1,117 research outputs found

    sj-pdf-1-asu-10.1177_00031348211023402 – Supplemental Material for Telemedicine Experience of General Surgery Trainees: Impact on Patient Care and Education

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    Supplemental Material, sj-pdf-1-asu-10.1177_00031348211023402 for Telemedicine Experience of General Surgery Trainees: Impact on Patient Care and Education by Brandon J Nakashima, Navpreet Kaur, Chelsey Wongjirad, Kenji Inaba and Mohd Raashid Sheikh in The American Surgeon</p

    A reinforceable-muscle flexible-spine humanoid ‘Kenji

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    Abstract—We have been studying about muscle-tendon spined humanoid robots for aiming a novel humanoid robot that has modifiable mechanical flexibility, safety and wide variety of postures. This paper describes a new concept of reinforceable-muscle humanoid and the development of a new musculo-skeletal humanoid robot named “Kenji ” that is a prototype muscle-driven humanoid next to previous developed humanoid “Kenta”. Kenji has 140 actuators in total and numerous multi-modal sensors. This paper also presents some experiments that show the feasibility of the robot

    Supplemental Material - Predicting the Future in Trauma: Trauma and Injury Severity Score Loses Accuracy and Validity for Late Deaths After Injury

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    Supplemental Material for Predicting the Future in Trauma: Trauma and Injury Severity Score Loses Accuracy and Validity for Late Deaths After Injury by Yu-Tung Wu, Subarna Biswas, Kazuhide Matsushima, Morgan Schellenberg, Kenji Inaba, and Matthew J. Martin in The American Surgeon™.</p

    SPECTROSCOPIC REMOTE-SENSING OF MOLECULAR CONSTITUENTS IN THE ATMOSPHERE BY LASER-RADAR TECHNIQUES BASED ON OPTICAL SCATTERING PHENOMENA

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    1^{1}H. Inaba and T. Kobayasi, Nature, 224, 170, (1969). 2^{2}T. Kobayasi and H. Inaba, Appl. Phys. Letters, 17, 139, (1970). 3^{3}H. Inaba and T. Kobayasi. Invited paper to the Sixth International Quantum Electronics Conference, Kyoto, Japan, September 1970. 4^{4}T. Kobayasi and H. Inaba. Proceedings of IEEE., 58, 1568, (1970).""Author Institution: Research Institute of Electrical Communication, Tohoku UniversityThe usefulness of Raman spectroscopy, which is so far recognized as a complementary technique to infrared spectroscopy, can be extended to include various new fields which are unique to itself. The laser-Raman radar scheme detecting the Raman backscattered echoes has been proposed1proposed^{1} and confirmed experimentally by the present authors24authors^{2-4}, which is capable of measuring remotely the number density of molecular constituents as well as their species existing not only in the ordinary but also in the polluted atmosphere. This paper wishes to report the operational performance and the experimental results, so far obtained, of our laser-Raman radar as a completely single-ended system for the chemical analysis of the real atmosphere. An alternative method, which utilizes a frequency-tunable dye laser with high repetition rate of pulsed operation is also developed to investigate the resonance spectroscopic effects of a variety of molecules and atoms contained in the lower and upper atmosphere. These effects include the fluorescence and the resonance scatterings along with the resonance Raman scattering, and are expected to improve significantly the sensitivity and the range capability for the constituent analysis of our environmental air

    MEASUREMENTS OF RAMAN CROSS SECTIONS FOR VARIOUS GASES IN THE POLLUTED ATMOSPHERE BY MEANS OF PULSED LASER-RAMAN AND PULSE-GATED PHOTON COUNTING METHODS

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    1^{1} H. Inaba and T. Kobayasi, Nature 224, 170 (Oct. 1969) 2^{2} T. Kobayasi and H. Inaba, Appl. Phys. Letters 17, 139 (Aug. 1970); Proc. of the IEEE. 58, 1568 (1970). 3^{3} H. Inaba and T. Kobayasi, Paper presented to 26th Symposium on Molecular Structure and Spectroscopy N4, Columbus, Ohio, June 14-18, 1971. 4^{4} W. F. Murphy, W. Holzer and H. J. Bernstein, Appl. Spectroscopy 23, 211 (1969). 5^{5} D.G. Fouche and R.K. Chang, Appl. Phys. Letters 18, 579 (June 1971).""Author Institution: Research Institute of Electrical Communication, Tohoku UniversityFeasibility and potentiality of the laser radar system which detects the Raman-shifted backscattering, either in non-resonant or resonant nature, from chemical contents of atmospheric pollutants to identify and to monitor remotely their concentrations have been demonstrated.13demonstrated.^{1-3} However, for the precise measurement of species concentration, the knowledge on the Raman scattering cross sections is always required. This paper presents the measured result and their comparison of the Raman cross sections of various molecules present in the atmosphere such as NO2,NO,SO2,CO2,CO,O2,H2NO_{2}, NO, SO_{2}, CO_{2}, CO, O_{2}, H_{2} relative to that of N2N_{2} as a reference gas. We employed primarily a molecular nitrogen laser with 10mW average power at 3371 {\AA}, 20 kW peak power of 10 nsec duration and a repetition rate of 50 Hz. Recently, we have succeeded in the operation of transverse excitation atmospheric (TEA) nitrogen laser at 3371 {\AA} which is applicable to the field-use and also to the laboratory experiments. The Raman scattered radiation was observed in a direction perpendicular to the linearly polarized plane of the incident laser beam. The signal was processed by the pulse-gated photon counting method synchronized with the repetitive laser pulse, which is valuable for detecting extremely weak light signals. The accuracy of our measured cross sections is within 10\% and their values were found to agree well with the pre-laser result by Murphy et al.4al.^{4} and the laser result by Fouche et al.5al.^{5} for several gases. It is noteworthy that NO2ν1NO_{2}\nu_{1} band has 15 times and ν2\nu_{2} band has 7.2 times larger cross section than that of N2N_{2}, due possibly to resonance Raman effect at 3371 {\AA}

    Negative laparotomy in trauma: are we getting better?

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    One of the trauma surgeons' daily challenges is the balancing act between negative laparotomy and missed abdominal injury. We opted to characterize the indications that prompted a negative trauma exploratory laparotomy and the rate of missed abdominal injuries in an effort to optimize patient selection for laparotomy. At the Los Angeles County + University of Southern California Medical Center, negative laparotomies and missed injuries are consecutively captured and reviewed at the weekly mortality + morbidity (MM) conferences. All written reports of the MM meetings from January 2003 to December 2008 were reviewed to identify all patients who underwent a negative laparotomy or a laparotomy as a result of an initially missed abdominal injury. Over the 6-year study period, a total of 1871 laparotomies were performed, of which 73 (3.9%) were negative. The rate of missed injuries requiring subsequent laparotomy was 1.3 per cent (25 of 1871). The negative laparotomy rate and the rate of missed injuries did not vary significantly during the study period (2.8 to 4.7%, P = 0.875, and 0.7 to 2.9%, P = 0.689). Penetrating mechanisms accounted for the majority of negative laparotomies (58.9%). The primary indication for negative laparotomy was peritonitis (54.8%) followed by hypotension (28.8%) and suspicious computed tomographic scan findings (27.4%). The complication rate after negative laparotomy was 14.5 per cent, and of these, 10.1 per cent were directly related to the procedure. A low but steady rate of negative laparotomies and missed abdominal injuries after trauma remains. Negative laparotomies and missed abdominal injuries when they occur are still associated with significant complication rates and a prolonged length of stay

    Fundamental Study on Latent Cold Heat Storage by means of Oil Droplets with Low Freezing Point : 2nd Report, Nondimensional Analysis of Solidification and Heat Transfer Characteristics of Tetradecane Oil Droplets Ascending in Low-Temperature Water Solution

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    The latent cold heat storage system using the direct-contact freezer with tetradecane oil and ethylene glycol aqueous solution as the latent cold heat storage material and the cold heat transfer medium, respectively, was proposed in a previous paper [Inaba and Sato, Trans. JSME, 60-580 (1994), 4236.]. In this report, in order to obtain practical data for industrial application, nondimensional analysis of the solidification rate of the tetradecane oil droplets and the overall heat transfer coefficient in the freezer was carried out. In this system, the tetradecane oil droplets change from liquid to solid state during ascension in the cold heat transfer medium. Therefore, liquid-liquid and solid-liquid coexisting-type direct-contact heat transfer occurs between the tetradecane oil droplets and the aqueous solution. It can be considered that the flow pattern and heat transfer process are different for the liquid-liquid and the solid-liquid systems. The empirical equations of the solidification rate and the overall heat transfer coefficient were derived for the averaged values for the entire freezer. The optimum operating conditions at which the maximum solidification rate can be achieved were clarified.前報において、直接接触による潜熱蓄冷システムを提案し、その構築のための基礎的データを報告した。すなわち、テトラデカン油(C14H10、融点Tm=5.8℃、融解潜熱L=229.1kj/kg、密度Ρdl=770kg/m3(液相時、6℃))およびエチレングリコール水溶液をそれぞれ蓄冷材および低温冷媒液として用い、両者を直接接触させることによる。蓄冷材の凝固挙動について明らかにした。通常、テトラデカン油の噴射温度および水溶液温度を低下させるに伴い、増加する傾向にある。しかし、温度条件を極度に低下させると、ノズル先端にてテトラデカン油の凍結が起こり、いわゆる凝固油柱が発生し、逆に温度の低下と共に、凝固率が減少するという特徴的な現象を見い出した。また、本蓄冷システムにおいては、蓄冷部にて蓄冷材としての油滴が液相から固相へと凝固相変化するため、液-液および固-液系の直接接触熱交換が共存することになり、それぞれ異なった伝熱形態となる。本報告では、テトラデカン油滴群の凝固率および熱伝達率を主に実験データを基礎に整理する方法を検討するものである。前述したように、実験条件によりノズル先端に凝固油柱が形成される場合とされない場合があり、それぞれの場合における実験整理式の提案と本蓄冷システムの最適な運転条件についての考察を行っている

    Advances in laparoscopy for acute care surgery and trauma

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    The greatest advantages of laparoscopy when compared to open surgery include the faster recovery times, shorter hospital stays, decreased postoperative pain, earlier return to work and resumption of normal daily activity as well as cosmetic benefits. Laparoscopy today is considered the gold standard of care in the treatment of cholecystitis and appendicitis worldwide. Laparoscopy has even been adopted in colorectal surgery with good results. The technological improvements in this surgical field along with the development of modern techniques and the acquisition of specific laparoscopic skills have allowed for its utilization in operations with fully intracorporeal anastomoses. Further progress in laparoscopy has included single-incision laparoscopic surgery and natural orifice trans-luminal endoscopic surgery. Nevertheless, laparoscopy for emergency surgery is still considered challenging and is usually not recommended due to the lack of adequate experience in this area. The technical difficulties of operating in the presence of diffuse peritonitis or large purulent collections and diffuse adhesions are also given as reasons. However, the potential advantages of laparoscopy, both in terms of diagnosis and therapy, are clear. Major advantages may be observed in cases with diffuse peritonitis secondary to perforated peptic ulcers, for example, where laparoscopy allows the confirmation of the diagnosis, the identification of the position of the ulcer and a laparoscopic repair with effective peritoneal washout. Laparoscopy has also revolutionized the approach to complicated diverticulitis even when intestinal perforation is present. Many other emergency conditions can be effectively managed laparoscopically, including trauma in select hemodynamically-stable patients. We have therefore reviewed the most recent scientific literature on advances in laparoscopy for acute care surgery and trauma in order to demonstrate the current indications and outcomes associated with a laparoscopic approach to the treatment of the most common emergency surgical conditions

    Ethics for Humanity That May Not Perish

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    This work is an English translation of the book “Metsubousurukamosirenai Junrui no tameno Rinrigaku[Ethics for Humanity That May Perish: LongTermism, Transhumanism, and Space Exploration]” by author, Shin-ichiro Inaba, himself. The original Japanese version was written for introducing Longtermism, Existential Risk Theory and related topics to Japanese general readrers. Chapters One and Two trace the origins of longtermism as a theoretical framework and philosophy. Chapter 3 briefly summarizes the theoretical core of what longtermism is and introduces accelerationism and effective accelerationism as adjacent movements that also concern humanity in the super-future. Chapter 4 points out that animal ethics can become a stumbling block for longtermism—giving rise to a peculiar puzzle. Chapters Five and Six examine the difficult problems in intergenerational ethics raised by Parfit, keeping the context of longtermism in mind. Chapter Five focuses on the "repugnant conclusion," while Chapter Six centers on the "non-identity problem." Chapter 7 points out that the "Singleton", according to Bostrom, deemed essential for humanity to survive and develop long-term by overcoming "existential risks," could itself be a source of such risks. Chapter 8 introduces the "Fermi Paradox" – the puzzle of why, despite the vast number of celestial bodies in the universe, extraterrestrial intelligence (ETI) remains undiscovered – and demonstrates its deep structural and substantive connection to the theory of existential risks. Chapters 9 and 10 discuss the possibility and desirability of humanity's space exploration. In closing this book, we will briefly touch upon the "eschatological" aspects of these arguments
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