitudes

    NASA Astrophysics Data System (ADS)

    Pahl, Ryan A.; Rovey, Joshua L.; Pommerenke, David J.

    2014-01-01

    Magnetic field probes are invaluable diagnostics for pulsed inductive plasma devices where field magnitudes on the order of tenths of tesla or larger are common. Typical methods of providing a broadband calibration of dot{{B}} probes involve either a Helmholtz coil driven by a function generator or a network analyzer. Both calibration methods typically produce field magnitudes of tens of microtesla or less, at least three and as many as six orders of magnitude lower than their intended use. This calibration factor is then assumed constant regardless of magnetic field magnitude and the effects of experimental setup are ignored. This work quantifies the variation in calibration factor observed when calibrating magnetic field probes in low field magnitudes. Calibration of two dot{{B}} probe designs as functions of frequency and field magnitude are presented. The first dot{{B}} probe design is the most commonly used design and is constructed from two hand-wound inductors in a differential configuration. The second probe uses surface mounted inductors in a differential configuration with balanced shielding to further reduce common mode noise. Calibration factors are determined experimentally using an 80.4 mm radius Helmholtz coil in two separate configurations over a frequency range of 100-1000 kHz. A conventional low magnitude calibration using a vector network analyzer produced a field magnitude of 158 nT and yielded calibration factors of 15 663 ± 1.7% and 4920 ± 0.6% {T}/{V {s}} at 457 kHz for the surface mounted and hand-wound probes, respectively. A relevant magnitude calibration using a pulsed-power setup with field magnitudes of 8.7-354 mT yielded calibration factors of 14 615 ± 0.3% and 4507 ± 0.4% {T}/{V {s}} at 457 kHz for the surface mounted inductor and hand-wound probe, respectively. Low-magnitude calibration resulted in a larger calibration factor, with an average difference of 9.7% for the surface mounted probe and 12.0% for the hand-wound probe. The

  4. Computer automation of high current ion implanters

    NASA Astrophysics Data System (ADS)

    Woodard, Ollie; Lindsey, Paul; Cecil, Joseph; Pipe, Robert

    1985-01-01

    Complete computer automation of a high current ion implanter has been achieved. Special design considerations were necessary for automation including the development of a simplified ion source, a simplified beam transport control function, and a computer aided real-time feedback dosimetry control system. A special, versatile software architecture was also necessary to allow protected operation by unskilled operators, as well as diagnostic and maintenance modes accessible only to qualified personnel. Integral mounting of the DEC LSI-11 computer in the implanter frame provided additional challenges regarding EMI control and the electrical isolation required. The end result is a system in which all pertinent functions of the implanter are computer monitored and controlled continuously, allowing for automatic set-up, operation, on-line fault detection and diagnostics, with recovery software to correct many transient problems as they occur. This paper will discuss both general and specific solutions to the design problems encountered, and will review the system performance from a user point of view.

  5. Biomimetic approach to dental implants.

    PubMed

    Kim, Tae-Il; Jang, Jun-Hyeog; Kim, Hae-Won; Knowles, Jonathan C; Ku, Young

    2008-01-01

    Titanium, as an implant material, is regarded to be durable and biocompatible, which allows functional replacement of missing teeth. Successful dental implantation depends on an osseointegration phenomenon, a direct structural and functional binding reaction between bone and implant. It is well known that physicochemical characteristics of the dental implant surface, such as roughness, topography, chemistry, and electrical charge affect the biological reactions occurring at the interface of tissue and implant. Therefore, considerable efforts have been made to modify the surface of titanium implants which are based on mechanical, physical and chemical treatments. Recently, biological molecules were introduced onto the surface of implants to stimulate osteogenic cells in the early stage of implantation and consequently accelerate bone formation around implant and subsequent rapid implant stabilization. A range of extracellular matrix components, designed peptides, and growth factors have been proposed as the biological moiety. In this review, we address several issues related to the biology of dental implants and discuss biomimetic modification of the implant surface as a novel approach to obtain successful osseointegration.

  6. The silicone breast implant controversy.

    PubMed

    Guerette, P H

    1995-02-01

    Feminists call it objectification. Consumer advocates call it victimization. Medical personnel call it augmentation. Women, implantation. Whatever the term, media hype and the increasing number of lawsuits against U.S. manufacturers of silicone breast implants has caused widespread concern among women and raised serious questions about the long term health risks and safety of breast implant devices.

  7. Sterilisation of bioresorbable polymer implants.

    PubMed

    Bernkopf, M

    2007-01-01

    Bioresorbable polymer implants are rapidly growing alternatives to traditional implants in many applications. Because of their resorption in the body, it is necessary to sterilise the complete product before application. The suitability of different sterilisation methods for bioresorbable polymers is discussed using polylactic acid implants as an example.

  8. Treatment of peri-implantitis and the failing implant.

    PubMed

    Robertson, Kevin; Shahbazian, Timothy; MacLeod, Stephen

    2015-04-01

    Appropriate treatment of implants is becoming increasingly important for the general dentist as the number of implants placed per year continues to increase. Early diagnosis of peri-implantitis is imperative; initiating the correct treatment protocol depends on a proper diagnosis. Several risk factors exist for the development of peri-implantitis, which can guide patient selection and treatment planning. Treatment of peri-implantitis should be tailored to the severity of the lesion (as outlined by the cumulative interceptive supportive treatment protocol), ranging from mechanical debridement to explantation. Several surgical and nonsurgical treatment alternatives exist. There is little consensus on superior treatment methods. Published by Elsevier Inc.

  9. Ovariectomy hinders the early stage of bone-implant integration: histomorphometric, biomechanical, and molecular analyses.

    PubMed

    Ozawa, S; Ogawa, T; Iida, K; Sukotjo, C; Hasegawa, H; Nishimura, R D; Nishimura, I

    2002-01-01

    Postmenopausal osteoporosis is a contributing factor to alveolar bone atrophy associated with tooth loss in the elderly. The use of dental titanium implants has been increasingly adapted to treat these edentulous patients. This study examines whether female gonadal hormone deficiency interferes with the critical integration process between bone and implants. Two types of experimental titanium implants with acid-treated surfaces were placed in the femurs of ovariectomized (ovx) and sham-operated control rats: T-cell implants with a hollow chamber for histomorphometric and steady-state mRNA expression assays, and unthreaded cylindrical implants for biomechanical push-in tests. At week 2, less bone area was found in the ovx-implant group (p = 0.0495) than in the sham-implant group. The implant push-in test showed that the ovx-implant group had approximately half of the withstanding value of the sham-implant group (p = 0.009). However, these differences between the ovx and sham groups became diminished at week 4. Total RNA samples were examined by a reverse transcriptase-polymerase chain reaction assay for col1a1, col3a1, bone sialoprotein (bSP) II, osteonectin, osteopontin, osteocalcin, integrin beta1 and integrin beta3. In untreated bones and in created bone defects without implant placement, ovx did not affect the steady-state levels of the mRNAs tested. When implants were placed, significant upregulation of these genes was observed in the sham-implant group; however, only osteocalcin and integrins were upregulated in the ovx-implant group. The results suggest a biphasic effect of female gonadal hormone deficiency that may temporarily interfere with the early implant-tissue integration process, and which may be associated with a failure to upregulate a selected set of bone extracellular matrix genes. Once established, however, functional bone-implant integration can be achieved even in ovx rats.

  10. [Experimental implantation of hydrogel into bone].

    PubMed

    Korbelár, P; Vacík, J; Dylevský, I; Sulc, J; Hulvert, J

    1989-02-01

    In spite of the rapid development of various natural and artifical implants of bone tissue, bones or whole joints, no material was found as yet which would maximally resemble the structure of the bone tissue and would also be maximally compatible. The present study deals with the application possibilities of unsoluble hydrophilic gels (hydrogels) as substitutes of bone tissue in experiment. The study concerns above all their biocompatibility with regard to the porous qualities of the implant and to its chemical structure, and evaluates their behaviour in the spongious and compact bone. It was used polyhydroxyethylmethacrylate (polyHEMA) which is crossling with small amount of glycoldimethacrylate when by changing of ratio monomer: water is possible obtain from homogeneous to macroporous structure of polymers. The macroporous structure was increased and the surface of the macroporous structure of polymers. The macroporous structure was increased and the surface of the macroporous, sinterted HEMA modified and implanted. The so-called double porosity was thus obtained. The implants were prepared in the form of cylinders (3.5 mm in diameter) in 8 different modifications and surgically implanted into the subtrochanteric and supracondylic part of the rabbit femurs. 42 animals were operated on. The obtained preparations were then evaluated macroscopically, and histologically processed in half-thin cuts (3-4 micrones). 124 samples were thus obtained. Some samples were radiographically contrasting. The rabbits were killed at intervals from 1-6 months, i.e. 32-193 days. It was found that the hydrogels modifications used in the experiment are biocompatible, their compatibility increasing in dependence on the increasing porosity. The non-porous and microporous hydrogels are not compatible and are damarked. The sintered macroporous gel is surrounded by a thin fibrine membrane signifying a high degree of compatibility with the bone tissue. By adding metacrylate acid to the

  11. Two-stage implant systems.

    PubMed

    Fritz, M E

    1999-06-01

    Since the advent of osseointegration approximately 20 years ago, there has been a great deal of scientific data developed on two-stage integrated implant systems. Although these implants were originally designed primarily for fixed prostheses in the mandibular arch, they have been used in partially dentate patients, in patients needing overdentures, and in single-tooth restorations. In addition, this implant system has been placed in extraction sites, in bone-grafted areas, and in maxillary sinus elevations. Often, the documentation of these procedures has lagged. In addition, most of the reports use survival criteria to describe results, often providing overly optimistic data. It can be said that the literature describes a true adhesion of the epithelium to the implant similar to adhesion to teeth, that two-stage implants appear to have direct contact somewhere between 50% and 70% of the implant surface, that the microbial flora of the two-stage implant system closely resembles that of the natural tooth, and that the microbiology of periodontitis appears to be closely related to peri-implantitis. In evaluations of the data from implant placement in all of the above-noted situations by means of meta-analysis, it appears that there is a strong case that two-stage dental implants are successful, usually showing a confidence interval of over 90%. It also appears that the mandibular implants are more successful than maxillary implants. Studies also show that overdenture therapy is valid, and that single-tooth implants and implants placed in partially dentate mouths have a success rate that is quite good, although not quite as high as in the fully edentulous dentition. It would also appear that the potential causes of failure in the two-stage dental implant systems are peri-implantitis, placement of implants in poor-quality bone, and improper loading of implants. There are now data addressing modifications of the implant surface to alter the percentage of

  12. Semiconductor Ion Implanters

    SciTech Connect

    MacKinnon, Barry A.; Ruffell, John P.

    2011-06-01

    In 1953 the Raytheon CK722 transistor was priced at $7.60. Based upon this, an Intel Xeon Quad Core processor containing 820,000,000 transistors should list at $6.2 billion. Particle accelerator technology plays an important part in the remarkable story of why that Intel product can be purchased today for a few hundred dollars. Most people of the mid twentieth century would be astonished at the ubiquity of semiconductors in the products we now buy and use every day. Though relatively expensive in the nineteen fifties they now exist in a wide range of items from high-end multicore microprocessors like the Intel product to disposable items containing 'only' hundreds or thousands like RFID chips and talking greeting cards. This historical development has been fueled by continuous advancement of the several individual technologies involved in the production of semiconductor devices including Ion Implantation and the charged particle beamlines at the heart of implant machines. In the course of its 40 year development, the worldwide implanter industry has reached annual sales levels around $2B, installed thousands of dedicated machines and directly employs thousands of workers. It represents in all these measures, as much and possibly more than any other industrial application of particle accelerator technology. This presentation discusses the history of implanter development. It touches on some of the people involved and on some of the developmental changes and challenges imposed as the requirements of the semiconductor industry evolved.

  13. Implantable continuous glucose sensors.

    PubMed

    Renard, Eric

    2008-08-01

    Because of the limits of wearable needle-type or microdialysis-based enzymatic sensors in clinical use, fully implantable glucose monitoring systems (IGMS) represent a promising alternative. Long-term use reducing impact of invasiveness due to implantation, less frequent calibration needs because of a more stable tissue environment around the sensor and potential easier inclusion in a closed-loop insulin delivery system are the expected benefits of IGMS. First experiences with subcutaneous and intravenous IGMS have been recently collected in pilot studies. While no severe adverse events have been reported, biointerface issues have been responsible for the failures of IGMS. Tissue reactions around implanted subcutaneous devices and damages of intravenous sensors due to shearing forces of blood flow impaired IGMS function and longevity. In functioning systems, accuracy of glucose measurement reached satisfactory levels for average durations of about 120 days with subcutaneous IGMS and 259 days with intravenous sensors. Moreover, sensor information could help to improve time spent in normal glucose range when provided to patients wearing subcutaneous IGMS and allowed safe and effective closed-loop glucose control when intravenous sensors were connected to implanted pumps using intra-peritoneal insulin delivery. These data could open a favourable perspective for IGMS after improvement of biointerface conditions and if compatible with an affordable cost.

  14. Practicing implant dentistry profitably.

    PubMed

    Stump, G; Adams, M; Alwan, M

    1997-03-01

    The success of dental implants has opened up countless treatment possibilities for restorative dentists to offer to their patients. Just as our clinical paradigms have had to change because of this new technology, so too must our paradigms concerning the way we communicate with our patients change if we are to get them to say "yes" to treatment that we know that they need. Success in clinical treatment using implants requires a systematic approach. A systematic approach to communicating with your patients will allow you to have the same high degree of success with treatment acceptance that is possible with dental implants. The key to the systems we have discussed is Relationship Centered Care. A relationship is fostered and enhanced through a Comprehensive Examination Process, a structured Consultation Process utilizing the influencing process and Financial Arrangements that allow the patient to receive what they want while the office maintains the profitability that it needs. A system for calculating rational fees can be utilized that allows the practice to have control over an area that traditionally was controlled by anecdotal factors. The Pride Institute has developed this material and is presenting it to the profession so that restorative dentists can truly practice implant dentistry profitably.

  15. Implantable Drug Dispenser

    NASA Technical Reports Server (NTRS)

    Collins, E. R. J.

    1983-01-01

    Drugs such as insulin are injected as needed directly into bloodstream by compact implantable dispensing unit. Two vapor cavities produce opposing forces on drug-chamber diaphragm. Heaters in cavities allow control of direction and rate of motion of bellows. Dispensing capsule fitted with coil so batteries can be recharged by induction.

  16. Implantable Drug Dispenser

    NASA Technical Reports Server (NTRS)

    Collins, E. R. J.

    1983-01-01

    Drugs such as insulin are injected as needed directly into bloodstream by compact implantable dispensing unit. Two vapor cavities produce opposing forces on drug-chamber diaphragm. Heaters in cavities allow control of direction and rate of motion of bellows. Dispensing capsule fitted with coil so batteries can be recharged by induction.

  17. Implantable Impedance Plethysmography

    PubMed Central

    Theodor, Michael; Ruh, Dominic; Ocker, Martin; Spether, Dominik; Förster, Katharina; Heilmann, Claudia; Beyersdorf, Friedhelm; Manoli, Yiannos; Zappe, Hans; Seifert, Andreas

    2014-01-01

    We demonstrate by theory, as well as by ex vivo and in vivo measurements that impedance plethysmography, applied extravascularly directly on large arteries, is a viable method for monitoring various cardiovascular parameters, such as blood pressure, with high accuracy. The sensor is designed as an implant to monitor cardiac events and arteriosclerotic progression over the long term. PMID:25123467

  18. Semiconductor Ion Implanters

    NASA Astrophysics Data System (ADS)

    MacKinnon, Barry A.; Ruffell, John P.

    2011-06-01

    In 1953 the Raytheon CK722 transistor was priced at 7.60. Based upon this, an Intel Xeon Quad Core processor containing 820,000,000 transistors should list at 6.2 billion! Particle accelerator technology plays an important part in the remarkable story of why that Intel product can be purchased today for a few hundred dollars. Most people of the mid twentieth century would be astonished at the ubiquity of semiconductors in the products we now buy and use every day. Though relatively expensive in the nineteen fifties they now exist in a wide range of items from high-end multicore microprocessors like the Intel product to disposable items containing `only' hundreds or thousands like RFID chips and talking greeting cards. This historical development has been fueled by continuous advancement of the several individual technologies involved in the production of semiconductor devices including Ion Implantation and the charged particle beamlines at the heart of implant machines. In the course of its 40 year development, the worldwide implanter industry has reached annual sales levels around 2B, installed thousands of dedicated machines and directly employs thousands of workers. It represents in all these measures, as much and possibly more than any other industrial application of particle accelerator technology. This presentation discusses the history of implanter development. It touches on some of the people involved and on some of the developmental changes and challenges imposed as the requirements of the semiconductor industry evolved.

  19. Observations of Ag diffusion in ion implanted SiC

    NASA Astrophysics Data System (ADS)

    Gerczak, Tyler J.; Leng, Bin; Sridharan, Kumar; Hunter, Jerry L.; Giordani, Andrew J.; Allen, Todd R.

    2015-06-01

    The nature and magnitude of Ag diffusion in SiC has been a topic of interest in connection with the performance of tristructural isotropic (TRISO) coated particle fuel for high temperature gas-cooled nuclear reactors. Ion implantation diffusion couples have been revisited to continue developing a more complete understanding of Ag fission product diffusion in SiC. Ion implantation diffusion couples fabricated from single crystal 4H-SiC and polycrystalline 3C-SiC substrates and exposed to 1500-1625 °C, were investigated by transmission electron microscopy and secondary ion mass spectrometry (SIMS). The high dynamic range of SIMS allowed for multiple diffusion régimes to be investigated, including enhanced diffusion by implantation-induced defects and grain boundary (GB) diffusion in undamaged SiC. Estimated diffusion coefficients suggest GB diffusion in bulk SiC does not properly describe the release observed from TRISO fuel.

  20. Observations of Ag diffusion in ion implanted SiC

    SciTech Connect

    Gerczak, Tyler J.; Leng, Bin; Sridharan, Kumar; Jerry L. Hunter, Jr.; Giordani, Andrew J.; Allen, Todd R.

    2015-03-17

    The nature and magnitude of Ag diffusion in SiC has been a topic of interest in connection with the performance of tristructural isotropic (TRISO) coated particle fuel for high temperature gas-cooled nuclear reactors. Ion implantation diffusion couples have been revisited to continue developing a more complete understanding of Ag fission product diffusion in SiC. Ion implantation diffusion couples fabricated from single crystal 4H-SiC and polycrystalline 3C-SiC substrates and exposed to 1500–1625°C, were investigated in this study by transmission electron microscopy and secondary ion mass spectrometry (SIMS). The high dynamic range of SIMS allowed for multiple diffusion régimes to be investigated, including enhanced diffusion by implantation-induced defects and grain boundary (GB) diffusion in undamaged SiC. Lastly, estimated diffusion coefficients suggest GB diffusion in bulk SiC does not properly describe the release observed from TRISO fuel.