Development of a simulator for training of fetoscopic myelomeningocele surgery

Objective

To develop a realistic simulation model for laparotomy-assisted fetoscopic spina bifida aperta (SBa) surgery, to be used for training purposes and preoperative planning.

Methods

The predefined general requirement was a realistic model of an exteriorized uterus, allowing all neurosurgical steps of the intervention. The uterus was modelled using ultrasound and MRI images of a 25 weeks’ gravid uterus, consisting of flexible polyurethane foam coated with pigmented silicone. The fetal model, contained an opening on the dorsal side for a customizable spinal insert with all the aspects of a SBa, including a cele, placode, and myofascial and skin layer. The model was assessed in a series of validation experiments.

Results

Production costs are low, uterus and fetus are reusable. Placental localization and the level and size of the spinal defect are adjustable, enabling case-specific adaptations. All aspects of the simulator were scored close to realistic or higher for both appearance and functional capacities.

Conclusions

This innovative model provides an excellent training opportunity for centers that are starting a fetoscopic SBa repair program. It is the first simulation model with adjustable spinal defect and placental localisation. Further objective validation is required, but the potential for using this model in preoperative planning is promising.     

Selection of renewable energy systems sites using the MaxEnt model in the Eastern Mediterranean region in Turkey

Environmental Science and Pollution Research - Global warming has become the center of worldwide environmental concerns, especially in recent years. One of the ways to deal with global warming that...     

A sensitive method for selective determination of vanadium species by dispersive liquid–liquid microextraction (DLLME) with spectrophotometric detection

A simple, fast, and low-cost analytical procedure was developed for trace-level determination of inorganic vanadium species by dispersive liquid–liquid microextraction in combination with spectrophotometry. Vanadium in pentavalent form, V(V), was quantitatively extracted into organic phase as 4-(2-pyridylazo)-recorcinol (PAR) complex in the presence of N-cetyl-N,N,N-trimethyl ammonium bromide (CTAB) as counter-ion. Vanadium (IV) was masked with 1,2-diaminocyclohexanetetraacetic acid to allow speciation analysis. Total vanadium was determined after oxidation of V(IV) to V(V). The main factors affecting preconcentration and spectrophotometric detection of vanadium species such as pH, concentration of PAR and CTAB, the type and volume of the extraction, and disperser solvents were optimized. The limit of detection and enhancement factor obtained under optimum conditions were found to be 0.06 μg L^?1 and 98, respectively. Relative standard deviations for V(IV) and V(V) at 3.0 μg L^?1 were less than 2.4%. The presented procedure was applied to environmental water samples for selective determination of vanadium species. Moreover, the method was applied to determination of vanadium in edible salt samples, due to its applicability in high-NaCl-containing solutions. The validity of proposed method was proven by spike recovery experiments and also independent analysis by inductively coupled plasma mass spectrometry.     

Behaviour of trace metals in surface sediments of the Black Sea

Early diagenetic processes control the behavior, and more specifically the dissolved‐solid phase distribution of heavy metals in sediments. The depth distribution of Co, Mn, Cu, Zn, Ni, and Fe in sediment were determined in box cores from the Black Sea. The sequential analyses results of these metals indicate contrasting behavior of Mn and Co during early diagenesis, consistent with their respective chemistries and particle‐associations. The profiles of extractable trace metals in the cores are clearly related to sediment type or depositional environment. Topmost sections of the profiles for these elements are generally similar, i.e. rapid decrease in concentration below the sediment surface.     

Electrocoagulation of some reactive dyes: a statistical investigation of some electrochemical variables

In this study, the decolorization of strong colored solutions containing the reactive textile dyes by electrocoagulation was investigated. The experiments were statistically designed and carried out according to a 2(4) full factorial design with two replicate and four center points. This design was extended with eight additional axial points. Then, the non-linear regression was applied on the data by using MINITAB software. The variables chosen for this work are mixing rate, cell voltage, electrolysis time and current density. Results showed that the effective variables on decolorization process are cell voltage, electrolysis time and current density. In addition, to determine the effect of dye and electrode type on decolorization, the additional experiments were carried out. It was determined the dye and electrode type are important on the decolorization process.     

Inactivation of coliform bacteria in Black Sea waters due to solar radiation

The effects of solar radiation and temperature on bacterial die-off rates in Black Sea coastal waters using total coliform as the indicator organism were studied. Coliform die-off experiments were carried out in seawater samples collected along the coastline. The experiments were conducted in beakers filled with seawater that were kept at constant temperatures and exposed to solar radiation. The membrane filter technique was used for the coliform analysis. Temperature ranging between 9 and 26 degrees C and solar radiation between 20 and 60 cal/cm(2) h were tested. Experiments in the dark were also conducted to isolate the effect of solar radiation from the other factors and, furthermore, to determine the effect of temperature on bacterial die-off. The solar radiation was found to be the most significant factor affecting the mortality of coliform bacteria.     

An acoustical landscaping study: the impact of distance between the sound source and the landscape plants on traffic noise reduction

Environment, Development and Sustainability - Due to the ongoing increase in the urbanization rate, people are exposed to various environmental pollutions. One of the most threatening types of...     

Chemical Characteristics of Rain Water at an Urban Site of South Western Turkey

In this study, chemical composition of the rain water in Mugla was investigated from February to April 2002. Rain water samples were obtained from Mugla, a small city in south western Turkey. The Yatagan Power Plant is located 30 km northwest of Mugla city. The values of pH and the concentrations of major ions (Ca²⁺, Na⁺, K⁺, SO₄ ²⁻, NO₃ ⁻, NH₄ ⁺) in the rainwater samples were analyzed. The pH varied from 4.5 to 7.7 with an average of 6.9 which was in alkaline range considering 5.6 as the neutral pH of cloud water with atmospheric CO₂ equilibrium. In the total 30 rain events, only two events were observed in acidic range (< 5.6) which occurred after continuous rains. The equivalent concentration of components followed the order: Ca²⁺ > SO₄ ²⁻ > NH₄ ⁺ > NO₃ ⁻ > Na⁺ > K⁺ > H⁺. The volume-weighted mean (VWM) of the measured ionic sum is 371.62 μeq/l. The ratio of between sum cations and sum anions (∑cations /∑ anions) is 1.52 μeq/l. The alkaline components (Ca²⁺, Na⁺, K⁺) contribute 52%, NH₄ ⁺ 8%, whereas, the contribution from the acidic components is relatively small (40%). The low concentrations of H⁺ found in rainwater samples from Mugla suggest that an important portion of H₂SO₄ and HNO₃ have been neutralized by alkaline particles in the atmosphere. The dust-rich local and surrounding limestone environment might have caused the high concentration of Ca²⁺ in Mugla area. The relatively high concentration of NH₄ ⁺ observed at Mugla is suspected to be due to surrounding agricultural. The results obtained in this study are compared with those other studies conducted at various places in the world.     

Quality and Quantity of Leachate in Aerobic Pilot-Scale Landfills

In this study, two pilot-scale aerobic landfill reactors with (A1) and without (A2) leachate recirculation are used to obtain detailed information on the quantity and quality of leachate in aerobic landfills. The observed parameters of leachate quality are pH, chloride (Cl⁻), chemical oxygen demand (COD), biological oxygen demand (BOD), total Kjeldahl nitrogen (TKN), ammonia nitrogen (NH₃-N), and nitrate (NO₃^–-N). pH values of the leachate increased to 7 after 50 days in reactor A1 and after 70 days in reactor A2. Cl⁻ concentrations increased rapidly to 6100 (A1) and 6900 (A2) mg/L after 80 days, from initial values of 3000 and 2800 mg/L, respectively. COD and BOD values decreased rapidly in the A1 landfill reactor, indicating the rapid oxidation of organic matter. The BOD/COD ratio indicates that leachate recirculation slightly increases the degradation of solid waste in aerobic landfills. NH₃-N concentrations decreased as a result of the nitrification process. Denitrification occurred in parts of the reactors as a result of intermittent aeration; this process causes a decrease in NO₃⁻ concentrations. There is a marked difference between the A1 and A2 reactors in terms of leachate quantity. Recirculated leachate made up 53.3% of the leachate generated from the A1 reactor during the experiment, while leachate quantity decreased by 47.3% with recirculation when compared with the aerobic dry landfill reactor.