In vitro strain measurements in cerebral aneurysm models for cyber-physical diagnosis

Background: The development of new diagnostic technologies for cerebrovascular diseases requires an understanding of the mechanism behind the growth and rupture of cerebral aneurysms. To provide a comprehensive diagnosis and prognosis of this disease, it is desirable to evaluate wall shear stress, pressure, deformation and strain in the aneurysm region, based on information provided by medical imaging technologies. Methods: In this research, we propose a new cyber-physical system composed of in vitro dynamic strain experimental measurements and computational fluid dynamics (CFD) simulation for the diagnosis of cerebral aneurysms. A CFD simulation and a scaled-up membranous silicone model of a cerebral aneurysm were completed, based on patient-specific data recorded in August 2008. In vitro blood flow simulation was realized with the use of a specialized pump. A vision system was also developed to measure the strain at different regions on the model by way of pulsating blood flow circulating inside the model. Results: Experimental results show that distance and area strain maxima were larger near the aneurysm neck (0.042 and 0.052), followed by the aneurysm dome (0.023 and 0.04) and finally the main blood vessel section (0.01 and 0.014). These results were complemented by a CFD simulation for the addition of wall shear stress, oscillatory shear index and aneurysm formation index. Diagnosis results using imaging obtained in August 2008 are consistent with the monitored aneurysm growth in 2011. Conclusion: The presented study demonstrates a new experimental platform for measuring dynamic strain within cerebral aneurysms. This platform is also complemented by a CFD simulation for advanced diagnosis and prediction of the growth tendency of an aneurysm in endovascular surgery.

The Medical examiner and general practitioner; a journal devoted to physical diagnosis.

Vol. 18 omitted in numbering.

A manual of physical diagnosis / by Francis Delafield, and Charles F. Stillman.

Interleaved.

A manual of the physical diagnosis of thoracic diseases,

Mode of access: Internet.

Manual of physical diagnosis, for the use of students and physicians

Mode of access: Internet.

A clinical introduction to the practice of auscultation, and other modes of physical diagnosis, in diseases of the lungs and heart...

Mode of access: Internet.

A pocket book of physical diagnosis, for the student and physician

Mode of access: Internet.

Manual of physical diagnosis, with special consideration of the heart and lungs

First-2d editions by Maurice Lewison and Ellis B. Freilich.

A handbook of physical diagnosis : comprising the throat, thorax, and abdomen /

Translation of Lehrbuch der klinischen Untersuchungs-Methoden für die Brust- und Unterleibs-Organe.

Aplicação e análise de metodologia de deterioração ambiental em micro-bacia do seridó potiguar

In the contemporary world to the deterioration of semi-arid areas of the planet has been the focus of media attention and the scientific community. Brazil has a semiarid, considered the most problematic of the world, either by pressure from physical factors, whether as a result of misguided public policies, has over time been suffering from the consequences of a deterioration that expands over the years. Methodologies, that amidst the problems of semi-arid, come against the deteriorating local, have a good chance to be reapplied in other contexts around the world. This research, based on methodological model for analyzing environmental deterioration, introduced and examined the applicability of the methodology in the semi-arid region of Rio Grande do Norte - Brazil. Although the results provide guidelines for the introduction of underground dams, the application of the methodology was ineffective, given the high rates of forest cover that gave low values for the physical diagnosis conservationist

Diagnóstico da degradação ambiental no município de Areia Branca-RN por geotecnologias

The municipality of Areia Branca is within the mesoregion of West Potiguar and within the microregion of Mossoró, covering an area of 357,58 km2. Covering an area of weakness in terms of environmental, housing, together with the municipality of Grossos-RN, the estuary of River Apodi-Mossoró. The municipality of Areia Branca has historically suffered from a lack of planning regarding the use and occupation of land as some economic activities, attracted by the extremely favorable natural conditions, have exploited their natural resources improperly. The aim of this study is to quantify and analyze the environmental degradation in the municipality. Thus initially was performed a characterization of land use using remote sensing, geoprocessing and geographic information system GIS in order to generate data and information on the municipal scale, which may serve as input to the environmental planning and land use planning in the region. From this perspective, were used a Landsat 5 image TM sensor for the year 2010. In the processing of this image was used SPRING 5.2 and applied a supervised classification using the classifier regions, which was employed Bhattacharya Distance method with a threshold at 30%. Thus was obtained the land use map that was analyzed the spatial distribution of different types of the use that is occurring in the city, identifying areas that are being used incorrectly and the main types of environmental degradation. And further, were applied the methodology proposed by Beltrame (1994), Physical Diagnosis Conservationist under some adaptations for quantifying the level of degradation or conservation study area. As results, the indexes were obtained for the parameters in the proposed methodology, allowing quantitatively analyze the degradation potential of each sector. From this perspective, considering a scale of 0 to 100, sector A and sector B had value 31.20 units of risk of physical deterioration. And the C sector, has shown its value - 34.64 units degradation risk and should be considered a priority in relation to the achievement of conservation actions

Análise ambiental da bacia hidrográfica do Rio Marreco – Oeste do Estado do Paraná

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Diagnóstico socioambiental da bacia do Ribeirão Água-Fria, Município de Bofete - SP

Pós-graduação em Agronomia (Irrigação e Drenagem) - FCA

Laennec, el método anatomoclínico y la invención del estetoscopio : parte 2 : la auscultación, de la controversia a la aceptación

En la primera parte relaté la vida de René Laennec hasta su crucial descubrimiento de la auscultación mediata. En esta segunda parte, me ocuparé de su tratado sobre la auscultación, su contribución al diagnóstico físico, la pneumonología y la cardiología, y su recepción en Francia y en el extranjero. Luego trataré de la retirada de Laennec de París y su regreso glorioso, su controversia con Broussais, sus actividades clínicas y docentes, la preparación de la segunda edición de su tratado, su matrimonio y su prematuro deceso. Laennec siempre será recordado por sus múltiples contribuciones a las ciencias médicas, y sobre todo por la auscultación mediata, por la cual con justicia se lo ha considerado uno de los más influyentes inventores de todos los tiempos.

Erkenntniss der Krankheiten der Brustorgane aus physikalischen Zeichen, oder, Auscultation, Percussion und Spirometrie : nach Heribert Davies' Vorlesungen und eigenen Beobachtungen /

Microfilmed for preservation