Computer-aided methods in bespoke breast prosthesis design and fabrication

This case study presents a method of utilizing computer-aided design technologies to provide bespoke, external breast prostheses. The technique is illustrated through a case study of a mastectomy patient. Photogrammetry methods were used to capture the breast form when supported by a brassiere and the unsupported breast and defect side. Computer-aided design techniques were used to generate a digital prosthesis based upon the supported breast shape and with a fitting surface that matched the defect side. Furthermore, a two-part mould was designed and fabricated using rapid prototyping methods. A colour-matched prosthesis was then fabricated in a gel-based, platinum-cured silicone.     

Children and careers in IT

David Evans, BCS government relations, looks at what it couldtake to convince kids that the hard stuff is worth doing.     

Modelling the removal of organic vehicle from ceramic or metal mouldings: The effect of gas permeation on the incidence of defects

A shrinking undegraded core and a porous outer layer result, if the organic vehicle used for shaping ceramic or metal powder mouldings recedes in the interparticle space of the moulded body during pyrolysis. In the present work, a numerical model has been used which simulates the undegraded shrinking core situation and quantifies degradation of the organic vehicle and the diffusion of the resulting products in solution in the organic phase during pyrolysis of a ceramic moulding. This model is extended to include gaseous mass transport in the porous outer layer for a moulding in the shape of an infinite cylinder. The effect of resistance to gaseous mass transport in the porous outer region on defects originating in inner regions was estimated. It is shown that the greatest obstruction to mass transport is diffusion of degradation products in solution in the organic phase. However, the permeability coefficient for gas transport in the outer region begins to affect the critical heating rate required for avoidance of defects only when it is less than 10^–15m².Nomenclature C Concentration,C=C (r, t), based on the total volume of ceramic suspension - d Effective molecular diameter of alphamethylstyrene - D Diffusion coefficient,D=D (C, T) - e Porosity of powder - E Activation energy for thermal degradation - h Remaining weight fraction of polymer - H_vap Enthalphy of vaporization - i Node number - I Pre-exponential constant in Equation 13 - j Time step - K _p Permeability coefficient - K ₀ Specific rate constant - m Mass of monomer displaced - M Mass of one alphamethylstyrene molecule - P Monomer vapour pressure - P _s Monomer vapour pressure at outer surface of the cylinder - P ₁ ⁰ Vapour pressure of monomer over its pure liquid - Q Rate of production of monomer, based on the total volume of ceramic suspension - r Radius of the cylinder - r _j Distance from central axis to the inner surface of the porous layer at time stepj - r ₀ Initial radius of the cylinder - R Universal gas constant - S ₀ Specific surface area of powder per unit solid volume - t Time - T Absolute temperature - T _c Temperature at maximum vapour pressure of monomer and atZ _c - V Volume of monomer - V _c Ceramic volume fraction - V _p Polymer volume fraction - w Mass of monomer stored in the porous annulus - Z Heating rate - Z _c Critical heating rate - ₁ Volume fraction of monomer in the polymer-monomer solution - Viscosity of the monomer vapour - _p Density of the polymer - Polymer-monomer interaction constant     

Two legs, thing using and talking: The origins of the creative engineering mind

Instead of seeing technology as outside ourselves, it is argued that it is an innate human function and the main driving force in human evolution. Opportunistic thing using, long before stone tools appeared, was the likeliest cause of bipedalism. It also forced brain development and the emergence of creativity. The neural basis for this creative technical activity later provided the brain functions on which language could develop. This simple unifying hypothesis has interesting implications for the way that we see technology in history, and for determinist theories of the future. It also bears on the way engineers are trained, and more important, the human faculties which need to be fostered in children.     

Treating achalasia: from whalebone to laparoscope

Reports of bile duct injuries are from tertiary care institutions and, therefore, may not report the spectrum of management that these patients receive in the care of these injuries. From June 14,1990 (the first operation) to June 30, 1995, 2654 laparoscopic cholecystectomies (LCs) were reviewed at this community hospital medical center to determine risk factors contributing to the etiology of these injuries, time and symptoms at presentation, duration of illness, and management of these injuries. None of the 13 general surgeons practicing during this time period had laparoscopic training in a general surgical residency. There were six major bile duct injuries (0.25%), of which five were available for further review. All occurred in women with cholelithiasis and chronic cholecystitis. Two operations were routine and two were associated with biliary tract anomalies. In two patients, the injuries were detected at LCs and definitive biliary-enteric anastomoses were performed immediately. Three patients presented at 2, 15, and 42 days after LC. In two patients, one or more operative procedures were performed before definitive repair and these patients were referred to tertiary care centers. One patient was managed with sequential CT-guided drainage catheters after attempted closure of the defect. The length of illness for these five patients was 8, 69, 348, 402, and 435 days with a follow-up of 245, 345, 531, 575, and 1088 days. Laparoscopic experience before injury by the operating surgeon was 3, 26, 35, 77, and 333 operations. Major biliary tract injuries occurred during routine cholecystectomy, length of illness was substantial for most patients, and biliary-enteric anastomosis was definitive for four of the five patients. The operating surgeons' "learning curve" did not seem as important as in other studies.     

Extension of a typology of alcohol dependence based on relative genetic and environmental loading

Mild, severe, and dyssocial subtypes of alcohol dependence, previously identified among Caucasian men from the Epidemiologic Catchment Area study, were also identified among Caucasian men and women with DSM-IV alcohol dependence from the National Longitudinal Alcohol Epidemiologic Survey (n = 2,703; 1,746 respectively). These subtypes were not identified among African American and Hispanic American men or women with DSM-IV alcohol dependence. Among Caucasians with alcohol dependence, the subtypes were characterized by differential loading on three dimensions: genetic, general environmental, and dyssocial environmental symptom scales developed in a prior twin study. The mild subtype (60% of men and 66% of women) was distinguished by low mean scores on all three scales; the dyssocial subtype (24% of men and 20% of women) by low mean genetic and general environmental scores but high mean dyssocial environmental scores; and the severe subtype (16% of men and 14% of women) by high scores on the genetic and general environmental scales. These subtypes also showed the expected distinctions in clinical characteristics. The severe subtype showed greater comorbid drug dependence and major depression, more treatment seeking, and a higher prevalence of parental alcoholism. The severe subtype also showed significantly greater genetic influence adjusted for overall severity of alcohol dependence (genetic ratio). Only the severe subtype showed a pattern of scale scores and clinical characteristics suggestive of substantial genetic influence. The present study indicates a robustness of the typology originally developed among DSM-III alcohol-dependent Caucasian men by empirical extension of the subtypes to a different sample of Caucasian men and, separately, Caucasian women. The use of this typology may aid in distinguishing between Caucasian alcohol-dependent individuals on the basis of relative genetic influence, enabling genetic, behavioral, and epidemiological investigations to reduce genetic or environmental "noise" and better focus on specific aspects of alcohol dependence.     

An extension of Quasi-One-Dimensional Tomography

A method for rapid limited-angle tomography is suggested thatallows the reconstruction of density distribution in hardwood sampleswith high accuracy and spatial resolution from only a few x-rayprojections. The sparsity of the experimental x-ray data iscompensated by incorporation of a priori knowledge aboutgeneric wood macrostructure, as well as some morphological informationobtainable from optical images of the sample surface, in themathematical framework of the tomographic analysis. Numerical testsof the proposed method confirm its potential as a practical techniquefor nondestructive testing of trees for scientific and industrialpurposes. It can also be useful for the analysis of other types ofobject with an underlying layered structure.     

Helicobacter pylori does not migrate from the antrum to the corpus in response to omeprazole

BACKGROUND: Omeprazole is known to have an effect on Helicobacter pylori in vivo. One opinion is that H. pylori "migrates" from the antrum to the corpus in response to omeprazole therapy. METHODS: To determine whether H. pylori migrates in response to omeprazole, we assessed the presence of H. pylori in the antrum and corpus in duodenal ulcer patients receiving omeprazole for 4 wk. Culture and histological examination of antral biopsies (Genta stain) were performed before patients received omeprazole, at the end of therapy, and 4-6 wk later. The end points were presence or absence of H. pylori and the number of H. pylori colonies per biopsy. RESULTS: Seventy-two patients had H. pylori in both the antrum and corpus at entry and 4-6 wk after ending therapy. Three general patterns were prevalent at the end of omeprazole therapy: antrum- and corpus-positive (54%), antrum-negative and corpus-positive (24%), both antrum- and corpus-negative (21%), and one patient had antrum-positive with corpus-negative (1%). Evaluation of the number of colonies per biopsy in those who remained H. pylori-positive in both the antrum and corpus throughout showed that the number of H. pylori decreased in both the antrum and corpus during therapy (507 +/- 60 vs. 225 +/- 51, p < 0.01 and 415 +/- 58 vs. 290 +/- 46 0.1) for antrum and corpus, respectively, and tended to return to pre-therapy levels 4-6 wk later. The number of H. pylori in the corpus also decreased in the antrum-negative and corpus-positive group during therapy with omeprazole (433 +/- 87 vs. 185 +/- 61, p < 0.05). In most of the patients studied, the number of H. pylori in the corpus was less posttreatment than it was pretreatment. The decrease in H. pylori load was also reflected in the development of false-negative urea breath tests. CONCLUSIONS: Omeprazole is detrimental to H. pylori in both the antrum and the corpus; migration from the antrum to the corpus in response to omeprazole is a myth.     

Benchmarking stereo-derived DSMs to lidar by land cover and slope for resource development in northern Ontario,Canada

Topographic and elevation data are essential in the development of supporting infrastructure around mining sites. The de facto standard for acquiring elevation data is through light detection and ranging (lidar). The high labour and monetary cost of acquiring lidar has fostered more cost-effective approaches for creating elevation models that use stereo photogrammetry. To assess the accuracy of stereo-photogrammetry-derived elevation models and their potential application, we benchmark satellite (Worldview-2) and aircraft (South Central Ontario Orthoimagery Project; SCOOP) stereo-derived digital surface models (DSMs) against a lidar-derived DSM. Our results show that both stereo-derived DSMs have strong monotonic correlations with lidar across a range of land-cover types and slopes. The overall vertical accuracy of Worldview-2 and SCOOP DSMs are similar and do not meet the United States National Digital Elevation Program (NDEP) standards. However, accuracy assessment across land-cover types and slope categories show that specific land cover types (i.e. grass, row crops/pasture, sparse vegetation and marsh) on gently sloping terrain compare well to lidar data and meet NDEP accuracy standards. We situate the presented research in the context of northern resource development and discuss opportunities to improve the vertical accuracy of stereo-derived DSMs, for example, through unmanned aerial systems.