Tracheobronchial ruptures in closed thoracic trauma

Authors refer about their experience on five cases of thoracic trauma. Following a review of international literature, they analyze the clinical, diagnostic and therapeutic aspects of this kind of injuries.     

Penetrating cardiac wounds: prospective study of factors influencing initial resuscitation

A prospective study of 66 consecutive patients with cardiac wounds seen over a 27-month period is reported. No patient was excluded. Patients were stratified by injury mechanism and by physiologic scoring at admission using the cardiovascular-respiratory elements of the Trauma Score (CVRS). Admission cardiac rhythm was obtained in patients with a CVRS of 0 and a Glasgow Coma Scale (GCS) score of 3. Information concerning the anatomic extent of the cardiac wound, the presence or absence of tamponade, and the degree of injury to other structures was also collected prospectively. Seventy percent of the cardiac wounds were caused by gunshots. The probability of successful resuscitation was significantly related to mechanism of injury and physiologic condition on arrival. Among patients arriving with a CVRS of 0 and a GCS score of 3, survival correlated with cardiac rhythm. Pericardial tamponade did not prove to be an independent predictor of early survival. The presence of tamponade was statistically linked to the mechanism of injury. Transport by non-official conveyance was associated with a higher CVRS on arrival. Intoxication with alcohol or cocaine had no evident effect on resuscitation probability.     

SIVR epidemic model with stochastic perturbation

We propose a stochastic disease model where vaccination is included and such that the immunity is permanent. The existence, uniqueness, and positivity of the solution and the stability of the disease-free equilibrium are studied.     

Adaptive Census Transform: A novel hardware-oriented stereovision algorithm

This paper presents a new hardware-oriented approach for the extraction of disparity maps from stereo images. The proposed method is based on the herein named Adaptive Census Transform that exploits adaptive support weights during the image transformation; the adaptively weighted sum of SADs is then used as the dissimilarity metric. Quality tests show that the proposed method reaches significantly better accuracy than alternative hardware-oriented approaches. To demonstrate the practical hardware feasibility, a specific architecture has been designed and its implementation has been carried out using a single FPGA chip. Such a VLSI implementation allows a frame rate up to 68 fps to be reached for 640 × 480 stereo images, using just 80,000 slices and 32 RAM blocks of a Virtex6 chip.     

A multi-scale template method for shape detection with bio-medical applications

In this paper we present a novel methodology based on non-parametric deformable prototype templates for reconstructing the outline of a shape from a degraded image. Our method is versatile and fast and has the potential to provide an automatic procedure for classifying pathologies. We test our approach on synthetic and real data from a variety of medical and biological applications. In these studies it is important to reconstruct accurately the shape of the object under investigation from very noisy data. Here we assume that we have some prior knowledge about the object outline represented by a prototype shape. Our procedure deforms this shape by means of non-affine transformations and the contour is reconstructed by minimizing a newly developed objective function that depends on the transformation parameters. We introduce an iterative template deformation procedure in which the scale of the deformation decreases as the algorithm proceeds. We compare our results with those from a Gaussian Mixture Model segmentation and two state-of-the-art Level Set methods. This comparison shows that the proposed procedure performs consistently well on both real and simulated data. As a by-product we develop a new filter that recovers the connectivity of a shape.

An empirical evaluation of active learning strategies for profile elicitation in a conversational recommender system

Journal of Intelligent Information Systems - Conversational Recommender Systems have received widespread attention in both research and practice. They assist people in finding relevant and...     

A Joint Numerical-Experimental Study on Impact Induced Intra-laminar and Inter-laminar Damage in Laminated Composites

The investigation of the mechanical response of fibre-reinforced composite laminates under impact loads can be very difficult due to the occurrence of simultaneous failure phenomena. Indeed, as a consequence of low velocity impacts, intra-laminar damages, like fibre and matrix cracking, and inter-laminar damages, such as delaminations, can take place simultaneously. These damage mechanisms can lead to significant reductions in strength and stability of the composite structure. In this paper a joint numerical-experimental study is proposed which, by means of non-destructive testing techniques (Ultra-sound and thermography) and non-linear explicit FEM analyses, aims to completely characterise the impact induced damage in composite laminates under low velocity impacts. Indeed the proposed numerical tool has been used to improve the understanding of the experimental data obtained by Non-Destructive Techniques. Applications on samples tested according to the AECMA (European Association of Aerospace Manufacturers) prEn6038 standard at three different impact energies are presented. The interaction between numerical and experimental investigation allowed to obtain an exhaustive insight on the different phases of the impact event considering the inter-laminar damage formation and evolution.     

Experimental analysis of functional stability of sagittal split ramus osteotomies secured by miniplates and position screws

PURPOSE: This study determined the relative functional stabilities of various miniplate systems and configurations used to stabilize sagittal split ramus osteotomies (SSROs) and compared them with conventional internal screw fixation. MATERIALS AND METHODS: The biomechanical model was a reproducible prototype of a mandible sagittal osteotomy with consistent material and geometric properties. After advancing the distal segment by 7 mm, each set of mandible analogs (1 set = 3 analogs) was fixed bilaterally by one of three miniplate systems applied in various configurations, and tested with and without a supplemental 2.4-mm bicortical screw applied in the retromolar region. Reduced analogs were placed in a straining frame, and simulated masticatory loads were applied alternatively to the mandibular first molars. Ensuing osteotomy site displacements were measured by transducers attached to a computer-based data acquisition program. A coordinate transformation procedure was used to convert the component displacements captured by the individual transducers into a common "instability factor" to reflect fixation stability for each construct and loading condition. Instability factors for the individual constructs were compared with each other and with those obtained from analogs reduced exclusively with 2.4-mm position screws. RESULTS: Osteotomies stabilized with a combination of miniplates and position screws were more stable than those stabilized exclusively with miniplates (P < .0001). Post-hoc comparisons of mean instability factors (Dunnet's method) showed the miniplate-position screw combinations to be more stable than the 2.4-mm position screw system used as standard (P < .05). Miniplate systems alone were the least stable of the test constructs, with differential rates of failure between the individual miniplate systems. CONCLUSIONS: Exclusive use of miniplate fixation may not provide the consistent stability necessary for early functional restoration after SSROs. The addition of a position screw in the retromolar region substantially enhances the fixation stability of miniplate systems. The use of miniplates with retromolar position screws offers both technical and stability advantages over conventional miniplate or internal screw fixation. The fixation stability of the miniplate-position screw combination is independent of the type of miniplate system used.     

Development of an auxiliary system for the execution of vascular catheter interventions with a reduced radiological risk; system description and first experimental results

Vascular catheterization is a common procedure in clinical medicine. It is normally performed by a specialist using an X-ray fluoroscopic guide and contrast-media. In the present paper, an image-guided navigation system which indicates a path providing guidance to the desired target inside the vascular tree is described with the aim of reducing the exposure of personnel and patients to X-rays during the catheterization procedure. A 3D model of the patient vascular tree, reconstructed with data collected by an angiography before starting the intervention, is used as a guide map instead of fluoroscopic scans. An accurate spatial correspondence between the body of the patient and the 3D reconstructed vascular model is established and, by means of a position indicator installed over the catheter tip, the real-time position/orientation of the tip is indicated correctly. This paper describes the system and the operational procedures necessary to use the proposed method efficiently during a catheter intervention. Preliminary experimental results on a phantom are also reported.