E-WIN Project 2016: Evaluating the Current Gender Situation in Neurosurgery Across Europe-An Interactive, Multiple-Level Survey.

PubMed

Steklacova, Anna; Bradac, Ondrej; de Lacy, Patricia; Benes, Vladimir

2017-08-01

The proportion of women among neurosurgeons appears to be growing worldwide with time. Official data concerning the current situation across Europe have not yet been published. Thus, there are still concerns about gender inequality. The European Women in Neurosurgery Project 2016 was designed to recognize the current situation across Europe. The office holders of the national neurosurgical societies of 39 countries forming the European Association of Neurosurgical Societies were contacted to provide data stating the proportion of women in neurosurgery. Obtained data were supplied with the results of an online survey. The response rate of national office holders was 90%. The number of reported neurosurgeons was 12,985, and overall proportion of women represented was 12%. Two hundred thirty-seven responses to online questionnaire were taken into account. The overall proportion of female respondents was 30%. There was no intergender variability in responses regarding amount of working time per week, exposure to surgeries, or administrative work. Male respondents reported dedicating significantly more time to scientific work and feeling more confident dictating own career direction. Female respondents reported being less often married, having fewer children, a stronger perception of gender significance level, and a higher appreciation of personal qualities. Neurosurgery is a challenging field of medicine. The results of our survey did not imply an overall feeling of gender inequality among European respondents, although women believe that the gender issue to be more important than men do and that they have to sacrifice more of their personal lives. Copyright © 2017 Elsevier Inc. All rights reserved.

Publication performance and research output of Neurology and Neurosurgery training institutes in India: A 5-year analysis.

PubMed

Madhugiri, Venkatesh S

2015-01-01

Scientific publications are a reflection of the quality of the clinical and academic work being carried out in an institute. Training in the process of research and scientific writing are important components of the residency curriculum. The publication performance and research output of institutes training residents in neurology and neurosurgery were evaluated. Internet-based study. This study was based on the data available on the websites of the Medical Council of India and the National Board of Examinations. The PubMed search interface was used to determine the publication output of institutes over the past 5 years (2010-2014). Google Scholar was used to determine the citation performance of each paper. The publication parameters were normalized to the number of faculty members in each institute as listed on the institutional web page. The normalized publication performance for an institute was computed by comparing the figures for that institute with the national average. Institutes could be ranked on several criteria. There was a high degree of clustering of output from the top 5% of the institutes. About 13% of the neurology intake and 30.9% of neurosurgery intake over the past 5 years has been into the institutes that have not published a single paper during this period. This evaluation of the publication performance and research output of neurology and neurosurgery training institutes would serve as a baseline data for future evaluations and comparisons. The absence of any publication and research output from several training institutes is a matter of concern.

The practice of cranial neurosurgery and the malpractice liability environment in the United States.

PubMed

Bekelis, Kimon; Missios, Symeon; Wong, Kendrew; MacKenzie, Todd A

2015-01-01

The potential imbalance between malpractice liability cost and quality of care has been an issue of debate. We investigated the association of malpractice liability with unfavorable outcomes and increased hospitalization charges in cranial neurosurgery. We performed a retrospective cohort study involving patients who underwent cranial neurosurgical procedures from 2005-2010, and were registered in the National Inpatient Sample (NIS) database. We used data from the National Practitioner Data Bank (NPDB) from 2005 to 2010 to create measures of volume and size of malpractice claim payments. The association of the latter with the state-level mortality, length of stay (LOS), unfavorable discharge, and hospitalization charges for cranial neurosurgery was investigated. During the study period, there were 189,103 patients (mean age 46.4 years, with 48.3% females) who underwent cranial neurosurgical procedures, and were registered in NIS. In a multivariable regression, higher number of claims per physician in a state was associated with increased ln-transformed hospitalization charges (beta 0.18; 95% CI, 0.17 to 0.19). On the contrary, there was no association with mortality (OR 1.00; 95% CI, 0.94 to 1.06). We observed a small association with unfavorable discharge (OR 1.09; 95% CI, 1.06 to 1.13), and LOS (beta 0.01; 95% CI, 0.002 to 0.03). The size of the awarded claims demonstrated similar relationships. The average claims payment size (ln-transformed) (Pearson's rho=0.435, P=0.01) demonstrated a positive correlation with the risk-adjusted hospitalization charges but did not demonstrate a correlation with mortality, unfavorable discharge, or LOS. In the present national study, aggressive malpractice environment was not correlated with mortality but was associated with higher hospitalization charges after cranial neurosurgery. In view of the association of malpractice with the economics of healthcare, further research on its impact is necessary.

The Practice of Cranial Neurosurgery and the Malpractice Liability Environment in the United States

PubMed Central

Wong, Kendrew; MacKenzie, Todd A.

2015-01-01

Object The potential imbalance between malpractice liability cost and quality of care has been an issue of debate. We investigated the association of malpractice liability with unfavorable outcomes and increased hospitalization charges in cranial neurosurgery. Methods We performed a retrospective cohort study involving patients who underwent cranial neurosurgical procedures from 2005-2010, and were registered in the National Inpatient Sample (NIS) database. We used data from the National Practitioner Data Bank (NPDB) from 2005 to 2010 to create measures of volume and size of malpractice claim payments. The association of the latter with the state-level mortality, length of stay (LOS), unfavorable discharge, and hospitalization charges for cranial neurosurgery was investigated. Results During the study period, there were 189,103 patients (mean age 46.4 years, with 48.3% females) who underwent cranial neurosurgical procedures, and were registered in NIS. In a multivariable regression, higher number of claims per physician in a state was associated with increased ln-transformed hospitalization charges (beta 0.18; 95% CI, 0.17 to 0.19). On the contrary, there was no association with mortality (OR 1.00; 95% CI, 0.94 to 1.06). We observed a small association with unfavorable discharge (OR 1.09; 95% CI, 1.06 to 1.13), and LOS (beta 0.01; 95% CI, 0.002 to 0.03). The size of the awarded claims demonstrated similar relationships. The average claims payment size (ln-transformed) (Pearson’s rho=0.435, P=0.01) demonstrated a positive correlation with the risk-adjusted hospitalization charges but did not demonstrate a correlation with mortality, unfavorable discharge, or LOS. Conclusions In the present national study, aggressive malpractice environment was not correlated with mortality but was associated with higher hospitalization charges after cranial neurosurgery. In view of the association of malpractice with the economics of healthcare, further research on its impact is necessary. PMID:25798994

Smartphone Usage Patterns by Canadian Neurosurgery Residents: A National Cross-Sectional Survey.

PubMed

Kameda-Smith, Michelle Masayo; Iorio-Morin, Christian; Winkler-Schwartz, Alexander; Ahmed, Uzair S; Bergeron, David; Bigder, Mark; Dakson, Ayoub; Elliott, Cameron A; Guha, Daipayan; Lavergne, Pascal; Makarenko, Serge; Taccone, Michael S; Tso, Michael; Wang, Bill; Fortin, David

2018-03-01

Smartphones and their apps are used ubiquitously in medical practice. However, in some cases their use can be at odds with current patient data safety regulations such as Canada's Personal Health Information Protection Act of 2004. To assess current practices and inform mobile application development, we sought to better understand mobile device usage patterns among Canadian neurosurgery residents. Through the Canadian Neurosurgery Research Collaborative, an online survey characterizing smartphone ownership and usage patterns was developed and sent to all Canadian neurosurgery resident in April of 2016. Questionnaires were collected and completed surveys analyzed. Of 146 eligible residents, 76 returned completed surveys (52% response rate). Of these 99% of respondents owned a smartphone, with 79% running on Apple's iOS. Four general mobile uses were identified: 1) communication between members of the medical team, 2) decision support, 3) medical reference, and 4) documentation through medical photography. Communication and photography were areas where the most obvious breaches in the Canadian Personal Health Information Protection Act were noted, with 89% of respondents taking pictures of patients' radiologic studies and 75% exchanging them with Short Message System. Hospital policies had no impact on user behaviors. Smartphones are used daily by most neurosurgery residents. Identified usage patterns are associated with perceived gains in efficacy and challenges in privacy and data reliability. We believe creating and improving workflows that address these usage patterns has a greater potential to improve privacy than changing policies and enforcing regulations. Copyright © 2017 Elsevier Inc. All rights reserved.

The re-emergence of psychiatric neurosurgery: insights from a cross-national study of newspaper and magazine coverage.

PubMed

Cabrera, Laura Y; Bittlinger, Merlin; Lou, Hayami; Müller, Sabine; Illes, Judy

2018-03-01

Surgical approaches to treat psychiatric disorders have made a comeback. News media plays an essential role in exposing the public to trends in health care such as the re-emergence of therapeutic interventions in psychiatric neurosurgery that were set aside for decades, and in shaping attitudes and acceptance to them. We conducted an analysis of media articles covering all types of psychiatric neurosurgery published in Canada, USA, Germany, and Spain between the years 1960 and 2015. We applied both quantitative and qualitative methods to elucidate patterns of reporting for conditions, themes and tone, across geographic regions, time, and for type of intervention. Coverage of psychiatric neurosurgery has surged since 2001 and is largely consistent across the countries examined. It focuses on depression and deep brain stimulation, and is explicit about historical context. The tone of coverage becomes more positive for Canada, USA and Spain over time; the tone of coverage from Germany remains cautious. Identity and privacy are among the few ethical and philosophical issues raised, notably in the German press. The focused and optimistic attention to contemporary psychiatric neurosurgery in the media, but inattention to ethical issues, places an extra burden on functional neurosurgeons, psychiatrists, and other frontline health professionals to attend to queries from patients and policy makers about the full range of relevant emergent and emerging interventions and the mental health issues to which they may beneficially apply.

Magnetic Resonance-Guided Focused Ultrasound Neurosurgery for Essential Tremor: A Health Technology Assessment

PubMed Central

Schaink, Alexis; Li, Chunmei; Gajic-Veljanoski, Olga; Wells, David; Higgins, Caroline

2018-01-01

Background The standard treatment option for medication-refractory essential tremor is invasive neurosurgery. A new, noninvasive alternative is magnetic resonance-guided focused ultrasound (MRgFUS) neurosurgery. We aimed to determine the effectiveness, safety, and cost-effectiveness of MRgFUS neurosurgery for the treatment of moderate to severe, medication-refractory essential tremor in Ontario. We also spoke with people with essential tremor to gain an understanding of their experiences and thoughts regarding treatment options, including MRgFUS neurosurgery. Methods We performed a systematic review of the clinical literature published up to April 11, 2017, that examined MRgFUS neurosurgery alone or compared with other interventions for the treatment of moderate to severe, medication-refractory essential tremor. We assessed the risk of bias of each study and the quality of the body of evidence according to the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) Working Group criteria. We performed a systematic review of the economic literature and created Markov cohort models to assess the cost-effectiveness of MRgFUS neurosurgery compared with other treatment options, including no surgery. We also estimated the budget impact of publicly funding MRgFUS neurosurgery in Ontario for the next 5 years. To contextualize the potential value of MRgFUS neurosurgery as a treatment option for essential tremor, we spoke with people with essential tremor and their families. Results Nine studies met our inclusion criteria for the clinical evidence review. In noncomparative studies, MRgFUS neurosurgery was found to significantly improve tremor severity and quality of life and to significantly reduce functional disability (GRADE: very low). It was also found to be significantly more effective than a sham procedure (GRADE: high). We found no significant difference in improvements in tremor severity, functional disability, or quality of life between MRgFUS neurosurgery and deep brain stimulation (GRADE: very low). We found no significant difference in improvement in tremor severity compared with radiofrequency thalamotomy (GRADE: low). MRgFUS neurosurgery has a favourable safety profile. We estimated that MRgFUS neurosurgery has a mean cost of $23,507 and a mean quality-adjusted survival of 3.69 quality-adjusted life-years (QALYs). We also estimated that the mean costs and QALYs of radiofrequency thalamotomy and deep brain stimulation are $14,978 and 3.61 QALYs, and $57,535 and 3.94 QALYs, respectively. For people ineligible for invasive neurosurgery, we estimated the incremental cost-effectiveness ratio (ICER) of MRgFUS neurosurgery compared with no surgery as $43,075 per QALY gained. In people eligible for invasive neurosurgery, the ICER of MRgFUS neurosurgery compared with radiofrequency thalamotomy is $109,795 per QALY gained; when deep brain stimulation is compared with MRgFUS neurosurgery, the ICER is $134,259 per QALY gained. Of note however, radiofrequency thalamotomy is performed very infrequently in Ontario. We also estimated that the budget impact of publicly funding MRgFUS neurosurgery in Ontario at the current case load (i.e., 48 cases/year) would be about $1 million per year for the next 5 years. People with essential tremor who had undergone MRgFUS neurosurgery reported positive experiences with the procedure. The tremor reduction they experienced improved their ability to perform activities of daily living and improved their quality of life. Conclusions MRgFUS neurosurgery is an effective and generally safe treatment option for moderate to severe, medication-refractory essential tremor. It provides a treatment option for people ineligible for invasive neurosurgery and offers a noninvasive option for all people considering neurosurgery. For people ineligible for invasive neurosurgery, MRgFUS neurosurgery is cost-effective compared with no surgery. In people eligible for invasive neurosurgery, MRgFUS neurosurgery may be one of several reasonable options. Publicly funding MRgFUS neurosurgery for the treatment of moderate to severe, medication-refractory essential tremor in Ontario at the current case load would have a net budget impact of about $1 million per year for the next 5 years. People with essential tremor who had undergone MRgFUS neurosurgery reported positive experiences. They liked that it was a noninvasive procedure and reported a substantial reduction in tremor that resulted in an improvement in their quality of life. PMID:29805721

Free-access open-source e-learning in comprehensive neurosurgery skills training.

PubMed

Jotwani, Payal; Srivastav, Vinkle; Tripathi, Manjul; Deo, Rama Chandra; Baby, Britty; Damodaran, Natesan; Singh, Ramandeep; Suri, Ashish; Bettag, Martin; Roy, Tara Sankar; Busert, Christoph; Mehlitz, Marcus; Lalwani, Sanjeev; Garg, Kanwaljeet; Paul, Kolin; Prasad, Sanjiva; Banerjee, Subhashis; Kalra, Prem; Kumar, Subodh; Sharma, Bhavani Shankar; Mahapatra, Ashok Kumar

2014-01-01

Since the end of last century, technology has taken a front seat in dispersion of medical education. Advancements of technology in neurosurgery and traditional training methods are now being challenged by legal and ethical concerns of patient safety, resident work-hour restriction and cost of operating-room time. To supplement the existing neurosurgery education pattern, various e-learning platforms are introduced as structured, interactive learning system. This study focuses on the concept, formulation, development and impact of web based learning platforms dedicated to neurosurgery discipline to disseminate education, supplement surgical knowledge and improve skills of neurosurgeons. 'Neurosurgery Education and Training School (NETS), e-learning platform' has integration of web-based technologies like 'Content Management System' for organizing the education material and 'Learning Management System' for updating neurosurgeons. NETS discussion forum networks neurosurgeons, neuroscientists and neuro-technologists across the globe facilitating collaborative translational research. Multi-authored neurosurgical e-learning material supplements the deficiencies of regular time-bound education. Interactive open-source, global, free-access e-learning platform of NETS has around 1) 425 visitors/month from 73 countries; ratio of new visitors to returning visitors 42.3; 57.7 (2); 64,380 views from 190 subscribers for surgical videos, 3-D animation, graphics based training modules (3); average 402 views per post. The e-Learning platforms provide updated educational content that make them "quick, surf, find and extract" resources. e-Learning tools like web-based education, social interactive platform and question-answer forum will save unnecessary expenditure of time and travel of neurosurgeons seeking knowledge. The need for free access platforms is more pronounced for the neurosurgeons and patients in developing nations.

Ottoman surgical treatises and their influences on modern neurosurgery in Turkey.

PubMed

Er, Uygur; Pamir, M Necmettin

2013-12-01

To introduce the authors of 6 prominent Ottoman surgical treatises, to present the chapters that relate to present-day neurosurgery, and to discuss their influence on the establishment of modern Turkish neurosurgery. Neurosurgery-related chapters of 6 prominent Ottoman surgical treatises and their role i the establishment of modern neurosurgery in Turkey are discussed. Neurosurgery-related chapters of "Hulasa-i Tıbb" by Surgeon Mesud (Summary of Medicine), "Cerrahhiyet-al Haniyye" by Şerefeddin Sabuncuoğlu (Imperial Surgery), "Cerrahname" by an unknown author (Surgical Treatise), "Ala'im-i Cerrahin" by Surgeon Ibrahim (Wonders of Surgeons) "Cerrahname" by Ali Munşi of Bursa (Surgical Treatise), and "The law of surgeons" by Şanizade Ataullah Mehmed Efendi (Kanun-al Cerrahin) were analyzed. These treatises, including sections on neurosurgery-related topics, were important influences on the establishment of contemporary neurosurgery in modern Turkey. Copyright © 2013 Elsevier Inc. All rights reserved.

47 CFR 5.91 - Notification to the National Radio Astronomy Observatory.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 47 Telecommunication 1 2014-10-01 2014-10-01 false Notification to the National Radio Astronomy... SERVICE Applications and Licenses § 5.91 Notification to the National Radio Astronomy Observatory. In order to minimize possible harmful interference at the National Radio Astronomy Observatory site located...

47 CFR 5.91 - Notification to the National Radio Astronomy Observatory.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 47 Telecommunication 1 2013-10-01 2013-10-01 false Notification to the National Radio Astronomy... SERVICE Applications and Licenses § 5.91 Notification to the National Radio Astronomy Observatory. In order to minimize possible harmful interference at the National Radio Astronomy Observatory site located...

Actualities and Perspectives in Neurosurgery

PubMed Central

Iencean, SM; Brehar, FM

2008-01-01

In the field of neurosurgery, like in other surgical specialties, the last decades have brought major achievements. The series of revolutionary discoveries has started during the last century in the fifties, with stereotactic radiosurgery, then continued with the implementation of operative microscope (during the seventies), the endovascular embolisation in the nineties and finally with the major improvement in robotic neurosurgery and molecular neurosurgery at the beginning of this century. The major innovation has been brought not only in the field of therapeutical measures but also in the field of neuro– imaging. Thus, the modern MRI with more than 3 Tesla, can reveal to the neurosurgeon the most intimate structures of the nervous system. Several important areas in neurosurgery like: vascular neurosurgery, functional neurosurgery and brain tumors pathology, benefit from the modern technology and from the latest discoveries from genetic and molecular biology. In conclusion, summarizing the discoveries of the last decade, we emphasize that the related areas like genetics, molecular biology, computer technology become more and more important in the future progress of the neurosurgery. PMID:20108475

Publication patterns of comparative effectiveness research in spine neurosurgery.

PubMed

Hueng, Dueng-Yuan; Tsai, Chia-Lin; Hsu, Shih-Wei; Ma, Hsin-I

2012-07-01

The purpose of this study was to investigate publication patterns for comparative effectiveness research (CER) on spine neurosurgery. The authors searched the PubMed database for the period 1980-2012 using the key words "cost analysis," "utility analysis," "cost-utility," "outcomes research," "practical clinical research," "comparator trial," and "comparative effectiveness research," linked with "effectiveness" and "spine neurosurgery." From 1980 through April 9, 2012, neurosurgery CER publications accounted for 1.38% of worldwide CER publications (8657 of 626,330 articles). Spine neurosurgery CER accounted for only 0.02%, with 132 articles. The journal with the greatest number of publications on spine neurosurgery CER was Spine, followed by the Journal of Neurosurgery: Spine. The average annual publication rate for spine neurosurgery CER during this period was 4 articles (132 articles in 33 years), with 68 (51.52%) of the 132 articles being published within the past 5 years and a rising trend beginning in 2008. The top 3 contributing countries were the US, Turkey, and Japan, with 68, 8, and 7 articles, respectively. Only 8 regular articles (6.06%) focused on cost analysis. There is a paucity of publications using CER methodology in spine neurosurgery. Few articles address the issue of cost analysis. The promotion of continuing medical education in CER methodology is warranted. Further investigations to address cost analysis in comparative effectiveness studies of spine neurosurgery are crucial to expand the application of CER in public health.

National healthcare spending in the U.S. and Japan: national economic policy and implications for neurosurgery.

PubMed

Bean, James R

2005-01-01

Growth of national healthcare spending is a problem confronting national governments of all industrially advanced countries. Healthcare spending in the U.S. reached 13.9% of the Gross Domestic Product (GDP) in 2003, compared to only 8% in Japan. In the U.S., health insurance is voluntary, with 15% of the population uninsured. In Japan, health insurance is mandatory and virtually universal, with growth in national health costs about half the rate of growth in the U.S. U.S. healthcare costs are projected to reach 18.4% of GDP 2013. The predicted growth in health care costs is expected to cause strain on the federal budget and a growing inability of employers and employees to pay for private insurance. Different national policies are the reason for different national health care costs in the U.S. and Japan. The U.S. has higher healthcare prices for salaries, equipment, supplies, and pharmaceuticals as compared to Japan. Higher prices, higher service intensity and volume during hospitalization create higher total cost in the U.S. Price controls in Japan kept medical inflation low at 0.46%/yr from 1980-2000. Market-pricing mechanisms in the U.S. have proven ineffective in controlling national healthcare costs, while Japan's national fee and price control policies have kept national costs among the lowest within the Organization for Economic Cooperation and Development. To guide insurance coverage policy, neurosurgery and other highly technical specialties should better define the comparative health benefit of high price technical services by prospective outcome studies.

The Impact of Early Medical School Surgical Exposure on Interest in Neurosurgery.

PubMed

Zuccato, Jeffrey A; Kulkarni, Abhaya V

2016-05-01

Medical student interest in neurosurgery is decreasing and resident attrition is trending upwards in favor of more lifestyle-friendly specialties that receive greater exposure during medical school. The University of Toronto began offering an annual two week comprehensive, focused surgical experience (Surgical Exploration and Discovery (SEAD) program) to 20 first year medical students increasing exposure to surgical careers. This study determines how SEAD affects students' views of a career in neurosurgery. Surveys were administered to 38 SEAD participants over two program cycles. Information was obtained regarding demographics, impacts of SEAD, and factors affecting career decision making. Subgroup analyses assessed for factors predicting pre- and post-intervention interest in neurosurgery. Ninety-seven percent (n=37) of students completed the survey. Before SEAD, 25% were interested in neurosurgery but this decreased to 10% post-SEAD (p=0.001). However, post-SEAD interest increased from 10% to 38% if lifestyle factors were theoretically controlled across surgical specialties (p<0.005). A majority (81%) felt SEAD improved their understanding of neurosurgery, 62.2% felt that exposure to other surgical specialties reduced their interest in neurosurgery, and 21% felt SEAD increased their interest in neurosurgery. Nineteen percent intended to explore neurosurgery further with observerships and one student planned to organize neurosurgical research. This surgical exposure intervention increased understanding about neurosurgery and reduced overall interest in neurosurgery as a career. However, those remaining interested were motivated to plan further neurosurgical clinical experiences. The SEAD program may, therefore, aid in early selection of students motivated to satisfy the demands of a neurosurgical career.

Mission Connect Mild TBI Translational Research Consortium

DTIC Science & Technology

2013-08-01

acute neurological evaluations which are necessary to validate criteria for mTBI, rats are anesthetized with isoflurane and concussed with Vander...National Football League, Neurosurgery 61:223– 225, 2007 Dixon CE, Lyeth BG, Povlishock JT, Findling RL, Hamm RJ, Marmarou A, Young HF, and Hayes RL...Minster, R. L., Kamboh, M. I., Shakir, A. M., & Wecht, C. H. (2006). Chronic traumatic encephalopathy in a national football league player: Part II

Department of Neurosurgery, Madurai Medical College and the development of neurosurgery in South Tamil Nadu.

PubMed

Thiruppathy, Subbiah; Manimaran, Ramiah; Niban, Gopalakrishnan M; Muthukumar, Natarajan

2018-01-01

The development of neurosurgery in South Tamil Nadu can be traced to the Department of Neurosurgery, Madurai Medical College and Government Rajaji Hospital, Madurai, Tamil Nadu, India. The hospital was established in the year 1940 and Madurai Medical College was started in 1954. Prof. M. Natarajan founded this department in September, 1963. This department has a Neurosurgery Residency Program that is 50 years old. The establishment of this department and its growth to its present stature is documented here.

History of Neurosurgery in Palestine.

PubMed

Darwazeh, Rami; Darwazeh, Mazhar; Sun, Xiaochuan

2017-08-01

Palestinian neurosurgery started with Dr. Antone Tarazi as the first Palestinian neurosurgeon. Before that, there was no organized neurosurgery specialty, and general surgeons performed neurosurgical procedures. Here we review the history of neurosurgery and neurosurgical applications in Palestine, evaluate some limitations of the current system, and discuss major challenges to improving this system. We collected information from various sources in either English or Arabic. The development of neurosurgery and neurosurgical training in Palestine began in 1960 with the first center established in Jerusalem, which provided much-needed neurosurgical services and training in the fields of neurosurgery and neurology. Palestine has produced a number of its own neurosurgeons and has promoted further progress by establishing the Palestinian Neurosurgical Society in 2014. Today, there are 34 neurosurgeons (including 1 female neurosurgeon) and 17 residents providing expert care in 17 centers across Palestine, along with 1 neurosurgical residency program. Neurosurgery in Palestine has faced many challenges, some of which have been overcome. However, there remain many challenges, which will require much time and effort to surmount. Political stabilization is a significant factor in the progress of neurosurgery in Palestine. Copyright © 2017 Elsevier Inc. All rights reserved.

The Prevalence of Burnout Among US Neurosurgery Residents.

PubMed

Shakir, Hakeem J; McPheeters, Matthew J; Shallwani, Hussain; Pittari, Joseph E; Reynolds, Renée M

2017-10-27

Burnout is a syndrome of emotional exhaustion, depersonalization, and reduced personal accomplishment. Its prevalence among US physicians exceeds 50% and is higher among residents/fellows. This is important to the practice of neurosurgery, as burnout is associated with adverse physical health, increased risk of substance abuse, and increased medical errors. To date, no study has specifically addressed the prevalence of burnout among neurosurgery residents. To determine and compare the prevalence of burnout among US neurosurgery residents with published rates for residents/fellows and practicing physicians from other specialties. We surveyed 106 US neurosurgery residency training programs to perform a descriptive analysis of the prevalence of burnout among residents. Data on burnout among control groups were used to perform a cross-sectional analysis. Nonparametric tests assessed differences in burnout scores among neurosurgery residents, and the 2-tailed Fisher's exact test assessed burnout between neurosurgery residents and control populations. Of approximately 1200 US neurosurgery residents, 255 (21.3%) responded. The prevalence of burnout was 36.5% (95% confidence interval: 30.6%-42.7%). There was no significant difference in median burnout scores between gender (P = .836), age (P = .183), or postgraduate year (P = .963) among neurosurgery residents. Neurosurgery residents had a significantly lower prevalence of burnout (36.5%) than other residents/fellows (60.0%; P < .001), early career physicians (51.3%; P < .001), and practicing physicians (53.5%; P < .001). Neurosurgery residents have a significantly lower prevalence of burnout than other residents/fellows and practicing physicians. The underlying causes for these findings were not assessed and are likely multifactorial. Future studies should address possible causes of these findings. Copyright © 2017 by the Congress of Neurological Surgeons

Positive trends in neurosurgery enrollment and attrition: analysis of the 2000-2009 female neurosurgery resident cohort.

PubMed

Renfrow, Jaclyn J; Rodriguez, Analiz; Liu, Ann; Pilitsis, Julie G; Samadani, Uzma; Ganju, Aruna; Germano, Isabelle M; Benzil, Deborah L; Wolfe, Stacey Quintero

2016-03-01

Women compose a minority of neurosurgery residents, averaging just over 10% of matched applicants per year during this decade. A recent review by Lynch et al. raises the concern that women may be at a higher risk than men for attrition, based on analysis of a cohort matched between 1990 and 1999. This manuscript aims to characterize the trends in enrollment, attrition, and postattrition careers for women who matched in neurosurgery between 2000 and 2009. Databases from the American Association of Neurological Surgeons (AANS) and the American Board of Neurological Surgery (ABNS) were analyzed for all residents who matched into neurosurgery during the years 2000-2009. Residents were sorted by female gender, matched against graduation records, and if graduation was not reported from neurosurgery residency programs, an Internet search was used to determine the residents' alternative path. The primary outcome was to determine the number of women residents who did not complete neurosurgery training programs during 2000-2009. Secondary outcomes included the total number of women who matched into neurosurgery per year, year in training in which attrition occurred, and alternative career paths that these women chose to pursue. Women comprised 240 of 1992 (12%) matched neurosurgery residents during 2000-2009. Among female residents there was a 17% attrition rate, compared with a 5.3% male attrition rate, with an overall attrition rate of 6.7%. The majority who left the field did so within the first 3 years of neurosurgical training and stayed in medicine--pursuing anesthesia, neurology, and radiology. Although the percentage of women entering neurosurgical residency has continued to increase, this number is still disproportionate to the overall number of women in medicine. The female attrition rate in neurosurgery in the 2000-2009 cohort is comparable to that of the other surgical specialties, but for neurosurgery, there is disparity between the male and female attrition rates. Women who left the field tended to stay within medicine and usually pursued a neuroscience-related career. Given the need for talented women to pursue neurosurgery and the increasing numbers of women matching annually, the recruitment and retention of women in neurosurgery should be benchmarked and assessed.

47 CFR 25.203 - Choice of sites and frequencies.

Code of Federal Regulations, 2014 CFR

2014-10-01

... National Radio Astronomy Observatory: In order to minimize possible harmful interference at the National Radio Astronomy Observatory site at Green Bank, Pocahontas County, W. Va., and at the Naval Radio..., simultaneously notify the Director, National Radio Astronomy Observatory, P.O. Box No. 2, Green Bank, W. Va...

Launching Effectiveness Research to Guide Practice in Neurosurgery: A National Institute Neurological Disorders and Stroke Workshop Report

PubMed Central

Walicke, Patricia; Abosch, Aviva; Asher, Anthony; Barker, Fred G.; Ghogawala, Zoher; Harbaugh, Robert; Jehi, Lara; Kestle, John; Koroshetz, Walter; Little, Roderick; Rubin, Donald; Valadka, Alex; Wisniewski, Stephen

2017-01-01

Abstract This workshop addressed challenges of clinical research in neurosurgery. Randomized controlled clinical trials (RCTs) have high internal validity, but often insufficiently generalize to real-world practice. Observational studies are inclusive but often lack sufficient rigor. The workshop considered possible solutions, such as (1) statistical methods for demonstrating causality using observational data; (2) characteristics required of a registry supporting effectiveness research; (3) trial designs combining advantages of observational studies and RCTs; and (4) equipoise, an identified challenge for RCTs. In the future, advances in information technology potentially could lead to creation of a massive database where clinical data from all neurosurgeons are integrated and analyzed, ending the separation of clinical research and practice and leading to a new “science of practice.” PMID:28362926

Bradford's law: identification of the core journals for neurosurgery and its subspecialties.

PubMed

Venable, Garrett T; Shepherd, Brandon A; Loftis, Christopher M; McClatchy, S Gray; Roberts, Mallory L; Fillinger, Meghan E; Tansey, James B; Klimo, Paul

2016-02-01

Bradford's law describes the scatter of citations for a given subject or field. It can be used to identify the most highly cited journals for a field or subject. The objective of this study was to use currently accepted formulations of Bradford's law to identify core journals of neurosurgery and neurosurgical subspecialties. All original research publications from 2009 to 2013 were analyzed for the top 25 North American academic neurosurgeons from each subspecialty. The top 25 were chosen from a ranked career h-index list identified from previous studies. Egghe's formulation and the verbal formulation of Bradford's law were applied to create specific citation density zones and identify the core journals for each subspecialty. The databases were then combined to identify the core journals for all of academic neurosurgery. Using Bradford's verbal law with 4 zone models, the authors were able to identify the core journals of neurosurgery and its subspecialties. The journals found in the most highly cited first zone are presented here as the core journals. For neurosurgery as a whole, the core included the following journals: Journal of Neurosurgery, Neurosurgery, Spine, Stroke, Neurology, American Journal of Neuroradiology, International Journal of Radiation Oncology Biology Physics, and New England Journal of Medicine. The core journals for each subspecialty are presented in the manuscript. Bradford's law can be used to identify the core journals of neurosurgery and its subspecialties. The core journals vary for each neurosurgical subspecialty, but Journal of Neurosurgery and Neurosurgery are among the core journals for each neurosurgical subspecialty.

Neurosurgery Elective for Preclinical Medical Students: Early Exposure and Changing Attitudes.

PubMed

Zuckerman, Scott L; Mistry, Akshitkumar M; Hanif, Rimal; Chambless, Lola B; Neimat, Joseph S; Wellons, John C; Mocco, J; Sills, Allen K; McGirt, Matthew J; Thompson, Reid C

2016-02-01

Exposure to surgical subspecialties is limited during the preclinical years of medical school. To offset this limitation, the authors created a neurosurgery elective for first- and second-year medical students. The objective was to provide each student with early exposure to neurosurgery by combining clinical experience with faculty discussions about the academic and personal realities of a career in neurosurgery. From 2012 to 2013, the authors offered a neurosurgery elective course to first- and second-year medical students. Each class consisted of the following: 1) peer-reviewed article analysis; 2) student presentation; 3) faculty academic lecture; 4) faculty personal lecture with question and answer period. Thirty-five students were enrolled over a 2-year period. After completing the elective, students were more likely to: consider neurosurgery as a future career (P < 0.0001), perceive the personalities of attending physicians to be more collegial and friendly (P = 0.0002), perceive attending quality of life to be higher (P < 0.0001), and believe it was achievable to be a neurosurgeon and have a family (P < 0.0001). The elective did not alter students' perceived difficulty of training (P = 0.7105). The neurosurgery elective course significantly increased student knowledge across several areas and changed perceptions about collegiality, quality of life, and family-work balance, while not altering the students' views about the difficulty of training. Adopting a neurosurgery elective geared towards preclinical medical students can significantly change attitudes about the field of neurosurgery and has potential to increase interest in pursuing a career in neurosurgery. Copyright © 2016 Elsevier Inc. All rights reserved.

Where have we been? Where are we going?

PubMed

Gildenberg, P L

1997-01-01

The field of human stereotactic and functional neurosurgery is 50 years old. It began with the pioneering work of Spiegel and Wycis, who developed an apparatus to be used in human neurosurgery designed like the Horsley-Clarke apparatus invented for animal experimentation 40 years earlier, but based on targeting by intracerebral landmarks. During the past half century, the field of stereotactic surgery has evolved from a small field involving a handful of scientists to a field dominated by a technology that is permeating all of neurosurgery. A review of the scientific programs and activities of the World Society for Stereotactic and Functional Neurosurgery reflects the changing level of activity in these fields, the waxing and waning of functional neurosurgery that is now vital and active, and the evolution of stereotactic guidance into the field of computer-assisted neurosurgery. Functional neurosurgery involves the application of human neurophysiology to the treatment of various diseases that produce malfunction of the nervous system, and remains the domain of those few neurosurgeons well versed in neurological pathophysiology. Image-based or computerized stereotactic surgery, on the other hand, is used in those procedures common to neurosurgery, and should be available to any operating neurosurgeon.

The 2012 AANS Presidential Address. We are neurosurgery.

PubMed

McCormick, Paul C

2012-12-01

The theme of the 80th Annual Meeting of the American Association of Neurological Surgeons and the title of this presidential address, "We are neurosurgery," is a simple 3-word affirmation of who neurosurgeons are, what they have achieved, and how much there is yet to accomplish. Recent advances in neurobiology and the clinical neurosciences have brought an unprecedented understanding of the human nervous system in both health and disease. As a specialty, neurosurgery has translated knowledge, expanded techniques, and incorporated technology to exponentially expand the science and scope of neurosurgical practice. However, the rapidly advancing, divergently evolving growth of neurosurgery has had profound effects on all aspects of neurosurgery. In this address, the author examines the contemporary meaning of the annual meeting's theme as it relates to the science, practice, specialty, and profession of neurosurgery, as well as the neurosurgeon. In doing so, the author reveals his interpretation of "We are neurosurgery," which he hopes will have an effect on others.

Evaluation of the impact of collaborative work by teams from the National Medical Residency Committee and the Brazilian Society of Neurosurgery. Retrospective and prospective study.

PubMed

Santos, Renato Antunes Dos; Snell, Linda; Nunes, Maria do Patrocínio Tenório

2016-04-01

Training for specialist physicians in Brazil can take place in different ways. Closer liaison between institutions providing this training and assessment and health care services may improve qualifications. This article analyzes the impact of closer links and joint work by teams from the National Medical Residency Committee (Comissão Nacional de Residência Médica, CNRM) and the Brazilian Society of Neurosurgery (Sociedade Brasileira de Neurocirurgia, SBN) towards evaluating these programs. Retrospective and prospective study, conducted in a public university on a pilot project developed between CNRM and SBN for joint assessment of training programs across Brazil. The literature in the most relevant databases was reviewed. Documents and legislation produced by official government bodies were evaluated. Training locations were visited. Reports produced about residency programs were analyzed. Only 26% of the programs were immediately approved. The joint assessments found problems relating to teaching and to functioning of clinical service in 35% of the programs. The distribution of programs in this country has a strong relationship with the Human Development Index (HDI) of the regions and is very similar to the distribution of specialists. Closer collaboration between the SBN and CNRM had a positive impact on assessment of neurosurgery medical residency across the country. The low rates of direct approval have produced modifications and improvements to the quality of teaching and care (services). Closer links between the CNRM and other medical specialties have the capability to positively change the structure and function of specialty training in Brazil.

Publication patterns of oral and poster presentations at the annual meetings of the Congress of Neurological Surgeons and the American Association of Neurological Surgeons.

PubMed

Patel, Akash J; Cherian, Jacob; Fox, Benjamin D; Whitehead, William E; Curry, Daniel J; Luerssen, Thomas G; Jea, Andrew

2011-12-01

National and international meetings, such as the Congress of Neurological Surgeons (CNS) and the American Association of Neurological Surgeons (AANS) meetings, provide a central location for the gathering and dissemination of research. The purpose of this study was to determine the publication rates of both oral and poster presentations at CNS and AANS meetings in peer-reviewed journals. The authors reviewed all accepted abstracts, presented as either oral or poster presentations, at the CNS and AANS meetings from 2003 to 2005. This information was then used to search PubMed to determine the rate of publication of the abstracts presented at the meetings. Abstracts were considered published if the data presented at the meeting was identical to that in the publication. The overall publication rate was 32.48% (1243 of 3827 abstracts). On average, 41.28% of oral presentations and 29.03% of poster presentations were eventually published. Of those studies eventually published, 98.71% were published within 5 years of presentation at the meeting. Published abstracts were published most frequently in the Journal of Neurosurgery and Neurosurgery. Approximately one-third of all presentations at the annual CNS and AANS meetings will be published in peer-reviewed, MEDLINE-indexed journals. These meetings are excellent forums for neurosurgical practitioners to be exposed to current research. Oral presentations have a significantly higher rate of eventual publication compared with poster presentations, reflecting their higher quality. The Journal of Neurosurgery and Neurosurgery have been the main outlets of neurosurgical research from these meetings.

Big Data Research in Neurosurgery: A Critical Look at this Popular New Study Design.

PubMed

Oravec, Chesney S; Motiwala, Mustafa; Reed, Kevin; Kondziolka, Douglas; Barker, Fred G; Michael, L Madison; Klimo, Paul

2018-05-01

The use of "big data" in neurosurgical research has become increasingly popular. However, using this type of data comes with limitations. This study aimed to shed light on this new approach to clinical research. We compiled a list of commonly used databases that were not specifically created to study neurosurgical procedures, conditions, or diseases. Three North American journals were manually searched for articles published since 2000 utilizing these and other non-neurosurgery-specific databases. A number of data points per article were collected, tallied, and analyzed.A total of 324 articles were identified since 2000 with an exponential increase since 2011 (257/324, 79%). The Journal of Neurosurgery Publishing Group published the greatest total number (n = 200). The National Inpatient Sample was the most commonly used database (n = 136). The average study size was 114 841 subjects (range, 30-4 146 777). The most prevalent topics were vascular (n = 77) and neuro-oncology (n = 66). When categorizing study objective (recognizing that many papers reported more than 1 type of study objective), "Outcomes" was the most common (n = 154). The top 10 institutions by primary or senior author accounted for 45%-50% of all publications. Harvard Medical School was the top institution, using this research technique with 59 representations (31 by primary author and 28 by senior).The increasing use of data from non-neurosurgery-specific databases presents a unique challenge to the interpretation and application of the study conclusions. The limitations of these studies must be more strongly considered in designing and interpreting these studies.

Operative Landscape at Canadian Neurosurgery Residency Programs.

PubMed

Tso, Michael K; Dakson, Ayoub; Ahmed, Syed Uzair; Bigder, Mark; Elliott, Cameron; Guha, Daipayan; Iorio-Morin, Christian; Kameda-Smith, Michelle; Lavergne, Pascal; Makarenko, Serge; Taccone, Michael S; Wang, Bill; Winkler-Schwartz, Alexander; Sankar, Tejas; Christie, Sean D

2017-07-01

Background Currently, the literature lacks reliable data regarding operative case volumes at Canadian neurosurgery residency programs. Our objective was to provide a snapshot of the operative landscape in Canadian neurosurgical training using the trainee-led Canadian Neurosurgery Research Collaborative. Anonymized administrative operative data were gathered from each neurosurgery residency program from January 1, 2014, to December 31, 2014. Procedures were broadly classified into cranial, spine, peripheral nerve, and miscellaneous procedures. A number of prespecified subspecialty procedures were recorded. We defined the resident case index as the ratio of the total number of operations to the total number of neurosurgery residents in that program. Resident number included both Canadian medical and international medical graduates, and included residents on the neurosurgery service, off-service, or on leave for research or other personal reasons. Overall, there was an average of 1845 operative cases per neurosurgery residency program. The mean numbers of cranial, spine, peripheral nerve, and miscellaneous procedures were 725, 466, 48, and 193, respectively. The nationwide mean resident case indices for cranial, spine, peripheral nerve, and total procedures were 90, 58, 5, and 196, respectively. There was some variation in the resident case indices for specific subspecialty procedures, with some training programs not performing carotid endarterectomy or endoscopic transsphenoidal procedures. This study presents the breadth of neurosurgical training within Canadian neurosurgery residency programs. These results may help inform the implementation of neurosurgery training as the Royal College of Physicians and Surgeons residency training transitions to a competence-by-design curriculum.

Dr. Lenke Horvath (1917-1991): Creator of Pediatric Neurosurgery in Romania.

PubMed

Mohan, Dumitru; Moisa, Horatiu Alexandru; Nica, Dan Aurel; Ciurea, Alexandru Vlad

2016-04-01

The development of neurosurgery as an independent specialty took place with great difficulty in Romania. In this respect, the most revered personalities are those of Professor Alexandru Moruzzi (1900-1957) (in Iasi) and Professor Dimitrie Bagdasar (1893-1946) (in Bucharest), who are the fathers of modern neurosurgery in Romania. Professor Bagdasar was schooled in Professor Harvey Cushing's clinic in Boston and is credited with creating the first completely independent neurosurgical unit in Romania. His legacy was carried on with honor by Professor Constantin Arseni (1912-1994), who, in 1975, tasked Dr. Lenke Horvath (1917-1991) with creating the first autonomous pediatric neurosurgery unit in Bucharest. This article is a small tribute to the founder of pediatric neurosurgery in Romania and one of the female pioneer neurosurgeons, who, by personal example of dedication and hard work, radically changed medical thinking and neurosurgery in Romania. Copyright © 2016 Elsevier Inc. All rights reserved.

Analyzing of dark past and bright present of neurosurgical history with a picture of musicians.

PubMed

Gasenzer, Elena Romana; Kanat, Ayhan; Ozdemir, Vacide; Neugebauer, Edmund

2018-05-31

Currently, neurosurgery has gone through moments of great renewal, however, in the first half of the 20th century, unwanted outcome after surgical approach had occurred. The aim of this historical overview of a picture of the musicians is to show the development of Neurosurgery in 20 century. History of neurosurgery in the first half of the 20th century and the current was investigated through PubMed. A brief tour of some of the major landmarks of contemporary neurosurgery was also made. A musician picture was found which taken in 1928. Two of the musicians suffered neurosurgical disorder, and operated in 1937, both immediately died without gaining conscious at early postoperative period. We described the role of neurosurgery in the lives of two famous musicians, George Gershwin and Maurice Ravel. A picture taken 1928, shows the developing of Neurosurgery from first half of 20th century to current.

Challenges to neurosurgery service delivery. Who moved my cheese?

PubMed

Palmer, J D

2007-04-01

The change programme in the National Health Service has moved the Acute Trusts providing neurosurgical services to very different ways of delivering healthcare. The process of reform has been supported by investment but the next few years will see far less additional money, and success and failure of services will be dependent upon the approach to those reforms. The 'payment by results' system of funding through tariff, the 'plurality of providers' policy of forcing commissioners to purchase activity from independent providers, the 'patient choice' process of encouraging patients to select treatment from a number of providers, and the '18-week wait' target of bringing down referral to treatment times are all major shifts in the way services are delivered and developed. The reforms have not been made with neurosurgery in mind, how will they affect the way this small specialty is delivered?

47 CFR 25.203 - Choice of sites and frequencies.

Code of Federal Regulations, 2010 CFR

2010-10-01

... National Radio Astronomy Observatory: In order to minimize possible harmful interference at the National Radio Astronomy Observatory site located at Green Bank, Pocahontas County, W. Va., and at the Naval... such application with the Commission, simultaneously notify the Director, National Radio Astronomy...

47 CFR 25.203 - Choice of sites and frequencies.

Code of Federal Regulations, 2011 CFR

2011-10-01

... National Radio Astronomy Observatory: In order to minimize possible harmful interference at the National Radio Astronomy Observatory site located at Green Bank, Pocahontas County, W. Va., and at the Naval... such application with the Commission, simultaneously notify the Director, National Radio Astronomy...

47 CFR 25.203 - Choice of sites and frequencies.

Code of Federal Regulations, 2013 CFR

2013-10-01

... National Radio Astronomy Observatory: In order to minimize possible harmful interference at the National Radio Astronomy Observatory site located at Green Bank, Pocahontas County, W. Va., and at the Naval... such application with the Commission, simultaneously notify the Director, National Radio Astronomy...

47 CFR 25.203 - Choice of sites and frequencies.

Code of Federal Regulations, 2012 CFR

2012-10-01

... National Radio Astronomy Observatory: In order to minimize possible harmful interference at the National Radio Astronomy Observatory site located at Green Bank, Pocahontas County, W. Va., and at the Naval... such application with the Commission, simultaneously notify the Director, National Radio Astronomy...

Neurosurgery in Lebanon: History, Development, and Future Challenges.

PubMed

Fares, Youssef; Fares, Jawad

2017-03-01

Lebanon stands out as the one of the first countries in the Middle East and the Arab world to practice the medical specialty of neurosurgery. In addition, Lebanon has one of the best reputations for neurosurgery in this region. This article documents the history and current status of Lebanese neurosurgery. Residency and fellowship trainings are also highlighted, and political, socioeconomic, and academic challenges for the future of the profession are presented. Copyright © 2016 Elsevier Inc. All rights reserved.

[The woman in neurosurgery at the national institute of neurology and neurosurgery].

PubMed

Mejía-Pérez, Sonia Iliana; Cervera-Martínez, Claudia; Sánchez-Correa, Thalía Estefanía; Corona-Vázquezo, Teresa

Women have always had a hard time in the history of medicine; Dr. Isabel Blackwell was the first woman in history to practice medicine. Dr. Diana Beck became the world´s first female neurosurgeon. The first Latin American female neurosurgeon was Dr. María Cristina García Sancho y Álvarez-Tostado. All of these women had to face a large number of social, cultural, and economic obstacles in their path; however, this situation has changed gradually. Dr. Ana Lilia Siordia Karam was the first neurosurgeon to graduate from INNN. Nineteen years later the second female neurosurgeon at this institute was Dr. María Petra Herrera Guerrero. During their time at this institute they endured a lot of difficulties, especially with most of their coworkers; however, some coworkers treated them with respect and no gender distinction. Nowadays, four of the 25 total neurosurgery residents at INNN are women, and even though some of them have had to endure acts of gender discrimination, the general situation has changed. With work and respect, women have managed to have a larger role in the surgical field. We hope that in the near future a gender discrimination-free environment will be achieved in medicine and its specialties.

Fundamentals of neurosurgery: virtual reality tasks for training and evaluation of technical skills.

PubMed

Choudhury, Nusrat; Gélinas-Phaneuf, Nicholas; Delorme, Sébastien; Del Maestro, Rolando

2013-11-01

Technical skills training in neurosurgery is mostly done in the operating room. New educational paradigms are encouraging the development of novel training methods for surgical skills. Simulation could answer some of these needs. This article presents the development of a conceptual training framework for use on a virtual reality neurosurgical simulator. Appropriate tasks were identified by reviewing neurosurgical oncology curricula requirements and performing cognitive task analyses of basic techniques and representative surgeries. The tasks were then elaborated into training modules by including learning objectives, instructions, levels of difficulty, and performance metrics. Surveys and interviews were iteratively conducted with subject matter experts to delimitate, review, discuss, and approve each of the development stages. Five tasks were selected as representative of basic and advanced neurosurgical skill. These tasks were: 1) ventriculostomy, 2) endoscopic nasal navigation, 3) tumor debulking, 4) hemostasis, and 5) microdissection. The complete training modules were structured into easy, intermediate, and advanced settings. Performance metrics were also integrated to provide feedback on outcome, efficiency, and errors. The subject matter experts deemed the proposed modules as pertinent and useful for neurosurgical skills training. The conceptual framework presented here, the Fundamentals of Neurosurgery, represents a first attempt to develop standardized training modules for technical skills acquisition in neurosurgical oncology. The National Research Council Canada is currently developing NeuroTouch, a virtual reality simulator for cranial microneurosurgery. The simulator presently includes the five Fundamentals of Neurosurgery modules at varying stages of completion. A first pilot study has shown that neurosurgical residents obtained higher performance scores on the simulator than medical students. Further work will validate its components and use in a training curriculum. Copyright © 2013 N. Choudhury. Published by Elsevier Inc. All rights reserved.

Checklists in Neurosurgery to Decrease Preventable Medical Errors: A Review

PubMed Central

Enchev, Yavor

2015-01-01

Neurosurgery represents a zero tolerance environment for medical errors, especially preventable ones like all types of wrong site surgery, complications due to the incorrect positioning of patients for neurosurgical interventions and complications due to failure of the devices required for the specific procedure. Following the excellent and encouraging results of the safety checklists in intensive care medicine and in other surgical areas, the checklist was naturally introduced in neurosurgery. To date, the reported world experience with neurosurgical checklists is limited to 15 series with fewer than 20,000 cases in various neurosurgical areas. The purpose of this review was to study the reported neurosurgical checklists according to the following parameters: year of publication; country of origin; area of neurosurgery; type of neurosurgical procedure-elective or emergency; person in charge of the checklist completion; participants involved in completion; whether they prevented incorrect site surgery; whether they prevented complications due to incorrect positioning of the patients for neurosurgical interventions; whether they prevented complications due to failure of the devices required for the specific procedure; their specific aims; educational preparation and training; the time needed for checklist completion; study duration and phases; number of cases included; barriers to implementation; efforts to implementation; team appreciation; and safety outcomes. Based on this analysis, it could be concluded that neurosurgical checklists represent an efficient, reliable, cost-effective and time-saving tool for increasing patient safety and elevating the neurosurgeons’ self-confidence. Every neurosurgical department must develop its own neurosurgical checklist or adopt and modify an existing one according to its specific features and needs in an attempt to establish or develop its safety culture. The world, continental, regional and national neurosurgical societies could promote safety checklists and their benefits. PMID:26740891

47 CFR 5.91 - Notification of the National Radio Astronomy Observatory.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 47 Telecommunication 1 2012-10-01 2012-10-01 false Notification of the National Radio Astronomy... Astronomy Observatory. In order to minimize possible harmful interference at the National Radio Astronomy... Astronomy Observatory, P.O. Box NZ2, Green Bank, West Virginia, 24944, in writing, of the technical...

47 CFR 5.91 - Notification of the National Radio Astronomy Observatory.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 47 Telecommunication 1 2010-10-01 2010-10-01 false Notification of the National Radio Astronomy... Astronomy Observatory. In order to minimize possible harmful interference at the National Radio Astronomy... Astronomy Observatory, P.O. Box NZ2, Green Bank, West Virginia, 24944, in writing, of the technical...

47 CFR 5.91 - Notification of the National Radio Astronomy Observatory.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 47 Telecommunication 1 2011-10-01 2011-10-01 false Notification of the National Radio Astronomy... Astronomy Observatory. In order to minimize possible harmful interference at the National Radio Astronomy... Astronomy Observatory, P.O. Box NZ2, Green Bank, West Virginia, 24944, in writing, of the technical...

Computers and neurosurgery.

PubMed

Shaikhouni, Ammar; Elder, J Bradley

2012-11-01

At the turn of the twentieth century, the only computational device used in neurosurgical procedures was the brain of the surgeon. Today, most neurosurgical procedures rely at least in part on the use of a computer to help perform surgeries accurately and safely. The techniques that revolutionized neurosurgery were mostly developed after the 1950s. Just before that era, the transistor was invented in the late 1940s, and the integrated circuit was invented in the late 1950s. During this time, the first automated, programmable computational machines were introduced. The rapid progress in the field of neurosurgery not only occurred hand in hand with the development of modern computers, but one also can state that modern neurosurgery would not exist without computers. The focus of this article is the impact modern computers have had on the practice of neurosurgery. Neuroimaging, neuronavigation, and neuromodulation are examples of tools in the armamentarium of the modern neurosurgeon that owe each step in their evolution to progress made in computer technology. Advances in computer technology central to innovations in these fields are highlighted, with particular attention to neuroimaging. Developments over the last 10 years in areas of sensors and robotics that promise to transform the practice of neurosurgery further are discussed. Potential impacts of advances in computers related to neurosurgery in developing countries and underserved regions are also discussed. As this article illustrates, the computer, with its underlying and related technologies, is central to advances in neurosurgery over the last half century. Copyright © 2012 Elsevier Inc. All rights reserved.

Mentoring models in neurosurgical training: Review of literature.

PubMed

Akhigbe, Taiwo; Zolnourian, Ardalan; Bulters, Diederik

2017-11-01

Effective mentoring is an invaluable element in the development of next generation of neurosurgeons. A mentor helps to develop professional core values, technical and non-technical skills, attitudes and disposition required to be qualified and competent neurosurgeon. Giving the invaluable significance of mentoring in neurosurgery, we undertook this literature review to identify mentoring models evaluating its success and relative benefit. Literature search identified using MeSH word 'mentor', mentoring, mentorship, mentoring model, neurosurgery' in MEDLINE, EMBASE and Scopus databases from 1990 to 2016. Literature reviewed to identify status of mentoring in neurosurgery, potential barriers, pitfalls and future framework for mentoring in neurosurgery. Additional articles identified through manual search of reference lists. A total of 247 studies were obtained from electronic databases, after removing duplicates, abstracts, letters to the editor and non-neurosurgery papers. Sixteen full text articles retrieved out of which five met the inclusion criteria. Generally, there is paucity of articles regarding mentoring in neurosurgery, all included papers were written in English Language, all of them described mentoring model used including simulation, distance, collaborative, facilitative tele-mentoring and peer mentoring. Mentoring in Neurosurgery is an important aspect of personal and professional development of neurosurgical trainees, currently there is decline in traditional apprenticeship due to increase demand for modern use of specialised technology, simulation and tele-medicine in neurosurgery practice. Effective and efficient mentoring will be an interplay of six mentoring models (collaborative, facilitative, distance, simulation, tele mentoring and peer mentoring) identified. Crown Copyright © 2017. Published by Elsevier Ltd. All rights reserved.

History of Korean Neurosurgery.

PubMed

Hwang, Sung-nam

2015-08-01

The year 2012 was the 50th anniversary of the Korean Neurosurgical Society, and in 2013, the 15th World Congress of Neurosurgery took place in Seoul, Korea. Thus, it is an appropriate occasion to introduce the world to the history of the Korean Neurosurgical Society and the foundation, development, and growth of Korean neurosurgery. Historical materials and pictures were collected and reviewed from the history book and photo albums of the Korean Neurosurgical Society. During the last 50 years, the Korean Neurosurgical Society and Korean neurosurgery have developed and grown enormously not only in quantity but also in quality. In every aspect, the turning point from the old to the new era of the Korean Neurosurgical Society and Korean neurosurgery was the year 1980. Copyright © 2015. Published by Elsevier Inc.

National College Radio Study: Audience Research and National Programming.

ERIC Educational Resources Information Center

Sauls, Samuel J.

A study profiled college radio stations and explored the feasibility of a college radio network. A mail survey was sent in April 1995 to 1,469 college radio stations (including broadcast stations, carrier current stations, closed-circuit campus stations, radiating cable FM, and cable television access stations). A total of 228 surveys were…

Readability of neurosurgery-related patient education materials provided by the American Association of Neurological Surgeons and the National Library of Medicine and National Institutes of Health.

PubMed

Schmitt, Paul J; Prestigiacomo, Charles J

2013-11-01

Most professional organizations now provide patient information material, and not all of this material is appropriate for the average American adult to comprehend. The National Institutes of Health (NIH) and the United States Department of Health and Human Services recommend that patient education materials be written at the sixth-grade level. Our aim was to assess the readability of neurosurgery-related patient education material and compare it with The American Medical Association, NIH, and United States Department of Health and Human Services recommendations. Materials provided by the American Association of Neurologic Surgeons (AANS) and the U.S. National Library of Medicine (NLM) and National Institutes of Health were assessed with the Flesch-Kincaid grade level and Flesch Reading Ease score with Microsoft Office Word software. None of the articles had Flesch-Kincaid grade levels at or below the sixth-grade level. All articles on the AANS Conditions and Treatments section were written at or above the ninth-grade level; three of the AANS Camera-Ready Fact Sheets and four of the NIH/NLM articles were written between the seventh- and eighth-grade levels. Current patient education material provided by the AANS is written well above the recommended level. Material from the NLM and NIH performed better, but was still above the recommended sixth-grade level. Education materials should contain information relevant to patients' conditions, be accurate in the information they present, and be written with the average patient in mind. Copyright © 2013 Elsevier Inc. All rights reserved.

YouTube as a Source of Information on Neurosurgery.

PubMed

Samuel, Nardin; Alotaibi, Naif M; Lozano, Andres M

2017-09-01

The importance of videos in social media communications in the context of health care and neurosurgery is becoming increasingly recognized. However, there has not yet been a systematic analysis of these neurosurgery-related communications. Accordingly, this study was aimed at characterizing the online video content pertaining to neurosurgery. Neurosurgery-related videos uploaded on YouTube were collected using a comprehensive search strategy. The following metrics were extracted for each video: number of views, likes, dislikes, comments, shares, date of upload, and geographic region of origin where specified. A quantitative and qualitative evaluation was performed on all videos included in the study. A total of 713 nonduplicate videos met the inclusion criteria. The overall number of views for all videos was 90,545,164. Videos were most frequently uploaded in 2016 (n = 348), with a 200% increase in uploads compared with the previous year. Of the videos that were directly relevant to clinical neurosurgery, the most frequent video categories were "educational videos" (25%), followed by "surgical and procedure overview" (20%), "promotional videos" (17%), and "patient experience" (16%). The remainder of the videos consisted primarily of unrealistic simulations of cranial surgery for entertainment purposes (20%). The findings from this study highlight the increasing use of video communications related to neurosurgery and show that institutions, neurosurgeons, and patients are using YouTube as an educational and promotional platform. As online communications continue to evolve, it will be important to harness this tool to advance patient-oriented communication and knowledge dissemination in neurosurgery. Copyright © 2017 Elsevier Inc. All rights reserved.

Radios in the Classroom: Curriculum Integration and Communication Skills.

ERIC Educational Resources Information Center

Ninno, Anton

2000-01-01

Describes radio applications for education and summarizes radio activities for elementary and secondary school classrooms. Discusses teaching the history of radio communications; AM-FM radio; international shortwave broadcasts; NOAA (National Oceanic and Atmospheric Administration) weather service broadcasts; scanner radios; and amateur radios.…

Dedicated Linac for Radioneurosurgery at the National Institute of Neurology and Neurosurgery of Mexico

NASA Astrophysics Data System (ADS)

Celis-López, Miguel A.; Lárraga-Gutiérrez, José M.

2003-09-01

The objective is to present a description and the main clinical applications of this dedicated Linac for benign and malignant tumors in the central nervous system. The Novalis (BrainLab, Germany) is a 6 MV dedicated linac for a single high dose Radiosurgery (RS) and for fractionated doses in Stereotactic Radiotherapy with a high level of precision at the isocenter.

The neurosurgical workforce in North America: a critical review of gender issues.

PubMed

Woodrow, Sarah I; Gilmer-Hill, Holly; Rutka, James T

2006-10-01

The role of women in Western society has changed dramatically in the past several decades. Despite this, many gender disparities still exist for professionals in the health care sector. In neurosurgery, a disproportionately small percentage of the workforce in the United States and Canada is female. These figures are lower than most reported in other medical specialties. This review critically examines factors that may be influencing women's ability to advance in demanding subspecialties such as neurosurgery. The literature on women in medicine, and surgery in particular, were reviewed to identify different issues facing women currently in practice in neurosurgery. In addition, the concerns of prospective trainees were examined. There remain many challenges for women entering neurosurgery, including unique lifestyle concerns, limited mentorship, out-dated career programs, and deep-seeded societal beliefs. Discrimination and harassment are also contributing factors. If neurosurgery is to continue to progress as a subspecialty, the issue of gender inequality needs to be scrutinized more closely. Innovative programs must be developed to meet the needs of current female faculty members and to ensure attracting the brightest individuals of both genders into a career in neurosurgery.

Attrition rates in neurosurgery residency: analysis of 1361 consecutive residents matched from 1990 to 1999.

PubMed

Lynch, Gabrielle; Nieto, Karina; Puthenveettil, Saumya; Reyes, Marleen; Jureller, Michael; Huang, Jason H; Grady, M Sean; Harris, Odette A; Ganju, Aruna; Germano, Isabelle M; Pilitsis, Julie G; Pannullo, Susan C; Benzil, Deborah L; Abosch, Aviva; Fouke, Sarah J; Samadani, Uzma

2015-02-01

The objective of this study is to determine neurosurgery residency attrition rates by sex of matched applicant and by type and rank of medical school attended. The study follows a cohort of 1361 individuals who matched into a neurosurgery residency program through the SF Match Fellowship and Residency Matching Service from 1990 to 1999. The main outcome measure was achievement of board certification as documented in the American Board of Neurological Surgery Directory of Diplomats. A secondary outcome measure was documentation of practicing medicine as verified by the American Medical Association DoctorFinder and National Provider Identifier websites. Overall, 10.7% (n=146) of these individuals were women. Twenty percent (n=266) graduated from a top 10 medical school (24% of women [35/146] and 19% of men [232/1215], p=0.19). Forty-five percent (n=618) were graduates of a public medical school, 50% (n=680) of a private medical school, and 5% (n=63) of an international medical school. At the end of the study, 0.2% of subjects (n=3) were deceased and 0.3% (n=4) were lost to follow-up. The total residency completion rate was 86.0% (n=1171) overall, with 76.0% (n=111/146) of women and 87.2% (n=1059/1215) of men completing residency. Board certification was obtained by 79.4% (n=1081) of all individuals matching into residency between 1990 and 1999. Overall, 63.0% (92/146) of women and 81.3% (989/1215) of men were board certified. Women were found to be significantly more at risk (p<0.005) of not completing residency or becoming board certified than men. Public medical school alumni had significantly higher board certification rates than private and international alumni (82.2% for public [508/618]; 77.1% for private [524/680]; 77.8% for international [49/63]; p<0.05). There was no significant difference in attrition for graduates of top 10-ranked institutions versus other institutions. There was no difference in number of years to achieve neurosurgical board certification for men versus women. Overall, neurosurgery training attrition rates are low. Women have had greater attrition than men during and after neurosurgery residency training. International and private medical school alumni had higher attrition than public medical school alumni.

Interactive Radio Counseling in Indira Gandhi National Open University: A Study.

ERIC Educational Resources Information Center

Chaudhary, Sohanvir S.; Bansal, Kiron

2000-01-01

Explains interactive radio as an effective tool for open and distance learning provided it is planned, designed, implemented, and monitored systematically. Describes the interactive radio counseling at Indira Gandhi National Open University (IGNOU) that provides support to students who study print material and may attend weekend…

A Virtual Tour of the Radio Astronomy Process

NASA Astrophysics Data System (ADS)

Conrad, S. B.; Finley, D. G.; Claussen, M. J.; Ulvestad, J. S.

2000-12-01

In the summer of 2000, two teachers working on a Masters of Science Teaching Degree at New Mexico Tech and participating in the Research Experience for Teachers (RET) program sponsored by the National Science Foundation, spent eight weeks as interns researching and working on projects at the National Radio Astronomy Observatory (NRAO) which will directly benefit students in their classrooms and also impact other science educators. One of the products of the interships is a set of web pages for NRAO's web page educational section. The purpose of these web pages is to familiarize students, teachers, and other people with the process that a radio astronomer goes through to do radio astronomy science. A virtual web tour was created of this process. This required interviewing radio astronomers and other professionals involved with this process at the NRAO (e.g. engineers, data analysts, and operations people), and synthesizing the interviews into a descriptive, visual-based set of web pages. These pages do meet the National as well as New Mexico Standards and Benchmarks for Science Education. The National Radio Astronomy Observatory is a facility of the National Science Foundation, operated under cooperative agreement by Associated Universities, Inc. The NSF's RET program is gratefully acknowledged.

Progress of women in neurosurgery

PubMed Central

Spetzler, Robert F.

2011-01-01

Despite advances in issues related to gender equity, barriers to recruiting and retaining women in neurosurgery continue to exist. At the same time, the overall projected shortage of neurosurgeons suggests that women will be vital to the long-term success of the field. Attracting women to neurosurgery can capitalize on strategies, such as mentoring, teaching leadership and negotiating skills, and job sharing or dual training tracks to name a few, that would benefit both men and women passionate about pursuing neurosurgery. Ultimately, personal and institutional accountability must be evaluated to ensure that the best and brightest candidates, regardless of gender, are recruited to neurosurgical programs to promote the health of our challenging but most satisfying profession. PMID:22059098

Augmented reality in neurosurgery

PubMed Central

Tagaytayan, Raniel; Kelemen, Arpad

2016-01-01

Neurosurgery is a medical specialty that relies heavily on imaging. The use of computed tomography and magnetic resonance images during preoperative planning and intraoperative surgical navigation is vital to the success of the surgery and positive patient outcome. Augmented reality application in neurosurgery has the potential to revolutionize and change the way neurosurgeons plan and perform surgical procedures in the future. Augmented reality technology is currently commercially available for neurosurgery for simulation and training. However, the use of augmented reality in the clinical setting is still in its infancy. Researchers are now testing augmented reality system prototypes to determine and address the barriers and limitations of the technology before it can be widely accepted and used in the clinical setting. PMID:29765445

Augmented reality in neurosurgery.

PubMed

Tagaytayan, Raniel; Kelemen, Arpad; Sik-Lanyi, Cecilia

2018-04-01

Neurosurgery is a medical specialty that relies heavily on imaging. The use of computed tomography and magnetic resonance images during preoperative planning and intraoperative surgical navigation is vital to the success of the surgery and positive patient outcome. Augmented reality application in neurosurgery has the potential to revolutionize and change the way neurosurgeons plan and perform surgical procedures in the future. Augmented reality technology is currently commercially available for neurosurgery for simulation and training. However, the use of augmented reality in the clinical setting is still in its infancy. Researchers are now testing augmented reality system prototypes to determine and address the barriers and limitations of the technology before it can be widely accepted and used in the clinical setting.

Progress of women in neurosurgery.

PubMed

Spetzler, Robert F

2011-01-01

Despite advances in issues related to gender equity, barriers to recruiting and retaining women in neurosurgery continue to exist. At the same time, the overall projected shortage of neurosurgeons suggests that women will be vital to the long-term success of the field. Attracting women to neurosurgery can capitalize on strategies, such as mentoring, teaching leadership and negotiating skills, and job sharing or dual training tracks to name a few, that would benefit both men and women passionate about pursuing neurosurgery. Ultimately, personal and institutional accountability must be evaluated to ensure that the best and brightest candidates, regardless of gender, are recruited to neurosurgical programs to promote the health of our challenging but most satisfying profession.

Art, passion, and neurosurgery: the role of the Society of Neurological Surgeons in academic neurosurgery.

PubMed

Dempsey, Robert J

2011-11-01

Neurosurgery is at a crossroads in a time of economic uncertainty. It is also a time of remarkable potential for innovation resulting in dramatic improvement in the way neurosurgeons care for patients and the quality of outcomes. Analysis of this key time point of neurosurgical history is drawn from reflections for a presidential address to the Society of Neurological Surgeons. It is the author's opinion that the best of academic neurosurgery must and will accept this challenge by developing not only the research but also the creativity and art of what neurosurgeons do for maximal patient benefit in research, educational, and clinical missions. Published by Elsevier Inc.

Practical guidelines for setting up neurosurgery skills training cadaver laboratory in India.

PubMed

Suri, Ashish; Roy, Tara Sankar; Lalwani, Sanjeev; Deo, Rama Chandra; Tripathi, Manjul; Dhingra, Renu; Bhardwaj, Daya Nand; Sharma, Bhawani Shankar

2014-01-01

Though the necessity of cadaver dissection is felt by the medical fraternity, and described as early as 600 BC, in India, there are no practical guidelines available in the world literature for setting up a basic cadaver dissection laboratory for neurosurgery skills training. Hands-on dissection practice on microscopic and endoscopic procedures is essential in technologically demanding modern neurosurgery training where ethical issues, cost constraints, medico-legal pitfalls, and resident duty time restrictions have resulted in lesser opportunities to learn. Collaboration of anatomy, forensic medicine, and neurosurgery is essential for development of a workflow of cadaver procurement, preservation, storage, dissection, and disposal along with setting up the guidelines for ethical and legal concerns.

Radio Observations of the Type IIP Supernova 20017eaw

NASA Astrophysics Data System (ADS)

Stockdale, Christopher; Perez-Torres, Miguel; Argo, Megan; Ryder, Stuart D.; Panagia, Nino; Van Dyk, Schuyler; Bauer, Franz Erik; Roming, Peter; Marcaide, Jon; Pooley, Dave; Lien, Amy; Sramek, Richard A.

2018-01-01

We present the results of radio observations of the type IIP Supernova 2017eaw using the Very Large Array and the eMERLIN radio telescopes at centimeter wavelengths. SN 2017eaw is a rare type IIP that did not show prompt radio emission after initial explosion. We will present our analysis of the current data and discuss the implications for the pre-explosion evolution of the progenitor star of SN 20017eaw. The National Radio Astronomy Observatory is a facility of the National Science Foundation operated under cooperative agreement by Associated Universities.

In touch with robotics: neurosurgery for the future.

PubMed

Nathoo, Narendra; Cavuşoğlu, M Cenk; Vogelbaum, Michael A; Barnett, Gene H

2005-03-01

The introduction of multiple front-end technologies during the past quarter century has generated an emerging futurism for the discipline of neurological surgery. Driven primarily by synergistic developments in science and engineering, neurosurgery has always managed to harness the potential of the latest technical developments. Robotics represents one such technology. Progress in development of this technology has resulted in new uses for robotic devices in our discipline, which are accompanied by new potential dangers and inherent risks. The recent surge in robot-assisted interventions in other disciplines suggests that this technology may be considered one of a spectrum of frontier technologies poised to fuel the development of neurosurgery and consolidate the era of minimalism. On a more practical level, if the introduction of robotics in neurosurgery proves beneficial, neurosurgeons will need to become facile with this technology and learn to harness its potential so that the best surgical results may be achieved in the least invasive manner. This article reviews the role of robotic technology in the context of neurosurgery.

3D printing in neurosurgery: A systematic review

PubMed Central

Randazzo, Michael; Pisapia, Jared M.; Singh, Nickpreet; Thawani, Jayesh P.

2016-01-01

Background: The recent expansion of three-dimensional (3D) printing technology into the field of neurosurgery has prompted a widespread investigation of its utility. In this article, we review the current body of literature describing rapid prototyping techniques with applications to the practice of neurosurgery. Methods: An extensive and systematic search of the Compendex, Scopus, and PubMed medical databases was conducted using keywords relating to 3D printing and neurosurgery. Results were manually screened for relevance to applications within the field. Results: Of the search results, 36 articles were identified and included in this review. The articles spanned the various subspecialties of the field including cerebrovascular, neuro-oncologic, spinal, functional, and endoscopic neurosurgery. Conclusions: We conclude that 3D printing techniques are practical and anatomically accurate methods of producing patient-specific models for surgical planning, simulation and training, tissue-engineered implants, and secondary devices. Expansion of this technology may, therefore, contribute to advancing the neurosurgical field from several standpoints. PMID:27920940

Robotics in neurosurgery: state of the art and future technological challenges.

PubMed

Zamorano, L; Li, Q; Jain, S; Kaur, G

2004-06-01

The use of robotic technologies to assist surgeons was conceptually described almost thirty years ago but has only recently become feasible. In Neurosurgery, medical robots have been applied to neurosurgery for over 19 years. Nevertheless this field remains unknown to most neurosurgeons. The intrinsic characteristics of robots, such as high precision, repeatability and endurance make them ideal surgeon's assistants. Unfortunately, limitations in the current available systems make its use limited to very few centers in the world. During the last decade, important efforts have been made between academic and industry partnerships to develop robots suitable for use in the operating room environment. Although some applications have been successful in areas of laparoscopic surgery and orthopaedics, Neurosurgery has presented a major challenge due to the eloquence of the surrounding anatomy. This review focuses on the application of medical robotics in neurosurgery. The paper begins with an overview of the development of the medical robotics, followed by the current clinical applications in neurosurgery and an analysis of current limitations. We discuss robotic applications based in our own experience in the field. Next, we discuss the technological challenges and research areas to overcome those limitations, including some of our current research approaches for future progress in the field. Copyright 2004 Robotic Publications Ltd.

Neurological Surgery at the National Institutes of Health

PubMed Central

Mehta, Gautam U.; Heiss, John D.; Park, John K.; Asthagiri, Ashok R.; Lonser, Russell R.

2010-01-01

The Surgical Neurology Branch (SNB) in the intramural program of the National Institute of Neurological Disorders and Stroke at the National Institutes of Health has been a unique setting for academic neurosurgery for nearly 60 years. Every patient evaluated and treated in the SNB is enrolled in a clinical research protocol, which underscores a singular focus on advancing neurosurgical research and patient care. Since the inception of the SNB, this research effort has been driven by dedicated clinician-investigators and basic scientists including Maitland Baldwin, Igor Klatzo, John M. Van Buren, Ayub K. Ommaya, Richard J. Youle and Edward H. Oldfield. These and other SNB investigators have studied and advanced treatment of a number of neuropathologic processes including delineation of differences between cytotoxic and vasogenic edema, head injury, Cushing’s disease, the effects of vascular endothelial growth factor in nervous system tissues, tumor suppressor syndromes, the pathophysiology of syringomyelia, mechanisms underlying cerebral vasospasm after subarachnoid hemorrhage, spinal arteriovenous malformations, mechanisms of cell death and drug delivery. Currently, SNB efforts are focused on central nervous system drug-delivery, the natural history of familial tumor syndromes, functional neurosurgery, epilepsy, vasospasm and development of chemotherapeutics for malignant glioma. Throughout its history, the SNB has also been dedicated to training neurosurgeon clinician-investigators; 22 previous fellows/staff have become Chairs of their respective neurosurgical departments. Recently, the commitment to training future neurosurgeon clinician-investigators has been further defined with the development of a residency-training program in neurological surgery approved in 2010. PMID:21278842

Teaching for the Transition: the Canadian PGY-1 Neurosurgery 'Rookie Camp'.

PubMed

Haji, Faizal A; Clarke, David B; Matte, Marie C; Brandman, David M; Brien, Susan; de Ribaupierre, Sandrine; O'Kelly, Cian; Christie, Sean; McDonald, Patrick J; Kulkarni, Abhaya V; Walling, Simon; MacLeod, Anna

2015-01-01

Transitioning from medical school to residency is difficult and stressful, necessitating innovation in easing this transition. In response, a Canadian neurosurgical Rookie Camp was designed and implemented to foster acquisition of technical, cognitive and behavioral skills among incoming Canadian post graduate year one (PGY-1) neurosurgery residents. The inaugural Rookie Camp was held in July 2012 in Halifax. The curriculum was developed based on a national needs-assessment and consisted of a pre-course manual, 7 case-based stations, 4 procedural skills stations and 2 group discussions. The content was clinically focused, used a variety of teaching methods, and addressed multiple CanMEDS competencies. Evaluation included participant and faculty surveys and a pre-course, post-course, and 3-month retention knowledge test. 17 of 23 PGY-1 Canadian neurosurgical residents participated in the Camp. All agreed the course content was relevant for PGY-1 training and the experience prepared them for residency. All participants would recommend the course to future neurosurgical residents. A statistically significant improvement was observed in knowledge related to course content (F(2,32) = 7.572, p<0.002). There were no significant differences between post-test and retention-test scores at three months. The inaugural Canadian Neurosurgery Rookie Camp for PGY-1 residents was successfully delivered, with engagement from participants, training programs, the Canadian Neurosurgical Society, and the Royal College. In addition to providing fundamental knowledge, which was shown to be retained, the course eased junior residents' transition to residency by fostering camaraderie and socialization within the specialty.

Estimating the Cost of Neurosurgical Procedures in a Low-Income Setting: An Observational Economic Analysis.

PubMed

Abdelgadir, Jihad; Tran, Tu; Muhindo, Alex; Obiga, Doomwin; Mukasa, John; Ssenyonjo, Hussein; Muhumza, Michael; Kiryabwire, Joel; Haglund, Michael M; Sloan, Frank A

2017-05-01

There are no data on cost of neurosurgery in low-income and middle-income countries. The objective of this study was to estimate the cost of neurosurgical procedures in a low-resource setting to better inform resource allocation and health sector planning. In this observational economic analysis, microcosting was used to estimate the direct and indirect costs of neurosurgical procedures at Mulago National Referral Hospital (Kampala, Uganda). During the study period, October 2014 to September 2015, 1440 charts were reviewed. Of these patients, 434 had surgery, whereas the other 1006 were treated nonsurgically. Thirteen types of procedures were performed at the hospital. The estimated mean cost of a neurosurgical procedure was $542.14 (standard deviation [SD], $253.62). The mean cost of different procedures ranged from $291 (SD, $101) for burr hole evacuations to $1,221 (SD, $473) for excision of brain tumors. For most surgeries, overhead costs represented the largest proportion of the total cost (29%-41%). This is the first study using primary data to determine the cost of neurosurgery in a low-resource setting. Operating theater capacity is likely the binding constraint on operative volume, and thus, investing in operating theaters should achieve a higher level of efficiency. Findings from this study could be used by stakeholders and policy makers for resource allocation and to perform economic analyses to establish the value of neurosurgery in achieving global health goals. Copyright © 2017 Elsevier Inc. All rights reserved.

A value-based, no-cost-to-patient health model in the developing world: Critical appraisal of a unique patient-centric neurosurgery unit

PubMed Central

Thakar, Sumit; Dadlani, Ravi; Sivaraju, Laxminadh; Aryan, Saritha; Mohan, Dilip; Sai Kiran, Narayanam Anantha; Rajarathnam, Ravikiran; Shyam, Maya; Sadanand, Venkatraman; Hegde, Alangar S.

2015-01-01

Background: It is well-accepted that the current healthcare scenario worldwide is due for a radical change, given that it is fraught with mounting costs and varying quality. Various modifications in health policies have been instituted toward this end. An alternative model, the low-cost, value-based health model, focuses on maximizing value for patients by moving away from a physician-centered, supply-driven system to a patient-centered system. Methods: The authors discuss the successful inception, functioning, sustainability, and replicability of a novel health model in neurosurgery built and sustained by inspired humanitarianism and that provides all treatment at no cost to the patients irrespective of their socioeconomic strata, color or creed. Results: The Sri Sathya Sai Institute of Higher Medical Sciences (SSSIHMS) at Whitefield, Bengaluru, India, a private charitable hospital established in 2001, functions on the ideals of providing free state-of-the-art healthcare to all in a compassionate and holistic manner. With modern equipment and respectable outcome benchmarks, its neurosurgery unit has operated on around 18,000 patients since its inception, and as such, has contributed INR 5310 million (USD 88.5 million) to society from an economic standpoint. Conclusions: The inception and sustainability of the SSSIHMS model are based on self-perpetuating philanthropy, a cost-conscious culture and the dissemination of human values. Replicated worldwide, at least in the developing nations, this unique healthcare model may well change the face of healthcare economics. PMID:26322241

The History of Neurosurgery in the Hawaiian Islands.

PubMed

Swinney, Christian; Obana, William

2018-01-01

The field of neurosurgery has a rich and fascinating history. The development of the specialty in Hawaii has been particularly unique, given the state's remote location, indigenous population, and military presence. The life of Dr. Ralph B. Cloward, Hawaii's most noted neurosurgeon, has received some attention in the literature. However, a comprehensive review of this history, including the pre-Cloward and post-Cloward era, is lacking. This article will review and chronicle the development of neurosurgery in Hawaii with special attention to 3 topics: the traveling neurosurgeons of the early 20th century, such as Dr. Frederick Reichert; Hawaii's first full time neurosurgeon, Dr. Cloward; and finally, the current state of neurosurgery in Hawaii. Copyright © 2017 Elsevier Inc. All rights reserved.

A Radio Astronomy Curriculum for the Middle School Classroom

NASA Astrophysics Data System (ADS)

Davis, J.; Finley, D. G.

2000-12-01

In the summer of 2000, two teachers working on a Masters of Science Teaching program at New Mexico Institute of Mining and Technology, spent eight weeks as interns at the Array Operations Center for the National Radio Astronomy Observatory (NRAO) in Socorro, New Mexico, under the auspices of the National Science Foundation's (NSF) Research Experience for Teachers (RET) program. The resulting projects will directly benefit students in the indvidual classrooms, as well as provide an easy-to-access resource for other educators. One of the products is a Radio Astronomy Curriculum for upper middle school classes. Radio astronomy images, based on scientific research results using NRAO's Very Large Array, are featured on trading cards which include an explanation, a ``web challenge'', and in some cases, a comparison of radio and optical images. Each trading card has corresponding lesson plans with background information about the images and astronomy concepts needed to do the lessons. Comparison of optical and radio astronomy is used as much as possible to explain the information from research using visible and radio wavelengths. New Mexico's Content Standards and Benchmarks (developed using national standards) for science education was used as a guide for the activities. The three strands of science listed in the standards, Unifying Concepts and Processes, Science as Inquiry, and Science Content are addressed in the lessons. Higher level thinking and problem solving skills are featured throughout the curriculum. The National Radio Astronomy Observatory is a facility of the National Science Foundation, operated under cooperative agreement by Associated Universities, Inc. The NSF's RET program is gratefully acknowledged.

"Adventures in Science": Casting Scientifically Talented Youth as National Resources on American Radio, 1942-1958

ERIC Educational Resources Information Center

Terzian, Sevan G.

2008-01-01

From 1942 to 1958, a national weekly programme on CBS radio and presented by Science Service, Inc. devoted 37 of its broadcasts to profiling American high school students' achievements in science talent searches, clubs and fairs. These "Adventures in Science" radio programmes cast scientifically talented youth as potential contributors to national…

Current educational issues in the clinical neurosciences.

PubMed

Desbiens, R; Elleker, M G; Goldsand, G; Hugenholtz, H; Puddester, D; Toyota, B; Findlay, J M

2001-11-01

Canadian training in the clinical neurosciences, neurology and neurosurgery, faces significant challenges. New balances are being set by residents, their associations and the Royal College of Physicians and Surgeons of Canada between clinical service, education and personal time. The nature of hospital-provided medical service has changed significantly over the past decade, impacting importantly on resident training. Finally, future manpower needs are of concern, especially in the field of neurosurgery, where it appears that soon more specialists will be trained than can be absorbed into the Canadian health care system. A special symposium on current challenges in clinical neuroscience training was held at the Canadian Congress of Neurological Sciences in June 2000. Representatives from the Canadian Association of Interns and Residents, the Royal College of Physicians and Surgeons of Canada and English and French neurology and neurosurgery training programs made presentations, which are summarized in this report. Residency training has become less service-oriented, and this trend will continue. In order to manage the increasingly sophisticated hospital services of neurology and neurosurgery, resident-alternatives in the form of physician "moonlighters" or more permanent hospital-based clinicians or "hospitalists" will be necessary in order to operate major neuroclinical units. Health authorities and hospitals will need to recognize and assume this responsibility. As clinical experience diminishes during residency training, inevitably so will the concept of the fully competent "generalist" at the end of specialty training. Additional subspecialty training is being increasingly sought by graduates, particularly in neurosurgery. Training in neurology and neurosurgery, as in all medical specialties, has changed significantly in recent years and continues to change. Programs and hospitals need to adapt to these changes in order to ensure the production of fully qualified specialists in neurology and neurosurgery and the provision of optimal care to patients in clinical teaching units.

An analysis of the citation climate in neurosurgical literature and description of an interfield citation metric.

PubMed

Madhugiri, Venkatesh S; Sasidharan, Gopalakrishnan M; Subeikshanan, Venkatesan; Dutt, Akshat; Ambekar, Sudheer; Strom, Shane F

2015-05-01

The citation climate in neurosurgical literature is largely undefined. To study the patterns of citation of articles in neurosurgery as a scientific field and to evaluate the performance of neurosurgery journals vis-à-vis journals in other fields. References cited in articles published in neurosurgery journals during a specified time period were analyzed to determine the age of articles cited in neurosurgical literature. In the next analysis, articles published in neurosurgical journals were followed up for 13 years after publication. The postpublication citation patterns were analyzed to determine the time taken to reach the maximally cited state and the time when articles stopped being cited. The final part of the study dealt with the evolution of a new interfield citation metric, which was then compared with other standardized citation indexes. The mean ± SD age of articles cited in neurosurgical literature was 11.6 ± 11.7 years (median, 8 years). Citations received by articles gradually increased to a peak (at 6.25 years after publication in neurosurgery) and then reached a steady state; articles were still cited well into the late postpublication period. Neurosurgical articles published in nonneurosurgical high-impact journals were cited more highly than those in neurosurgical journals, although they took approximately the same time to reach the maximally cited state (7.2 years). The most cited pure neurosurgery journal was Neurosurgery. The citation climate for neurosurgery was adequately described. The interfield citation metric was able to ensure cross-field comparability of journal performance. G1, group 1G2, group 2G3, group 3G4, group 4IFCM, interfield citation metric.

NASA Radio Frequency Spectrum Management Manual

NASA Technical Reports Server (NTRS)

1989-01-01

The Radio Frequency (RF) Spectrum Management Manual sets forth procedures and guidelines for the management requirements for controlling the use of radio frequencies by the National Aeronautics and Space Administration. It is applicable to NASA Headquarters and field installations. NASA Management Instruction 1102.3 assigns the authority for management of radio frequencies for the National Aeronautics and Space Administration to the Associate Administrator for Space Operations, NASA Headquarters. This manual is issued in loose-leaf form and will be revised by page changes.

47 CFR 97.203 - Beacon station.

Code of Federal Regulations, 2013 CFR

2013-10-01

... written notification thereof to the Interference Office, National Radio Astronomy Observatory, P.O. Box 2... the proposed operation is received by the FCC from the National Radio Astronomy Observatory at Green...

47 CFR 97.203 - Beacon station.

Code of Federal Regulations, 2011 CFR

2011-10-01

... written notification thereof to the Interference Office, National Radio Astronomy Observatory, P.O. Box 2... the proposed operation is received by the FCC from the National Radio Astronomy Observatory at Green...

47 CFR 97.203 - Beacon station.

Code of Federal Regulations, 2014 CFR

2014-10-01

... written notification thereof to the Interference Office, National Radio Astronomy Observatory, P.O. Box 2... the proposed operation is received by the FCC from the National Radio Astronomy Observatory at Green...

47 CFR 97.203 - Beacon station.

Code of Federal Regulations, 2012 CFR

2012-10-01

... written notification thereof to the Interference Office, National Radio Astronomy Observatory, P.O. Box 2... the proposed operation is received by the FCC from the National Radio Astronomy Observatory at Green...

Neurosurgery and Music; Effect of Wolfgang Amadeus Mozart.

PubMed

Gasenzer, Elena Romana; Kanat, Ayhan; Neugebauer, Edmund

2017-06-01

The nervous system works like a great orchestra. Specifically, the music of Mozart with its "Mozart effect" is appropriate to use in neurosurgery. We investigated the relationship between Mozart's music and neurosurgery. We used digital catalogs like "PubMed" and the libraries of universities. Key words were "Wolfgang Amadeus Mozart" and "neurosurgery and music." In the first half of the 20th century, performing neurosurgery on some musicians, such as Maurice Ravel, Josef Hassid, and George Gershwin, resulted in a fatal outcome. The cause of this is probably that neurosurgery had not been developed yet in the first half of the 20th century. In the past 3 decades, the neurosurgical operations of musicians show that musicians have rich associations among auditory, somatic, and sensorial systems. It is clear that we have much to learn from studies about music and brain function that derive from our surgical experiences with patients. The neuronal plasticity of musicians' brains may be different from that of nonmusicians' brains. Musicians with enhanced motor skills have greater capacity for plasticity because of enriched interhemispheric connections. Listening to music and the effect of Mozart in neurosurgical practice, intensive care, or rehabilitation were documented in many studies. As authors, we mean something different: Its effectiveness should be studied. We concluded that in current neurosurgical practice, Mozart has an effect. More research and clinical studies are needed. Copyright © 2017 Elsevier Inc. All rights reserved.

78 FR 52097 - Revision to the Manual of Regulations and Procedures for Federal Radio Frequency Management

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-22

... DEPARTMENT OF COMMERCE National Telecommunications and Information Administration 47 CFR Part 300... Federal Radio Frequency Management AGENCY: National Telecommunications and Information Administration, U.S. Department of Commerce. ACTION: Final rule. SUMMARY: The National Telecommunications and Information...

The role of simulation in neurosurgery.

PubMed

Rehder, Roberta; Abd-El-Barr, Muhammad; Hooten, Kristopher; Weinstock, Peter; Madsen, Joseph R; Cohen, Alan R

2016-01-01

In an era of residency duty-hour restrictions, there has been a recent effort to implement simulation-based training methods in neurosurgery teaching institutions. Several surgical simulators have been developed, ranging from physical models to sophisticated virtual reality systems. To date, there is a paucity of information describing the clinical benefits of existing simulators and the assessment strategies to help implement them into neurosurgical curricula. Here, we present a systematic review of the current models of simulation and discuss the state-of-the-art and future directions for simulation in neurosurgery. Retrospective literature review. Multiple simulators have been developed for neurosurgical training, including those for minimally invasive procedures, vascular, skull base, pediatric, tumor resection, functional neurosurgery, and spine surgery. The pros and cons of existing systems are reviewed. Advances in imaging and computer technology have led to the development of different simulation models to complement traditional surgical training. Sophisticated virtual reality (VR) simulators with haptic feedback and impressive imaging technology have provided novel options for training in neurosurgery. Breakthrough training simulation using 3D printing technology holds promise for future simulation practice, proving high-fidelity patient-specific models to complement residency surgical learning.

A critique of wildlife radio-tracking and its use in National Parks: a report to the National Park Service

USGS Publications Warehouse

Mech, L. David; Barber, Shannon M.

2002-01-01

Because of the naturalness of National Parks and because of the public’s strong interest in the parks, the National Park Service (NPS) must gather as much information as needed to help understand and preserve the natural functioning of its ecosystems, and especially of its wildlife. The most useful technique for studying wildlife is radio-tracking, or wildlife telemetry. Radio-tracking is the technique of determining information about an animal through the use of radio signals from or to a device carried by the animal.The basic components of a traditional radio-tracking system are (1) a transmitting subsystem consisting of a radio transmitter, a power source and a propagating antenna, and (2) a receiving subsystem including a “pick-up” antenna, a signal receiver with reception indicator (speaker and/or display) and a power source. Most radio tracking systems involve transmitters tuned to different frequencies (analogous to different AM/FM radio stations) that allow individual identification.Three distinct types of radio-tracking are in use today: (1)conventional, very-high-frequency (VHF) radio tracking, (2) satellite tracking, and (3) Global Positioning System (GPS) tracking. VHF radio-tracking is the standard technique that has been in use since 1963.However, radio-tracking can be considered intrusive in that it requires live-capturing animals and attaching a collar or other device to them. A person must then monitor signals from the device, thus usually requiring people in the field in vehicles, aircraft, and on foot. Nevertheless, most national parks have recognized the benefits of radio-tracking and have hosted radio-tracking studies for many years; in some parks, hundreds of animals have been, or are being, so studied.As a result, some NPS staff are concerned about actual or potential intrusiveness of radio-tracking. Ideally, wildlife studies would still be done but with no intrusion on animals or conflict with park visitors.Thus the NPS has decided to closely examine the technique and use of radio-tracking to determine (1) if any less-intrusive method could supply the same information, (2) what the full range of radio-tracking technology is, to determine if the least-intrusive techniques are being used, and (3) whether future technological improvements might lead to less-intrusive techniques. The present review is the result.We first present a simple overview of radio-tracking technology, its benefits, variety, cost, and availability, advantages and disadvantages, and recent refinements that, if used, could reduce research intrusiveness. Then we consider whether any less-intrusive, non-radio-tracking techniques could supply the same information. Next we discuss possible future improvements and suggest some that would help reduce intrusion during wildlife research in national parks.Last, we review radio-tracking technology in detail for readers who want a more complete understanding. This review should also allow administrators and scientists to determine whether the least-intrusive radio-tracking techniques are currently being used.We conclude that no substitute for radio-tracking appears to be on the horizon but that a few recent improvements in the technology can reduce some of its intrusiveness. Further, we recommend that the NPS (1) formally assess the extent of park visitors’ perceptions and concerns about any intrusiveness caused by wildlife radio-tracking studies (2) help minimize visitor concern about the technique by educating the public about radio-tracking and some of its findings in the parks, (3) promote use of the most up-to-date refinements and improvements in radio-tracking technology, and (4) encourage funding projects using such technology.

[New simulation technologies in neurosurgery].

PubMed

Byvaltsev, V A; Belykh, E G; Konovalov, N A

2016-01-01

The article presents a literature review on the current state of simulation technologies in neurosurgery, a brief description of the basic technology and the classification of simulation models, and examples of simulation models and skills simulators used in neurosurgery. Basic models for the development of physical skills, the spectrum of available computer virtual simulators, and their main characteristics are described. It would be instructive to include microneurosurgical training and a cadaver course of neurosurgical approaches in neurosurgery training programs and to extend the use of three-dimensional imaging. Technologies for producing three-dimensional anatomical models and patient-specific computer simulators as well as improvement of tactile feedback systems and display quality of virtual models are promising areas. Continued professional education necessitates further research for assessing the validity and practical use of simulators and physical models.

Balancing the Equation: Public Radio Comes of Age.

ERIC Educational Resources Information Center

Avery, Robert K.; Pepper, Robert

1979-01-01

The national development of public radio as a noncommercial medium is traced through the history of its national organizations, ending with the formation of its single programing and representational entity. (Author)

Highlights of the Public Radio Programming Study, Fiscal Year 1996. CPB Research Notes, No. 105.

ERIC Educational Resources Information Center

Ryan, Lisa Nackerud

The Corporation for Public Broadcasting funded a national study of public radio programming since 1986. The 1996 programming study was conducted by National Public Radio's Audience Research department and had participation by 633 stations. Two-thirds of the stations reported broadcasting 24 hours per day, compared to one-third of stations in 1986.…

Highlighting the History of Japanese Radio Astronomy: 1: An Introduction

NASA Astrophysics Data System (ADS)

Ishiguro, Masato; Orchiston, Wayne; Akabane, Kenji; Kaifu, Norio; Hayashi, Masa; Nakamura, Tsuko; Stewart, Ronald; Yokoo, Hiromitsu

2012-11-01

Japan was one of a number of nations that made important contributions in the fledgling field of radio astronomy in the years immediately following WWII. In this paper we discuss the invention of the Yagi-Uda antenna and the detection of solar radio emission in 1938, before reviewing radio astronomical developments that occurred between 1948 and 1961 in Osaka, Nagoya, Tokyo and Hiraiso. In order to place these early Japanese experiments in a national and international context we briefly review the world-wide development of radio astronomy in the immediate post-War years before discussing the growth of optical astronomy in Japan at this time.

The Burdenko Neurosurgery Institute: past, present, future.

PubMed

Konovalov, A N; Yartsev, V V; Likhterman, L B

1997-01-01

The Moscow Institute of Neurosurgery was established in 1932. The institute's founders were Nikolai Nilovich Burdenko, the surgeon (his name was later conferred on the institute), and Vasily Vasilyevich Kramer, the neurologist. This article presents the institute's history and its activities in different periods, including scientific and practical achievements in neuro-oncology, cerebrovascular surgery, and neurotraumatology. The institute gave birth to such widely recognized trends as neuropsychology, endovasal neurosurgery, neuroreanimatology (intensive care), and quantitative neuroanatomy. The institute's current problems and prospects for the future are described.

Utilizing virtual and augmented reality for educational and clinical enhancements in neurosurgery.

PubMed

Pelargos, Panayiotis E; Nagasawa, Daniel T; Lagman, Carlito; Tenn, Stephen; Demos, Joanna V; Lee, Seung J; Bui, Timothy T; Barnette, Natalie E; Bhatt, Nikhilesh S; Ung, Nolan; Bari, Ausaf; Martin, Neil A; Yang, Isaac

2017-01-01

Neurosurgery has undergone a technological revolution over the past several decades, from trephination to image-guided navigation. Advancements in virtual reality (VR) and augmented reality (AR) represent some of the newest modalities being integrated into neurosurgical practice and resident education. In this review, we present a historical perspective of the development of VR and AR technologies, analyze its current uses, and discuss its emerging applications in the field of neurosurgery. Copyright © 2016 Elsevier Ltd. All rights reserved.

American Association of Neurological Surgeons

MedlinePlus

... Discounted Online Courses for AANS Members Access Online Meetings and Course Calendar View a listing of neurosurgical ... Neurosurgical Societies Neurosurgery Blog 2018 AANS Annual Scientific Meeting NEUROSURGERY THE Privilege OF SERVICE April 28-May ...

GPs’ use of defibrillators and the national radio network in emergency primary healthcare in Norway

PubMed Central

Zakariassen, Erik; Hunskaar, Steinar

2008-01-01

Objective To study the geographic size of out-of-hours districts, the availability of defibrillators and use of the national radio network in Norway. Design Survey. Setting The emergency primary healthcare system in Norway. Subjects A total of 282 host municipalities responsible for 260 out-of-hours districts. Main outcome measures Size of out-of-hours districts, use of national radio network and access to a defibrillator in emergency situations. Results The out-of-hours districts have a wide range of areas, which gives a large variation in driving time for doctors on call. The median longest transport time for doctors in Norway is 45 minutes. In 46% of out-of-hours districts doctors bring their own defibrillator on emergency callouts. Doctors always use the national radio network in 52% of out-of-hours districts. Use of the radio network and access to a defibrillator are significantly greater in out-of-hours districts with a host municipality of fewer then 5000 inhabitants compared with host municipalities of more than 20 000 inhabitants. Conclusion In half of out-of-hours districts doctors on call always use the national radio network. Doctors in out-of-hours districts with a host municipality of fewer than 5000 inhabitants are in a better state of readiness to attend an emergency, compared with doctors working in larger host municipalities. PMID:18570012

CLOSE-UP LOOK AT A JET NEAR A BLACK HOLE

NASA Technical Reports Server (NTRS)

2002-01-01

[top left] - This radio image of the galaxy M87, taken with the Very Large Array (VLA) radio telescope in February 1989, shows giant bubble-like structures where radio emission is thought to be powered by the jets of subatomic particles coming from the the galaxy's central black hole. The false color corresponds to the intensity of the radio energy being emitted by the jet. M87 is located 50 million light-years away in the constellation Virgo. Credit: National Radio Astronomy Observatory/National Science Foundation [top right] - A visible light image of the giant elliptical galaxy M87, taken with NASA Hubble Space Telescope's Wide Field Planetary Camera 2 in February 1998, reveals a brilliant jet of high-speed electrons emitted from the nucleus (diagonal line across image). The jet is produced by a 3-billion-solar-mass black hole. Credit: NASA and John Biretta (STScI/JHU) [bottom] - A Very Long Baseline Array (VLBA) radio image of the region close to the black hole, where an extragalactic jet is formed into a narrow beam by magnetic fields. The false color corresponds to the intensity of the radio energy being emitted by the jet. The red region is about 1/10 light-year across. The image was taken in March 1999. Credit: National Radio Astronomy Observatory/Associated Universities, Inc.

M. Gazi Yaşargil: the time in Little Rock.

PubMed

Al-Mefty, O

1999-11-01

Microneurosurgery is Professor Yaşargil's legacy. Its impact on patient outcomes, surgeons' abilities, the field of neurosurgery in particular, and the art of surgery in general is great, profound, and everlasting. Professor Yaşargil led a revolution that has transformed neurosurgery into the fine art we practice today. His ingenuity, devotion, energy, and masterful technique have made his contributions so salient that they have earned him recognition as Neurosurgery's Man of the Century. It has been an honor, a great opportunity, and a phenomenal experience to spend the last 5 years with him at the University of Arkansas for Medical Sciences in Little Rock. There, he represents the very best in knowledge, expertise, dexterity, and, above all, devotion to advancing the field of neurosurgery. Most enjoyable have been his stimulating intellect and inspiring vision.

Simple training tricks for mastering and taming bypass procedures in neurosurgery

PubMed Central

Hafez, Ahmad; Raj, Rahul; Lawton, Michael T.; Niemelä, Mika

2017-01-01

Background: Neurosurgeons devoted to bypass neurosurgery or revascularization neurosurgery are becoming scarcer. From a practical point of view, “bypass neurosurgeons” are anastomosis makers, vessels technicians, and time-racing repairers of vessel walls. This requires understanding the key features and hidden tricks of bypass surgery. The goal of this paper is to provide simple and inexpensive tricks for taming the art of bypass neurosurgery. Most of these tricks and materials described can be borrowed, donated, or purchased inexpensively. Methods: We performed a review of relevant training materials and recorded videos for training bypass procedures for 3 years between June 2014 and July 2017. In total, 1,300 training bypass procedures were performed, of which 200 procedures were chosen for this paper. Results: A training laboratory bypass procedures is required to enable a neurosurgeon to develop the necessary skills. The important skills for training bypass procedures gained through meticulous practice to be as reflexes are coordination, speed, agility, flexibility, and reaction time. Bypassing requires synchronization between the surgeon's gross movements, fine motoric skills, and mental strength. The suturing rhythm must be timed in a brain–body–hand fashion. Conclusion: Bypass-training is a critical part of neurosurgical training and not for a selected few. Diligent and meticulous training can enable every neurosurgeon to tame the art of bypass neurosurgery. This requires understanding the key features and hidden tricks of bypass surgery, as well as uncountable hours of training. In bypass neurosurgery, quality and time goes hand in hand. PMID:29285411

Crisis Management Simulation: Establishing a Dual Neurosurgery and Anesthesia Training Experience.

PubMed

Ciporen, Jeremy; Gillham, Haley; Noles, Michele; Dillman, Dawn; Baskerville, Mark; Haley, Caleb; Spight, Donn; Turner, Ryan C; Lucke-Wold, Brandon P

2018-01-01

Simulation training has been shown to be an effective teaching tool. Learner management of an intraoperative crisis such as a major cerebrovascular bleed requires effective teamwork, communication, and implementation of key skill sets at appropriate time points. This study establishes a first of a kind simulation experience in a neurosurgery/anesthesia resident (learners) team working together to manage an intraoperative crisis. Using a cadaveric cavernous carotid injury perfusion model, 7 neurosurgery and 6 anesthesia learners, were trained on appropriate vascular injury management using an endonasal endoscopic technique. Learners were evaluated on communication skills, crisis management algorithms, and implementation of appropriate skill sets at the right time. A preanatomic and postanatomic examination and postsimulation survey was administered to neurosurgery learners. Anesthesia learners provided posttraining evaluation through a tailored realism and teaching survey. Neurosurgery learners' anatomic examination score improved from presimulation (33.89%) to postsimulation (86.11%). No significant difference between learner specialties was observed for situation awareness, decision making, communications and teamwork, or leadership evaluations. Learners reported the simulation realistic, beneficial, and highly instructive. Realistic, first of kind, clinical simulation scenarios were presented to a neurosurgery/anesthesia resident team who worked together to manage an intraoperative crisis. Learners were effectively trained on crisis management, the importance of communication, and how to develop algorithms for future implementation in difficult scenarios. Learners were highly satisfied with the simulation training experience and requested that it be integrated more consistently into their residency training programs.

Technological innovation in neurosurgery: a quantitative study.

PubMed

Marcus, Hani J; Hughes-Hallett, Archie; Kwasnicki, Richard M; Darzi, Ara; Yang, Guang-Zhong; Nandi, Dipankar

2015-07-01

Technological innovation within health care may be defined as the introduction of a new technology that initiates a change in clinical practice. Neurosurgery is a particularly technology-intensive surgical discipline, and new technologies have preceded many of the major advances in operative neurosurgical techniques. The aim of the present study was to quantitatively evaluate technological innovation in neurosurgery using patents and peer-reviewed publications as metrics of technology development and clinical translation, respectively. The authors searched a patent database for articles published between 1960 and 2010 using the Boolean search term "neurosurgeon OR neurosurgical OR neurosurgery." The top 50 performing patent codes were then grouped into technology clusters. Patent and publication growth curves were then generated for these technology clusters. A top-performing technology cluster was then selected as an exemplar for a more detailed analysis of individual patents. In all, 11,672 patents and 208,203 publications related to neurosurgery were identified. The top-performing technology clusters during these 50 years were image-guidance devices, clinical neurophysiology devices, neuromodulation devices, operating microscopes, and endoscopes. In relation to image-guidance and neuromodulation devices, the authors found a highly correlated rapid rise in the numbers of patents and publications, which suggests that these are areas of technology expansion. An in-depth analysis of neuromodulation-device patents revealed that the majority of well-performing patents were related to deep brain stimulation. Patent and publication data may be used to quantitatively evaluate technological innovation in neurosurgery.

[Report of the World Federation of Neurosurgical Societies (WFNS) international course and Cameroon Neurosurgery Society Congress (CNS) Yaoundé (Cameroon), 1st--4th October 2007].

PubMed

Eyenga, V C; Ndoumbe, A; Eloundou, N J

2008-04-01

Neurosurgery remains a very marginal activity in sub-Saharan Africa. In this part of the world which counts nearly 40 countries, some do not have a single neurosurgeon, some have one to five, the number of ten neurosurgeons per country remaining an exception! In its concern of popularizing and of developing neurosurgery worldwide, the WFNS organized an international course in Africa, October 2007 2nd-3rd in Yaoundé (Cameroon). The Cameroon Neurosurgery Society (CNS) took this opportunity to organize its very first congress in the presence of the WFNS delegation from October 1st to 4th, 2007. The joint meeting with the WFNS was baptized the "African Week of Neurosurgery". This special event was a first in sub-Saharan Africa. The delegation of the WFNS, led by Professor J. Brotchi (Belgium) President of the WFNS, was made up of Professors A. Sousa (Brazil), Mr. Choux (France), N. Tribolet (Swiss), M. Arraez (Spain), A. Bricolo (Italy), A. Kamlichi (Morocco), G. Dechambenoit (France), K. Kalangu (Zimbabwe). Twenty three neurosurgeons coming from nine African countries (Cameroon, Nigeria, Gabon, Congo, Niger, Burkina Faso, Ivory Coast, Senegal, and Guinea) took an active part in work. The scientific success of this event led to the creation of the "Association of Neurological Surgeons of Africa (ANSA)" which will be the WFNS-Africa interface in order to insure the development of neurosurgery in Africa.

John C. Vangilder (1935-2007): Neurosurgical Leader and Founder of the Department of Neurosurgery at the University of Iowa.

PubMed

Abel, Taylor J; Holland, Marshall T; Walch, Timothy; Howard, Matthew A

2018-06-01

John C. VanGilder, the former professor and chairman of neurosurgery at The University of Iowa died on August 27, 2007 after making a lasting impact to the field of neurosurgery both in the United States and abroad. In this manuscript, we review VanGilder's life and achievements. VanGilder was born in 1935 in West Virginia and received his undergraduate education at West Virginia University in Morgantown. He studied medicine at the University of West Virginia, completing his final 2 years at the University of Pittsburgh, and after serving in the U.S. military, completed his neurosurgical training at Washington University in St. Louis. He was appointed to faculty positions first at Yale University and later at The University of Iowa, where he became professor and later chairman of the Division of Neurosurgery. VanGilder also served as president of the Society of Neurological Surgeons (1997-1998), president of the Neurosurgical Society of America (1998-1999), chairman of the American Board of Neurological Surgery (1997-1998), and vice president of the American Academy of Neurological Surgery. At The University of Iowa, VanGilder played a key role in the transition of the Division of Neurosurgery to a Department of Neurosurgery and mentored several neurosurgeons who would go on to become department chairmen or make other important neurosurgical contributions at other medical schools in the United States. Copyright © 2018 Elsevier Inc. All rights reserved.

The History of Neurosurgery at the National Hospital, Queen Square, London, with Some Personal Recollections from 1948 Onwards: The Early Years.

PubMed

Powell, Michael P

2017-07-01

The National Hospital, Queen Square, London was founded as a charitable institution in 1860, becoming the first dedicated neuroscience hospital in the world. Sir Victor Horsley, the first neurosurgeon was appointed in 1886, and since that time, Queen Square neurosurgeons have been prominent on the World neurosurgical stage, including Sir Wylie McKissock and Prof Lindsay Symon, inter alia. This article gives the history taken from both published records and personal stories, recorded by a neurosurgeon who has worked at the hospital for thirty five years. Copyright © 2017 Elsevier Inc. All rights reserved.

47 CFR 90.350 - Scope.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 47 Telecommunication 5 2010-10-01 2010-10-01 false Scope. 90.350 Section 90.350 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES PRIVATE LAND MOBILE RADIO... Systems radio service is for the purpose of integrating radio-based technologies into the nation's...

Language and style: A barrier to neurosurgical research and advancement in Latin America

PubMed Central

Ashfaq, Adeel; Lazareff, Jorge

2017-01-01

Background: The neurosurgical burden in Latin America is understudied and likely underestimated, thus it is imperative to improve quality, training, and delivery of neurosurgical care. A significant aspect of this endeavor is for Latin America to become an integral aspect of the global neurosurgical community, however, there is a paucity of ideology and literature coming from Central and South America. We sought to explore neurosurgical dialogue originating from Latin America as well as barriers to the advancement of neurosurgery in this region. Methods: We conducted a systematic literature review exploring research originating in Latin America in three international neurosurgical journals – Journal of Neurosurgery, Surgical Neurology International, and World Neurosurgery. We utilized PubMed search algorithms to identify articles. Inclusion criteria included publication within the three aforementioned journals, author affiliation with Latin American institutions, and publication within the specified time frame of January 2014 to July 2017. Results: There were 7469 articles identified that met the search criteria. Of these 7469 articles, 326 (4.4%) were from Latin American nations. Conclusion: Our data suggests a relatively low percentage of neurosurgical research originating from Latin America, suggesting a significant lack of participation in the global neurosurgical community. Barriers to global scientific communication include language, rhetorical style, culture, history, biases, funding, and governmental support. Despite challenges, Latin America is making strides towards improvement including the development of neurosurgical societies, as well as international collaborative training and research programs. We consider our report to be a valid initiation of discussion of the broader issue of neurosurgical communication. PMID:29404195

Seventy Years of Radio Science, Technology, Standards, and Measurement at the National Bureau of Standards

NASA Astrophysics Data System (ADS)

Gillmor, C. Stewart

This large volume describes all the forms of radio research done at the National Bureau of Standards (now, National Institute of Standards and Technology) from its founding in 1901 until about 1980. The volume truly reflects its subtitle; it describes in great detail research in radio propagation and all its connections with geophysics and geospace, but also radio as instrument for discovery and application in meteorology, navigation, and in standards of measurement and testing in electronics.The book is a bit unwieldy and some of its chapters will be of most interest to former NBS employees. For example, there is a lengthy chapter on the transfer of radio research work from Washington, D.C, to Boulder, Colo., in the early 1950s, complete with photostat of the quit claim deed to NBS from the Boulder Chamber of Commerce. On the other hand, radio research developed and flourished in this country in the early days at industrial (Bell Telephone, General Electric, Westinghouse) and government (NBS, Naval Research Laboratory) labs more than in academia, and it is very interesting to learn how the labs interacted and to read details of the organizational structure. I can attest personally to the great difficulties in locating materials concerning radio history. While we have numerous volumes devoted to certain popular radio heroes, little is available concerning government radio pioneers such as L. W. Austin, who directed the U.S. Navy's radio research for many years while situated physically at the Bureau of Standards, or J. H. Dellinger, long-time chief of the Radio Section and head spokesman on radio for the U.S. government until the 1930s.

78 FR 59844 - Operation in the 57-64 GHz Band

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-30

.... With regard to the radio astronomy service and National Radio Astronomy Observatory (NRAO) concerns... analysis of potential harmful interference from 60 GHz devices to radio astronomy service. 20. Consistent with this experience, the Commission finds that interference to Radio Astronomy Service (RAS) stations...

The potential of black radio to disseminate health messages and reduce disparities.

PubMed

Hall, Ingrid J; Johnson-Turbes, C Ashani; Williams, Kymber N

2010-07-01

Radio stations that target African American audiences ("black radio") reach a national African American audience daily, making black radio an ideal medium for health promotion and disparities reduction in the African American community. Black radio can be used to communicate public health messages and to recruit African Americans into public health research.

Kothmale Community Radio Interorg Project: True Community Radio or Feel-Good Propaganda?

ERIC Educational Resources Information Center

Harvey-Carter, Liz

2009-01-01

The Kothmale Community Radio and Interorg project in Sri Lanka has been hailed as an example of how a community radio initiative should function in a developing nation. However, there is some question about whether the Kothmale Community Interorg Project is a true community radio initiative that empowers local communities to access ICT services…

Endovascular Neurosurgery: Personal Experience and Future Perspectives.

PubMed

Raymond, Jean

2016-09-01

From Luessenhop's early clinical experience until the present day, experimental methods have been introduced to make progress in endovascular neurosurgery. A personal historical narrative, spanning the 1980s to 2010s, with a review of past opportunities, current problems, and future perspectives. Although the technology has significantly improved, our clinical culture remains a barrier to methodologically sound and safe innovative care and progress. We must learn how to safely practice endovascular neurosurgery in the presence of uncertainty and verify patient outcomes in real time. Copyright © 2016 Elsevier Inc. All rights reserved.

Educational Programs for Graduate Level Learners and Professionals - National Radio Astronomy Observatory National and International Non-Traditional Exchange Program

NASA Astrophysics Data System (ADS)

Wingate, Lory Mitchell

2017-01-01

The National Radio Astronomy Observatory’s (NRAO) National and International Non-Traditional Exchange (NINE) Program teaches concepts of project management and systems engineering to chosen participants within a nine-week program held at NRAO in New Mexico. Participants are typically graduate level students or professionals. Participation in the NINE Program is through a competitive process. The program includes a hands-on service project designed to increase the participants knowledge of radio astronomy. The approach demonstrate clearly to the learner the positive net effects of following methodical approaches to achieving optimal science results.The NINE teaches participants important sustainable skills associated with constructing, operating and maintaining radio astronomy observatories. NINE Program learners are expected to return to their host sites and implement the program in their own location as a NINE Hub. This requires forming a committed relationship (through a formal Letter of Agreement), establishing a site location, and developing a program that takes into consideration the needs of the community they represent. The anticipated outcome of this program is worldwide partnerships with fast growing radio astronomy communities designed to facilitate the exchange of staff and the mentoring of under-represented groups of learners, thereby developing a strong pipeline of global talent to construct, operate and maintain radio astronomy observatories.

History of Neurosurgery in Malaysia.

PubMed

Raffiq, Azman; Abdullah, Jafri Malin; Haspani, Saffari; Adnan, Johari Siregar

2015-12-01

The development of neurosurgical services and training in Malaysia began in 1963, with the first centre established in its capital city at Hospital Kuala Lumpur, aimed to provide much needed neurosurgical services and training in the field of neurology and neurosurgery. This center subsequently expanded in 1975 with the establishment of the Tunku Abdul Rahman Neuroscience Institute (IKTAR); which integrated the three allied interdependent disciplines of neurosurgery, neurology and psychiatry. The establishment of this institute catalysed the rapid expansion of neurosurgical services in Malaysia and paved the way for development of comprehensive training for doctors, nurses, and paramedics. This culminated in the establishments of a local comprehensive neurosurgery training program for doctors in 2001; followed by a training program for nurses and paramedics in 2006. To date, there are more than 60 neurosurgeons providing expert care in 11 centers across Malaysia, along with trained personnel in the field of neurosciences.

History of Neurosurgery in Malaysia

PubMed Central

RAFFIQ, Azman; ABDULLAH, Jafri Malin; HASPANI, Saffari; ADNAN, Johari Siregar

2015-01-01

The development of neurosurgical services and training in Malaysia began in 1963, with the first centre established in its capital city at Hospital Kuala Lumpur, aimed to provide much needed neurosurgical services and training in the field of neurology and neurosurgery. This center subsequently expanded in 1975 with the establishment of the Tunku Abdul Rahman Neuroscience Institute (IKTAR); which integrated the three allied interdependent disciplines of neurosurgery, neurology and psychiatry. The establishment of this institute catalysed the rapid expansion of neurosurgical services in Malaysia and paved the way for development of comprehensive training for doctors, nurses, and paramedics. This culminated in the establishments of a local comprehensive neurosurgery training program for doctors in 2001; followed by a training program for nurses and paramedics in 2006. To date, there are more than 60 neurosurgeons providing expert care in 11 centers across Malaysia, along with trained personnel in the field of neurosciences. PMID:27006632

Fostering Student Interest in Neurologic Surgery: The University of Pittsburgh Experience.

PubMed

Kashkoush, Ahmed; Feroze, Rafey; Myal, Stephanie; Prabhu, Arpan V; Sansosti, Alexandra; Tonetti, Daniel; Agarwal, Nitin

2017-12-01

Early involvement and research in neurosurgery can increase chances for medical students to matriculate successfully into residency. This study reports the creation of a Neurological Surgery Interest Group (NSIG) at the University of Pittsburgh School of Medicine and shares its activities over 2 academic years. In October 2014, the University of Pittsburgh School of Medicine's NSIG was created to augment medical student interest in neurosurgery. The group consisted of 4 appointed officers for a membership base of 100 students. In June 2015, a neurosurgery resident and faculty member joined as mentors. A research committee of 14 medical students was created to conduct collaborative research projects with the department. In August of 2015 and 2016, surveys were sent out to the research committee regarding research productivity. The NSIG hosted 17 medical student-oriented events over 2 years, including didactic and suturing workshops, senior faculty panels, postmatch talks, and a neurosurgery networking dinner. A survey of students about scholarly achievement in neurosurgery reported 17 accepted publications in peer-reviewed journals with a mean impact factor of 3.5 ± 2.5. Ten abstracts were submitted to the 2015 and 2016 American Association of Neurological Surgeons Scientific Meetings, with a 100% acceptance rate. An increase in the number of students matching from our institution into neurosurgery residencies was observed following the group's inception. An NSIG can be mutually beneficial to both medical students and an institution's neurosurgical department. This study's findings may be applied to numerous specialties and across various academic institutions. Copyright © 2017 Elsevier Inc. All rights reserved.

Past, Present, and Future of Neurosurgery in Uganda.

PubMed

Haglund, Michael M; Warf, Benjamin; Fuller, Anthony; Freischlag, Kyle; Muhumuza, Michael; Ssenyonjo, Hussein; Mukasa, John; Mugamba, John; Kiryabwire, Joel

2017-04-01

Neurosurgery in Uganda was virtually non-existent up until late 1960s. This changed when Dr. Jovan Kiryabwire spearheaded development of a neurosurgical unit at Mulago Hospital in Kampala. His work ethic and vision set the stage for rapid expansion of neurosurgical care in Uganda.At the beginning of the 2000s, Uganda was a country of nearly 30 million people, but had only 4 neurosurgeons. Neurosurgery's progress was plagued by challenges faced by many developing countries, such as difficulty retaining specialists, lack of modern hospital resources, and scarce training facilities. To combat these challenges 2 distinct programs were launched: 1 by Dr. Benjamin Warf in collaboration with CURE International, and the other by Dr. Michael Haglund from Duke University. Dr. Warf's program focused on establishing a facility for pediatric neurosurgery. Dr. Haglund's program to increase neurosurgical capacity was founded on a "4 T's Paradigm": Technology, Twinning, Training, and Top-Down. Embedded within this paradigm was the notion that Uganda needed to train its own people to become neurosurgeons, and thus Duke helped establish the country's first neurosurgery residency training program.Efforts from overseas, including the tireless work of Dr. Benjamin Warf, have saved thousands of children's lives. The influx of the Duke Program caused a dynamic shift at Mulago Hospital with dramatic effects, as evidenced by the substantial increase in neurosurgical capacity. The future looks bright for neurosurgery in Uganda and it all traces back to a rural village where 1 man had a vision to help the people of his country. Copyright © 2017 by the Congress of Neurological Surgeons.

Demographics, Interests, and Quality of Life of Canadian Neurosurgery Residents.

PubMed

Iorio-Morin, Christian; Ahmed, Syed Uzair; Bigder, Mark; Dakson, Ayoub; Elliott, Cameron; Guha, Daipayan; Kameda-Smith, Michelle; Lavergne, Pascal; Makarenko, Serge; Taccone, Michael S; Tso, Michael K; Wang, Bill; Winkler-Schwartz, Alexander; Fortin, David

2018-03-01

Neurosurgical residents face a unique combination of challenges, including long duty hours, technically challenging cases, and uncertain employment prospects. We sought to assess the demographics, interests, career goals, self-rated happiness, and overall well-being of Canadian neurosurgery residents. A cross-sectional survey was developed and sent through the Canadian Neurosurgery Research Collaborative to every resident enrolled in a Canadian neurosurgery program as of April 1, 2016. We analyzed 76 completed surveys of 146 eligible residents (52% response rate). The median age was 29 years, with 76% of respondents being males. The most popular subspecialties of interest for fellowship were spine, oncology, and open vascular neurosurgery. The most frequent self-reported number of worked hours per week was the 80- to 89-hour range. The majority of respondents reported a high level of happiness as well as stress. Sense of accomplishment and fatigue were reported as average to high and overall quality of life was low for 19%, average for 49%, and high for 32%. Satisfaction with work-life balance was average for 44% of respondents and was the only tested domain in which significant dissatisfaction was identified (18%). Overall, respondents were highly satisfied with their choice of specialty, choice of program, surgical exposure, and work environment; however, intimidation was reported in 36% of respondents and depression by 17%. Despite a challenging residency and high workload, the majority of Canadian neurosurgery residents are happy and satisfied with their choice of specialty and program. However, work-life balance, employability, resident intimidation, and depression were identified as areas of active concern.

Monitoring Radio Frequency Interference in Southwest Virginia

NASA Astrophysics Data System (ADS)

Rapp, Steve

2010-01-01

The radio signals received from astronomical objects are extremely weak. Because of this, radio sources are easily shrouded by interference from devices such as satellites and cell phone towers. Radio astronomy is very susceptible to this radio frequency interference (RFI). Possibly even worse than complete veiling, weaker interfering signals can contaminate the data collected by radio telescopes, possibly leading astronomers to mistaken interpretations. To help promote student awareness of the connection between radio astronomy and RFI, an inquiry-based science curriculum was developed to allow high school students to determine RFI levels in their communities. The Quiet Skies Project_the result of a collaboration between the National Aeronautics and Space Administration (NASA), the National Science Foundation (NSF), and the National Radio Astronomy Observatory (NRAO)_encourages students to collect and analyze RFI data and develop conclusions as a team. Because the project focuses on electromagnetic radiation, it is appropriate for physics, physical science, chemistry, or general science classes. My class-about 50 students from 15 southwest Virginia high schools-participated in the Quiet Skies Project and were pioneers in the use of the beta version of the Quiet Skies Detector (QSD), which is used to detect RFI. Students have been involved with the project since 2005 and have collected and shared data with NRAO. In analyzing the data they have noted some trends in RFI in Southwest Virginia.

Variability in spine surgery procedures performed during orthopaedic and neurological surgery residency training: an analysis of ACGME case log data.

PubMed

Daniels, Alan H; Ames, Christopher P; Smith, Justin S; Hart, Robert A

2014-12-03

Current spine surgeon training in the United States consists of either an orthopaedic or neurological surgery residency, followed by an optional spine surgery fellowship. Resident spine surgery procedure volume may vary between and within specialties. The Accreditation Council for Graduate Medical Education surgical case logs for graduating orthopaedic surgery and neurosurgery residents from 2009 to 2012 were examined and were compared for spine surgery resident experience. The average number of reported spine surgery procedures performed during residency was 160.2 spine surgery procedures performed by orthopaedic surgery residents and 375.0 procedures performed by neurosurgery residents; the mean difference of 214.8 procedures (95% confidence interval, 196.3 to 231.7 procedures) was significant (p = 0.002). From 2009 to 2012, the average total spinal surgery procedures logged by orthopaedic surgery residents increased 24.3% from 141.1 to 175.4 procedures, and those logged by neurosurgery residents increased 6.5% from 367.9 to 391.8 procedures. There was a significant difference (p < 0.002) in the average number of spinal deformity procedures between graduating orthopaedic surgery residents (9.5 procedures) and graduating neurosurgery residents (2.0 procedures). There was substantial variability in spine surgery exposure within both specialties; when comparing the top 10% and bottom 10% of 2012 graduates for spinal instrumentation or arthrodesis procedures, there was a 13.1-fold difference for orthopaedic surgery residents and an 8.3-fold difference for neurosurgery residents. Spine surgery procedure volumes in orthopaedic and neurosurgery residency training programs vary greatly both within and between specialties. Although orthopaedic surgery residents had an increase in the number of spine procedures that they performed from 2009 to 2012, they averaged less than half of the number of spine procedures performed by neurological surgery residents. However, orthopaedic surgery residents appear to have greater exposure to spinal deformity than neurosurgery residents. Furthermore, orthopaedic spine fellowship training provides additional spine surgery case exposure of approximately 300 to 500 procedures; thus, before entering independent practice, when compared with neurosurgery residents, most orthopaedic spine surgeons complete as many spinal procedures or more. Although case volume is not the sole determinant of surgical skills or clinical decision making, variability in spine surgery procedure volume does exist among residency programs in the United States. Copyright © 2014 by The Journal of Bone and Joint Surgery, Incorporated.

Keynote Address: When Breath Becomes Air-As Physician Becomes Patient.

PubMed

Kalanithi, Lucy; Wakelee, Heather; Carlson, Robert W

2017-05-01

As part of the NCCN 22nd Annual Conference: Improving the Quality, Effectiveness, and Efficiency of Cancer Care, Lucy Kalanithi, MD, wife of now-deceased best-selling author Paul Kalanithi ( When Breath Becomes Air ), and Heather Wakelee, MD, Paul's oncologist, discussed-for the first time together in a public forum-Paul's experience of going from a neurosurgery resident to a patient with cancer with a terminal diagnosis. Robert Carlson, MD, moderated the discussion. Copyright © 2017 by the National Comprehensive Cancer Network.

Mission Connect Mild TBI Translational Research Consortium: To Study the Role of IL-1 and TNF Receptor Activation in Neurological Deficits after TBI

DTIC Science & Technology

2014-08-01

are then positioned on a foam pad under the Vandenberg blast injury device to be concussed 2 cm from device, (Figure 2). Once the rat is positioned...National Football League, Neurosurgery 61:223– 225, 2007 Department of Veterans Affairs and Department of Defense. Clinical Practice Guideline...Management of Concussion /mild Traumatic Brain Injury. 2009. Available at: http://www.healthquality.va.gov/mtbi/concussion_mtbi_full_1_0.pdf. Accessed on

NeuroMind: Past, present, and future.

PubMed

Kubben, Pieter L

2017-01-01

This narrative report describes the underlying rationale and technical developments of NeuroMind, a mobile clinical decision support system for neurosurgery. From the perspective of a neurosurgeon - (app) developer it explains how technical progress has shaped the world's "most rated and highest rated" neurosurgical mobile application, with particular attention for operating system diversity on mobile hardware, cookbook medicine, regulatory affairs (in particular regarding software as a medical device), and new developments in the field of clinical data science, machine learning, and predictive analytics. Finally, the concept of "computational neurosurgery" is introduced as a vehicle to reach new horizons in neurosurgery.

Statement of Ethics in Neurosurgery of the World Federation of Neurosurgical Societies.

PubMed

Umansky, Felix; Black, Peter L; DiRocco, Concenzio; Ferrer, Enrique; Goel, Atul; Malik, Ghaus M; Mathiesen, Tiit; Mendez, Ivar; Palmer, James D; Juanotena, Jorge Rodriguez; Fraifeld, Shifra; Rosenfeld, Jeffrey V

2011-01-01

This Statement of Ethics in Neurosurgery was developed by the Committee for Ethics and Medico-Legal Affairs of the World Federation of Neurosurgical Societies to help neurosurgeons resolve problems in the treatment of individual patients and meet obligations to the larger society. This document is intended as a framework rather than a set of rules. It cannot cover every situation and should be used with flexibility. However, it is our intent that the fundamental principles enunciated here should serve as a guide in the day-to-day practice of neurosurgery. Copyright © 2011 Elsevier Inc. All rights reserved.

Chronic Pain in Neurosurgery.

PubMed

Grodofsky, Samuel

2016-09-01

This review includes a summary of contemporary theories of pain processing and advocates a multimodal analgesia approach for providing perioperative care. A summary of various medication classes and anesthetic techniques is provided that highlights evidence emerging from neurosurgical literature. This summary covers opioid management, acetaminophen, nonsteroidal antiinflammatories, ketamine, lidocaine, dexmedetomidine, corticosteroids, gabapentin, and regional anesthesia for neurosurgery. At present, there is not enough investigation into these areas to describe best practices for treating or preventing chronic pain in neurosurgery; but providers can identify a wider range of options available to personalize perioperative care strategies. Copyright © 2016 Elsevier Inc. All rights reserved.

The Co-evolution of Neuroimaging and Psychiatric Neurosurgery.

PubMed

Dyster, Timothy G; Mikell, Charles B; Sheth, Sameer A

2016-01-01

The role of neuroimaging in psychiatric neurosurgery has evolved significantly throughout the field's history. Psychiatric neurosurgery initially developed without the benefit of information provided by modern imaging modalities, and thus lesion targets were selected based on contemporary theories of frontal lobe dysfunction in psychiatric disease. However, by the end of the 20th century, the availability of structural and functional magnetic resonance imaging (fMRI) allowed for the development of mechanistic theories attempting to explain the anatamofunctional basis of these disorders, as well as the efficacy of stereotactic neuromodulatory treatments. Neuroimaging now plays a central and ever-expanding role in the neurosurgical management of psychiatric disorders, by influencing the determination of surgical candidates, allowing individualized surgical targeting and planning, and identifying network-level changes in the brain following surgery. In this review, we aim to describe the coevolution of psychiatric neurosurgery and neuroimaging, including ways in which neuroimaging has proved useful in elucidating the therapeutic mechanisms of neuromodulatory procedures. We focus on ablative over stimulation-based procedures given their historical precedence and the greater opportunity they afford for post-operative re-imaging, but also discuss important contributions from the deep brain stimulation (DBS) literature. We conclude with a discussion of how neuroimaging will transition the field of psychiatric neurosurgery into the era of precision medicine.

The Incidence of Postoperative Pneumonia in Various Surgical Subspecialties: A Dual Database Analysis.

PubMed

Chughtai, Morad; Gwam, Chukwuweike U; Khlopas, Anton; Newman, Jared M; Curtis, Gannon L; Torres, Pedro A; Khan, Rafay; Mont, Michael A

2017-07-25

Pneumonia is the third most common postoperative complication. However, its epidemiology varies widely and is often difficult to assess. For a better understanding, we utilized two national databases to determine the incidence of postoperative pneumonia after various surgical procedures. Specifically, we used the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) and the Nationwide Inpatient Sample (NIS) to determine the incidence and yearly trends of postoperative pneumonia following orthopaedic, urologic, otorhinolaryngologic, cardiothoracic, neurosurgery, and general surgeries. The NIS and NSQIP databases from 2009-2013 were utilized. The Clinical Classification Software (CCS) for International Classification of Diseases, 9th edition (ICD-9) codes provided by the NIS database was used to identify all surgical subspecialty procedures. The incidence of postoperative pneumonia was identified as the total number of cases under each identifying CCS code that also had ICD-9 codes for postoperative pneumonia. In the NSQIP database, the surgical subspecialties were selected using the following identifying string variables provided by NSQIP: 1) "Orthopedics", 2) "Otolaryngology (ENT)", 3) "Urology", 4) "Neurosurgery", 5) "General Surgery", and 6) "Cardiac Surgery" and "Thoracic Surgery". Cardiac and thoracic surgery was merged to create the variable "Cardiothoracic Surgery". Postoperative pneumonia cases were extracted utilizing the available NSQIP nominal variables. All variables were used to isolate the incidences of postoperative pneumonia stratified by surgical specialty. A subsequent trend analysis was conducted to assess the associations between operative year and incidence of postoperative pneumonia. For all NIS surgeries, the incidence of postoperative pneumonia was 0.97% between 2009 and 2013. The incidence was highest among patients who underwent cardiothoracic surgery (3.3%) and urologic surgery (1.73%). Patients who underwent general surgery, neurosurgery, spine surgery, orthopaedic surgery, and ENT surgery had a postoperative pneumonia incidence of 1.1%, 0.6%, 0.5%, 0.5%, and 0.4%, respectively. Overall trend analysis demonstrated a statistically significant decrease in postoperative pneumonia incidence (p <0.001), which paralleled in each specialty as well. In NSQIP, the incidence of postoperative pneumonia for all surgeries that occurred between 2009 and 2013 was 1.3%. The incidences of postoperative pneumonia were highest among patients who underwent cardiothoracic surgery (5.3%), general surgery (1.4%), and neurosurgery (1.4%). The incidences of postoperative pneumonia in patients who underwent ENT surgery, orthopedic surgery, and urologic surgery were 0.7%, respectively. Overall trend analysis demonstrated a statistically significant increase in postoperative pneumonia incidence for patients undergoing cardiothoracic surgery (p <0.001). There were no notable trends for the other surgical subspecialties. The incidence of postoperative pneumonia differs between the two national databases. Furthermore, the incidences differed among the various surgical subspecialties; however, cardiothoracic surgery had the highest incidence in both databases. Furthermore, cardiothoracic surgery appeared to have an increasing trend in incidence. Standardizing and implementing accurate coding methodologies for this complication are needed for a more accurate assessment of this burdensome complication. Future studies should assess interventions, such as oral cleansing and suctioning, incentive spirometry, as well as designated institution-based pneumonia prevention programs and protocols to help prevent and mitigate the occurrence of this complication.

Educational Radio: Directions in the Pacific.

ERIC Educational Resources Information Center

Reddy, Sachida

1986-01-01

This personal perspective on developments in educational radio broadcasting in some small island nations of the South Pacific discusses radio as a powerful teaching aid, curriculum development, educational communicators, printed support materials, costs, facilities duplication, and future trends. (MBR)

Public engagement in Malawi through a health-talk radio programme ' Umoyo nkukambirana': A mixed-methods evaluation.

PubMed

Nyirenda, Deborah; Makawa, Tamara Chipasula; Chapita, Greyson; Mdalla, Chisomo; Nkolokosa, Mzati; O'byrne, Thomasena; Heyderman, Robert; Desmond, Nicola

2018-02-01

Radio is an effective source of health information in many resource poor countries. In Malawi, 53% of households own radios however few radio programmes in Malawi focus on health issues in the context of medical research. An interactive health-talk radio programme ' Umoyo nkukambirana' was introduced by Malawi-Liverpool-Wellcome Trust Clinical Research Programme on a national radio station. The aim was to increase awareness of health and medical research, and improve engagement between researchers, healthcare workers and the public. The content and presentation were developed through participatory community consultations. Focus Group Discussions were conducted with established Radio Listening Clubs whilst quantitative data was collected using toll free FrontlineSMS to explore national response. A total of 277 to 695 SMS (Median: 477) were received per theme. The majority of SMS were received from men (64%) and mainly from rural areas (54%). The programme improved knowledge of medical research, health and dispelled misconceptions. This study suggests that the radio may be an effective means of increasing the exposure of men to health information in resource poor settings.

Public engagement in Malawi through a health-talk radio programme ‘Umoyo nkukambirana’: A mixed-methods evaluation

PubMed Central

Nyirenda, Deborah; Makawa, Tamara Chipasula; Chapita, Greyson; Mdalla, Chisomo; Nkolokosa, Mzati; O’byrne, Thomasena; Heyderman, Robert; Desmond, Nicola

2016-01-01

Radio is an effective source of health information in many resource poor countries. In Malawi, 53% of households own radios however few radio programmes in Malawi focus on health issues in the context of medical research. An interactive health-talk radio programme ‘Umoyo nkukambirana’ was introduced by Malawi-Liverpool-Wellcome Trust Clinical Research Programme on a national radio station. The aim was to increase awareness of health and medical research, and improve engagement between researchers, healthcare workers and the public. The content and presentation were developed through participatory community consultations. Focus Group Discussions were conducted with established Radio Listening Clubs whilst quantitative data was collected using toll free FrontlineSMS to explore national response. A total of 277 to 695 SMS (Median: 477) were received per theme. The majority of SMS were received from men (64%) and mainly from rural areas (54%). The programme improved knowledge of medical research, health and dispelled misconceptions. This study suggests that the radio may be an effective means of increasing the exposure of men to health information in resource poor settings. PMID:27365364

Literacy in Tunisia: Educational Radio and Television for Adults

ERIC Educational Resources Information Center

Tahar, El Arbi

1971-01-01

The national campaign for literacy in Tunisia provides television broadcasts completed by radio programs. Adults listening to the broadcasts belong to organized centers, with qualified instructors, to semi-organized centers in the hands of national organizations, or to family centers providing instructional materials. (EB)

Advanced technology in neurosurgery

DOE Office of Scientific and Technical Information (OSTI.GOV)

Pluchino, F.; Broggi, G.

1987-01-01

Technological improvements in neurosurgery are discussed. The use of surgical lasers, ultrasound aspirators, bipolar coagulator and operative microscopes for surgery of deep-seated neoplasms and vascular malformations is discussed. Intraoperative monitoring, chronotherapy, chronic neurostimulation and stereotactic interstitial irradiation are covered and indications for interventional neuroradiology are reviewed.

Publication productivity of neurosurgeons in Great Britain and Ireland.

PubMed

Wilkes, Fiona A; Akram, Harith; Hyam, Jonathan A; Kitchen, Neil D; Hariz, Marwan I; Zrinzo, Ludvic

2015-04-01

Bibliometrics are the methods used to quantitatively analyze scientific literature. In this study, bibliometrics were used to quantify the scientific output of neurosurgical departments throughout Great Britain and Ireland. A list of neurosurgical departments was obtained from the Society of British Neurological Surgeons website. Individual departments were contacted for an up-to-date list of consultant (attending) neurosurgeons practicing in these departments. Scopus was used to determine the h-index and m-quotient for each neurosurgeon. Indices were measured by surgeon and by departmental mean and total. Additional information was collected about the surgeon's sex, title, listed superspecialties, higher research degrees, and year of medical qualification. Data were analyzed for 315 neurosurgeons (25 female). The median h-index and m-quotient were 6.00 and 0.41, respectively. These were significantly higher for professors (h-index 21.50; m-quotient 0.71) and for those with an additional MD or PhD (11.0; 0.57). There was no significant difference in h-index, m-quotient, or higher research degrees between the sexes. However, none of the 16 British neurosurgery professors were female. Neurosurgeons who specialized in functional/epilepsy surgery ranked highest in terms of publication productivity. The 5 top-scoring departments were those in Addenbrooke's Hospital, Cambridge; St. George's Hospital, London; Great Ormond Street Hospital, London; National Hospital for Neurology and Neurosurgery, Queen Square, London; and John Radcliffe Hospital, Oxford. The h-index is a useful bibliometric marker, particularly when comparing between studies and individuals. The m-quotient reduces bias toward established researchers. British academic neurosurgeons face considerable challenges, and women remain underrepresented in both clinical and academic neurosurgery in Britain and Ireland.

Integration of patient specific modeling and advanced image processing techniques for image-guided neurosurgery

NASA Astrophysics Data System (ADS)

Archip, Neculai; Fedorov, Andriy; Lloyd, Bryn; Chrisochoides, Nikos; Golby, Alexandra; Black, Peter M.; Warfield, Simon K.

2006-03-01

A major challenge in neurosurgery oncology is to achieve maximal tumor removal while avoiding postoperative neurological deficits. Therefore, estimation of the brain deformation during the image guided tumor resection process is necessary. While anatomic MRI is highly sensitive for intracranial pathology, its specificity is limited. Different pathologies may have a very similar appearance on anatomic MRI. Moreover, since fMRI and diffusion tensor imaging are not currently available during the surgery, non-rigid registration of preoperative MR with intra-operative MR is necessary. This article presents a translational research effort that aims to integrate a number of state-of-the-art technologies for MRI-guided neurosurgery at the Brigham and Women's Hospital (BWH). Our ultimate goal is to routinely provide the neurosurgeons with accurate information about brain deformation during the surgery. The current system is tested during the weekly neurosurgeries in the open magnet at the BWH. The preoperative data is processed, prior to the surgery, while both rigid and non-rigid registration algorithms are run in the vicinity of the operating room. The system is tested on 9 image datasets from 3 neurosurgery cases. A method based on edge detection is used to quantitatively validate the results. 95% Hausdorff distance between points of the edges is used to estimate the accuracy of the registration. Overall, the minimum error is 1.4 mm, the mean error 2.23 mm, and the maximum error 3.1 mm. The mean ratio between brain deformation estimation and rigid alignment is 2.07. It demonstrates that our results can be 2.07 times more precise then the current technology. The major contribution of the presented work is the rigid and non-rigid alignment of the pre-operative fMRI with intra-operative 0.5T MRI achieved during the neurosurgery.

Gauging the feasibility of cost-sharing and medical student interest groups to reduce interview costs.

PubMed

Lieber, Bryan A; Wilson, Taylor A; Bell, Randy S; Ashley, William W; Barrow, Daniel L; Wolfe, Stacey Quintero

2014-11-01

Indirect costs of the interview tour can be prohibitive. The authors sought to assess the desire of interviewees to mitigate these costs through ideas such as sharing hotel rooms and transportation, willingness to stay with local students, and the preferred modality to coordinate this collaboration. A survey link was posted on the Uncle Harvey website and the Facebook profile page of fourth-year medical students from 6 different medical schools shortly after the 2014 match day. There were a total of 156 respondents to the survey. The majority of the respondents were postinterview medical students (65.4%), but preinterview medical students (28.2%) and current residents (6.4%) also responded to the survey. Most respondents were pursuing a field other than neurosurgery (75.0%) and expressed a desire to share a hotel room and/or transportation (77.4%) as well as stay in the dorm room of a medical student at the program in which they are interviewing (70.0%). Students going into neurosurgery were significantly more likely to be interested in sharing hotel/transportation (89.2% neurosurgery vs 72.8% nonneurosurgery; p = 0.040) and in staying in the dorm room of a local student when on interviews (85.0% neurosurgery vs 57.1% nonneurosurgery; p = 0.040) than those going into other specialties. Among postinterview students, communication was preferred to be by private, email identification-only chat room. Given neurosurgery resident candidates' interest in collaborating to reduce interview costs, consideration should be given to creating a system that could allow students to coordinate cost sharing between interviewees. Moreover, interviewees should be connected to local students from neurosurgery interest groups as a resource.

Impact of Resident Involvement in Neurosurgery: An American College of Surgeons’ National Surgical Quality Improvement Program Database Analysis of 33,977 Patients

PubMed Central

Kumar, Prateek; Seicean, Sinziana; Neuhauser, Duncan; Selman, Warren R.; Bambakidis, Nicholas C.

2018-01-01

Objective There is conflicting and limited literature on the effect of intraoperative resident involvement on surgical outcomes. Our study assessed effects of resident involvement on outcomes in patients undergoing neurosurgery. Methods We identified 33,977 adult neurosurgical cases from 374 hospitals in the 2006–2012 National Surgical Quality Improvement Program, a prospectively collected national database with established reproducibility and validity. Outcomes were compared according to resident involvement before and after 1:1 matching on procedure and perioperative risk factors. Results Resident involvement was documented in 13,654 cases. We matched 10,170 resident-involved cases with 10,170 attending-alone. In the matched sample, resident involvement was associated with increased surgery duration (average, 34 minutes) and slight increases in odds for prolonged hospital stay (odds ratio, 1.2; 95% confidence interval [CI], 1.2–1.3) and complications (odds ratio, 1.2; 95% CI, 1.1–1.3) including infections (odds ratio, 1.4; 95% CI, 1.2–1.7). Increased risk for infections persisted after controlling for surgery duration (odds ratio, 1.3; 95% CI, 1.1–1.5). The majority of cases were spine surgeries, and resident involvement was not associated with morbidity or mortality for malignant tumor and aneurysm patients. Training level of residents was not associated with differences in outcomes. Conclusion Resident involvement was more common in sicker patients undergoing complex procedures, consistent with academic centers undertaking more complex cases. After controlling for patient and intraoperative characteristics, resident involvement in neurosurgical cases continued to be associated with longer surgical duration and slightly higher infection rates. Longer surgery duration did not account for differences in infection rates. PMID:29656619

[A series of radio broadcasts of the French School Radio devoted to Pharmacy in 1966].

PubMed

Lefebvre, Thierry

2015-03-01

In December 1966, the French School Radio devoted three of its emissions to Pharmacy. Found in the archives of the National Center for Educational Documentation (CNDP), those short programs resumed life.

NRAO Image Gallery

Science.gov Websites

Go Home NRAO: National Radio Astronomy Observatory Search NRAO... Go Home About NRAO Research Facilities Contact Us Careers Director's Office Maps & Directions Learn & Explore Radio Astronomy Brochures & Posters Presentations Essential Radio Astronomy Ask an Astronomer Astronomers Home >

WEST; Report of the Second Annual Conference, February 28-March 2, 1972.

ERIC Educational Resources Information Center

Elliott, Richard B., Comp.

The 1972 WEST conference report represents a cooperative project of the Western Educational Society for Telecommunications and the ERIC Clearinghouse on Media and Technology. The conference featured discussions of public television, instructional television, cable television, national educational radio, and national public radio, educational…

Radio Astronomers Get Their First Glimpse of Powerful Solar Storm

NASA Astrophysics Data System (ADS)

2001-08-01

Astronomers have made the first radio-telescope images of a powerful coronal mass ejection on the Sun, giving them a long-sought glimpse of hitherto unseen aspects of these potentially dangerous events. "These observations are going to provide us with a new and unique tool for deciphering the mechanisms of coronal mass ejections and how they are related to other solar events," said Tim Bastian, an astronomer at the National Science Foundation's National Radio Astronomy Observatory (NRAO) in Charlottesville, Virginia. Radio image of coronal mass ejection; circle indicates the size and location of the Sun. White dots are where radio spectral measurements were made. Bastian, along with Monique Pick, Alain Kerdraon and Dalmiro Maia of the Paris Observatory, and Angelos Vourlidas of the Naval Research Laboratory in Washington, D.C., used a solar radio telescope in Nancay, France, to study a coronal mass ejection that occurred on April 20, 1998. Their results will be published in the September 1 edition of the Astrophysical Journal Letters. Coronal mass ejections are powerful magnetic explosions in the Sun's corona, or outer atmosphere, that can blast billions of tons of charged particles into interplanetary space at tremendous speeds. If the ejection is aimed in the direction of Earth, the speeding particles interact with our planet's magnetic field to cause auroral displays, radio-communication blackouts, and potentially damage satellites and electric-power systems. "Coronal mass ejections have been observed for many years, but only with visible-light telescopes, usually in space. While previous radio observations have provided us with powerful diagnostics of mass ejections and associated phenomena in the corona, this is the first time that one has been directly imaged in wavelengths other than visible light," Bastian said. "These new data from the radio observations give us important clues about how these very energetic events work," he added. The radio images show an expanding set of loops similar to the loops seen at visible wavelengths. The radio loops, astronomers believe, indicate regions where electrons are being accelerated to nearly the speed of light at about the time the ejection process is getting started. The same ejection observed by the radio telescope also was observed by orbiting solar telescopes. Depending on what later radio observations show, the solar studies may reveal new insights into the physics of other astronomical phenomena. For example, shocks in the corona and the interplanetary medium accelerate electrons and ions, a process believed to occur in supernova remnants - the expanding debris from stellar explosions. The electrons also may be accelerated by processes associated with magnetic reconnection, a process that occurs in the Earth's magnetosphere. "The Sun is an excellent physics laboratory, and what it teaches us can then help us understand other astrophysical phenomena in the universe," Bastian said. The radio detection of a coronal mass ejection also means that warning of the potentially dangerous effects of these events could come from ground-based radio telescopes, rather than more-expensive orbiting observatories. "With solar radio telescopes strategically placed at three or four locations around the world, coronal mass ejections could be detected 24 hours a day to provide advance warning," Bastian said. The Nancay station for radio astronomy is a facility of the Paris Observatory. The Nancay Radioheliograph is funded by the French Ministry of Education, the Centre National de la Recherche Scientifique, and by the Region Centre. This research has also been supported by the Centre National d'Etudes Spatiales. The National Radio Astronomy Observatory is a facility of the National Science Foundation, operated under cooperative agreement by Associated Universities, Inc.

Bulgarian military neurosurgery: from Warsaw Pact to the North Atlantic Treaty Organization.

PubMed

Enchev, Yavor; Eftimov, Tihomir

2010-05-01

After 45 years as a closest ally of the Soviet Union in the Warsaw Pact, founded mainly against the US and the Western Europe countries, and 15 years of democratic changes, since 2004 Bulgaria has been a full member of NATO and an equal and trusted partner of its former enemies. The unprecedented transformation has affected all aspects of the Bulgarian society. As a function of the Bulgarian Armed Forces, Bulgarian military medicine and in particular Bulgarian military neurosurgery is indivisibly connected with their development. The history of Bulgarian military neurosurgery is the history of the transition from the Union of Soviet Socialist Republics military system and military medicine to NATO standards in every aspect. The career of the military neurosurgeon in Bulgaria is in many ways similar to that of the civilian neurosurgeon, but there are also many peculiarities. The purpose of this study was to outline the background and the history of Bulgarian military neurosurgery as well as its future trends in the conditions of world globalization.

Current Applications and Future Perspectives of the Use of 3D Printing in Anatomical Training and Neurosurgery

PubMed Central

Baskaran, Vivek; Štrkalj, Goran; Štrkalj, Mirjana; Di Ieva, Antonio

2016-01-01

3D printing is a form of rapid prototyping technology, which has led to innovative new applications in biomedicine. It facilitates the production of highly accurate three dimensional objects from substrate materials. The inherent accuracy and other properties of 3D printing have allowed it to have exciting applications in anatomy education and surgery, with the specialty of neurosurgery having benefited particularly well. This article presents the findings of a literature review of the Pubmed and Web of Science databases investigating the applications of 3D printing in anatomy and surgical education, and neurosurgery. A number of applications within these fields were found, with many significantly improving the quality of anatomy and surgical education, and the practice of neurosurgery. They also offered advantages over existing approaches and practices. It is envisaged that the number of useful applications will rise in the coming years, particularly as the costs of this technology decrease and its uptake rises. PMID:27445707

Current Applications and Future Perspectives of the Use of 3D Printing in Anatomical Training and Neurosurgery.

PubMed

Baskaran, Vivek; Štrkalj, Goran; Štrkalj, Mirjana; Di Ieva, Antonio

2016-01-01

3D printing is a form of rapid prototyping technology, which has led to innovative new applications in biomedicine. It facilitates the production of highly accurate three dimensional objects from substrate materials. The inherent accuracy and other properties of 3D printing have allowed it to have exciting applications in anatomy education and surgery, with the specialty of neurosurgery having benefited particularly well. This article presents the findings of a literature review of the Pubmed and Web of Science databases investigating the applications of 3D printing in anatomy and surgical education, and neurosurgery. A number of applications within these fields were found, with many significantly improving the quality of anatomy and surgical education, and the practice of neurosurgery. They also offered advantages over existing approaches and practices. It is envisaged that the number of useful applications will rise in the coming years, particularly as the costs of this technology decrease and its uptake rises.

The contemporary practice of psychiatric surgery: results from a global survey of functional neurosurgeons.

PubMed

Mendelsohn, Daniel; Lipsman, Nir; Lozano, Andres M; Taira, Takaomi; Bernstein, Mark

2013-01-01

Interest in neurosurgery for psychiatric diseases (NPD) has grown globally. We previously reported the results of a survey of North American functional neurosurgeons that evaluated general attitudes towards NPD and the future directions of the field. The purpose of this study was to expand on our previous work and obtain a snapshot in time of global attitudes towards NPD among practicing functional neurosurgeons. We measure general and regional trends in functional neurosurgery and focus specifically on surgery for mind and mood, while exploring the future prospects of the field. We designed an online survey and distributed it electronically to 881 members of the following international organizations: World Society for Stereotactic and Functional Neurosurgery, European Society for Stereotactic and Functional Neurosurgery, Asian-Australasian Society for Stereotactic Functional Neurosurgery and the South and Latin American Society for Stereotactic and Functional Neurosurgery. Subsequent statistical and thematic analysis was performed on the data obtained. Of 881 surveys distributed, 106 were returned (12.8%). Eighty-two percent of functional neurosurgeon respondents were fellowship trained, with movement disorders and pain making up the majority of their practice. Psychiatric indications are the most frequently treated conditions for 34% of survey respondents, and over half of participants (51%) perform epilepsy surgery. Of the psychiatric conditions, obsessive-compulsive disorder and depression are the most common disorders treated. The majority of respondents (90%) felt optimistic about the future of NPD. Two thirds cited the reluctance of psychiatrists to refer patients as the greatest obstacle facing the field, and a majority reported that a cultural stigma surrounding psychiatric diseases exists in their community. In response to hypothetical situations involving cognitive and personality enhancement, opinions varied, but the majority opposed enhancement interventions. Regional variations were examined as well and uncovered distinct attitudinal differences depending on geographic location. Surgery for psychiatric conditions is an expanding field within functional neurosurgery. The opinions of international functional neurosurgeons were largely in line with those of their North American colleagues. Optimism regarding the future of NPD predominates, and future editions of this survey can be used to track the evolution of neurosurgeons' attitudes towards NPD and neuroenhancement. Copyright © 2013 S. Karger AG, Basel.

Constantin N. Arseni (1912-1994) centenary: the birth of modern neurosurgery in Romania.

PubMed

Dinca, Eduard B; Banu, Matei; Ciurea, Alexandru V

2014-01-01

Prof. Dr. Constantin N. Arseni and his mentor, Prof. Dr. D. Bagdasar, are revered by later generations of doctors as the forefathers of Romanian neurosurgery. In 2012, we have celebrated 100 years since Prof. Arseni's birth in a small village within a deprived area of the country. Through his talents and perseveration, he rose to be a neurosurgical school creator and one of the most prominent figures in 20th-century Eastern European neurosurgery. This historical vignette is a modest tribute to his legacy and tells the story of his titanic endeavor. Copyright © 2014 Elsevier Inc. All rights reserved.

[Characteristics of perioperative period in Xenon-based combined general anaesthesia in neurosurgery].

PubMed

Viatkin, A A; Petrosian, L G; Mizikov, V M; Vasil'ev, S A

2013-01-01

Neuroprotection could be the aim to use Xenon for general anesthesia. However the experience of Xenon anesthesia in neurosurgery is quite limited. The appraisal of Xenon based anesthesia was accomplished in 12 patients during various brain surgery. Xe in concentration 65% was used to maintenance of anesthesia, other medication was avoided. As a resuIt there were 8 cases of arterial hypertension and 2 cases of superficial hypnotic state. Excitation (n = 3), hyperdynamic reaction (n = 8), PONV (n = 8) were detected in early postoperative period. An analysis of this study suggests a conclusion that studied method of Xenon-based anesthesia is inexpedient for neurosurgery.

NATIONAL WEATHER SERVICE MARINE PRODUCTS VIA NOAA WEATHER RADIO

Science.gov Websites

! Boating Safety Beach Hazards Rip Currents Hypothermia Hurricanes Thunderstorms Lightning Coastal Flooding Radio network provides voice broadcasts of local and coastal marine forecasts on a continuous cycle. The forecasts are produced by local National Weather Service Forecast Offices. Coastal stations also broadcast

Brown Dwarfs: A New Class of Stellar Lighthouse

NASA Astrophysics Data System (ADS)

2007-04-01

Brown dwarfs, thought just a few years ago to be incapable of emitting any significant amounts of radio waves, have been discovered putting out extremely bright "lighthouse beams" of radio waves, much like pulsars. A team of astronomers made the discovery using the National Science Foundation's Very Large Array (VLA) radio telescope. Artist's Conception of Brown Dwarf Artist's conception of "mini-aurorae" at poles of brown dwarf, producing beams of strong radio emission. CREDIT: Hallinan et al., NRAO/AUI/NSF Click on image for page of graphics and full information "These beams rotate with the brown dwarf, and we see them when the beam passes over the Earth. This is the same way we see pulses from pulsars," said Gregg Hallinan of the National University of Ireland Galway. "We now think brown dwarfs may be a missing link between pulsars and planets in our own Solar System, which also emit, but more weakly," he added. Brown dwarfs are enigmatic objects that are too small to be stars but too large to be planets. They are sometimes called "failed stars" because they have too little mass to trigger hydrogen fusion reactions at their cores, the source of the energy output in larger stars. With roughly 15 to 80 times the mass of Jupiter, the largest planet in our Solar System, brown dwarfs were long thought to exist. However, it was not until 1995 that astronomers were able to actually find one. A few dozen now are known. In 2001, a group of summer students at the National Radio Astronomy Observatory used the VLA to observe a brown dwarf, even though they had been told by seasoned astronomers that brown dwarfs are not observable at radio wavelengths. Their discovery of a strong flare of radio emission from the object surprised astronomers and the students' scientific paper on the discovery was published in the prestigous scientific journal Nature. Hallinan and his team observed a set of brown dwarfs with the VLA last year, and found that three of the objects emit extremely strong, repeating pulses of radio waves. They concluded that the pulses come from beams emitted from the magnetic poles of the brown dwarfs. This is similar to the beamed emission from pulsars, which are superdense neutron stars, and much more massive than brown dwarfs. The characteristics of the beamed radio emission from the brown dwarfs suggest to the scientists that it is produced by a mechanism also seen at work in planets, including Jupiter and Earth. This process involves electrons interacting with the planet's magnetic field to produce radio waves that then are amplified, or strengthened, by natural masers that amplify radio waves the same way a laser amplifies light waves. "The brown dwarfs we observed are between planets and pulsars in the strength of their radio emissions," said Aaron Golden, also of the National University of Ireland Galway. "While we don't think the mechanism that's producing the radio waves in brown dwarfs is exactly the same as that producing pulsar radio emissions, we think there may be enough similarities that further study of brown dwarfs may help unlock some of the mysteries about how pulsars work," he said. While pulsars were discovered 40 years ago, scientists still do not understand the details of how their strong radio emissions are produced. The brown dwarfs rotate at a much more leisurely pace than pulsars. While pulsars rotate -- and produce observed pulses -- typically several times a second to hundreds of times a second, the brown dwarfs observed with the VLA are showing pulses roughly once every two to three hours. Hallinan and Golden worked with Stephen Bourke and Caoilfhionn Lane, also of the National University of Ireland Galway; Tony Antonova and Gerry Doyle of Armagh Observatory in Northern Ireland; Robert Zavala and Fred Vrba of the U.S.Naval Observatory in Flagstaff, Arizona; Walter Brisken of the National Radio Astronomy Observatory in Socorro, New Mexico; and Richard Boyle of the Vatican Observatory Research Group at Steward Observatory in Arizona. The scientists presented their results to the Royal Astronomical Society's National Astronomy Meeting at the University of Central Lancashire in the United Kingdom. The National Radio Astronomy Observatory is a facility of the National Science Foundation, operated under cooperative agreement by Associated Universities, Inc. This work was supported by Science Foundation Ireland under its Research Frontiers Programme, the Higher Education Authority's Programme for Research in Third Level Institutions, and the Irish Research Council for Science, Engineering and Technology.

[Perceived quality in hospitals of the Andalusia Healthcare System. The case of neurosurgery departments].

PubMed

Cordero Tous, N; Horcajadas Almansa, Á; Bermúdez González, G J; Tous Zamora, D

2014-01-01

To analyse the characteristics of the perceived quality in hospitals of the Andalusia healthcare system and compare this with that in Andalusian Neurosurgery departments. Randomised surveys, adjusted for working age, were performed in Andalusia using a telephone questionnaire based on the SERVQUAL model with the appropriate modification, with the subsequent selection of a subgroup associated with neurosurgery. Perceived quality was classified as; technical, functional and infrastructure quality. The overall satisfaction was 76.3%. Frequency analysis found that variables related to the technical quality (good doctors, successful operations, trained staff, etc.) obtained more favourable outcomes. Those related to time (wait, consulting, organizing schedules) obtained worse outcomes. The care of families variables obtained poor results. There was no difference between the overall Andalusian healthcare system and neurosurgery departments. In the mean analysis, women and older people gave more favourable responses, especially for variables related to infrastructure quality. In the "cluster" analysis, there were more favourable responses by elderly people, with no differences in gender (P<.009). There is no difference in perceived quality between the Andalusian healthcare system overall and neurosurgery departments. The perceived quality of the Andalusian healthcare system is higher in the elderly people. The analysis of perceived quality is useful for promoting projects to improve clinical management. Copyright © 2014 SECA. Published by Elsevier Espana. All rights reserved.

The Preferred Learning Styles of Neurosurgeons, Neurosurgery Residents, and Neurology Residents: Implications in the Neurosurgical Field.

PubMed

Lai, Hung-Yi; Lee, Ching-Yi; Chiu, Angela; Lee, Shih-Tseng

2014-01-01

To delineate the learning style that best defines a successful practitioner in the field of neurosurgery by using a validated learning style inventory. The Kolb Learning Style Inventory, a validated assessment tool, was administered to all practicing neurosurgeons, neurosurgical residents, and neurology residents employed at Chang Gung Memorial Hospital, an institution that provides primary and tertiary clinical care in 3 locations, Linkou, Kaohsiung, and Chiayi. There were 81 participants who entered the study, and all completed the study. Neurosurgeons preferred the assimilating learning style (52%), followed by the diverging learning style (39%). Neurosurgery residents were slightly more evenly distributed across the learning styles; however, they still favored assimilating (32%) and diverging (41%). Neurology residents had the most clearly defined preferred learning style with assimilating (76%) obtaining the large majority and diverging (12%) being a distant second. The assimilating and diverging learning styles are the preferred learning styles among neurosurgeons, neurosurgery residents, and neurology residents. The assimilating learning style typically is the primary learning style for neurosurgeons and neurology residents. Neurosurgical residents start off with a diverging learning style and progress toward an assimilating learning style as they work toward becoming practicing neurosurgeons. The field of neurosurgery has limited opportunities for active experimentation, which may explain why individuals who prefer reflective observation are more likely to succeed in this field. Copyright © 2014 Elsevier Inc. All rights reserved.

TECHNOLOGICAL INNOVATION IN NEUROSURGERY: A QUANTITATIVE STUDY

PubMed Central

Marcus, Hani J; Hughes-Hallett, Archie; Kwasnicki, Richard M; Darzi, Ara; Yang, Guang-Zhong; Nandi, Dipankar

2015-01-01

Object Technological innovation within healthcare may be defined as the introduction of a new technology that initiates a change in clinical practice. Neurosurgery is a particularly technologically intensive surgical discipline, and new technologies have preceded many of the major advances in operative neurosurgical technique. The aim of the present study was to quantitatively evaluate technological innovation in neurosurgery using patents and peer-reviewed publications as metrics of technology development and clinical translation respectively. Methods A patent database was searched between 1960 and 2010 using the search terms “neurosurgeon” OR “neurosurgical” OR “neurosurgery”. The top 50 performing patent codes were then grouped into technology clusters. Patent and publication growth curves were then generated for these technology clusters. A top performing technology cluster was then selected as an exemplar for more detailed analysis of individual patents. Results In all, 11,672 patents and 208,203 publications relating to neurosurgery were identified. The top performing technology clusters over the 50 years were: image guidance devices, clinical neurophysiology devices, neuromodulation devices, operating microscopes and endoscopes. Image guidance and neuromodulation devices demonstrated a highly correlated rapid rise in patents and publications, suggesting they are areas of technology expansion. In-depth analysis of neuromodulation patents revealed that the majority of high performing patents were related to Deep Brain Stimulation (DBS). Conclusions Patent and publication data may be used to quantitatively evaluate technological innovation in neurosurgery. PMID:25699414

Neurosurgery Residency Websites: A Critical Evaluation.

PubMed

Skovrlj, Branko; Silvestre, Jason; Ibeh, Chinwe; Abbatematteo, Joseph M; Mocco, J

2015-09-01

To evaluate the accessibility of educational and recruitment content of Neurosurgery Residency Websites (NRWs). Program lists from the Fellowship and Residency Electronic Interactive Database (FREIDA), Electronic Residency Application Service (ERAS), and the American Association of Neurological Surgeons (AANS) were accessed for the 2015 Match. These databases were assessed for accessibility of information and responsive program contacts. Presence of online recruitment and education variables was assessed, and correlations between program characteristics and website comprehensiveness were made. All 103 neurosurgery residency programs had an NRW. The AANS database provided the most number of viable website links with 65 (63%). No links existed for 5 (5%) programs. A minority of programs contacts responded via e-mail (46%). A minority of recruitment (46%) and educational (49%) variables were available on the NRWs. Larger programs, as defined by the number of yearly residency spots and clinical faculty, maintained greater online content than smaller programs. Similar trends were seen with programs affiliated with a ranked medical school and hospital. Multiple prior studies have demonstrated that medical students applying to neurosurgery rely heavily on residency program websites. As such, the paucity of content on NRWs allows for future opportunity to optimize online resources for neurosurgery training. Making sure that individual programs provide relevant content, make the content easier to find and adhere to established web design principles could increase the usability of NRWs. Copyright © 2015 Elsevier Inc. All rights reserved.

U.K. radio science reviews available

NASA Astrophysics Data System (ADS)

Coincident with its triennial general assemblies, the International Union of Radio Science (URSI) publishes an international review of the most significant scientific developments over the previous 3 years in the nine subject areas covered by URSI's commissions. To produce this review, international editors distill reviews from each member country of national scientific developments. For those scientists who wish to know more details about the significant scientific developments in radio science in the United Kingdom from 1981 to 1984, the British National Committee for Radio Science has made its reviews available.Unless otherwise noted, the following surveys are available from the Royal Society, 6 Carlton House Terrace, London SW1Y 5AG, Attention: C.R. Argent.

47 CFR 1.924 - Quiet zones.

Code of Federal Regulations, 2012 CFR

2012-10-01

... to minimize possible impact on the operations of radio astronomy or other facilities that are highly..., radio astronomy, research, and receiving installation entity. The areas involved and procedures required... interference at the National Radio Astronomy Observatory site located at Green Bank, Pocahontas County, West...

47 CFR 1.924 - Quiet zones.

Code of Federal Regulations, 2014 CFR

2014-10-01

... to minimize possible impact on the operations of radio astronomy or other facilities that are highly..., radio astronomy, research, and receiving installation entity. The areas involved and procedures required... interference at the National Radio Astronomy Observatory site located at Green Bank, Pocahontas County, West...

47 CFR 1.924 - Quiet zones.

Code of Federal Regulations, 2013 CFR

2013-10-01

... to minimize possible impact on the operations of radio astronomy or other facilities that are highly..., radio astronomy, research, and receiving installation entity. The areas involved and procedures required... interference at the National Radio Astronomy Observatory site located at Green Bank, Pocahontas County, West...

21 CFR 882.4800 - Self-retaining retractor for neurosurgery.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Self-retaining retractor for neurosurgery. 882.4800 Section 882.4800 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES NEUROLOGICAL DEVICES Neurological Surgical Devices § 882.4800 Self...

21 CFR 882.4800 - Self-retaining retractor for neurosurgery.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Self-retaining retractor for neurosurgery. 882.4800 Section 882.4800 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES NEUROLOGICAL DEVICES Neurological Surgical Devices § 882.4800 Self...

47 CFR 78.19 - Interference.

Code of Federal Regulations, 2010 CFR

2010-10-01

...) Radio Astronomy and Radio Research Installations. In order to minimize harmful interference at the National Radio Astronomy Observatory site located at Green Bank, Pocahontas County, W. Va., and at the... Astronomy Observatory, Post Office Box No. 2, Green Bank, WV 24944, in writing, of the technical particulars...

47 CFR 78.19 - Interference.

Code of Federal Regulations, 2011 CFR

2011-10-01

...) Radio Astronomy and Radio Research Installations. In order to minimize harmful interference at the National Radio Astronomy Observatory site located at Green Bank, Pocahontas County, W. Va., and at the... Astronomy Observatory, Post Office Box No. 2, Green Bank, WV 24944, in writing, of the technical particulars...

47 CFR 78.19 - Interference.

Code of Federal Regulations, 2013 CFR

2013-10-01

...) Radio Astronomy and Radio Research Installations. In order to minimize harmful interference at the National Radio Astronomy Observatory site located at Green Bank, Pocahontas County, W. Va., and at the... Astronomy Observatory, Post Office Box No. 2, Green Bank, WV 24944, in writing, of the technical particulars...

47 CFR 78.19 - Interference.

Code of Federal Regulations, 2014 CFR

2014-10-01

...) Radio Astronomy and Radio Research Installations. In order to minimize harmful interference at the National Radio Astronomy Observatory site located at Green Bank, Pocahontas County, W. Va., and at the... Astronomy Observatory, Post Office Box No. 2, Green Bank, WV 24944, in writing, of the technical particulars...

47 CFR 78.19 - Interference.

Code of Federal Regulations, 2012 CFR

2012-10-01

...) Radio Astronomy and Radio Research Installations. In order to minimize harmful interference at the National Radio Astronomy Observatory site located at Green Bank, Pocahontas County, W. Va., and at the... Astronomy Observatory, Post Office Box No. 2, Green Bank, WV 24944, in writing, of the technical particulars...

Localism in Western European Radio Broadcasting: Untangling the Wireless.

ERIC Educational Resources Information Center

McCain, Thomas A.; Lowe, G. Ferrell

1990-01-01

Provides an overview of the local radio phenomenon in Western European countries. Examines opportunities for access, control, and economic realities for three types of local radio (national, independent, and community), each of which was influenced in some fashion by illegal pirate stations. (KEH)

Safety and Special Radio Services.

ERIC Educational Resources Information Center

Federal Communications Commission, Washington, DC.

Numerous radio stations across the nation perform nonbroadcast services in areas ranging from aviation, forestry protection, and telephone maintenance to amateur and citizen radio. These services can be grouped in four general categories: (1) safety, (2) industry, (3) land transportation, and (4) miscellaneous purposes. This bulletin briefly…

Weather Safety - NOAA's National Weather Service

Science.gov Websites

Statistical Models... MOS Prod GFS-LAMP Prod Climate Past Weather Predictions Weather Safety Weather Radio National Weather Service on FaceBook NWS on Facebook NWS Director Home > Safety Weather Safety This page weather safety. StormReady NOAA Weather Radio Emergency Managers Information Network U.S. Hazard Assmt

Analysis of Electronic Densities and Integrated Doses in Multiform Glioblastomas Stereotactic Radiotherapy

NASA Astrophysics Data System (ADS)

Barón-Aznar, C.; Moreno-Jiménez, S.; Celis, M. A.; Lárraga-Gutiérrez, J. M.; Ballesteros-Zebadúa, P.

2008-08-01

Integrated dose is the total energy delivered in a radiotherapy target. This physical parameter could be a predictor for complications such as brain edema and radionecrosis after stereotactic radiotherapy treatments for brain tumors. Integrated Dose depends on the tissue density and volume. Using CT patients images from the National Institute of Neurology and Neurosurgery and BrainScansoftware, this work presents the mean density of 21 multiform glioblastomas, comparative results for normal tissue and estimated integrated dose for each case. The relationship between integrated dose and the probability of complications is discussed.

The historical origin of the term "meningioma" and the rise of nationalistic neurosurgery.

PubMed

Barthélemy, Ernest Joseph; Sarkiss, Christopher A; Lee, James; Shrivastava, Raj K

2016-11-01

The historical origin of the meningioma nomenclature unravels interesting social and political aspects about the development of neurosurgery in the late 19th century. The meningioma terminology itself was the subject of nationalistic pride and coincided with the advancement in the rise of medicine in Continental Europe as a professional social enterprise. Progress in naming and understanding these types of tumor was most evident in the nations that successively assumed global leadership in medicine and biomedical science throughout the 19th and 20th centuries, that is, France, Germany, and the United States. In this vignette, the authors delineate the uniqueness of the term "meningioma" as it developed within the historical framework of Continental European concepts of tumor genesis, disease states, and neurosurgery as an emerging discipline culminating in Cushing's Meningiomas text. During the intellectual apogee of the French Enlightenment, Antoine Louis published the first known scientific treatise on meningiomas. Like his father, Jean-Baptiste Louis, Antoine Louis was a renowned military surgeon whose accomplishments were honored with an admission to the Académie royale de chirurgie in 1749. His treatise, Sur les tumeurs fongueuses de la duremère, appeared in 1774. Following this era, growing economic depression affecting a frustrated bourgeoisie triggered a tumultuous revolutionary period that destroyed France's Ancien Régime and abolished its university and medical systems. The resulting anarchy was eventually quelled through legislation aiming to satisfy Napoleon's need for qualified military professionals, including physicians and surgeons. These laws laid the foundations for the subsequent flourishing of French medicine throughout the mid-19th century. Subsequent changes to the meningioma nomenclature were authored by intellectual giants of this postrevolutionary period, for example, by the Limogesborn pathologist Jean Cruveilhier known for the term "tumeurs cancéreuses de la duremère," and the work of histopathologists, such as Hermann Lebert, who were influenced by Pasteur's germ theory and by Bernard's experimental medicine. The final development of the meningioma nomenclature corresponded to the rise of American neurosurgery as a formal academic discipline. This historical period of growth is chronicled in Cushing's text Meningiomas, and it set the scientific stage for the modern developments in meningioma research and surgery that are conducted and employed today.

The legacy of nanotechnology: revolution and prospects in neurosurgery.

PubMed

Khawaja, Ayaz Mahmood

2011-01-01

Nanotechnology has been an ever-growing field since the discovery of carbon fullerenes, and is being assimilated progressively into a variety of other disciplines including medical science. The association with neurosurgery had initially been less well characterized compared to other organ systems, but has recently offered promising future potential for a wide range of utilities including new therapeutic options for Glioblastoma Multiforme, neurprotection against oxidative stress, nerve nanorepair, nanodiagnosis of Alzheimer's disease, nanoimaging with nanoparticles and quantum dots, nanomanipulation of CNS with surgical nanobots, and nanoneuromodulation with nanofibres & nanowires. This article examines such potentials as well as others, of the utility of nanotechnology in Neurosurgery. Copyright © 2011 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.

Cerenkov and radioluminescence imaging of brain tumor specimens during neurosurgery

NASA Astrophysics Data System (ADS)

Spinelli, Antonello Enrico; Schiariti, Marco P.; Grana, Chiara M.; Ferrari, Mahila; Cremonesi, Marta; Boschi, Federico

2016-05-01

We presented the first example of Cerenkov luminescence imaging (CLI) and radioluminescence imaging (RLI) of human tumor specimens. A patient with a brain meningioma localized in the left parietal region was injected with 166 MBq of Y90-DOTATOC the day before neurosurgery. The specimens of the tumor removed during surgery were imaged using both CLI and RLI using an optical imager prototype developed in our laboratory. The system is based on a cooled electron multiplied charge coupled device coupled with an f/0.95 17-mm C-mount lens. We showed for the first time the possibility of obtaining CLI and RLI images of fresh human brain tumor specimens removed during neurosurgery.

Harvey Cushing at Johns Hopkins.

PubMed

Long, D M

1999-11-01

Harvey Cushing began surgical training with William Halsted at Johns Hopkins in 1896. Cushing joined the Johns Hopkins faculty in 1900 and spent 1 year in Europe in the laboratory of Theodore Kocher. He returned to Johns Hopkins, where he founded neurosurgery as an independent specialty, established the concept of the clinician scientist, discovered the hormonal properties of the pituitary gland and founded endocrinology, introduced intraoperative x-rays into surgical practice, introduced blood pressure monitoring into the operating room, and wrote the first definitive text on neurosurgery. Although there have been many pioneers in our field, Cushing, more than anyone else, developed neurosurgery as a specialty and left a legacy of talented neurosurgeons to develop and expand the field.

Radio Telescopes "Save the Day," Produce Data on Titan's Winds

NASA Astrophysics Data System (ADS)

2005-02-01

In what some scientists termed "a surprising, almost miraculous turnabout," radio telescopes, including major facilities of the National Science Foundation's National Radio Astronomy Observatory (NRAO), have provided data needed to measure the winds encountered by the Huygens spacecraft as it descended through the atmosphere of Saturn's moon Titan last month -- measurements feared lost because of a communication error between Huygens and its "mother ship" Cassini. The Green Bank Telescope The Robert C. Byrd Green Bank Telescope CREDIT: NRAO/AUI/NSF (Click on image for GBT gallery) A global network of radio telescopes, including the NRAO's Robert C. Byrd Green Bank Telescope (GBT) in West Virginia and eight of the ten antennas of the Very Long Baseline Array (VLBA), recorded the radio signal from Huygens during its descent on January 14. Measurements of the frequency shift caused by the craft's motion, called Doppler shift, are giving planetary scientists their first direct information about Titan's winds. "When we began working with our international partners on this project, we thought our telescopes would be adding to the wind data produced by the two spacecraft themselves. Now, with the ground-based telescopes providing the only information about Titan's winds, we are extremely proud that our facilities are making such a key contribution to our understanding of this fascinating planetary body," said Dr. Fred K.Y. Lo, Director of the National Radio Astronomy Observatory (NRAO). Early analysis of the radio-telescope data shows that Titan's wind flows from west to east, in the direction of the moon's rotation, at all altitudes. The highest wind speed, nearly 270 mph, was measured at an altitude of about 75 miles. Winds are weak near Titan's surface and increase in speed slowly up to an altitude of about 37 miles, where the spacecraft encountered highly-variable winds that scientists think indicate a region of vertical wind shear. The ground-based Doppler measurements were carried out and processed jointly by scientists from the NASA Jet Propulsion Laboratory (JPL, USA), and the Joint Institute for VLBI in Europe (JIVE, The Netherlands) working within an international Doppler Wind Experiment team. The GBT made the first detection of Huygens' radio signal during the descent, and gave flight controllers and scientists the first indication that the spacecraft's parachute had deployed and that it was "alive" after entering Titan's atmosphere. The radio-telescope measurements also indicated changes in Huygens' speed when it exchanged parachutes and when it landed on Titan's surface. The original plan for gauging Titan's winds called for measuring the Doppler shift in the probe's signal frequency both by Cassini and by ground-based radio telescopes in the U.S., Australia, Japan and China. Cassini was best positioned to gain information on the east-west component of the winds, and the ground-based telescopes were positioned to help learn about the north-south wind component. Unfortunately, the communications error lost all the wind data from Cassini. The VLBA The VLBA CREDIT: NRAO/AUI/NSF (Click on image for VLBA gallery) "I've never felt such exhilarating highs and dispiriting lows than those experienced when we first detected the signal from the GBT, indicating 'all's well,' and then discovering that we had no signal at the operations center, indicating 'all's lost.' The truth, as we have now determined, lies somewhat closer to the former than the latter." said Michael Bird of the University of Bonn. In addition to measuring the motion-generated frequency shift of Huygens' radio signal, radio telescopes also were used to make extremely precise measurements of the probe's position (to within three-quarters of a mile, or one kilometer) during its descent. This experiment used the VLBA antennas, along with others employing the technique of Very Long Baseline Interferometry (VLBI). Combination of the Doppler and VLBI data will eventually provide a three-dimensional record of motion for the Huygens Probe during its mission at Titan. Huygens was built by the European Space Agency. The radio astronomy support of the Huygens mission is coordinated by JIVE and JPL and involves the National Radio Astronomy Observatory (Green Bank, WV and Socorro, NM), the Netherlands Foundation for Research in Astronomy (ASTRON, The Netherlands), the University of Bonn (Germany), Helsinki University of Technology (Espoo, Finland), the MERLIN National Facility (Jodrell Bank, UK), the Onsala Space Observatory (Sweden), the NASA Jet Propulsion Laboratory (Pasadena, CA), the CSIRO Australia Telescope National Facility (ATNF, Sydney, Australia), the University of Tasmania (Hobart, Australia), the National Astronomical Observatories of China, the Shanghai Astronomical Observatory (Shanghai and Urumqi, China) and the National Institute of Information and Communications Technologies (Kashima Space Research Center, Japan). The Joint Institute for VLBI in Europe is hosted by ASTRON and funded by the national research councils, national facilities and institutes of The Netherlands (NOW), the United Kingdom (PPARC), Italy (CNR), Sweden (Onsala Space Observatory, National Facility), Spain (IGN) and Germany (MPIfR). The Australia Telescope is funded by the Commonwealth of Australia for operation as a National Facility managed by CSIRO. The Cassini-Huygens mission is a cooperation between NASA, ESA and ASI, the Italian space agency. The Jet Propulsion Laboratory (JPL), a division of the California Institute of Technology in Pasadena, is managing the mission for NASA's Office of Space Science, Washington DC. JPL designed, developed and assembled the Cassini orbiter while ESA operated the Huygens atmospheric probe. The National Radio Astronomy Observatory is a facility of the National Science Foundation, operated under cooperative agreement by Associated Universities, Inc.

Dominion Radio Astrophysical Observatory

NASA Astrophysics Data System (ADS)

Murdin, P.

2000-11-01

The Dominion Radio Astrophysical Observatory began operating in 1959, and joined the NATIONAL RESEARCH COUNCIL in 1970. It became part of the Herzberg Institute of Astrophysics in 1975. The site near Penticton, BC has a 26 m radio telescope, a seven-antenna synthesis telescope on a 600 m baseline and two telescopes dedicated to monitoring the solar radio flux at 10.7 cm. This part of the Institu...

Enhancing Community Knowledge and Health Behaviors to Eliminate Blinding Trachoma in Mali Using Radio Messaging as a Strategy

ERIC Educational Resources Information Center

Bamani, Sanoussi; Toubali, Emily; Diarra, Sadio; Goita, Seydou; Berte, Zana; Coulibaly, Famolo; Sangare, Hama; Tuinsma, Marjon; Zhang, Yaobi; Dembele, Benoit; Melvin, Palesa; MacArthur, Chad

2013-01-01

The National Blindness Prevention Program in Mali has broadcast messages on the radio about trachoma as part of the country's trachoma elimination strategy since 2008. In 2011, a radio impact survey using multi-stage cluster sampling was conducted in the regions of Kayes and Segou to assess radio listening habits, coverage of the broadcasts,…

Grote Reber, Radio Astronomy Pioneer, Dies

NASA Astrophysics Data System (ADS)

2002-12-01

Grote Reber, one of the earliest pioneers of radio astronomy, died in Tasmania on December 20, just two days shy of his 91st birthday. Reber was the first person to build a radio telescope dedicated to astronomy, opening up a whole new "window" on the Universe that eventually produced such landmark discoveries as quasars, pulsars and the remnant "afterglow" of the Big Bang. His self- financed experiments laid the foundation for today's advanced radio-astronomy facilities. Grote Reber Grote Reber NRAO/AUI photo "Radio astronomy has changed profoundly our understanding of the Universe and has earned the Nobel Prize for several major contributions. All radio astronomers who have followed him owe Grote Reber a deep debt for his pioneering work," said Dr. Fred Lo, director of the National Radio Astronomy Observatory (NRAO). "Reber was the first to systematically study the sky by observing something other than visible light. This gave astronomy a whole new view of the Universe. The continuing importance of new ways of looking at the Universe is emphasized by this year's Nobel Prizes in physics, which recognized scientists who pioneered X-ray and neutrino observations," Lo added. Reber was a radio engineer and avid amateur "ham" radio operator in Wheaton, Illinois, in the 1930s when he read about Karl Jansky's 1932 discovery of natural radio emissions coming from outer space. As an amateur operator, Reber had won awards and communicated with other amateurs around the world, and later wrote that he had concluded "there were no more worlds to conquer" in radio. Learning of Jansky's discovery gave Reber a whole new challenge that he attacked with vigor. Analyzing the problem as an engineer, Reber concluded that what he needed was a parabolic-dish antenna, something quite uncommon in the 1930s. In 1937, using his own funds, he constructed a 31.4-foot-diameter dish antenna in his back yard. The strange contraption attracted curious attention from his neighbors and became something of a minor tourist attraction, he later recalled. Using electronics he designed and built that pushed the technical capabilities of the era, Reber succeeded in detecting "cosmic static" in 1939. In 1941, Reber produced the first radio map of the sky, based on a series of systematic observations. His radio-astronomy work continued over the next several years. Though not a professional scientist, his research results were published in a number of prestigious technical journals, including Nature, the Astrophysical Journal, the Proceedings of the Institute of Radio Engineers and the Journal of Geophysical Research. Reber also received a number of honors normally reserved for scientists professionally trained in astronomy, including the American Astronomical Society's Henry Norris Russell Lectureship and the Astronomical Society of the Pacific's Bruce Medal in 1962, the National Radio Astronomy Observatory's Jansky Lectureship in 1975, and the Royal Astronomical Society's Jackson-Gwilt Medal in 1983. Reber's original dish antenna now is on display at the National Radio Astronomy Observatory's site in Green Bank, West Virginia, where Reber worked in the late 1950s. All of his scientific papers and records as well as his personal and scientific correspondence are held by the NRAO, and will be exhibited in the observatory's planned new library in Charlottesville, Virginia. Reber's amateur-radio callsign, W9GFZ, is held by the NRAO Amateur Radio Club. This callsign was used on the air for the first time since the 1930s on August 25, 2000, to mark the dedication of the Robert C. Byrd Green Bank Telescope. The National Radio Astronomy Observatory is a facility of the National Science Foundation, operated under cooperative agreement by Associated Universities, Inc.

Defining the Value of Neurosurgery in the New Healthcare Era.

PubMed

Benzil, Deborah L; Zusman, Edie E

2017-04-01

Healthcare delivery is evolving rapidly with an increasing emphasis on the concept of "value." At the same time, neurosurgeons are disproportionately working in employed positions where external definition of value becomes directly linked with compensation, work environment, and career satisfaction. Few neurosurgeons have an understanding of the various ways in which value is and can be defined and there are limited resources to assist in this realm. This paper covers the essential value concepts of National Standards, Pitfalls of National Standards, Call Coverage Compensation, Valuation Through Demand, Value Beyond Productivity, and Neurosurgical Value in the Accountable Care Organization Era. This framework should help neurosurgeons better understand critical trends impacting practice across the country. Copyright © 2017 by the Congress of Neurological Surgeons.

Digital Audio Radio Field Tests

NASA Technical Reports Server (NTRS)

Hollansworth, James E.

1997-01-01

Radio history continues to be made at the NASA Lewis Research Center with the beginning of phase two of Digital Audio Radio testing conducted by the Consumer Electronic Manufacturers Association (a sector of the Electronic Industries Association and the National Radio Systems Committee) and cosponsored by the Electronic Industries Association and the National Association of Broadcasters. The bulk of the field testing of the four systems should be complete by the end of October 1996, with results available soon thereafter. Lewis hosted phase one of the testing process, which included laboratory testing of seven proposed digital audio radio systems and modes (see the following table). Two of the proposed systems operate in two modes, thus making a total of nine systems for testing. These nine systems are divided into the following types of transmission: in-band on channel (IBOC), in-band adjacent channel (IBAC), and new bands - the L-band (1452 to 1492 MHz) and the S-band (2310 to 2360 MHz).

Experiential Learning of Robotics Fundamentals Based on a Case Study of Robot-Assisted Stereotactic Neurosurgery

ERIC Educational Resources Information Center

Faria, Carlos; Vale, Carolina; Machado, Toni; Erlhagen, Wolfram; Rito, Manuel; Monteiro, Sérgio; Bicho, Estela

2016-01-01

Robotics has been playing an important role in modern surgery, especially in procedures that require extreme precision, such as neurosurgery. This paper addresses the challenge of teaching robotics to undergraduate engineering students, through an experiential learning project of robotics fundamentals based on a case study of robot-assisted…

Taking the Radio Blinders Off of M83: A Wide Spectrum Analysis of the Historical Point Source Population

NASA Astrophysics Data System (ADS)

Stockdale, Christopher; Keefe, Clayton; Nichols, Michael; Rujevcan, Colton; Blair, William P.; Cowan, John J.; Godfrey, Leith; Miller-Jones, James; Kuntz, K. D.; Long, Knox S.; Maddox, Larry A.; Plucinsky, Paul P.; Pritchard, Tyler A.; Soria, Roberto; Whitmore, Bradley C.; Winkler, P. Frank

2015-01-01

We present low frequency observations of the grand design spiral galaxy, M83, using the C and L bands of the Karl G. Jansky Very Large Array (VLA). With recent optical (HST) and X-ray (Chandra) observations and utilizing the newly expanded bandwidth of the VLA, we are exploring the radio spectral properties of the historical radio point sources in M83. These observations allow us to probe the evolution of supernova remnants (SNRs) and to find previously undiscovered SNRs. These observations represent the fourth epoch of deep VLA observations of M83. The National Radio Astronomy Observatory is a facility of the National Science Foundation operated under cooperative agreement by Associated Universities.

The incidence and risk factors of meningitis after major craniotomy in China: a retrospective cohort study.

PubMed

Chen, Chen; Zhang, Bingyan; Yu, Shenglei; Sun, Feng; Ruan, Qiaoling; Zhang, Wenhong; Shao, Lingyun; Chen, Shu

2014-01-01

Meningitis after neurosurgery can result in severe morbidity and high mortality. Incidence varies among regions and limited data are focused on meningitis after major craniotomy. This retrospective cohort study aimed to determine the incidence, risk factors and microbiological spectrum of postcraniotomy meningitis in a large clinical center of Neurosurgery in China. Patients who underwent neurosurgeries at the Department of Neurosurgery in Huashan Hospital, the largest neurosurgery center in Asia and the Pacific, between 1st January and 31st December, 2008 were selected. Individuals with only shunts, burr holes, stereotactic surgery, transsphenoidal or spinal surgery were excluded. The complete medical records of each case were reviewed, and data on risk factors were extracted and evaluated for meningitis. A total of 65 meningitides were identified among 755 cases in the study, with an incidence of 8.60%. The risk of meningitis was increased by the presence of diabetes mellitus (odds ratio [OR], 6.27; P = 0.009), the use of external ventricular drainage (OR, 4.30; P = 0.003) and the use of lumbar drainage (OR, 17.23; P<0.001). The isolated microorganisms included Acinetobacter baumannii, Enterococcus sp, Streptococcus intermedius and Klebsiella pneumonia. Meningitis remains an important source of morbidity and mortality after major craniotomy. Diabetic patients or those with cerebral spinal fluid shunts carry significant high risk of infection. Thus, identification of the risk factors as soon as possible will help physicians to improve patient care.

The Incidence and Risk Factors of Meningitis after Major Craniotomy in China: A Retrospective Cohort Study

PubMed Central

Yu, Shenglei; Sun, Feng; Ruan, Qiaoling; Zhang, Wenhong; Shao, Lingyun; Chen, Shu

2014-01-01

Background Meningitis after neurosurgery can result in severe morbidity and high mortality. Incidence varies among regions and limited data are focused on meningitis after major craniotomy. Aim This retrospective cohort study aimed to determine the incidence, risk factors and microbiological spectrum of postcraniotomy meningitis in a large clinical center of Neurosurgery in China. Methods Patients who underwent neurosurgeries at the Department of Neurosurgery in Huashan Hospital, the largest neurosurgery center in Asia and the Pacific, between 1stJanuary and 31st December, 2008 were selected. Individuals with only shunts, burr holes, stereotactic surgery, transsphenoidal or spinal surgery were excluded. The complete medical records of each case were reviewed, and data on risk factors were extracted and evaluated for meningitis. Results A total of 65 meningitides were identified among 755 cases in the study, with an incidence of 8.60%. The risk of meningitis was increased by the presence of diabetes mellitus (odds ratio [OR], 6.27; P = 0.009), the use of external ventricular drainage (OR, 4.30; P = 0.003) and the use of lumbar drainage (OR, 17.23; P<0.001). The isolated microorganisms included Acinetobacter baumannii, Enterococcus sp, Streptococcus intermedius and Klebsiella pneumonia. Conclusions Meningitis remains an important source of morbidity and mortality after major craniotomy. Diabetic patients or those with cerebral spinal fluid shunts carry significant high risk of infection. Thus, identification of the risk factors as soon as possible will help physicians to improve patient care. PMID:25003204

Studying Behaviors Among Neurosurgery Residents Using Web 2.0 Analytic Tools.

PubMed

Davidson, Benjamin; Alotaibi, Naif M; Guha, Daipayan; Amaral, Sandi; Kulkarni, Abhaya V; Lozano, Andres M

Web 2.0 technologies (e.g., blogs, social networks, and wikis) are increasingly being used by medical schools and postgraduate training programs as tools for information dissemination. These technologies offer the unique opportunity to track metrics of user engagement and interaction. Here, we employ Web 2.0 tools to assess academic behaviors among neurosurgery residents. We performed a retrospective review of all educational lectures, part of the core Neurosurgery Residency curriculum at the University of Toronto, posted on our teaching website (www.TheBrainSchool.net). Our website was developed using publicly available Web 2.0 platforms. Lecture usage was assessed by the number of clicks, and associations were explored with lecturer academic position, timing of examinations, and lecture/subspecialty topic. The overall number of clicks on 77 lectures was 1079. Most of these clicks were occurring during the in-training examination month (43%). Click numbers were significantly higher on lectures presented by faculty (mean = 18.6, standard deviation ± 4.1) compared to those delivered by residents (mean = 8.4, standard deviation ± 2.1) (p = 0.031). Lectures covering topics in functional neurosurgery received the most clicks (47%), followed by pediatric neurosurgery (22%). This study demonstrates the value of Web 2.0 analytic tools in examining resident study behavior. Residents tend to "cram" by downloading lectures in the same month of training examinations and display a preference for faculty-delivered lectures. Copyright © 2017 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

Assessing Barriers to Neurosurgical Care in Sub-Saharan Africa: The Role of Resources and Infrastructure.

PubMed

Sader, Elie; Yee, Philip; Hodaie, Mojgan

2017-02-01

Quantitative estimates of surgical capacity and infrastructure and perceived care limitations in low-resource countries are essential baseline measures that can provide strategies for improving access to surgical care. Information about these barriers in Africa is scarce, particularly with respect to neurosurgery. We conducted a survey to better understand the unmet surgical need and resources available for the care of neurosurgery patients in Sub-Saharan Africa. Using SurveyMonkey, we administered a neurosurgery-specific survey to neurosurgery attending surgeons and residents in Sub-Saharan African countries. Key outcome measures included workforce, access to imaging modalities and instruments, volume and breakdown of neurosurgical cases, and perceived limitations of care. We obtained a 41% survey response (129/314 sent). In addition to the expected large gap in workforce between low- and high-income countries, we found a dramatic paucity of neurosurgical resources in Central Africa, whereas specific pockets in West and South Africa have better neurosurgical care. Access to neuroimaging was not a major limitation in Sub-Saharan African countries. The most commonly perceived limitations of care included infrastructure, anesthesia/nursing availability, wait times, and strength of training. This large survey defines important self-perceived limitations to care within neurosurgery and highlights the importance of infrastructure and allied professions in this role. A clear understanding of areas of focus will enable a more efficient and sustainable response to the limitations in surgical care in low-resource areas. Copyright © 2016 Elsevier Inc. All rights reserved.

75 FR 33620 - Notice of Public Information Collections Being Reviewed by the Federal Communications Commission...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-14

..., Notifications Concerning Interference to Radio Astronomy, Research and Receiving Installations. Form Number: N/A... Astronomy Observatory site located at Green, Pocahontas County, West Virginia, and at the Naval Radio... the west, shall notify the Interference Office, National Radio Astronomy Observatory, P.O. Box 2...

78 FR 17664 - Information Collections Being Reviewed by the Federal Communications Commission Under Delegated...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-22

..., Notifications Concerning Interference to Radio Astronomy, Research and Receiving Installations. Form Number: N/A... Astronomy Observatory site located at Green, Pocahontas County, West Virginia, and at the Naval Radio... Interference Office, National Radio Astronomy Observatory, P.O. Box 2, Green Bank, West Virginia 24944...

Health Education by Open Broadcast.

ERIC Educational Resources Information Center

ICIT Report, 1976

1976-01-01

This issue focuses on uses and techniques of radio for educational purposes in developing nations. Two health education projects are described which are utilizing open broadcasting to attract a mass audience of listeners not committed to a structured radio education program. Kenya's Swahili language radio serial, "Giving Birth and Caring for your…

Interactive Radio for Supporting Distance Education: An Evaluation Study.

ERIC Educational Resources Information Center

Bansal, Kiron; Chaudhary, Sohanvir S.

1999-01-01

Indira Gandhi National Open University (IGNOU) started an interactive radio project with the objective of interacting with students in their own languages and sharing experiences with them. Findings revealed that students appreciated the interactive radio sessions for helping accomplish course objectives, and that students' participation in the…

A Voyage through the Radio Universe

ERIC Educational Resources Information Center

Spuck, Timothy

2004-01-01

Each year, professionals and amateurs alike make significant contributions to the field of astronomy. High school students can also conduct astronomy research. Since 1992, the Radio Astronomy Research Team from Oil City Area Senior High School (OCHS) in Oil City, Pennsylvania, has traveled each year to the National Radio Astronomy Observatory…

A technique to identify core journals for neurosurgery using citation scatter analysis and the Bradford distribution across neurosurgery journals.

PubMed

Madhugiri, Venkatesh S; Ambekar, Sudheer; Strom, Shane F; Nanda, Anil

2013-11-01

The volume of scientific literature doubles approximately every 7 years. The coverage of this literature provided by online compendia is variable and incomplete. It would hence be useful to identify "core" journals in any field and validate whether the h index and impact factor truly identify the core journals in every subject. The core journals in every medical specialty would be those that provide a current and comprehensive coverage of the science in that specialty. Identifying these journals would make it possible for individual physicians to keep abreast of research and clinical progress. The top 10 neurosurgical journals (on the basis of impact factor and h index) were selected. A database of all articles cited in the reference lists of papers published in issues of these journals published in the first quarter of 2012 was generated. The journals were ranked based on the number of papers cited from each. This citation rank list was compared with the h index and impact factor rank lists. The rank list was also examined to see if the concept of core journals could be validated for neurosurgical literature using Bradford's law. A total of 22,850 papers spread across 2522 journals were cited in neurosurgical literature over 3 months. Although the top 10 journals were the same, irrespective of ranking criterion (h index, impact factor, citation ranking), the 3 rank lists were not congruent. The top 25% of cited articles obeyed the Bradford distribution; beyond this, there was a zone of increased scatter. Six core journals were identified for neurosurgery. The core journals for neurosurgery were identified to be Journal of Neurosurgery, Neurosurgery, Spine, Acta Neurochirurgica, Stroke, and Journal of Neurotrauma. A list of core journals could similarly be generated for every subject. This would facilitate a focused reading to keep abreast of current knowledge. Collated across specialties, these journals could depict the current status of medical science.

Admissions for isolated nonoperative mild head injuries: Sharing the burden among trauma surgery, neurosurgery, and neurology.

PubMed

Zhao, Ting; Mejaddam, Ali Y; Chang, Yuchiao; DeMoya, Marc A; King, David R; Yeh, Daniel D; Kaafarani, Haytham M A; Alam, Hasan B; Velmahos, George C

2016-10-01

Isolated nonoperative mild head injuries (INOMHI) occur with increasing frequency in an aging population. These patients often have multiple social, discharge, and rehabilitation issues, which far exceed the acute component of their care. This study was aimed to compare the outcomes of patients with INOMHI admitted to three services: trauma surgery, neurosurgery, and neurology. Retrospective case series (January 1, 2009 to August 31, 2013) at an academic Level I trauma center. According to an institutional protocol, INOMHI patients with Glasgow Coma Scale (GCS) of 13 to 15 were admitted on a weekly rotational basis to trauma surgery, neurosurgery, and neurology. The three populations were compared, and the primary outcomes were survival rate to discharge, neurological status at hospital discharge as measured by the Glasgow Outcome Score (GOS), and discharge disposition. Four hundred eighty-eight INOMHI patients were admitted (trauma surgery, 172; neurosurgery, 131; neurology, 185). The mean age of the study population was 65.3 years, and 58.8% of patients were male. Seventy-seven percent of patients has a GCS score of 15. Age, sex, mechanism of injury, Charlson Comorbidity Index, Injury Severity Score, Abbreviated Injury Scale in head and neck, and GCS were similar among the three groups. Patients who were admitted to trauma surgery, neurosurgery and neurology services had similar proportions of survivors (98.8% vs 95.7% vs 94.7%), and discharge disposition (home, 57.0% vs 61.6% vs 55.7%). The proportion of patients with GOS of 4 or 5 on discharge was slightly higher among patients admitted to trauma (97.7% vs 93.0% vs 92.4%). In a logistic regression model adjusting for Charlson Comorbidity Index CCI and Abbreviated Injury Scale head and neck scores, patients who were admitted to neurology or neurosurgery had significantly lower odds being discharged with GOS 4 or 5. While the trauma group had the lowest proportion of repeats of brain computed tomography (61.6%), the neurosurgery group had the highest proportion of intensive care unit admission (29.8%), and the neurology group had the longest emergency department stay (7.5 hours), there were no significant differences in duration of hospital stay, in-hospital complications, and readmission within 30 days. Although there were differences in use of health care resources, and the proportion of patients with GOS of 4 or 5 on discharge was slightly higher among patients admitted to trauma, most clinical outcomes were similar in INOMHI patients admitted to trauma surgery, neurosurgery, or neurology in our institution. A rotational policy of admitting INOMHI patients is feasible among services with expertise in and commitment to the care of these patients. Therapeutic/care management study, level IV.

Improving the Efficiency and Efficacy of Glibenclamide in Limiting Progressive Hemorrhagic Necrosis Following Traumatic Spinal Cord Injury

DTIC Science & Technology

2012-10-01

screening for eligible patients “24/7”. The research staff rotates a research dedicated cell phone that acts as a pager. All the neurosurgery residents...have the cell phone number and we get called for all potential eligible patients. We work very closely with the neurosurgery residents; all are

Sleep disordered breathing in children with achondroplasia.

PubMed

Zaffanello, Marco; Cantalupo, Gaetano; Piacentini, Giorgio; Gasperi, Emma; Nosetti, Luana; Cavarzere, Paolo; Ramaroli, Diego Alberto; Mittal, Aliza; Antoniazzi, Franco

2017-02-01

Children with achondroplasia often have breathing problems, especially during sleep. The most important treatments are adenotonsillectomy (for treating upper obstruction) and/or neurosurgery (for resolving cervicomedullar junction stenosis). We reviewed the scientific literature on polysomnographic investigations which assessed the severity of respiratory disorders during sleep. Recent findings have highlighted the importance of clinical investigations in patients with achondroplasia, differentiating between those that look for neurological patterns and those that look for respiratory problems during sleep. In particular, magnetic resonance imaging (MRI) and somatosensory evoked potentials are the main tools to evaluate necessary neurosurgery and over myelopathy, respectively. The use of polysomnography enables clinicians to identify children with upper airway obstruction and to quantify disease severity; it is not suitable for MRI and/or neurosurgery considerations.

The influence of war on the development of neurosurgery.

PubMed

Dowdy, Justin; Pait, T Glenn

2014-01-01

The treatment of craniospinal war wounds proved to be a significant driving force in the early growth of neurosurgery as a specialty. This publication explores the historical relationship between the evolution of combat methodology from antiquity through modern conflicts as it dovetails with and drives corresponding advancements in the field of neurosurgery. Whether it's the basic management principles for intracranial projectile wounds derived from World War I experiences, the drastic improvement in the outcomes and management of spinal cord injuries observed in World War II, or the fact that both of these wars played a crucial role in the development of a training system that is the origin of modern residency programs, the influence of wartime experiences is pervasive.

VLA Detects Unexplained Radio Emission From Three Brown Dwarfs

NASA Astrophysics Data System (ADS)

2005-01-01

Astronomers have discovered three brown dwarfs -- enigmatic objects that are neither stars nor planets -- emitting radio waves that scientists cannot explain. The three newly-discovered radio-emitting brown dwarfs were found as part of a systematic study of nearby brown dwarfs using the National Science Foundation's Very Large Array (VLA) radio telescope. The VLA The Very Large Array CREDIT: NRAO/AUI/NSF (Click on image for VLA gallery) Until 2001, scientists believed that brown dwarfs, which are intermediate in mass between stars and planets, could not emit detectable amounts of radio waves. That year, summer students at the VLA made the first discovery of radio emission from a brown dwarf. Subsequently, as many as a half- dozen more radio-emitting brown dwarfs were discovered. "It clearly had become time to make a systematic study and try to find out just what percentage of brown dwarfs are emitting radio waves," said Rachel Osten, an astronomer at the National Radio Astronomy Observatory (NRAO) in Charlottesville, Virginia. Osten was assisted in the project in the summer of 2004 by Lynnae Quick, a student at North Carolina Agricultural and Technical State University; Tim Bastian, also an astronomer at NRAO; and Suzanne Hawley, an astronomer at the University of Washington. The research team presented their results to the American Astronomical Society's meeting in San Diego, CA. The three new detections of radio-emitting brown dwarfs are just the first results from the systematic study, which aims to observe all the known brown dwarfs within about 45 light-years of Earth. "We want to be able to say definitively just how common radio emission is among brown dwarfs," Osten explained. The study involves observing 65 individual brown dwarfs, so these new detections represent just the beginning of the results expected from the study. Brown dwarfs are too big to be planets but too small to be true stars, as they have too little mass to trigger hydrogen fusion reactions at their cores, the source of the energy output in larger stars. With roughly 15 to 80 times the mass of Jupiter, the largest planet in our Solar System, brown dwarfs had long been thought to exist, but proved difficult to find. Astronomers found the first brown dwarf in 1995, and a few hundred now are known. The type of radio emission seen in the brown dwarfs arises in more-massive stars as a result of plasma interacting with the star's magnetic field. However, astronomers have noted that this type of activity declines in less-massive stars. This is why they expected brown dwarfs, with masses less than that of any star, to lack radio emission. Surprisingly, based on discoveries since 2001, it now appears that radio-emitting magnetic activity may actually become more common in these very low-mass objects. "We don't have an explanation for this," Osten said. The scientists hope that brown-dwarf radio emission may give them a new tool for analysis. "Since both stars and the planets in our Solar System produce radio emission, detailed study of the radio emission properties of these brown dwarfs may enable us to distinguish where the boundary between stellar and planetary behavior occurs in these not-quite-stars, not-quite-planets," Osten explained. The National Radio Astronomy Observatory is a facility of the National Science Foundation, operated under cooperative agreement by Associated Universities, Inc.

75 FR 9850 - Tank Level Probing Radars in the Frequency Band 77-81 GHz

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-04

... National Radio Astronomy Observatory (NRAO) states that it would not object to the Ohmart/VEGA waiver if it Frequency Band of Operation. Authorized operations in the 77-81 GHz band currently include radio astronomy... operations in this band would have on authorized services. Regarding radio astronomy, the Commission observes...

American Issues Radio Forum: Programs 5-9, Book 2.

ERIC Educational Resources Information Center

Spoehr, Luther

An overview of the final five monthly programs in the American Issues Radio Forum series broadcast by the member stations of the National Public Radio System is presented. These broadcasts started in September 1975 and continued to May 1976. They formed a "live" rational dialogue, focusing upon issues which have confronted America. Each…

Public Service Announcements and the Fight against AIDS: A National Survey of Television and Radio Broadcasters' Attitudes and Policies.

ERIC Educational Resources Information Center

Swanson, Douglas J.

A follow-up national study surveyed 500 television and radio broadcasters to further understanding of their role as gatekeepers for public service announcements (PSAs) to educate audiences about AIDS, and to bring about "safe" behavior. Respondents were asked to provide information about their stations, and their stations' use of…

HamSCI: The Ham Radio Science Citizen Investigation

NASA Astrophysics Data System (ADS)

Frissell, N. A.; Moses, M. L.; Earle, G. D.; McGwier, R. W.; Miller, E. S.; Kaeppler, S. R.; Silver, H. W.; Ceglia, F.; Pascoe, D.; Sinanis, N.; Smith, P.; Williams, R.; Shovkoplyas, A.; Gerrard, A. J.

2016-12-01

Amateur (or "ham") radio operators are individuals with a non-pecuniary interest in radio technology, engineering, communications, science, and public service. They are licensed by their national governments to transmit on amateur radio frequencies. In many jurisdictions, there is no age requirement for a ham radio license, and operators from diverse backgrounds participate. There are more than 740,000 hams in the US, and over 3 million (estimated) worldwide. Many amateur communications are conducted using transionospheric links and thus affected by space weather and ionospheric processes. Recent technological advances have enabled the development of automated ham radio observation networks (e.g. the Reverse Beacon Network, www.reversebeacon.net) and specialized operating modes for the study of weak-signal propagation. The data from these networks have been shown to be useful for the study of ionospheric processes. In order to connect professional researchers with the volunteer-based ham radio community, HamSCI (Ham Radio Science Citizen Investigation, www.hamsci.org) has been established. HamSCI is a platform for publicizing and promoting projects that are consistent with the following objectives: (1) Advance scientific research and understanding through amateur radio activities. (2) Encourage the development of new technologies to support this research. (3) Provide educational opportunities for the amateur community and the general public. HamSCI researchers are working with the American Radio Relay League (ARRL, www.arrl.org) to publicize these objectives and recruit interested hams. The ARRL is the US national organization for amateur radio with a membership of over 170,000 and a monthly magazine, QST. HamSCI is currently preparing to support ionospheric research connected to the 21 Aug 2017 Total Solar Eclipse by expanding coverage of the Reverse Beacon Network and organizing a large-scale ham radio operating event ("QSO Party") to generate data during the eclipse.

Unmanned Aircraft Systems (UAS) Integration in the National Airspace System (NAS) Project - Gen-4 and Gen-5 Radio Plans

NASA Technical Reports Server (NTRS)

Griner, James H.

2014-01-01

NASA's UAS Integration in the NAS project, has partnered with Rockwell Collins to develop a concept Control and Non-Payload Communication (CNPC) system prototype radio, operating on recently allocated UAS frequency spectrum bands. This prototype radio is being used to validate initial proposed performance requirements for UAS control communications. This presentation will give an overview of the current plans for the prototype radio development.

[History of world neurosurgery].

PubMed

Wang, X

2017-05-28

In 5000 BC, South American tribes digged the bones in the living head to seek ways to communicate with the gods, which was primitive trephination and may be the first neurosurgical behavior. In 2600 BC, Imhotep in ancient Egypt took the brain out of the head from the nose, for a better preserve of the mummy, which was a prototype of modern transsphenoidal surgery. And the development of anatomy in ancient Greek laid a solid foundation for neurosurgery. From 500 to 1500 AD, the rise of religion and the occurrence of war, prompted a large number of craniocerebral trauma, which contributed greatly to the early development of neurosurgery as a distinct specialty. In 1861, Brocca astutely localized the language function to the third left frontal convolution in a series of studies, which was considered to be of landmark importance in the understanding of cerebral localization. In 1878, William Macewen performed a successful surgery to remove an en plaque meningioma with intrathecal anesthesia, representing the first modern neurosurgical operation. However, the contributions of the Americans, starting with Harvey Cushing, exerted a definitive force. Portuguese Moritz performed the first cerebral angiogram on a living schizophrenia patient in 1926. And he established the Moniz-Lima prefrontal leucotomy for the treatment of schizophrenia, for which he won the Nobel Prize in Physiology and Medicine in 1949. In 1968, the Swiss scholar Yassagir firstly carried out neurosurgical surgeries under the microscope. China's neurosurgery was founded by Zhao Yicheng in 1952 in Tianjin, and the gap in neurosurgery between China and the world gradually narrowed after 60 years of development.

The First Neurosurgery Boot Camp in Southeast Asia: Evaluating Impact on Knowledge and Regional Collaboration in Yangon, Myanmar.

PubMed

Rock, Jack; Glick, Roberta; Germano, Isabelle M; Dempsey, Robert; Zervos, John; Prentiss, Tyler; Davis, Matthew; Wright, Ernest; Hlaing, Kyi; Thu, Myat; Soe, Zaw Wai; Myaing, Win

2018-05-01

For the first time in Southeast Asia, a Fundamentals of Neurosurgery Boot Camp was held at the University of Medicine 1 in Yangon, Myanmar, February 24-26, 2017. The aim of this course was to teach and train fundamental skills to neurosurgery residents. The Myanmar Neurosurgical Society, Foundation for International Education in Neurosurgery, Society for Neurological Surgeons, The University of Medicine 1 in Yangon, Myanmar, and the Henry Ford Department of Neurosurgery developed a 2-day resident training course. Day 1 activities consisted of lectures by faculty, small group case discussions, and industry-supported demonstrations of surgical techniques. Day 2 activities consisted of hands-on skill stations for common neurosurgical procedures with each station supervised by attending faculty. Written evaluations were distributed before the meeting, immediately after the meeting, and 6 months after the meeting. Boot camp attendees included 40 residents and 24 neurosurgical faculty from Myanmar, Cambodia, Nepal, Singapore, South Korea, Thailand, and Vietnam. There were 35 evaluations completed before the boot camp, 34 completed immediately after boot camp, and 20 completed 6 months after boot camp. Knowledge of participants improved from 62.75% before boot camp to 71.50% 6 months after boot camp (P = 0.046). Boot camps provide fundamental didactic and technical exposure to trainees in developed and developing countries and help standardize training in basic neurosurgical competencies, while exposing local faculty to important teaching methods. This model provides a sustainable solution to educational needs and demonstrates to local neurosurgeons how they can take ownership of the educational process. Copyright © 2018 Elsevier Inc. All rights reserved.

The genesis of neurosurgery and the evolution of the neurosurgical operative environment: part I-prehistory to 2003.

PubMed

Liu, Charles Y; Apuzzo, Michael L J

2003-01-01

Despite its singular importance, little attention has been given to the neurosurgical operative environment in the scientific and medical literature. This article focuses attention on the development of neurosurgery and the parallel emergence of its operative setting. The operative environment has, to a large extent, defined the "state of the art and science" of neurosurgery, which is now undergoing rapid reinvention. During the course of its initial invention, major milestones in the development of neurosurgery have included the definition of anatomy, consolidation of a scientific basis, and incorporation of the practicalities of anesthesia and antisepsis and later operative technical adjuvants for further refinement of action and minimalism. The progress, previously long and laborious in emergence, is currently undergoing rapid evolution. Throughout its evolution, the discipline has assimilated the most effective tools of modernity into the operative environment, leading eventually to the entity known as the operating room. In the decades leading to the present, progressive minimalization of manipulation and the emergence of more refined operative definition with increasing precision are evident, with concurrent miniaturization of attendant computerized support systems, sensors, robotic interfaces, and imaging devices. These developments over time have led to the invention of neurosurgery and the establishment of the current state-of-the-art neurosurgical operating room as we understand it, and indeed, to a broader definition of the entity itself. To remain current, each neurosurgeon should periodically reconsider his or her personal operative environment and its functional design with reference to modernity of practice as currently defined.

The Spectrum of Altmetrics in Neurosurgery: The Top 100 "Trending" Articles in Neurosurgical Journals.

PubMed

Wang, Justin; Alotaibi, Naif M; Ibrahim, George M; Kulkarni, Abhaya V; Lozano, Andres M

2017-07-01

Social media are increasingly used for the dissemination of scientific publications by most medical journals. The role of social media in increasing awareness of published works in neurosurgery has not been previously explored. Here, we present a qualitative analysis of the highest trending works in neurosurgery along with a correlation analysis with their social media metrics. We performed a comprehensive search for neurosurgical publications using the Altmetric database. The Altmetric database provides a weighted total score of all online mentions for an article received on Facebook, Twitter, blogs, and mainstream media sources. Our search was limited to articles published within the social media era (January 2010-January 2017). Descriptive and correlational statistics were performed for all articles. The top 100 articles in altmetrics were selected for qualitative analysis. A total of 5794 articles were included in this study. The average Altmetric score in neurosurgical articles was 4.7 (standard deviation ±22.4). Journals with a social media account had significantly higher Altmetric scores for their articles compared with those without an account (P < 0.0001). The number of tweets and online mentions in news outlets had the strongest correlation values with Altmetric scores. The top 100 articles in altmetrics belonged primarily to the Journal of Neurosurgery (33%) followed by Neurosurgery (29%). This is the first study that details the spectrum of Altmetric scores among neurosurgical journals. Social media presence for journals is important for greater outreach and engagement. Prediction of traditional citation using altmetrics data requires a future prospective study. Copyright © 2017 Elsevier Inc. All rights reserved.

The role of simulation in neurosurgical education: a survey of 99 United States neurosurgery program directors.

PubMed

Ganju, Aruna; Aoun, Salah G; Daou, Marc R; El Ahmadieh, Tarek Y; Chang, Alice; Wang, Lucy; Batjer, H Hunt; Bendok, Bernard R

2013-11-01

With the reduction of resident work hours and the increasing focus on patient safety, it has become evident that simulation has a growing role to play in surgical education. We surveyed the program directors of 99 U.S. Neurosurgery programs in an effort to better understand how simulation can be implemented in Neurosurgery and to gain insight into key issues that are currently being discussed amongst Neurosurgical educators. A 14-item questionnaire was emailed to 99 Neurosurgery residency program directors. Questions assessed the clinical impact of simulation, the role of simulation in academia, the investments required in time and money, and the model best suited for simulation. The survey response rate was 53.5%. Seventy-two percent of respondents believed that simulation would improve patient outcome, 74% that it could supplement conventional training, but only 25% that it could replace it. The majority strongly believed that it could help preparing complex cases and could be of use to attending faculty. Forty-five percent thought that residents should achieve pre-defined levels of proficiency on simulators before working on patients. Seventy-four percent of respondents declared they would make simulator practice mandatory if available, and the majority was willing to invest daily time and considerable funds on simulators. Cadavers were the least preferred models to use compared to virtual simulation and noncadaveric physical models. Simulation should be integrated in Neurosurgery training curricula. The validation of available tools is the next step that will enable the training, acquisition, and testing of neurosurgical skills. Copyright © 2013 Elsevier Inc. All rights reserved.

Experimental new automatic tools for robotic stereotactic neurosurgery: towards "no hands" procedure of leads implantation into a brain target.

PubMed

Mazzone, P; Arena, P; Cantelli, L; Spampinato, G; Sposato, S; Cozzolino, S; Demarinis, P; Muscato, G

2016-07-01

The use of robotics in neurosurgery and, particularly, in stereotactic neurosurgery, is becoming more and more adopted because of the great advantages that it offers. Robotic manipulators easily allow to achieve great precision, reliability, and rapidity in the positioning of surgical instruments or devices in the brain. The aim of this work was to experimentally verify a fully automatic "no hands" surgical procedure. The integration of neuroimaging to data for planning the surgery, followed by application of new specific surgical tools, permitted the realization of a fully automated robotic implantation of leads in brain targets. An anthropomorphic commercial manipulator was utilized. In a preliminary phase, a software to plan surgery was developed, and the surgical tools were tested first during a simulation and then on a skull mock-up. In such a way, several tools were developed and tested, and the basis for an innovative surgical procedure arose. The final experimentation was carried out on anesthetized "large white" pigs. The determination of stereotactic parameters for the correct planning to reach the intended target was performed with the same technique currently employed in human stereotactic neurosurgery, and the robotic system revealed to be reliable and precise in reaching the target. The results of this work strengthen the possibility that a neurosurgeon may be substituted by a machine, and may represent the beginning of a new approach in the current clinical practice. Moreover, this possibility may have a great impact not only on stereotactic functional procedures but also on the entire domain of neurosurgery.

Canadian Neurosurgery Educators' Views on Stereotactic Radiosurgery in Residency Training.

PubMed

Samuel, Nardin; Philteos, Justine; Alotaibi, Naif M; Ahuja, Christopher; Mansouri, Alireza; Kulkarni, Abhaya V

2018-04-01

Despite the increasing prominence of stereotactic radiosurgery (SRS) in treating intracranial and spinal pathologies, there is currently a dearth of exposure to this modality in the neurosurgical residency. To address this gap, the aim of this study is to assess neurosurgery educators' views regarding the current state of SRS exposure, and to identify potential approaches to improve residency education in this domain. Qualitative thematic analysis and constructivist grounded theory methodology were employed. Semistructured telephone-based interviews were conducted with current or past residency program directors, as well as current departmental chairs across neurosurgical departments in Canada. Interviews were transcribed and subjected to thematic analysis using open and axial coding. Of the 34 eligible participants, the overall response rate was 41.1% (14/34), with a 35.3% participation rate (12/34). Participants represented 9 of the 12 Canadian institutions surveyed. The majority of participants were current program directors (n = 8), followed by past program directors (n = 2), and departmental chairs (n = 2). Most respondents 75% (9/12) view an increasing role for SRS in neurosurgery. Unanimously, respondents endorse greater exposure to SRS during residency through formal residency rotations and engagement in interdisciplinary tumor boards to facilitate involvement in clinical decision-making. This is the first study to systematically collate neurosurgery educators' views on SRS in residency in Canada and demonstrates recognition of the discordance between SRS in practice and residency training. Neurosurgery educators broadly endorse increased exposure to this modality. Future work is needed to delineate the requirements necessary to achieve adequate competency in SRS. Copyright © 2018 Elsevier Inc. All rights reserved.

The contributions of W.D. Stevenson to the development of neurosurgery in Atlantic Canada.

PubMed

Mukhida, K; Mendez, I

1999-08-01

The establishment of a neurosurgical department in Halifax in January 1948 marked the beginnings of the first dedicated neurosurgical service in Atlantic Canada. The development of neurosurgery in Halifax occurred in a receptive place and time. The Victoria General Hospital, the region's largest tertiary care centre, and the Dalhousie University Faculty of Medicine were in a period of growth associated with medical specialization and departmentalization, changes inspired in part by the Flexner Report of 1910. Atlantic Canadians during this period were increasingly looking to specialists for their medical care. Although this social environment encouraged the establishment of surgical specialty services, the development of neurosurgery in Halifax, as in other parts of Canada, was closely associated with the efforts of individual neurosurgeons, such as William D. Stevenson. After training with Kenneth G. McKenzie in Toronto, Stevenson was recruited to Halifax and established the first neurosurgical department in Atlantic Canada. From the outset and over his twenty-six years as Department Head at the Victoria General Hospital and Dalhousie University, Stevenson worked to maintain the department's commitment to clinical practice, medical education, and research. Although Stevenson single-handedly ran the service for several years after its inception, by the time of his retirement in 1974 the neurosurgery department had grown to include five attending staff surgeons who performed over two thousand procedures each year. This paper highlights the importance of Stevenson's contributions to the development of neurosurgery in Atlantic Canada within the context of the social and medical environment of the region.

Surgical site infections after elective neurosurgery: a survey of 1747 patients.

PubMed

Valentini, Laura G; Casali, Cecilia; Chatenoud, Liliane; Chiaffarino, Francesca; Uberti-Foppa, Caterina; Broggi, Giovanni

2008-01-01

To evaluate the incidence and risk factors of postsurgical site infections (SSIs) in elective neurosurgical procedures in patients treated with an ultrashort antibiotic protocol. In this consecutive series of 1747 patients treated with elective neurosurgery and ultrashort prophylactic antibiotic therapy at the Fondazione Istituto Nazionale Neurologico "Carlo Besta" in Milan, the rate of SSIs was 0.7% (13 patients). When only clean neurosurgery was considered, there were 11 such SSIs (1.52%) in 726 craniotomies and one SSI (0.15) in 663 spinal operations. The antibiotic protocol was prolonged in every case of external communication as cerebrospinal fluid leaks or external drainages. The infection rate of the whole series was low (0.72%), and a risk factor identified for SSIs in clean neurosurgery was longer surgery duration. The relative risk estimate was 12.6 for surgeries lasting 2 hours and 24.3 for surgeries lasting 3 or more hours. Patients aged older than 50 years had a lower risk of developing SSI with a relative risk of 0.23 when compared with patients aged younger than 50 years. The present series reports a low incidence of SSIs for elective neurosurgery, even for high-risk complex craniotomies performed for tumor removal. Given that an antibiotic protocol prolongation was used to pretreat any early signs of infection and external communication, the protocol was appropriate for the case mix. The two identified risk factors (surgical duration > 2 hours and middle-aged patients [16-50 yr]) may be indicators of other factors, such as the level of surgical complexity and poor neurological outcome.

NASA Robotic Neurosurgery Testbed

NASA Technical Reports Server (NTRS)

Mah, Robert

1997-01-01

The detection of tissue interface (e.g., normal tissue, cancer, tumor) has been limited clinically to tactile feedback, temperature monitoring, and the use of a miniature ultrasound probe for tissue differentiation during surgical operations, In neurosurgery, the needle used in the standard stereotactic CT or MRI guided brain biopsy provides no information about the tissue being sampled. The tissue sampled depends entirely upon the accuracy with which the localization provided by the preoperative CT or MRI scan is translated to the intracranial biopsy site. In addition, no information about the tissue being traversed by the needle (e.g., a blood vessel) is provided. Hemorrhage due to the biopsy needle tearing a blood vessel within the brain is the most devastating complication of stereotactic CT/MRI guided brain biopsy. A robotic neurosurgery testbed has been developed at NASA Ames Research Center as a spin-off of technologies from space, aeronautics and medical programs. The invention entitled "Robotic Neurosurgery Leading to Multimodality Devices for Tissue Identification" is nearing a state ready for commercialization. The devices will: 1) improve diagnostic accuracy and precision of general surgery, with near term emphasis on stereotactic brain biopsy, 2) automate tissue identification, with near term emphasis on stereotactic brain biopsy, to permit remote control of the procedure, and 3) reduce morbidity for stereotactic brain biopsy. The commercial impact from this work is the potential development of a whole new generation of smart surgical tools to increase the safety, accuracy and efficiency of surgical procedures. Other potential markets include smart surgical tools for tumor ablation in neurosurgery, general exploratory surgery, prostate cancer surgery, and breast cancer surgery.

NASA Robotic Neurosurgery Testbed

NASA Technical Reports Server (NTRS)

Mah, Robert

1997-01-01

The detection of tissue interface (e.g., normal tissue, cancer, tumor) has been limited clinically to tactile feedback, temperature monitoring, and the use of a miniature ultrasound probe for tissue differentiation during surgical operations. In neurosurgery, the needle used in the standard stereotactic CT (Computational Tomography) or MRI (Magnetic Resonance Imaging) guided brain biopsy provides no information about the tissue being sampled. The tissue sampled depends entirely upon the accuracy with which the localization provided by the preoperative CT or MRI scan is translated to the intracranial biopsy site. In addition, no information about the tissue being traversed by the needle (e.g., a blood vessel) is provided. Hemorrhage due to the biopsy needle tearing a blood vessel within the brain is the most devastating complication of stereotactic CT/MRI guided brain biopsy. A robotic neurosurgery testbed has been developed at NASA Ames Research Center as a spin-off of technologies from space, aeronautics and medical programs. The invention entitled 'Robotic Neurosurgery Leading to Multimodality Devices for Tissue Identification' is nearing a state ready for commercialization. The devices will: 1) improve diagnostic accuracy and precision of general surgery, with near term emphasis on stereotactic brain biopsy, 2) automate tissue identification, with near term emphasis on stereotactic brain biopsy, to permit remote control of the procedure, and 3) reduce morbidity for stereotactic brain biopsy. The commercial impact from this work is the potential development of a whole new generation of smart surgical tools to increase the safety, accuracy and efficiency of surgical procedures. Other potential markets include smart surgical tools for tumor ablation in neurosurgery, general exploratory surgery, prostate cancer surgery, and breast cancer surgery.

Neurosurgery simulation in residency training: feasibility, cost, and educational benefit.

PubMed

Gasco, Jaime; Holbrook, Thomas J; Patel, Achal; Smith, Adrian; Paulson, David; Muns, Alan; Desai, Sohum; Moisi, Marc; Kuo, Yong-Fan; Macdonald, Bart; Ortega-Barnett, Juan; Patterson, Joel T

2013-10-01

The effort required to introduce simulation in neurosurgery academic programs and the benefits perceived by residents have not been systematically assessed. To create a neurosurgery simulation curriculum encompassing basic and advanced skills, cadaveric dissection, cranial and spine surgery simulation, and endovascular and computerized haptic training. A curriculum with 68 core exercises per academic year was distributed in individualized sets of 30 simulations to 6 neurosurgery residents. The total number of procedures completed during the academic year was set to 180. The curriculum includes 79 simulations with physical models, 57 cadaver dissections, and 44 haptic/computerized sessions. Likert-type evaluations regarding self-perceived performance were completed after each exercise. Subject identification was blinded to junior (postgraduate years 1-3) or senior resident (postgraduate years 4-6). Wilcoxon rank testing was used to detect differences within and between groups. One hundred eighty procedures and surveys were analyzed. Junior residents reported proficiency improvements in 82% of simulations performed (P < .001). Senior residents reported improvement in 42.5% of simulations (P < .001). Cadaver simulations accrued the highest reported benefit (71.5%; P < .001), followed by physical simulators (63.8%; P < .001) and haptic/computerized (59.1; P < .001). Initial cost is $341,978.00, with $27,876.36 for annual operational expenses. The systematic implementation of a simulation curriculum in a neurosurgery training program is feasible, is favorably regarded, and has a positive impact on trainees of all levels, particularly in junior years. All simulation forms, cadaver, physical, and haptic/computerized, have a role in different stages of learning and should be considered in the development of an educational simulation program.

The impact of a telehealth web-based solution on neurosurgery triage and consultation.

PubMed

Moya, Monica; Valdez, Jessica; Yonas, Howard; Alverson, Dale C

2010-11-01

To enhance the quality of neurosurgery consultations, triage, and transport decisions between a Level I trauma service neurosurgery program at the University of New Mexico Hospital and referring hospitals, a secure Health Insurance Portability and Accountability Act (HIPAA)-compliant Web-based system was developed, to which digital neurological images could be sent for review by a neurosurgeon for consultation or patient transfer. Based upon prior experience of neurosurgery, it was predicted that 25% of transfer requests would be avoided if the neurosurgeons reviewed the computerized tomography scans at the time of a transfer request. In addition, it was predicted in 25% of the case that changes in management recommendations would take place independent of the transfer decision. The program was designed to allow referring hospitals to transmit digital images to the Web site, providing consulting doctors with additional patient information. This project analyzed the neurosurgeons' responses to questions designed to determine if transport or management decisions were altered when using this telehealth program in response to a request for consultation or transfer from a rural facility. Analysis of the responses of the consulting neurosurgeons revealed that, after viewing the images, 44% of the potential transfers were avoided and 44% of consulted cases resulted in management recommendation changes independent of the transfer decision. Use of the system resulted in improved triage and changes in transfer or management recommendations. A significant number of potential transfers were avoided, resulting in transport cost avoidance, more effective use of resources, and more appropriate use of the neurosurgery service as well as improved patient preparation.

U.S.-Canadian Partnership in Radio Astronomy Valuable for Science, NRAO Director Says

NASA Astrophysics Data System (ADS)

2001-10-01

The United States and Canada intend to collaborate on two of the most important radio astronomy projects of the new century - the Atacama Large Millimeter Array (ALMA) and the Expanded Very Large Array (EVLA), astronomers from both countries announced today. "This cooperative program - the North American Partnership in Radio Astronomy - involves the key projects that will dominate radio astronomy world-wide," said Paul Vanden Bout, director of the National Radio Astronomy Observatory (NRAO). "This partnership will multiply the efforts of both nations' astronomers for the benefit of science. It builds on a long tradition of cooperative efforts in radio astronomy, and will ensure that we continue that tradition into the new millennium," Vanden Bout said. The U.S.-Canada radio astronomy partnership is outlined in two letters of intent signed recently. The first, between the U.S. National Science Foundation (NSF) and Canada's National Research Council (NRC), states that both agencies will use their best efforts to obtain the necessary funding for construction and operation of ALMA. The second, between the National Radio Astronomy Observatory, funded by the NSF, and the Herzberg Institute of Astrophysics, funded by the NRC, forms a partnership in the EVLA. The VLA Expansion Project is a two-phase program designed to improve the scientific capabilities of the VLA tenfold by replacing 1970s-vintage equipment with modern technologies and adding new radio-telescope antennas to the existing 27-antenna array. Dedicated in 1980, the VLA has been used for more than 10,000 observing projects covering nearly every area of astrophysics. It is the most powerful, flexible and widely-used radio telescope in the world. The Expanded VLA will provide the improved observational capabilities needed to meet the research challenges of the coming years. In addition to the participation by Canada, funds have been pledged by Mexico. Both Mexico and Germany have funded VLA improvements in the past. A proposal to the NSF requesting U.S. funds for the EVLA is currently under review by the National Science Foundation. The agreement between the NRAO and the Herzberg Institute of Astrophysics (HIA) calls for HIA to build a new correlator - the digital "heart" that combines the received signals from multiple antennas to make those antennas work as a single, powerful telescope - for the EVLA. The new correlator will represent a contribution of 10 million (US). The full EVLA project will cost about 150 million, to be done in two phases, the first costing 75 million. "Canada has a strong program of radio astronomy, and in particular a skilled team of specialists in designing correlators, and we are pleased to have their talents directed toward building a new machine for the VLA," Vanden Bout said. ALMA will consist of 64 12-meter-diameter dish antennas comprising a single imaging telescope to study the universe at millimeter and submillimeter wavelengths - the region between radio waves and infrared waves. An international project being designed and developed by the U.S. and European nations, ALMA will be located on a high-altitude site in the Atacama desert of Chile. "ALMA will give scientists an unprecedented look at the structure of the early universe and revolutionary insights on how stars and planets form, among many other contributions," Vanden Bout said. "The EVLA will bring unmatched power and versatility to the study of objects as close as the Sun and planets and as far as primeval galaxies at the edge of the observable universe. Together, these two instruments will be at the forefront of 21st Century astrophysics," he added. "ALMA has been a bilateral project involving the United States and Europe. These new agreements with Canada turn ALMA into a partnership between Europe and North America," Vanden Bout said. Design and development work on ALMA has been ongoing since 1998, funded by the NSF and European organizations. Canadians already have participated in this work. ALMA is planned for completion this decade. The new partnership calls for Canada to seek funding for a 20 million (US) contribution toward construction of ALMA. The total construction cost of ALMA is 552 million (2000 US), to be shared equally between Europe and North America. Under both letters of intent, applications for observing time on ALMA and NRAO radio telescopes, including the VLA, the Very Long Baseline Array (VLBA), and the Green Bank Telescope (GBT), from Canadian scientists will be treated the same as applications from U.S. scientists. Also, Canadian scientists will be appointed to NRAO advisory and oversight committees, and U.S. scientists will be appointed to similar Canadian committees. The National Radio Astronomy Observatory is a facility of the National Science Foundation, operated under cooperative agreement by Associated Universities, Inc.

Socioeconomic issues of United States military neurosurgery.

PubMed

Moquin, Ross R; Ecklund, James M

2002-04-15

Although the practice of neurosurgery in the United States (US) Armed Forces is in many ways similar to the civilian practice of neurosurgery, there are many differences as well. The unique challenges, duties, and opportunities US military neurosurgeons are given, both in peacetime and in times of conflict, are discussed, as are pathways for entering into service. The advantages of military service for neurosurgeons include sponsored training, decreased direct exposure to tort actions, little involvement with third-party payers, significant opportunities for travel, and military specific experiences. The most appealing aspect of military practice is serving fellow members of the US Armed Forces. Disadvantages include the extreme gap between the military and civilian pay scales, lack of support personnel, and in some areas low surgery-related case volume. The greatest concern faced by the military neurosurgical community is the failure to retain experienced neurosurgeons after their obligated service time has been completed, for which several possible solutions are described. It is hoped that future changes will make the practice of military neurosurgery attractive enough so that it will be seen as a career in itself and not an obligation to endure before starting practice in the "real world."

Augmenting intraoperative MRI with preoperative fMRI and DTI by biomechanical simulation of brain deformation

NASA Astrophysics Data System (ADS)

Warfield, Simon K.; Talos, Florin; Kemper, Corey; Cosman, Eric; Tei, Alida; Ferrant, Matthieu; Macq, Benoit M. M.; Wells, William M., III; Black, Peter M.; Jolesz, Ferenc A.; Kikinis, Ron

2003-05-01

The key challenge facing the neurosurgeon during neurosurgery is to be able to remove from the brain as much tumor tissue as possible while preserving healthy tissue and minimizing the disruption of critical anatomical structures. The purpose of this work was to demonstrate the use of biomechanical simulation of brain deformation to project preoperative fMRI and DTI data into the coordinate system of the patient brain deformed during neurosurgery. This projection enhances the visualization of relevant critical structures available to the neurosurgeon. Our approach to tracking brain changes during neurosurgery has been previously described. We applied this procedure to warp preoperative fMRI and DTI to match intraoperative MRI. We constructed visualizations of preoperative fMRI and DTI, and intraoperative MRI showing a close correspondence between the matched data. We have previously demonstrated our biomechanical simulation of brain deformation can be executed entirely during neurosurgery. We previously used a generic atlas as a substitute for patient specific data. Here we report the successful alignment of patient-specific DTI and fMRI preoperative data into the intraoperative configuration of the patient's brain. This can significantly enhance the information available to the neurosurgeon.

Real-time simulation and visualization of volumetric brain deformation for image-guided neurosurgery

NASA Astrophysics Data System (ADS)

Ferrant, Matthieu; Nabavi, Arya; Macq, Benoit M. M.; Kikinis, Ron; Warfield, Simon K.

2001-05-01

During neurosurgery, the challenge for the neurosurgeon is to remove as much as possible of a tumor without destroying healthy tissue. This can be difficult because healthy and diseased tissue can have the same visual appearance. To this aim, and because the surgeon cannot see underneath the brain surface, image-guided neurosurgery systems are being increasingly used. However, during surgery, deformation of the brain occurs (due to brain shift and tumor resection), therefore causing errors in the surgical planning with respect to preoperative imaging. In our previous work, we developed software for capturing the deformation of the brain during neurosurgery. The software also allows preoperative data to be updated according to the intraoperative imaging so as to reflect the shape changes of the brain during surgery. Our goal in this paper was to rapidly visualize and characterize this deformation over the course of surgery with appropriate tools. Therefore, we developed tools allowing the doctor to visualize (in 2D and 3D) deformations, as well as the stress tensors characterizing the deformation along with the updated preoperative and intraoperative imaging during the course of surgery. Such tools significantly add to the value of intraoperative imaging and hence could improve surgical outcomes.

[The origins of the French neurosurgery].

PubMed

Brunon, J

2016-06-01

Modern French neurosurgery starts at the beginning of the XXth century under the motivation of Joseph Babinski. He submitted his patients to Thierry de Martel who had learned this new specialized area of medicine with H. Cushing in the États-Unis and V. Horsey in Great Britain. His first successfully treated case of an intracranial tumor was published in 1909. But the true founding father was Clovis Vincent, initially a neurologist and collaborator of de Martel, who became the first chairman in 1933 of the neurosurgical department at the Pitié hospital of Paris and the first professor of neurosurgery in 1938. After the Second World War, many departments were created outside of Paris. Neurosurgery was definitively recognized as a specialized area in medicine in 1948. Currently, more than 400 neurosurgeons work in France. Because I had the very great privilege to be present at the birth of this society in 1970 and to still be in contact with some of the second and third generation of French neurosurgeons who led it to its high international recognition, the Chairman of the French Neurosurgical Society asked me to write this short historical vignette. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

Bone wax in Neurosurgery: A Review.

PubMed

Das, Joe M

2018-05-09

In this occasion of 125 years after the so-called "initial" use of bone wax (BW) by Sir Victor Horsley, a review of this age-old hemostatic agent deemed appropriate. The first use of BW for hemostasis is dated back to the 18 th century when modeling or candle wax was used for hemostasis. Though the pioneers in the usage of BW in craniofacial surgeries were Belloq, Professor Khristian Khristianovich Salomon and François Magendie, its first successful use in neurosurgery was demonstrated by Henri Ferdinand Dolbeau in 1864, following the extirpation of a frontal osteoma. This was further popularized by Sir Victor Alexander Haden Horsley, the father of British neurosurgery, who is often incorrectly mentioned as the inventor of BW. Originally derived from bees' wax, the currently available commercial preparation contains paraffin wax and Isopropyl palmitate in addition. The main action being mechanical tamponade, BW has found several other uses in neurosurgery, other than being a hemostatic agent. Though it is cost-effective, the use of BW is associated with several complications also, including ineffective bone healing and infection. So several other alternatives are coming up, but none has yet been able to fully replace "Horsley's wax" till date. Copyright © 2018 Elsevier Inc. All rights reserved.

Aura of technology and the cutting edge: a history of lasers in neurosurgery.

PubMed

Ryan, Robert W; Spetzler, Robert F; Preul, Mark C

2009-09-01

In this historical review the authors examine the important developments that have led to the availability of laser energy to neurosurgeons as a unique and sometimes invaluable tool. They review the physical science behind the function of lasers, as well as how and when various lasers based on different lasing mediums were discovered. They also follow the close association between advances in laser technology and their application in biomedicine, from early laboratory experiments to the first clinical experiences. Because opinions on the appropriate role of lasers in neurosurgery vary widely, the historical basis for some of these views is explored. Initial enthusiasm for a technology that appears to have innate advantages for safe resections has often given way to the strict limitations and demands of the neurosurgical operating theater. However, numerous creative solutions to improve laser delivery, power, safety, and ergonomics demonstrate the important role that technological advances in related scientific fields continue to offer neurosurgery. Benefiting from the most recent developments in materials science, current CO(2) laser delivery systems provide a useful addition to the neurosurgical armamentarium when applied in the correct circumstances and reflect the important historical advances that come about from the interplay between neurosurgery and technology.

Evolution in practice: how has British neurosurgery changed in the last 10 years?

PubMed

Tarnaris, A; Arvin, B; Ashkan, K

2008-09-01

Neurosurgery is a fast-evolving surgical subspecialty driven by technological advances, socio-economic factors and patient expectations. In this study, we have compared the work-load volume in a single institution in the years of 1994 and 2004 and commented on the possible reasons for the changes and the impacts they may have for the future. A retrospective, log-book review of all operations performed in the years 1994 and 2004 in a single, tertiary, neurosurgical centre was performed. Neurosurgical practice has evolved over this period. Current practice has moved away from clipping of aneurysms and towards coil embolisation performed by interventional radiologists. Electrode stimulation of deep brain regions for movement disorders is the current practice, whereas 10 years ago the same disorders were dealt with by lesioning of the relevant regions. In spinal neurosurgery, instrumentation is increasingly favoured currently. In the field of neuro-oncology, current practice favours minimal access to the target area by the use of stereotactic localisation. Changes were most pronounced in the subspecialties of vascular, functional and spinal neurosurgery within this 10-year period. Knowledge of such dynamics is valuable in health resource management as well as planning for neurosurgical training programmes.

Laser application in neurosurgery

PubMed Central

Belykh, Evgenii; Yagmurlu, Kaan; Martirosyan, Nikolay L.; Lei, Ting; Izadyyazdanabadi, Mohammadhassan; Malik, Kashif M.; Byvaltsev, Vadim A.; Nakaji, Peter; Preul, Mark C.

2017-01-01

Background: Technological innovations based on light amplification created by stimulated emission of radiation (LASER) have been used extensively in the field of neurosurgery. Methods: We reviewed the medical literature to identify current laser-based technological applications for surgical, diagnostic, and therapeutic uses in neurosurgery. Results: Surgical applications of laser technology reported in the literature include percutaneous laser ablation of brain tissue, the use of surgical lasers in open and endoscopic cranial surgeries, laser-assisted microanastomosis, and photodynamic therapy for brain tumors. Laser systems are also used for intervertebral disk degeneration treatment, therapeutic applications of laser energy for transcranial laser therapy and nerve regeneration, and novel diagnostic laser-based technologies (e.g., laser scanning endomicroscopy and Raman spectroscopy) that are used for interrogation of pathological tissue. Conclusion: Despite controversy over the use of lasers for treatment, the surgical application of lasers for minimally invasive procedures shows promising results and merits further investigation. Laser-based microscopy imaging devices have been developed and miniaturized to be used intraoperatively for rapid pathological diagnosis. The multitude of ways that lasers are used in neurosurgery and in related neuroclinical situations is a testament to the technological advancements and practicality of laser science. PMID:29204309

Will Rogers's Radio: Race and Technology in the Cherokee Nation

ERIC Educational Resources Information Center

Ware, Amy M.

2009-01-01

While radio personality Will Rogers's pioneering role in radio is obvious (he worked in the medium during its earliest years), its connections to Cherokee and other tribal technologies have been neglected. This failure to recognize Rogers's part in this particular strain of Cherokee history is a symptom of a larger cultural illness in the United…

UAS C2 Radio System - Final Phase 1 Development and Testing

NASA Technical Reports Server (NTRS)

Kerczewski, Robert; Shalkhauser, Kurt

2017-01-01

Phase 1 of the Command and Control Communications (C2) Subproject of NASA's UAS Integration in the National Airspace System Project included the development and testing of prototype C2 radio systems. This information paper provides an overview of the functionality and testing of the fifth and final Phase 1 generation of the prototype radio system.

Medical Liability Reform Crisis 2008

PubMed Central

2008-01-01

The crisis of medical liability has resulted in drastic increases in insurance premiums and reduced access for patients to specialty care, particularly in areas such as obstetrics/gynecology, neurosurgery, and orthopaedic surgery. The current liability environment neither effectively compensates persons injured from medical negligence nor encourages addressing system errors to improve patient safety. The author reviews trends across the nation and reports on the efforts of an organization called “Doctors for Medical Liability Reform” to educate the public and lawmakers on the need for solutions to the chaotic process of adjudicating medical malpractice claims in the United States. PMID:18989732

Analysis of Electronic Densities and Integrated Doses in Multiform Glioblastomas Stereotactic Radiotherapy

DOE Office of Scientific and Technical Information (OSTI.GOV)

Baron-Aznar, C.; Moreno-Jimenez, S.; Celis, M. A.

2008-08-11

Integrated dose is the total energy delivered in a radiotherapy target. This physical parameter could be a predictor for complications such as brain edema and radionecrosis after stereotactic radiotherapy treatments for brain tumors. Integrated Dose depends on the tissue density and volume. Using CT patients images from the National Institute of Neurology and Neurosurgery and BrainScan(c) software, this work presents the mean density of 21 multiform glioblastomas, comparative results for normal tissue and estimated integrated dose for each case. The relationship between integrated dose and the probability of complications is discussed.

Broadband spectrum survey at San Diego, California

DOT National Transportation Integrated Search

The National Telecommunications and Information Administration (NTIA) is responsible for managing the Federal Government's use of the radio spectrum. In discharging this responsibility, NTIA uses the Radio Spectrum Measurement System to collect data ...

Factors associated with burnout among US neurosurgery residents: a nationwide survey.

PubMed

Attenello, Frank J; Buchanan, Ian A; Wen, Timothy; Donoho, Daniel A; McCartney, Shirley; Cen, Steven Y; Khalessi, Alexander A; Cohen-Gadol, Aaron A; Cheng, Joseph S; Mack, William J; Schirmer, Clemens M; Swartz, Karin R; Prall, J Adair; Stroink, Ann R; Giannotta, Steven L; Klimo, Paul

2018-02-09

OBJECTIVE Excessive dissatisfaction and stress among physicians can precipitate burnout, which results in diminished productivity, quality of care, and patient satisfaction and treatment adherence. Given the multiplicity of its harms and detriments to workforce retention and in light of the growing physician shortage, burnout has garnered much attention in recent years. Using a national survey, the authors formally evaluated burnout among neurosurgery trainees. METHODS An 86-item questionnaire was disseminated to residents in the American Association of Neurological Surgeons database between June and November 2015. Questions evaluated personal and workplace stressors, mentorship, career satisfaction, and burnout. Burnout was assessed using the previously validated Maslach Burnout Inventory. Factors associated with burnout were determined using univariate and multivariate logistic regression. RESULTS The response rate with completed surveys was 21% (346/1643). The majority of residents were male (78%), 26-35 years old (92%), in a stable relationship (70%), and without children (73%). Respondents were equally distributed across all residency years. Eighty-one percent of residents were satisfied with their career choice, although 41% had at some point given serious thought to quitting. The overall burnout rate was 67%. In the multivariate analysis, notable factors associated with burnout included inadequate operating room exposure (OR 7.57, p = 0.011), hostile faculty (OR 4.07, p = 0.008), and social stressors outside of work (OR 4.52, p = 0.008). Meaningful mentorship was protective against burnout in the multivariate regression models (OR 0.338, p = 0.031). CONCLUSIONS Rates of burnout and career satisfaction are paradoxically high among neurosurgery trainees. While several factors were predictive of burnout, including inadequate operative exposure and social stressors, meaningful mentorship proved to be protective against burnout. The documented negative effects of burnout on patient care and health care economics necessitate further studies for potential solutions to curb its rise.

Counting the cost of negligence in neurosurgery: Lessons to be learned from 10 years of claims in the NHS.

PubMed

Hamdan, Alhafidz; Strachan, Roger D; Nath, Fredrick; Coulter, Ian C

2015-04-01

Despite substantial progress in modernising neurosurgery, the specialty still tops the list of medico-legal claims. Understanding the factors associated with negligence claims is vital if we are to identify areas of underperformance and subsequently improve patient safety. Here we provide data on trends in neurosurgical negligence claims over a 10-year period in England. We used data provided by the National Health Service Litigation Authority to analyse negligence claims related to neurosurgery from the financial years 2002/2003 to 2011/2012. Using the abstracts provided, we extracted information pertaining to the underlying pathology, injury severity, nature of misadventure and claim value. Over the 10-year period, the annual number of claims increased significantly. In total, there were 794 negligence claims (range 50-117/year); of the 613 closed cases, 405 (66.1%) were successful. The total cost related to claims during the 10 years was £65.7 million, with a mean claim per successful case of £0.16 million (total damages, defence and claimant costs of £45.1, £6.36 and £14.3 million, respectively). Claims related to emergency cases were more costly compared to those of elective cases (£209,327 vs. £112,627; P=0.002). Spinal cases represented the most frequently litigated procedures (350; 44.1% of total), inadequate surgical performance the most common misadventure (231; 29.1%) and fatality the commonest injury implicated in claims (102; 12.8%). Negligence claims related to wrong-site surgery and cauda equina syndrome were frequently successful (26/26; 100% and 14/16; 87.5% of closed cases, respectively). In England, the number of neurosurgical negligence claims is increasing, the financial cost substantial, and the burden significant. Lessons to be learned from the study are of paramount importance to reduce future cases of negligence and improve patient care.

Preoperative anemia increases postoperative morbidity in elective cranial neurosurgery

PubMed Central

Bydon, Mohamad; Abt, Nicholas B.; Macki, Mohamed; Brem, Henry; Huang, Judy; Bydon, Ali; Tamargo, Rafael J.

2014-01-01

Background: Preoperative anemia may affect postoperative mortality and morbidity following elective cranial operations. Methods: The American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database was used to identify elective cranial neurosurgical cases (2006-2012). Morbidity was defined as wound infection, systemic infection, cardiac, respiratory, renal, neurologic, and thromboembolic events, and unplanned returns to the operating room. For 30-day postoperative mortality and morbidity, adjusted odds ratios (ORs) were estimated with multivariable logistic regression. Results: Of 8015 patients who underwent elective cranial neurosurgery, 1710 patients (21.4%) were anemic. Anemic patients had an increased 30-day mortality of 4.1% versus 1.3% in non-anemic patients (P < 0.001) and an increased 30-day morbidity rate of 25.9% versus 14.14% in non-anemic patients (P < 0.001). The 30-day morbidity rates for all patients undergoing cranial procedures were stratified by diagnosis: 26.5% aneurysm, 24.7% sellar tumor, 19.7% extra-axial tumor, 14.8% intra-axial tumor, 14.4% arteriovenous malformation, and 5.6% pain. Following multivariable regression, the 30-day mortality in anemic patients was threefold higher than in non-anemic patients (4.1% vs 1.3%; OR = 2.77; 95% CI: 1.65-4.66). The odds of postoperative morbidity in anemic patients were significantly higher than in non-anemic patients (OR = 1.29; 95% CI: 1.03-1.61). There was a significant difference in postoperative morbidity event odds with a hematocrit level above (OR = 1.07; 95% CI: 0.78-1.48) and below (OR = 2.30; 95% CI: 1.55-3.42) 33% [hemoglobin (Hgb) 11 g/dl]. Conclusions: Preoperative anemia in elective cranial neurosurgery was independently associated with an increased risk of 30-day postoperative mortality and morbidity when compared to non-anemic patients. A hematocrit level below 33% (Hgb 11 g/dl) was associated with a significant increase in postoperative morbidity. PMID:25422784

Predicting Resident Performance from Preresidency Factors: A Systematic Review and Applicability to Neurosurgical Training.

PubMed

Zuckerman, Scott L; Kelly, Patrick D; Dewan, Michael C; Morone, Peter J; Yengo-Kahn, Aaron M; Magarik, Jordan A; Baticulon, Ronnie E; Zusman, Edie E; Solomon, Gary S; Wellons, John C

2018-02-01

Neurosurgical educators strive to identify the best applicants, yet formal study of resident selection has proved difficult. We conducted a systematic review to answer the following question: What objective and subjective preresidency factors predict resident success? PubMed, ProQuest, Embase, and the CINAHL databases were queried from 1952 to 2015 for literature reporting the impact of preresidency factors (PRFs) on outcomes of residency success (RS), among neurosurgery and all surgical subspecialties. Due to heterogeneity of specialties and outcomes, a qualitative summary and heat map of significant findings were constructed. From 1489 studies, 21 articles met inclusion criteria, which evaluated 1276 resident applicants across five surgical subspecialties. No neurosurgical studies met the inclusion criteria. Common objective PRFs included standardized testing (76%), medical school performance (48%), and Alpha Omega Alpha (43%). Common subjective PRFs included aggregate rank scores (57%), letters of recommendation (38%), research (33%), interviews (19%), and athletic or musical talent (19%). Outcomes of RS included faculty evaluations, in-training/board exams, chief resident status, and research productivity. Among objective factors, standardized test scores correlated well with in-training/board examinations but poorly correlated with faculty evaluations. Among subjective factors, aggregate rank scores, letters of recommendation, and athletic or musical talent demonstrated moderate correlation with faculty evaluations. Standardized testing most strongly correlated with future examination performance but correlated poorly with faculty evaluations. Moderate predictors of faculty evaluations were aggregate rank scores, letters of recommendation, and athletic or musical talent. The ability to predict success of neurosurgical residents using an evidence-based approach is limited, and few factors have correlated with future resident performance. Given the importance of recruitment to the greater field of neurosurgery, these data provide support for a national, prospective effort to improve the study of neurosurgery resident selection. Copyright © 2017 Elsevier Inc. All rights reserved.

Educational Resources "Over the Head" of Neurosurgical Patients: The Economic Impact of Inadequate Health Literacy.

PubMed

Agarwal, Nitin; Shah, Kush; Stone, Jeremy G; Ricks, Christian B; Friedlander, Robert M

2015-11-01

Health literacy is the ability with which individuals can obtain, understand, and apply basic health information. Approximately 36% of Americans have basic or below basic health literacy skills. This low health literacy is particularly prevalent in neurosurgery, a growing field of medicine with considerable complexity and a patient population commonly affected with disease-related cognitive impairment. Consequences of poor patient understanding range from increased emergency department admissions rates to reduced adherence to preoperative medication instructions. Economic implications include increasing health care expenditures, decreasing access to health care, and decreasing quality of care. Health literacy costs the United States $106-236 billion per year. Consequences of inadequate patient understanding vary widely. This article reviews and addresses the economic impact of the failure to address low health literacy in neurosurgery. Various groups have proposed techniques and devised outlines to improve health literacy, such as detailing principles targeting the underlying issues of health care illiteracy. The government, through legislation including the Affordable Care Act and the National Action Plan to Improve Health Literacy, has also shown its desire to remedy the effects of insufficient health literacy. Despite current efforts, further action is still needed. Health literacy is a key determinant in ensuring longevity and quality of life. Copyright © 2015 Elsevier Inc. All rights reserved.

Roots of neuroanatomy, neurology, and neurosurgery as found in the Bible and Talmud.

PubMed

Tubbs, R Shane; Loukas, Marios; Shoja, Mohammadali M; Cohen-Gadol, Aaron A; Wellons, John C; Oakes, W Jerry

2008-07-01

Historical observations and interpretations regarding the treatment of components of the nervous system can be found in the writings of the Bible and Talmud. A review of topics germane to modern neuroanatomy, neurology, and neurosurgery from these early, rich writings is presented herein. These historic writings provide a glimpse into the early understanding, description, and treatment of pathologies of the nervous system.

STEM on the radio

NASA Astrophysics Data System (ADS)

Showstack, Randy

2011-10-01

Looking for an Internet radio station focusing on programing about science, technology, engineering, and math (STEM)? The U.S. National Science Foundation (NSF) announced on 26 September the launch of Science360 Radio, which it says is the first Internet radio stream dedicated to STEM programing. Science360 includes more than 100 radio shows and podcasts that are available on the Web as well as on iPhone and Android devices. The shows originate from a variety of sources, including NSF, other U.S. government agencies, science organizations, universities, and media outlets. For more information, see http://science360.gov/files/.

The double quasar 0957+561: a radio study at 6-centimeters wavelength.

PubMed

Roberts, D H; Greenfield, P E; Burke, B F

1979-08-31

The optical double quasar 0957+561 has been interpreted as the gravitational double image of a single object. A radio map made with the Very Large Array of the National Radio Astronomy Observatory shows unresolved sources coincident With the optical images as well as a complex of related extended emission. Although the results cannot rule out the gravitational lens hypothesis, the complex radio structure is more easily interpreted as two separate quasars. The optical and radio properties of the two quasars are so similar that the two must have been formed at the same time with similar initial conditions.

Radio Telescopes Will Add to Cassini-Huygens Discoveries

NASA Astrophysics Data System (ADS)

2004-12-01

When the European Space Agency's Huygens spacecraft makes its plunge into the atmosphere of Saturn's moon Titan on January 14, radio telescopes of the National Science Foundation's National Radio Astronomy Observatory (NRAO) will help international teams of scientists extract the maximum possible amount of irreplaceable information from an experiment unique in human history. Huygens is the 700-pound probe that has accompanied the larger Cassini spacecraft on a mission to thoroughly explore Saturn, its rings and its numerous moons. The Green Bank Telescope The Robert C. Byrd Green Bank Telescope CREDIT: NRAO/AUI/NSF (Click on image for GBT gallery) The Robert C. Byrd Green Bank Telescope (GBT) in West Virginia and eight of the ten telescopes of the continent-wide Very Long Baseline Array (VLBA), located at Pie Town and Los Alamos, NM, Fort Davis, TX, North Liberty, IA, Kitt Peak, AZ, Brewster, WA, Owens Valley, CA, and Mauna Kea, HI, will directly receive the faint signal from Huygens during its descent. Along with other radio telescopes in Australia, Japan, and China, the NRAO facilities will add significantly to the information about Titan and its atmosphere that will be gained from the Huygens mission. A European-led team will use the radio telescopes to make extremely precise measurements of the probe's position during its descent, while a U.S.-led team will concentrate on gathering measurements of the probe's descent speed and the direction of its motion. The radio-telescope measurements will provide data vital to gaining a full understanding of the winds that Huygens encounters in Titan's atmosphere. Currently, scientists know little about Titan's winds. Data from the Voyager I spacecraft's 1980 flyby indicated that east-west winds may reach 225 mph or more. North-south winds and possible vertical winds, while probably much weaker, may still be significant. There are competing theoretical models of Titan's winds, and the overall picture is best summarized as poorly understood. Predictions of where the Huygens probe will land range from nearly 250 miles east to nearly 125 miles west of the point where its parachute first deploys, depending on which wind model is used. What actually happens to the probe as it makes its parachute descent through Titan's atmosphere will give scientists their best-ever opportunity to learn about Titan's winds. During its descent, Huygens will transmit data from its onboard sensors to Cassini, the "mother ship" that brought it to Titan. Cassini will then relay the data back to Earth. However, the large radio telescopes will be able to receive the faint (10-watt) signal from Huygens directly, even at a distance of nearly 750 million miles. This will not be done to duplicate the data collection, but to generate new data about Huygens' position and motions through direct measurement. Measurements of the Doppler shift in the frequency of Huygens' radio signal made from the Cassini spacecraft, in an experiment led by Mike Bird of the University of Bonn, will largely give information about the speed of Titan's east-west winds. A team led by scientists at NASA's Jet Propulsion Laboratory in Pasadena, CA, will measure the Doppler shift in the probe's signal relative to Earth. These additional Doppler measurements from the Earth-based radio telescopes will provide important data needed to learn about the north-south winds. "Adding the ground-based telescopes to the experiment will not only help confirm the data we get from the Cassini orbiter but also will allow us to get a much more complete picture of the winds on Titan," said William Folkner, a JPL scientist. The VLBA The VLBA CREDIT: NRAO/AUI/NSF (Click on image for VLBA gallery) Another team, led by scientists from the Joint Institute for Very Long Baseline Interferometry in Europe (JIVE), in Dwingeloo, The Netherlands, will use a world-wide network of radio telescopes, including the NRAO telescopes, to track the probe's trajectory with unprecedented accuracy. They expect to measure the probe's position within two-thirds of a mile (1 kilometer) at a distance of nearly 750 million miles. "That's like being able to sit in your back yard and watch the ball in a ping-pong game being played on the Moon," said Leonid Gurvits of JIVE. Both the JPL and JIVE teams will record the data collected by the radio telescopes and process it later. In the case of the Doppler measurements, some real-time information may be available, depending on the strength of the signal, but the scientists on this team also plan to do their detailed analysis on recorded data. The JPL team is utilizing special instrumentation from the Deep Space Network called Radio Science Receivers. One will be loaned to the GBT and another to the Parkes radio observatory. "This is the same instrument that allowed us to support the challenging communications during the landing of the Spirit and Opportunity Mars rovers as well as the Cassini Saturn Orbit Insertion when the received radio signal was very weak," said Sami Asmar, the JPL scientist responsible for the data recording. When the Galileo spacecraft's probe entered Jupiter's atmosphere in 1995, a JPL team used the NSF's Very Large Array (VLA) radio telescope in New Mexico to directly track the probe's signal. Adding the data from the VLA to that experiment dramatically improved the accuracy of the wind-speed measurements. "The Galileo probe gave us a surprise. Contrary to some predictions, we learned that Jupiter's winds got stronger as we went deeper into its atmosphere. That tells us that those deeper winds are not driven entirely by sunlight, but also by heat coming up from the planet's core. If we get lucky at Titan, we'll get surprises there, too," said Robert Preston, another JPL scientist. The Huygens probe is a spacecraft built by the European Space Agency (ESA). In addition to the NRAO telescopes, the JPL Doppler Wind Experiment will use the Australia Telescope National Facility and other radio telescopes in Parkes, Mopra, and Ceduna, Australia; Hobart, Tasmania; Urumqi and Shanghai, China; and Kashima, Japan. The positional measurements are a project led by JIVE and involving ESA, the Netherlands Foundation for Research in Astronomy, the University of Bonn, Helsinki University of Technology, JPL, the Australia Telescope National Facility, the National Astronomical Observatories of China, the Shanghai Astronomical Observatory, and the National Institute for Communication Technologies in Kashima, Japan. The Joint Institute for VLBI in Europe is funded by the national research councils, national facilities and institutes of The Netherlands (NWO and ASTRON), the United Kingdom (PPARC), Italy (CNR), Sweden (Onsala Space Observatory, National Facility), Spain (IGN) and Germany (MPIfR). The European VLBI Network is a joint facility of European, Chinese, South African and other radio astronomy institutes funded by their national research councils. The Australia Telescope is funded by the Commonwealth of Australia for operation as a National Facility managed by CSIRO. The National Radio Astronomy Observatory is a facility of the National Science Foundation, operated under cooperative agreement by Associated Universities, Inc.

Local area networking in a radio quiet environment

NASA Astrophysics Data System (ADS)

Childers, Edwin L.; Hunt, Gareth; Brandt, Joseph J.

2002-11-01

The Green Bank facility of the National Radio Astronomy Observatory is spread out over 2,700 acres in the Allegheny Mountains of West Virginia. Good communication has always been needed between the radio telescopes and the control buildings. The National Radio Quiet Zone helps protect the Green Bank site from radio transmissions that interfere with the astronomical signals. Due to stringent Radio Frequency Interference (RFI) requirements, a fiber optic communication system was used for Ethernet transmissions on the site and coaxial cable within the buildings. With the need for higher speed communications, the entire network has been upgraded to use optical fiber with modern Ethernet switches. As with most modern equipment, the implementation of the control of the newly deployed Green Bank Telescope (GBT) depends heavily on TCP/IP. In order to protect the GBT from the commodity Internet, the GBT uses a non-routable network. Communication between the control building Local Area Network (LAN) and the GBT is implemented using a Virtual LAN (VLAN). This configuration will be extended to achieve isolation between trusted local user systems, the GBT, and other Internet users. Legitimate access to the site, for example by remote observers, is likely to be implemented using a virtual private network (VPN).

Electromagnetic Interference Tests

DTIC Science & Technology

1994-05-31

for Safety Levels with Respect to Human Exposure to Radio Frequency Electromagnetic Fields (300 kHz - 100 GHz), American National Standards Institute...Respect to Human Exposure to Radio Frequency Electromagnetic Fields (300 kHz - 100 GHz), American National Standards Institute, C95.1-1982, 30 July 1980...II il~l I!I 11 lll i 13. ABSTkACT (Waxlrnun 200woruh) This TOP is a general guideline for electromagnetic interference testing of electronic

The Neurosurgery Match: A Bibliometric Analysis of 206 First-Year Residents.

PubMed

Kashkoush, Ahmed; Prabhu, Arpan V; Tonetti, Daniel; Agarwal, Nitin

2017-09-01

An important component of the residency application for neurosurgery is research experience and the subsequent number of produced publications. Bibliometrics research has been developed to establish quantitative methods for the standardization of publishing impactful research. This study aims to quantify the research productivity of medical students who successfully matriculated into a Neurosurgery residency program. We initially identified first-year neurosurgery residents for the 2016-2017 academic year of all U.S. neurosurgical residency programs through departmental websites. The Scopus database was then queried for all articles published in the years 2006 to 2015 by first-year residents and bibliometric variables, such as publication count, journal impact factors, and author h-index, were extracted. The main outcome measured was residency program, tiered 1-5 by total departmental faculty research output. Two hundred six (206) Scopus records for first-year neurosurgery residents were identified in 99 programs nationwide. Multivariate ordinal regression demonstrated that only h-index was independently associated with tier of matriculation (P = 0.043). H-index was observed to strongly correlate with the number of original research articles (P = 0.005), years since first publication (P < 0.0001), and journal impact factor (P = 0.048) as assessed by multiple linear regression. Notably, h-index was observed to increase by approximately 1 point with every 3 original research articles (B = 0.368) and 4 years since first publication (B = 0.257). H-index is a powerful research predictor of matching into neurosurgical research institutions and can be improved by starting research early, targeting high impact journals, and participating in original clinical and laboratory investigations. Copyright © 2017 Elsevier Inc. All rights reserved.

Publication rates of the abstracts presented at the annual meeting of International Society for Pediatric Neurosurgery.

PubMed

Ekşi, Murat Şakir; Özcan-Ekşi, Emel Ece

2018-01-19

Publication of a study is the end point of the process to contribute to the literature and confirm the scientific value of the study. Publication rates of the abstracts presented at the annual meetings of neurosurgery have been studied, previously. However, publication rates of the abstracts presented at the annual meetings of pediatric neurosurgery have not been reported, yet. We evaluated abstracts presented at the 38th annual meeting of the International Society for Pediatric Neurosurgery (ISPN) held in South Korea, 2010. We conducted this cross-sectional study by reviewing the abstracts presented at the annual meeting of the ISPN, 2010. Titles and authors of the abstracts were surveyed using Google Scholar and PubMed/MEDLINE. Time to publication, origin of the study, journal name in which the study has been accepted and published, and type of study has been analyzed for each abstract. The abstract booklet included 235 abstracts, consisted of 128 oral presentations (54%) and 107 electronic posters (46%). Fifty-nine (46%) of the oral presentations were published in a peer-reviewed journal. Laboratory studies were more likely to be published when compared to the clinical studies (72 vs. 39%). Thirty-two (30%) of the electronic posters were published in peer-reviewed journals. Most of the published abstracts were from Asia and Europe. Most of the abstracts were published in Child's Nervous System and Journal of Neurosurgery: Pediatrics. Publication rates of the abstracts presented at annual meeting of the ISPN were comparable to the other similar congresses. Oral presentations were more likely to be published. High publication rates of the abstracts presented at the annual meeting of the ISPN suggested that the meeting had a high scientific value.

Augmented Reality in Neurosurgery: A Review of Current Concepts and Emerging Applications.

PubMed

Guha, Daipayan; Alotaibi, Naif M; Nguyen, Nhu; Gupta, Shaurya; McFaul, Christopher; Yang, Victor X D

2017-05-01

Augmented reality (AR) superimposes computer-generated virtual objects onto the user's view of the real world. Among medical disciplines, neurosurgery has long been at the forefront of image-guided surgery, and it continues to push the frontiers of AR technology in the operating room. In this systematic review, we explore the history of AR in neurosurgery and examine the literature on current neurosurgical applications of AR. Significant challenges to surgical AR exist, including compounded sources of registration error, impaired depth perception, visual and tactile temporal asynchrony, and operator inattentional blindness. Nevertheless, the ability to accurately display multiple three-dimensional datasets congruently over the area where they are most useful, coupled with future advances in imaging, registration, display technology, and robotic actuation, portend a promising role for AR in the neurosurgical operating room.

Robotics and neurosurgery.

PubMed

Nathoo, Narendra; Pesek, Todd; Barnett, Gene H

2003-12-01

Ultimately, neurosurgery performed via a robotic interface will serve to improve the standard of a neurosurgeon's skills, thus making a good surgeon a better surgeon. In fact, computer and robotic instrumentation will become allies to the neurosurgeon through the use of these technologies in training, diagnostic, and surgical events. Nonetheless, these technologies are still in an early stage of development, and each device developed will entail its own set of challenges and limitations for use in clinical settings. The future operating room should be regarded as an integrated information system incorporating robotic surgical navigators and telecontrolled micromanipulators, with the capabilities of all principal neurosurgical concepts, sharing information, and under the control of a single person, the neurosurgeon. The eventual integration of robotic technology into mainstream clinical neurosurgery offers the promise of a future of safer, more accurate, and less invasive surgery that will result in improved patient outcome.

Curriculum-based neurosurgery digital library.

PubMed

Langevin, Jean-Philippe; Dang, Thai; Kon, David; Sapo, Monica; Batzdorf, Ulrich; Martin, Neil

2010-11-01

Recent work-hour restrictions and the constantly evolving body of knowledge are challenging the current ways of teaching neurosurgery residents. To develop a curriculum-based digital library of multimedia content to face the challenges in neurosurgery education. We used the residency program curriculum developed by the Congress of Neurological Surgeons to structure the library and Microsoft Sharepoint as the user interface. This project led to the creation of a user-friendly and searchable digital library that could be accessed remotely and throughout the hospital, including the operating rooms. The electronic format allows standardization of the content and transformation of the operating room into a classroom. This in turn facilitates the implementation of a curriculum within the training program and improves teaching efficiency. Future work will focus on evaluating the efficacy of the library as a teaching tool for residents.

Graph theory analysis of complex brain networks: new concepts in brain mapping applied to neurosurgery.

PubMed

Hart, Michael G; Ypma, Rolf J F; Romero-Garcia, Rafael; Price, Stephen J; Suckling, John

2016-06-01

Neuroanatomy has entered a new era, culminating in the search for the connectome, otherwise known as the brain's wiring diagram. While this approach has led to landmark discoveries in neuroscience, potential neurosurgical applications and collaborations have been lagging. In this article, the authors describe the ideas and concepts behind the connectome and its analysis with graph theory. Following this they then describe how to form a connectome using resting state functional MRI data as an example. Next they highlight selected insights into healthy brain function that have been derived from connectome analysis and illustrate how studies into normal development, cognitive function, and the effects of synthetic lesioning can be relevant to neurosurgery. Finally, they provide a précis of early applications of the connectome and related techniques to traumatic brain injury, functional neurosurgery, and neurooncology.

Patient dose estimation from CT scans at the Mexican National Neurology and Neurosurgery Institute

DOE Office of Scientific and Technical Information (OSTI.GOV)

Alva-Sánchez, Héctor, E-mail: halva@ciencias.unam.mx; Reynoso-Mejía, Alberto; Casares-Cruz, Katiuzka

In the radiology department of the Mexican National Institute of Neurology and Neurosurgery, a dedicated institute in Mexico City, on average 19.3 computed tomography (CT) examinations are performed daily on hospitalized patients for neurological disease diagnosis, control scans and follow-up imaging. The purpose of this work was to estimate the effective dose received by hospitalized patients who underwent a diagnostic CT scan using typical effective dose values for all CT types and to obtain the estimated effective dose distributions received by surgical and non-surgical patients. Effective patient doses were estimated from values per study type reported in the applications guidemore » provided by the scanner manufacturer. This retrospective study included all hospitalized patients who underwent a diagnostic CT scan between 1 January 2011 and 31 December 2012. A total of 8777 CT scans were performed in this two-year period. Simple brain scan was the CT type performed the most (74.3%) followed by contrasted brain scan (6.1%) and head angiotomography (5.7%). The average number of CT scans per patient was 2.83; the average effective dose per patient was 7.9 mSv; the mean estimated radiation dose was significantly higher for surgical (9.1 mSv) than non-surgical patients (6.0 mSv). Three percent of the patients had 10 or more brain CT scans and exceeded the organ radiation dose threshold set by the International Commission on Radiological Protection for deterministic effects of the eye-lens. Although radiation patient doses from CT scans were in general relatively low, 187 patients received a high effective dose (>20 mSv) and 3% might develop cataract from cumulative doses to the eye lens.« less

Patient dose estimation from CT scans at the Mexican National Neurology and Neurosurgery Institute

NASA Astrophysics Data System (ADS)

Alva-Sánchez, Héctor; Reynoso-Mejía, Alberto; Casares-Cruz, Katiuzka; Taboada-Barajas, Jesús

2014-11-01

In the radiology department of the Mexican National Institute of Neurology and Neurosurgery, a dedicated institute in Mexico City, on average 19.3 computed tomography (CT) examinations are performed daily on hospitalized patients for neurological disease diagnosis, control scans and follow-up imaging. The purpose of this work was to estimate the effective dose received by hospitalized patients who underwent a diagnostic CT scan using typical effective dose values for all CT types and to obtain the estimated effective dose distributions received by surgical and non-surgical patients. Effective patient doses were estimated from values per study type reported in the applications guide provided by the scanner manufacturer. This retrospective study included all hospitalized patients who underwent a diagnostic CT scan between 1 January 2011 and 31 December 2012. A total of 8777 CT scans were performed in this two-year period. Simple brain scan was the CT type performed the most (74.3%) followed by contrasted brain scan (6.1%) and head angiotomography (5.7%). The average number of CT scans per patient was 2.83; the average effective dose per patient was 7.9 mSv; the mean estimated radiation dose was significantly higher for surgical (9.1 mSv) than non-surgical patients (6.0 mSv). Three percent of the patients had 10 or more brain CT scans and exceeded the organ radiation dose threshold set by the International Commission on Radiological Protection for deterministic effects of the eye-lens. Although radiation patient doses from CT scans were in general relatively low, 187 patients received a high effective dose (>20 mSv) and 3% might develop cataract from cumulative doses to the eye lens.

A correlation between National Institutes of Health funding and bibliometrics in neurosurgery.

PubMed

Venable, Garrett T; Khan, Nickalus R; Taylor, Douglas R; Thompson, Clinton J; Michael, L Madison; Klimo, Paul

2014-01-01

The relationship between metrics, such as the h-index, and the ability of researchers to generate funding has not been previously investigated in neurosurgery. This study was performed to determine whether a correlation exists between bibliometrics and National Institutes of Health (NIH) funding data among academic neurosurgeons. The h-index, m-quotient, g-index, and contemporary h-index were determined for 1225 academic neurosurgeons from 99 (of 101) departments. Two databases were used to create the citation profiles, Google Scholar and Scopus. The NIH Research Portfolio Online Reporting Tools Expenditures and Reports tool was accessed to obtain career grant funding amount, grant number, year of first grant award, and calendar year of grant funding. Of the 1225 academic neurosurgeons, 182 (15%) had at least 1 grant with a fully reported NIH award profile. Bibliometric indices were all significantly higher for those with NIH funding compared to those without NIH funding (P < .001). The contemporary h-index was found to be significantly predictive of NIH funding (P < .001). All bibliometric indices were significantly associated with the total number of grants, total award amount, year of first grant, and duration of grants in calendar years (bivariate correlation, P < .001) except for the association of m-quotient with year of first grant (P = .184). Bibliometric indices are higher for those with NIH funding compared to those without, but only the contemporary h-index was shown to be predictive of NIH funding. Among neurosurgeons with NIH funding, higher bibliometric scores were associated with greater total amount of funding, number of grants, duration of grants, and earlier acquisition of their first grant. Copyright © 2014 Elsevier Inc. All rights reserved.

Neurosurgery in Egypt: past, present, and future-from pyramids to radiosurgery.

PubMed

El Gindi, Sayed

2002-09-01

THE CONTEMPORARY DEVELOPMENT of neurosurgery in Egypt is described, with reference to the ancient past and recent American and European influences. This article traces the steps taken by several leading Egyptian pioneers. Egypt, one of the key countries in the Middle East, has led the development of the specialty in the region and has maintained close ties with the international body of neurological surgeons and surgical societies.

High intensity focused ultrasound surgery (HIFU) of the brain: A historical perspective, with modern applications

PubMed Central

Jagannathan, Jay; Sanghvi, Narendra K; Crum, Lawrence A; Yen, Chun-Po; Medel, Ricky; Dumont, Aaron S; Sheehan, Jason P; Steiner, Ladislau; Jolesz, Ferenc; Kassell, Neal F

2014-01-01

The field of MRI-guided high intensity focused ultrasound surgery (MRgFUS) is a rapidly evolving one with many potential applications in neurosurgery. This is the first of three articles on MRgFUS, this paper focuses on the historical development of the technology and it's potential applications to modern neurosurgery. The evolution of MRgFUS has occurred in parallel with modern neurological surgery and the two seemingly distinct disciplines share many of the same pioneering figures. Early studies on focused ultrasound treatment in the 1940's and 1950's demonstrated the ability to perform precise lesioning in the human brain, with a favorable risk-benefit profile. However, the need for a craniotomy, as well as lack of sophisticated imaging technology resulted in limited growth of HIFU for neurosurgery. More recently, technological advances, have permitted the combination of HIFU along with MRI guidance to provide an opportunity to effectively treat a variety of CNS disorders. Although challenges remain, HIFU-mediated neurosurgery may offer the ability to target and treat CNS conditions that were previously extremely difficult to perform. The remaining two articles in this series will focus on the physical principles of modern MRgFUS as well as current and future avenues for investigation. PMID:19190451

Neurosurgery: A profession or a technical trade?

PubMed Central

Watts, Clark

2014-01-01

The American Association of Neurological Surgeons (AANS), 11 years ago converted its Internal Revenue Code (IRC) tax status from a 501 (c) (3) to a 501 (c) (6) entity. By doing so, the professional medical association, now a trade association, was able to more aggressively lobby, support political campaigns, and pursue business opportunities for its members. In the following decade, major changes were seen in the practice of neurosurgery, especially as it relates to spine surgery. With the majority of neurosurgeons limiting themselves to a spine practice, an increased number of spinal procedures, most noted in the Medicare population, was recorded. For example, a 15-fold increase in complex spinal fusions for spinal stenosis was seen between 2002 and 2007. While the basis for this increase was not readily apparent, it was associated with a reduction in reimbursement per case of about 50%, fueling the belief that the increase in complexity of surgery permitted recovery of fees in complex cases to off-set the loss of reimbursement for simpler cases. Considering the growth of spinal surgery within neurosurgery, and decrease funding for spine surgery, in the future there may be too many surgeons chasing too few dollars. There appears to be within neurosurgery a crisis developing where future manpower projections do not realistically match future anticipated specialty funding. PMID:25558426

Evolution in Practice: How has British Neurosurgery Changed in the Last 10 Years?

PubMed Central

Tarnaris, A; Arvin, B; Ashkan, K

2008-01-01

INTRODUCTION Neurosurgery is a fast-evolving surgical subspecialty driven by technological advances, socio-economic factors and patient expectations. In this study, we have compared the work-load volume in a single institution in the years of 1994 and 2004 and commented on the possible reasons for the changes and the impacts they may have for the future. PATIENTS AND METHODS A retrospective, log-book review of all operations performed in the years 1994 and 2004 in a single, tertiary, neurosurgical centre was performed. RESULTS Neurosurgical practice has evolved over this period. Current practice has moved away from clipping of aneurysms and towards coil embolisation performed by interventional radiologists. Electrode stimulation of deep brain regions for movement disorders is the current practice, whereas 10 years ago the same disorders were dealt with by lesioning of the relevant regions. In spinal neurosurgery, instrumentation is increasingly favoured currently. In the field of neuro-oncology, current practice favours minimal access to the target area by the use of stereotactic localisation. CONCLUSIONS Changes were most pronounced in the subspecialties of vascular, functional and spinal neurosurgery within this 10-year period. Knowledge of such dynamics is valuable in health resource management as well as planning for neurosurgical training programmes. PMID:18765031

Possible Explanation for Cancer in Rats due to Cell Phone Radio Frequency Radiation

NASA Astrophysics Data System (ADS)

Feldman, Bernard J.

Very recently, the National Toxicology Program reported a correlation between exposure to whole body 900 MHz radio frequency radiation and cancer in the brains and hearts of Sprague Dawley male rats. Assuming that the National Toxicology Program is statistically significant, I propose the following explanation for these results. The neurons around the brain and heart form closed electrical circuits and, following Faraday's Law, 900 MHz radio frequency radiation induces 900 MHz electrical currents in these neural circuits. In turn, these 900 MHz currents in the neural circuits generate sufficient localized heat in the neural cells to shift the equilibrium concentration of carcinogenic radicals to higher levels and thus, to higher incidences of cancer.

NAC/NINE Program Building Radio Jove's and Brining Radio Astronomy to the Community

NASA Astrophysics Data System (ADS)

Ramona Gallego, Angelina; Paul Gueye, Al Amin Kabir,

2018-01-01

During the course of the 8-week program, (NINE, National and International Non-Traditional Exchange Program), the summer was spent in Socorro, New Mexico, working on building a Radio Jove, and making observations with the Radio Jove as well as working on learning project management practices in order to take the CAPM PMI Exam. The NINE built the Radio Jove’s at the same time and in doing so learned to replicate it to teach it to others. The final portion of the program that was worked on was to create a NINE hub and do outreach with the community teaching them about radio astronomy and teaching students how to build their own Radio Jove’s and make observations. An important aspect of the summer program was to bring back the knowledge received about radio astronomy and teach it to high school students with the help of the institution each NINE participants came from.

An Optical Receiver Post Processing System for the Integrated Radio and Optical Communications Software Defined Radio Test Bed

NASA Technical Reports Server (NTRS)

Nappier, Jennifer M.; Tokars, Roger P.; Wroblewski, Adam C.

2016-01-01

The Integrated Radio and Optical Communications (iROC) project at the National Aeronautics and Space Administrations (NASA) Glenn Research Center is investigating the feasibility of a hybrid radio frequency (RF) and optical communication system for future deep space missions. As a part of this investigation, a test bed for a radio frequency (RF) and optical software defined radio (SDR) has been built. Receivers and modems for the NASA deep space optical waveform are not commercially available so a custom ground optical receiver system has been built. This paper documents the ground optical receiver, which is used in order to test the RF and optical SDR in a free space optical communications link.

An Optical Receiver Post-Processing System for the Integrated Radio and Optical Communications Software Defined Radio Test Bed

NASA Technical Reports Server (NTRS)

Nappier, Jennifer M.; Tokars, Roger P.; Wroblewski, Adam C.

2016-01-01

The Integrated Radio and Optical Communications (iROC) project at the National Aeronautics and Space Administration's (NASA) Glenn Research Center is investigating the feasibility of a hybrid radio frequency (RF) and optical communication system for future deep space missions. As a part of this investigation, a test bed for a radio frequency (RF) and optical software defined radio (SDR) has been built. Receivers and modems for the NASA deep space optical waveform are not commercially available so a custom ground optical receiver system has been built. This paper documents the ground optical receiver, which is used in order to test the RF and optical SDR in a free space optical communications link.

Radio broadcasting via satellite

NASA Astrophysics Data System (ADS)

Helm, Neil R.; Pritchard, Wilbur L.

1990-10-01

Market areas offering potential for future narrowband broadcast satellites are examined, including international public diplomacy, government- and advertising-supported, and business-application usages. Technical issues such as frequency allocation, spacecraft types, transmission parameters, and radio receiver characteristics are outlined. Service and system requirements, advertising revenue, and business communications services are among the economic issues discussed. The institutional framework required to provide an operational radio broadcast service is studied, and new initiatives in direct broadcast audio radio systems, encompassing studies, tests, in-orbit demonstrations of, and proposals for national and international commercial broadcast services are considered.

Insinuating electronics in the brain.

PubMed

Hughes, Mark A

2016-08-01

There is an expanding interface between electronic engineering and neurosurgery. Rapid advances in microelectronics and materials science, driven largely by consumer demand, are inspiring and accelerating development of a new generation of diagnostic, therapeutic, and prosthetic devices for implantation in the nervous system. This paper reviews some of the basic science underpinning their development and outlines some opportunities and challenges for their use in neurosurgery. Copyright © 2016 The Author. Published by Elsevier Ltd.. All rights reserved.

Neurosurgery at Medical College of Georgia, Georgia Regents University in Augusta (1956-2013).

PubMed

Viers, Angela; Smith, Joseph; Alleyne, Cargill H; Allen, Marshall B

2014-09-01

: The neurosurgery service at the Medical College of Georgia, Georgia Regents University at Augusta has a rich history spanning almost 6 decades. Here, we review the development of neurological surgery as a specialty in Augusta and the history of the Department of Neurosurgery at Georgia Regents University. This article describes some of the early neurosurgeons in the city and those who have contributed to the field and helped to shape the department. Our functional and stereotactic program is emphasized. Our surgical epilepsy program dates back more than a half-century and remains a highly experienced program. We also describe our affiliation with the medical illustration graduate program, which was the first to be accredited and remains 1 of 4 such programs in the world. Finally, we list our alumni, former faculty, and current faculty, as well as the major accomplishments in our first decade as a full department.

[Dr. Henry Wigderson--the first neurosurgeon in Eretz-Israel].

PubMed

Feinsod, Moshe

2006-07-01

The vision of Hadassah Medical Organization and the Hebrew University in Jerusalem was to establish a University Hospital where clinical excellence and high academic level will be the hallmark of its departments. More than seventy years ago, guided by this spirit, the leaders of the two institutions attempted to establish a department of neurosurgery, which, at the time in only a few countries, was making its initial steps as an independent discipline. It was only during World War II that Hadassah could bring over a specialist in neurosurgery who worked for nearly three years in the Hadassah Hospital on Mount Scopus. This article describes the way Dr. Henry Wigderson was selected to be the first neurosurgeon in Eretz-Israel, his activities and the incorporation of the idea, in spite of the disappointment caused by his departure, that even at times of distress, neurosurgery is not a luxury but an indispensable part of an forward-looking medical institution.

Atlas-based system for functional neurosurgery

NASA Astrophysics Data System (ADS)

Nowinski, Wieslaw L.; Yeo, Tseng T.; Yang, Guo L.; Dow, Douglas E.

1997-05-01

This paper addresses the development of an atlas-based system for preoperative functional neurosurgery planning and training, intraoperative support and postoperative analysis. The system is based on Atlas of Stereotaxy of the Human Brain by Schaltenbrand and Wahren used for interactive segmentation and labeling of clinical data in 2D/3D, and for assisting stereotactic targeting. The atlas microseries are digitized, enhanced, segmented, labeled, aligned and organized into mutually preregistered atlas volumes 3D models of the structures are also constructed. The atlas may be interactively registered with the actual patient's data. Several other features are also provided including data reformatting, visualization, navigation, mensuration, and stereotactic path display and editing in 2D/3D. The system increases the accuracy of target definition, reduces the time of planning and time of the procedure itself. It also constitutes a research platform for the construction of more advanced neurosurgery supporting tools and brain atlases.

A brief history of early neuroanesthesia.

PubMed

Chivukula, Srinivas; Grandhi, Ramesh; Friedlander, Robert M

2014-04-01

Two key discoveries in the 19th century--infection control and the development of general anesthesia--provided an impetus for the rapid advancement of surgery, especially within the field of neurosurgery. Improvements in anesthesia and perioperative care, in particular, fostered the development of meticulous surgical technique conducive to the refinement of neuroanatomical understanding and optimization of neurosurgical procedures and outcomes. Yet, even dating back to the earliest times, some form of anesthesia or perioperative pain management was used during neurosurgical procedures. Despite a few reports on anesthesia published around the time of William Morton's now-famous public demonstration of ether anesthesia in 1846, relatively little is known or written of early anesthetics in neurosurgery. In the present article the authors discuss the history of anesthesia pertaining to neurosurgical procedures and draw parallels between the refinements and developments in anesthesia care over time with some of the concomitant advances in neurosurgery.

Evidence-based neurosurgery

PubMed Central

Esene, Ignatius N.; Baeesa, Saleh S.; Ammar, Ahmed

2016-01-01

Medical evidence is obtainable from approaches, which might be descriptive, analytic and integrative and ranked into levels of evidence, graded according to quality and summarized into strengths of recommendation. Sources of evidence range from expert opinions through well-randomized control trials to meta-analyses. The conscientious, explicit, and judicious use of current best evidence in making decisions related to the care of individual patients defines the concept of evidence-based neurosurgery (EBN). We reviewed reference books of clinical epidemiology, evidence-based practice and other previously related articles addressing principles of evidence-based practice in neurosurgery. Based on existing theories and models and our cumulative years of experience and expertise conducting research and promoting EBN, we have synthesized and presented a holistic overview of the concept of EBN. We have also underscored the importance of clinical research and its relationship to EBN. Useful electronic resources are provided. The concept of critical appraisal is introduced. PMID:27356649

Methodology and reporting of meta-analyses in the neurosurgical literature.

PubMed

Klimo, Paul; Thompson, Clinton J; Ragel, Brian T; Boop, Frederick A

2014-04-01

Neurosurgeons are inundated with vast amounts of new clinical research on a daily basis, making it difficult and time-consuming to keep up with the latest literature. Meta-analysis is an extension of a systematic review that employs statistical techniques to pool the data from the literature in order to calculate a cumulative effect size. This is done to answer a clearly defined a priori question. Despite their increasing popularity in the neurosurgery literature, meta-analyses have not been scrutinized in terms of reporting and methodology. The authors performed a literature search using PubMed/MEDLINE to locate all meta-analyses that have been published in the JNS Publishing Group journals (Journal of Neurosurgery, Journal of Neurosurgery: Pediatrics, Journal of Neurosurgery: Spine, and Neurosurgical Focus) or Neurosurgery. Accepted checklists for reporting (PRISMA) and methodology (AMSTAR) were applied to each meta-analysis, and the number of items within each checklist that were satisfactorily fulfilled was recorded. The authors sought to answer 4 specific questions: Are meta-analyses improving 1) with time; 2) when the study met their definition of a meta-analysis; 3) when clinicians collaborated with a potential expert in meta-analysis; and 4) when the meta-analysis was the only focus of the paper? Seventy-two meta-analyses were published in the JNS Publishing Group journals and Neurosurgery between 1990 and 2012. The number of published meta-analyses has increased dramatically in the last several years. The most common topics were vascular, and most were based on observational studies. Only 11 papers were prepared using an established checklist. The average AMSTAR and PRISMA scores (proportion of items satisfactorily fulfilled divided by the total number of eligible items in the respective instrument) were 31% and 55%, respectively. Major deficiencies were identified, including the lack of a comprehensive search strategy, study selection and data extraction, assessment of heterogeneity, publication bias, and study quality. Almost one-third of the papers did not meet our basic definition of a meta-analysis. The quality of reporting and methodology was better 1) when the study met our definition of a meta-analysis; 2) when one or more of the authors had experience or expertise in conducting a meta-analysis; 3) when the meta-analysis was not conducted alongside an evaluation of the authors' own data; and 4) in more recent studies. Reporting and methodology of meta-analyses in the neurosurgery literature is excessively variable and overall poor. As these papers are being published with increasing frequency, neurosurgical journals need to adopt a clear definition of a meta-analysis and insist that they be created using checklists for both reporting and methodology. Standardization will ensure high-quality publications.

[The end of an era. Fourteen radio sketches for the Pink Pills].

PubMed

Lefebvre, Thierry

2015-12-01

Those sketches, restaured by the French "Institut national de l'audiovisuel", are transcribed and analyzed for the first time. They was probably broadcasted during the summer of 1939 by the private station Radio Gard Nîmes.

76 FR 55122 - Distribution of the 2009 Cable Royalty Funds

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-06

... Association of Broadcasters), Music Claimants (represented by American Society of Composers, Authors and Publishers, Broadcast Music, Inc., and SESAC, Inc.), Canadian Claimants, National Public Radio, and the... noncommercial broadcaster-owned programming, religious programming, music, public radio programming, and...

75 FR 66798 - Distribution of the 2008 Cable Royalty Funds

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-29

... Association of Broadcasters), Music Claimants (represented by American Society of Composers, Authors and Publishers, Broadcast Music, Inc., and SESAC, Inc.), Canadian Claimants, National Public Radio, and the... noncommercial broadcaster-owned programming, religious programming, music, public radio programming, and...

Architecture Analysis of Wireless Power Transmission for Lunar Outposts

DTIC Science & Technology

2015-09-01

through his work on wireless communication using radio wave propagation for both transmitting and receiving high frequency electricity using a focusing...Administration nm nanometers NRC National Research Council PGT platform generic technologies PMAD power management and distribution RF radio frequency xiv...GHz (Marzwell 2008). While the slot antenna can handle frequencies between 70 GHz and 150 GHz, it has been optimized for 94 GHz and has a radio

The motion of radio meteor reflection point of Geminids

NASA Astrophysics Data System (ADS)

Ohnishi, Kouji; Ishikawa, Toshiyuki; Hattori, Shinobu; Nishimura, Osamu; Miyazawa, Akiko; Yanagisawa, Masatoshi; Endo, Makoto; Kawamura, Masaki; Maruyama, Toshiyuki; Hosayama, Kai; Tokunaga, Mai; Maegawa, Kimio; Abe, Shinsuke

2001-11-01

Ham-band Radio Observation (HRO) is one of the observational techniques for the forward scatter observation of meteors. We observe the meteor echo with two-element loop antennas (F/B ratio is 10 dB) at the Nagano National College of Technology (Nagano, Japan) using the continuous transmission of beacon signals for meteor observations at 53.750 MHz, 50W from Fukui National College of Technology (Fukui, Japan). To prove that the radio echo is really the echo due to meteor, we have constructed the direction determination system using the paired antennas that can detect the direction roughly where the radio echo come from. The direction of one of this paired antennas was West toward Sabae and the other was East which has proved to be the most sensitive for this research. Using this system, we detected the change of the direction of reflection point of meteor radio signal of Geminids in 2000; from the westward to eastward before and after the culmination of the radiant which is consistent the formula of reflection point of meteors. At the same time, we detected the change of an intensity and a trend of the Doppler shift of meteor echoes. This result is consistent of the meteor wind data of MU Rader of Radio Science Center for Space & Atmosphere (RASC), Kyoto University.

Non-Maximally Decimated Filter Banks Enable Adaptive Frequency Hopping for Unmanned Aircraft Vehicles

NASA Technical Reports Server (NTRS)

Venosa, Elettra; Vermeire, Bert; Alakija, Cameron; Harris, Fred; Strobel, David; Sheehe, Charles J.; Krunz, Marwan

2017-01-01

In the last few years, radio technologies for unmanned aircraft vehicle (UAV) have advanced very rapidly. The increasing need to fly unmanned aircraft systems (UAS) in the national airspace system (NAS) to perform missions of vital importance to national security, defense, and science has pushed ahead the design and implementation of new radio platforms. However, a lot still has to be done to improve those radios in terms of performance and capabilities. In addition, an important aspect to account for is hardware cost and the feasibility to implement these radios using commercial off-the-shelf (COTS) components. UAV radios come with numerous technical challenges and their development involves contributions at different levels of the design. Cognitive algorithms need to be developed in order to perform agile communications using appropriate frequency allocation while maintaining safe and efficient operations in the NAS and, digital reconfigurable architectures have to be designed in order to ensure a prompt response to environmental changes. Command and control (C2) communications have to be preserved during "standard" operations while crew operations have to be minimized. It is clear that UAV radios have to be software-defined systems, where size, weight and power consumption (SWaP) are critical parameters. This paper provides preliminary results of the efforts performed to design a fully digital radio architecture as part of a NASA Phase I STTR. In this paper, we will explain the basic idea and technical principles behind our dynamic/adaptive frequency hopping radio for UAVs. We will present our Simulink model of the dynamic FH radio transmitter design for UAV communications and show simulation results and FPGA system analysis.

Quantification of print, radio and television exposure among previous blood donors in Kenya: an opportunity for encouraging repeat donation in a resource-limited setting?

PubMed

Basavaraju, S V; Mwangi, J; Kellogg, T A; Odawo, L; Marum, L H

2010-10-01

Blood services in sub-Saharan Africa experience blood shortages and low retention of voluntary, non-remunerated donors. To boost collections by encouraging repeat donations, the Kenya National Blood Transfusion Service is exploring the likelihood of reaching previous donors through targeted print, radio and television advertising. We analysed data from a national AIDS Indicator Survey to determine whether previous donors have significant exposure to media. Respondents reporting history of blood donation had significantly higher exposure to print, radio and television media than those without history of blood donation. Targeted media campaigns encouraging repeat donation are likely to reach previous donors even in resource-limited settings.

Sky Survey Provides New Radio View of Universe

NASA Astrophysics Data System (ADS)

2004-10-01

Astronomers using the National Science Foundation's Very Large Array (VLA) have overcome longstanding technical hurdles to map the sky at little-explored radio frequencies that may provide a tantalizing look deep into the early Universe. The scientists have released images and data covering half of the sky visible from the VLA, and hope to complete their survey within a year. Radio Galaxies A "rogues' gallery" of radio galaxy types seen in the VLSS. CREDIT: NRAO/AUI/NSF (Click on Image for Graphics Page) The VLA Low-frequency Sky Survey (VLSS) is producing sky images made at an observing frequency of 74 MHz, a far lower frequency than used for most current radio-astronomy research. "Because of the Earth's ionosphere, such a low frequency has proven very difficult for high-quality imaging, and it is only in the past few years that we have developed the techniques that make a project like the VLSS possible," said Rick Perley, of the National Radio Astronomy Observatory (NRAO) in Socorro, NM. Because the high-quality VLSS images will give astronomers a look at the Universe through what essentially is a new "window," they expect the images to reveal some rare and important objects. "We expect to find very distant radio galaxies -- galaxies spewing jets of material at nearly light speed and powered by supermassive black holes," said Joseph Lazio of the Naval Research Laboratory in Washington, DC. "By determining just how distant these radio galaxies are, we will learn how early the black holes formed in the history of the Universe," he added. Another tantalizing possibility is that the low-frequency images may reveal "halos" and "relics" produced by collisions of galaxies in clusters. If the halos and relics are found in the distant, and thus early, Universe, it will give scientists important clues about the timetable for formation of large-scale structure. In addition, the astronomers hope that the VLSS images may show previously-undiscovered pulsars -- superdense, spinning neutron stars. Massive planets -- "super Jupiters" circling stars beyond the Sun -- also might reveal themselves through bursts of radio emission at the frequency of this survey, the astronomers speculated. Images from the survey are being made available to other scientists as soon as they are completed. The survey will use some 800 hours of VLA observing time. The newly-released images and data are available via the NRAO Web site. "By doing this survey and making the results available, we are bringing low-frequency radio data, previously quite difficult to produce, to all astronomers in a simple and easy manner," Perley said. "We also expect that this survey will spur additional research into objects that scientists find puzzling or interesting," Perley saidd. "We really will have to wait for years to know the full scientific benefit of this survey," he said. In addition to Perley and Lazio, the VLSS team includes James Condon and William Cotton of NRAO; Aaron Cohen and Wendy Lane of the National Research Council and the Naval Research Laboratory; Namir Kassim of the Naval Research Laboratory; and William Erickson of the University of Maryland and University of Tasmania. The National Radio Astronomy Observatory is a facility of the National Science Foundation, operated under cooperative agreement by Associated Universities, Inc.

Observatory Sponsoring Astronomical Image Contest

NASA Astrophysics Data System (ADS)

2005-05-01

Forget the headphones you saw in the Warner Brothers thriller Contact, as well as the guttural throbs emanating from loudspeakers at the Very Large Array in that 1997 movie. In real life, radio telescopes aren't used for "listening" to anything - just like visible-light telescopes, they are used primarily to make images of astronomical objects. Now, the National Radio Astronomy Observatory (NRAO) wants to encourage astronomers to use radio-telescope data to make truly compelling images, and is offering cash prizes to winners of a new image contest. Radio Galaxy Fornax A Radio Galaxy Fornax A Radio-optical composite image of giant elliptical galaxy NGC 1316, showing the galaxy (center), a smaller companion galaxy being cannibalized by NGC 1316, and the resulting "lobes" (orange) of radio emission caused by jets of particles spewed from the core of the giant galaxy Click on image for more detail and images CREDIT: Fomalont et al., NRAO/AUI/NSF "Astronomy is a very visual science, and our radio telescopes are capable of producing excellent images. We're sponsoring this contest to encourage astronomers to make the extra effort to turn good images into truly spectacular ones," said NRAO Director Fred K.Y. Lo. The contest, offering a grand prize of $1,000, was announced at the American Astronomical Society's meeting in Minneapolis, Minnesota. The image contest is part of a broader NRAO effort to make radio astronomical data and images easily accessible and widely available to scientists, students, teachers, the general public, news media and science-education professionals. That effort includes an expanded image gallery on the observatory's Web site. "We're not only adding new radio-astronomy images to our online gallery, but we're also improving the organization and accessibility of the images," said Mark Adams, head of education and public outreach (EPO) at NRAO. "Our long-term goal is to make the NRAO Image Gallery an international resource for radio astronomy imagery and to provide a showcase for a broad range of astronomical research and celestial objects," Adams added. In addition, NRAO is developing enhanced data visualization techniques and data-processing recipes to assist radio astronomers in making quality images and in combining radio data with data collected at other wavelengths, such as visible-light or infrared, to make composite images. "We encourage all our telescope users to take advantage of these techniques to showcase their research," said Juan Uson, a member of the NRAO scientific staff and the observatory's EPO scientist. "All these efforts should demonstrate the vital and exciting roles that radio telescopes, radio observers, and the NRAO play in modern astronomy," Lo said. "While we want to encourage images that capture the imagination, we also want to emphasize that extra effort invested in enhanced imagery also will certainly pay off scientifically, by revealing subtleties and details that may have great significance for our understanding of astronomical objects," he added. Details of the NRAO Image Contest, which will become an annual event, are on the observatory's Web site. The observatory will announce winners on October 15. The National Radio Astronomy Observatory is a facility of the National Science Foundation, operated under cooperative agreement by Associated Universities, Inc.

Development of an Animal Model of Thoracolumbar Burst Fracture Induced Acute Spinal Cord Injury

DTIC Science & Technology

2015-05-01

Department of Neurosurgery 600 N. Wolfe St., Meyer 5-185 Baltimore, MD 21287 AND ADDRESS(ES) 8. PERFORMING ORGANIZATION REPORT NUMBER rtment of...Neurosurgery 600 N. Wolfe St., Meyer 5-185 9. SPONSORING / MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSOR/MONITOR’S ACRONYM(S) U.S. Army...impactor and mounting platform were fabricated to be placed anteriorly or posteriorly over a large animal (e.g., pig, sheep, dog ). Repeated impacts

Optimal eye movement strategies: a comparison of neurosurgeons gaze patterns when using a surgical microscope.

PubMed

Eivazi, Shahram; Hafez, Ahmad; Fuhl, Wolfgang; Afkari, Hoorieh; Kasneci, Enkelejda; Lehecka, Martin; Bednarik, Roman

2017-06-01

Previous studies have consistently demonstrated gaze behaviour differences related to expertise during various surgical procedures. In micro-neurosurgery, however, there is a lack of evidence of empirically demonstrated individual differences associated with visual attention. It is unknown exactly how neurosurgeons see a stereoscopic magnified view in the context of micro-neurosurgery and what this implies for medical training. We report on an investigation of the eye movement patterns in micro-neurosurgery using a state-of-the-art eye tracker. We studied the eye movements of nine neurosurgeons while performing cutting and suturing tasks under a surgical microscope. Eye-movement characteristics, such as fixation (focus level) and saccade (visual search pattern), were analysed. The results show a strong relationship between the level of microsurgical skill and the gaze pattern, whereas more expertise is associated with greater eye control, stability, and focusing in eye behaviour. For example, in the cutting task, well-trained surgeons increased their fixation durations on the operating field twice as much as the novices (expert, 848 ms; novice, 402 ms). Maintaining steady visual attention on the target (fixation), as well as being able to quickly make eye jumps from one target to another (saccades) are two important elements for the success of neurosurgery. The captured gaze patterns can be used to improve medical education, as part of an assessment system or in a gaze-training application.

Do patients with brain metastases selected for whole brain radiotherapy have worse baseline quality of life as compared to those for radiosurgery or neurosurgery (with or without whole brain radiotherapy)?

PubMed

Chow, Ronald; Tsao, May; Pulenzas, Natalie; Zhang, Liying; Sahgal, Arjun; Cella, David; Soliman, Hany; Danjoux, Cyril; DeAngelis, Carlo; Vuong, Sherlyn; Chow, Edward

2016-01-01

The purpose was to examine the baseline characteristics, symptoms and quality of life (QOL) in patients who receive different treatments for brain metastases. Eligible patients were divided and analysed based on their treatment: whole brain radiotherapy (WBRT) alone versus stereotactic radiosurgery (SRS) or neurosurgery with or without WBRT. The Functional Assessment of Cancer Therapy-Brain (FACT-Br) items were grouped according to different domains for summary scores. The domains used for summary scores were physical, social/family, emotional, functional well-being (FWB) and additional concerns. A total of 120 patients were enrolled, with 37 treated with WBRT alone and 83 with SRS or neurosurgery with or without WBRT. Of the 50 baseline FACT-Br items, only five items (I feel ill; I get support from my friends; I worry about dying; I have difficulty expressing my thoughts, I am able to put my thoughts into action) were statistically worse in patients treated with WBRT alone (P<0.05). Patients who received SRS or surgery with or without WBRT had statistically (P<0.05) higher scores for the FWB domain, additional concerns domain, and FACT-G total scores, indicating better QOL. Patients selected for WBRT alone reported statistically different baseline QOL as compared to patients who were treated with SRS or neurosurgery (with or without WBRT).

Man, mind, and machine: the past and future of virtual reality simulation in neurologic surgery.

PubMed

Robison, R Aaron; Liu, Charles Y; Apuzzo, Michael L J

2011-11-01

To review virtual reality in neurosurgery, including the history of simulation and virtual reality and some of the current implementations; to examine some of the technical challenges involved; and to propose a potential paradigm for the development of virtual reality in neurosurgery going forward. A search was made on PubMed using key words surgical simulation, virtual reality, haptics, collision detection, and volumetric modeling to assess the current status of virtual reality in neurosurgery. Based on previous results, investigators extrapolated the possible integration of existing efforts and potential future directions. Simulation has a rich history in surgical training, and there are numerous currently existing applications and systems that involve virtual reality. All existing applications are limited to specific task-oriented functions and typically sacrifice visual realism for real-time interactivity or vice versa, owing to numerous technical challenges in rendering a virtual space in real time, including graphic and tissue modeling, collision detection, and direction of the haptic interface. With ongoing technical advancements in computer hardware and graphic and physical rendering, incremental or modular development of a fully immersive, multipurpose virtual reality neurosurgical simulator is feasible. The use of virtual reality in neurosurgery is predicted to change the nature of neurosurgical education, and to play an increased role in surgical rehearsal and the continuing education and credentialing of surgical practitioners. Copyright © 2011 Elsevier Inc. All rights reserved.

Radiation protection measures: Implications on the design of neurosurgery operating rooms.

PubMed

Delgado-López, Pedro David; Sánchez-Jiménez, Javier; Herrero-Gutiérrez, Ana Isabel; Inclán-Cuesta, María Teresa; Corrales-García, Eva María; Martín-Alonso, Javier; Galacho-Harriero, Ana María; Rodríguez-Salazar, Antonio

To describe pros and cons of some radiation protection measures and the implications on the design of a neurosurgery operating room. Concurring with the acquisition and use of an O-arm device, a structural remodeling of our neurosurgery operating room was carried out. The theater was enlarged, the shielding was reinforced and a foldable leaded screen was installed inside the operating room. Radiation doses were measured in front of and behind the screen. The screen provides whole-body radiation protection for all the personnel inside the theater (effective dose <5μSv at 2,5 m from the gantry per O-arm exploration; 0,0μSv received behind the screen per O-arm exploration; and undetectable cumulative annual radiation dose behind the screen), obviates the need for leaded aprons and personal dosimeters, and minimizes the circulation of personnel. Enlarging the size of the operating room allows storing the equipment inside and minimizes the risk of collision and contamination. Rectangular rooms provide greater distance from the source of radiation. Floor, ceiling and walls shielding, a rectangular-shaped and large enough theater, the presence of a foldable leaded screen, and the security systems precluding an unexpected irruption into the operating room during irradiation are relevant issues to consider when designing a neurosurgery operating theater. Copyright © 2018 Sociedad Española de Neurocirugía. Publicado por Elsevier España, S.L.U. All rights reserved.

The 2017 AANS Presidential Address. A world of innovation.

PubMed

Boop, Frederick A

2017-12-01

The 2016 scientific meeting of the American Association of Neurological Surgeons (AANS) focused on the theme "A World of Innovation." In his presidential address, 2016 AANS President Frederick Boop compared the historical development of the specialty of neurological surgery with that of the development of global communications. In the early years, general surgeons training in the United States would spend post-residency time abroad learning from surgical masters in Europe and other places. Since Harvey Cushing's day, neurosurgeons from around the world continue to travel abroad, with many now coming to America for training at centers of excellence. Current clinical practice is defined by multi-national, multi-center clinical trials, and the AANS subsidiary NeuroPoint Alliance has positioned itself to serve as an international center for the oversight of such trials. The Neurosurgery Research & Education Foundation and the Journal of Neurosurgery Publishing Group have made it possible for a neurosurgeon anywhere with Internet access to learn relevant surgical anatomy, learn new neurosurgical procedures, and watch masters in the field perform operations via high-definition surgical videos at no cost via learning platforms such as the Rhoton Collection, the Neurosurgical Atlas, and Neurosurgical Focus video supplements. At the same time, patients are now traveling abroad to seek medical specialty care. Although the globalization of health care poses certain threats, it also presents neurosurgeons with a world of opportunities.

Neurosurgery certification in member societies of the World Federation of Neurosurgical Societies: Asia.

PubMed

Gasco, Jaime; Braun, Jonathan D; McCutcheon, Ian E; Black, Peter M

2011-01-01

To objectively compare the complexity and diversity of the certification process in neurological surgery in member societies of the World Federation of Neurosurgical Societies. This study centers in continental Asia. We provide here an analysis based on the responses provided to a 13-item survey. The data received were analyzed, and three Regional Complexity Scores (RCS) were designed. To compare national board experience, eligibility requirements for access to the certification process, and the obligatory nature of the examinations, an RCS-Organizational score was created (20 points maximum). To analyze the complexity of the examination, an RCS-Components score was designed (20 points maximum). The sum of both is presented in a Global RCS score. Only those countries that responded to the survey and presented nationwide homogeneity in the conduction of neurosurgery examinations could be included within the scoring system. In addition, a descriptive summary of the certification process per responding society is also provided. On the basis of the data provided by our RCS system, the highest global RCS was achieved by South Korea and Malaysia (21/40 points) followed by the joint examination of Singapore and Hong-Kong (FRCS-Ed) (20/40 points), Japan (17/40 points), the Philippines (15/40 points), and Taiwan (13 points). The experience from these leading countries should be of value to all countries within Asia. Copyright © 2011 Elsevier Inc. All rights reserved.

WWVB: A Half Century of Delivering Accurate Frequency and Time by Radio

PubMed Central

Lombardi, Michael A; Nelson, Glenn K

2014-01-01

In commemoration of its 50th anniversary of broadcasting from Fort Collins, Colorado, this paper provides a history of the National Institute of Standards and Technology (NIST) radio station WWVB. The narrative describes the evolution of the station, from its origins as a source of standard frequency, to its current role as the source of time-of-day synchronization for many millions of radio controlled clocks. PMID:26601026

Unmanned Aircraft Systems (UAS) Integration in the National Airspace System (NAS) Project

NASA Technical Reports Server (NTRS)

Griner, James H.

2013-01-01

NASA's UAS Integration in the NAS project, has partnered with Rockwell Collins to develop a concept Control and Non-Payload Communication system prototype radio, operating on recently allocated UAS frequency spectrum bands. The prototype radio will be used to validate initial proposed performance requirements for UAS control communications. This presentation will give an overview of the current status of the design, development, and flight test planning for this prototype radio.

78 FR 42452 - Safety Zone; Kentucky Air National Guard Vessel for Parachute Rescue Jumpmaster Training, Lake...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-16

... Mariners will be made via radio prior to all jump evolutions. This moving safety zone will encompass all... public will be made via radio prior to all jump evolutions. (c) Regulations. (1) In accordance with the...

47 CFR 2.948 - Description of measurement facilities.

Code of Federal Regulations, 2012 CFR

2012-10-01

...-2001, entitled “American National Standard for Methods of Measurement of Radio-Noise Emissions from Low... 47 Telecommunication 1 2012-10-01 2012-10-01 false Description of measurement facilities. 2.948 Section 2.948 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL FREQUENCY ALLOCATIONS AND RADIO...

47 CFR 2.948 - Description of measurement facilities.

Code of Federal Regulations, 2013 CFR

2013-10-01

...-2001, entitled “American National Standard for Methods of Measurement of Radio-Noise Emissions from Low... 47 Telecommunication 1 2013-10-01 2013-10-01 false Description of measurement facilities. 2.948 Section 2.948 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL FREQUENCY ALLOCATIONS AND RADIO...

47 CFR 2.948 - Description of measurement facilities.

Code of Federal Regulations, 2014 CFR

2014-10-01

...-2001, entitled “American National Standard for Methods of Measurement of Radio-Noise Emissions from Low... 47 Telecommunication 1 2014-10-01 2014-10-01 false Description of measurement facilities. 2.948 Section 2.948 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL FREQUENCY ALLOCATIONS AND RADIO...

47 CFR 2.948 - Description of measurement facilities.

Code of Federal Regulations, 2011 CFR

2011-10-01

...-2001, entitled “American National Standard for Methods of Measurement of Radio-Noise Emissions from Low... 47 Telecommunication 1 2011-10-01 2011-10-01 false Description of measurement facilities. 2.948 Section 2.948 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL FREQUENCY ALLOCATIONS AND RADIO...

The Miyun 50 m Pulsar Radio Telescope

NASA Astrophysics Data System (ADS)

Jin, C.; Cao, Y.; Chen, H.; Gao, J.; Gao, L.; Kong, D.; Su, Y.; Wang, M.

2006-12-01

The National Astronomical Observatories, Chinese Academy of Sciences is now building a 50 m radio telescope at the Miyun Station. In this paper, we give a brief introduction to the Miyun Station. The main specifications and the status of construction of the 50 m radio telescope are described. We are now building an L-band pulsar receiver for this new 50 m telescope. The status of this receiver project is also described. The 50 m telescope, together with the pulsar receiver, will make it a powerful radio telescope to carry out pulsar observations and researches in the near future.

Minimalism in Art, Medical Science and Neurosurgery.

PubMed

Okten, Ali Ihsan

2018-01-01

The word "minimalism" is a word derived from French the word "minimum". Whereas the lexical meaning of minimum is "the least or the smallest quantity necessary for something", its expression in mathematics can be described as "the lowest step a variable number can descend, least, minimal". Minimalism, which advocates an extreme simplicity of the artistic form, is a current in modern art and music whose origins go to 1960s and which features simplicity and objectivity. Although art, science and philosophy are different disciplines, they support each other from time to time, sometimes they intertwine and sometimes they copy each other. A periodic schools or teaching in one of them can take the others into itself, so, they proceed on their ways empowering each other. It is also true for the minimalism in art and the minimal invasive surgical approaches in science. Concepts like doing with less, avoiding unnecessary materials and reducing the number of the elements in order to increase the effect in the expression which are the main elements of the minimalism in art found their equivalents in medicine and neurosurgery. Their equivalents in medicine or neurosurgery have been to protect the physical integrity of the patient with less iatrogenic injury, minimum damage and the same therapeutic effect in the most effective way and to enable the patient to regain his health in the shortest span of time. As an anticipation, we can consider that the minimal approaches started by Richard Wollheim and Barbara Rose in art and Lars Leksell, Gazi Yaşargil and other neurosurgeons in neurosurgery in the 1960s are the present day equivalents of the minimalist approaches perhaps unconsciously started by Kazimir Malevich in art and Victor Darwin L"Espinasse in neurosurgery in the early 1900s. We can also consider that they have developed interacting with each other, not by chance.

[Prolonged weaning during early neurological and neurosurgical rehabilitation : S2k guideline published by the Weaning Committee of the German Neurorehabilitation Society (DGNR)].

PubMed

Rollnik, J D; Adolphsen, J; Bauer, J; Bertram, M; Brocke, J; Dohmen, C; Donauer, E; Hartwich, M; Heidler, M D; Huge, V; Klarmann, S; Lorenzl, S; Lück, M; Mertl-Rötzer, M; Mokrusch, T; Nowak, D A; Platz, T; Riechmann, L; Schlachetzki, F; von Helden, A; Wallesch, C W; Zergiebel, D; Pohl, M

2017-06-01

Prolonged weaning of patients with neurological or neurosurgery disorders is associated with specific characteristics, which are taken into account by the German Society for Neurorehabilitation (DGNR) in its own guideline. The current S2k guideline of the German Society for Pneumology and Respiratory Medicine is referred to explicitly with regard to definitions (e.g., weaning and weaning failure), weaning categories, pathophysiology of weaning failure, and general weaning strategies. In early neurological and neurosurgery rehabilitation, patients with central of respiratory regulation disturbances (e.g., cerebral stem lesions), swallowing disturbances (neurogenic dysphagia), neuromuscular problems (e.g., critical illness polyneuropathy, Guillain-Barre syndrome, paraplegia, Myasthenia gravis) and/or cognitive disturbances (e.g., disturbed consciousness and vigilance disorders, severe communication disorders), whose care during the weaning of ventilation requires, in addition to intensive medical competence, neurological or neurosurgical and neurorehabilitation expertise. In Germany, this competence is present in centers of early neurological and neurosurgery rehabilitation, as a hospital treatment. The guideline is based on a systematic search of guideline databases and MEDLINE. Consensus was established by means of a nominal group process and Delphi procedure moderated by the Association of the Scientific Medical Societies in Germany (AWMF). In the present guideline of the DGNR, the special structural and substantive characteristics of early neurological and neurosurgery rehabilitation and existing studies on weaning in early rehabilitation facilities are examined.Addressees of the guideline are neurologists, neurosurgeons, anesthesiologists, palliative physicians, speech therapists, intensive care staff, ergotherapists, physiotherapists, and neuropsychologists. In addition, this guideline is intended to provide information to specialists for physical medicine and rehabilitation (PMR), pneumologists, internists, respiratory therapists, the German Medical Service of Health Insurance Funds (MDK) and the German Association of Health Insurance Funds (MDS). The main goal of this guideline is to convey the current knowledge on the subject of "Prolonged weaning in early neurological and neurosurgery rehabilitation".

Virtual reality training in neurosurgery: Review of current status and future applications

PubMed Central

Alaraj, Ali; Lemole, Michael G.; Finkle, Joshua H.; Yudkowsky, Rachel; Wallace, Adam; Luciano, Cristian; Banerjee, P. Pat; Rizzi, Silvio H.; Charbel, Fady T.

2011-01-01

Background: Over years, surgical training is changing and years of tradition are being challenged by legal and ethical concerns for patient safety, work hour restrictions, and the cost of operating room time. Surgical simulation and skill training offer an opportunity to teach and practice advanced techniques before attempting them on patients. Simulation training can be as straightforward as using real instruments and video equipment to manipulate simulated “tissue” in a box trainer. More advanced virtual reality (VR) simulators are now available and ready for widespread use. Early systems have demonstrated their effectiveness and discriminative ability. Newer systems enable the development of comprehensive curricula and full procedural simulations. Methods: A PubMed review of the literature was performed for the MESH words “Virtual reality, “Augmented Reality”, “Simulation”, “Training”, and “Neurosurgery”. Relevant articles were retrieved and reviewed. A review of the literature was performed for the history, current status of VR simulation in neurosurgery. Results: Surgical organizations are calling for methods to ensure the maintenance of skills, advance surgical training, and credential surgeons as technically competent. The number of published literature discussing the application of VR simulation in neurosurgery training has evolved over the last decade from data visualization, including stereoscopic evaluation to more complex augmented reality models. With the revolution of computational analysis abilities, fully immersive VR models are currently available in neurosurgery training. Ventriculostomy catheters insertion, endoscopic and endovascular simulations are used in neurosurgical residency training centers across the world. Recent studies have shown the coloration of proficiency with those simulators and levels of experience in the real world. Conclusion: Fully immersive technology is starting to be applied to the practice of neurosurgery. In the near future, detailed VR neurosurgical modules will evolve to be an essential part of the curriculum of the training of neurosurgeons. PMID:21697968

Neurosurgical Skills Assessment: Measuring Technical Proficiency in Neurosurgery Residents Through Intraoperative Video Evaluations.

PubMed

Sarkiss, Christopher A; Philemond, Steven; Lee, James; Sobotka, Stanislaw; Holloway, Terrell D; Moore, Maximillian M; Costa, Anthony B; Gordon, Errol L; Bederson, Joshua B

2016-05-01

Although technical skills are fundamental in neurosurgery, there is little agreement on how to describe, measure, or compare skills among surgeons. The primary goal of this study was to develop a quantitative grading scale for technical surgical performance that distinguishes operator skill when graded by domain experts (residents, attendings, and nonsurgeons). Scores provided by raters should be highly reliable with respect to scores from other observers. Neurosurgery residents were fitted with a head-mounted video camera while performing craniotomies under attending supervision. Seven videos, 1 from each postgraduate year (PGY) level (1-7), were anonymized and scored by 16 attendings, 8 residents, and 7 nonsurgeons using a grading scale. Seven skills were graded: incision, efficiency of instrument use, cauterization, tissue handling, drilling/craniotomy, confidence, and training level. A strong correlation was found between skills score and PGY year (P < 0.001, analysis of variance). Junior residents (PGY 1-3) had significantly lower scores than did senior residents (PGY 4-7, P < 0.001, t test). Significant variation among junior residents was observed, and senior residents' scores were not significantly different from one another. Interrater reliability, measured against other observers, was high (r = 0.581 ± 0.245, Spearman), as was assessment of resident training level (r = 0.583 ± 0.278, Spearman). Both variables were strongly correlated (r = 0.90, Pearson). Attendings, residents, and nonsurgeons did not score differently (P = 0.46, analysis of variance). Technical skills of neurosurgery residents recorded during craniotomy can be measured with high interrater reliability. Surgeons and nonsurgeons alike readily distinguish different skill levels. This type of assessment could be used to coach residents, to track performance over time, and potentially to compare skill levels. Developing an objective tool to evaluate surgical performance would be useful in several areas of neurosurgery education. Copyright © 2016 Elsevier Inc. All rights reserved.

[Changing the teaching of neurosurgery with information technology].

PubMed

Moreau, Jean-Jacques; Caire, François; Kalamarides, Michel; Mireau, Etienne; Dauger, Frédéric; Coignac, Marie-Jo; Charlin, Bernard

2009-10-01

A digital campus is a distance learning site that uses the potential of information and communication technologies to disseminate and improve educational services. This website, with open and free access, is built from free software with Web 2.0 technology. It is hosted at the University of Limoges. It functions as a digital library, containing scanned books, slide shows, more than 200 hours of recorded courses and round tables accessible by streaming video. The site is indexed according to the users' needs, by level of knowledge, specialty, keywords, and supplementary MeSH terms. The campus is organized as the College of Neurosurgery (http://college.neurochirurgie.fr). The durability of this type of training (in existence for 9 years now) is made possible by a powerful and committed consortium: the French Society of Neurosurgery, which has created high-quality intellectual and scientific resources, the University of Limoges, the Dupuytren University Hospital Center in Limoges, the region of Limousin, and the French-language Virtual Medical University, which have provided logistic and financial support. To target appropriate levels at various users, we distinguished four groups: medical students, neurosurgery students, neurosurgeons (continuing medical education), and students in allied health fields. All areas of neurosurgery are concerned. All the courses, including tests for self-evaluation and scientific meetings (organized with information and communication technologies) are digitally recorded for the site. The principles that make it possible for a medical discipline to organize around an online project are: a pedagogical conception of projects built in the form of models reusable by other health specialties; a stronghold within professional societies of the relevant specialties able to create high-quality intellectual and scientific resources; an organization by educational levels that can be extended transversally to other health disciplines; and free access to the digital campus, the durability of which depends on the dissemination and dynamism of its consortium.

Medical school and residency influence on choice of an academic career and academic productivity among neurosurgery faculty in the United States. Clinical article.

PubMed

Campbell, Peter G; Awe, Olatilewa O; Maltenfort, Mitchell G; Moshfeghi, Darius M; Leng, Theodore; Moshfeghi, Andrew A; Ratliff, John K

2011-08-01

Factors determining choice of an academic career in neurological surgery are unclear. This study seeks to evaluate the graduates of medical schools and US residency programs to determine those programs that produce a high number of graduates remaining within academic programs and the contribution of these graduates to academic neurosurgery as determined by h-index valuation. Biographical information from current faculty members of all accredited neurosurgery training programs in the US with departmental websites was obtained. Any individual who did not have an American Board of Neurological Surgery certificate (or was not board eligible) was excluded. The variables collected included medical school attended, residency program completed, and current academic rank. For each faculty member, Web of Science and Scopus h-indices were also collected. Ninety-seven academic neurosurgery departments with 986 faculty members were analyzed. All data regarding training program and medical school education were compiled and analyzed by center from which each faculty member graduated. The 20 medical schools and neurosurgical residency training programs producing the greatest number of graduates remaining in academic practice, and the respective individuals' h-indices, are reported. Medical school graduates of the Columbia University College of Physicians and Surgeons chose to enter academics the most frequently. The neurosurgery training program at the University of Pittsburgh produced the highest number of academic neurosurgeons in this sample. The use of quantitative measures to evaluate the academic productivity of medical school and residency graduates may provide objective measurements by which the subjective influence of training experiences on choice of an academic career may be inferred. The top 3 residency training programs were responsible for 10% of all academic neurosurgeons. The influence of medical school and residency experiences on choice of an academic career may be significant.

Mythological and Prehistorical Origins of Neurosurgery.

PubMed

Nanda, Anil; Filis, Andreas; Kalakoti, Piyush

2016-05-01

Mythology has a cultural appeal, and the description of some neurosurgical procedures in the Hindu, Greek, Egyptian, and Chinese mythology has a bearing to the origins of our professions. The traces to some of our modern-day practices also can be linked back to the ancient prehistoric eras of the Siberian, Persian, and the Andean region. In this historical perspective, we briefly dwell into individual accounts through the prism of different cultures to highlight the development of neurosurgery in mythology and prehistoric era. Published by Elsevier Inc.

Medical Department, United States Army. Surgery in World War 2. Neurosurgery. Volume 2

DTIC Science & Technology

1959-01-01

that there was no obstruction distal to the opening. They might close spontaneously in either area. If the fistula was small and spontaneous closure did...States Army Editor in Chief Colonel JOHN BOYD COATES, Jr ., MC Editors for Neurosurgery R. GLEN SPURLING, M.D. BARNES WOODHALL, M.D. Associate Editor...M.D. M. ELAOT RANDOLPH, M.D. STERLING BUNNELL, M.D. (dec.) ISIDOR S. RAVDIN, M.D. NORTON CANFIELD, M.D. ALFRED R. SHANDS, Jr ., M.D. B. NOLAND CARTER

Television/Radio News and Minorities.

ERIC Educational Resources Information Center

Browne, Donald R.; And Others

Pointing out that television sets are virtually a universal household fixture in most industrially developed nations, this book presents many categories and specific examples of television's (and sometimes radio's) coverage of ethnic minorities and conflict. Chapters in the book are: (1) Introduction; (2) Background Notes; (3) Mainstream vs.…

Kashima 34-m Radio Telescope

NASA Technical Reports Server (NTRS)

Sekido, Mamoru; Kawai, Eiji

2013-01-01

The Kashima 34-m radio telescope has been continuously operated and maintained by the National Institute of Information and Communications Technology (NICT) as a facility of the Kashima Space Technology Center (KSTC) in Japan. This brief report summarizes the status of this telescope, the staff, and activities during 2012.

The Quiet Skies Project

ERIC Educational Resources Information Center

Rapp, Steve

2008-01-01

To help promote student awareness of the connection between radio astronomy and radio frequency interference (RFI), an inquiry-based science curriculum was developed to allow high school students to determine RFI levels in their communities. The Quiet Skies Project--the result of a collaboration between the National Aeronautics and Space…

New Images Show Unprecedented Detail of Neighbor Galaxy's Gas

NASA Astrophysics Data System (ADS)

2001-01-01

Using radio telescopes in the United States and Europe, astronomers have made the most detailed images ever of Hydrogen gas in a spiral galaxy other than the Milky Way. The scientists used the National Science Foundation's Very Large Array (VLA) radio telescope in New Mexico and the Westerbork Synthesis Radio Telescope (WSRT) in the Netherlands to produce an image of the galaxy M33, known to amateur astronomers as the Pinwheel Galaxy. Doppler-Shift Image of M33's Gas "An image with the level of detail we have achieved opens the door to learning fundamental new facts about the relationship between massive stars and the galaxy's complicated gaseous environment. This, in turn, will help us better understand how galaxies age," said David Thilker, of the National Radio Astronomy Observatory (NRAO) in Socorro, NM. Thilker worked with Robert Braun of the Netherlands Foundation for Research in Astronomy and Rene Walterbos of New Mexico State University in Las Cruces. The scientists reported their findings today at the American Astronomical Society's meeting in San Diego, CA. The VLA and WSRT received radio waves at a wavelength of 21 centimeters that are naturally emitted by Hydrogen atoms. Using this data, the astronomers produced images showing the distribution of neutral atomic Hydrogen in M33. In addition, because the atoms emit at a very specific wavelength, the scientists could detect the galaxy's rotation by tuning the telescopes' radio receivers to receive radio waves whose length has been changed by Doppler shifting. The new images show details of the galaxy smaller than 130 light-years. "With more computer processing, we will be able to see features as small as 65 light-years," Thilker said. "This, we believe, will allow us to see 'bubbles' in the galaxy's gas that have been inflated as the result of one or more supernova explosions," Thilker added. At a distance from Earth of about 2.7 million light-years, M33 is a member of the Local Group of galaxies, which also includes our own Milky Way and the Andromeda Galaxy. With a diameter of about 60,000 light-years, it is roughly half the size of the Milky Way. Under vary dark skies, people with excellent vision can see M33 with the unaided eye. With common amateur telescopes, its spiral arms can be seen. The National Radio Astronomy Observatory is a facility of the National Science Foundation, operated under cooperative agreement by Associated Universities, Inc.

A COTS RF Optical Software Defined Radio for the Integrated Radio and Optical Communications Test Bed

NASA Technical Reports Server (NTRS)

Nappier, Jennifer M.; Zeleznikar, Daniel J.; Wroblewski, Adam C.; Tokars, Roger P.; Schoenholz, Bryan L.; Lantz, Nicholas C.

2016-01-01

The Integrated Radio and Optical Communications (iROC) project at the National Aeronautics and Space Administration (NASA) is investigating the merits of a hybrid radio frequency (RF) and optical communication system for deep space missions. In an effort to demonstrate the feasibility and advantages of a hybrid RFOptical software defined radio (SDR), a laboratory prototype was assembled from primarily commercial-off-the-shelf (COTS) hardware components. This COTS platform has been used to demonstrate simultaneous transmission of the radio and optical communications waveforms through to the physical layer (telescope and antenna). This paper details the hardware and software used in the platform and various measures of its performance. A laboratory optical receiver platform has also been assembled in order to demonstrate hybrid free space links in combination with the transmitter.

A COTS RF/Optical Software Defined Radio for the Integrated Radio and Optical Communications Test Bed

NASA Technical Reports Server (NTRS)

Nappier, Jennifer M.; Zeleznikar, Daniel J.; Wroblewski, Adam C.; Tokars, Roger P.; Schoenholz, Bryan L.; Lantz, Nicholas C.

2017-01-01

The Integrated Radio and Optical Communications (iROC) project at the National Aeronautics and Space Administration (NASA) is investigating the merits of a hybrid radio frequency (RF) and optical communication system for deep space missions. In an effort to demonstrate the feasibility and advantages of a hybrid RF/Optical software defined radio (SDR), a laboratory prototype was assembled from primarily commercial-off-the-shelf (COTS) hardware components. This COTS platform has been used to demonstrate simultaneous transmission of the radio and optical communications waveforms through to the physical layer (telescope and antenna). This paper details the hardware and software used in the platform and various measures of its performance. A laboratory optical receiver platform has also been assembled in order to demonstrate hybrid free space links in combination with the transmitter.

Spacecraft VHF Radio Propagation Analysis in Ocean Environments Including Atmospheric Effects

NASA Technical Reports Server (NTRS)

Hwu, Shian; Moreno, Gerardo; Desilva, Kanishka; Jih, CIndy

2010-01-01

The Communication Systems Simulation Laboratory (CSSL) at the National Aeronautics and Space Administration (NASA)/Johnson Space Center (JSC) is tasked to perform spacecraft and ground network communication system simulations. The CSSL has developed simulation tools that model spacecraft communication systems and the space/ground environment in which they operate. This paper is to analyze a spacecraft's very high frequency (VHF) radio signal propagation and the impact to performance when landing in an ocean. Very little research work has been done for VHF radio systems in a maritime environment. Rigorous Radio Frequency (RF) modeling/simulation techniques were employed for various environmental effects. The simulation results illustrate the significance of the environmental effects on the VHF radio system performance.

Worldwide academic contributions of Japanese neurosurgeons.

PubMed

Sasaki, Tomio; Hashiguchi, Kimiaki; Yoshimoto, Koji; Nakamizo, Akira; Mizoguchi, Masahiro

2011-01-01

Based on the data reported in the National Institute of Science and Technology Policy 2010, Japan is ranked in fourth place in the world in terms of the numbers of the articles in the fields of clinical medicine. However, there had not been any objective data regarding the numbers of publications by neurosurgeons. As it is important for neurosurgeons to realize the extent of academic contributions by the neurosurgeons in different countries, the numbers of publications in the major journals by the members of the Japan Neurosurgical Society and those from neurosurgical institutions around the world were analyzed using both the biomedical literature database PubMed and the publication database "ISI Web of Knowledge." Parts of the results were presented in the 69th Annual Meeting of the Japan Neurosurgical Society. As to the number of neurosurgical publications in English from the top 9 countries, the US has been consistently in first place and Japan in second. However, the number of publications from Japan has been decreasing since 2000. With regards to the "top 8 journals" such as the Lancet and the Journal of the American Medical Association, the number of first-author publications by Japanese neurosurgeons increased in the late 1980s and had been 2-9 articles per year until recently. In the "top 12 neuroscience journals" which include Stroke, Neuro-Oncology, Cancer Research, and others, Japan had been in the third next to the US and UK till 2004, but Germany surpassed Japan in 2005. In the "top 6 clinical journals" such as the Journal of Neurosurgery and Neurosurgery, the US has been consistently keeping first place and Japan second place since 1977. Searches using the key word elucidated that Japanese neurosurgeons are greatly contributing in the field of "aneurysm." Regarding the number of publications per neurosurgeon, Canada and UK are in the forefront and Japan is down to eighth place. Japanese neurosurgeons have been contributing greatly next to the Americans to the field of clinical neurosurgery and neuroscience by publishing in English. However, the number of publications by Japanese neurosurgeons has been declining since 2000. The Japan Neurosurgical Society must come up with countermeasures to address this problem.

Maria Auxiliadora Hospital in Lima, Peru as a model for neurosurgical outreach to international charity hospitals.

PubMed

Hayden, Melanie G; Hughes, Samuel; Hahn, Edward J; Aryan, Henry E; Levy, Michael L; Jandial, Rahul

2011-01-01

A myriad of geopolitical and financial obstacles have kept modern neurosurgery from effectively reaching the citizens of the developing world. Targeted neurosurgical outreach by academic neurosurgeons to equip neurosurgical operating theaters and train local neurosurgeons is one method to efficiently and cost effectively improve sustainable care provided by international charity hospitals. The International Neurosurgical Children's Association (INCA) effectively improved the available neurosurgical care in the Maria Auxiliadora Hospital of Lima, Peru through the advancement of local specialist education and training. Neurosurgical equipment and training were provided for the local neurosurgeons by a mission team from the University of California at San Diego. At the end of 3 years, with one intensive week trip per year, the host neurosurgeons were proficiently and independently applying microsurgical techniques to previously performed operations, and performing newly learned operations such as neuroendoscopy and minimally invasive neurosurgery. Our experiences may serve as a successful template for the execution of other small scale, sustainable neurosurgery missions worldwide.

Review of the potential of optical technologies for cancer diagnosis in neurosurgery: a step toward intraoperative neurophotonics

PubMed Central

Vasefi, Fartash; MacKinnon, Nicholas; Farkas, Daniel L.; Kateb, Babak

2016-01-01

Abstract. Advances in image-guided therapy enable physicians to obtain real-time information on neurological disorders such as brain tumors to improve resection accuracy. Image guidance data include the location, size, shape, type, and extent of tumors. Recent technological advances in neurophotonic engineering have enabled the development of techniques for minimally invasive neurosurgery. Incorporation of these methods in intraoperative imaging decreases surgical procedure time and allows neurosurgeons to find remaining or hidden tumor or epileptic lesions. This facilitates more complete resection and improved topology information for postsurgical therapy (i.e., radiation). We review the clinical application of recent advances in neurophotonic technologies including Raman spectroscopy, thermal imaging, optical coherence tomography, and fluorescence spectroscopy, highlighting the importance of these technologies in live intraoperative tissue mapping during neurosurgery. While these technologies need further validation in larger clinical trials, they show remarkable promise in their ability to help surgeons to better visualize the areas of abnormality and enable safe and successful removal of malignancies. PMID:28042588

Virtual reality simulation: basic concepts and use in endoscopic neurosurgery training.

PubMed

Cohen, Alan R; Lohani, Subash; Manjila, Sunil; Natsupakpong, Suriya; Brown, Nathan; Cavusoglu, M Cenk

2013-08-01

Virtual reality simulation is a promising alternative to training surgical residents outside the operating room. It is also a useful aide to anatomic study, residency training, surgical rehearsal, credentialing, and recertification. Surgical simulation is based on a virtual reality with varying degrees of immersion and realism. Simulators provide a no-risk environment for harmless and repeatable practice. Virtual reality has three main components of simulation: graphics/volume rendering, model behavior/tissue deformation, and haptic feedback. The challenge of accurately simulating the forces and tactile sensations experienced in neurosurgery limits the sophistication of a virtual simulator. The limited haptic feedback available in minimally invasive neurosurgery makes it a favorable subject for simulation. Virtual simulators with realistic graphics and force feedback have been developed for ventriculostomy, intraventricular surgery, and transsphenoidal pituitary surgery, thus allowing preoperative study of the individual anatomy and increasing the safety of the procedure. The authors also present experiences with their own virtual simulation of endoscopic third ventriculostomy.

First noninvasive thermal ablation of a brain tumor with MR-guided focused ultrasound

PubMed Central

2014-01-01

Magnetic resonance-guided focused ultrasound surgery (MRgFUS) allows for precise thermal ablation of target tissues. While this emerging modality is increasingly used for the treatment of various types of extracranial soft tissue tumors, it has only recently been acknowledged as a modality for noninvasive neurosurgery. MRgFUS has been particularly successful for functional neurosurgery, whereas its clinical application for tumor neurosurgery has been delayed for various technical and procedural reasons. Here, we report the case of a 63-year-old patient presenting with a centrally located recurrent glioblastoma who was included in our ongoing clinical phase I study aimed at evaluating the feasibility and safety of transcranial MRgFUS for brain tumor ablation. Applying 25 high-power sonications under MR imaging guidance, partial tumor ablation could be achieved without provoking neurological deficits or other adverse effects in the patient. This proves, for the first time, the feasibility of using transcranial MR-guided focused ultrasound to safely ablate substantial volumes of brain tumor tissue. PMID:25671132

Virtual reality simulation in neurosurgery: technologies and evolution.

PubMed

Chan, Sonny; Conti, François; Salisbury, Kenneth; Blevins, Nikolas H

2013-01-01

Neurosurgeons are faced with the challenge of learning, planning, and performing increasingly complex surgical procedures in which there is little room for error. With improvements in computational power and advances in visual and haptic display technologies, virtual surgical environments can now offer potential benefits for surgical training, planning, and rehearsal in a safe, simulated setting. This article introduces the various classes of surgical simulators and their respective purposes through a brief survey of representative simulation systems in the context of neurosurgery. Many technical challenges currently limit the application of virtual surgical environments. Although we cannot yet expect a digital patient to be indistinguishable from reality, new developments in computational methods and related technology bring us closer every day. We recognize that the design and implementation of an immersive virtual reality surgical simulator require expert knowledge from many disciplines. This article highlights a selection of recent developments in research areas related to virtual reality simulation, including anatomic modeling, computer graphics and visualization, haptics, and physics simulation, and discusses their implication for the simulation of neurosurgery.

New York area and worldwide: call-in radio program on HIV.

PubMed

1999-07-16

Treatment activist Jules Levin, founder of the National AIDS Treatment Advocacy Group, has begun a weekly radio program called "Living Well with HIV". Listeners can call in with questions for experts featured on the show. Programs on hepatitis and AIDS have already been scheduled. Contact information is provided.

Information Retrieval Using ADABAS-NATURAL (with Applications for Television and Radio).

ERIC Educational Resources Information Center

Silbergeld, I.; Kutok, P.

1984-01-01

Describes use of the software ADABAS (general purpose database management system) and NATURAL (interactive programing language) in development and implementation of an information retrieval system for the National Television and Radio Network of Israel. General design considerations, files contained in each archive, search strategies, and keywords…

Nobeyama Radio Observatory

NASA Astrophysics Data System (ADS)

Murdin, P.

2000-11-01

Nobeyama Radio Observatory has telescopes at millimeter and submillimeter wavelengths. It was established in 1982 as an observatory of Tokyo Astronomical Observatory (NATIONAL ASTRONOMICAL OBSERVATORY, JAPAN since 1987), and operates the 45 m telescope, Nobeyama Millimeter Array, and Radioheliograph. High-resolution images of star forming regions and molecular clouds have revealed many aspects of...

National Intelligence Survey. Spain. Section 23. Weather and Climate

DTIC Science & Technology

1963-07-01

on to successor organiza- tions. In 1934 the meteorological services were organized as the Servicio Meteorolögico Nacional (S.M.N.). Spain became a...service’s communications system for collecting data relies heavily on tele- phone, telegraph, and CW-radio broadcasts. A micro -wave radio teletype

78 FR 68813 - Submission for OMB Review; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-15

... planned radio frequency (RF) bands that are shared on a co-primary basis by Federal and non-Federal users... newly proposed assignment within the shared portions of the radio spectrum; and replaced the manual RF... national security. The Web-based system replaced a manual process where coordination and approval could...

33 CFR 72.01-25 - Marine broadcast notice to mariners.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 33 Navigation and Navigable Waters 1 2013-07-01 2013-07-01 false Marine broadcast notice to... SECURITY AIDS TO NAVIGATION MARINE INFORMATION Notices to Mariners § 72.01-25 Marine broadcast notice to... mines. Radio stations broadcasting marine information are listed in “Radio Navigational Aids” (National...

33 CFR 72.01-25 - Marine broadcast notice to mariners.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 33 Navigation and Navigable Waters 1 2012-07-01 2012-07-01 false Marine broadcast notice to... SECURITY AIDS TO NAVIGATION MARINE INFORMATION Notices to Mariners § 72.01-25 Marine broadcast notice to... mines. Radio stations broadcasting marine information are listed in “Radio Navigational Aids” (National...

33 CFR 72.01-25 - Marine broadcast notice to mariners.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 33 Navigation and Navigable Waters 1 2014-07-01 2014-07-01 false Marine broadcast notice to... SECURITY AIDS TO NAVIGATION MARINE INFORMATION Notices to Mariners § 72.01-25 Marine broadcast notice to... mines. Radio stations broadcasting marine information are listed in “Radio Navigational Aids” (National...

To prohibit Federal funding of National Public Radio and the use of Federal funds to acquire radio content.

THOMAS, 112th Congress

Rep. Lamborn, Doug [R-CO-5

2011-03-15

Senate - 03/17/2011 Received in the Senate and Read twice and referred to the Committee on Commerce, Science, and Transportation. (All Actions) Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:

Fetal Heart Rate Monitoring during Intrauterine Open Surgery for Myelomeningocele Repair.

PubMed

Santana, Eduardo Félix Martins; Moron, Antônio Fernandes; Barbosa, Maurício Mendes; Milani, Herbene Jose Figuinha; Sarmento, Stephanno Gomes Pereira; Araujo Júnior, Edward; Rolo, Liliam Cristine; Cavalheiro, Sérgio

2016-01-01

The aim of this study was to assess fetal hemodynamics during intrauterine open surgery for myelomeningocele (MMC) repair by describing fetal heart rate (FHR) monitoring in detail related to each part of the procedure. A study was performed with 57 fetuses submitted to intrauterine MMC repair between the 24th and 27th week of gestation. Evaluations of FHR were made in specific periods: before anesthesia, after anesthesia, at the beginning of laparotomy, during uterus abdominal withdrawal, hysterotomy, neurosurgery (before incision, during early skin manipulation, spinal cord releasing, and at the end of neurosurgery), abdominal cavity reintroduction, and abdominal closure, and at the end of surgery. Means ± standard deviations of FHR were established for each period, and analysis of variance with repeated measures was used to assess differences between these periods. The mean differences were assessed with 95% confidence intervals and were analyzed by Tukey's multiple comparison test. The mean FHR during the specific periods mentioned above was 140.2, 140, 139.2, 138.8, 135.1, 133.9, 123.1, 134.0, 134.5, 137.9, and 139.9 bpm, respectively (p < 0.0001). Comparing the different periods, the highest frequencies were observed in the initial and final moments. The neurosurgery stage presents lower frequencies, especially during the release of the spinal cord. FHR monitoring revealed interesting findings in terms of physiological fetal changes during MMC repair, especially during neurosurgery, which was the most critical period. © 2015 S. Karger AG, Basel.

Photodynamic application in neurosurgery: present and future

NASA Astrophysics Data System (ADS)

Kostron, Herwig

2009-06-01

Photodynamic techniques such as photodynamic diagnosis (PDD), fluorescence guided tumor resection (FGR) and photodynamic therapy (PDT) are currently undergoing intensive clinical investigations as adjunctive treatment for malignant brain tumours. This review provides an overview on the current clinical data and trials as well as on photosensitisers, technical developments and indications for photodynamic application in Neurosurgery. Furthermore new developments and clinical significance of FGR for neurosurgery will be discussed. Over 1000 patients were enrolled in various clinical phase I/II trials for PDT for malignant brain tumours. Despite various treatment protocols, variation of photosensitisers and light dose there is a clear trend towards prolonging median survival after one single PDT as compared to conventional therapeutic modalities. The median survival after PDT for primary glioblastoma multiforme WHO IV was 19 months and for recurrent GBM 9 months as compared to standard convential treatment which is 15 months and 3 months, respectively. FGR in combination with adjunctive radiation was significantly superior to standard surgical resection followed by radiation. The combination of FGR/PDD and intraoperative PDT increased significantly survival in recurrent glioblastoma patients. The combination of PDD/ FGR and PDT offers an exciting approach to the treatment of malignant brain tumours "to see and to treat." PDT was generally well tolerated and side effects consisted of occasionally increased intracranial pressure and prolonged skin sensitivity against direct sunlight. This review covers the current available data and draws the future potential of PDD and PDT for its application in neurosurgery.

Intraoperative neurophysiological monitoring of the cortico-spinal tract in image-guided mini-invasive neurosurgery.

PubMed

Cordella, Roberto; Acerbi, Francesco; Broggi, Morgan; Vailati, Davide; Nazzi, Vittoria; Schiariti, Marco; Tringali, Giovanni; Ferroli, Paolo; Franzini, Angelo; Broggi, Giovanni

2013-06-01

To evaluate the role of intraoperative neurophysiological monitoring in image-guided mini-invasive neurosurgery. Twenty-one patients were operated under general anaesthesia with the aid of multimodal intraoperative neurophysiological monitoring to remove supratentorials tumors closely related to the cortico-spinal tract. Pre-operative assessment included fMRI scans and tractography that were uploaded into the intraoperative neuro-navigation system. Monitoring consisted in simultaneously recording EEG, electrocorticography, transcranial and direct motor evoked potentials (tMEP and dMEP), somatosensory evoked potentials and subcortical stimulation during the whole procedures. The recording of all the electrophysiological signals was possible in all procedures. SSEP guided the positioning of the strip electrode over the motor cortex (N20 phase inversion) that was used to evoke dMEP and monitor the lower limb motor responses; subcortical stimulation to unveil the spatial relationship between the tumors and motor fibers. Four patients had transient worsening of the symptoms, but only two had a long-term worsening, although not severe, of the pre-op clinical status. Intraoperative neurophysiology has a great value in mini-invasive neurosurgery, especially because the motor cortex is not exposed, consequently it cannot be directly mapped. This report describes a valuable scheme making use of as many electrophysiological signals as possible to constantly monitor the motor functions. A useful method to monitor motor functions in mini-invasive neurosurgery was described. Copyright © 2012 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved.

Smartphone use in neurosurgery? APP-solutely!

PubMed

Zaki, Michael; Drazin, Doniel

2014-01-01

A number of smartphone medical apps have recently emerged that may be helpful for the neurosurgical patient, practitioner, and trainee. This study aims to review the current neurosurgery-focused apps available for the iPhone, iPad, and Android platforms as of December 2013. Two of the most popular smartphone app stores (Apple Store and Android Google Play Store) were surveyed for neurosurgery-focused apps in December 2013. Search results were categorized based on their description page. Data were collected on price, rating, app release date, target audience, and medical professional involvement in app design. A review of the top apps in each category was performed. The search resulted in 111 unique apps, divided into these 7 categories: 16 (14%) clinical tools, 17 (15%) conference adjunct, 27 (24%) education, 18 (16%) literature, 15 (14%) marketing, 10 (9%) patient information, and 8 (7%) reference. The average cost of paid apps was $23.06 (range: $0.99-89.99). Out of the 111 apps, 71 (64%) were free, 48 (43%) had reviews, and 14 (13%) had more than 10 reviews. Seventy-three (66%) apps showed evidence of medical professional involvement. The number of apps being released every year has been increasing since 2009. There are a number of neurosurgery-themed apps available to all audiences. There was a lack of patient information apps for nonspinal procedures. Most apps did not have enough reviews to evaluate their quality. There was also a lack of oversight to validate the accuracy of medical information provided in these apps.

Undergraduate Neuroscience Majors: A Missed Opportunity for Psychiatry Workforce Development.

PubMed

Goldenberg, Matthew N; Krystal, John H

2017-04-01

This study sought to determine whether and to what extent medical students with an undergraduate college major in neuroscience, relative to other college majors, pursue psychiatry relative to other brain-based specialties (neurology and neurosurgery) and internal medicine. The authors analyzed data from AAMC matriculation and graduation surveys for all students who graduated from US medical schools in 2013 and 2014 (n = 29,714). Students who majored in neuroscience, psychology, and biology were compared to all other students in terms of their specialty choice at both time points. For each major, the authors determined rates of specialty choice of psychiatry, neurology, neurosurgery, and, for comparison, internal medicine. This study employed Chi-square statistic to compare odds of various specialty choices among different majors. Among medical students with an undergraduate neuroscience major (3.5% of all medical students), only 2.3% preferred psychiatry at matriculation, compared to 21.5% who chose neurology, 13.1% neurosurgery, and 11% internal medicine. By graduation, psychiatry specialty choice increased to 5.1% among neuroscience majors while choice of neurology and neurosurgery declined. Psychology majors (OR = 3.16, 95% CI 2.60-4.47) but not neuroscience majors (OR 1.28, 0.92-1.77) were more likely than their peers to choose psychiatry. Psychiatry struggles to attract neuroscience majors to the specialty. This missed opportunity is an obstacle to developing the neuroscience literacy of the workforce and jeopardizes the neuroscientific future of our field. Several potential strategies to address the recruitment challenges exist.

A novel augmented reality system of image projection for image-guided neurosurgery.

PubMed

Mahvash, Mehran; Besharati Tabrizi, Leila

2013-05-01

Augmented reality systems combine virtual images with a real environment. To design and develop an augmented reality system for image-guided surgery of brain tumors using image projection. A virtual image was created in two ways: (1) MRI-based 3D model of the head matched with the segmented lesion of a patient using MRIcro software (version 1.4, freeware, Chris Rorden) and (2) Digital photograph based model in which the tumor region was drawn using image-editing software. The real environment was simulated with a head phantom. For direct projection of the virtual image to the head phantom, a commercially available video projector (PicoPix 1020, Philips) was used. The position and size of the virtual image was adjusted manually for registration, which was performed using anatomical landmarks and fiducial markers position. An augmented reality system for image-guided neurosurgery using direct image projection has been designed successfully and implemented in first evaluation with promising results. The virtual image could be projected to the head phantom and was registered manually. Accurate registration (mean projection error: 0.3 mm) was performed using anatomical landmarks and fiducial markers position. The direct projection of a virtual image to the patients head, skull, or brain surface in real time is an augmented reality system that can be used for image-guided neurosurgery. In this paper, the first evaluation of the system is presented. The encouraging first visualization results indicate that the presented augmented reality system might be an important enhancement of image-guided neurosurgery.

Clarence Sumner Greene, Sr.: the first African-American neurosurgeon.

PubMed

McClelland, Shearwood; Harris, Kimbra S

2006-12-01

Largely because of the advances of the Civil Rights movement in the mid-20th century, an increasing number of African-Americans have had the opportunity to become physicians and enter the distinguished field of neurosurgery. Many have made the most of this opportunity, becoming prominent in both academics and private practice. Unfortunately, the details regarding the first African-American neurosurgeon, Clarence Sumner Greene, Sr., have remained in relative obscurity. Born on December 26, 1901 in Washington, D.C., Dr. Greene received his M.D. from the Howard University College of Medicine with distinction in 1936. After 7 years of general surgery residency and 4 years as a professor of surgery at Howard University, he was granted the opportunity by the legendary Wilder G. Penfield to train in neurosurgery at the world-renowned Montreal Neurological Institute from 1947 to 1949. Receiving high praise from Dr. Penfield, Dr. Greene became the first African-American certified by the American Board of Neurological Surgery on October 22, 1953. Subsequently, he was appointed as chair of neurosurgery at Howard University, where he successfully treated intracranial aneurysms, brain tumors, and herniated intervertebral discs until his tragic death in 1957. The diligence and perseverance of Clarence Sumner Greene, Sr., M.D., D.D.S., F.A.C.S. enabled him to overcome incredible odds to become the first African-American neurosurgeon, trained by Dr. Penfield at the Montreal Neurological Institute. A true pioneer, his achievements have opened the door for subsequent African-Americans to enhance the field of neurosurgery.

Building a pipeline of talent for operating radio observatories

NASA Astrophysics Data System (ADS)

Wingate, Lory M.

2016-07-01

The National Radio Astronomy Observatory's (NRAO) National and International Non-Traditional Exchange (NINE) Program teaches concepts of project management and systems engineering in a focused, nine-week, continuous effort that includes a hands-on build project with the objective of constructing and verifying the performance of a student-level basic radio instrument. The combination of using a project management (PM)/systems engineering (SE) methodical approach based on internationally recognized standards in completing this build is to demonstrate clearly to the learner the positive net effects of following methodical approaches to achieving optimal results. It also exposes the learner to basic radio science theory. An additional simple research project is used to impress upon the learner both the methodical approach, and to provide a basic understanding of the functional area of interest to the learner. This program is designed to teach sustainable skills throughout the full spectrum of activities associated with constructing, operating and maintaining radio astronomy observatories. NINE Program learners thereby return to their host sites and implement the program in their own location as a NINE Hub. This requires forming a committed relationship (through a formal Letter of Agreement), establishing a site location, and developing a program that takes into consideration the needs of the community they represent. The anticipated outcome of this program is worldwide partnerships with fast growing radio astronomy communities designed to facilitate the exchange of staff and the mentoring of under-represented1 groups of learners, thereby developing a strong pipeline of global talent to construct, operate and maintain radio astronomy observatories.

Mobile radio interferometric geodetic systems

NASA Technical Reports Server (NTRS)

Macdoran, P. F.; Niell, A. E.; Ong, K. M.; Resch, G. M.; Morabito, D. D.; Claflin, E. S.; Lockhart, T. G.

1978-01-01

Operation of the Astronomical Radio Interferometric Earth Surveying (ARIES) in a proof of concept mode is discussed. Accuracy demonstrations over a short baseline, a 180 km baseline, and a 380 km baseline are documented. Use of ARIES in the Sea Slope Experiment of the National Geodetic Survey to study the apparent differences between oceanographic and geodetic leveling determinations of the sea surface along the Pacific Coast is described. Intergration of the NAVSTAR Global Positioning System and a concept called SERIES (Satellite Emission Radio Interferometric Earth Surveying) is briefly reviewed.

Radio Spectrum Management in the Asia-Pacific Region

NASA Astrophysics Data System (ADS)

Tzioumis, T.

2004-06-01

The Asia-Pacific region comprises countries in ITU-R Region 3 from South and East Asia, Oceania and the Pacific islands, while excluding the Americas. Organizations in the Asia- Pacific region face special challenges in coping with the very diverse cultures and languages of the different nations. Telecommunications in each country are usually administered by a single National Communications Administration. These administrations participate in a number of regional umbrella organizations which promote cooperation in the development of communications in the Asia-Pacific. Those with relevance to radio astronomy are briefly oulined in this paper.

Capabilities and Present Status of The Sicaya Radio Telescope in Peru

NASA Astrophysics Data System (ADS)

Ishitsuka, J. K.; Kobayashi, H.; Miyoshi, M.

2017-07-01

The private telephone company, Telefónica del Perú, stopped operations of the Sicaya Intelsat Station in 2000, we knew that they were looking for some institution to own the Station in 2002 and begun conversations. Finally in 2008, the whole communications station with a 32-meters parabolic antenna was donated to the Geophysical Institute of Peru. Many things have happened since that, but finally we are almost ready to have a radio telescope. National Astronomical Observatory of Japan contributed enormously to set up the radio telescope. Initially as a single dish radio telescope, it will observe methanol maser at 6.7 GHz of young stellar objects. In the near future, equipping for VLBI observations is in the scope. Sicaya is situated on the central part of Peru at 3,370 meters of altitude and the weather is benign for radio astronomical observations, also humidity is low and allows have radio telescopes free of rust.

Observatories and Telescopes of Modern Times

NASA Astrophysics Data System (ADS)

Leverington, David

2016-11-01

Preface; Part I. Optical Observatories: 1. Palomar Mountain Observatory; 2. The United States Optical Observatory; 3. From the Next Generation Telescope to Gemini and SOAR; 4. Competing primary mirror designs; 5. Active optics, adaptive optics and other technical innovations; 6. European Northern Observatory and Calar Alto; 7. European Southern Observatory; 8. Mauna Kea Observatory; 9. Australian optical observatories; 10. Mount Hopkins' Whipple Observatory and the MMT; 11. Apache Point Observatory; 12. Carnegie Southern Observatory (Las Campanas); 13. Mount Graham International Optical Observatory; 14. Modern optical interferometers; 15. Solar observatories; Part II. Radio Observatories: 16. Australian radio observatories; 17. Cambridge Mullard Radio Observatory; 18. Jodrell Bank; 19. Early radio observatories away from the Australian-British axis; 20. The American National Radio Astronomy Observatory; 21. Owens Valley and Mauna Kea; 22. Further North and Central American observatories; 23. Further European and Asian radio observatories; 24. ALMA and the South Pole; Name index; Optical observatory and telescope index; Radio observatory and telescope index; General index.

The new 64m Sardinia Radio Telescope and VLBI facilities in Italy

NASA Astrophysics Data System (ADS)

Giovannini, Gabriele; Feretti, Luigina; Prandoni, Isabella; Giroletti, Marcello

2015-08-01

The Sardinia Radio Telescope (SRT) is a new major radio astronomical facility available in Italy for single dish and interferometric observations. It represents a flexible instrument for Radio Astronomy, Geodynamical studies and Space Science, either in single dish or VLBI mode. The SRT combines a 64m steerable collecting area, one of the largest all over the World with state-of-the-art technology (including an active surface) to enable high efficiency observations up to the 3-mm band.This new radio telescope together with the two 32m antennas in Noto and Medicina can be used for VLBI observations on a national basis (VLBIT). Data can be correlated in a short time (in real time soon) thanks to fiber-optics connection among the radio telescopes and the software correlator installed at the Radio Astronomy Institute in Bologna (IRA/INAF). In the poster I will present capabilities of the SRT telescope as well as the VLBIT project and I will shortly discuss the scientific prospects of the VLBIT.

47 CFR Appendix to Part 216 - NCS Directives

Code of Federal Regulations, 2011 CFR

2011-10-01

...—Telecommunications Operations—Shared Resources (SHARES) High Frequency (HF) Radio Program Note: NCS Directives and... Telecommunication OFFICE OF SCIENCE AND TECHNOLOGY POLICY AND NATIONAL SECURITY COUNCIL NATIONAL COMMUNICATIONS..., Membership and Administration—National Communications System (NCS) Issuance System NCS Directive 1-2...

47 CFR Appendix to Part 216 - NCS Directives

Code of Federal Regulations, 2013 CFR

2013-10-01

...—Telecommunications Operations—Shared Resources (SHARES) High Frequency (HF) Radio Program Note: NCS Directives and... Telecommunication OFFICE OF SCIENCE AND TECHNOLOGY POLICY AND NATIONAL SECURITY COUNCIL NATIONAL COMMUNICATIONS..., Membership and Administration—National Communications System (NCS) Issuance System NCS Directive 1-2...

47 CFR Appendix to Part 216 - NCS Directives

Code of Federal Regulations, 2010 CFR

2010-10-01

...—Telecommunications Operations—Shared Resources (SHARES) High Frequency (HF) Radio Program Note: NCS Directives and... Telecommunication OFFICE OF SCIENCE AND TECHNOLOGY POLICY AND NATIONAL SECURITY COUNCIL NATIONAL COMMUNICATIONS..., Membership and Administration—National Communications System (NCS) Issuance System NCS Directive 1-2...

47 CFR Appendix to Part 216 - NCS Directives

Code of Federal Regulations, 2012 CFR

2012-10-01

...—Telecommunications Operations—Shared Resources (SHARES) High Frequency (HF) Radio Program Note: NCS Directives and... Telecommunication OFFICE OF SCIENCE AND TECHNOLOGY POLICY AND NATIONAL SECURITY COUNCIL NATIONAL COMMUNICATIONS..., Membership and Administration—National Communications System (NCS) Issuance System NCS Directive 1-2...

47 CFR Appendix to Part 216 - NCS Directives

Code of Federal Regulations, 2014 CFR

2014-10-01

...—Telecommunications Operations—Shared Resources (SHARES) High Frequency (HF) Radio Program Note: NCS Directives and... Telecommunication OFFICE OF SCIENCE AND TECHNOLOGY POLICY AND NATIONAL SECURITY COUNCIL NATIONAL COMMUNICATIONS..., Membership and Administration—National Communications System (NCS) Issuance System NCS Directive 1-2...

STS-130 Nationals Park Visit

NASA Image and Video Library

2010-04-20

NASA STS-130 Pilot Terry Virts, center, is interviewed by Washington Nationals radio broadcasters Charlie Slowes, right, and David Jageler on Tuesday, April 20, 2010, in Washington. Photo Credit: (NASA/Carla Cioffi)

Privacy Policy of NOAA's National Weather Service - NOAA's National Weather

Science.gov Websites

Safety Weather Radio Hazard Assmt... StormReady / TsunamiReady Skywarn(tm) Education/Outreach Information , and National Weather Service information collection practices. This Privacy Policy Statement applies only to National Weather Service web sites. Some organizations within NOAA may have other information

High-Tech 'Heart' of New-Generation Radio Telescope Passes First Test

NASA Astrophysics Data System (ADS)

2008-08-01

The Expanded Very Large Array (EVLA), part of the National Radio Astronomy Observatory (NRAO), took a giant step toward completion on August 7 with successful testing of advanced digital hardware designed to combine signals from its upgraded radio-telescope antennas to produce high resolution images of celestial objects. Successful Moment NRAO Crew Views Successful Computer Display Of WIDAR "First Fringes" Seated, front to back: Barry Clark, Ken Sowinski, Michael Rupen, Kevin Ryan. Standing, front to rear: Mark McKinnon, Rick Perley, Hichem Ben Frej. CREDIT: Dave Finley, NRAO/AUI/NSF Click on image for larger file. By upgrading the 1970s-era electronics of its original Very Large Array (VLA), NRAO is creating a major new radio telescope that is ten times more sensitive than before. Using the EVLA, astronomers will observe fainter and more-distant objects than previously possible and use vastly improved analysis tools to decipher their physics. The heart of the new electronics that makes this transformation possible is a high-performance, special-purpose supercomputer, called the WIDAR Correlator. It has been designed and is being built by the National Research Council of Canada at the Dominion Radio Astrophysical Observatory (DRAO) of the Herzberg Institute for Astrophysics, and serves as Canada's contribution to the EVLA project. The design of the correlator incorporates an NRC-patented new digital electronic architecture. The successful test, at the VLA site 50 miles west of Socorro, New Mexico, used prototype correlator electronics to combine the signals from two upgraded VLA antennas to turn them into a single, high-resolution telescope system, called an interferometer. The technical term for this achievement is called "first fringes." Each upgraded EVLA antenna produces 100 times more data than an original VLA antenna. When all 27 antennas are upgraded, they will pump data into the WIDAR correlator at a rate equal to 48 million digital telephone calls. To process this torrent of data, the correlator will make 10 million billion calculations per second. Powerful, multi-antenna imaging radio-telescope systems use pairs of antennas as their basic building blocks. Each of the VLA's 27 giant dish antennas is combined electronically with every other antenna to form a multitude of pairs. Each pair contributes unique information that is used to build a highly-detailed image of some astronomical object. The successful two-antenna test thus verifies the design of the new correlator. "This achievement marks the first time that the complete chain of electronics for the EVLA has worked together, and represents a huge milestone in the project. Our congratulations go to our Canadian colleagues and to the NRAO staff members participating in this project. This is a job well done," said Fred Lo, Director of the National Radio Astronomy Observatory. The VLA Expansion, a ten-year project approved in 2001, is funded by 55 million from the United States National Science Foundation (NSF) and 1.75 million from the Mexican government. The Canadian correlator represents a contribution of about $17 million to the project. Throughout the project, the VLA has continued to operate, using a mix of the old and new-style antennas to provide an ongoing research tool. Over its lifetime, the VLA has been the most scientifically-productive ground-based telescope in the history of astronomy. When completed in 2012, the EVLA will be the most powerful centimeter-wavelength radio telescope in the world. The technology developed for the EVLA will enable progress on the next generation radio telescope called the Square Kilometer Array (SKA). The National Radio Astronomy Observatory is a facility of the National Science Foundation, operated under cooperative agreement by Associated Universities, Inc. Plots of amplitude (top) and phase (bottom) from WIDAR correlator "first fringes" on August 7, 2008.

Religious Media Use Among African Americans, Black Caribbeans, and Non-Hispanic Whites

PubMed Central

Chatters, Linda M.

2014-01-01

The purpose of this study was to examine the correlates of watching religious television programs and listening to religious radio programs. Data are taken from the National Survey of American Life, a nationally representative study of African Americans, Black Caribbeans, and non-Hispanic Whites. Several significant findings were noted. Both African Americans and Black Caribbeans watched religious television programs and listened to religious radio programs significantly more frequently than non-Hispanic whites. These differences in electronic religious media consumption were particularly large, especially listening to religious radio programming. Among African Americans and Black Caribbeans, several significant demographic differences in frequency of consuming religious programming (e.g., age, gender, region, marital status, immigration status) emerged. Lastly, our analysis found that consuming electronic religious programming did not substitute for attending church service but, instead, complemented weekly service attendance. PMID:26045698

Use of radio-telemetry to reduce bias in nest searching

USGS Publications Warehouse

Powell, L.A.; Lang, J.D.; Krementz, D.G.; Conroy, M.J.

2005-01-01

We used traditional searching, as well as radio-telemetry, to find 125 Wood Thrush (Hylocichla mustelina) nests during 1994?1996 at the Piedmont National Wildlife Refuge in Georgia, USA. We compared daily nest survival rates for 66 nests of radio-marked birds with 59 nests of birds found through systematic searching. By using radio-telemetry, we found Wood Thrush nests in higher elevation pine habitats, in addition to the more usual hardwood forests with moist soils. We found nests of radio-marked birds farther from streams than nests found by systematic searching. Thirty-two percent of radio-marked birds' nests were found at the tops of slopes, compared to 15% of the nests found by traditional searching. In addition, radio-marked birds generally moved up-slope for re-nesting attempts. Although the distribution of nests found with telemetry and searching varied, daily nest survival did not vary between the two groups. Radio-telemetry provided new information about Wood Thrush nesting habitats. We believe radio-telemetry can be a valuable addition to traditional searching techniques; it has the potential to provide a sample of nests free from a priori habitat biases.

Genealogy of training in vascular neurosurgery.

PubMed

Chowdhry, Shakeel A; Spetzler, Robert F

2014-02-01

Remarkable advances and changes in the landscape of neurovascular disease have occurred recently. Concurrently, a paradigm shift in training and resident education is underway. This crossroad of unique opportunities and pressures necessitates creative change in the training of future vascular neurosurgeons to allow incorporation of surgical advances, new technology, and supplementary treatment modalities in a setting of reduced work hours and increased public scrutiny. This article discusses the changing landscape in neurovascular disease treatment, followed by the recent changes in resident training, and concludes with our view of the future of training in vascular neurosurgery.

Stimulating debate: ethics in a multidisciplinary functional neurosurgery committee

PubMed Central

Ford, Paul J; Kubu, Cynthia S

2006-01-01

Multidisciplinary healthcare committees meet regularly to discuss patients' candidacy for emerging functional neurosurgical procedures, such as Deep Brain Stimulation (DBS). Through debate and discussion around the surgical candidacy of particular patients, functional neurosurgery programs begin to mold practice and policy supported both by scientific evidence and clear value choices. These neurosurgical decisions have special considerations not found in non‐neurologic committees. The professional time used to resolve these conflicts provides opportunities for the emergence of careful, ethical practices simultaneous with the expansion of therapy applications PMID:16446416

Receivers Gather Data for Climate, Weather Prediction

NASA Technical Reports Server (NTRS)

2012-01-01

Signals from global positioning system (GPS) satellites are now being used for more than just location and navigation information. By looking at the radio waves from GPS satellites, a technology developed at NASA s Jet Propulsion Laboratory (JPL) not only precisely calculates its position, but can also use a technique known as radio occultation to help scientists study the Earth s atmosphere and gravity field to improve weather forecasts, monitor climate change, and enhance space weather research. The University Corporation for Atmospheric Research (UCAR), a nonprofit group of universities in Boulder, Colorado, compares radio occultation to the appearance of a pencil when viewed though a glass of water. The water molecules change the path of visible light waves so that the pencil appears bent, just like molecules in the air bend GPS radio signals as they pass through (or are occulted by) the atmosphere. Through measurements of the amount of bending in the signals, scientists can construct detailed images of the ionosphere (the energetic upper part of the atmosphere) and also gather information about atmospheric density, pressure, temperature, and moisture. Once collected, this data can be input into weather forecasting and climate models for weather prediction and climate studies. Traditionally, such information is obtained through the use of weather balloons. In 1998, JPL started developing a new class of GPS space science receivers, called Black Jack, that could take precise measurements of how GPS signals are distorted or delayed along their way to the receiver. By 2006, the first demonstration of a GPS radio occultation constellation was launched through a collaboration among Taiwan s National Science Council and National Space Organization, the U.S. National Science Foundation, NASA, the National Oceanic and Atmospheric Administration (NOAA), and other Federal entities. Called the Constellation Observing System for Meteorology, Ionosphere, and Climate (COSMIC), JPL was responsible for designing COSMIC s primary instrument - based on its revolutionary Black Jack receiver.

47 CFR 101.301 - National defense; free service.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 47 Telecommunication 5 2010-10-01 2010-10-01 false National defense; free service. 101.301 Section 101.301 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES FIXED MICROWAVE SERVICES Miscellaneous Common Carrier Provisions § 101.301 National defense; free...

47 CFR 101.301 - National defense; free service.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 47 Telecommunication 5 2011-10-01 2011-10-01 false National defense; free service. 101.301 Section 101.301 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES FIXED MICROWAVE SERVICES Miscellaneous Common Carrier Provisions § 101.301 National defense; free...

47 CFR 101.301 - National defense; free service.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 47 Telecommunication 5 2013-10-01 2013-10-01 false National defense; free service. 101.301 Section 101.301 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES FIXED MICROWAVE SERVICES Miscellaneous Common Carrier Provisions § 101.301 National defense; free...

47 CFR 101.301 - National defense; free service.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 47 Telecommunication 5 2014-10-01 2014-10-01 false National defense; free service. 101.301 Section 101.301 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES FIXED MICROWAVE SERVICES Miscellaneous Common Carrier Provisions § 101.301 National defense; free...

47 CFR 101.301 - National defense; free service.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 47 Telecommunication 5 2012-10-01 2012-10-01 false National defense; free service. 101.301 Section 101.301 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES FIXED MICROWAVE SERVICES Miscellaneous Common Carrier Provisions § 101.301 National defense; free...

Timing of malaria messages for target audience on radio airwaves

PubMed Central

2012-01-01

Background Due to the limitations of face-to-face communication to teach families how to manage, control and prevent malaria, national and local malaria programmes try to reach people through the radio. However, information regarding the timing of radio messages for the target audiences is lacking. Methods Within a large-scale trial (Clinicaltrials.gov: NCT00565071), data regarding the time at which people listen to the radio was collected from 1,628 consenting outpatients (and caregivers for minors) attending six rural government primary level health care centres in Bushenyi and Iganga districts of Uganda from February to July 2011. Results The majority of households, 1,099 (67.5%) owned a radio. The majority, 1,221 (86.3%), participants had heard about malaria from the radio. Some participants started listening to the radio at about 06.00 East African local time (EAT). The peak hours at which people listen to the radio are 12.00-14.00 and 18.00-23.00 local time. The median time of listening to the radio by men is 20.00 (inter-quartile range (IQR): 18.30-21.00) and women 19.30 (IQR: 13.00-20.30). Conclusion Planners of malaria radio interventions need to broadcast their messages within the two peak EAT of 12.00-14.00 and 18.00-23.00. PMID:22905781

Timing of malaria messages for target audience on radio airwaves.

PubMed

Batwala, Vincent; Magnussen, Pascal; Mirembe, Justine; Mulogo, Edgar; Nuwaha, Fred

2012-08-20

Due to the limitations of face-to-face communication to teach families how to manage, control and prevent malaria, national and local malaria programmes try to reach people through the radio. However, information regarding the timing of radio messages for the target audiences is lacking. Within a large-scale trial (Clinicaltrials.gov: NCT00565071), data regarding the time at which people listen to the radio was collected from 1,628 consenting outpatients (and caregivers for minors) attending six rural government primary level health care centres in Bushenyi and Iganga districts of Uganda from February to July 2011. The majority of households, 1,099 (67.5%) owned a radio. The majority, 1,221 (86.3%), participants had heard about malaria from the radio. Some participants started listening to the radio at about 06.00 East African local time (EAT). The peak hours at which people listen to the radio are 12.00-14.00 and 18.00-23.00 local time. The median time of listening to the radio by men is 20.00 (inter-quartile range (IQR): 18.30-21.00) and women 19.30 (IQR: 13.00-20.30). Planners of malaria radio interventions need to broadcast their messages within the two peak EAT of 12.00-14.00 and 18.00-23.00.

Otfrid Foerster, the great neurologist and neurosurgeon from Breslau (Wrocław): his influence on early neurosurgeons and legacy to present-day neurosurgery.

PubMed

Piotrowska, Natalia; Winkler, Peter A

2007-08-01

As a result of the turbulences of World War II, Wrocław, Poland (formerly Breslau, Germany) lost its internationally acknowledged position in the field of neurosurgery, which it once had thanks to Otfrid Foerster. This innovative German doctor and scientist made a considerable contribution to the development of neurological and neurosurgical research worldwide. He also made Breslau a renowned center for scientific study, luring researchers from around the world. His achievements influenced many neurosurgeons during his lifetime, above all those from the US and England, including, for example, such well-known men as Fulton, Bucy, Bailey, and Penfield (who worked with Foerster in Breslau for quite a long time). Together Foerster and Penfield searched for the causes of epilepsy and the surgical methods to treat it. For young American neurosurgeons it was a very significant step in their careers to be able to train in Breslau under the guidance of Otfrid Foerster. In 1937 the British Association of Neurological Surgeons visited Breslau and awarded him with the honor of "Member Emeritus," which could be seen as the culmination of Foerster's career. In this paper the authors give an overview of Foerster's work and evaluate its significance. They also elucidate the difficult historical background during fascism in Germany using the sources of the Polish National Archives. Dr. Foerster's remaining traces in today's Wrocław are meticulously reported.

Financial and clinical governance implications of clinical coding accuracy in neurosurgery: a multidisciplinary audit.

PubMed

Haliasos, N; Rezajooi, K; O'neill, K S; Van Dellen, J; Hudovsky, Anita; Nouraei, Sar

2010-04-01

Clinical coding is the translation of documented clinical activities during an admission to a codified language. Healthcare Resource Groupings (HRGs) are derived from coding data and are used to calculate payment to hospitals in England, Wales and Scotland and to conduct national audit and benchmarking exercises. Coding is an error-prone process and an understanding of its accuracy within neurosurgery is critical for financial, organizational and clinical governance purposes. We undertook a multidisciplinary audit of neurosurgical clinical coding accuracy. Neurosurgeons trained in coding assessed the accuracy of 386 patient episodes. Where clinicians felt a coding error was present, the case was discussed with an experienced clinical coder. Concordance between the initial coder-only clinical coding and the final clinician-coder multidisciplinary coding was assessed. At least one coding error occurred in 71/386 patients (18.4%). There were 36 diagnosis and 93 procedure errors and in 40 cases, the initial HRG changed (10.4%). Financially, this translated to pound111 revenue-loss per patient episode and projected to pound171,452 of annual loss to the department. 85% of all coding errors were due to accumulation of coding changes that occurred only once in the whole data set. Neurosurgical clinical coding is error-prone. This is financially disadvantageous and with the coding data being the source of comparisons within and between departments, coding inaccuracies paint a distorted picture of departmental activity and subspecialism in audit and benchmarking. Clinical engagement improves accuracy and is encouraged within a clinical governance framework.

eLearning resources to supplement postgraduate neurosurgery training.

PubMed

Stienen, Martin N; Schaller, Karl; Cock, Hannah; Lisnic, Vitalie; Regli, Luca; Thomson, Simon

2017-02-01

In an increasingly complex and competitive professional environment, improving methods to educate neurosurgical residents is key to ensure high-quality patient care. Electronic (e)Learning resources promise interactive knowledge acquisition. We set out to give a comprehensive overview on available eLearning resources that aim to improve postgraduate neurosurgical training and review the available literature. A MEDLINE query was performed, using the search term "electronic AND learning AND neurosurgery". Only peer-reviewed English-language articles on the use of any means of eLearning to improve theoretical knowledge in postgraduate neurosurgical training were included. Reference lists were crosschecked for further relevant articles. Captured parameters were the year, country of origin, method of eLearning reported, and type of article, as well as its conclusion. eLearning resources were additionally searched for using Google. Of n = 301 identified articles by the MEDLINE search, n = 43 articles were analysed in detail. Applying defined criteria, n = 28 articles were excluded and n = 15 included. Most articles were generated within this decade, with groups from the USA, the UK and India having a leadership role. The majority of articles reviewed existing eLearning resources, others reported on the concept, development and use of generated eLearning resources. There was no article that scientifically assessed the effectiveness of eLearning resources (against traditional learning methods) in terms of efficacy or costs. Only one article reported on satisfaction rates with an eLearning tool. All authors of articles dealing with eLearning and the use of new media in neurosurgery uniformly agreed on its great potential and increasing future use, but most also highlighted some weaknesses and possible dangers. This review found only a few articles dealing with the modern aspects of eLearning as an adjunct to postgraduate neurosurgery training. Comprehensive eLearning platforms offering didactic modules with clear learning objectives are rare. Two decades after the rise of eLearning in neurosurgery, some promising solutions are readily available, but the potential of eLearning has not yet been sufficiently exploited.

High prevalence of prior contact sports play and concussion among orthopedic and neurosurgical department chairs.

PubMed

Sone, Je Yeong; Courtney-Kay Lamb, S; Techar, Kristina; Dammavalam, Vikalpa; Uppal, Mohit; Williams, Cedric; Bergman, Thomas; Tupper, David; Ort, Paul; Samadani, Uzma

2018-04-27

OBJECTIVE Increased understanding of the consequences of traumatic brain injury has heightened concerns about youth participation in contact sports. This study investigated the prevalence of high school and collegiate contact sports play and concussion history among surgical department chairs. METHODS A cross-sectional survey was administered to 107 orthopedic and 74 neurosurgery chairs. Responses were compared to published historical population norms for contact sports (high school 27.74%, collegiate 1.44%), football (high school 10.91%, collegiate 0.76%), and concussion prevalence (12%). One-proportion Z-tests, chi-square tests, and binary logistic regression were used to analyze differences. RESULTS High school contact sports participation was 2.35-fold higher (65.3%, p < 0.001) for orthopedic chairs and 1.73-fold higher (47.9%, p = 0.0018) for neurosurgery chairs than for their high school peers. Collegiate contact sports play was 31.0-fold higher (44.7%, p < 0.001) for orthopedic chairs and 15.1-fold higher (21.7%, p < 0.001) for neurosurgery chairs than for their college peers. Orthopedic chairs had a 4.30-fold higher rate of high school football participation (46.9%, p < 0.001) while neurosurgery chairs reported a 3.05-fold higher rate (33.3%, p < 0.001) than their high school peers. Orthopedic chairs reported a 28.1-fold higher rate of collegiate football participation (21.3%, p < 0.001) and neurosurgery chairs reported an 8.58-fold higher rate (6.5%, p < 0.001) compared to their college peers. The rate at which orthopedic (42.6%, p < 0.001) and neurosurgical (42.4%, p < 0.001) chairs reported having at least 1 concussion in their lifetime was significantly higher than the reported prevalence in the general population. After correction for worst possible ascertainment bias, all results except high school contact sports participation remained significant. CONCLUSIONS The high prevalence of youth contact sports play and concussion among surgical specialty chairs affirms that individuals in careers requiring high motor and cognitive function frequently played contact sports. The association highlights the need to further examine the relationships between contact sports and potential long-term benefits as well as risks of sport-related injury.

Rocky Mountain National Park dynamic message sign/highway advisory radio : operations plan.

DOT National Transportation Integrated Search

2011-07-01

Visitation to Rocky Mountain National Park (ROMO) has remained consistent over the last few : years, with approximately 3 million annual visitors (1). It is the most visited National Park site : in Colorado (2). The Town of Estes Park is the gateway ...

Smartphone use in neurosurgery? APP-solutely!

PubMed Central

Zaki, Michael; Drazin, Doniel

2014-01-01

Background: A number of smartphone medical apps have recently emerged that may be helpful for the neurosurgical patient, practitioner, and trainee. This study aims to review the current neurosurgery-focused apps available for the iPhone, iPad, and Android platforms as of December 2013. Methods: Two of the most popular smartphone app stores (Apple Store and Android Google Play Store) were surveyed for neurosurgery-focused apps in December 2013. Search results were categorized based on their description page. Data were collected on price, rating, app release date, target audience, and medical professional involvement in app design. A review of the top apps in each category was performed. Results: The search resulted in 111 unique apps, divided into these 7 categories: 16 (14%) clinical tools, 17 (15%) conference adjunct, 27 (24%) education, 18 (16%) literature, 15 (14%) marketing, 10 (9%) patient information, and 8 (7%) reference. The average cost of paid apps was $23.06 (range: $0.99-89.99). Out of the 111 apps, 71 (64%) were free, 48 (43%) had reviews, and 14 (13%) had more than 10 reviews. Seventy-three (66%) apps showed evidence of medical professional involvement. The number of apps being released every year has been increasing since 2009. Conclusions: There are a number of neurosurgery-themed apps available to all audiences. There was a lack of patient information apps for nonspinal procedures. Most apps did not have enough reviews to evaluate their quality. There was also a lack of oversight to validate the accuracy of medical information provided in these apps. PMID:25101208

Planning and Executing the Neurosurgery Boot Camp: The Bolivia Experience.

PubMed

Ament, Jared D; Kim, Timothy; Gold-Markel, Judah; Germano, Isabelle M; Dempsey, Robert; Weaver, John P; DiPatri, Arthur J; Andrews, Russell J; Sanchez, Mary; Hinojosa, Juan; Moser, Richard P; Glick, Roberta

2017-08-01

The neurosurgical boot camp has been fully incorporated into U.S. postgraduate education. This is the first implementation of the neurosurgical boot in a developing country. To advance neurosurgical education, we developed a similar boot camp program, in collaboration with Bolivian neurosurgeons, to determine its feasibility and effectiveness in an international setting. In a collective effort, the Bolivian Society for Neurosurgery, Foundation for International Education in Neurological Surgery, Solidarity Bridge, and University of Massachusetts organized and executed the first South American neurosurgical boot camp in Bolivia in 2015. Both U.S. and Bolivian faculty led didactic lectures followed by a practicum day using mannequins and simulators. South American residents and faculty were surveyed after the course to determine levels of enthusiasm and their perceived improvement in fund of knowledge and course effectiveness. Twenty-four neurosurgery residents from 5 South American countries participated. Average survey scores ranged between 4.2 and 4.9 out of 5. Five Bolivian neurosurgeons completed the survey with average scores of 4.5-5. This event allowed for Bolivian leaders in the field to unify around education, resulting in the formation of an institute to continue similar initiatives. Total cost was estimated at $40 000 USD; however, significant faculty, industry, and donor support helped offset this amount. The first South American neurosurgical boot camp had significant value and was well received in Bolivia. This humanitarian model provides a sustainable solution to education needs and should be expanded to other regions as a means for standardizing the core competencies in neurosurgery. Copyright © 2017 Elsevier Inc. All rights reserved.

[An outline of the history of neuroendoscopy].

PubMed

Stachura, Krzysztof; Libionka, Witold

2007-01-01

Almost 200 years ago, German doctor Philipp Bozzini introduced the idea of endoscopy as a method of permitting visualisation of body cavities through their natural openings. First experiences with the use of this new method in different fields of medicine began in the early 20th century. Development of neuroendoscopy was related to the treatment of hydrocephalus. In 1910 Victor Lespinasse conducted the first neuroendoscopic intervention. He executed coagulation of choroid plexus in two children diagnosed with communicating hydrocephalus. The method was further developed by Walter Dandy who implemented ventriculography, worked out by himself in 1918, into the procedure of choroid plexus removal in hydrocephalic patients. For many, he is considered the father of neuroendoscopy. In 1923, William Mixter executed the first successful endoscopic ventriculostomy of the third ventricle. Spinal endoscopy began in the 1930's, but did not excite such interest as intracranial interventions. Introduction of the so-called shunt surgery for the treatment of hydrocephalus and application of operating microscopes in neurosurgery delayed progress of neuroendoscopy. It was not until the technical advances in optics and related fields of physics, that the neuroendoscopy resurged and has added a new dimension to neurosurgery. In 1963 GBrard Guiot described widespread possibilities of using endoscope in neurosurgery. In 1966 Harold Hopkins applied solid rod lenses in the construction of the endoscope, bringing it to its current standard of excellence. The introduction of the neurofiberoscope in 1973 by Takanori Fukushima opened further possibilities in the field of neuroendoscopy. The renaissance of endoscopy observed nowadays results from a general intention to limit invasiveness in neurosurgery.

USim: A New Device and App for Case-Specific, Intraoperative Ultrasound Simulation and Rehearsal in Neurosurgery. A Preliminary Study.

PubMed

Perin, Alessandro; Prada, Francesco Ugo; Moraldo, Michela; Schiappacasse, Andrea; Galbiati, Tommaso Francesco; Gambatesa, Enrico; d'Orio, Piergiorgio; Riker, Nicole Irene; Basso, Curzio; Santoro, Matteo; Meling, Torstein Ragnar; Schaller, Karl; DiMeco, Francesco

2018-05-01

Intraoperative ultrasound (iUS) is an excellent aid for neurosurgeons to perform better and safer operations thanks to real time, continuous, and high-quality intraoperative visualization. To develop an innovative training method to teach how to perform iUS in neurosurgery. Patients undergoing surgery for different brain or spine lesions were iUS scanned (before opening the dura) in order to arrange a collection of 3-dimensional, US images; this set of data was matched and paired to preoperatively acquired magnetic resonance images in order to create a library of neurosurgical cases to be studied offline for training and rehearsal purposes. This new iUS training approach was preliminarily tested on 14 European neurosurgery residents, who participated at the 2016 European Association of Neurosurgical Societies Training Course (Sofia, Bulgaria). USim was developed by Camelot and the Besta NeuroSim Center as a dedicated app that transforms any smartphone into a "virtual US probe," in order to simulate iUS applied to neurosurgery on a series of anonymized, patient-specific cases of different central nervous system tumors (eg, gliomas, metastases, meningiomas) for education, simulation, and rehearsal purposes. USim proved to be easy to use and allowed residents to quickly learn to handle a US probe and interpret iUS semiotics. USim could help neurosurgeons learn neurosurgical iUS safely. Furthermore, neurosurgeons could simulate many cases, of different brain/spinal cord tumors, that resemble the specific cases they have to operate on. Finally, the library of cases would be continuously updated, upgraded, and made available to neurosurgeons.

To everything there is a season and a time to every purpose: retirement and the neurosurgeon.

PubMed

Rovit, Richard L

2004-06-01

Neurosurgery has designed a rigid curriculum that must be followed precisely by those who wish to enter the specialty. A similar process at the other end of the practice cycle has never been formalized except for mandatory retirement from certain administrative positions at a particular age. Basic considerations for strategic decision making about voluntary retirement from neurosurgery, especially operative neurosurgery, are investigated. Statistical data from the US Census Bureau and sources in the medical literature were reviewed regarding life expectancy and retirement ages. Age-related differences in verbal and performance intelligence quotients, attention span, verbal memory recall, and visuospatial facility were surveyed. A questionnaire was sent to 29 recently retired academic neurosurgeons about their age and reasons for retirement along with postretirement activities; 22 responses were received. Analysis of the data indicates that surgeons are now retiring at the age of approximately 60 years, whereas life expectancy is approximately 80 years. An individual thus may have 15 to 20 productive years after leaving active neurosurgical practice. Reasons for retirement among the 22 responding neurosurgeons included decreasing personal satisfaction and financial rewards, a desire to pursue other activities, local ground rules mandating age-specific retirement, the general sense that enough is enough, and, overall, a strong desire to stop performing surgery while at the top of one's game. The process of age-related competence assessment of commercial airline pilots is outlined, and a similar process of assessment of practicing surgeons may be warranted, with consideration for mandatory retirement from operative neurosurgery.

Correlation of Subjective Hospital Compare Metrics With Objective Outcomes of Cranial Neurosurgical Procedures in New York State.

PubMed

Bekelis, Kimon; Missios, Symeon; Coy, Shannon; Rahmani, Redi; MacKenzie, Todd A; Asher, Anthony L

2017-03-01

Public reporting is at the forefront of health care reform. To investigate whether patient satisfaction as expressed in a public reporting platform correlates with objective outcomes for cranial neurosurgery patients. We performed a cohort study involving patients undergoing cranial neurosurgery from 2009 to 2013 who were registered in the Statewide Planning and Research Cooperative System database. This cohort was merged with the corresponding data from the Centers for Medicare and Medicaid Services Hospital Compare website. The association of patient satisfaction metrics with outcomes was examined with the use of a propensity-adjusted regression model. Overall, 19 591 patients underwent cranial neurosurgery during the study. Using a propensity-adjusted multivariable regression analysis, we demonstrated that hospitals with a greater percentage of patient-assigned "high" scores had decreased mortality (OR, 0.60; 95% CI, 0.53-0.67), rate of discharge to rehabilitation (OR, 0.93; 95% CI, 0.88-0.98), length of stay (adjusted difference, -1.29; 95% CI, -1.46 to -1.13), and hospitalization charges (adjusted difference, -23%; 95% CI, -36% to -9%) after cranial neurosurgery. Similar associations were identified for hospitals with a higher percentage of patients, who would recommend these institutions to others. In a Centers for Medicare and Medicaid Services Hospital Compare-Statewide Planning and Research Cooperative System merged dataset, we observed an association of higher performance in patient satisfaction measures with decreased mortality, rate of discharge to rehabilitation, hospitalization charges, and length of stay. Copyright © 2017 by the Congress of Neurological Surgeons

A comparative cost analysis of polytrauma and neurosurgery Intensive Care Units at an apex trauma care facility in India.

PubMed

Kumar, Parmeshwar; Jithesh, V; Gupta, Shakti Kumar

2016-07-01

Although Intensive Care Units (ICUs) only account for 10% of the hospital beds, they consume nearly 22% of the hospital resources. Few definitive costing studies have been conducted in Indian settings that would help determine appropriate resource allocation. The aim of this study was to evaluate and compare the cost of intensive care delivery between multispecialty and neurosurgery ICUs at an apex trauma care facility in India. The study was conducted in a polytrauma and neurosurgery ICU at a 203-bedded Level IV trauma care facility in New Delhi, India, from May 1, 2012 to June 30, 2012. The study was cross-sectional, retrospective, and record-based. Traditional costing was used to arrive at the cost for both direct and indirect cost estimates. The cost centers included in the study were building cost, equipment cost, human resources, materials and supplies, clinical and nonclinical support services, engineering maintenance cost, and biomedical waste management. Statistical analysis was performed by Fisher's two tailed t-test. Total cost/bed/day for the multispecialty ICU was Rs. 14,976.9/- and for the neurosurgery ICU, it was Rs. 14,306.7/-, workforce constituting nearly half of the expenditure in both ICUs. The cost center wise and overall difference in the cost among the ICUs were statistically significant. Quantification of expenditure in running an ICU in a trauma center would assist health-care decision makers in better allocation of resources. Although multispecialty ICUs are more cost-effective, other factors will also play a role in defining the kind of ICU that needs to be designed.

Centaurus A galaxy, type EO peculiar elliptical, also radio source

NASA Technical Reports Server (NTRS)

2002-01-01

Centaurus A galaxy, type EO peculiar elliptical, also radio source. CTIO 4-meter telescope, 1975. NGC 5128, a Type EO peculiar elliptical galaxy in the constellation Centaurus. This galaxy is one of the most luminous and massive galaxies known and is a strong source of both radio and X-ray radiation. Current theories suggest that the nucleus is experiencing giant explosions involving millions of stars and that the dark band across the galactic disk is material being ejected outward. Cerro Toloto 4-meter telescope photo. Photo credit: National Optical Astronomy Observatories

Unmanned Aircraft Systems (UAS) Integration in the National Airspace System (NAS) Project, UAS Control and Non-Payload Communication System Phase-1 Flight Test Results

NASA Technical Reports Server (NTRS)

Griner, James H.

2014-01-01

NASA's UAS Integration in the NAS project, has partnered with Rockwell Collins to develop a concept Control and Non-Payload Communication (CNPC) system prototype radio, operating on recently allocated UAS frequency spectrum bands. This prototype radio is being used to validate initial proposed performance requirements for UAS control communications. This presentation will give an overview of the current status of the prototype radio development, and results from phase 1 flight tests conducted during 2013.

Radiofrequency use and management. Impacts from the World Administrative Radio Conference of 1979

NASA Astrophysics Data System (ADS)

1982-01-01

The impacts on the United States of key decisions taken at the general World Administrative Radio Conference (WARC-79) and options for preparation and participation in future international telecommunication conferences were evaluated. Congressional concern for the adequacy of existing machinery and procedures for U.S. policymaking and preparation for such conferences were reflected. WARC-79 and related international conferences demonstrate that contention for access to the radio spectrum and its important collateral element, the geostationary orbit for communication satellites, presents new and urgent challenges to vital U.S. national interests. Given the complexities of spectrum management in a changing world environment and the increased importance of telecommunications to both developed and developing nations, it is unlikely that traditional U.S. approaches to these issues are sufficient to protect vital U.S. interests in the future. Problems require strategies not yet developed or tested.

The Five-hundred-meter Aperture Spherical Radio Telescope Project

NASA Astrophysics Data System (ADS)

Li, Di; Pan, Zhichen

2016-07-01

The Five-hundred-meter Aperture Spherical Radio Telescope (FAST) is a Chinese megascience project funded by the National Development and Reform Commission (NDRC) of the People's Republic of China. The National Astronomical Observatories of China (NAOC) is in charge of its construction and subsequent operation. Upon its expected completion in September 2016, FAST will surpass the 305 m Arecibo Telescope and the 100 m Green Bank Telescope in terms of absolute sensitivity in the 70 MHz to 3 GHz bands. In this paper, we report on the project, its current status, the key science goals, and plans for early science.

Socio-Economic Aspects of National Communication Systems: II. Radio Broadcasting in Czechoslovakia. Communication and Society, 11.

ERIC Educational Resources Information Center

Bunzlova, Alice; Slovak, Leopold

The second in a series that examines the role of radio broadcasting in the process of socioeconomic and cultural change in three countries with different types of broadcasting organization--Austria, Czechoslovakia, and Venezuela--this volume focuses on Czechoslovakia. It deals with the cultural implications of broadcasting structures and their…

47 CFR 15.242 - Operation in the bands 174-216 MHz and 470-668 MHz.

Code of Federal Regulations, 2010 CFR

2010-10-01

... of any of the other radio astronomy observatories noted in footnote US 311 of Section 2.106 of this... astronomy observatory before the equipment can be installed or operated. The National Science Foundation... mobile stations operating under part 90 of this chapter in the 470-512 MHz band, and radio astronomy...

47 CFR 95.1119 - Specific requirements for wireless medical telemetry devices operating in the 608-614 MHz band.

Code of Federal Regulations, 2011 CFR

2011-10-01

... frequency range 608-614 MHz and that will be located near the radio astronomy observatories listed below..., and obtain the written concurrence of, the director of the affected radio astronomy observatory before the equipment can be installed or operated (a) Within 80 kilometers of: (1) National Astronomy and...

47 CFR 95.1119 - Specific requirements for wireless medical telemetry devices operating in the 608-614 MHz band.

Code of Federal Regulations, 2014 CFR

2014-10-01

... frequency range 608-614 MHz and that will be located near the radio astronomy observatories listed below..., and obtain the written concurrence of, the director of the affected radio astronomy observatory before the equipment can be installed or operated (a) Within 80 kilometers of: (1) National Astronomy and...

47 CFR 95.1119 - Specific requirements for wireless medical telemetry devices operating in the 608-614 MHz band.

Code of Federal Regulations, 2013 CFR

2013-10-01

... frequency range 608-614 MHz and that will be located near the radio astronomy observatories listed below..., and obtain the written concurrence of, the director of the affected radio astronomy observatory before the equipment can be installed or operated (a) Within 80 kilometers of: (1) National Astronomy and...

47 CFR 15.242 - Operation in the bands 174-216 MHz and 470-668 MHz.

Code of Federal Regulations, 2013 CFR

2013-10-01

... of any of the other radio astronomy observatories noted in footnote US385 of Section 2.106 of this... astronomy observatory before the equipment can be installed or operated. The National Science Foundation... mobile stations operating under part 90 of this chapter in the 470-512 MHz band, and radio astronomy...

47 CFR 15.242 - Operation in the bands 174-216 MHz and 470-668 MHz.

Code of Federal Regulations, 2012 CFR

2012-10-01

... of any of the other radio astronomy observatories noted in footnote US 311 of Section 2.106 of this... astronomy observatory before the equipment can be installed or operated. The National Science Foundation... mobile stations operating under part 90 of this chapter in the 470-512 MHz band, and radio astronomy...

47 CFR 15.242 - Operation in the bands 174-216 MHz and 470-668 MHz.

Code of Federal Regulations, 2014 CFR

2014-10-01

... of any of the other radio astronomy observatories noted in footnote US385 of Section 2.106 of this... astronomy observatory before the equipment can be installed or operated. The National Science Foundation... mobile stations operating under part 90 of this chapter in the 470-512 MHz band, and radio astronomy...

47 CFR 15.242 - Operation in the bands 174-216 MHz and 470-668 MHz.

Code of Federal Regulations, 2011 CFR

2011-10-01

... of any of the other radio astronomy observatories noted in footnote US 311 of Section 2.106 of this... astronomy observatory before the equipment can be installed or operated. The National Science Foundation... mobile stations operating under part 90 of this chapter in the 470-512 MHz band, and radio astronomy...

47 CFR 95.1119 - Specific requirements for wireless medical telemetry devices operating in the 608-614 MHz band.

Code of Federal Regulations, 2010 CFR

2010-10-01

... frequency range 608-614 MHz and that will be located near the radio astronomy observatories listed below..., and obtain the written concurrence of, the director of the affected radio astronomy observatory before the equipment can be installed or operated (a) Within 80 kilometers of: (1) National Astronomy and...

47 CFR 95.1119 - Specific requirements for wireless medical telemetry devices operating in the 608-614 MHz band.

Code of Federal Regulations, 2012 CFR

2012-10-01

... frequency range 608-614 MHz and that will be located near the radio astronomy observatories listed below..., and obtain the written concurrence of, the director of the affected radio astronomy observatory before the equipment can be installed or operated (a) Within 80 kilometers of: (1) National Astronomy and...

School Consolidation: Is Bigger Better? Part II. Options in Education, Program #90.

ERIC Educational Resources Information Center

George Washington Univ., Washington, DC. Inst. for Educational Leadership.

This publication is the complete transcript of a weekly radio program devoted to contemporary issues in American education. This particular program is the second of two that focus on the topic of school consolidation. In separate segments of the program, Wendy Blair and John Merrow of National Public Radio discuss declining school enrollment and…

Play-by-Play: Radio, Television, and Big-Time College Sport.

ERIC Educational Resources Information Center

Smith, Ronald A.

This book explores the broadcast media coverage of college athletics from the early days of radio through the development of television. It examines the culture of college athletics, the role of the National Collegiate Athletic Association in media coverage, and the political infighting in college sports. The chapters are: (1) "The Media and Early…

Minority Employment in Broadcast News 1976-86.

ERIC Educational Resources Information Center

Stone, Vernon A.

A study combined and compared the results of five national mail surveys of commercial radio and television stations conducted at intervals from 1976 to 1986 by the Radio-Television News Directors Association (RTNDA) to see how minority groups have fared in the news work force. Results indicated that in the 10 years studied, the minority share of…

Radio Electioneering in the American Presidential Campaigns of 1932 and 1936.

ERIC Educational Resources Information Center

Nicolaides, Becky M.

1988-01-01

Presents a study which focuses on the use of network radio in the presidential campaigns of 1932 and 1936. Discusses the use of performance skills and sales techniques in broadcasts made by the Democrats and Republicans over the two major networks: the Columbia Broadcasting System and the National Broadcasting System. Examines how radio…

[New approaches in neurosurgery and hyperbaric medicine--the importance of preventive and industrial medicine].

PubMed

Kohshi, K; Munaka, M; Abe, H; Tosaki, T

1999-12-01

Neurosurgical patients have been mainly treated by surgical procedures over the past decades. In addition, hyperbaric oxygen (HBO) therapy in neurosurgery has been used in patients with ischemic cerebrovascular diseases, head trauma, spinal damage, postoperative brain edema and others. However, the main therapeutic methods for neurosurgical diseases have changed dramatically due to developments in radiological techniques, such as radiosurgery and intravascular surgery. With changes in therapeutic methods, HBO therapy may become a very important treatment option for neurosurgical patients. For example, HBO therapy combined with radiotherapy (UOEH regimen) and anticoagulant therapy appear to be very effective in the treatments of malignant brain tumors and ischemic cerebrovascular diseases, respectively. On the other hand, medical examinations under hyper- and hypobaric environments have not yet been fully studied in the central nervous system compared to those in the cardiopulmonary systems. Moreover, the mechanisms of cerebral lesions in decompression sickness and acute mountain sickness remain unclear. Clinical neurologic approaches are very important in these fields. Hence, clinicians and researchers skilled in both neurosurgery and hyperbaric medicine will be required for advanced treatment and preventive and industrial medicine.

From Hypothermia to Cephalosomatic Anastomoses: The Legacy of Robert White (1926-2010) at Case Western Reserve University of Cleveland.

PubMed

Manjila, Sunil; Alambyan, Vilakshan; Singh, Gagandeep; Satish, Priyanka; Geertman, Robert T

2018-05-01

Dr. Robert J. White (1926-2010) was an eminent neurosurgeon and bioethicist, renowned for his classic work in hypothermia and pioneering mammalian head transplant experiments. He founded the Division of Neurosurgery at the Cleveland Metropolitan General Hospital (currently MetroHealth Medical Center, a level 1 trauma county hospital) and became the youngest full professor at the Case Western Reserve University in Cleveland, Ohio. With over 500 research articles to his credit, he founded the Brain Research Laboratory at what was then the Cleveland Metropolitan General Hospital, which was also home to future leaders in neurosurgery, neurosciences, and allied specialties. He transferred a healthy monkey head onto a surgically beheaded monkey body under deep hypothermic conditions drawing both laurels and criticisms alike. Despite a largely controversial neurosurgical research career, his original contributions to deep hypothermia have found profound clinical applications in modern trauma and vascular neurosurgery. The new fusogens and myelorrhaphy methods being tried in Europe hold promise for a future of reanastomosing 2 homologous or heterologous tracts in the neuraxis. Copyright © 2018 Elsevier Inc. All rights reserved.

Phantom study and accuracy evaluation of an image-to-world registration approach used with electro-magnetic tracking system for neurosurgery

NASA Astrophysics Data System (ADS)

Li, Senhu; Sarment, David

2015-12-01

Minimally invasive neurosurgery needs intraoperative imaging updates and high efficient image guide system to facilitate the procedure. An automatic image guided system utilized with a compact and mobile intraoperative CT imager was introduced in this work. A tracking frame that can be easily attached onto the commercially available skull clamp was designed. With known geometry of fiducial and tracking sensor arranged on this rigid frame that was fabricated through high precision 3D printing, not only was an accurate, fully automatic registration method developed in a simple and less-costly approach, but also it helped in estimating the errors from fiducial localization in image space through image processing, and in patient space through the calibration of tracking frame. Our phantom study shows the fiducial registration error as 0.348+/-0.028mm, comparing the manual registration error as 1.976+/-0.778mm. The system in this study provided a robust and accurate image-to-patient registration without interruption of routine surgical workflow and any user interactions involved through the neurosurgery.

Current purpose and practice of hypertonic saline in neurosurgery: a review of the literature.

PubMed

Thongrong, Cattleya; Kong, Nicolas; Govindarajan, Barani; Allen, Duane; Mendel, Ehud; Bergese, Sergio D

2014-12-01

To review and summarize controversies and current concepts regarding the use of hypertonic saline during the perioperative period in neurosurgery. Relevant literature was searched on PubMed and Scopus electronic databases to identify all studies that have investigated the use of hypertonic saline in neurosurgery. Fluid management during the course of neurosurgical practice has been debated at length, especially strategies to control intracranial pressure and small volume resuscitation. The goal of fluid therapy includes minimizing cerebral edema, preserving intravascular volume, and maintaining cerebral perfusion pressure. Mannitol is widely recognized as the gold standard for treating intracranial hypertension but can result in systemic hypotension. Thus, hypertonic saline provides volume expansion and may improve cerebral and systemic hemodynamics. Recently published prospective data, however, regarding the use of osmotic agents fails to establish clear guidelines in neurosurgical patients. We suggest that hypertonic saline will emerge as an alternative to mannitol, especially for a long-term use or multiple doses are needed and lead to a great opportunity for collaborative research. Copyright © 2014 Elsevier Inc. All rights reserved.

Informed consent in neurosurgery--translating ethical theory into action.

PubMed

Schmitz, Dagmar; Reinacher, Peter C

2006-09-01

Although a main principle of medical ethics and law since the 1970s, standards of informed consent are regarded with great scepticism by many clinicans. By reviewing the reactions to and adoption of this principle of medical ethics in neurosurgery, the characteristic conflicts that emerge between theory and everyday clinical experience are emphasised and a modified conception of informed consent is proposed. The adoption and debate of informed consent in neurosurgery took place in two steps. Firstly, respect for patient autonomy was included into the ethical codes of the professional organisations. Secondly, the legal demands of the principle were questioned by clinicians. Informed consent is mainly interpreted in terms of freedom from interference and absolute autonomy. It lacks a constructive notion of physician-patient interaction in its effort to promote the best interest of the patient, which, however, potentially emerges from a reconsideration of the principle of beneficence. To avoid insufficient legal interpretations, informed consent should be understood in terms of autonomy and beneficence. A continuous interaction between the patient and the given physician is considered as an essential prerequisite for the realisation of the standards of informed consent.

Correlation of the CT Compatible Stereotaxic Craniotomy with MRI Scans of the Patients for Removing Cranial Lesions Located Eloquent Areas and Deep Sites of Brain.

PubMed

Gulsen, Salih

2015-03-15

The first goal in neurosurgery is to protect neural function as long as it is possible. Moreover, while protecting the neural function, a neurosurgeon should extract the maximum amount of tumoral tissue from the tumour region of the brain. So neurosurgery and technological advancement go hand in hand to realize this goal. Using of CT compatible stereotaxy for removing a cranial tumour is to be commended as a cornerstone of these technological advancements. Following CT compatible stereotaxic system applications in neurosurgery, different techniques have taken place in neurosurgical practice. These techniques are magnetic resonance imaging (MRI), MRI compatible stereotaxis, frameless stereotaxy, volumetric stereotaxy, functional MRI, diffusion tensor (DT) imaging techniques (tractography of the white matter), intraoperative MRI and neuronavigation systems. However, to use all of this equipment having these technologies would be impossible because of economic reasons. However, when we correlated this technique with MRI scans of the patients with CT compatible stereotaxy scans, it is possible to provide gross total resection and protect and improve patients' neural functions.

Anesthesia for minimally invasive neurosurgery.

PubMed

Prabhakar, Hemanshu; Mahajan, Charu; Kapoor, Indu

2017-10-01

With an ultimate aim of improving patients overall outcome and satisfaction, minimally invasive surgical approach is becoming more of a norm. The related anesthetic evidence has not expanded at the same rate as surgical and technological advancement. This article reviews the recent evidence on anesthesia and perioperative concerns for patients undergoing minimally invasive neurosurgery. Minimally invasive cranial and spinal surgeries have been made possible only by vast technological development. Points of surgical interest can be precisely located with the help of stereotaxy and neuronavigation and special endoscopes which decrease the tissue trauma. The principles of neuroanethesia remain the same, but few concerns are specific for each technique. Dexmedetomidine has a favorable profile for procedures carried out under sedation technique. As the new surgical techniques are coming up, lesser known anesthetic concerns may also come into light. Over the last year, little new information has been added to existing literature regarding anesthesia for minimally invasive neurosurgeries. Neuroanesthesia goals remain the same and less invasive surgical techniques do not translate into safe anesthesia. Specific concerns for each procedure should be taken into consideration.

Effectiveness and cost of failure mode and effects analysis methodology to reduce neurosurgical site infections.

PubMed

Hover, Alexander R; Sistrunk, William W; Cavagnol, Robert M; Scarrow, Alan; Finley, Phillip J; Kroencke, Audrey D; Walker, Judith L

2014-01-01

Mercy Hospital Springfield is a tertiary care facility with 32 000 discharges and 15 000 inpatient surgeries in 2011. From June 2009 through January 2011, a stable inpatient elective neurosurgery infection rate of 2.15% was observed. The failure mode and effects analysis (FMEA) methodology to reduce inpatient neurosurgery infections was utilized. Following FMEA implementation, overall elective neurosurgery infection rates were reduced to 1.51% and sustained through May 2012. Compared with baseline, the post-FMEA deep-space and organ infection rate was reduced by 41% (P = .052). Overall hospital inpatient clean surgery infection rates for the same time frame did not decrease to the same extent, suggesting a specific effect of the FMEA. The study team believes that the FMEA interventions resulted in 14 fewer expected infections, $270 270 in savings, a 168-day reduction in expected length of stay, and 22 fewer readmissions. Given the serious morbidity and cost of health care-associated infections, the study team concludes that FMEA implementation was clinically cost-effective. © 2013 by the American College of Medical Quality.

[Brain metastasis from breast cancer: who?, when? and special considerations about the role of technology in neurosurgery].

PubMed

Dutertre, Guillaume; Pouit, Bruno

2011-04-01

Questions about both the place and the role of surgery on brain metastasis from breast cancer are arising more and more frequently in practice due to the increase of brain metastasis in patients suffering from a form of cancer recognized as one of the most recurrent cancers in adults but also one of the most sensitive to general treatments of the systemic disease. With improvements in anaesthesia, in surgical instruments, and in global care, neurosurgery has taken advantage of new techniques such as pre- and even per-operative imagery and also neuronavigation. These techniques enable radical and effective surgical intervention with a high level of safety for the patient, making neurosurgery perfectly competitive with other therapeutic modalities, particularly on functional grounds. As for symptomatic treatments or other anti-metastasis treatments, most situations allow a reflection on the global therapeutic strategy which can be adapted to individual cases depending on the patient's general prognosis. In developing this global therapeutic strategy, surgical treatment is still as relevant as ever.

National Databases for Neurosurgical Outcomes Research: Options, Strengths, and Limitations.

PubMed

Karhade, Aditya V; Larsen, Alexandra M G; Cote, David J; Dubois, Heloise M; Smith, Timothy R

2017-08-05

Quality improvement, value-based care delivery, and personalized patient care depend on robust clinical, financial, and demographic data streams of neurosurgical outcomes. The neurosurgical literature lacks a comprehensive review of large national databases. To assess the strengths and limitations of various resources for outcomes research in neurosurgery. A review of the literature was conducted to identify surgical outcomes studies using national data sets. The databases were assessed for the availability of patient demographics and clinical variables, longitudinal follow-up of patients, strengths, and limitations. The number of unique patients contained within each data set ranged from thousands (Quality Outcomes Database [QOD]) to hundreds of millions (MarketScan). Databases with both clinical and financial data included PearlDiver, Premier Healthcare Database, Vizient Clinical Data Base and Resource Manager, and the National Inpatient Sample. Outcomes collected by databases included patient-reported outcomes (QOD); 30-day morbidity, readmissions, and reoperations (National Surgical Quality Improvement Program); and disease incidence and disease-specific survival (Surveillance, Epidemiology, and End Results-Medicare). The strengths of large databases included large numbers of rare pathologies and multi-institutional nationally representative sampling; the limitations of these databases included variable data veracity, variable data completeness, and missing disease-specific variables. The improvement of existing large national databases and the establishment of new registries will be crucial to the future of neurosurgical outcomes research. Copyright © 2017 by the Congress of Neurological Surgeons

Radio Frequency Interference Site Survey for Thai Radio Telescopes

NASA Astrophysics Data System (ADS)

Jaroenjittichai, P.; Punyawarin, S.; Singwong, D.; Somboonpon, P.; Prasert, N.; Bandudej, K.; Kempet, P.; Leckngam, A.; Poshyachinda, S.; Soonthornthum, B.; Kramer, B.

2017-09-01

Radio astronomical observations have increasingly been threaten by the march of today telecommunication and wireless technology. Performance of radio telescopes lies within the fact that astronomical sources are extremely weak. National Astronomy Research Institute of Thailand (NARIT) has initiated a 5-year project, known as the Radio Astronomy Network and Geodesy for Development (RANGD), which includes the establishment of 40-meter and 13-meter radio telescopes. Possible locations have been narrowed down to three candidates, situated in the Northern part of Thailand, where the atmosphere is sufficiently dry and suitable for 22 and 43 GHz observations. The Radio Frequency Interference (RFI) measurements were carried out with a DC spectrum analyzer and directional antennas at 1.5 meter above ground, from 20 MHz to 6 GHz with full azimuth coverage. The data from a 3-minute pointing were recorded for both horizontal and vertical polarizations, in maxhold and average modes. The results, for which we used to make preliminary site selection, show signals from typical broadcast and telecommunication services and aeronautics applications. The signal intensity varies accordingly to the presence of nearby population and topography of the region.

Enhancing community knowledge and health behaviors to eliminate blinding trachoma in Mali using radio messaging as a strategy.

PubMed

Bamani, Sanoussi; Toubali, Emily; Diarra, Sadio; Goita, Seydou; Berté, Zana; Coulibaly, Famolo; Sangaré, Hama; Tuinsma, Marjon; Zhang, Yaobi; Dembelé, Benoit; Melvin, Palesa; MacArthur, Chad

2013-04-01

The National Blindness Prevention Program in Mali has broadcast messages on the radio about trachoma as part of the country's trachoma elimination strategy since 2008. In 2011, a radio impact survey using multi-stage cluster sampling was conducted in the regions of Kayes and Segou to assess radio listening habits, coverage of the broadcasts, community knowledge and behavior specific to trachoma and facial cleanliness of children. Radio access and listening were high, with 60% of respondents having heard a message on the radio about trachoma. The majority of respondents knew about trachoma, its root causes, its impact on health and prevention measures. Additionally, 66% reported washing their children's faces more than or equal to twice/day and 94% reported latrine disposal of feces. A high percentage of persons who gave a positive response to knowledge and behavior questions reported hearing the trachoma messages on the radio with 60% reporting that the radio is where they learned about trachoma. There was no significant difference in facial cleanliness when comparing children whose primary caregiver had/had not heard the trachoma messages. Next steps include revising the current messages to include more focused behavior change messaging and to engage in a more robust use of community radios.

A search for optical bursts from the repeating fast radio burst FRB 121102

NASA Astrophysics Data System (ADS)

Hardy, L. K.; Dhillon, V. S.; Spitler, L. G.; Littlefair, S. P.; Ashley, R. P.; De Cia, A.; Green, M. J.; Jaroenjittichai, P.; Keane, E. F.; Kerry, P.; Kramer, M.; Malesani, D.; Marsh, T. R.; Parsons, S. G.; Possenti, A.; Rattanasoon, S.; Sahman, D. I.

2017-12-01

We present a search for optical bursts from the repeating fast radio burst FRB 121102 using simultaneous observations with the high-speed optical camera ULTRASPEC on the 2.4-m Thai National Telescope and radio observations with the 100-m Effelsberg Radio Telescope. A total of 13 radio bursts were detected, but we found no evidence for corresponding optical bursts in our 70.7-ms frames. The 5σ upper limit to the optical flux density during our observations is 0.33 mJy at 767 nm. This gives an upper limit for the optical burst fluence of 0.046 Jy ms, which constrains the broad-band spectral index of the burst emission to α ≤ -0.2. Two of the radio pulses are separated by just 34 ms, which may represent an upper limit on a possible underlying periodicity (a rotation period typical of pulsars), or these pulses may have come from a single emission window that is a small fraction of a possible period.

New Book Recounts Exciting, Colorful History Of Radio Astronomy in Green Bank, West Virginia

NASA Astrophysics Data System (ADS)

2007-07-01

A new book published by the National Radio Astronomy Observatory (NRAO) tells the story of the founding and early years of the Observatory at Green Bank, West Virginia. But it was Fun: the first forty years of radio astronomy at Green Bank, is not a formal history, but rather a scrapbook of early memos, recollections, anecdotes and reports. But it was Fun... is liberally illustrated with archival photographs. It includes historical and scientific papers from symposia held in 1987 and 1995 to celebrate the birthdays of two of the radio telescopes at the Observatory. Book cover The National Radio Astronomy Observatory was formed in 1956 after the National Science Foundation decided to establish an observatory in the eastern United States for the study of faint radio signals from distant objects in the Universe. But it was Fun... reprints early memos from the group of scientists who searched the mountains for a suitable site -- an area free from radio transmitters and other sources of radio interference -- "in a valley surrounded by as many ranges of high mountains in as many directions as possible," which was "at least 50 miles distant from any city or other concentration of people." The committee settled on Green Bank, a small village in West Virginia, and the book documents the struggles that followed to create a world-class scientific facility in an isolated area more accustomed to cows than computers. Groundbreaking at the Observatory, then a patchwork of farms and fields, took place in October 1957, only a few days after the launch of Sputnik by the Soviet Union. A year later, Green Bank's first telescope was dedicated, and the book contains a transcription of speeches given at that ceremony, when the Cold War, the space race and America's scientific stature were issues of the hour. The centerpiece of the new Observatory was to be a highly-precise radio telescope 140 feet in diameter, but it was expected that it would soon be surpassed by dishes of much greater size. The book reprints internal memos, reports, and recollections of astronomers who were there, as the initial elation turned to frustration when the 140 Foot Telescope project became mired in technical difficulties, plans for larger dishes were put on hold, and the scientific staff of the fledgling Observatory struggled to create a National Observatory with inadequate equipment in a very remote location. Articles by David Heeschen and John Findlay tell the story of the creation of the 300 Foot Telescope, at that time the largest in the world, which went from initial concept to full operation in only 23 months, and began a rich life of research that put the NRAO on the world scientific map. The 300 Foot Telescope was originally intended to be an interim instrument, but as documented in the book, demand for its use was so high that it was kept in operation long after its initial planned retirement, with regular upgrades and new generations of electronics. The sudden collapse of the 300 Foot Telescope on a calm evening after 26 years of operation shocked the astronomical community. But it was Fun... features dramatic first-hand accounts by the people who were there that night: the telescope operator who found himself under a falling structure; the Observatory staff who at first could not believe what happened, and those who worked during the night and into the next day to secure the area, preserve information on what happened, and deal with the rush of publicity. The book includes extensive photographs and the Executive Summary Report of the panel which was commissioned to investigate the collapse and its implication for the design of other large radio telescopes. But it was Fun... will appeal to a variety of audiences. Historians of science will be interested in the articles by David Heeschen, Gerald Tape, and Hugh van Horn, on the evolution of the concept of a National Observatory, and the difficulties of putting the concepts into practice in Green Bank. Those interested in astronomical discovery will find fascinating and highly personal accounts by Peter Mezger on observations of radio recombination lines, by Lewis Snyder and Barry Turner on the early days of astrochemistry, by Don Backer and David Nice on observations of pulsars, and by David Shaffer, James Moran, Ken Kellermann and Barry Clark on aspects of the development of long baseline interferometric techniques. Today's generation of scientists will find interesting reminiscences by Patrick Palmer, Thomas Wilson, and Nobel Laureate Joseph Taylor on their experiences as graduate students doing thesis research at Green Bank, and from Sebastian von Hoerner and Jaap Baars on their work in telescope development. The volume also relates the entry of computers into radio astronomy, and reprints the one-page memo from 1960 which laid out the protocol for use of the new "single roll of magnetic tape" just acquired by the Observatory. A major portion of the book describes some singular events associated with this singular place: the first search for radio signals from extraterrestrial civilizations -- Project Ozma -- conducted by Dr. Frank Drake in 1960. But it was Fun... documents how this routine project thrust the NRAO into the national spotlight to the discomfort of its director, a distinguished astronomer of the old school. The book also recounts a few episodes in the amazing life of Grote Reber, the engineer who built the first-ever radio dish in his backyard and was a regular visitor to Green Bank. The NRAO Green Bank Observatory is an international center for research, and in two unique and frequently hilarious articles, Ken Kellermann and Barry Clark tell their stories of the first cooperative radio astronomical projects between the Soviet Union and the U.S., which involved transporting an atomic clock from Green Bank to a Soviet Observatory on the Black Sea at a time when international tensions were high, and it was impossible to make a phone call from the USSR to Green Bank. But it was Fun... includes a historical introduction which summarizes the early development of radio astronomy and events at the NRAO in Green Bank, a list of science highlights from the 300 Foot and 140 Foot Telescope research programs, chronologies of technical developments and lists of the early users. But it was Fun: the first 40 years of radio astronomy at Green Bank is a unique book which offers insight on the workings of a major scientific institution and the "overabundance of interesting people" who have populated it. The book is available from the NRAO. For information on ordering, see: http://www.gb.nrao.edu/epo/itwasfun.html The National Radio Astronomy Observatory is a facility of the National Science Foundation, operated under cooperative agreement by Associated Universities, Inc.

Computational Modeling for Enhancing Soft Tissue Image Guided Surgery: An Application in Neurosurgery.

PubMed

Miga, Michael I

2016-01-01

With the recent advances in computing, the opportunities to translate computational models to more integrated roles in patient treatment are expanding at an exciting rate. One area of considerable development has been directed towards correcting soft tissue deformation within image guided neurosurgery applications. This review captures the efforts that have been undertaken towards enhancing neuronavigation by the integration of soft tissue biomechanical models, imaging and sensing technologies, and algorithmic developments. In addition, the review speaks to the evolving role of modeling frameworks within surgery and concludes with some future directions beyond neurosurgical applications.

Applicability of an electrosurgical device based on electromagnetics in neurosurgery.

PubMed

Gharabaghi, Alireza; Rosahl, Steffen K; Samii, Amir; Feigl, Guenther C; Safavi-Abbasi, Sam; Bundschuh, Otto; Tatagiba, Marcos; Samii, Madjid

2006-07-01

Because of electrical and thermal spread to healthy nervous tissue, the application of electrosurgical tools in neurosurgery has specific limitations. This is true for both bipolar and monopolar devices. These limitations are not inherent to an instrument in which action is based on electromagnetic interaction with human tissue. We evaluated the indications and the clinical applicability of a new radiofrequency electrosurgical unit that works on this biophysical principle. The system was found to be a useful addition for the resection of morphologically tougher tissue with keyhole approaches in which the ultrasound aspirator cannot easily be applied.

NeuroMind: Past, present, and future

PubMed Central

Kubben, Pieter L.

2017-01-01

This narrative report describes the underlying rationale and technical developments of NeuroMind, a mobile clinical decision support system for neurosurgery. From the perspective of a neurosurgeon – (app) developer it explains how technical progress has shaped the world's “most rated and highest rated” neurosurgical mobile application, with particular attention for operating system diversity on mobile hardware, cookbook medicine, regulatory affairs (in particular regarding software as a medical device), and new developments in the field of clinical data science, machine learning, and predictive analytics. Finally, the concept of “computational neurosurgery” is introduced as a vehicle to reach new horizons in neurosurgery. PMID:28966822

Astronomers Make First Images With Space Radio Telescope

NASA Astrophysics Data System (ADS)

1997-07-01

Marking an important new milestone in radio astronomy history, scientists at the National Radio Astronomy Observatory (NRAO) in Socorro, New Mexico, have made the first images using a radio telescope antenna in space. The images, more than a million times more detailed than those produced by the human eye, used the new Japanese HALCA satellite, working in conjunction with the National Science Foundation's (NSF) Very Long Baseline Array (VLBA) and Very Large Array (VLA) ground-based radio telescopes. The landmark images are the result of a long-term NRAO effort supported by the National Aeronautics and Space Administration (NASA). "This success means that our ability to make detailed radio images of objects in the universe is no longer limited by the size of the Earth," said NRAO Director Paul Vanden Bout. "Astronomy's vision has just become much sharper." HALCA, launched on Feb. 11 by Japan's Institute of Space and Astronautical Science (ISAS), is the first satellite designed for radio astronomy imaging. It is part of an international collaboration led by ISAS and backed by NRAO; Japan's National Astronomical Observatory; NASA's Jet Propulsion Laboratory (JPL); the Canadian Space Agency; the Australia Telescope National Facility; the European VLBI Network and the Joint Institute for Very Long Baseline Interferometry in Europe. On May 22, HALCA observed a distant active galaxy called PKS 1519-273, while the VLBA and VLA also observed it. Data from the satellite was received by a tracking station at the NRAO facility in Green Bank, West Virginia. Tape-recorded data from the satellite and from the radio telescopes on the ground were sent to NRAO's Array Operations Center (AOC) in Socorro, NM. In Socorro, astronomers and computer scientists used a special-purpose computer to digitally combine the signals from the satellite and the ground telescopes to make them all work together as a single, giant radio telescope. This dedicated machine, the VLBA Correlator, built as part of the VLBA instrument, was modified over the past four years to allow it to incorporate data from the satellite. Correlation of the observational data was completed successfully on June 12, after the exact timing of the satellite recording was established. Further computer processing produced an image of PKS 1519-273 -- the first image ever produced using a radio telescope in space. For Jim Ulvestad, the NRAO astronomer who made the first image, the success ended a long quest for this new capability. Ulvestad was involved in an experiment more than a decade ago in which a NASA communications satellite, TDRSS, was used to test the idea of doing radio astronomical imaging by combining data from space and ground radio telescopes. That experiment showed that an orbiting antenna could, in fact, work in conjunction with ground-based radio observatories, and paved the way for HALCA and a planned Russian radio astronomy satellite called RadioAstron. "This first image is an important technical milestone, and demonstrates the feasibility of a much more advanced mission, ARISE, currently being considered by NASA," Ulvestad said. The first image showed no structure in the object, even at the extremely fine level of detail achievable with HALCA; it is what astronomers call a "point source." This object also appears as a point source in all-ground-based observations. In addition, the 1986 TDRSS experiment observed the object, and, while this experiment did not produce an image, it indicated that PKS 1519-273 should be a point source. "This simple point image may not appear very impressive, but its beauty to us is that it shows our entire, complex system is functioning correctly. The system includes not only the orbiting and ground-based antennas, but also the orbit determination, tracking stations, the correlator, and the image-processing software," said Jonathan Romney, the NRAO astronomer who led the development of the VLBA correlator, and its enhancement to process data from orbiting radio telescopes. "We would be skeptical of a complex image if we had not been able to obtain a good point image first," Romney added. A second observing target, the quasar 1156+295, observed on June 5, made a more interesting picture. Seen by ground-based radio observatories, this object, at a distance of 6.5 billion light years, has been known to show an elongation in its structure to the northeast of the core. However, seen with the space-ground system, it is clearly shown to have both a core and a complex "jet" emerging from the core. Such jets, consisting of subatomic particles moving near the speed of light, are seen in many quasars and active galaxies throughout the universe. In fact, 1156+295 is one of a class of objects recently found by NASA's Compton Gamma-Ray Observatory to exhibit powerful gamma-ray emission; such objects are among the most compact and energetic known in the universe. "By showing that this object actually is a core-jet system, HALCA has produced its first new scientific information, and demonstrates its imaging capabilities for a variety of astrophysical investigations," Romney said. "This image shows that the jet extends much closer to the core, or 'central engine' of the quasar than is shown by ground-only imaging," Romney added. "This is an exciting and historical achievement for radio astronomy," said Miller Goss, NRAO's VLA/VLBA Director. "At NRAO, we have seen our colleagues -- scientists, electrical engineers, computer programmers and technicians in Socorro and Green Bank -- work for years on this project. Now, they can take pride in their success." Radio astronomers, like astronomers using visible light, usually seek to make images of the objects at which they aim their telescopes. Because radio waves are much longer than light waves, a radio telescope must be much larger than an optical instrument in order to see the same amount of detail. Greater ability to see detail, called resolving power, has been a quest of radio astronomers for more than half a century. To see a level of detail equal to that revealed by optical telescopes would require a radio-telescope dish miles across. In the 1950s, British and Australian scientists developed a technique that used smaller, widely-separated antennas, and combined their signals to produce resolving power equal to that of a single dish as large as the distance between the smaller dishes. This technique, called interferometry, is used by the VLA, with 27 antennas and a maximum separation of 20 miles, and the VLBA, with 10 antennas and a maximum separation of 5,000 miles. Systems such as the VLBA, in which the antennas are so widely separated that data must be individually tape-recorded at each site and combined after the observation, are called Very Long Baseline Interferometry (VLBI) systems. VLBI was developed by American and Canadian astronomers and was first successfully demonstrated in 1967. The VLBA, working with radio telescopes in Europe, represents the largest radio telescope that can be accommodated on the surface of the Earth. With an orbit that carries it more than 13,000 miles above the Earth, HALCA, working with the ground-based telescopes, extends the "sharp vision" of radio astronomy farther than ever before. Using HALCA, radio astronomers expect to routinely produce images with more than 100 times the detail seen by the Hubble Space Telescope. Astronomers around the world are waiting to use the satellite to seek answers to questions about some of the most distant and intriging objects in the universe. As much as one-third of the VLBA's observing time will be devoted to observations in conjunction with HALCA. Over the expected five-year lifetime of HALCA, scientists hope to observe hundreds of quasars, pulsars, galaxies, and other objects. Launched from Japan's Kagoshima Space Center, HALCA orbits the Earth every six hours, ranging from 350 to 13,200 miles high. The 1,830-pound satellite has a dish antenna 26 feet in diameter. The antenna, folded like an umbrella for the launch, was unfolded under radio control from the ground on Feb. 26. The antenna was pointed toward PKS 1519-273 after a three-month checkout of the spacecraft's electronics, computers and guidance systems. HALCA observations represent a true international scientific collaboration. In addition to the HALCA spacecraft, built, launched, and operated by Japan's ISAS, the participation of a large number of ground-based radio telescopes is also essential. NRAO's VLBA and VLA instruments, including the VLBA correlator, will be a vital component of this collaboration. Other radio telescopes in the U.S., Japan, Europe, and Australia, also will participate. NRAO's facility at Green Bank, WV, is one of five tracking stations where the data collected on the spacecraft are received and recorded. Another is at an ISAS facility in Japan, and JPL operates three additional tracking stations, in California, Australia, and Spain. JPL also collects information from all tracking stations to determine the very accurate spacecraft orbit necessary to reduce these observations. The NRAO Space VLBI efforts in Socorro and Green Bank were supported by funding from the National Aeronautics and Space Administration. The National Radio Astronomy Observatory is a facility of the National Science Foundation, operated under cooperative agreement by Associated Universities, Inc.

HISPANIC ENVIRONMENTAL AND WASTE MANAGEMENT OUTREACH PROJECT

DOE Office of Scientific and Technical Information (OSTI.GOV)

Sebastian Puente

The Department of Energy Office of Environmental Management (DOE-EM) in cooperation with the Self Reliance Foundation (SRF) is conducting the Hispanic Environmental and Waste Management Outreach Project (HEWMO) to increase science and environmental literacy, specifically that related to nuclear engineering and waste management in the nuclear industry, among the US Hispanic population. The project will encourage Hispanic youth and young adults to pursue careers through the regular presentation of Spanish-speaking scientists and engineers and other role models, as well as career information on nationally broadcast radio programs reaching youth and parents. This project will encourage making science, mathematics, and technologymore » a conscious part of the everyday life experiences of Hispanic youth and families. The SRF in collaboration with the Hispanic Radio Network (HRN) produces and broadcasts radio programs to address the topics and meet the objectives as outlined in the Environmental Literacy Plan and DOE-EM Communications Plan in this document. The SRF has in place a toll-free ''800'' number Information and Resource Referral (I and RR) service that national radio program listeners can call to obtain information and resource referrals as well as give their reactions to the radio programs that will air. HRN uses this feature to put listeners in touch with local organizations and resources that can provide them with further information and assistance on the related program topics.« less

High resolution radio imaging study of the Pulsar Wind Nebula MSH 15-52

NASA Astrophysics Data System (ADS)

Leung, W.-Y.; Ng, C.-Y.

2016-06-01

We present a new high-resolution radio imaging study of the pulsar wind nebula (PWN) MSH 15-52, also dubbed as "the hand of God", with the Australia Telescope Compact Array observations. The system is powered by a young and energetic radio pulsar B1509-58 with high spin down luminosity of E(dot) = 2 x 10^37 erg/s. Previous X-ray images have shown that the PWN has a complex hand-shape morphology extending over 10 pc with features like jets, arc, filaments and enhanced emission knots in the HII region RCW 89. The new 6cm and 3cm radio images show different morphology than the X-ray counterpart. No radio counterpart of the X-ray jet is detected, instead we found enhanced emission in a sheath surrounding the jet. Additional small-scale features including a polarized linear filament next to the pulsar have also been discovered. Our polarisation measurements show that the intrinsic orientation of magnetic field aligns with the sheath. Finally, spectral analysis results indicate a steep spectrum for the system, which is rather unusual among PWNe. Implications of these findings will be discussed. The Australia Telescope Compact Array is part of the Australia Telescope National Facility which is funded by the Commonwealth of Australia for operation as a National Facility managed by CSIRO. This work is supported by an ECS grant under HKU 709713P.

Radio frequency spectrum management

NASA Astrophysics Data System (ADS)

Sujdak, E. J., Jr.

1980-03-01

This thesis is a study of radio frequency spectrum management as practiced by agencies and departments of the Federal Government. After a brief introduction to the international agency involved in radio frequency spectrum management, the author concentrates on Federal agencies engaged in frequency management. These agencies include the National Telecommunications and Information Administration (NTIA), the Interdepartment Radio Advisory Committee (IRAC), and the Department of Defense (DoD). Based on an analysis of Department of Defense frequency assignment procedures, recommendations are given concerning decentralizing military frequency assignment by delegating broader authority to unified commanders. This proposal includes a recommendation to colocate the individual Service frequency management offices at the Washington level. This would result in reduced travel costs, lower manpower requirements, and a common tri-Service frequency management data base.

Optical communications for transport aircraft

NASA Technical Reports Server (NTRS)

Stengel, Robert

1994-01-01

Optical communications for transport aircraft are discussed. The problem involves: increasing demand for radio-frequency bands from an enlarging pool of users (aircraft, ground and sea vehicles, fleet operators, traffic control centers, and commercial radio and television); desirability of providing high-bandwidth dedicated communications to and from every aircraft in the National Airspace System; need to support communications, navigation, and surveillance for a growing number of aircraft; and improved meteorological observations by use of probe aircraft. The solution involves: optical signal transmission support very high data rates; optical transmission of signals between aircraft, orbiting satellites, and ground stations, where unobstructed line-of-sight is available; conventional radio transmissions of signals between aircraft and ground stations, where optical line-of-sight is unavailable; and radio priority given to aircraft in weather.

Powerful Radio Burst Indicates New Astronomical Phenomenon

NASA Astrophysics Data System (ADS)

2007-09-01

Astronomers studying archival data from an Australian radio telescope have discovered a powerful, short-lived burst of radio waves that they say indicates an entirely new type of astronomical phenomenon. Region of Strong Radio Burst Visible-light (negative greyscale) and radio (contours) image of Small Magellanic Cloud and area where burst originated. CREDIT: Lorimer et al., NRAO/AUI/NSF Click on image for high-resolution file ( 114 KB) "This burst appears to have originated from the distant Universe and may have been produced by an exotic event such as the collision of two neutron stars or the death throes of an evaporating black hole," said Duncan Lorimer, Assistant Professor of Physics at West Virginia University (WVU) and the National Radio Astronomy Observatory (NRAO). The research team led by Lorimer consists of Matthew Bailes of Swinburne University in Australia, Maura McLaughlin of WVU and NRAO, David Narkevic of WVU, and Fronefield Crawford of Franklin and Marshall College in Lancaster, Pennsylvania. The astronomers announced their findings in the September 27 issue of the online journal Science Express. The startling discovery came as WVU undergraduate student David Narkevic re-analyzed data from observations of the Small Magellanic Cloud made by the 210-foot Parkes radio telescope in Australia. The data came from a survey of the Magellanic Clouds that included 480 hours of observations. "This survey had sought to discover new pulsars, and the data already had been searched for the type of pulsating signals they produce," Lorimer said. "We re-examined the data, looking for bursts that, unlike the usual ones from pulsars, are not periodic," he added. The survey had covered the Magellanic Clouds, a pair of small galaxies in orbit around our own Milky Way Galaxy. Some 200,000 light-years from Earth, the Magellanic Clouds are prominent features in the Southern sky. Ironically, the new discovery is not part of these galaxies, but rather is much more distant. "It was a bit of luck that the survey included some observations of the sky surrounding the clouds," Narkevic said. It was from those "flanking" observations that the mysterious radio burst appeared in the data. The burst of radio waves was strong by astronomical standards, but lasted less than five milliseconds. The signal was spread out, with higher frequencies arriving at the telescope before the lower frequencies. This effect, called dispersion, is caused by the signal passing through ionized gas in interstellar and intergalactic space. The amount of this dispersion, the astronomers said, indicates that the signal likely originated about three billion light-years from Earth. No previously-detected cosmic radio burst has the same set of characteristics. "This burst represents an entirely new astronomical phenomenon," Bailes said. The astronomers estimate on the basis of their results that hundreds of similar events should occur over the sky each day. "Few radio surveys have the necessary sensitivity to such short-duration bursts, which makes them notoriously difficult to detect with current instruments," added Crawford. The next generation of radio telescopes currently under development should be able to detect many of these bursts across the sky. Although the nature of the mysterious new object is unclear, the astronomers have some ideas of what may cause such a burst. One idea is that it may be part of the energy released when a pair of superdense neutron stars collide and merge. Such an event is thought by some scientists to be the cause of one type of gamma-ray burst, but the only radio emission seen so far from these has been from the long-lived "afterglow" that follows the original burst. Another, more exotic, candidate is a burst of energy from an evaporating black hole. Black holes, concentrations of mass so dense that not even light can escape their powerful gravity, can lose mass and energy through a process proposed by famed British physicist Stephen Hawking. The newly-discovered radio burst, the researchers said, might be the "last gasp" of a black hole as it finally evaporates completely. "We're actively looking for more of these powerful, short bursts, in other archival pulsar surveys, and hope to resolve the mystery of their origin," said McLaughlin. "In addition, if we can associate these events with galaxies of known distance, the radio dispersion we measure can be used as a powerful new way to determine the amount of material in intergalactic space," she added. The Parkes radio telescope is part of the Australia Telescope, which is funded by the Commonwealth of Australia for operation as a National Facility. The National Radio Astronomy Observatory is a facility of the National Science Foundation, operated under cooperative agreement by Associated Universities, Inc.

Zero-Power Radio Device.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Brocato, Robert W.

This report describes an unpowered radio receiver capable of detecting and responding to weak signals transmit ted from comparatively long distances . This radio receiver offers key advantages over a short range zero - power radio receiver previously described in SAND2004 - 4610, A Zero - Power Radio Receiver . The device described here can be fabricated as an integrated circuit for use in portable wireless devices, as a wake - up circuit, or a s a stand - alone receiver operating in conjunction with identification decoders or other electroni cs. It builds on key sub - components developed atmore » Sandia National Laboratories over many years. It uses surface acoustic wave (SAW) filter technology. It uses custom component design to enable the efficient use of small aperture antennas. This device uses a key component, the pyroelectric demodulator , covered by Sandia owned U.S. Patent 7397301, Pyroelectric Demodulating Detector [1] . This device is also described in Sandia owned U.S. Patent 97266446, Zero Power Receiver [2].« less

EVA Radio DRATS 2011 Report

NASA Technical Reports Server (NTRS)

Swank, Aaron J.; Bakula, Casey J.

2012-01-01

In the Fall of 2011, National Aeronautics and Space Administration (NASA) Glenn Research Center (GRC) participated in the Desert Research and Technology Studies (DRATS) field experiments held near Flagstaff, Arizona. The objective of the DRATS outing is to provide analog mission testing of candidate technologies for space exploration, especially those technologies applicable to human exploration of extra- terrestrial rocky bodies. These activities are performed at locations with similarities to extra-terrestrial conditions. This report describes the Extravehicular Activity (EVA) Dual-Band Radio Communication System which was demonstrated during the 2011 outing. The EVA radio system is designed to transport both voice and telemetry data through a mobile ad hoc wireless network and employs a dual-band radio configuration. Some key characteristics of this system include: 1. Dual-band radio configuration. 2. Intelligent switching between two different capability wireless networks. 3. Self-healing network. 4. Simultaneous data and voice communication.

John Macmurray's "Learning to Live" and the New Media, 1931-1949: Learning for Labour or Leisure?

ERIC Educational Resources Information Center

Cunningham, Peter

2012-01-01

John Macmurray was a public intellectual and an early proponent of popular education through the new medium of radio. National broadcasting of the time was finding its role in the competing cultures of education and entertainment, and significantly one of Macmurray's first radio projects in 1931-1932 concerned the issue of "Learning to…

Back to College. Transcript of Program Scheduled for Broadcast for the Week of September 27, 1976. Program No. 46. Options in Education.

ERIC Educational Resources Information Center

George Washington Univ., Washington, DC. Inst. for Educational Leadership.

"Options in Education" is a weekly radio magazine covering news, features, policy, and people in the field of education produced by National Public Radio and the Institute for Educational Leadership. This broadcast presents Geoffrey Blodgett discussing students' heroes, villains, and ideals; Rose Tobin on student mood at Berkeley; and…

Land 125 - Power Technologies Review

DTIC Science & Technology

2012-11-01

Metal Hydride (Battery) PEMFC Proton Exchange Membrane Fuel Cell PNNL Pacific Northwest National Laboratory RF Radio Frequency SLA Sealed Lead...battery experiences physical or electrical abuse [ 11 ]. Despite their safety issues, Li/SO2 batteries have been used in military communications ...batteries designed for high rate operation are used in military applications (TRL 9 [1]), including powering radios [1, 11 ]. 3.2.1.5 Lithium Iron

State-Controlled Multimedia Education for All? Science Programs in Early German Radio

ERIC Educational Resources Information Center

Schirrmacher, Arne

2012-01-01

While science education and popularization by means of print media developed in quite similar forms in many nations, the advent of radio resulted in initiatives to bring science on the air that were rather heterogeneous from country to country. The German case stands out with respect to quantity, variety and ambition, and also for its special…

GPU-Based High-performance Imaging for Mingantu Spectral RadioHeliograph

NASA Astrophysics Data System (ADS)

Mei, Ying; Wang, Feng; Wang, Wei; Chen, Linjie; Liu, Yingbo; Deng, Hui; Dai, Wei; Liu, Cuiyin; Yan, Yihua

2018-01-01

As a dedicated solar radio interferometer, the MingantU SpEctral RadioHeliograph (MUSER) generates massive observational data in the frequency range of 400 MHz-15 GHz. High-performance imaging forms a significantly important aspect of MUSER’s massive data processing requirements. In this study, we implement a practical high-performance imaging pipeline for MUSER data processing. At first, the specifications of the MUSER are introduced and its imaging requirements are analyzed. Referring to the most commonly used radio astronomy software such as CASA and MIRIAD, we then implement a high-performance imaging pipeline based on the Graphics Processing Unit technology with respect to the current operational status of the MUSER. A series of critical algorithms and their pseudo codes, i.e., detection of the solar disk and sky brightness, automatic centering of the solar disk and estimation of the number of iterations for clean algorithms, are proposed in detail. The preliminary experimental results indicate that the proposed imaging approach significantly increases the processing performance of MUSER and generates images with high-quality, which can meet the requirements of the MUSER data processing. Supported by the National Key Research and Development Program of China (2016YFE0100300), the Joint Research Fund in Astronomy (No. U1531132, U1631129, U1231205) under cooperative agreement between the National Natural Science Foundation of China (NSFC) and the Chinese Academy of Sciences (CAS), the National Natural Science Foundation of China (Nos. 11403009 and 11463003).

Development and psychometric evaluation of the "Neurosurgical Evaluation of Attitudes towards simulation Training" (NEAT) tool for use in neurosurgical education and training.

PubMed

Kirkman, Matthew A; Muirhead, William; Nandi, Dipankar; Sevdalis, Nick

2014-01-01

Neurosurgical simulation training is becoming increasingly popular. Attitudes toward simulation among residents can contribute to the effectiveness of simulation training, but such attitudes remain poorly explored in neurosurgery with no psychometrically proven measure in the literature. The aim of the present study was to evaluate prospectively a newly developed tool for this purpose: the Neurosurgical Evaluation of Attitudes towards simulation Training (NEAT). The NEAT tool was prospectively developed in 2 stages and psychometrically evaluated (validity and reliability) in 2 administrations with the same participants. The tool comprises a questionnaire with 9 Likert scale items and 2 free-text sections assessing attitudes toward simulation in neurosurgery. The evaluation was completed with 31 neurosurgery residents in London, United Kingdom, who were generally favorable toward neurosurgical simulation. The internal consistency of the questionnaire was high, as demonstrated by the overall Cronbach α values (α=0.899 and α=0.955). All but 2 questionnaire items had "substantial" or "almost perfect" test-retest reliability following repeated survey administrations (median Pearson r correlation=0.688; range, 0.248-0.841). NEAT items were well correlated with each other on both occasions, showing good validity of content within the NEAT tool. There was no significant relationship between either gender or length of neurosurgical experience and item ratings. NEAT is the first psychometrically evaluated tool for evaluating attitudes toward simulation in neurosurgery. Further implementation of NEAT is required in wider neurosurgical populations to establish whether specific population groups differ. Use of NEAT in studies of neurosurgical simulation could offer an additional outcome measure to performance metrics, permitting evaluation of the impact of neurosurgical simulation on attitudes toward simulation both between participants and within the same participants over time. Copyright © 2014 Elsevier Inc. All rights reserved.

A comparative cost analysis of polytrauma and neurosurgery Intensive Care Units at an apex trauma care facility in India

PubMed Central

Kumar, Parmeshwar; Jithesh, V.; Gupta, Shakti Kumar

2016-01-01

Context: Although Intensive Care Units (ICUs) only account for 10% of the hospital beds, they consume nearly 22% of the hospital resources. Few definitive costing studies have been conducted in Indian settings that would help determine appropriate resource allocation. Aim: The aim of this study was to evaluate and compare the cost of intensive care delivery between multispecialty and neurosurgery ICUs at an apex trauma care facility in India. Materials and Methods: The study was conducted in a polytrauma and neurosurgery ICU at a 203-bedded Level IV trauma care facility in New Delhi, India, from May 1, 2012 to June 30, 2012. The study was cross-sectional, retrospective, and record-based. Traditional costing was used to arrive at the cost for both direct and indirect cost estimates. The cost centers included in the study were building cost, equipment cost, human resources, materials and supplies, clinical and nonclinical support services, engineering maintenance cost, and biomedical waste management. Statistical Analysis: Statistical analysis was performed by Fisher's two tailed t-test. Results: Total cost/bed/day for the multispecialty ICU was Rs. 14,976.9/- and for the neurosurgery ICU, it was Rs. 14,306.7/-, workforce constituting nearly half of the expenditure in both ICUs. The cost center wise and overall difference in the cost among the ICUs were statistically significant. Conclusions: Quantification of expenditure in running an ICU in a trauma center would assist health-care decision makers in better allocation of resources. Although multispecialty ICUs are more cost-effective, other factors will also play a role in defining the kind of ICU that needs to be designed. PMID:27555693

American views of Sir Victor Horsley in the era of Cushing.

PubMed

Lehner, Kurt R; Schulder, Michael

2018-03-09

Sir Victor Horsley was a pioneering British neurosurgeon known for his numerous neurosurgical, scientific, and sociopolitical contributions. Although word of these surgical and scientific achievements quickly spread throughout Europe and North America in the late 19th century, much of modern neurosurgery's view of Horsley has been colored by a single anecdote from John Fulton's biography of Harvey Cushing. In this account, Cushing observes a frenetic Horsley hastily removing a Gasserian ganglion from a patient in the kitchen of a British mansion. Not long after, Cushing left Britain saying that he had little to learn from British neurosurgery. The authors of this paper examined contemporary views of Horsley to assess what his actual reputation was in the US and Canada. The authors conducted a thorough search of references to Horsley using the following sources: American surgical and neurosurgical textbooks; major biographies; diary entries and letters; PubMed; newspaper articles; and surgical and neurosurgical texts. The positive reception of his work is corroborated by invitations for Horsley to speak in America. Research additionally revealed that Horsley had numerous personal and professional relationships with prominent Americans in medicine, including William Osler, John Wheelock Elliot, Ernest Sachs, and (yes) Harvey Cushing. Horsley's contributions to medicine and science were heavily reported in American newspapers; outside of neurosurgery, his strong opposition to the antivivisectionists and his support for alcohol prohibition were widely reported in popular media. Horsley's contributions to neurosurgery in America are undeniable. Writings from and about prominent Americans reveal that he was viewed favorably by those who had met him. Frequent publication of his views in the American media suggests that medical professionals and the public in the US valued his contributions on scientific as well as social issues. Horsley died too young, but not without the international recognition that was rightly his.

State of Global Pediatric Neurosurgery Outreach: Survey by the International Education Subcommittee

PubMed Central

Davis, Matthew C.; Rocque, Brandon G.; Singhal, Ash; Ridder, Tom; Pattisapu, Jogi V.; Johnston, James M.

2017-01-01

Object Neurosurgical services are increasingly recognized as essential components of surgical care worldwide. Degree of interest among neurosurgeons regarding international work, and barriers to involvement in global neurosurgical outreach, are largely unexplored. We distributed a survey to members of the AANS/CNS Joint Section on Pediatric Neurosurgery to assess the state of global outreach among its members and identify barriers to involvement. Methods An internet-based questionnaire was developed by the International Education Subcommittee of the AANS/CNS Joint Section on Pediatric Neurosurgery, and distributed to pediatric neurosurgeons via the AANS/CNS Joint Section email contact list. Participants were surveyed on involvement in global neurosurgical outreach, geographic location, nature of participation, and barriers to further involvement. Results A 35.3% response rate was obtained, with 116 respondents completed the survey. 61% performed or taught neurosurgery in a developing country, 49% traveling at least annually. Africa was the most common region (54%), followed by South America (30%), through 29 separate organizing entities. Hydrocephalus was the most commonly treated condition (88%), followed by spinal dysraphism (74%) and tumor (68%). Most respondents obtained follow-up through communication from local surgeons (77%). 71% believed the international experience improved their practice, and 74% were very or extremely interested in working elsewhere. Interference with current practice (61%), cost (44%), and difficulty identifying international partners (43%) were the most commonly cited barriers to participation. Conclusion Any coordinated effort to expand global neurosurgical capacity begins with appreciation for the current state of outreach efforts. Increasing participation in global outreach will require addressing both real and perceived barriers to involvement. Creation and curation of a centralized online database of ongoing projects to facilitate coordination and involvement may be beneficial. PMID:28524788

German Emergency Care in Neurosurgery and Military Neurology during World War II, 1939-1945.

PubMed

Stahnisch, Frank W

2016-01-01

A critical analysis of the historical involvement of neurology and neurosurgery in military emergency care services enables us to better contextualize and appreciate the development of modern neurology at large. Wartime neurosurgery and civil brain science during the German Nazi period tightly coalesced in examining the specific injury types, which military neurosurgeons such as Wilhelm Toennis, Klaus Joachim Zuelch, and Georg Merrem encountered and treated based on their neurophysiological understanding gained from earlier peacetime research. Collaborative associations with Dr. Toennis in particular proved to be highly beneficial to other military neurologists and neurosurgeons during World War II and beyond. This article also discusses the prewar developments and considers the fate of German neurosurgeons and military neurologists after the war. The envisaged dynamic concepts of fast action, reaction, and recycling, which contemporary physicians had intensively studied in the preceding scientific experiments in their neurophysiological laboratories, had already been introduced into neurological surgery during the interwar period. In retrospect, World War II emergency rescue units greatly strengthened military operations through an active process of 'recycling' indispensable army personnel. Neurosurgical emergency chains thereby introduced another decisive step in the modernization of warfare, in that they increased the momentum of military mobility in the field. Notwithstanding the violence of warfare and the often inhumane ways in which such knowledge in the field of emergency neurology was gained, the protagonists among the group of experts in military neurology and neurosurgery strongly contributed to the postwar clinical neuroscience community in Germany. In differing political pretexts, this became visible in both East Germany and West Germany after the war, while the specific military and political conditions under which this knowledge of emergency medicine was obtained have largely been forgotten. © 2016 S. Karger AG, Basel.

National Information Utility Seeks to Serve Schools Nationwide.

ERIC Educational Resources Information Center

Platzer, Nancy

1985-01-01

Outlines the pros and cons of the National Information Utility Program, which is designed to provide current updatable courseware to schools nationwide. The information is broadcast over FM radio and television signals to facilities subscribing to the utility. (MD)

Tectonic motion site survey of the National Radio Astronomy Observatory, Green Bank, West Virginia

NASA Technical Reports Server (NTRS)

Webster, W. J., Jr.; Allenby, R. J.; Hutton, L. K.; Lowman, P. D., Jr.; Tiedemann, H. A.

1979-01-01

A geological and geophysical site survey was made of the area around the National Radio Astronomy Observatory (NRAO) to determine whether there are at present local tectonic movements that could introduce significant errors to Very Long Baseline Interferometry (VLBI) geodetic measurements. The site survey consisted of a literature search, photogeologic mapping with Landsat and Skylab photographs, a field reconnaissance, and installation of a seismometer at the NRAO. It is concluded that local tectonic movement will not contribute significantly to VLBI errors. It is recommended that similar site surveys be made of all locations used for VLBI or laser ranging.

Low-dose magnetic-field-immune biplanar fluoroscopy for neurosurgery

NASA Astrophysics Data System (ADS)

Ramos, P. A.; Lawson, Michael A.; Wika, Kevin G.; Allison, Stephen W.; Quate, E. G.; Molloy, J. A.; Ritter, Rogers C.; Gilles, George T.

1991-07-01

The imaging chain of a bi-planar fluoroscopic system is described for a new neurosurgical technique: the Video Tumor Fighter (VTF). The VTF manipulates a small intracranially implanted magnet, called a thermoseed, by a large external magnetic field gradient. The thermoseed is heated by rf-induction to kill proximal tumor cells. For accurately guiding the seed through the brain, the x-ray tubes are alternately pulsed up to four times per second, each for as much as two hours. Radio-opaque reference markers, attached to the skull, enable the thermoseed's three dimensional position to be determined and then projected onto a displayed MRI brain scan. The imaging approach, similar to systems at the University of Arizona and the Mayo Clinic, includes a 20 cm diameter phosphor screen viewed by a proximity focused microchannel plate image intensifier coupled via fiberoptic taper to a solid state camera. The most important performance specifications are magnetic field immunity and, due to the procedure duration, low dosage per image. A preliminary arrangement designed in the laboratories yielded usable images at approximately 100 (mu) R exposure per frame. In this paper, the results of a series of studies of the effects of magnetic fields on microchannel plate image intensifiers used in the image detection chain are presented.

Pulsar Bursts Coming From Beachball-Sized Structures

NASA Astrophysics Data System (ADS)

2003-03-01

In a major breakthrough for understanding what one of them calls "the most exotic environment in the Universe," a team of astronomers has discovered that powerful radio bursts in pulsars are generated by structures as small as a beach ball. VLA Image of Crab Nebula VLA Image of Crab Nebula (Click on Image for Larger Version) Pulsar Diagram Diagram of a Pulsar (Click on Image for Larger Version) "These are by far the smallest objects ever detected outside our solar system," said Tim Hankins, leader of the research team, which studied the pulsar at the center of the Crab Nebula, more than 6,000 light-years from Earth. "The small size of these regions is inconsistent with all but one proposed theory for how the radio emission is generated," he added. The other members of the team are Jeff Kern, James Weatherall and Jean Eilek. Hankins was a visiting scientist at Arecibo Observatory in Puerto Rico at the time the pulsar observations were made. He and Eilek are professors at the New Mexico Institute of Mining and Technology (New Mexico Tech) in Socorro, NM. Kern is a graduate student at NM Tech and a predoctoral fellow at the National Radio Astronomy Observatory (NRAO) in Socorro. Weatherall is an adjunct professor at NM Tech, currently working at the Federal Aviation Administration. The astronomers reported their discovery in the March 13 edition of the scientific journal Nature. Pulsars are superdense neutron stars, the remnants of massive stars that exploded as supernovae. Pulsars emit powerful beams of radio waves and light. As the neutron star spins, the beam sweeps through space like the beam of a lighthouse. When such a beam sweeps across the Earth, astronomers see a pulse from the pulsar. The Crab pulsar spins some 33 times every second. British radio astronomers discovered pulsars in 1967, one receiving the Nobel Prize for the discovery. In the years since, the method by which pulsars produce their powerful beams of electromagnetic radiation has remained a mystery. With the help of engineers at the NRAO, Hankins and his team designed and built specialized electronic equipment that allowed them to study the pulsar's radio pulses on extremely small time scales. They took this equipment to the National Science Foundation's giant, 1,000-foot-diameter radio telescope at Arecibo. With their equipment, they analyzed the Crab pulsar's superstrong "giant" pulses, breaking them down into tiny time segments. The researchers discovered that some of the "giant" pulses contain subpulses that last no longer than two nanoseconds. That means, they say, that the regions in which these subpulses are generated can be no larger than about two feet across -- the distance that light could travel in two nanoseconds. This fact, the researchers say, is critically important to understanding how the powerful radio emission is generated. A pulsar's magnetosphere -- the region above the neutron star's magnetic poles where the radio waves are generated -- is "the most exotic environment in the Universe," said Kern. In this environment, matter exists as a plasma, in which electrically charged particles are free to respond to the very strong electric and magnetic fields in the star's atmosphere. The very short subpulses the researchers detected could only be generated, they say, by a strange process in which density waves in the plasma interact with their own electrical field, becoming progressively denser until they reach a point at which they "collapse explosively" into superstrong bursts of radio waves. "None of the other proposed mechanisms can produce such short pulses," Eilek said. "The ability to examine these pulses on such short time scales has given us a new window through which to study pulsar radio emission," she added. The Crab pulsar is one of only three pulsars known to emit superstrong "giant" pulses. "Giant" pulses occur occasionally among the steady but much weaker "normal" pulses coming from the neutron star. Some of the brief subpulses within the Crab's "giant" pulses are second only to the Sun in their radio brightness in the sky. Although the mechanism that converts the plasma energy to radio waves in the Crab's "giant" pulses may be unique to the Crab pulsar, it is feasible that all radio pulsars may operate the same way. The research team now is observing signals from other pulsars to see if they are fundamentally different. The subpulses in the Crab's "giant" pulses are so strong that the team's equipment could detect them even if they originated not in our own Milky Way Galaxy, but in a nearby galaxy. The Crab Nebula is a cloud of glowing debris from a star that was seen to explode on July 4, 1054. Chinese astronomers noted the bright new star that outshone the planet Venus and was visible in daylight for 23 days. A rock carving at New Mexico's Chaco Canyon probably indicates that Native American skywatchers also noted the bright intruder in the sky. The nebula was discovered by John Bevis in 1731 and independently rediscovered by French astronomer Charles Messier on August 28, 1758. Messier made the Crab Nebula (named because of its crab-like shape) the first object in his famous catalog of non-stellar objects, a catalog widely popular among amateur astronomers with small telescopes. In 1948, radio emission was discovered coming from the Crab Nebula. In 1968, astronomers at Arecibo Observatory discovered the pulsar in the heart of the nebula. The following year, astronomers at Arizona's Steward Observatory discovered visible-light pulses also coming from the pulsar, making this the first pulsar found to emit visible light in addition to radio waves. The National Radio Astronomy Observatory is a facility of the National Science Foundation, operated under cooperative agreement by Associated Universities, Inc. The Arecibo Observatory is part of the National Astronomy and Ionosphere Center, which is operated by Cornell University under a cooperative agreement with the National Science Foundation.

Training in endovascular surgical neuroradiology.

PubMed

Strozyk, Dorothea; Hanft, Simon J; Kellner, Christopher P; Meyers, Phil M; Lavine, Sean D

2010-07-01

During the past few years, the field of endovascular surgical neuroradiology has been expanding. Neurosurgeons, radiologists, and neurologists are currently being trained. We analyzed data from a national survey of endovascular training programs to assess the current training status and future projections. Survey participation requests were sent out to program directors and members of the Society of Endovascular Neurosurgery, the Society of Neurointerventional Surgery, and the Society of Vascular and Interventional Neurology. The format was an on-line survey designed by the authors, and completed through the SurveyMonkey.com website. Forty-three programs were identified and invited to participate. We achieved a response rate of 81% (n = 35). Twenty-seven (79%) of the 35 respondents listed their training program as academic, and 7 (20%) listed it as a mixture of academic with private practice. The training program faculty consisted of 57 radiologists, 39 neurosurgeons, and 10 neurologists. Length of fellowship offered was the same for all specialties in 43%, and differed based on clinical experience/background in 51%. Of the programs, 86% offered a 2-year fellowship, 49% had a mandatory resident rotation, 17% offered an infolded complete fellowship for residents, and 34% offered an infolded partial fellowship. Only 9% reported no resident exposure at all. There were 12% of respondents who reported to have knowledge of vascular surgeons or cardiologists performing intracranial procedures. At the time of the survey, there were 68 fellows in training, and most entered training immediately after residency (38%), whereas 26% entered after a fellowship and another 26% trained while in residency. There will be a 14% increase of graduates within the next 5 years. Comparing the past 5 years (2003-2007) with future 5-year projections (2008-2012), the number of radiologists is declining by 37% (73 vs. 46), whereas the number of neurosurgeons (74 vs. 106) and neurologists (20 vs. 37) is increasing by 42.5% and 112%, respectively. This survey suggests that there is a strong interest in endovascular surgical neuroradiology. The overall number of graduates is increasing, particularly in neurosurgery and neurology. Although the majority of current faculty is still comprised of neuroradiologists, the number of graduates in radiology will be decreasing during the next 5 years, reflecting a trend toward greater subspecialization within the fields of neurosurgery and neurology. Peer-Review Article. Copyright © 2010 Elsevier Inc. All rights reserved.

Modern Tools of Propaganda: Television Treatments of National Anthems in the Middle East.

ERIC Educational Resources Information Center

Leidman, Mary Beth

Because of the close proximity of countries in the Middle East, broadcast signals freely cross national boundaries, bringing not always friendly endemic populations into contact with each other through radio and television programming--a fact that has not been lost on the governments which fund broadcasting facilities. National anthems are…

A Master Plan for the Evaluation of the Radio Component of the Fifth Education Project for the Royal Government of Thailand.

ERIC Educational Resources Information Center

Bates, Tony

The master plan for evaluation presented in this report was developed by a UNESCO consultant as part of an agreement between the Government of Thailand and the United Nations Development Program for a project providing technical assistance for strengthening educational radio for schools and out-of-school education. Although this plan is restricted…

The National Information Infrastructure: Agenda for Action.

ERIC Educational Resources Information Center

Microcomputers for Information Management, 1995

1995-01-01

Discusses the National Information Infrastructure and the role of the government. Topics include private sector investment; universal service; technological innovation; user orientation; information security and network reliability; management of the radio frequency spectrum; intellectual property rights; coordination with other levels of…

77 FR 24662 - Determination of Reasonable Rates and Terms for Noncommercial Broadcasting

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-25

... Authors, Composers and Publishers (``ASCAP''); SESAC, Inc.; Broadcast Music, Inc. (``BMI''); Educational Media Foundation (``EMF''); Music Reports, Inc.; National Public Radio, the Public Broadcasting Service... Public Broadcasting jointly (``NPR/PBS/CPB''); National Religious Broadcasters Noncommercial Music...

Innovations in Functional Neurosurgery and Anesthetic Implications.

PubMed

Dunn, Lauren K; Durieux, Marcel E; Elias, W Jeffrey; Nemergut, Edward C; Naik, Bhiken I

2018-01-01

Functional neurosurgery has undergone rapid growth over the last few years fueled by advances in imaging technology and novel treatment modalities. These advances have led to new surgical treatments using minimally invasive and precise techniques for conditions such as Parkinson's disease, essential tremor, epilepsy, and psychiatric disorders. Understanding the goals and technological issues of these procedures is imperative for the anesthesiologist to ensure safe management of patients presenting for functional neurosurgical procedures. In this review, we discuss the advances in neurosurgical techniques for deep brain stimulation, focused ultrasound and minimally invasive laser-based treatment of refractory epilepsy and provide a guideline for anesthesiologists caring for patients undergoing these procedures.

Enhancing Neurosurgical Education in Low- and Middle-income Countries: Current Methods and New Advances

PubMed Central

LIANG, Kevin E; BERNSTEIN, Ilia; KATO, Yoko; KAWASE, Takeshi; HODAIE, Mojgan

2016-01-01

Low- and middle-income countries (LMICs) face a critical shortage of basic surgical services. Adequate neurosurgical services can have a far-reaching positive impact on society’s health care and, consequently, the economic development in LMICs. Yet surgery, and specifically neurosurgery has been a long neglected sector of global health. This article reviews the current efforts to enhance neurosurgery education in LMICs and outlines ongoing approaches for improvement. In addition, we introduce the concept of a sustainable and cost-effective model to enhance neurosurgical resources in LMICs and describe the process and methods of online curriculum development. PMID:27616319

Automated location detection of injection site for preclinical stereotactic neurosurgery procedure

NASA Astrophysics Data System (ADS)

Abbaszadeh, Shiva; Wu, Hemmings C. H.

2017-03-01

Currently, during stereotactic neurosurgery procedures, the manual task of locating the proper area for needle insertion or implantation of electrode/cannula/optic fiber can be time consuming. The requirement of the task is to quickly and accurately find the location for insertion. In this study we investigate an automated method to locate the entry point of region of interest. This method leverages a digital image capture system, pattern recognition, and motorized stages. Template matching of known anatomical identifiable regions is used to find regions of interest (e.g. Bregma) in rodents. For our initial study, we tackle the problem of automatically detecting the entry point.

Getting the best outcomes from epilepsy surgery

PubMed Central

Vakharia, Vejay N.; Witt, Juri‐Alexander; Elger, Christian E.; Staba, Richard; Engel, Jerome

2018-01-01

Neurosurgery is an underutilized treatment that can potentially cure drug‐refractory epilepsy. Careful, multidisciplinary presurgical evaluation is vital for selecting patients and to ensure optimal outcomes. Advances in neuroimaging have improved diagnosis and guided surgical intervention. Invasive electroencephalography allows the evaluation of complex patients who would otherwise not be candidates for neurosurgery. We review the current state of the assessment and selection of patients and consider established and novel surgical procedures and associated outcome data. We aim to dispel myths that may inhibit physicians from referring and patients from considering neurosurgical intervention for drug‐refractory focal epilepsies. Ann Neurol 2018;83:676–690 PMID:29534299

Feasibility of a dual neurosurgeon-scientist career in Canada: a survey study.

PubMed

Girgis, Fady

2013-07-01

Performing 'good work' in either neurosurgery or neuroscience alone is a challenge. Despite this, a large number of neurosurgeons divide their careers between the two fields, and attempt to excel in both arenas simultaneously. The purpose of this study is to explore perceptions on whether it is possible to do good work in both neurosurgery and research simultaneously, or whether one field suffers at the expense of the other. This question was put to practicing neurosurgeons via an electronic survey that was distributed to resident and staff neurosurgeons in Canada. 54 surgeons completed the survey, 32 of whom were current or intended neurosurgeon-scientists. Themes explored through the survey included motives behind the pursuit or absence of research in one's neurosurgical career, the quality and feasibility of a dual career, and alternatives to one individual assuming a dual role. The opinions obtained revealed that it is possible to do good work in both neurosurgery and neuroscience simultaneously, but in reality it is very difficult to do. Alternatives to this dual career, such as collaboration between clinical neurosurgeons and pure scientists for example, may help bridge the gap between clinical and research arenas.

Neurocognitive assessment in patients with a minor traumatic brain injury and an abnormal initial CT scan: Can cognitive evaluation assist in identifying patients who require surveillance CT brain imaging?

PubMed

Clements, Thomas W; Dunham, Michael; Kirkpatrick, Andrew; Rajakumar, Ruphus; Gratton, Carolyn; Lall, Rohan; McBeth, Paul; Ball, Chad G

2018-05-01

Evidence for repeat computed tomography (CT) in minor traumatic brain injury (mTBI) patients with intracranial pathology is scarce. The aim of this study was to investigate the utility of clinical cognitive assessment (COG) in defining the need for repeat imaging. COG performance was compared with findings on subsequent CT, and need for neurosurgery in mTBI patients (GCS 13-15 and positive CT findings). Of 152 patients, 65.8% received a COG (53.0% passed). Patients with passed COG underwent fewer repeat CT (43.4% vs. 78.7%; p = .001) and had shorter LOS (8.7 vs. 19.5; p < .05). Only 1 patient required neurosurgery after a passed COG. The negative predictive value of a normal COG was 90.6% (95%CI = 81.8%-95.4%). mTBI patients with an abnormal index CT who pass COG are less likely to undergo repeat CT head, and rarely require neurosurgery. The COG warrants further investigation to determine its role in omitting repeat head CT. Copyright © 2018 Elsevier Inc. All rights reserved.

Current use of Social Media in Neurosurgery in Spain.

PubMed

Mata-Gómez, Jacinto; Gilete-Tejero, Ignacio Javier; Rico-Cotelo, María; Royano-Sánchez, Manuel; Ortega-Martínez, Marta

To analyze the current situation in Spain of the use of Social Media in Neurosurgery. We made an observational transversal study between February and March 2017, with a systematic search of the Facebook, Twitter and Youtube accounts from public and private neurosurgical units, scientific societies, peer-reviewed publications and patients groups in relation with Neurosurgical pathologies. We rank them according their popularity. According of our search only 5 public neurosurgical services have social media accounts, being their popularity inferior to the private units accounts. In relation with the scientific societies and neurosurgical publications their presence in social media is marginal, even more in comparison to the accounts of other medical specialities. The popularity of associations of patients and supporting groups is high, especially among patients, finding there more information about their disease. The use in Spain of Social Media about Neurosurgery is low in comparison to other medical specialities. There is a huge field to improve the popularity of the accounts, making in them promotion of health and extend the diffusion of the scientific society and the peer-reviewed publication Neurocirugía. Copyright © 2018 Sociedad Española de Neurocirugía. Publicado por Elsevier España, S.L.U. All rights reserved.

Pain perception following different neurosurgical procedures: a quantitative prospective study.

PubMed

Dhandapani, Manju; Dhandapani, Sivashanmugam; Agarwal, Meena; Mahapatra, A K

2016-08-01

Pain following neurosurgery has never been given due attention. This was a prospective study to assess pain following various neurosurgical procedures. Patients underwent pain assessment on 11-point scale(0-10) for 24 hours following neurosurgery, and analyzed in relation to various factors. Among total 159 patients, 88(55%), 58(37%) and 13(8%) had undergone cranial, spinal and peripheral nerve procedures respectively. The mean pain score within 12 hours was 3.51(SD ± 2.53), which increased significantly during 13-24 hours to 5.06(SD ± 2.6)(P<0.001). During 13-24 hours, the pain score among those who underwent infratentorial procedures (8.02 ± 2.77) was significantly higher than among those who underwent supratentorial procedures (3.48 ± 1.99)(P<0.001). The pain score of patients who underwent lumbar surgery (6.5 ± 1.93) was significantly higher than of those who underwent cervical surgery (4.04 ± 2.43)(P<0.001). Age and gender did not show any significant influence on pain. Pain is significantly greater during 13-24 hours after neurosurgery, especially after infratentorial and lumbar surgical procedures, compared to others.

A brief note on the history of psychosurgery in Japan.

PubMed

Nudeshima, Jiro; Taira, Takaomi

2017-09-01

In Japan, there has been no neurosurgical treatment for psychiatric disorders since the 1970s. Even deep brain stimulation (DBS) has not been studied or used for psychiatric disorders. Neurosurgery for psychiatric disorders has been thwarted by social taboos for many years, and psychiatrists today seem to simply ignore modern developments and therapies offered by neurosurgery such as DBS. As a result, most patients and their families do not know such "last-resort" options exist. Historically, as in other countries, frontal lobotomies were widely performed in Japan in the 1940s and 1950s, and some Japanese neurosurgeons used stereotactic methods for the treatment of psychiatric disorders until the 1960s. However, in the 1960s and 1970s such surgical treatments began to receive condemnation based on political judgment, rather than on medical and scientific evaluation. Protest campaigns at the time hinged on the prevailing political beliefs, forming a part of the new "left" movement against leading authorities across a wide range of societal institutions including medical schools. Finally, the Japanese Society for Psychiatry and Neurology banned the surgical treatment for psychiatric disorders in 1975. Even today, Japan's dark history continues to exert an enormous negative influence on neurosurgery for psychiatric disorders.

da Vinci robot-assisted keyhole neurosurgery: a cadaver study on feasibility and safety.

PubMed

Marcus, Hani J; Hughes-Hallett, Archie; Cundy, Thomas P; Yang, Guang-Zhong; Darzi, Ara; Nandi, Dipankar

2015-04-01

The goal of this cadaver study was to evaluate the feasibility and safety of da Vinci robot-assisted keyhole neurosurgery. Several keyhole craniotomies were fashioned including supraorbital subfrontal, retrosigmoid and supracerebellar infratentorial. In each case, a simple durotomy was performed, and the flap was retracted. The da Vinci surgical system was then used to perform arachnoid dissection towards the deep-seated intracranial cisterns. It was not possible to simultaneously pass the 12-mm endoscope and instruments through the keyhole craniotomy in any of the approaches performed, limiting visualization. The articulated instruments provided greater dexterity than existing tools, but the instrument arms could not be placed in parallel through the keyhole craniotomy and, therefore, could not be advanced to the deep cisterns without significant clashing. The da Vinci console offered considerable ergonomic advantages over the existing operating room arrangement, allowing the operating surgeon to remain non-sterile and seated comfortably throughout the procedure. However, the lack of haptic feedback was a notable limitation. In conclusion, while robotic platforms have the potential to greatly enhance the performance of transcranial approaches, there is strong justification for research into next-generation robots, better suited to keyhole neurosurgery.

Quantifying cortical surface harmonic deformation with stereovision during open cranial neurosurgery

NASA Astrophysics Data System (ADS)

Ji, Songbai; Fan, Xiaoyao; Roberts, David W.; Paulsen, Keith D.

2012-02-01

Cortical surface harmonic motion during open cranial neurosurgery is well observed in image-guided neurosurgery. Recently, we quantified cortical surface deformation noninvasively with synchronized blood pressure pulsation (BPP) from a sequence of stereo image pairs using optical flow motion tracking. With three subjects, we found the average cortical surface displacement can reach more than 1 mm and in-plane principal strains of up to 7% relative to the first image pair. In addition, the temporal changes in deformation and strain were in concert with BPP and patient respiration [1]. However, because deformation was essentially computed relative to an arbitrary reference, comparing cortical surface deformation at different times was not possible. In this study, we extend the technique developed earlier by establishing a more reliable reference profile of the cortical surface for each sequence of stereo image acquisitions. Specifically, fast Fourier transform (FFT) was applied to the dynamic cortical surface deformation, and the fundamental frequencies corresponding to patient respiration and BPP were identified, which were used to determine the number of image acquisitions for use in averaging cortical surface images. This technique is important because it potentially allows in vivo characterization of soft tissue biomechanical properties using intraoperative stereovision and motion tracking.

The Current Use of Social Media in Neurosurgery.

PubMed

Alotaibi, Naif M; Badhiwala, Jetan H; Nassiri, Farshad; Guha, Daipayan; Ibrahim, George M; Shamji, Mohammed F; Lozano, Andres M

2016-04-01

To measure the presence and popularity of neurosurgical departments, journals, and nonprofit organizations on 3 major social networks. A systematic 2-pronged search strategy was used in June 2015 to identify all accounts on Facebook, Twitter, and YouTube that were relevant to neurosurgery. Online search was conducted by 2 independent authors. All accounts were ranked according to their popularity data. Our search yielded 158 social media accounts (86 Facebook, 59 Twitter, and 13 YouTube) of neurosurgical private and academic practice departments. Of the 158 accounts we retrieved, 117 were for private practice centers (74%). Accounts of academic and private departments had a similar median number of "likes" and "followers" on Facebook and Twitter, respectively. Seven neurosurgical journals only had active Facebook and Twitter accounts (of 20 screened journals). When compared with studies of social media in other medical subspecialties, the use of these networks in neurosurgery followed a similar pattern in their presence and popularity. The current study shows different uses of social media platforms and numbers of users of the online neurosurgical community. Content optimization, advanced metrics of user engagement, and their subsequent effects on academic impact remain unanswered queries and require further prospective study. Copyright © 2016 Elsevier Inc. All rights reserved.

Tracking and sustaining improvement initiatives: leveraging quality dashboards to lead change in a neurosurgical department.

PubMed

McLaughlin, Nancy; Afsar-Manesh, Nasim; Ragland, Victoria; Buxey, Farzad; Martin, Neil A

2014-03-01

Increasingly, hospitals and physicians are becoming acquainted with business intelligence strategies and tools to improve quality of care. In 2007, the University of California Los Angeles (UCLA) Department of Neurosurgery created a quality dashboard to help manage process measures and outcomes and ultimately to enhance clinical performance and patient care. At that time, the dashboard was in a platform that required data to be entered manually. It was then reviewed monthly to allow the department to make informed decisions. In 2009, the department leadership worked with the UCLA Medical Center to align mutual quality-improvement priorities. The content of the dashboard was redesigned to include 3 areas of priorities: quality and safety, patient satisfaction, and efficiency and use. Throughout time, the neurosurgery quality dashboard has been recognized for its clarity and its success in helping management direct improvement strategies and monitor impact. We describe the creation and design of the neurosurgery quality dashboard at UCLA, summarize the evolution of its assembly process, and illustrate how it can be used as a powerful tool of improvement and change. The potential challenges and future directions of this business intelligence tool are also discussed.

Publication misrepresentation among neurosurgery residency applicants: an increasing problem.

PubMed

Kistka, Heather M; Nayeri, Arash; Wang, Li; Dow, Jamie; Chandrasekhar, Rameela; Chambless, Lola B

2016-01-01

OBJECT Misrepresentation of scholarly achievements is a recognized phenomenon, well documented in numerous fields, yet the accuracy of reporting remains dependent on the honor principle. Therefore, honest self-reporting is of paramount importance to maintain scientific integrity in neurosurgery. The authors had observed a trend toward increasing numbers of publications among applicants for neurosurgery residency at Vanderbilt University and undertook this study to determine whether this change was a result of increased academic productivity, inflated reporting, or both. They also aimed to identify application variables associated with inaccurate citations. METHODS The authors retrospectively reviewed the residency applications submitted to their neurosurgery department in 2006 (n = 148) and 2012 (n = 194). The applications from 2006 were made via SF Match and those from 2012 were made using the Electronic Residency Application Service. Publications reported as "accepted" or "in press" were verified via online search of Google Scholar, PubMed, journal websites, and direct journal contact. Works were considered misrepresented if they did not exist, incorrectly listed the applicant as first author, or were incorrectly listed as peer reviewed or published in a printed journal rather than an online only or non-peer-reviewed publication. Demographic data were collected, including applicant sex, medical school ranking and country, advanced degrees, Alpha Omega Alpha membership, and USMLE Step 1 score. Zero-inflated negative binomial regression was used to identify predictors of misrepresentation. RESULTS Using univariate analysis, between 2006 and 2012 the percentage of applicants reporting published works increased significantly (47% vs 97%, p < 0.001). However, the percentage of applicants with misrepresentations (33% vs 45%) also increased. In 2012, applicants with a greater total of reported works (p < 0.001) and applicants from unranked US medical schools (those not ranked by US News & World Report) were more likely to have erroneous citations (p = 0.038). CONCLUSIONS The incidence of legitimate and misrepresented scholarly works reported by applicants to the authors' neurosurgery residency program increased during the past 6 years. Misrepresentation is more common in applicants from unranked US medical schools and those with a greater number of reported works on their application. This trend is concerning in a profession where trustworthiness is vital. To preserve integrity in the field, programs should consider verifying citations prior to submitting their rank lists.

Health-related quality of life outcomes and level of evidence in pediatric neurosurgery.

PubMed

Hansen, Daniel; Vedantam, Aditya; Briceño, Valentina; Lam, Sandi K; Luerssen, Thomas G; Jea, Andrew

2016-10-01

OBJECTIVE The emphasis on health-related quality of life (HRQOL) outcomes is increasing, along with an emphasis on evidence-based medicine. However, there is a notable paucity of validated HRQOL instruments for the pediatric population. Furthermore, no standardization or consensus currently exists concerning which HRQOL outcome measures ought to be used in pediatric neurosurgery. The authors wished to identify HRQOL outcomes used in pediatric neurosurgery research over the past 10 years, their frequency, and usage trends. METHODS Three top pediatric neurosurgical journals were reviewed for the decade from 2005 to 2014 for clinical studies of pediatric neurosurgical procedures that report HRQOL outcomes. Similar studies in the peer-reviewed journal Pediatrics were also used as a benchmark. Publication year, level of evidence, and HRQOL outcomes were collected for each article. RESULTS A total of 31 HRQOL studies were published in the pediatric neurosurgical literature over the study period. By comparison, there were 55 such articles in Pediatrics. The number of publications using HRQOL instruments showed a significant positive trend over time for Pediatrics (B = 0.62, p = 0.02) but did not increase significantly over time for the 3 neurosurgical journals (B = 0.12, p = 0.5). The authors identified a total of 46 different HRQOL instruments used across all journals. Within the neurosurgical journals, the Hydrocephalus Outcome Questionnaire (HOQ) (24%) was the most frequently used, followed by the Health Utilities Index (HUI) (16%), the Pediatric Quality of Life Inventory (PedsQL) (12%), and the 36-Item Short Form Health Survey (SF-36) (12%). Of the 55 articles identified in Pediatrics, 22 (40%) used a version of the PedsQL. No neurosurgical study reached above Level 4 on the Oxford Centre for Evidence-Based Medicine (OCEBM) system. However, multiple studies from Pediatrics achieved OCEBM Level 3, several were categorized as Level 2, and one reached Level 1. CONCLUSIONS The frequency of studies using HRQOL outcomes in pediatric neurosurgical research has not increased over the past 10 years. Within pediatric neurosurgery, high-quality studies and standardization are lacking, as compared with contemporary studies in Pediatrics. In general, although the HOQ, HUI, PedsQL, and SF-36 instruments are emerging as standards in pediatric neurosurgery, even greater standardization across the specialty is needed, along with the design and implementation of more rigorous studies.

Academic Productivity of US Neurosurgery Residents as Measured by H-Index: Program Ranking with Correlation to Faculty Productivity.

PubMed

Sarkiss, Christopher A; Riley, Kyle J; Hernandez, Christopher M; Oermann, Eric K; Ladner, Travis R; Bederson, Joshua B; Shrivastava, Raj K

2017-06-01

Engagement in research and academic productivity are crucial components in the training of a neurosurgeon. This process typically begins in residency training. In this study, we analyzed individual resident productivity as it correlated to publications across all Accreditation Council for Graduate Medical Education (ACGME)-accredited neurosurgery training programs in an attempt to identify how programs have developed and fostered a research culture and environment. We obtained a list of current neurosurgery residents in ACGME-accredited programs from the American Association of Neurological Surgeons database. An expanded PubMed and Scopus search was conducted for each resident through the present time. We tabulated all articles attributed to each resident. We then categorized the publications based on each neurosurgical subspecialty while in residency. A spreadsheet-based statistical analysis was performed. This formulated the average number of resident articles, h-indices, and most common subspecialty categories by training program. We analyzed 1352 current neurosurgery residents in 105 programs. There were a total of 10 645 publications, of which 3985 were resident first-author publications during the period of study. The most common subspecialties among all resident publications were vascular (24.9%), spine (16.9%), oncology (16.1%), pediatric (5.6%), functional (4.9%), and trauma (3.8%). The average resident published 2.9 first-author papers with average of 38.0 first-author publications by total residents at each program (range 0-241). The average h-index per resident is 2.47 ± 3.25. When comparing previously published faculty h-index program rankings against our resident h-index rankings, there is a strong correlation between the 2 datasets with a clear delineation between Top-20 productivity and that of other programs (average h-index 4.2 vs 1.7, respectively, P < .001). Increasing program size leads to a clear increase in academic productivity on both the resident and faculty level (average h-index 1.6, 1.9, 3.9 for 1, 2, and 3 resident per year programs, respectively, P < .001). Resident first-author publications correlated with recently described academic departmental productivity. Subspecialty resident publications are highest in cerebrovascular surgery. Resident research and publication is a key metric for assessing the productivity of academic neurosurgery programs and is consistent with one of the core foci of neurosurgical training. Copyright © 2017 by the Congress of Neurological Surgeons.

Handman and Senson Receive 2003 Walter Sullivan Award for Excellence in Science Journalism-Features

NASA Astrophysics Data System (ADS)

McDonald, Bob; Handman, Jim; Senson, Pat

2004-03-01

Patric Senson and James Handman received the Sullivan Award at AGU Fall Meeting Honors Ceremony, which was held on 10 December 2003, in San Francisco, California. The award honors ``a single article or radio/television report that makes geophysical material accessible and interesting to the general public.'' ``Jim Handman is one of the best kept secrets at CBC Radio. For more than 20 years he has been a bastion of integrity and an endless source of wit and has consistently produced award-winning programs in radio news and current affairs. ``Jim is currently the senior producer of Quirks & Quarks, our national science radio program, now in its 27th season, but this role is only one of many over the course of his extensive broadcasting career.

Launch Will Create a Radio Telescope Larger than Earth

NASA Astrophysics Data System (ADS)

NASA and the National Radio Astronomy Observatory are joining with an international consortium of space agencies to support the launch of a Japanese satellite next week that will create the largest astronomical "instrument" ever built -- a radio telescope more than two-and-a-half times the diameter of the Earth that will give astronomers their sharpest view yet of the universe. The launch of the Very Long Baseline Interferometry (VLBI) Space Observatory Program (VSOP) satellite by Japan's Institute of Space and Astronautical Science (ISAS) is scheduled for Feb. 10 at 11:50 p.m. EST (1:50 p.m. Feb. 11, Japan time.) The satellite is part of an international collaboration led by ISAS and backed by Japan's National Astronomical Observatory; NASA's Jet Propulsion Laboratory (JPL), Pasadena, CA; the National Science Foundation's National Radio Astronomy Observatory (NRAO), Socorro, NM; the Canadian Space Agency; the Australia Telescope National Facility; the European VLBI Network and the Joint Institute for Very Long Baseline Interferometry in Europe. Very long baseline interferometry is a technique used by radio astronomers to electronically link widely separated radio telescopes together so they work as if they were a single instrument with extraordinarily sharp "vision," or resolving power. The wider the distance between telescopes, the greater the resolving power. By taking this technique into space for the first time, astronomers will approximately triple the resolving power previously available with only ground-based telescopes. The satellite system will have resolving power almost 1,000 times greater than the Hubble Space Telescope at optical wavelengths. The satellite's resolving power is equivalent to being able to see a grain of rice in Tokyo from Los Angeles. "Using space VLBI, we can probe the cores of quasars and active galaxies, believed to be powered by super massive black holes," said Dr. Robert Preston, project scientist for the U.S. Space Very Long Baseline Interferometry project at JPL. "Observations of cosmic masers -- naturally-occurring microwave radio amplifiers -- will tell us new things about the process of star formation and activity in the heart of other galaxies." "By the 1980s, radio astronomers were observing the universe with assemblages of radio telescopes whose resolving power was limited only by the size of the Earth. Now, through a magnificent international effort, we will be able to break this barrier and see fine details of celestial objects that are beyond the reach of a purely ground-based telescope array. We anticipate a rich harvest of new scientific knowledge from VSOP," said Dr. Paul Vanden Bout, Director of NRAO. In the first weeks after launch, scientists and engineers will "test the deployment of the reflecting mesh telescope in orbit, the wide-band data link from the satellite to the ground, the performance of the low noise amplifiers in orbit, and the high-precision orbit determination and attitude control necessary for VLBI observations with an orbiting telescope," according to Dr. Joel Smith, manager of the U.S. Space VLBI project at JPL. Scientific observations are expected to begin in May. The 26-foot diameter orbiting radio telescope will observe celestial radio sources in concert with a number of the world's ground-based radio telescopes. The 1,830-pound satellite will be launched from ISAS' Kagoshima Space Center, at the southern tip of Kyushu, one of Japan's main islands, and will be the first launch with ISAS' new M-5 series rocket. The satellite will go into an elliptical orbit, varying between 620 to 12,400 miles above the Earth's surface. This orbit provides a wide range of distances between the satellite and ground-based telescopes, which is important for producing a high-quality image of the radio source being observed. One orbit of the Earth will take about six hours. The satellite's observations will concentrate on some of the most distant and intriguing objects in the universe, where the extremely sharp radio "vision" of the new system can provide much-needed information about a number of astronomical mysteries. For years, astronomers have known that powerful "engines" in the hearts of quasars and many galaxies are pouring out tremendous amounts of energy. They suspect that supermassive black holes, with gravitational fields so strong that not even light can escape them, lie in the centers of these "engines." The mechanism at work in the centers of quasars and active galaxies, however, remains a mystery. Ground-based radio telescopes, notably NRAO's Very Long Baseline Array (VLBA), have revealed fascinating new details in recent years, and VSOP is expected to add a wealth of new information on these objects, millions or billions of light-years distant from Earth. Many of these same objects act as super-powerful particle accelerators to eject "jets" of subatomic particles at nearly the speed of light. Scientists plan to use VSOP to monitor the changes and motions in these jets to learn more about how they originate and interact with their surroundings. The satellite also will aim at regions in the sky where giant collections of water and other molecules act as natural amplifiers of radio emission much as lasers amplify light. These regions, called cosmic masers, are found in areas where new stars are forming and near the centers of galaxies. Observations can provide the detail needed to measure motions of individual maser "spots" within these regions, and provide exciting new information about the star-forming regions and the galaxies where the masers reside. In addition, high-resolution studies of cosmic masers can allow astronomers to calculate distances to them with unprecedented accuracy, and thus help resolve continuing questions about the size and age of the universe. The project is a major international undertaking, with about 40 radio telescopes from more than 15 countries having committed time to co-observe with the satellite. This includes the National Science Foundation's Very Long Baseline Array (VLBA), an array of 10 telescopes spanning the United States from Hawaii to Saint Croix; NASA's Deep Space Network (DSN) sites in California, Spain, and Australia; the European VLBI Network, more than a dozen telescopes ranging from the United Kingdom to China; a Southern Hemisphere array of telescopes stretching from eastern Australia to South Africa; and Japan's network of domestic radio telescopes. In the United States, NASA is funding critical roles in the VSOP mission at both JPL and NRAO. JPL has built an array of three new tracking stations at its DSN sites in Goldstone, CA; Madrid, Spain; and near Canberra, Australia. A large existing tracking station at each of these sites has also been converted to an extremely sensitive radio telescope for simultaneous observations with the satellite. JPL also is providing precision orbit determination, scientific and operational planning support to the Japanese, and advice to U.S. astronomers who wish to observe with the satellite. NRAO is building a new tracking station at Green Bank, WV; contributing observing time on the VLBA array of telescopes; modifying existing data analysis hardware and software, and aiding astronomers with the analysis of the VSOP data. Much of the observational data will be processed at NRAO's facility in Socorro, NM, using the VLBA Correlator, a special purpose high-performance computer designed to process VLBI data. VSOP is the culmination of many years of planning and work by scientists and engineers around the world. Tests using NASA's Tracking and Data Relay Satellite System (TDRSS) proved the feasibility of space VLBI in 1986. Just last year, those old data were used again to test successfully the data-reduction facilities for VSOP. JPL manages the U.S. Space Very Long Baseline Interferometry project for NASA's Office of Space Science, Washington, DC. The VLBA, headquartered in Socorro, NM, is part of the National Radio Astronomy Observatory, a facility of the National Science Foundation, operated under cooperative agreement by Associated Universities, Inc.

Notes on the Recent History of Neuroscience in Africa

PubMed Central

Russell, Vivienne A.

2017-01-01

Neuroscience began with neuroanatomy and neurosurgery in Egypt more than 5000 years ago. Knowledge grew over time and specialized neurosurgery centers were established in north Africa in the eleventh century. However, it was not until the twentieth century that neuroscience research became established in sub-Saharan Africa. In most African countries, clinical research focused on understanding the rationale and improving treatment of epilepsy, infections, nutritional neuropathies, stroke and tumors. Significant advances were made. In the twenty-first century, African knowledge expanded to include all branches of neuroscience, contributing to genetic, biochemical and inflammatory determinants of brain disorders. A major focus of basic neuroscience research has been, and is, investigation of plant extracts, drugs and stress in animal models, providing insight and identifying potential novel therapies. A significant event in the history of African neuroscience was the founding of the Society of Neuroscientists of Africa (SONA) in 1993. The International Brain Research Organization (IBRO) supported SONA conferences, as well as workshops and neuroscience training schools in Africa. Thanks to their investment, as well as that of funding agencies, such as the National Institutes of Health (NIH), International Society for Neurochemistry (ISN), World Federation of Neurosurgical Societies (WFNS), World Federation of Neurology (WFN) and the International League Against Epilepsy (ILAE), neuroscience research is well-established in Africa today. However, in order to continue to develop, African neuroscience needs continued international support and African neuroscientists need to engage in policy and decision-making to persuade governments to fund studies that address the unique regional needs in Africa. PMID:29163069

Society of Neurological Surgeons boot camp courses: knowledge retention and relevance of hands-on learning after 6 months of postgraduate year 1 training.

PubMed

Selden, Nathan R; Anderson, Valerie C; McCartney, Shirley; Origitano, Thomas C; Burchiel, Kim J; Barbaro, Nicholas M

2013-09-01

In July 2010, the Society of Neurological Surgeons (SNS) introduced regional courses to promote patient safety and teach fundamental skills and knowledge to all postgraduate Year 1 (PGY1) trainees entering Accreditation Council for Graduate Medical Education (ACGME)-accredited US neurosurgery residency programs. Data from these courses demonstrated significant didactic learning and high faculty and resident satisfaction with hands-on training. Here, the authors evaluated the durability of learning from and the relevance of participation in SNS PGY1 courses as measured midway through PGY1 training. Resident participants were resurveyed 6 months after boot camp course attendance to assess knowledge retention and course effectiveness. Exposure to relevant hands-on experiences during PGY1 training and the subjective value of pre-residency simulated training in the courses were assessed. Ninety-four percent of all residents entering US PGY1 neurosurgical training participated in the 2010 SNS boot camp courses. One hundred sixty-four (88%) of these resident participants responded to the survey. Six months after course completion, 99% of respondents believed the boot camp courses benefited beginning neurosurgery residents and imparted skills and knowledge that would improve patient care. The PGY1 residents' knowledge of information taught in the courses was retained 6 months after initial testing (p < 0.0001). The learning and other benefits of participation in a national curriculum for residents entering PGY1 neurosurgical training were maintained 6 months after the courses, halfway through the initial training year.

Global surgery for pediatric hydrocephalus in the developing world: a review of the history, challenges, and future directions.

PubMed

Muir, Ryan T; Wang, Shelly; Warf, Benjamin C

2016-11-01

OBJECTIVE Pediatric hydrocephalus is one of the most common neurosurgical conditions and is a major contributor to the global burden of surgically treatable diseases. Significant health disparities exist for the treatment of hydrocephalus in developing nations due to a combination of medical, environmental, and socioeconomic factors. This review aims to provide the international neurosurgery community with an overview of the current challenges and future directions of neurosurgical care for children with hydrocephalus in low-income countries. METHODS The authors conducted a literature review around the topic of pediatric hydrocephalus in the context of global surgery, the unique challenges to creating access to care in low-income countries, and current international efforts to address the problem. RESULTS Developing countries face the greatest burden of pediatric hydrocephalus due to high birth rates and greater risk of neonatal infections. This burden is related to more general global health challenges, including malnutrition, infectious diseases, maternal and perinatal risk factors, and education gaps. Unique challenges pertaining to the treatment of hydrocephalus in the developing world include a preponderance of postinfectious hydrocephalus, limited resources, and restricted access to neurosurgical care. In the 21st century, several organizations have established programs that provide hydrocephalus treatment and neurosurgical training in Africa, Central and South America, Haiti, and Southeast Asia. These international efforts have employed various models to achieve the goals of providing safe, sustainable, and cost-effective treatment. CONCLUSIONS Broader commitment from the pediatric neurosurgery community, increased funding, public education, surgeon training, and ongoing surgical innovation will be needed to meaningfully address the global burden of untreated hydrocephalus.

Dark Skies are a Universal Resource. So are Quiet Skies!

NASA Astrophysics Data System (ADS)

Maddalena, Ronald J.; Heatherly, S.

2008-05-01

You've just purchased your first telescope. But where to set it up? Certainly not a WalMart parking lot. Too much light pollution! In the same way that man-made light obscures our night sky and blinds ground-based optical telescopes, man-made radio signals blind radio telescopes as well. NRAO developed the Quiet Skies project to increase awareness of radio frequency interference (RFI) and radio astronomy in general by engaging students in local studies of RFI. To do that we created a sensitive detector which measures RFI. We produced 20 of these, and assembled kits containing detectors and supplementary materials for loan to schools. Students conduct experiments to measure the properties of RFI in their area, and input their measurements into a web-based data base. The Quiet Skies project is a perfect complement to the IYA Dark Skies Awareness initiative. We hope to place 500 Quiet Skies detectors into the field through outreach to museums and schools around the world. Should we be successful, we will sustain this global initiative via a continuing loan program. One day we hope to have a publicly generated image of the Earth which shows RFI much as the Earth at Night image illustrates light pollution. The poster will present the components of the project in detail, including our plans for IYA, and various low-cost alternative strategies for introducing RFI and radio astronomy to the public. We will share the results of some of the experiments already being performed by high school students. Development of the Quiet Skies project was funded by a NASA IDEAS grant. The National Radio Astronomy Observatory is a facility of the National Science Foundation, operated under cooperative agreement by Associated Universities, Inc.

National surveys of radiofrequency field strengths from radio base stations in Africa

PubMed Central

Joyner, Ken H.; Van Wyk, Marthinus J.; Rowley, Jack T.

2014-01-01

The authors analysed almost 260 000 measurement points from surveys of radiofrequency (RF) field strengths near radio base stations in seven African countries over two time frames from 2001 to 2003 and 2006 to 2012. The results of the national surveys were compared, chronological trends investigated and potential exposures compared by technology and with frequency modulation (FM) radio. The key findings from thes data are that irrespective of country, the year and mobile technology, RF fields at a ground level were only a small fraction of the international human RF exposure recommendations. Importantly, there has been no significant increase in typical measured levels since the introduction of 3G services. The mean levels in these African countries are similar to the reported levels for countries of Asia, Europe and North America using similar mobile technologies. The median level for the FM services in South Africa was comparable to the individual but generally lower than the combined mobile services. PMID:24044904

Reaching adolescents: a role for radio.

PubMed

1999-12-01

The radio is a powerful means to reach adolescents and to address their concerns, particularly those that are not being addressed by their families or by the school curriculum. Proving this point is a radio program, "Sandhikhan" (Bengali for adolescence), which aired on national radio covering adolescent health issues, particularly reproductive health. The program's impact was the subject of a WBVHA survey among adolescent radio listeners in West Bengal. About 79% (369 individual listeners) of the respondents rated the radio program very good, with only a negligible 1% describing it as unnecessary. Only 21% of respondents listened to the program alone, with the majority listening in the company of friends, mothers, sisters, brothers, fathers, and other relatives. This suggested a wider group of listeners in addition to the program's primary target audience. Clearly, findings pointed to the effectiveness of teaching adolescent health on the air and the role that was played by WBVHA in developing healthy attitudes and habits among its young audience. The findings of the survey will provide the basis for producing educational materials on reproductive health for students as well as teachers. full text

The history of radio telescopes, 1945-1990

NASA Astrophysics Data System (ADS)

Sullivan, Woodruff T.

2009-08-01

Forged by the development of radar during World War II, radio astronomy revolutionized astronomy during the decade after the war. A new universe was revealed, centered not on stars and planets, but on the gas between the stars, on explosive sources of unprecedented luminosity, and on hundreds of mysterious discrete sources with no optical identifications. Using “radio telescopes” that looked nothing like traditional (optical) telescopes, radio astronomers were a very different breed from traditional (optical) astronomers. This pathbreaking of radio astronomy also made it much easier for later “astronomies” and their “telescopes” (X-ray, ultraviolet, infrared, gamma-ray) to become integrated into astronomy after the launch of the space age in the 1960s. This paper traces the history of radio telescopes from 1945 through about 1990, from the era of converted small-sized, military radar antennas to that of large interferometric arrays connected by complex electronics and computers; from the era of strip-chart recordings measured by rulers to powerful computers and display graphics; from the era of individuals and small groups building their own equipment to that of Big Science, large collaborations and national observatories.

A radio telescope for the calibration of radio sources at 32 gigahertz

NASA Technical Reports Server (NTRS)

Gatti, M. S.; Stewart, S. R.; Bowen, J. G.; Paulsen, E. B.

1994-01-01

A 1.5-m-diameter radio telescope has been designed, developed, and assembled to directly measure the flux density of radio sources in the 32-GHz (Ka-band) frequency band. The main goal of the design and development was to provide a system that could yield the greatest absolute accuracy yet possible with such a system. The accuracy of the measurements have a heritage that is traceable to the National Institute of Standards and Technology. At the present time, the absolute accuracy of flux density measurements provided by this telescope system, during Venus observations at nearly closest approach to Earth, is plus or minus 5 percent, with an associated precision of plus or minus 2 percent. Combining a cooled high-electron mobility transistor low-noise amplifier, twin-beam Dicke switching antenna, and accurate positioning system resulted in a state-of-the-art system at 32 GHz. This article describes the design and performance of the system as it was delivered to the Owens Valley Radio Observatory to support direct calibrations of the strongest radio sources at Ka-band.

Risk factors for unplanned readmission within 30 days after pediatric neurosurgery: a nationwide analysis of 9799 procedures from the American College of Surgeons National Surgical Quality Improvement Program

PubMed Central

Sherrod, Brandon A.; Johnston, James M.; Rocque, Brandon G.

2017-01-01

Objective Readmission rate is increasingly used as a quality outcome measure after surgery. The purpose of this study was to establish, using a national database, the baseline readmission rates and risk factors for readmission after pediatric neurosurgical procedures. Methods The American College of Surgeons National Surgical Quality Improvement Program–Pediatric database was queried for pediatric patients treated by a neurosurgeon from 2012 to 2013. Procedures were categorized by current procedural terminology code. Patient demographics, comorbidities, preoperative laboratory values, operative variables, and postoperative complications were analyzed via univariate and multivariate techniques to find associations with unplanned readmission within 30 days of the primary procedure. Results A total of 9799 cases met the inclusion criteria, 1098 (11.2%) of which had an unplanned readmission within 30 days. Readmission occurred 14.0 ± 7.7 days postoperatively (mean ± standard deviation). The 4 procedures with the highest unplanned readmission rates were CSF shunt revision (17.3%), repair of myelomeningocele > 5 cm in diameter (15.4%), CSF shunt creation (14.1%), and craniectomy for infratentorial tumor excision (13.9%). Spine (6.5%), craniotomy for craniosynostosis (2.1%), and skin lesion (1.0%) procedures had the lowest unplanned readmission rates. On multivariate regression analysis, the odds of readmission were greatest in patients experiencing postoperative surgical site infection (SSI; deep, organ/space, superficial SSI and wound disruption: OR > 12 and p < 0.001 for each). Postoperative pneumonia (OR 4.294, p < 0.001), urinary tract infection (OR 4.262, p < 0.001), and sepsis (OR 2.616, p = 0.006) also independently increased the readmission risk. Independent patient risk factors for unplanned readmission included Native American race (OR 2.363, p = 0.019), steroid use > 10 days (OR 1.411, p = 0.010), oxygen supplementation (OR 1.645, p = 0.010), nutritional support (OR 1.403, p = 0.009), seizure disorder (OR 1.250, p = 0.021), and longer operative time (per hour increase, OR 1.059, p = 0.014). Conclusions This study may aid in identifying patients at risk for unplanned readmission following pediatric neurosurgery, potentially helping to focus efforts at lowering readmission rates, minimizing patient risk, and lowering costs for health care systems. PMID:27184348

Risk factors for unplanned readmission within 30 days after pediatric neurosurgery: a nationwide analysis of 9799 procedures from the American College of Surgeons National Surgical Quality Improvement Program.

PubMed

Sherrod, Brandon A; Johnston, James M; Rocque, Brandon G

2016-09-01

OBJECTIVE Hospital readmission rate is increasingly used as a quality outcome measure after surgery. The purpose of this study was to establish, using a national database, the baseline readmission rates and risk factors for patient readmission after pediatric neurosurgical procedures. METHODS The American College of Surgeons National Surgical Quality Improvement Program-Pediatric database was queried for pediatric patients treated by a neurosurgeon between 2012 and 2013. Procedures were categorized by current procedural terminology (CPT) code. Patient demographics, comorbidities, preoperative laboratory values, operative variables, and postoperative complications were analyzed via univariate and multivariate techniques to find associations with unplanned readmissions within 30 days of the primary procedure. RESULTS A total of 9799 cases met the inclusion criteria, 1098 (11.2%) of which had an unplanned readmission within 30 days. Readmission occurred 14.0 ± 7.7 days postoperatively (mean ± standard deviation). The 4 procedures with the highest unplanned readmission rates were CSF shunt revision (17.3%; CPT codes 62225 and 62230), repair of myelomeningocele > 5 cm in diameter (15.4%), CSF shunt creation (14.1%), and craniectomy for infratentorial tumor excision (13.9%). The lowest unplanned readmission rates were for spine (6.5%), craniotomy for craniosynostosis (2.1%), and skin lesion (1.0%) procedures. On multivariate regression analysis, the odds of readmission were greatest in patients experiencing postoperative surgical site infection (SSI; deep, organ/space, superficial SSI, and wound disruption: OR > 12 and p < 0.001 for each). Postoperative pneumonia (OR 4.294, p < 0.001), urinary tract infection (OR 4.262, p < 0.001), and sepsis (OR 2.616, p = 0.006) also independently increased the readmission risk. Independent patient risk factors for unplanned readmission included Native American race (OR 2.363, p = 0.019), steroid use > 10 days (OR 1.411, p = 0.010), oxygen supplementation (OR 1.645, p = 0.010), nutritional support (OR 1.403, p = 0.009), seizure disorder (OR 1.250, p = 0.021), and longer operative time (per hour increase, OR 1.059, p = 0.029). CONCLUSIONS This study may aid in identifying patients at risk for unplanned readmission following pediatric neurosurgery, potentially helping to focus efforts at lowering readmission rates, minimizing patient risk, and lowering costs for health care systems.

Space-Based Reconfigurable Software Defined Radio Test Bed Aboard International Space Station

NASA Technical Reports Server (NTRS)

Reinhart, Richard C.; Lux, James P.

2014-01-01

The National Aeronautical and Space Administration (NASA) recently launched a new software defined radio research test bed to the International Space Station. The test bed, sponsored by the Space Communications and Navigation (SCaN) Office within NASA is referred to as the SCaN Testbed. The SCaN Testbed is a highly capable communications system, composed of three software defined radios, integrated into a flight system, and mounted to the truss of the International Space Station. Software defined radios offer the future promise of in-flight reconfigurability, autonomy, and eventually cognitive operation. The adoption of software defined radios offers space missions a new way to develop and operate space transceivers for communications and navigation. Reconfigurable or software defined radios with communications and navigation functions implemented in software or VHDL (Very High Speed Hardware Description Language) provide the capability to change the functionality of the radio during development or after launch. The ability to change the operating characteristics of a radio through software once deployed to space offers the flexibility to adapt to new science opportunities, recover from anomalies within the science payload or communication system, and potentially reduce development cost and risk by adapting generic space platforms to meet specific mission requirements. The software defined radios on the SCaN Testbed are each compliant to NASA's Space Telecommunications Radio System (STRS) Architecture. The STRS Architecture is an open, non-proprietary architecture that defines interfaces for the connections between radio components. It provides an operating environment to abstract the communication waveform application from the underlying platform specific hardware such as digital-to-analog converters, analog-to-digital converters, oscillators, RF attenuators, automatic gain control circuits, FPGAs, general-purpose processors, etc. and the interconnections among different radio components.

Astronomers Detect Powerful Bursting Radio Source Discovery Points to New Class of Astronomical Objects

NASA Astrophysics Data System (ADS)

2005-03-01

Astronomers at Sweet Briar College and the Naval Research Laboratory (NRL) have detected a powerful new bursting radio source whose unique properties suggest the discovery of a new class of astronomical objects. The researchers have monitored the center of the Milky Way Galaxy for several years and reveal their findings in the March 3, 2005 edition of the journal, “Nature”. This radio image of the central region of the Milky Way Galaxy holds a new radio source, GCRT J1745-3009. The arrow points to an expanding ring of debris expelled by a supernova. CREDIT: N.E. Kassim et al., Naval Research Laboratory, NRAO/AUI/NSF Principal investigator, Dr. Scott Hyman, professor of physics at Sweet Briar College, said the discovery came after analyzing some additional observations from 2002 provided by researchers at Northwestern University. “"We hit the jackpot!” Hyman said referring to the observations. “An image of the Galactic center, made by collecting radio waves of about 1-meter in wavelength, revealed multiple bursts from the source during a seven-hour period from Sept. 30 to Oct. 1, 2002 — five bursts in fact, and repeating at remarkably constant intervals.” Hyman, four Sweet Briar students, and his NRL collaborators, Drs. Namir Kassim and Joseph Lazio, happened upon transient emission from two radio sources while studying the Galactic center in 1998. This prompted the team to propose an ongoing monitoring program using the National Science Foundation’s Very Large Array (VLA) radio telescope in New Mexico. The National Radio Astronomy Observatory, which operates the VLA, approved the program. The data collected, laid the groundwork for the detection of the new radio source. “Amazingly, even though the sky is known to be full of transient objects emitting at X- and gamma-ray wavelengths,” NRL astronomer Dr. Joseph Lazio pointed out, “very little has been done to look for radio bursts, which are often easier for astronomical objects to produce.” The team has monitored the Galactic center for new transient sources and for variability in approximately 250 known sources, but the five bursts from the new radio source, named GCRT J1745-3009, were by far the most powerful seen. The five bursts were of equal brightness, with each lasting about 10 minutes, and occurring every 77 minutes. The source of the bursts is transient Hyman noted. “It has not been detected since 2002 nor is it present on earlier images.” Although the exact nature of the object remains a mystery, the team members currently believe that GCRT J1745-3009 is either the first member of a new class of objects or an unknown mode of activity of a known source class. One important clue to understanding the origin of the radio bursts is that the emission appears to be “coherent,” Hyman said. “There are very few classes of coherent emitters in the universe. Natural astronomical masers — the analog of laser emission at microwave wavelengths — are one class of coherent sources, but these emit in specific wavelengths. In contrast, the new transient’s bursts were detected over a relatively large bandwidth.” The new radio source is located below the expanding ring of debris of this supernova remnant. The plot illustrates the radio light curve of the five detected bursts occurring every 77 minutes. “In addition to these intriguing properties, NRL astronomer Dr. Paul Ray and colleague, Dr. Craig Markwardt of NASA’s Goddard Space Flight Center, have searched the source for X-ray emission but have not found any convincing evidence. “The non-detection of X-ray emission is intriguing,” Ray said. “Many sources that emit transient X-ray flares, such as black hole binary star systems, also have associated radio emission. If upon further observations, X-ray emission is definitively detected or ruled out, this will be a significant help in understanding the nature of this remarkable source.” “Needless to say, the discovery of these transients has been very exciting for our students,” Hyman added. Participating in this research program has inspired at least two of Hyman?s students — Jennifer Neureuther and Mariana Lazarova — to pursue graduate studies in astronomy. This project was supported at Sweet Briar College by funding from Research Corporation and the Jeffress Foundation. Basic research in radio astronomy at NRL is supported by the Office of Naval Research. Further Research Hyman and his NRL colleagues plan to continue monitoring the Galactic center and search for the source again with the VLA and other X-ray and radio telescopes. They are also developing (with Dr. Kent Wood of NRL) a model that attempts to account for the radio bursts as a new type of outburst from a class of sources known as “magnetars.” NRL is also contributing to an effort to build the world’s largest and most sensitive low-frequency telescope, called the Long Wavelength Array (LWA), which may revolutionize future searches for other radio transient sources. Current plans call for the LWA, which is being developed by the University of New Mexico-led Southwest Consortium, to be sited in New Mexico, not far from the VLA. “One of the key advantages of observing at long radio wavelengths,” explained NRL astronomer, Dr. Namir Kassim, “is that the field-of-view is so large that a single observation can efficiently detect transient phenomena over a large region.” “When completed, the LWA may uncover hundreds of previously unknown radio transients, some of which may be examples of Jupiter-like planets orbiting other stars,” Kassim added. Jupiter is the most famous example of a nearby radio transient. About Sweet Briar College Sweet Briar College is consistently ranked among the nation’s top liberal arts colleges.ÿ Founded in 1901 as an independent undergraduate college for women, Sweet Briar continues its commitment to the education of women, offering a full range of liberal arts majors, including subjects traditionally considered male domains. Its customized educational programs combine the liberal arts with preparation for professional life, equipping students to successfully enter graduate school and/or the workforce. Sweet Briar’s excellent academic reputation, spectacular campus and attention to the individual attract smart, confident women both nationally and internationally. The College is located on more than 3,000 acres in the Blue Ridge Mountains just north of Lynchburg, Va. For more information visit www.sbc.edu. About The Naval Research Laboratory NRL is the Department of the Navy’s corporate laboratory and conducts a broad program of scientific research, technology and advanced development. The Laboratory, with a total complement of nearly 2,500 personnel, is located in southwest Washington, DC, with other major sites at the Stennis Space Center, MS; and Monterey, CA. For more information about NRL, visit www.nrl.navy.mil. About the National Radio Astronomy Observatory The National Radio Astronomy Observatory (NRAO) is a facility of the National Science Foundation, operated under cooperative agreement by Associated Universities, Inc. NRAO designs, builds and operates the world’s most sophisticated and advanced radio telescopes. Facilities include the Very Large Array, the 100-meter Robert C. Byrd Green Bank Telescope, the Very Long Baseline Array, and the Atacama Large Millimeter Array. For more information about NRAO, visit www.nrao.edu.

Assessing residents' operative skills for external ventricular drain placement and shunt surgery in pediatric neurosurgery.

PubMed

Aldave, Guillermo; Hansen, Daniel; Briceño, Valentina; Luerssen, Thomas G; Jea, Andrew

2017-04-01

OBJECTIVE The authors previously demonstrated the use of a validated Objective Structured Assessment of Technical Skills (OSATS) tool for evaluating residents' operative skills in pediatric neurosurgery. However, no benchmarks have been established for specific pediatric procedures despite an increased need for meaningful assessments that can either allow for early intervention for underperforming trainees or allow for proficient residents to progress to conducting operations independently with more passive supervision. This validated methodology and tool for assessment of operative skills for common pediatric neurosurgical procedures-external ventricular drain (EVD) placement and shunt surgery- was applied to establish its procedure-based feasibility and reliability, and to document the effect of repetition on achieving surgical skill proficiency in pediatric EVD placement and shunt surgery. METHODS A procedure-based technical skills assessment for EVD placements and shunt surgeries in pediatric neurosurgery was established through the use of task analysis. The authors enrolled all residents from 3 training programs (Baylor College of Medicine, Houston Methodist Hospital, and University of Texas-Medical Branch) who rotated through pediatric neurosurgery at Texas Children's Hospital over a 26-month period. For each EVD placement or shunt procedure performed with a resident, the faculty and resident (for self-assessment) completed an evaluation form (OSATS) based on a 5-point Likert scale with 7 categories. Data forms were then grouped according to faculty versus resident (self) assessment, length of pediatric neurosurgery rotation, postgraduate year level, and date of evaluation ("beginning of rotation," within 1 month of start date; "end of rotation," within 1 month of completion date; or "middle of rotation"). Descriptive statistical analyses were performed with the commercially available SPSS statistical software package. A p value < 0.05 was considered statistically significant. RESULTS Five attending evaluators (including 2 fellows who acted as attending surgeons) completed 260 evaluations. Twenty house staff completed 269 evaluations for self-assessment. Evaluations were completed in 562 EVD and shunt procedures before the surgeons left the operating room. There were statistically significant differences (p < 0.05) between overall attending (mean 4.3) and junior resident (self; mean 3.6) assessments, and between overall attending (mean 4.8) and senior resident (self; mean 4.6) assessment scores on general performance and technical skills. The learning curves produced for the residents demonstrate a stereotypical U- or V-shaped curve for acquiring skills, with a significant improvement in overall scores at the end of the rotation compared with the beginning. The improvement for junior residents (Δ score = 0.5; p = 0.002) was larger than for senior residents (Δ score = 0.2; p = 0.018). CONCLUSIONS The OSATS is an effective assessment tool as part of a comprehensive evaluation of neurosurgery residents' performance for specific pediatric procedures. The authors observed a U-shaped learning curve, contradicting the idea that developing one's surgical technique and learning a procedure represents a monotonic, cumulative process of repetitions and improvement.

Case-control studies in neurosurgery.

PubMed

Nesvick, Cody L; Thompson, Clinton J; Boop, Frederick A; Klimo, Paul

2014-08-01

Observational studies, such as cohort and case-control studies, are valuable instruments in evidence-based medicine. Case-control studies, in particular, are becoming increasingly popular in the neurosurgical literature due to their low cost and relative ease of execution; however, no one has yet systematically assessed these types of studies for quality in methodology and reporting. The authors performed a literature search using PubMed/MEDLINE to identify all studies that explicitly identified themselves as "case-control" and were published in the JNS Publishing Group journals (Journal of Neurosurgery, Journal of Neurosurgery: Pediatrics, Journal of Neurosurgery: Spine, and Neurosurgical Focus) or Neurosurgery. Each paper was evaluated for 22 descriptive variables and then categorized as having either met or missed the basic definition of a case-control study. All studies that evaluated risk factors for a well-defined outcome were considered true case-control studies. The authors sought to identify key features or phrases that were or were not predictive of a true case-control study. Those papers that satisfied the definition were further evaluated using the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist. The search detected 67 papers that met the inclusion criteria, of which 32 (48%) represented true case-control studies. The frequency of true case-control studies has not changed with time. Use of odds ratios (ORs) and logistic regression (LR) analysis were strong positive predictors of true case-control studies (for odds ratios, OR 15.33 and 95% CI 4.52-51.97; for logistic regression analysis, OR 8.77 and 95% CI 2.69-28.56). Conversely, negative predictors included focus on a procedure/intervention (OR 0.35, 95% CI 0.13-0.998) and use of the word "outcome" in the Results section (OR 0.23, 95% CI 0.082-0.65). After exclusion of nested case-control studies, the negative correlation between focus on a procedure/intervention and true case-control studies was strengthened (OR 0.053, 95% CI 0.0064-0.44). There was a trend toward a negative association between the use of survival analysis or Kaplan-Meier curves and true case-control studies (OR 0.13, 95% CI 0.015-1.12). True case-control studies were no more likely than their counterparts to use a potential study design "expert" (OR 1.50, 95% CI 0.57-3.95). The overall average STROBE score was 72% (range 50-86%). Examples of reporting deficiencies were reporting of bias (28%), missing data (55%), and funding (44%). The results of this analysis show that the majority of studies in the neurosurgical literature that identify themselves as "case-control" studies are, in fact, labeled incorrectly. Positive and negative predictors were identified. The authors provide several recommendations that may reverse the incorrect and inappropriate use of the term "case-control" and improve the quality of design and reporting of true case-control studies in neurosurgery.

Archiving of interferometric radio and mm/submm data at the National Radio Astronomy Observatory

NASA Astrophysics Data System (ADS)

Lacy, Mark

2018-06-01

Modern radio interferometers such as ALMA and the VLA are capable of producing ~1TB/day of data for processing into image products of comparable size. Besides the shear volume of data, the products themselves can be complicated and are sometimes hard to map into standard astronomical archive metadata. We also face similar issues to those faced by archives at other wavelengths, namely the role of archives as the basis of reprocessing platforms and facilities, and the validation and ingestion of user-derived products. In this talk I shall discuss the plans of NRAO in these areas over the next decade.

News and Views: Research council resource allocations: managing demand; e-MERLIN radio telescope network is up and running

NASA Astrophysics Data System (ADS)

2011-02-01

The research councils discovered in December the allocation of money from the UK government's Comprehensive Spending Review, and have set out their delivery plans outlining how they will spend it. Details and decisions will follow consultation in the coming months. The first image from eMerlin, the UK's national radio astronomy facility, shows the power of the enhanced network of radio telescopes spread over 220 km and now linked by fibre optics. These links and advanced receivers will allow astronomers to see in a single day what would have previously taken them more than a year of observations.

Radio Supernovae: Circum-Stellar Investigation (C.S.I.) of Supernova Progenitor Stars

DTIC Science & Technology

2009-02-24

agreement with the National Science Foundation. 4 −1.5 −1 −0.5 0 0.5 1 1.5 2 2.5 3 3.5 Log Time (Years since Explosion) 22 23 24 25 26 27 28 29 Lo g...formation of pulsar wind-nebula in other SN observations where VLBI measurements are not feasible. 3 The Future of Radio Supernovae Current observing

Options in Education: Program No. 88. Sex and Sexism in Education, Part II. Transcripts of a Weekly Series Broadcast by Member Stations of National Public Radio.

ERIC Educational Resources Information Center

National Public Radio, Washington, DC.

This booklet is a transcription of a program from the radio series, "Options in Education." It is part 2 of a two-part series dealing with sexism in education. It deals with sex discrimination in various aspects of public education, including textbooks, teacher promotion, sports programs and children's literature. There is also a…

Operation "Frontal Lobe" versus the "Living Room Toy": The Battle over Program Control in Early Television.

ERIC Educational Resources Information Center

Boddy, William

The development of the television industry in the United States as it emerged in the 1950s is mirrored by tracing the policies and actions of NBC (the National Broadcasting Company) during this period. As the leading radio network and as a subsidiary of RCA (the Radio Corporation of America), NBC was in a uniquely powerful position to direct the…

Young People's Concerns about Sex: Unsolicited Questions to a Teenage Radio Talkback Programme over Three Years

ERIC Educational Resources Information Center

Kang, Melissa; Quine, Susan

2007-01-01

This paper describes a novel qualitative study that identified the concerns of young people about sex through a talk-back segment from 2002 to 2004 on an Australian national radio popular music programme targeting 15-24 year olds. Two hundred and thirty-one unsolicited callers (150 female and 81 male) went to air over the study period, and 212…

Proceedings of the Annual Meeting of the Association for Education in Journalism and Mass Communication (86th, Kansas City, Missouri, July 30-August 2, 2003). Radio-Television Journalism Division.

ERIC Educational Resources Information Center

2003

The Radio-Television Journalism Division of the proceedings contains the following 11 papers: "In Whose Best Interest? FCC Deregulation and Local News: How Cross-Ownership, National Caps, and Duopolies Are Addressed in Three Commissioned Studies" (Laura K. Smith); "Remembering the News: The Effect of Chronological Presentation of…

Survival was Significantly Better with Surgical/Medical/Radiation Co-interventions in a Single-Institution Practice Audit of Frameless Stereotactic Radiosurgery.

PubMed

Taggar, Amandeep; MacKenzie, Joanna; Li, Haocheng; Lau, Harold; Lim, Gerald; Nordal, Robert; Hudson, Alana; Khan, Rao; Spencer, David; Voroney, Jon-Paul

2016-05-17

To audit outcomes after introducing frameless stereotactic radiosurgery (SRS) for brain metastases, including co-interventions: neurosurgery, systemic therapy, and whole brain radiotherapy (WBRT). We report median overall survival (MS), local failure, and distant brain failure. We hypothesized patients treated with SRS would have clinically meaningful improved MS compared with historic institutional values. We further hypothesized that patients treated with co-interventions would have clinically meaningful improved MS compared with patients treated with SRS alone. One hundred twenty patients (N = 120) with limited intracranial disease underwent 130 frameless SRS sessions from April 2010 to May 2013. Median follow-up was 11 months. MS was measured from brain metastases diagnosis, local failure, and distant brain failure from the time of first SRS. Practice pattern during the first year of the study favored upfront WBRT (79%) over SRS (21%) while upfront SRS (45%) was almost as common as upfront WBRT (55%) in the last year of the study. MS was 18 months; 37% received SRS alone as initial radiotherapy (MS 12 months); 63% received WBRT prior to SRS (MS 19 months); 50% received systemic therapy post-SRS (MS 21 months); and 26% had tumor resection then SRS to the surgical cavity (MS 42 months). Local failure occurred in 10% of lesions and radio-necrosis occurred in 4%. Differences in distant brain failure among patients treated with upfront SRS (40% rate), WBRT followed by SRS (33% rate) or systemic therapy post-SRS (37% rate) were not statistically significant. Frameless SRS effectively treats surgical cavities, persistent tumors post-WBRT, and can be used as an upfront treatment of brain metastases. Surgery, systemic therapy, and WBRT are associated with longer MS. Patients can live for years while receiving multiple therapies. Systemic therapy for patients with brain metastases is increasingly common, palliative care occurs earlier and improves survival, and WBRT use is not routine. Modern series sometimes produce unexpectedly good results. Classification and treatment protocols are evolving. This practice audit is note-worthy for (i) high median overall survival, (ii) systemic therapy after radiosurgery for patients with tumors treated by radiosurgery, (iii) distant brain failure not significantly related to WBRT, and (iv) neurosurgery, systemic therapy, and WBRT are independently associated with improved MS.

Juvenile Radio-Tag Study: Lower Granite Dam, 1985 Annual Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Stuehrenberg, Lowell C.

The concept of using mass releases of juvenile radio tags represents a new and potentially powerful research tool that could be effectively applied to juvenile salmonid passage problems at dams on the Columbia and Snake Rivers. A system of detector antennas, strategically located, would automatically detect and record individually tagged juvenile salmonids as they pass through the spillway, powerhouse, bypass system, or tailrace areas below the dam. Accurate measurements of spill effectiveness, fish guiding efficiency (FGE), collection efficiency (CE), spillway survival, powerhouse survival, and bypass survival would be possible without handling large numbers of unmarked fish. A prototype juvenile radio-tagmore » system was developed and tested by the National Marine Fisheries Service (NMFS) and Bonneville Power Administration (BPA) at John Day Dam and at Lower Granite Dam. This report summarizes research to: (1) evaluate the effectiveness of the prototype juvenile radio-tag system in a field situation and (2) to test the basic assumptions inherent in using the juvenile radio tag as a research tool.« less

Spellbinding and crooning: sound amplification, radio, and political rhetoric in international comparative perspective, 1900-1945.

PubMed

Wijfjes, Huub

2014-01-01

This article researches in an interdisciplinary way the relationship of sound technology and political culture at the beginning of the twentieth century. It sketches the different strategies that politicians--Franklin D. Roosevelt, Adolf Hitler, Winston Churchill, and Dutch prime minister Hendrikus Colijn--found for the challenges that sound amplification and radio created for their rhetoric and presentation. Taking their different political styles into account, the article demonstrates that the interconnected technologies of sound amplification and radio forced a transition from a spellbinding style based on atmosphere and pathos in a virtual environment to "political crooning" that created artificial intimacy in despatialized simultaneity. Roosevelt and Colijn created the best examples of this political crooning, while Churchill and Hitler encountered problems in this respect. Churchill's radio successes profited from the special circumstances during the first period of World War II. Hitler's speeches were integrated into a radio regime trying to shape, with dictatorial powers, a national socialistic community of listeners.

Bringing text display digital radio to consumers with hearing loss.

PubMed

Sheffield, Ellyn G; Starling, Michael; Schwab, Daniel

2011-01-01

Radio is migrating to digital transmission, expanding its offerings to include captioning for individuals with hearing loss. Text display radio requires a large amount of word throughput with minimal screen display area, making good user interface design crucial to its success. In two experiments, we presented hearing, hard-of-hearing, and deaf consumers with National Public Radio stories converted to text and examined their preferences for and reactions to midsized and small radio text displays. We focused on physical display attributes such as text color, font style, line length, and scrolling type as well as emergency alert messages and emergency prompts for drivers, announcer identification schemes, and synchronization of audio and text. Results suggest that midsized, Global Positioning System (GPS)-style displays were well liked, synchronization of audio and text was important to comprehension and retrieval of story details, identification of announcers was served best with a combination of name change in parenthesis and color change, and a mixture of color and flashing symbols was preferred for emergency alerting.

CONFERENCE NOTE: Conference on Precision Electromagnetic Measurements

NASA Astrophysics Data System (ADS)

1991-01-01

The next Conference on Precision Electromagnetic Measurements (CPEM), will be held from 9 to 12 June 1992 at the Centre des Nouvelles Industries et Technologies (CNIT), La Défense, Paris, France. This conference, which is held every two years and whose importance and high level, confirmed by thirty years' experience, are recognized throughout the world, can be considered as a forum in which scientists, metrologists and professionals will have the opportunity to present and compare their research results on fundamental constants, standards and new techniques of precision measurement in the electromagnetic domain. Topics The following topics are regarded as the most appropriate for this conference: realization of units and fundamental constants d.c. a.c. and high voltage time and frequency radio-frequency and microwaves dielectrics, antennas, fields lasers, fibre optics advanced instrumentation, cryoelectronics. There will also be a session on international cooperation. Conference Language The conference language will be English. No translation will be provided. Organizers Société des Electriciens et des Electroniciens (SEE). Bureau National de Métrologie (BNM) Sponsors Institute of Electrical and Electronics Engineers (IEEE) Instrumentation & Measurement Society Union Radio Scientifique Internationale United States National Institute of Standards and Technology Centre National d'Etudes des Télécommunications Mouvement Français pour la Qualité, Section Métrologie Comité National Français de Radioélectricité Scientifique Contact Jean Zara, CPEM 92 publicity, Bureau National de Métrologie, 22, rue Monge, 75005 Paris Tel.: (33) 1 46 34 48 16, Fax: (33) 1 46 34 48 63

Surgical Planning and Informed Consent

ClinicalTrials.gov

2018-04-11

Communication; Feedback, Psychological; Health Knowledge, Attitudes, Practice; Humans; Informed Consent; Neurosurgery; Patient Compliance; Patient-Centered Care; Physician-Patient Relations; User-Computer Interface

75 FR 48939 - National Superconducting Cyclotron Laboratory of Michigan State University; Notice of Decision on...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-12

... DEPARTMENT OF COMMERCE International Trade Administration National Superconducting Cyclotron Laboratory of Michigan State University; Notice of Decision on Applications for Duty-Free Entry of Scientific... Cyclotron Laboratory of Michigan State University. Instrument: Radio Frequency Quadropole Accelerator (RFQ...

The Future of Public Broadcasting.

ERIC Educational Resources Information Center

Bachrach, Judy

This script of "National Town Meeting," a public affairs program on National Public Radio, contains a panel discussion on the future of public broadcasting, during which panel members also answer questions from the audience. The topics discussed include programming and program content, production costs, public participation, funding, the…

NRAO Scientists on Team Receiving International Astronautics Award

NASA Astrophysics Data System (ADS)

2005-10-01

The International Academy of Astronautics (IAA) is presenting an award to a pioneering team of scientists and engineers who combined an orbiting radio-astronomy satellite with ground-based radio telescopes around the world to produce a "virtual telescope" nearly three times the size of the Earth. The team, which includes two scientists from the National Radio Astronomy Observatory (NRAO), will receive the award in a ceremony Sunday, October 16, in Fukuoka, Japan. VSOP Satellite and Ground Telescopes Artist's conception of HALCA satellite and ground observatories together making "virtual telescope" (blue) about three times the size of Earth. CREDIT: ISAS, JAXA (Click on image for larger version) The IAA chose the VLBI Space Observatory Program (VSOP), an international collaboration, to receive its 2005 Laurels for Team Achievement Award, which recognizes "extraordinary performance and achievement by a team of scientists, engineers and managers in the field of Astronautics to foster its peaceful and international use." VSOP team members named in the IAA award include NRAO astronomers Edward Fomalont, of Charlottesville, Virginia, and Jonathan Romney, of Socorro, New Mexico. "This is a well-deserved award for an international team whose hard work produced a scientific milestone that yielded impressive results and provides a foundation for more advances in the future," said Dr. Fred K.Y Lo, NRAO Director. The VSOP program used a Japanese satellite, HALCA (Highly Advanced Laboratory for Communications and Astronomy), that included an 8-meter (26-foot) radio telescope. HALCA was launched in 1997 and made astronomical observations in conjunction with ground-based radio telescopes from 14 countries. Five tracking stations, including one at NRAO's Green Bank, West Virginia, facility, received data from HALCA which later was combined with data from the ground-based telescopes to produce images more detailed than those that could have been made by ground-based systems alone. The NRAO's Very Long Baseline Array (VLBA), a continent-wide system of radio telescopes ranging from Hawaii to the Caribbean, was one of the principal ground-based networks working with HALCA. The VLBA's powerful special-purpose computer, called a correlator, was a prime workhorse for processing the data from VSOP astronomical observations. Very long baseline interferometry (VLBI) is a technique used by radio astronomers to electronically link widely separated radio telescopes together so they work as if they were a single instrument with extraordinarily sharp "vision," or resolving power. The wider the distance, or "baselines" between telescopes, the greater the resolving power. The IAA award citation notes that the VSOP team "realized the long-held dream of radio astronomers to extend those baselines into space, by observing celestial radio sources with the HALCA satellite, supported by a dedicated network of tracking stations, and arrays of ground radio telescopes from around the world." The VSOP team was able to approximately triple the resolving power available with only ground-based telescopes. The first experiment in such space-ground observation was made in 1986, using a NASA Tracking and Data Relay Satellite. The VSOP project grew as an international effort after that experiment, and provided observing time to astronomers from around the world. During the VSOP observational program, the combined space-ground system made more than 780 individual astronomical observations and also made an all-sky survey of the cores of active galaxies. The VLBA The VLBA CREDIT: NRAO/AUI/NSF In addition to providing large amounts of observing time on the VLBA and building and operating the Green Bank tracking station, NRAO staff also modified existing hardware and software and aided astronomers from around the world in analyzing VSOP data. On behalf of the entire VSOP Team, the IAA highlighted "the astronomers and engineers who made key contributions to realizing, and operating, a radio telescope bigger than the Earth." In addition to Fomalont and Romney, they are: Hisashi Hirabayashi, of the Institute of Space and Astronautical Science and Japan Aerospace Exploration Agency (ISAS/JAXA), Haruto Hirosawa (ISAS/JAXA), Peter Dewdney of Canada's Dominion Radio Astrophysical Observatory, Leonid Gurvits of the Joint Institute for VLBI in Europe (JIVE, The Netherlands), Makoto Inoue of the National Astronomical Observatory of Japan (NAOJ), David Jauncey of the Australia Telescope National Facility, Noriyuki Kawaguchi (NAOJ), Hideyuki Kobayashi (NAOJ), Kazuo Miyoshi (Mitsubishi Electric Corporation, Japan), Yasuhiro Murata (ISAS/JAXA), Takeshi Orii (NEC, Japan) Robert Preston of NASA's Jet Propulsion Laboratory (JPL), and Joel Smith (JPL). The International Academy of Astronautics was founded in August 1960 in Stockholm, Sweden, during the 11th International Astronautical Congress. The Academy aims to foster the development of astronautics for peaceful purposes; recognize individuals who have distinguished themselves in a related branch of science or technology; provide a program through which members may contribute to international endeavours; cooperation in the advancement of aerospace science. Previous recipients of the Laurels for Team Achievement Award are the Russian Mir Space Station Team (2001), the U.S. Space Shuttle Team (2002), the Solar and Heliospheric Observatory (SOHO) Team (2003), and the Hubble Space Telescope Team (2004). The National Radio Astronomy Observatory is a facility of the National Science Foundation, operated under cooperative agreement by Associated Universities, Inc.

Astronomers Discover Spectacular Structure in Distant Galaxy

NASA Astrophysics Data System (ADS)

1999-01-01

Researchers using the National Science Foundation's Very Large Array (VLA) radio telescope have imaged a "spectacular and complex structure" in a galaxy 50 million light-years away. Their work both resolves a decades-old observational mystery and revises current theories about the origin of X-ray emission coming from gas surrounding the galaxy. The new VLA image is of the galaxy M87, which harbors at its core a supermassive black hole spewing out jets of subatomic particles at nearly the speed of light and also is the central galaxy of the Virgo Cluster of galaxies. The VLA image is the first to show detail of a larger structure that originally was detected by radio astronomers more than a half-century ago. Analysis of the new image indicates that astronomers will have to revise their ideas about the physics of what causes X-ray emission in the cores of many galaxy clusters. Frazer Owen of the National Radio Astronomy Observatory (NRAO) in Socorro, NM; Jean Eilek of the New Mexico Institute of Mining and Technology (NM Tech) in Socorro, NM; and Namir Kassim of the Naval Research Laboratory in Washington, DC, announced their discovery at the American Astronomical Society's meeting today in Austin, TX. The new observations show two large, bubble-like lobes, more than 200,000 light-years across, that emit radio waves. These lobes, which are intricately detailed, apparently are powered by gravitational energy released from the black hole at the galaxy's center. "We think that material is flowing outward from the galaxy's core into these large, bright, radio-emitting 'bubbles,'" Owen said. The newly-discovered "bubbles" sit inside a region of the galaxy known to be emitting X-rays. Theorists have speculated that this X-ray emission arises when gas that originally was part of the Virgo Cluster of galaxies, cools and falls inwards onto M87 itself, at the center of the cluster. Such "cooling flows" are commonly thought to be responsible for strong X-ray emission in many galaxy clusters. "The new structures that we found in M87 show that the story is much more complicated," Eilek said. "What we know about radio jets suggests that the energy being pumped into this region from the galaxy's central black hole exceeds the energy being lost in the X-ray emission. This system is more like a heating flow than a cooling flow. We're going to have to revise our ideas about the physics of what's going on in regions like this." M87, discovered by the French astronomer Charles Messier in 1781, is the strongest radio-emitting object in the constellation Virgo. Its jet was described by Lick Observatory astronomer Heber Curtis in 1918 as "a curious straight ray ... apparently connected with the nucleus by a thin line of matter." In 1954, Walter Baade reported that the jet's light is strongly polarized. M87's X-ray emission was discovered in 1966. M87 is the largest of the thousands of galaxies in the Virgo Cluster. The Local Group of galaxies, of which our own Milky Way is one, is part of the Virgo Cluster's outskirts. The galaxy's radio emissions first were observed by Australian astronomers in 1947, but the radio telescopes of that time were unable to discern much detail. They could, however, show that there is a structure more than 100,000 light-years across. Subsequent radio images, particularly those made using the sharp radio "vision" of the VLA, were primarily aimed at studying the inner 10,000 light-years or so, and showed great detail in the galaxy's jet. Astronomers even have followed the motions of concentrations of material within the jet over time. These observations, however, did not show much about the larger structure that was seen by earlier radio astronomers, leaving its details largely a mystery. Radio Images of M87 at Vastly Different Size Scales The mystery was solved by using the VLA to observe at longer radio wavelengths, thus revealing larger-scale structures. The processing speeds of modern computers and recently-developed imaging techniques also were necessary to show the exquisite details seen in the newest VLA image of M87. The result was spectacular. "Not only did we see beautiful details that we hadn't seen before, but we also got a new and more complicated idea of the physics of this region," Owen said. "The theories about cooling flows offered an explanation for the X-ray emission in galaxy clusters, but critics contended that other evidence we should see for this infalling matter, such as new stars forming in the denser parts of the flows, was absent," Owen said. "Now, in this case, we see that the inward flow can be counterbalanced by the energy coming outward from the galaxy's core, so the material may not become dense enough to trigger star formation." The National Radio Astronomy Observatory is a facility of the National Science Foundation, operated under cooperative agreement by Associated Universities, Inc. This is a VLA image of the galaxy M87, showing details of the large-scale, radio-emitting "bubbles" believed to be powered by the black hole at the galaxy's center. The galaxy's center (and the black hole) lie deep within the bright, reddish region in this image. The structure in this image is approximately 200,000 light-years across. This image was made at a radio wavelength of 90 centimeters. CREDIT: F.N. Owen, J.A. Eliek and N.E. Kassim, National Radio Astronomy Observatory, Associated Universities, Inc.

Astronomers Win Protection for Key Part of Radio Spectrum

NASA Astrophysics Data System (ADS)

2000-06-01

Astronomers using the millimeter-wave region of the radio spectrum have won crucial protection for their science. Dedicated allocations for radio astronomy have been given final approval by the 2,500 delegates to the World Radiocommunication Conference (WRC-00), which recently concluded a month of deliberations in Istanbul, Turkey. Radio services can transmit in these parts of the spectrum as long as they don't hinder astronomers' attempts to catch faint signals from the cosmos. The new allocations represent the culmination of more than three years of cooperative planning by radio astronomers in many countries. Millimeter waves -- high-frequency radio waves -- have come of age as an astronomical tool in the last ten years. They are one of the last technological frontiers for astronomers. WRC-00 has protected for science all the frequencies between 71 and 275 Gigahertz (GHz) that radio astronomers currently use, adding more than 90 GHz of spectrum to the 44 GHz already set aside in this frequency range. As a result, radio astronomy is now allocated most of the frequencies between 71 and 275 GHz that can get through the Earth's atmosphere. "We have formal access to all three atmospheric 'windows', apart from their very edges," said Dr. Tom Gergely of the National Science Foundation, one of the U.S. delegates to WRC-00. The WRC also changed most of the frequencies allocated to satellite downlinks within the 71-275 GHz range to frequencies not used for science. Since no satellites yet operate at these high frequencies, no equipment needs to be altered. "Commercial technologies are just starting to develop above 50 GHz," said Dr. Klaus Ruf, Chairman of the Inter-Union Commission for the Allocation of Frequencies. "The WRC's actions mean that, when they are, radio astronomers should be able to share this part of the spectrum with most terrestrial services." The World Radiocommunication Conference is held every two or three years. Here member countries of the International Telecommunication Union meet to painstakingly parcel out the radio frequency spectrum between radio-based applications such as personal communications, satellite broadcasting, GPS and amateur radio, and the sciences of radio astronomy, earth exploration and deep space research. The WRC also coordinates sharing between services in the same radio bands. WRC decisions are incorporated into the Radio Regulations that govern radio services worldwide. The new spectrum allocations for radio astronomy are the first since 1979. Millimeter-wave astronomy was then in its infancy and many of its needs were not yet known. As astronomers began to explore this region of the spectrum they found spectral lines from many interesting molecules in space. Many of those lines had not fallen into the areas originally set aside for astronomy, but most will be under the new allocations. "It's a win for millimeter-wave science," said Dr. John Whiteoak of the Australia Telescope National Facility, Australian delegate to WRC-00. "This secures its future." The protection is a significant step for both existing millimeter-wave telescopes and new ones such as the Atacama Large Millimeter Array (ALMA) now being planned by a U.S.-European consortium. Even at its isolated site in Chile's Atacama desert, ALMA would be vulnerable to interference from satellite emissions. Sensitive radio astronomy receivers are blinded by these emissions, just as an optical telescope would be by a searchlight. "There is more energy at millimeter and sub-millimeter wavelengths washing through the Universe than there is of light or any other kind of radiation," said ALMA Project Scientist, Dr. Al Wootten of the National Radio Astronomy Observatory. "Imaging the sources of this energy can tell us a great deal about the formation of stars and galaxies, and even planets." "But the Earth's atmosphere isn't very kind to us - it has only a few windows at these frequencies, and not very transparent ones at that. They are easily clogged up. It's very important that we keep them as free as possible from interference." The new spectrum allocations were welcomed by Dr Johannes Andersen, General Secretary of the International Astronomical Union, which represents astronomers worldwide. "Protecting our ability to observe the Universe is the top priority for the International Astronomical Union," he said. "This action shows that international bodies accept the need for environmental emission standards in space as well as on Earth, for the benefit of all."

Teaching radio astronomy with Affordable Small Radio Telescope (ASRT)

NASA Astrophysics Data System (ADS)

Joshi, Bhal Chandra

A simple, easy to build and portable radio telescope, called Affordable Small Radio Telescope (ASRT), has been developed by the Radio Physics Laboratory (RPL), a radio astronomy teaching unit associated with the National Centre for Radio Astrophysics (TIFR) and Inter-University Centre for Astronomy and Astrophysics (IUCAA), which are two premier astronomy institutes in India. ASRT consists of off-the-shelf available Direct to Home television dishes and is easy to assemble. Our design is scalable from simple very low cost telescope to more complex yet moderately costing instrument. ASRT provides a platform for demonstrating radio physics concepts through simple hands-on experiment as well as for carrying out solar monitoring by college/University students. The presentation will highlight the concept of ASRT and the different experiments that can be carried out using it. The solar monitoring observations will be discussed along-with details of methods for calibrating these measurements. The pedagogical usefulness of ASRT in introducing undergraduatephysics students to astrophysics, measurements and analysis methods used in radio astronomy will also be discussed. Use of ASRT in the last three years in the programs of RPL, namely the annual Radio Astronomy Winter School for College students (RAWSC) and Pulsar Observing for Students (POS) is also presented. This year a new program was initiated to form a virtual group of an ASRT community, which will not only share their measurements, but also think of improving the pedagogical usefulness of ASRT by innovative experiments. This initiative is presented with the best practices drawn from our experience in using ASRT as a tool for student training in space sciences. The talk will also point out future ideas in involving a larger body of students in simple radio astronomy experiments with the ASRT, which RPL is likely to nucleate as part of its mandate.

Session 21.3 - Radio and Optical Site Protection

NASA Astrophysics Data System (ADS)

Sefako, Ramotholo

2016-10-01

Advancement in radio technology means that radio astronomy has to share the radio spectrum with many other non-astronomical activities, majority of which increase radio frequency interference (RFI), and therefore detrimentally affecting the radio observations at the observatory sites. Major radio facilities such as the SKA, in both South Africa and Australia, and the Five-hundred-meter Aperture Spherical radio Telescope (FAST) in China will be very sensitive, and therefore require protection against RFI. In the case of optical astronomy, the growing urbanisation and industrialisation led to optical astronomy becoming impossible near major cities due to light and dust pollution. Major optical and IR observatories are forced to be far away in remote areas, where light pollution is not yet extreme. The same is true for radio observatories, which have to be sited away from highly RFI affected areas near populated regions and major cities. In this review, based on the Focus Meeting 21 (FM21) oral presentations at the IAU General Assembly on 11 August 2015, we give an overview of the mechanisms that have evolved to provide statutory protection for radio astronomy observing, successes (e.g at 21 cm HI line), defeats and challenges at other parts of the spectrum. We discuss the available legislative initiatives to protect the radio astronomy sites for large projects like SKA (in Australia and South Africa), and FAST against the RFI. For optical protection, we look at light pollution with examples of its effect at Xinglong observing station of the National Astronomical Observatories of China (NAOC), Ali Observatory in Tibet, and Asiago Observatory in Italy, as well as the effect of conversion from low pressure sodium lighting to LEDs in the County of Hawaii.

Sir Charles Bell (1774-1842) and his contributions to early neurosurgery.

PubMed

Tubbs, R Shane; Riech, Sheryl; Verma, Ketan; Mortazavi, Martin M; Loukas, Marios; Benninger, Brion; Cohen-Gadol, Aaron A

2012-03-01

The renowned surgeon, neuroanatomist, and artist Sir Charles Bell not only impacted the lives of his peers through his creative endeavors and passion for art, but also sparked noteworthy breakthroughs in the field of neuroscience. His empathetic nature and zest for life enabled him to develop an early proclivity for patient care. As a result of his innovative findings regarding sensory and motor nerves and the anatomical makeup of the brain, he accepted some of the most prestigious awards and received an honorable reputation in society. Bell is recognized for his diligence, perseverance, and his remarkable contributions to surgery. The present review will explore his contributions to the discipline now known as neurosurgery.

Safety biocompatibility of gelatin hemostatic matrix (Floseal and Surgiflo) in neurosurgical procedures.

PubMed

Gazzeri, Roberto; Galarza, Marcelo; Alfier, Alex

2012-12-01

Adequate hemostasis in cranial and spinal surgery is of paramount importance in a neurosurgeon's daily practice. Generalized ooze bleeding from the surgical wall cavities, coming from the dura mater or nervous tissue may be troublesome and may limit visualization in minimally invasive neurosurgery. Hemostatic matrix is a mixture of a flowable gelatin matrix (bovine or porcine) and a thrombin component mixed together. A total of 318 patients undergoing cranial, craniospinal, and spinal procedure with the use of gelatin hemostatic matrix (Floseal and Surgiflo) were enrolled in this clinical study. We compared the different hemostatic techniques using the gelatin hemostatic matrix, and investigated indications, time to bleeding control, and its efficacy and safety in neurosurgery.

Severe Vertex Epidural Hematoma in a Child: A Case Report of a Management without Expert Neurosurgical Care

PubMed Central

Brévart, Christophe; Bertani, Antoine; Abdourahman Aden, Hassan; Menguy, Paul; Dulou, Renaud

2011-01-01

Vertex epidural hematomas (VEDHs) are an uncommon situation and difficulties may be encountered in their diagnosis and management. This is more complicated when the surgical management has to be performed by general surgeons, not specialized in neurosurgery, in a remote location. It was in this context that we were brought to care in charge a 2-year-old boy who required a neurosurgical emergency rescue for a severe VEDH in Djibouti. Through the description of this case, we want to emphasize the value of developing a network of teleconsultation for the benefit of remote and isolated locations and learning basic techniques of emergency neurosurgery. PMID:22606578

Solar Radio Burst Statistics and Implications for Space Weather Effects

NASA Astrophysics Data System (ADS)

Giersch, O. D.; Kennewell, J.; Lynch, M.

2017-11-01

Solar radio bursts have the potential to affect space and terrestrial navigation, communication, and other technical systems that are sometimes overlooked. However, over the last decade a series of extreme L band solar radio bursts in December 2006 have renewed interest in these effects. In this paper we point out significant deficiencies in the solar radio data archives of the National Centers for Environmental Information (NCEI) that are used by most researchers in analyzing and producing statistics on solar radio burst phenomena. In particular, we examine the records submitted by the United States Air Force (USAF) Radio Solar Telescope Network (RSTN) and its predecessors from the period 1966 to 2010. Besides identifying substantial missing burst records we show that different observatories can have statistically different burst distributions, particularly at 245 MHz. We also point out that different solar cycles may show statistically different distributions and that it is a mistake to assume that the Sun shows similar behavior in different sunspot cycles. Large solar radio bursts are not confined to the period around sunspot maximum, and prediction of such events that utilize historical data will invariably be an underestimate due to archive data deficiencies. It is important that researchers and forecasters use historical occurrence frequency with caution in attempting to predict future cycles.

A Compact Group of Galaxies at z = 2.48 Hosting an AGN-driven Outflow

NASA Astrophysics Data System (ADS)

Shih, Hsin-Yi; Stockton, Alan

2015-12-01

We present observations of a remarkable compact group of galaxies at z = 2.48. Four galaxies, all within 40 kpc of each other, surround a powerful high-redshift radio source. This group comprises two compact red passive galaxies and a pair of merging galaxies. One of the red galaxies, with an apparent stellar mass of 3.6 × 1011M⊙ and an effective radius of 470 pc, is one of the most extreme examples of a massive quiescent compact galaxy found so far. One of the pair of merging galaxies hosts the active galactic nucleus (AGN) producing the large powerful radio structure. The merger is massive and enriched, consistent with the mass-metallicity relation expected at this redshift. Close to the merging nuclei, the emission lines exhibit broad and asymmetric profiles that suggest outflows powered either by a very young expanding radio jet or by AGN radiation. At ≳50 kpc from the system, we found a fainter extended-emission region that may be a part of a radio-jet-driven outflow. Some of the data presented herein were obtained at the W. M. Keck Observatory, which is operated as a scientific partnership among the California Institute of Technology, the University of California, and the National Aeronautics and Space Administration. The Observatory was made possible by the generous financial support of the W. M. Keck Foundation. The work is also based, in part, on data collected at the Subaru Telescope, which is operated by the National Astronomical Observatory of Japan, and on observations obtained at the Gemini Observatory, which is operated by the Association of Universities for Research in Astronomy, Inc., under a cooperative agreement with the NSF on behalf of the Gemini partnership: the National Science Foundation (United States), the National Research Council (Canada), CONICYT (Chile), the Australian Research Council (Australia), Ministério da Ciência, Tecnologia e Inovação (Brazil), and Ministerio de Ciencia, Tecnología e Innovación Productiva (Argentina).

Continuing Improvement in the Planetary Ephemeris with VLBA Observations of Cassini

NASA Astrophysics Data System (ADS)

Jones, Dayton L.; Folkner, William M.; Jacobson, Robert A.; Jacobs, Christopher S.; Romney, Jonathan D.; Dhawan, Vivek; Fomalont, Edward B.

2016-06-01

During the past decade a continuing series of measurements of the barycentric position of the Saturn system in the inertial International Celestial Reference Frame (ICRF) has led to a significant improvement in our knowledge of Saturn's orbit. This in turn has improved the current accuracy and time range of the solar system ephemeris produced and maintained by the Jet Propulsion Laboratory. Our observing technique involves high-precision astrometry of the radio signal from Cassini with the NRAO Very Long Baseline Array, combined with solutions for the orbital motion of Cassini about the Saturn barycenter from Doppler tracking by the Deep Space Network. Our VLBA astrometry is done in a phase-referencing mode, providing nrad-level relative positions between Cassini and angularly nearby extragalactic radio sources. The positions of those reference radio sources are tied to the ICRF through dedicated VLBI observations by several groups around the world. We will present recent results from our astrometric observations of Cassini through early 2016. This program will continue until the end of the Cassini mission in 2017, although future improvement in Saturn's orbit will be more incremental because we have already covered more that a quarter of Saturn's orbital period. The Juno mission to Jupiter, which will orbit Jupiter for about 1.5 years starting in July 2016, will provide an excellent opportunity for us to apply the same VLBA astrometry technique to improve the orbit of Jupiter by a factor of several. The National Radio Astronomy Observatory is a facility of the National Science Foundation operated under cooperative agreement by Associated Universities, Inc. This work made use of the Swinburne University of Technology software correlator, developed as part of the Australian Major National Research Facilities Program and operated under license. Part of this research was carried out at the Jet Propulsion Laboratory, California Institute of Technology, under contract with the National Aeronautics and Space Administration. Funding from the NASA Planetary Astrometry program is gratefully acknowledged.

Worldwide Report, Telecommunications Policy, Research and Development, No. 271

DTIC Science & Technology

1983-05-17

and not as educational or cultural instru- ments is the fact that the director of Radio Educacion is now appointed by the Govern- ment Secretariat...Journalists, Froyland Rascon of Radio Educacion , Jose Alvarez Icaza of Cencos [National Mass Media Center]; Leopoldo de Gyves, the mayor of Juchitan...board, especially for the new television station. Programmes of a political nature would also take up air-time but if South Africa objected to

VLA Observations Confirm Origin of Gamma Ray Bursts in Short-Lived Stars

NASA Astrophysics Data System (ADS)

1998-06-01

Radio telescope studies of the fiery afterglow of a Gamma Ray Burst have provided astronomers with the best clues yet about the origins of these tremendous cosmic cataclysms since their discovery more than 30 years ago. Observations with the National Science Foundation's (NSF) Very Large Array (VLA) radio telescope confirm that a blast seen to occur on March 29 had its origin in a star-forming region in a distant galaxy. "There are two leading theories for the causes of Gamma Ray Bursts," said Dale Frail of the NSF National Radio Astronomy Observatory (NRAO) in Socorro, NM. "According to one theory, the blasts occur in the death throes of pairs of old stars. The other requires them to arise from exploding, massive, short-lived stars that still reside within the star-forming gas and dust from which they formed. The VLA studies of the burst show that at least this one almost certainly occurred within a star-forming region. This result also explains why half of the Gamma Ray Burst afterglows are not detected by optical telescopes." Frail heads a VLA observing team including Greg Taylor, also of NRAO, and Shri Kulkarni of Caltech, that reported its findings to the American Astronomical Society meeting in San Diego, CA. The March 29 burst was seen clearly by radio telescopes (the accompanying image is GRB 980329 as seen by the VLA) but only very faintly with optical instruments. "That is extremely important," said Taylor. "This burst was very faint at visible wavelengths, brighter at infrared wavelengths and brighter still at radio wavelengths. This is a clear indication that the exploding object was surrounded by dust. Dust is most commonly found in star-forming regions." This strongly favors one of the two leading theories about Gamma Ray Bursts over the other. One explanation for these tremendously energetic fireballs is that a pair of superdense neutron stars collides. The other is that a single, very massive star explodes in a "hypernova," more powerful than a supernova, at the end of its normal life. The hypernova explosion, scientists believe, would come only a few million years after the giant star was formed, while it is still within the cloud of gas and dust from which it formed. Neutron stars, on the other hand, are formed by supernova explosions that give a "kick" to the resulting neutron star, propelling it at high speeds. An orbiting pair of neutron stars, astronomers think, would collide only after hundreds of millions of years of orbital decay, by which time they would be far away from the gas and dust of their birthplace. "The observations already have provided crucial insight; we intend to continue observing the relic of the March 29 burst with the VLA, and in the coming months, we will gain new information that will help further refine our ideas about these fireballs," Frail said. "We're going to learn about the size and expansion rate of the fireball and test predictions made by the models." "These observations indicate the extraordinary importance of radio astronomy for providing information that can be gained in no other way about one of the major frontier areas of astrophysics," said Hugh Van Horn, Director of the NSF's Division of Astronomical Sciences. The March 29 burst (GRB 980329) was the second such blast to have its afterglow detected at radio wavelengths. Last year, the VLA made the first radio detection of a GRB afterglow, finding radio emission coming from the location of a Gamma Ray Burst on May 8, 1997 (GRB 970508). "Of the world's radio telescopes, only the VLA has the sensitivity and resolving power to quickly detect these radio afterglows of Gamma Ray Bursts and study them in detail over extended periods of time," Taylor said. "Even so, we only see the brightest one-third of them. With upgraded capabilities at the VLA, as planned by NRAO, we will see them all." The National Radio Astronomy Observatory is a facility of the National Science Foundation, operated under cooperative agreement by Associated Universities, Inc.

Neurosurgery during the Bronze Age: a skull trepanation in 1900 BC Greece.

PubMed

Papagrigorakis, Manolis J; Toulas, Panagiotis; Tsilivakos, Manolis G; Kousoulis, Antonis A; Skorda, Despoina; Orfanidis, George; Synodinos, Philippos N

2014-02-01

Paleoneurosurgery represents a comparatively new developing direction of neurosurgery dealing with archaeological skull and spine finds and studying their neurosurgical aspects. Trepanation of the cranial vault was a widespread surgical procedure in antiquity and the most convincing evidence of the ancient origin of neurosurgery. The present study considers a case of trepanation from the Middle Bronze Age Greece (1900-1600 B.C.). The skull under study belongs to skeletal material unearthed from Kirra, Delphi (Central Greece). Macroscopic examination and palpation, as well as three-dimensional computed tomography, were used in this study. There is osteological evidence that the skull belongs to a man who died at 30-35 years of age. The procedure of trepanation was performed on the right parietal bone. Both macroscopic and computed tomography evaluation demonstrate an intravital bone reaction at the edges of the aperture. Projected on the right surface of the brain, the trepanation is located on the level of the central groove. The small dimensions and the symmetrical shape of this hole give us an indication that it was made by a metal tool. We conclude that this paleopathological case provides valuable information about the condition of life and the pre-Hippocratic neurosurgical practice in Bronze Age Greece. Copyright © 2014 Elsevier Inc. All rights reserved.