Toward the development of interactive virtual dissection with haptic feedback

Traditional, hands-on dissection of an animal is common practice in many classrooms to aid in the study of anatomy and biology. More specifically, virtual dissection environments have been developed making it possible to study the inner workings of animals without cutting them up. In this paper, we present a novel virtual reality dissection simulator, where a user can dissect an animal (i.e. frog) and its organs using a 3D force feedback haptic device. The simulator uses force feedback as part of a multimodal cue to provide guidance and performance feedback to the user. This paper highlights methodologies which are used for addressing some of the key challenges involved in designing and developing simulators, such as: modelling and mechanics of deformation, collision detection between multiple deformable bodies, and haptic feedback.     

Attitude of Iranian physicians and nurses toward a clinical decision support system for pulmonary embolism and deep vein thrombosis

This research project sought to design and implement a computerized clinical decision support system (CDSS) that was able to identify patients who were at risk of pulmonary embolism (PE) and deep vein thrombosis (DVT), as well as produce reminders for prophylactic action for these diseases. The main purpose of the CDSS was to attempt to reduce the morbidity and mortality caused by embolism and thrombosis in patients admitted to hospitals. After implementation of this system in one of the large educational hospitals of Iran, a standard questionnaire was used, and interviews were conducted with physicians and nurses to evaluate the performance of the designed system for reducing the incidence of pulmonary embolism and thrombosis. From physicians and nurses’ point of view, a system which assists the medical staff in making better decisions regarding patient care, and also reminds pulmonary embolism and thrombosis preventive procedures with timely warnings, can influence patient care quality improvement and lead to the improved performance of the medical staff in preventing the incidence of pulmonary embolism and thrombosis.     

Effect of nonionic side chain length of polycarboxylate-ether-based high-range water-reducing admixture on properties of cementitious systems

Despite the large variations in the behaviors of water-reducing admixtures upon changes in their structures, most previous reports on the cement-admixture compatibility did not provide sufficient information on the structure of the admixture. Hence, the evaluation and generalization of the reports on the cement-admixture compatibility are challenging. In this study, three different polycarboxylate-ether-based water-reducing admixtures with the same free nonionic content, anionic/nonionic molar ratio, and main chain length and different side chain lengths were produced. The compatibility of these admixtures with a CEM I 42.5R-type cement was investigated. In addition, an analysis of variance was performed on the experiment results to evaluate the contributions of the admixture type, admixture/cement ratio, and elapsing time to the Marsh funnel flow time, mini-slump, slump flow, and compressive strength. The water-reducing admixtures having long or short side chains reduced the initial flow characteristics of the cementitious systems. However, the admixture having the shortest side chain was better with regard to flow retention. The side chain length of the admixture did not have significant effects on the compressive strength and water absorption capacity of the mortar mixtures and mini-slump performances of the cement paste mixtures. Regarding the behaviors of the admixtures in the cementitious systems, an optimal admixture side chain molecular weight is proposed.     

Optimizing PSMA Radioligand Therapy for Patients with Metastatic Castration-Resistant Prostate Cancer. A Systematic Review and Meta-Analysis

The aim of the review was to evaluate patient and treatment characteristics for patients with metastatic castration-resistant prostate cancer (mCRPC) treated with PSMA radioligand therapy (PRLT) associated with above-average outcome. The systematic review and meta-analysis followed recommendations by the Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA). We searched for publications in PubMed, Embase, and ClinicalTrials.gov up to 31 September 2020. Thirty-six publications and four duplicates reported 2346 patients. Nearly two-thirds of the patients had bone metastases. Median overall survival (OS) was 16 months. Asymptomatic patients and patients with only lymph node metastases lived longer than symptomatic patients and patients with more extensive metastases. Patients treated with an intensified schedule of ¹⁷⁷Lu PRLT lived longer than those treated with a conventional schedule. Half of the patients obtained a PSA decline ≥ 50% and these patients lived longer than those with less PSA decline. Approximately 10% of the patients developed hematologic toxicity with anemia grade 3 as the most severe adverse effect. Characteristics for patients, cancer, restaging, and PRLT predict above average overall survival following treatment with PRLT.     

A polyacrylamide hydrogel for application at high temperature and salinity tolerance in temporary well plugging

In addition to conventional approach to ensure the successful application of polymer hydrogels in maintaining temporary well plugging, exact analysis of gel formation and gel strength properties in wellbore are necessary. In this work, bottles and rheology tests are used to investigate the polymer hydrogel gelation time and cross-linking kinetics of sol–gel systems which consist of polyacrylamide and chromium acetate hydroxide as a cross-linker. The effects of temperature of 90 °C and pressure of 3000 psi (typical Iranian oil well condition) were studied in relation to gelation time, strength and the mechanical properties of the hydrogel. The average molecular weight of the polymer chains between cross-link ties was evaluated using an oil-well laboratory system and compressive strength test. Differential scanning calorimeter (DSC) analysis of dried gel and the effect of temperature on the kinetics of the gel swelling in different solutions such as distilled water, tap water, formation water and oil were studied. The results showed that the number of tie points between each entanglement has not much reduced under pressure. Therefore, the prepared hydrogel can maintain its chemical structure under the Iranian oil well pressure and can be proposed to field studies. The degree of sol–gel reaction of prepared hydrogel and the activation energy based on the Arrhenius equation were calculated to be 1.5 and 274 kJ/mol, respectively.     

Capacitive micromachined ultrasonic transducers: next-generation arrays for acoustic imaging?

Piezoelectric materials have dominated the ultrasonic transducer technology. Recently, capacitive micromachined ultrasonic transducers (CMUTs) have emerged as an alternative technology offering advantages such as wide bandwidth, ease of fabricating large arrays, and potential for integration with electronics. The aim of this paper is to demonstrate the viability of CMUTs for ultrasound imaging. We present the first pulse-echo phased array B-scan sector images using a 128-element, one-dimensional (1-D) linear CMUT array. We fabricated 64- and 128-element 1-D CMUT arrays with 100% yield and uniform element response across the arrays. These arrays have been operated in immersion with no failure or degradation in performance over the time. For imaging experiments, we built a resolution test phantom roughly mimicking the attenuation properties of soft tissue. We used a PC-based experimental system, including custom-designed electronic circuits to acquire the complete set of 128 x 128 RF A-scans from all transmit-receive element combinations. We obtained the pulse-echo frequency response by analyzing the echo signals from wire targets. These echo signals presented an 80% fractional bandwidth around 3 MHz, including the effect of attenuation in the propagating medium. We reconstructed the B-scan images with a sector angle of 90 degrees and an image depth of 210 mm through offline processing by using RF beamforming and synthetic phased array approaches. The measured 6-dB lateral and axial resolutions at 135 mm depth were 0.0144 radians and 0.3 mm, respectively. The electronic noise floor of the image was more than 50 dB below the maximum mainlobe magnitude. We also performed preliminary investigations on the effects of crosstalk among array elements on the image quality. In the near field, some artifacts were observable extending out from the array to a depth of 2 cm. A tail also was observed in the point spread function (PSF) in the axial direction, indicating the existence of crosstalk. The relative amplitude of this tail with respect to the mainlobe was less than -20 dB.     

Investigation of pointed domes—II. Experiment

The aim of the experiment was to study the behavior of pointed domes subjected to point loading at the vertex. A concrete dome reinforceed with 1 mm bars running both in the meridional and parallel circular direction was constructed. Electrical resistance strain gages were mounted at several locations along the meridional and parallel direction of the shell both inside and outside. The structure was loaded within the elastic limit.The experimental values of membrane stress field are calculated and compared with the theoretical values as is described in part I of this report. (see pp. 81–85). These results are in close agreement in regions some distance away from the lower boundary and the pointed apex. But the difference between the two results becomes noticeable near the lower boundary and the vertex of the dome. Further analysis of the experiment findings indicates that the bending strain field is slight at regions that are some distance away from the lower boundary and to the apex of the dome.     

Quantification of Protein‐Induced Membrane Remodeling Kinetics In Vitro with Lipid Multilayer Gratings

The dynamic self‐organization of lipids in biological systems is a highly regulated process that enables the compartmentalization of living systems at micro‐ and nanoscopic scales. Consequently, quantitative methods for assaying the kinetics of supramolecular remodeling such as vesicle formation from planar lipid bilayers or multilayers are needed to understand cellular self‐organization. Here, a new nanotechnology‐based method for quantitative measurements of lipid–protein interactions is presented and its suitability for quantifying the membrane binding, inflation, and budding activity of the membrane‐remodeling protein Sar1 is demonstrated. Lipid multilayer gratings are printed onto surfaces using nanointaglio and exposed to Sar1, resulting in the inflation of lipid multilayers into unilamellar structures, which can be observed in a label‐free manner by monitoring the diffracted light. Local variations in lipid multilayer volume on the surface is used to vary substrate availability in a microarray format. A quantitative model is developed that allows quantification of binding affinity (K _D) and kinetics (k_on and k_off). Importantly, this assay is uniquely capable of quantifying membrane remodeling. Upon Sar1‐induced inflation of single bilayers from surface supported multilayers, the semicylindrical grating lines are observed to remodel into semispherical buds when a critical radius of curvature is reached.