Correlation study between motion analysis of laparoscopic instruments and a suturing checklist

Purpose: To compare assessment capabilities of a motion analysis tool against a validated checklist during laparoscopic training.

Minimally invasive surgical video analysis: a powerful tool for surgical training and navigation

Analysis of minimally invasive surgical videos is a powerful tool to drive new solutions for achieving reproducible training programs, objective and transparent assessment systems and navigation tools to assist surgeons and improve patient safety. This paper presents how video analysis contributes to the development of new cognitive and motor training and assessment programs as well as new paradigms for image-guided surgery.

Minimally invasive surgical video analysis: a powerful tool for surgical training and navigation

Analysis of minimally invasive surgical videos is a powerful tool to drive new solutions for achieving reproducible training programs, objective and transparent assessment systems and navigation tools to assist surgeons and improve patient safety. This paper presents how video analysis contributes to the development of new cognitive and motor training and assessment programs as well as new paradigms for image-guided surgery.

Face, content, and construct validity of the EndoViS training system for objective assessment of psychomotor skills of laparoscopic surgeons

Background The aim of this study is to present face, content, and constructs validity of the endoscopic orthogonal video system (EndoViS) training system and determines its efficiency as a training and objective assessment tool of the surgeons’ psychomotor skills. Methods Thirty-five surgeons and medical students participated in this study: 11 medical students, 19 residents, and 5 experts. All participants performed four basic skill tasks using conventional laparoscopic instruments and EndoViS training system. Subsequently, participants filled out a questionnaire regarding the design, realism, overall functionality, and its capabilities to train hand–eye coordination and depth perception, rated on a 5-point Likert scale. Motion data of the instruments were obtained by means of two webcams built into a laparoscopic physical trainer. To identify the surgical instruments in the images, colored markers were placed in each instrument. Thirteen motion-related metrics were used to assess laparoscopic performance of the participants. Statistical analysis of performance was made between novice, intermediate, and expert groups. Internal consistency of all metrics was analyzed with Cronbach’s α test. Results Overall scores about features of the EndoViS system were positives. Participants agreed with the usefulness of tasks and the training capacities of EndoViS system (score >4). Results presented significant differences in the execution of three skill tasks performed by participants. Seven metrics showed construct validity for assessment of performance with high consistency levels. Conclusions EndoViS training system has been successfully validated. Results showed that EndoViS was able to differentiate between participants of varying laparoscopic experience. This simulator is a useful and effective tool to objectively assess laparoscopic psychomotor skills of the surgeons.

Object Kinetic Monte Carlo calculations of irradiated Fe-Cr dilute alloys: The effect of the interaction radius between substitutional Cr and self-interstitial Fe

ObjectKineticMonteCarlo models allow for the study of the evolution of the damage created by irradiation to time scales that are comparable to those achieved experimentally. Therefore, the essential ObjectKineticMonteCarlo parameters can be validated through comparison with experiments. However, this validation is not trivial since a large number of parameters is necessary, including migration energies of point defects and their clusters, binding energies of point defects in clusters, as well as the interactionradii. This is particularly cumbersome when describing an alloy, such as the Fe–Cr system, which is of interest for fusion energy applications. In this work we describe an ObjectKineticMonteCarlo model for Fe–Cr alloys in the dilute limit. The parameters used in the model come either from density functional theory calculations or from empirical interatomic potentials. This model is used to reproduce isochronal resistivity recovery experiments of electron irradiateddiluteFe–Cr alloys performed by Abe and Kuramoto. The comparison between the calculated results and the experiments reveal that an important parameter is the capture radius between substitutionalCr and self-interstitialFe atoms. A parametric study is presented on the effect of the capture radius on the simulated recovery curves.

Depth dependent lattice disorder and strain in Mn-implanted and post-annealed InAs thin films

The lattice order degree and the strain in as-grown, Mn-implanted and post-implantedannealedInAsthinfilms were investigated with depth resolution by means of Rutherford backscattering spectrometry in channeling conditions (RBS/C). Three main crystallographic axes were analyzed for both In and As sublattices. The behaviour of the induced defects was evaluated in two regions with different native defects: the interface and the surface. The results show that Mn implantation and post-implantation annealing are anisotropic processes, affecting in a different way the In and As sublattices. The mechanisms influencing the enhancement and deterioration of the crystal quality during the implantation are discussed in relation to the as-grown defects and the segregation of the elements

Strength and stiffness of repaired tendons

Rotator cuff tears of the shoulder are a common cause of pain and disability. Although surgery is frequently beneficial, re-tearing of the tendons is likely to re-occur. In many cases even if the reparation is successful it will still generate discomfort, problems with mobility, as well as a sharp pain. This project is funded in the cooperation with the Hospital Clinico San Carlos de Madrid. The purpose of this work is to analyze the effect of the surgical repair and the application of different therapies, including mesenchymal stem cell therapy on the biomechanical properties (strength and stiffness) of the repaired tendon. An animal model of rotator cuff tendon reparations has been developed on laboratory rats.To obtain the mechanical response of the healthy and repaired tendons, it was necessary to develop an experimental set up to reproduce the in-vivo working conditions of the tendons (37 ºC, immersed in physiological serum), and especially the load transfer. The biomechanical properties (maximum load and stiffness) have been measured in healthy and repaired tendons. A total of 70 rats are used in this particular study. It has been found that the repaired tendon is stronger than the original on. However, the repaired tendons demonstrate less flexibility than the healthy (original) ones prior to the damage

First results obtained using the CENBG nanobeam line: performances and applications

A high resolution focused beam line has been recently installed on the AIFIRA (“Applications Interdisciplinaires des Faisceaux d’Ions en Région Aquitaine”) facility at CENBG. This nanobeam line, based on a doublet–triplet configuration of Oxford Microbeam Ltd. OM-50™ quadrupoles, offers the opportunity to focus protons, deuterons and alpha particles in the MeV energy range to a sub-micrometer beam spot. The beam optics design has been studied in detail and optimized using detailed ray-tracing simulations and the full mechanical design of the beam line was reported in the Debrecen ICNMTA conference in 2008. During the last two years, the lenses have been carefully aligned and the target chamber has been fully equipped with particle and X-ray detectors, microscopes and precise positioning stages. The beam line is now operational and has been used for its firstapplications to ion beam analysis. Interestingly, this set-up turned out to be a very versatile tool for a wide range of applications. Indeed, even if it was not intended during the design phase, the ion optics configuration offers the opportunity to work either with a high current microbeam (using the triplet only) or with a lower current beam presenting a sub-micrometer resolution (using the doublet–triplet configuration). The performances of the CENBGnanobeam line are presented for both configurations. Quantitative data concerning the beam lateral resolutions at different beam currents are provided. Finally, the firstresults obtained for different types of application are shown, including nuclear reaction analysis at the micrometer scale and the firstresults on biological samples

Multimodal non-rigid image registration methods for therapy and surgery planning

La planificación pre-operatoria se ha convertido en una tarea esencial en cirugías y terapias de marcada complejidad, especialmente aquellas relacionadas con órgano blando. Un ejemplo donde la planificación preoperatoria tiene gran interés es la cirugía hepática. Dicha planificación comprende la detección e identificación precisa de las lesiones individuales y vasos así como la correcta segmentación y estimación volumétrica del hígado funcional. Este proceso es muy importante porque determina tanto si el paciente es un candidato adecuado para terapia quirúrgica como la definición del abordaje a seguir en el procedimiento. La radioterapia de órgano blando es un segundo ejemplo donde la planificación se requiere tanto para la radioterapia externa convencional como para la radioterapia intraoperatoria. La planificación comprende la segmentación de tumor y órganos vulnerables y la estimación de la dosimetría. La segmentación de hígado funcional y la estimación volumétrica para planificación de la cirugía se estiman habitualmente a partir de imágenes de tomografía computarizada (TC). De igual modo, en la planificación de radioterapia, los objetivos de la radiación se delinean normalmente sobre TC. Sin embargo, los avances en las tecnologías de imagen de resonancia magnética (RM) están ofreciendo progresivamente ventajas adicionales. Por ejemplo, se ha visto que el ratio de detección de metástasis hepáticas es significativamente superior en RM con contraste Gd–EOB–DTPA que en TC. Por tanto, recientes estudios han destacado la importancia de combinar la información de TC y RM para conseguir el mayor nivel posible de precisión en radioterapia y para facilitar una descripción precisa de las lesiones del hígado. Con el objetivo de mejorar la planificación preoperatoria en ambos escenarios se precisa claramente de un algoritmo de registro no rígido de imagen. Sin embargo, la gran mayoría de sistemas comerciales solo proporcionan métodos de registro rígido. Las medidas de intensidad de voxel han demostrado ser criterios de similitud de imágenes robustos, y, entre ellas, la Información Mutua (IM) es siempre la primera elegida en registros multimodales. Sin embargo, uno de los principales problemas de la IM es la ausencia de información espacial y la asunción de que las relaciones estadísticas entre las imágenes son homogéneas a lo largo de su domino completo. La hipótesis de esta tesis es que la incorporación de información espacial de órganos al proceso de registro puede mejorar la robustez y calidad del mismo, beneficiándose de la disponibilidad de las segmentaciones clínicas. En este trabajo, se propone y valida un esquema de registro multimodal no rígido 3D usando una nueva métrica llamada Información Mutua Centrada en el Órgano (Organ-Focused Mutual Information metric (OF-MI)) y se compara con la formulación clásica de la Información Mutua. Esto permite mejorar los resultados del registro en áreas problemáticas incorporando información regional al criterio de similitud, beneficiándose de la disponibilidad real de segmentaciones en protocolos estándares clínicos, y permitiendo que la dependencia estadística entre las dos modalidades de imagen difiera entre órganos o regiones. El método propuesto se ha aplicado al registro de TC y RM con contraste Gd–EOB–DTPA así como al registro de imágenes de TC y MR para planificación de radioterapia intraoperatoria rectal. Adicionalmente, se ha desarrollado un algoritmo de apoyo de segmentación 3D basado en Level-Sets para la incorporación de la información de órgano en el registro. El algoritmo de segmentación se ha diseñado específicamente para la estimación volumétrica de hígado sano funcional y ha demostrado un buen funcionamiento en un conjunto de imágenes de TC abdominales. Los resultados muestran una mejora estadísticamente significativa de OF-MI comparada con la Información Mutua clásica en las medidas de calidad de los registros; tanto con datos simulados (p<0.001) como con datos reales en registro hepático de TC y RM con contraste Gd– EOB–DTPA y en registro para planificación de radioterapia rectal usando OF-MI multi-órgano (p<0.05). Adicionalmente, OF-MI presenta resultados más estables con menor dispersión que la Información Mutua y un comportamiento más robusto con respecto a cambios en la relación señal-ruido y a la variación de parámetros. La métrica OF-MI propuesta en esta tesis presenta siempre igual o mayor precisión que la clásica Información Mutua y consecuentemente puede ser una muy buena alternativa en aplicaciones donde la robustez del método y la facilidad en la elección de parámetros sean particularmente importantes. Abstract Pre-operative planning has become an essential task in complex surgeries and therapies, especially for those affecting soft tissue. One example where soft tissue preoperative planning is of high interest is liver surgery. It involves the accurate detection and identification of individual liver lesions and vessels as well as the proper functional liver segmentation and volume estimation. This process is very important because it determines whether the patient is a suitable candidate for surgical therapy and the type of procedure. Soft tissue radiation therapy is a second example where planning is required for both conventional external and intraoperative radiotherapy. It involves the segmentation of the tumor target and vulnerable organs and the estimation of the planned dose. Functional liver segmentations and volume estimations for surgery planning are commonly estimated from computed tomography (CT) images. Similarly, in radiation therapy planning, targets to be irradiated and healthy and vulnerable tissues to be protected from irradiation are commonly delineated on CT scans. However, developments in magnetic resonance imaging (MRI) technology are progressively offering advantages. For instance, the hepatic metastasis detection rate has been found to be significantly higher in Gd–EOB–DTPAenhanced MRI than in CT. Therefore, recent studies highlight the importance of combining the information from CT and MRI to achieve the highest level of accuracy in radiotherapy and to facilitate accurate liver lesion description. In order to improve those two soft tissue pre operative planning scenarios, an accurate nonrigid image registration algorithm is clearly required. However, the vast majority of commercial systems only provide rigid registration. Voxel intensity measures have been shown to be robust measures of image similarity, and among them, Mutual Information (MI) is always the first candidate in multimodal registrations. However, one of the main drawbacks of Mutual Information is the absence of spatial information and the assumption that statistical relationships between images are the same over the whole domain of the image. The hypothesis of the present thesis is that incorporating spatial organ information into the registration process may improve the registration robustness and quality, taking advantage of the clinical segmentations availability. In this work, a multimodal nonrigid 3D registration framework using a new Organ- Focused Mutual Information metric (OF-MI) is proposed, validated and compared to the classical formulation of the Mutual Information (MI). It allows improving registration results in problematic areas by adding regional information into the similitude criterion taking advantage of actual segmentations availability in standard clinical protocols and allowing the statistical dependence between the two modalities differ among organs or regions. The proposed method is applied to CT and T1 weighted delayed Gd–EOB–DTPA-enhanced MRI registration as well as to register CT and MRI images in rectal intraoperative radiotherapy planning. Additionally, a 3D support segmentation algorithm based on Level-Sets has been developed for the incorporation of the organ information into the registration. The segmentation algorithm has been specifically designed for the healthy and functional liver volume estimation demonstrating good performance in a set of abdominal CT studies. Results show a statistical significant improvement of registration quality measures with OF-MI compared to MI with both simulated data (p<0.001) and real data in liver applications registering CT and Gd–EOB–DTPA-enhanced MRI and in registration for rectal radiotherapy planning using multi-organ OF-MI (p<0.05). Additionally, OF-MI presents more stable results with smaller dispersion than MI and a more robust behavior with respect to SNR changes and parameters variation. The proposed OF-MI always presents equal or better accuracy than the classical MI and consequently can be a very convenient alternative within applications where the robustness of the method and the facility to choose the parameters are particularly important.

Ion beam analysis of as-received, H-implanted and post implanted annealed fusion steels

The elemental distribution for as-received (AR), H implanted (AI) and post-implanted annealed (A) Eurofer and ODS-Eurofer steels has been characterized by means of micro Particle Induced X-ray Emission (μ-PIXE), micro Elastic Recoil Detection (μ-ERD) and Secondary Ion Mass Spectrometry (SIMS). The temperature and time-induced H diffusion has been analyzed by Resonance Nuclear Reaction Analysis (RNRA), Thermal Desorption Spectroscopy (TDS), ERDA and SIMS techniques. μ-PIXE measurements point out the presence of inhomogeneities in the Y distribution for ODS-Eurofer samples. RNRA and SIMS experiments evidence that hydrogen easily outdiffuses in these steels even at room temperature. ERD data show that annealing at temperatures as low as 300 °C strongly accelerates the hydrogen diffusion process, driving out up to the 90% of the initial hydrogen.

Ionoluminescence induced by swift heavy ions in silica and quartz: a comparative analysis

Ionoluminescence (IL) of the two SiO2 phases, amorphous silica and crystalline quartz, has been comparatively investigated in this work, in order to learn about the structural defects generated by means of ion irradiation and the role of crystalline order on the damage processes. Irradiations have been performed with Cl at 10 MeV and Br at 15 MeV, corresponding to the electronic stopping regime (i.e., where the electronic stopping power Se is dominant) and well above the amorphization threshold. The light-emission kinetics for the two main emission bands, located at 1.9 eV (652 nm) and 2.7 eV (459 nm), has been measured under the same ion irradiation conditions as a function of fluence for both, silica and quartz. The role of electronic stopping power has been also investigated and discussed within current views for electronic damage. Our experiments provide a rich phenomenological background that should help to elucidate the mechanisms responsible for light emission and defect creation.

Novel system for bite-force sensing and monitoring based on magnetic eear field communication

Intraoral devices for bite-force sensing have several applications in odontology and maxillofacial surgery, as bite-force measurements provide additional information to help understand the characteristics of bruxism disorders and can also be of help for the evaluation of post-surgical evolution and for comparison of alternative treatments. A new system for measuring human bite forces is proposed in this work. This system has future applications for the monitoring of bruxism events and as a complement for its conventional diagnosis. Bruxism is a pathology consisting of grinding or tight clenching of the upper and lower teeth, which leads to several problems such as lesions to the teeth, headaches, orofacial pain and important disorders of the temporomandibular joint. The prototype uses a magnetic field communication scheme similar to low-frequency radio frequency identification (RFID) technology (NFC). The reader generates a low-frequency magnetic field that is used as the information carrier and powers the sensor. The system is notable because it uses an intra-mouth passive sensor and an external interrogator, which remotely records and processes information regarding a patient?s dental activity. This permits a quantitative assessment of bite-force, without requiring intra-mouth batteries, and can provide supplementary information to polysomnographic recordings, current most adequate early diagnostic method, so as to initiate corrective actions before irreversible dental wear appears. In addition to describing the system?s operational principles and the manufacture of personalized prototypes, this report will also demonstrate the feasibility of the system and results from the first in vitro and in vivo trials.

Electrodynamic Tethers For Planetary And De-orbiting Missions

Nuevas aplicaciones tecnológicas y científicas mediante amarras electrodinámicas son analizadas para misiones planetarias. i) Primero, se considera un conjunto de amarras cilíndricas en paralelo (veleros electrosolares) para una misión interplanetaria. Los iones provenientes del viento solar son repelidos por el alto potencial de dichas amarras generando empuje sobre el velero. Para conocer el intercambio de momento que provocan los iones sobre las amarras se ha considerado un modelo de potencial estacionario. Se ha analizado la transferencia orbital de la Tierra a Júpiter siguiendo un método de optimización de trayectoria indirecto. ii) Una vez que el velero se encuentra cerca de Júpiter, se ha considerado el despliegue de una amarra para diferentes objetivos científicos. iia) Una amarra podría ser utilizada para diagnóstico de plasmas, al ser una fuente efectiva de ondas, y también como un generador de auroras artificiales. Una amarra conductora que orbite en la magnetosfera jovial es capaz de producir ondas. Se han analizado las diferentes ondas radiadas por un conductor por el que circula una corriente constante que sigue una órbita polar de alta excentricidad y bajo apoápside, como ocurre en la misión Juno de la NASA. iib) Además, se ha estudiado una misión tentativa que sigue una órbita ecuatorial (LJO) por debajo de los intensos cinturones de radiación. Ambas misiones requiren potencia eléctrica para los sistemas de comunicación e instrumentos científicos. Las amarras pueden generar potencia de manera más eficiente que otros sistemas que utlizan paneles solares o sistemas de potencia de radioisótopos (RPS). La impedancia de radiación es necesaria para determinar la corriente que circula por todo el circuito de la amarra. En un modelo de plasma frío, la radiación ocurre principalmente en los modos de Alfven y magnetosónica rápida, mostrando un elevado índice de refracción. Se ha estudiado la impedancia de radiación en amarras con recubrimiento aislante para los dos modos de radiación y cada una de las misiones. A diferencia del caso ionosférico terrestre, la baja densidad y el intenso campo magnético que aparecen en el entorno de Júpiter consiguen que la girofrecuencia de los electrones sea mucho mayor que la frecuencia del plasma; esto hace que el espectro de potencia para cada modo se modifique substancialmente, aumentando la velocidad de Alfven. Se ha estimado también la impedancia de radiación para amarras sin aislante conductor. En la misión LJO, un vehículo espacial bajando lentamente la altitud de su órbita permitiría estudiar la estructura del campo magnético y composición atmosférica para entender la formación, evolución, y estructura de Júpiter. Adicionalmente, si el contactor (cátodo) se apaga, se dice que la amarra flota eléctricamente, permitiendo emisión de haz de electrones que generan auroras. El continuo apagado y encendido produce pulsos de corriente dando lugar a emisiones de señales, que pueden ser utilizadas para diagnóstico del plasma jovial. En Órbita Baja Jovial, los iones que impactan contra una amarra polarizada negativamente producen electrones secundarios, que, viajando helicoidalmente sobre las líneas de campo magnético de Júpiter, son capaces de alcanzar su atmósfera más alta, y, de esta manera, generar auroras. Se han identificado cuáles son las regiones donde la amarra sería más eficiente para producir auroras. iic) Otra aplicación científica sugerida para la misión LJO es la detección de granos cargados que orbitan cerca de Júpiter. Los electrones de alta energía en este ambiente pueden ser modelados por una distribucción no Maxwelliana conocida como distribución kappa. En escenarios con plasmas complejos, donde los campos eléctricos en Júpiter pueden acelerar las cargas hasta velocidades que superen la velocidad térmica, este tipo de distribuciones son muy útiles. En este caso las colas de las distribuciones de electrones siguen una ley de potencias. Se han estudiado las fluctuaciones de granos cargados para funciones de distribución kappa. iii) La tesis concluye con el análisis para deorbitar satélites con amarras electrodinámicas que siguen una Órbita Baja Terrestre (LEO). Una amarra debe presentar una baja probabilidad de corte por pequeño debris y además debe ser suficientemente ligero para que el cociente entre la masa de la amarra y el satélite sea muy pequeño. En este trabajo se estiman las medidas de la longitud, anchura y espesor que debe tener una amarra para minimizar el producto de la probabilidad de corte por el cociente entre las masas de la amarra y el satélite. Se presentan resultados preliminares del diseño de una amarra con forma de cinta para deorbitar satélites relativamente ligeros como Cryosat y pesados como Envisat. Las misiones espaciales a planetas exteriores y en el ámbito terrestre plantean importantes retos científico-tecnológicos que deben ser abordados y solucionados. Por ello, desde el inicio de la era espacial se han diseñando novedosos métodos propulsivos, sistemas de guiado, navegación y control más robustos, y nuevos materiales para mejorar el rendimiento de los vehículos espaciales (SC). En un gran número de misiones interplanetarias y en todas las misiones a planetas exteriores se han empleado sistemas de radioisótopos (RPS) para generar potencia eléctrica en los vehículos espaciales y en los rovers de exploración. Estos sistemas emplean como fuente de energía el escaso y costoso plutonio-238. La NASA, por medio de un informe de la National Academy of Science (5 de Mayo del 2009), expresó una profunda preocupación por la baja cantidad de plutonio almacenado, insuficiente para desarrollar todas las misiones de exploración planetaria planeadas en el futuro [81, 91]. Esta circustancia ha llevado a dicha Agencia tomar la decisión de limitar el uso de estos sistemas RPS en algunas misiones de especial interés científico y una recomendación de alta prioridad para que el Congreso de los EEUU apruebe el reestablecimiento de la producción de plutonio-238, -son necesarios cerca de 5 kg de este material radiactivo al año-, para salvaguardar las misiones que requieran dichos sistemas de potencia a partir del año 2018. Por otro lado, la Agencia estadounidense ha estado considerando el uso de fuentes de energía alternativa; como la fisión nuclear a través del ambicioso proyecto Prometheus, para llevar a cabo una misión de exploración en el sistema jovial (JIMO). Finalmente, dicha misión fue desestimada por su elevado coste. Recientemente se han estado desarrollando sistemas que consigan energía a través de los recursos naturales que nos aporta el Sol, mediante paneles solares -poco eficientes para misiones a planetas alejados de la luz solar-. En este contexto, la misión JUNO del programa Nuevas Fronteras de la NASA, cuyo lanzamiento fue realizado con éxito en Agosto de 2011, va a ser la primera misión equipada con paneles solares que sobrevolará Júpiter en el 2015 siguiendo una órbita polar. Anteriormente se habían empleado los antes mencionados RPS para las misiones Pioneer 10,11, Voyager 1,2, Ulysses, Cassini-Huygens y Galileo (todas sobrevuelos excepto Galileo). Dicha misión seguirá una órbita elíptica de alta excentricidad con un periápside muy cercano a Júpiter, y apoápside lejano, evitando que los intensos cinturones de radiación puedan dañar los instrumentos de navegación y científicos. Un tether o amarra electrodinámica es capaz de operar como sistema propulsivo o generador de potencia, pero también puede ser considerado como solución científicotecnológica en misiones espaciales tanto en LEO (Órbita Baja Terrestre) como en planetas exteriores. Siguiendo una perspectiva histórica, durante las misiones terrestres TSS-1 (1992) y TSS-1R (1996) se emplearon amarras estandard con recubrimiento aislante en toda su longitud, aplicando como terminal anódico pasivo un colector esférico para captar electrones. En una geometría alternativa, propuesta por J. R. Sanmartín et al. (1993) [93], se consideró dejar la amarra sin recubrimiento aislante (“bare tether”), y sin colector anódico esférico, de forma que recogiera electrones a lo largo del segmento que resulta polarizado positivo, como si se tratara de una sonda de Langmuir de gran longitud. A diferencia de la amarra estandard, el “bare tether” es capaz de recoger electrones a lo largo de una superficie grande ya que este segmento es de varios kilómetros de longitud. Como el radio de la amarra es del orden de la longitud de Debye y pequeño comparado con el radio de Larmor de los electrones, permite una recolección eficiente de electrones en el régimen OML (Orbital Motion Limited) de sondas de Langmuir. La corriente dada por la teoría OML varía en función del perímetro y la longitud. En el caso de una cinta delgada, el perímetro depende de la anchura, que debe ser suficientemente grande para evitar cortes producidos por debris y micrometeoritos, y suficientemente pequeño para que la amarra funcione en dicho régimen [95]. En el experimento espacial TSS-1R mencionado anteriormente, se identificó una recolección de corriente más elevada que la que predecía el modelo teórico de Parker- Murphy, debido posiblemente a que se utilizaba un colector esférico de radio bastante mayor que la longitud de Debye [79]. En el caso de una amarra “bare”, que recoge electrones a lo largo de gran parte de su longitud, se puede producir un fenómeno conocido como atrapamiento adiabático de electrones (adiabatic electron trapping) [25, 40, 60, 73, 74, 97]. En el caso terrestre (LEO) se da la condición mesotérmica en la que la amarra se mueve con una velocidad muy superior a la velocidad térmica de los iones del ambiente y muy inferior a la velocidad térmica de los electrones. J. Laframboise y L. Parker [57] mostraron que, para una función de distribución quasi-isotrópica, la densidad de electrones debe entonces ser necesariamente inferior a la densidad ambiente. Por otra parte, debido a su flujo hipersónico y a la alta polarización positiva de la amarra, la densidad de los iones es mayor que la densidad ambiente en una vasta región de la parte “ram” del flujo, violando la condición de cuasi-neutralidad,-en una región de dimensión mayor que la longitud de Debye-. La solución a esta paradoja podría basarse en el atrapamiento adiabático de electrones ambiente en órbitas acotadas entorno al tether. ABSTRACT New technological and scientific applications by electrodynamic tethers for planetary missions are analyzed: i) A set of cylindrical, parallel tethers (electric solar sail or e-sail) is considered for an interplanetary mission; ions from the solar wind are repelled by the high potential of the tether, providing momentum to the e-sail. An approximated model of a stationary potential for a high solar wind flow is considered. With the force provided by a negative biased tether, an indirect method for the optimization trajectory of an Earth-to-Jupiter orbit transfer is analyzed. ii) The deployment of a tether from the e-sail allows several scientific applications in Jupiter. iia) It might be used as a source of radiative waves for plasma diagnostics and artificial aurora generator. A conductive tether orbiting in the Jovian magnetosphere produces waves. Wave radiation by a conductor carrying a steady current in both a polar, highly eccentric, low perijove orbit, as in NASA’s Juno mission, and an equatorial low Jovian orbit (LJO) mission below the intense radiation belts, is considered. Both missions will need electric power generation for scientific instruments and communication systems. Tethers generate power more efficiently than solar panels or radioisotope power systems (RPS). The radiation impedance is required to determine the current in the overall tether circuit. In a cold plasma model, radiation occurs mainly in the Alfven and fast magnetosonic modes, exhibiting a large refraction index. The radiation impedance of insulated tethers is determined for both modes and either mission. Unlike the Earth ionospheric case, the low-density, highly magnetized Jovian plasma makes the electron gyrofrequency much larger than the plasma frequency; this substantially modifies the power spectrum for either mode by increasing the Alfven velocity. An estimation of the radiation impedance of bare tethers is also considered. iib) In LJO, a spacecraft orbiting in a slow downward spiral under the radiation belts would allow determining magnetic field structure and atmospheric composition for understanding the formation, evolution, and structure of Jupiter. Additionally, if the cathodic contactor is switched off, a tether floats electrically, allowing e-beam emission that generate auroras. On/off switching produces bias/current pulses and signal emission, which might be used for Jovian plasma diagnostics. In LJO, the ions impacting against the negative-biased tether do produce secondary electrons, which racing down Jupiter’s magnetic field lines, reach the upper atmosphere. The energetic electrons there generate auroral effects. Regions where the tether efficiently should produce secondary electrons are analyzed. iic) Other scientific application suggested in LJO is the in-situ detection of charged grains. Charged grains naturally orbit near Jupiter. High-energy electrons in the Jovian ambient may be modeled by the kappa distribution function. In complex plasma scenarios, where the Jovian high electric field may accelerate charges up superthermal velocities, the use of non-Maxwellian distributions should be considered. In these cases, the distribution tails fit well to a power-law dependence for electrons. Fluctuations of the charged grains for non-Mawellian distribution function are here studied. iii) The present thesis is concluded with the analysis for de-orbiting satellites at end of mission by electrodynamic tethers. A de-orbit tether system must present very small tether-to-satellite mass ratio and small probability of a tether cut by small debris too. The present work shows how to select tape dimensions so as to minimize the product of those two magnitudes. Preliminary results of tape-tether design are here discussed to minimize that function. Results for de-orbiting Cryosat and Envisat are also presented.

Tether radiation in Juno-type and circular-equatorial Jovian orbits

Wave radiation by a conductor carrying a steady current in both a polar, highly eccentric, low perijove orbit, as in NASA's planned Juno mission, and an equatorial low Jovian orbit (LJO) mission below the intense radiation belts, is considered. Both missions will need electric power generation for scientific instruments and communication systems. Tethers generate power more efficiently than solar panels or radioisotope power systems (RPS). The radiation impedance is required to determine the current in the overall tether circuit. In a cold plasma model, radiation occurs mainly in the Alfven and fast magnetosonic modes, exhibiting a large refraction index. The radiation impedance of insulated tethers is determined for both modes and either mission. Unlike the Earth ionospheric case, the low-density, highly magnetized Jovian plasma makes the electron gyrofrequency much larger than the plasma frequency; this substantially modifies the power spectrum for either mode by increasing the Alfven velocity. Finally, an estimation of the radiation impedance of bare tethers is considered. In LJO, a spacecraft orbiting in a slow downward spiral under the radiation belts would allow determining magnetic field structure and atmospheric composition for understanding the formation, evolution, and structure of Jupiter. Additionally, if the cathodic contactor is switched off, a tether floats electrically, allowing e-beam emission that generate auroras. On/off switching produces bias/current pulses and signal emission, which might be used for Jovian plasma diagnostics.

Systems and technologies for objective evaluation of technical skills in laparoscopic surgery

Minimally invasive surgery is a highly demanding surgical approach regarding technical requirements for the surgeon, who must be trained in order to perform a safe surgical intervention. Traditional surgical education in minimally invasive surgery is commonly based on subjective criteria to quantify and evaluate surgical abilities, which could be potentially unsafe for the patient. Authors, surgeons and associations are increasingly demanding the development of more objective assessment tools that can accredit surgeons as technically competent. This paper describes the state of the art in objective assessment methods of surgical skills. It gives an overview on assessment systems based on structured checklists and rating scales, surgical simulators, and instrument motion analysis. As a future work, an objective and automatic assessment method of surgical skills should be standardized as a means towards proficiency-based curricula for training in laparoscopic surgery and its certification.