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Search results for: prosthetic socket

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text-center" style="font-size:1.6rem;">Search results for: prosthetic socket</h1> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">90</span> Design Development, Fabrication, and Preliminary Specifications of Multi-Fingered Prosthetic Hand </h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Mogeeb%20A.%20El-Sheikh">Mogeeb A. El-Sheikh</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The study has developed the previous design of an artificial anthropomorphic humanoid hand and accustomed it as a prosthetic hand. The main specifications of this design are determined. The development of our previous design involves the main artificial hand&rsquo;s parts and subassemblies, palm, fingers, and thumb. In addition, the study presents an adaptable socket design for a transradial amputee. This hand has 3 fingers and thumb. It is more reliable, cosmetics, modularity, and ease of assembly. Its size and weight are almost as a natural hand. The socket cavity has the capability for different sizes of a transradial amputee. The study implements the developed design by using rapid prototype and specifies its main specifications by using a data glove and finite element method. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=adaptable%20socket" title="adaptable socket">adaptable socket</a>, <a href="https://publications.waset.org/abstracts/search?q=prosthetic%20hand" title=" prosthetic hand"> prosthetic hand</a>, <a href="https://publications.waset.org/abstracts/search?q=transradial%20amputee" title=" transradial amputee"> transradial amputee</a>, <a href="https://publications.waset.org/abstracts/search?q=data%20glove" title=" data glove"> data glove</a> </p> <a href="https://publications.waset.org/abstracts/56702/design-development-fabrication-and-preliminary-specifications-of-multi-fingered-prosthetic-hand" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/56702.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">261</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">89</span> Pressure Relief in Prosthetic Sockets through Hole Implementation Using Different Materials</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Gabi%20N.%20Nehme">Gabi N. Nehme</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Below-knee amputees commonly experience asymmetrical gait patterns. It is generally believed that ischemia is related to the formation of pressure sores due to uneven distribution of forces. Micro-vascular responses can reveal local malnutrition. Changes in local skin blood supply under various external loading conditions have been studied for a number of years. Radionuclide clearance, photo-plethysmography, trans-cutaneous oxygen tension along with other studies showed that the blood supply would be influenced by the epidermal forces, and the rate and the amount of blood supply would decrease with increased epidermal loads being shear forces or normal forces. Several cases of socket designs were investigated using Finite Element Model (FEM) and Design of Experiment (DOE) to increase flexibility and minimize the pressure at the limb/socket interface using ultra high molecular weight polyethylene (UHMWPE) and polyamide 6 (PA6) or Duraform. The pressure reliefs at designated areas where reducing thickness is involved are seen to be critical in determination of amputees’ comfort and are very important to clinical applications. Implementing a hole between the Patellar Tendon (PT) and Distal Tibia (DT) would decrease stiffness and increase prosthesis range of motion where flexibility is needed. In addition, displacement and prosthetic energy storage increased without compromising mechanical efficiency and prosthetic design integrity. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=patellar%20tendon" title="patellar tendon">patellar tendon</a>, <a href="https://publications.waset.org/abstracts/search?q=distal%20tibia" title=" distal tibia"> distal tibia</a>, <a href="https://publications.waset.org/abstracts/search?q=prosthetic%20socket%20relief%20areas" title=" prosthetic socket relief areas"> prosthetic socket relief areas</a>, <a href="https://publications.waset.org/abstracts/search?q=hole%20implementation" title=" hole implementation"> hole implementation</a> </p> <a href="https://publications.waset.org/abstracts/34876/pressure-relief-in-prosthetic-sockets-through-hole-implementation-using-different-materials" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/34876.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">414</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">88</span> Study of Biomechanical Model for Smart Sensor Based Prosthetic Socket Design System</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Wei%20Xu">Wei Xu</a>, <a href="https://publications.waset.org/abstracts/search?q=Abdo%20S.%20Haidar"> Abdo S. Haidar</a>, <a href="https://publications.waset.org/abstracts/search?q=Jianxin%20Gao"> Jianxin Gao</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Prosthetic socket is a component that connects the residual limb of an amputee with an artificial prosthesis. It is widely recognized as the most critical component that determines the comfort of a patient when wearing the prosthesis in his/her daily activities. Through the socket, the body weight and its associated dynamic load are distributed and transmitted to the prosthesis during walking, running or climbing. In order to achieve a good-fit socket for an individual amputee, it is essential to obtain the biomechanical properties of the residual limb. In current clinical practices, this is achieved by a touch-and-feel approach which is highly subjective. Although there have been significant advancements in prosthetic technologies such as microprocessor controlled knee and ankle joints in the last decade, the progress in designing a comfortable socket has been rather limited. This means that the current process of socket design is still very time-consuming, and highly dependent on the expertise of the prosthetist. Supported by the state-of-the-art sensor technologies and numerical simulations, a new socket design system is being developed to help prosthetists achieve rapid design of comfortable sockets for above knee amputees. This paper reports the research work related to establishing biomechanical models for socket design. Through numerical simulation using finite element method, comprehensive relationships between pressure on residual limb and socket geometry were established. This allowed local topological adjustment for the socket so as to optimize the pressure distributions across the residual limb. When the full body weight of a patient is exerted on the residual limb, high pressures and shear forces between the residual limb and the socket occur. During numerical simulations, various hyperplastic models, namely Ogden, Yeoh and Mooney-Rivlin, were used, and their effectiveness in representing the biomechanical properties of soft tissues of the residual limb was evaluated. This also involved reverse engineering, which resulted in an optimal representative model under compression test. To validate the simulation results, a range of silicone models were fabricated. They were tested by an indentation device which yielded the force-displacement relationships. Comparisons of results obtained from FEA simulations and experimental tests showed that the Ogden model did not fit well the soft tissue material indentation data, while the Yeoh model gave the best representation of the soft tissue mechanical behavior under indentation. Compared with hyperplastic model, the result showed that elastic model also had significant errors. In addition, normal and shear stress distributions on the surface of the soft tissue model were obtained. The effect of friction in compression testing and the influence of soft tissue stiffness and testing boundary conditions were also analyzed. All these have contributed to the overall goal of designing a good-fit socket for individual above knee amputees. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=above%20knee%20amputee" title="above knee amputee">above knee amputee</a>, <a href="https://publications.waset.org/abstracts/search?q=finite%20element%20simulation" title=" finite element simulation"> finite element simulation</a>, <a href="https://publications.waset.org/abstracts/search?q=hyperplastic%20model" title=" hyperplastic model"> hyperplastic model</a>, <a href="https://publications.waset.org/abstracts/search?q=prosthetic%20socket" title=" prosthetic socket"> prosthetic socket</a> </p> <a href="https://publications.waset.org/abstracts/75097/study-of-biomechanical-model-for-smart-sensor-based-prosthetic-socket-design-system" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/75097.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">205</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">87</span> Modeling and Analysis of a Cycling Prosthetic</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=John%20Tolentino">John Tolentino</a>, <a href="https://publications.waset.org/abstracts/search?q=Yong%20Seok%20Park"> Yong Seok Park</a> </p> <p class="card-text"><strong>Abstract:</strong></p> There are currently many people living with limb loss in the USA. The main causes for amputation can range from vascular disease, to trauma, or cancer. This number is expected increase over the next decade. Many patients have a single prosthetic for the first year but end up getting a second one to accommodate their changing physique. Afterwards, the prosthesis gets replaced every three to five years depending on how often it is used. This could cost the patient up to $500,000 throughout their lifetime. Complications do not end there, however. Due to the absence of nerves, it becomes more difficult to traverse terrain with a prosthetic. Moving on an incline or decline becomes difficult, thus curbs and stairs can be a challenge. Certain physical activities, such as cycling, could be even more strenuous. It will need to be relearned to accommodate for the change in weight, center of gravity, and transfer of energy from the leg to the pedal. The purpose of this research project is to develop a new, alternate below-knee cycling prosthetic using Dieter &amp; Schmidt&rsquo;s design process approach. It will be subjected to fatigue analysis under dynamic loading to observe the limitations as well as the strengths and weaknesses of the prosthetic. Benchmark comparisons will be made between existing prosthetics and the proposed one, examining the benefits and disadvantages. The resulting prosthetic will be 3D printed using acrylonitrile butadiene styrene (ABS) or polycarbonate (PC) plastic. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=3D%20Printing" title="3D Printing">3D Printing</a>, <a href="https://publications.waset.org/abstracts/search?q=Cycling" title=" Cycling"> Cycling</a>, <a href="https://publications.waset.org/abstracts/search?q=Prosthetic%20design" title=" Prosthetic design"> Prosthetic design</a>, <a href="https://publications.waset.org/abstracts/search?q=Synthetic%20design." title=" Synthetic design."> Synthetic design.</a> </p> <a href="https://publications.waset.org/abstracts/123679/modeling-and-analysis-of-a-cycling-prosthetic" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/123679.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">142</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">86</span> Parametric Study of Ball and Socket Joint for Bio-Mimicking Exoskeleton</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Mukesh%20Roy">Mukesh Roy</a>, <a href="https://publications.waset.org/abstracts/search?q=Basant%20Singh%20Sikarwar"> Basant Singh Sikarwar</a>, <a href="https://publications.waset.org/abstracts/search?q=Ravi%20Prakash"> Ravi Prakash</a>, <a href="https://publications.waset.org/abstracts/search?q=Priya%20Ranjan"> Priya Ranjan</a>, <a href="https://publications.waset.org/abstracts/search?q=Ayush%20Goyal"> Ayush Goyal </a> </p> <p class="card-text"><strong>Abstract:</strong></p> More than 11% of people suffer from weakness in the bone resulting in inability in walking or climbing stairs or from limited upper body and limb immobility. This motivates a fresh bio-mimicking solution to the design of an exo-skeleton to support human movement in the case of partial or total immobility either due to congenital or genetic factors or due to some accident or due to geratological factors. A deeper insight and detailed understanding is required into the workings of the ball and socket joints. Our research is to mimic ball and socket joints to design snugly fitting exoskeletons. Our objective is to design an exoskeleton which is comfortable and the presence of which is not felt if not in use. Towards this goal, a parametric study is conducted to provide detailed design parameters to fabricate an exoskeleton. This work builds up on real data of the design of the exoskeleton, so that the designed exo-skeleton will be able to provide required strength and support to the subject. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=bio-mimicking" title="bio-mimicking">bio-mimicking</a>, <a href="https://publications.waset.org/abstracts/search?q=exoskeleton" title=" exoskeleton"> exoskeleton</a>, <a href="https://publications.waset.org/abstracts/search?q=ball%20joint" title=" ball joint"> ball joint</a>, <a href="https://publications.waset.org/abstracts/search?q=socket%20joint" title=" socket joint"> socket joint</a>, <a href="https://publications.waset.org/abstracts/search?q=artificial%20limb" title=" artificial limb"> artificial limb</a>, <a href="https://publications.waset.org/abstracts/search?q=patient%20rehabilitation" title=" patient rehabilitation"> patient rehabilitation</a>, <a href="https://publications.waset.org/abstracts/search?q=joints" title=" joints"> joints</a>, <a href="https://publications.waset.org/abstracts/search?q=human-machine%20interface" title=" human-machine interface"> human-machine interface</a>, <a href="https://publications.waset.org/abstracts/search?q=wearable%20robotics" title=" wearable robotics"> wearable robotics</a> </p> <a href="https://publications.waset.org/abstracts/37015/parametric-study-of-ball-and-socket-joint-for-bio-mimicking-exoskeleton" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/37015.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">295</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">85</span> In Vitro Evaluation of an Artificial Venous Valve</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Joon%20Hock%20Yeo">Joon Hock Yeo</a>, <a href="https://publications.waset.org/abstracts/search?q=Munirah%20Ismail"> Munirah Ismail</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Chronic venous insufficiency is a condition where the venous wall or venous valves fail to operate properly. As such, it is difficult for the blood to return from the lower extremities back to the heart. Chronic venous insufficiency affects many people worldwide. In last decade, there have been many new and innovative designs of prosthetic venous valves to replace the malfunction native venous valves. However, thus far, to the authors’ knowledge, there is no successful prosthetic venous valve. In this project, we have developed a venous valve which could operate under low pressure. While further testing is warranted, this unique valve could potentially alleviate problems associated with chronic venous insufficiency. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=prosthetic%20venous%20valve" title="prosthetic venous valve">prosthetic venous valve</a>, <a href="https://publications.waset.org/abstracts/search?q=bi-leaflet%20valve" title=" bi-leaflet valve"> bi-leaflet valve</a>, <a href="https://publications.waset.org/abstracts/search?q=chronic%20venous%20insufficiency" title=" chronic venous insufficiency"> chronic venous insufficiency</a>, <a href="https://publications.waset.org/abstracts/search?q=valve%20hemodynamics" title=" valve hemodynamics"> valve hemodynamics</a> </p> <a href="https://publications.waset.org/abstracts/86146/in-vitro-evaluation-of-an-artificial-venous-valve" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/86146.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">195</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">84</span> Effect of Honey on Rate of Healing of Socket after Tooth Extraction in Rabbits</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Deependra%20Prasad%20Sarraf">Deependra Prasad Sarraf</a>, <a href="https://publications.waset.org/abstracts/search?q=Ashish%20Shrestha"> Ashish Shrestha</a>, <a href="https://publications.waset.org/abstracts/search?q=Mehul%20Rajesh%20Jaisani"> Mehul Rajesh Jaisani</a>, <a href="https://publications.waset.org/abstracts/search?q=Gajendra%20Prasad%20Rauniar"> Gajendra Prasad Rauniar</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Honey is the worlds’ oldest known wound dressing. Its wound healing properties are not fully established till today. Concerns about antibiotic resistance, and a renewed interest in natural remedies have prompted the resurgence in the antimicrobial and wound healing properties of Honey. Evidence from animal studies and some trials has suggested that honey may accelerate wound healing in burns, infected wounds and open wounds. None of these reports have documented the effect of honey on the healing of socket after tooth extraction. Therefore, the present experimental study was planned to evaluate the efficacy of honey on the healing of socket after tooth extraction in rabbits. Materials and Methods: An experimental study was conducted in six New Zealand White rabbits. Extraction of first premolar tooth on both sides of the lower jaw was done under anesthesia produced by Ketamine and Xylazine followed by application of honey on one socket (test group) and normal saline (control group) in the opposite socket. The intervention was continued for two more days. On the 7th day, the biopsy was taken from the extraction site, and histopathological examination was done. Student’s t-test was used for comparison between the groups and differences were considered to be statistically significant at p-value less than 0.05. Results: There was a significant difference between control group and test group in terms of fibroblast proliferation (p = 0.0019) and bony trabeculae formation (p=0.0003). Inflammatory cells were also observed in both groups, and it was not significant (p=1.0). Overlying epithelium was hyperplastic in both the groups. Conclusion: The study showed that local application of honey promoted the rapid healing process particularly by increasing fibroblast proliferation and bony trabeculae. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=honey" title="honey">honey</a>, <a href="https://publications.waset.org/abstracts/search?q=extraction%20wound" title=" extraction wound"> extraction wound</a>, <a href="https://publications.waset.org/abstracts/search?q=Nepal" title=" Nepal"> Nepal</a>, <a href="https://publications.waset.org/abstracts/search?q=healing" title=" healing"> healing</a> </p> <a href="https://publications.waset.org/abstracts/67176/effect-of-honey-on-rate-of-healing-of-socket-after-tooth-extraction-in-rabbits" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/67176.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">292</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">83</span> Stable Diffusion, Context-to-Motion Model to Augmenting Dexterity of Prosthetic Limbs</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Andr%C3%A9%20Augusto%20Ceballos%20Melo">André Augusto Ceballos Melo</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Design to facilitate the recognition of congruent prosthetic movements, context-to-motion translations guided by image, verbal prompt, users nonverbal communication such as facial expressions, gestures, paralinguistics, scene context, and object recognition contributes to this process though it can also be applied to other tasks, such as walking, Prosthetic limbs as assistive technology through gestures, sound codes, signs, facial, body expressions, and scene context The context-to-motion model is a machine learning approach that is designed to improve the control and dexterity of prosthetic limbs. It works by using sensory input from the prosthetic limb to learn about the dynamics of the environment and then using this information to generate smooth, stable movements. This can help to improve the performance of the prosthetic limb and make it easier for the user to perform a wide range of tasks. There are several key benefits to using the context-to-motion model for prosthetic limb control. First, it can help to improve the naturalness and smoothness of prosthetic limb movements, which can make them more comfortable and easier to use for the user. Second, it can help to improve the accuracy and precision of prosthetic limb movements, which can be particularly useful for tasks that require fine motor control. Finally, the context-to-motion model can be trained using a variety of different sensory inputs, which makes it adaptable to a wide range of prosthetic limb designs and environments. Stable diffusion is a machine learning method that can be used to improve the control and stability of movements in robotic and prosthetic systems. It works by using sensory feedback to learn about the dynamics of the environment and then using this information to generate smooth, stable movements. One key aspect of stable diffusion is that it is designed to be robust to noise and uncertainty in the sensory feedback. This means that it can continue to produce stable, smooth movements even when the sensory data is noisy or unreliable. To implement stable diffusion in a robotic or prosthetic system, it is typically necessary to first collect a dataset of examples of the desired movements. This dataset can then be used to train a machine learning model to predict the appropriate control inputs for a given set of sensory observations. Once the model has been trained, it can be used to control the robotic or prosthetic system in real-time. The model receives sensory input from the system and uses it to generate control signals that drive the motors or actuators responsible for moving the system. Overall, the use of the context-to-motion model has the potential to significantly improve the dexterity and performance of prosthetic limbs, making them more useful and effective for a wide range of users Hand Gesture Body Language Influence Communication to social interaction, offering a possibility for users to maximize their quality of life, social interaction, and gesture communication. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=stable%20diffusion" title="stable diffusion">stable diffusion</a>, <a href="https://publications.waset.org/abstracts/search?q=neural%20interface" title=" neural interface"> neural interface</a>, <a href="https://publications.waset.org/abstracts/search?q=smart%20prosthetic" title=" smart prosthetic"> smart prosthetic</a>, <a href="https://publications.waset.org/abstracts/search?q=augmenting" title=" augmenting"> augmenting</a> </p> <a href="https://publications.waset.org/abstracts/161374/stable-diffusion-context-to-motion-model-to-augmenting-dexterity-of-prosthetic-limbs" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/161374.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">101</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">82</span> Qualitative Needs Assessment for Development of a Smart Thumb Prosthetic</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Syena%20Moltaji">Syena Moltaji</a>, <a href="https://publications.waset.org/abstracts/search?q=Stephanie%20Posa"> Stephanie Posa</a>, <a href="https://publications.waset.org/abstracts/search?q=Sander%20Hitzig"> Sander Hitzig</a>, <a href="https://publications.waset.org/abstracts/search?q=Amanda%20Mayo"> Amanda Mayo</a>, <a href="https://publications.waset.org/abstracts/search?q=Heather%20Baltzer"> Heather Baltzer</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Purpose: To critically assess deficits following thumb amputation and delineate elements of an ideal thumb prosthesis from the end-user perspective. Methods: This was a qualitative study based on grounded theory. End-user stakeholder groups of thumb amputees and prosthetists were interviewed. Transcripts were reviewed whole first for familiarity. Data coding was then performed by two individual authors. Coded units were grouped by similarity and reviewed to reach a consensus. Codes were then analyzed for emergent themes by each author. A consensus meeting was held with all authors to finalize themes. Results: Three patients with traumatic thumb amputation and eight prosthetists were interviewed. Seven themes emerged. First was the significant impact of losing a thumb, in which codes of functional impact, mental impact, and occupational impact were included. The second theme was the unique nature of each thumb amputee, including goals, readiness for prosthesis, nature of the injury, and insurance. The third emergent theme was cost, surrounding government funding, insurability, and prosthetic pricing. The fourth theme was patient frustration, which included mismatches of prosthetic expectations and realities, activity limitations, and causes of devices abandonment. Themes five and six surrounded the strengths and weaknesses of current prosthetics, respectively. Theme seven was the ideal design for a thumb prosthetic, including abilities, suspension, and materials. Conclusions: Representative data from stakeholders mapped the current status of thumb prosthetics. Preferences for an ideal thumb prosthetic emerged, with suggestions for a simple, durable design. The ability to oppose, grasp and sense pressure was reported as functional priorities. Feasible cost and easy fitting emerged as systemic objectives. This data will be utilized in the development of a sensate thumb prosthetic. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=smart%20thumb" title="smart thumb">smart thumb</a>, <a href="https://publications.waset.org/abstracts/search?q=thumb%20prosthetic" title=" thumb prosthetic"> thumb prosthetic</a>, <a href="https://publications.waset.org/abstracts/search?q=sensate%20prosthetic" title=" sensate prosthetic"> sensate prosthetic</a>, <a href="https://publications.waset.org/abstracts/search?q=amputation" title=" amputation"> amputation</a> </p> <a href="https://publications.waset.org/abstracts/148325/qualitative-needs-assessment-for-development-of-a-smart-thumb-prosthetic" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/148325.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">119</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">81</span> 3D Electrode Carrier and its Implications on Retinal Implants</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Diego%20Luj%C3%A1n%20Villarreal">Diego Luján Villarreal</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Retinal prosthetic devices aim to repair some vision in visual impairment patients by stimulating electrically neural cells in the visual system. In this study, the 3D linear electrode carrier is presented. A simulation framework was developed by placing the 3D carrier 1 mm away from the fovea center at the highest-density cell. Cell stimulation is verified in COMSOL Multiphysics by developing a 3D computational model which includes the relevant retinal interface elements and dynamics of the voltage-gated ionic channels. Current distribution resulting from low threshold amplitudes produces a small volume equivalent to the volume confined by individual cells at the highest-density cell using small-sized electrodes. Delicate retinal tissue is protected by excessive charge density <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=retinal%20prosthetic%20devices" title="retinal prosthetic devices">retinal prosthetic devices</a>, <a href="https://publications.waset.org/abstracts/search?q=visual%20devices" title=" visual devices"> visual devices</a>, <a href="https://publications.waset.org/abstracts/search?q=retinal%20implants." title=" retinal implants."> retinal implants.</a>, <a href="https://publications.waset.org/abstracts/search?q=visual%20prosthetic%20devices" title=" visual prosthetic devices"> visual prosthetic devices</a> </p> <a href="https://publications.waset.org/abstracts/162033/3d-electrode-carrier-and-its-implications-on-retinal-implants" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/162033.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">112</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">80</span> HTML5 Online Learning Application with Offline Web, Location Based, Animated Web, Multithread, and Real-Time Features</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Sheetal%20R.%20Jadhwani">Sheetal R. Jadhwani</a>, <a href="https://publications.waset.org/abstracts/search?q=Daisy%20Sang"> Daisy Sang</a>, <a href="https://publications.waset.org/abstracts/search?q=Chang-Shyh%20Peng"> Chang-Shyh Peng</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Web applications are an integral part of modem life. They are mostly based upon the HyperText Markup Language (HTML). While HTML meets the basic needs, there are some shortcomings. For example, applications can cease to work once user goes offline, real-time updates may be lagging, and user interface can freeze on computationally intensive tasks. The latest language specification HTML5 attempts to rectify the situation with new tools and protocols. This paper studies the new Web Storage, Geolocation, Web Worker, Canvas, and Web Socket APIs, and presents applications to test their features and efficiencies. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=HTML5" title="HTML5">HTML5</a>, <a href="https://publications.waset.org/abstracts/search?q=web%20worker" title=" web worker"> web worker</a>, <a href="https://publications.waset.org/abstracts/search?q=canvas" title=" canvas"> canvas</a>, <a href="https://publications.waset.org/abstracts/search?q=web%20socket" title=" web socket"> web socket</a> </p> <a href="https://publications.waset.org/abstracts/43143/html5-online-learning-application-with-offline-web-location-based-animated-web-multithread-and-real-time-features" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/43143.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">300</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">79</span> Dental Management Particularities of Werner Syndrome: A Report of Two Cases</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Emna%20Abid">Emna Abid</a>, <a href="https://publications.waset.org/abstracts/search?q=Linda%20Chebbi"> Linda Chebbi</a>, <a href="https://publications.waset.org/abstracts/search?q=Yosra%20Mabrouk"> Yosra Mabrouk</a>, <a href="https://publications.waset.org/abstracts/search?q=Amel%20Labidi"> Amel Labidi</a>, <a href="https://publications.waset.org/abstracts/search?q=Lamia%20Mansour"> Lamia Mansour</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Werner syndrome (WS) is a rare genetic disorder inherited in an autosomal recessive pattern characterized by accelerated aging. While extensive research has been conducted on its systemic manifestations, the specific dental implications of WS remain poorly understood. The medical history and the oral health status of two patients diagnosed with WS were detailed. Our findings revealed a high prevalence of dental problems in both patients, including periodontitis, xerostomia, and temporomandibular joint disorders. This article aims to investigate the dental challenges faced by individuals with WS as well as the prosthetic options envisaged through two clinical cases contributing to a deeper understanding of the dental implications of WS and to choose the appropriate prosthetic solution in this population. Future research should focus on larger scale studies and clinical trials to validate these proposed strategies. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=adult%20progeria" title="adult progeria">adult progeria</a>, <a href="https://publications.waset.org/abstracts/search?q=clinical%20symptoms" title=" clinical symptoms"> clinical symptoms</a>, <a href="https://publications.waset.org/abstracts/search?q=oral%20manifestations" title=" oral manifestations"> oral manifestations</a>, <a href="https://publications.waset.org/abstracts/search?q=dental%20care" title=" dental care"> dental care</a>, <a href="https://publications.waset.org/abstracts/search?q=prosthetic%20management" title=" prosthetic management"> prosthetic management</a> </p> <a href="https://publications.waset.org/abstracts/186691/dental-management-particularities-of-werner-syndrome-a-report-of-two-cases" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/186691.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">51</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">78</span> Organism Profile Causing Prosthetic Joint Infection Continues to Evolve</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Bahaa%20Eldin%20Kornah">Bahaa Eldin Kornah</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The organism profile for peri-prosthetic joint infection caused by hematogenous seeding or direct inoculations is changing. The organisms that cause prosthetic joint infections range from normal skin colonizers to highly virulent pathogens. The pathogens continue to evolve. While Staphylococcus aureus continues to be the leading organism, gram-negative bacilli account for approximately 7% of cases and that incidence is increasing. Methicillin-resistant S. aureus(MRSA) accounts for approximately 10% of all infections occurring in the community setting and 20% of those in the health care setting. The list of organisms causing PJI has expanded in recent years. It is important to have an understanding of which organisms may be causing a periprosthetic joint infection based on where the patient contracted it and their recent medical history. Also, recent technology has expanded rapidly and new methods to detect the pathogen and why we failed in detecting it. There are a number of explanations for the latter finding, perhaps the most important reason being the liberal use of antibiotics that interferes with the isolation of the infective organism. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=infection" title="infection">infection</a>, <a href="https://publications.waset.org/abstracts/search?q=periprosthetic" title=" periprosthetic"> periprosthetic</a>, <a href="https://publications.waset.org/abstracts/search?q=hip" title=" hip"> hip</a>, <a href="https://publications.waset.org/abstracts/search?q=organism%20profile" title=" organism profile"> organism profile</a>, <a href="https://publications.waset.org/abstracts/search?q=joint%20infection" title=" joint infection"> joint infection</a>, <a href="https://publications.waset.org/abstracts/search?q=joint%20infection" title=" joint infection"> joint infection</a> </p> <a href="https://publications.waset.org/abstracts/159166/organism-profile-causing-prosthetic-joint-infection-continues-to-evolve" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/159166.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">85</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">77</span> A Case of Prosthetic Vascular-Graft Infection Due to Mycobacterium fortuitum</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Takaaki%20Nemoto">Takaaki Nemoto</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Case presentation: A 69-year-old Japanese man presented with a low-grade fever and fatigue that had persisted for one month. The patient had an aortic dissection on the aortic arch 13 years prior, an abdominal aortic aneurysm seven years prior, and an aortic dissection on the distal aortic arch one year prior, which were all treated with artificial blood-vessel replacement surgery. Laboratory tests revealed an inflammatory response (CRP 7.61 mg/dl), high serum creatinine (Cr 1.4 mg/dL), and elevated transaminase (AST 47 IU/L, ALT 45 IU/L). The patient was admitted to our hospital on suspicion of prosthetic vascular graft infection. Following further workups on the inflammatory response, an enhanced chest computed tomography (CT) and a non-enhanced chest DWI (MRI) were performed. The patient was diagnosed with a pulmonary fistula and a prosthetic vascular graft infection on the distal aortic arch. After admission, the patient was administered Ceftriaxion and Vancomycine for 10 days, but his fever and inflammatory response did not improve. On day 13 of hospitalization, a lung fistula repair surgery and an omental filling operation were performed, and Meropenem and Vancomycine were administered. The fever and inflammatory response continued, and therefore we took repeated blood cultures. M. fortuitum was detected in a blood culture on day 16 of hospitalization. As a result, we changed the treatment regimen to Amikacin (400 mg/day), Meropenem (2 g/day), and Cefmetazole (4 g/day), and the fever and inflammatory response began to decrease gradually. We performed a test of sensitivity for Mycobacterium fortuitum, and found that the MIC was low for fluoroquinolone antibacterial agent. The clinical course was good, and the patient was discharged after a total of 8 weeks of intravenous drug administration. At discharge, we changed the treatment regimen to Levofloxacin (500 mg/day) and Clarithromycin (800 mg/day), and prescribed these two drugs as a long life suppressive therapy. Discussion: There are few cases of prosthetic vascular graft infection caused by mycobacteria, and a standard therapy remains to be established. For prosthetic vascular graft infections, it is ideal to provide surgical and medical treatment in parallel, but in this case, surgical treatment was difficult and, therefore, a conservative treatment was chosen. We attempted to increase the treatment success rate of this refractory disease by conducting a susceptibility test for mycobacteria and treating with different combinations of antimicrobial agents, which was ultimately effective. With our treatment approach, a good clinical course was obtained and continues at the present stage. Conclusion: Although prosthetic vascular graft infection resulting from mycobacteria is a refractory infectious disease, it may be curative to administer appropriate antibiotics based on the susceptibility test in addition to surgical treatment. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=prosthetic%20vascular%20graft%20infection" title="prosthetic vascular graft infection">prosthetic vascular graft infection</a>, <a href="https://publications.waset.org/abstracts/search?q=lung%20fistula" title=" lung fistula"> lung fistula</a>, <a href="https://publications.waset.org/abstracts/search?q=Mycobacterium%20fortuitum" title=" Mycobacterium fortuitum"> Mycobacterium fortuitum</a>, <a href="https://publications.waset.org/abstracts/search?q=conservative%20treatment" title=" conservative treatment"> conservative treatment</a> </p> <a href="https://publications.waset.org/abstracts/92926/a-case-of-prosthetic-vascular-graft-infection-due-to-mycobacterium-fortuitum" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/92926.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">156</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">76</span> Methodology for Obtaining Static Alignment Model</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Lely%20A.%20Luengas">Lely A. Luengas</a>, <a href="https://publications.waset.org/abstracts/search?q=Pedro%20R.%20Vizcaya"> Pedro R. Vizcaya</a>, <a href="https://publications.waset.org/abstracts/search?q=Giovanni%20S%C3%A1nchez"> Giovanni Sánchez</a> </p> <p class="card-text"><strong>Abstract:</strong></p> In this paper, a methodology is presented to obtain the Static Alignment Model for any transtibial amputee person. The proposed methodology starts from experimental data collected on the Hospital Militar Central, Bogotá, Colombia. The effects of transtibial prosthesis malalignment on amputees were measured in terms of joint angles, center of pressure (COP) and weight distribution. Some statistical tools are used to obtain the model parameters. Mathematical predictive models of prosthetic alignment were created. The proposed models are validated in amputees and finding promising results for the prosthesis Static Alignment. Static alignment process is unique to each subject; nevertheless the proposed methodology can be used in each transtibial amputee. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=information%20theory" title="information theory">information theory</a>, <a href="https://publications.waset.org/abstracts/search?q=prediction%20model" title=" prediction model"> prediction model</a>, <a href="https://publications.waset.org/abstracts/search?q=prosthetic%20alignment" title=" prosthetic alignment"> prosthetic alignment</a>, <a href="https://publications.waset.org/abstracts/search?q=transtibial%20prosthesis" title=" transtibial prosthesis"> transtibial prosthesis</a> </p> <a href="https://publications.waset.org/abstracts/76599/methodology-for-obtaining-static-alignment-model" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/76599.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">256</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">75</span> Teaching Prosthetic and Orthotics in Palestine: Between Reality and Challenges</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Ahmad%20Dawabsheh">Ahmad Dawabsheh</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The science of prosthetics is a renewable science that serves all humanity, regardless of gender, religion and race, and its causes are many: wars, conflicts, traffic accidents, and others. The researcher believes that there are challenges facing the specialization, including that society views a negative view of the amputee, especially if it is a female. This research aims to focus on the reality of teaching prosthetics in Palestine, especially in the Arab American University, as it is the only major. As well as the challenges facing this major: financial, human, academic, laboratories, and others. The researcher used the descriptive and analytical approach, which is the closest approach to studying the subject. The researcher believes that there is a failure on the part of the state and the Ministry of Health in this matter. In addition to the lack of societal culture, as well as the large quantities of prosthetic fittings. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=prothetics" title="prothetics">prothetics</a>, <a href="https://publications.waset.org/abstracts/search?q=orthotics" title=" orthotics"> orthotics</a>, <a href="https://publications.waset.org/abstracts/search?q=Arab%20American%20University" title=" Arab American University"> Arab American University</a>, <a href="https://publications.waset.org/abstracts/search?q=Palestine" title=" Palestine"> Palestine</a> </p> <a href="https://publications.waset.org/abstracts/149071/teaching-prosthetic-and-orthotics-in-palestine-between-reality-and-challenges" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/149071.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">142</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">74</span> The Predictability of Three Implants to Support a Fixed Prosthesis in the Edentulous Mandible</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=M.%20Hirani">M. Hirani</a>, <a href="https://publications.waset.org/abstracts/search?q=M.%20Devine"> M. Devine</a>, <a href="https://publications.waset.org/abstracts/search?q=O.%20Obisesan"> O. Obisesan</a>, <a href="https://publications.waset.org/abstracts/search?q=C.%20Bryant"> C. Bryant</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: The use of four or more implants to support a fixed prosthesis in the edentulous mandible is well documented, with high levels of clinical outcomes recorded. Despite this, the use of three implant-supported fixed prostheses offers the potential to deliver a more cost-effective method of oral rehabilitation in the lower arch, an important consideration given that edentulism is most prevalent in low-income subpopulations. The purpose of this study aimed to evaluate the implant and prosthetic survival rate, changes in marginal bone level, and patient satisfaction associated with a three-implant-supported fixed prosthesis for rehabilitation of the edentulous mandible over a follow-up period of at least one year. Methods: A comprehensive literature search was performed to evaluate studies that met the selection criteria. The information extracted included the study design and population, participant demographics, observation period, loading protocol, and the number of implants placed together with the required outcome measures. Mean values and standard deviations (SD) were calculated using SPSS® (IBM Corporation, New York, USA), and the level of statistical significance across all comparative studies described was set at P < 0.05. Results: The eligible studies included a total of 1968 implants that were placed in 652 patients. The subjects ranged in age from 33-89 years, with a mean of 63.2 years. The mean cumulative implant and prosthetic survival rates were 95.5% and 96.2%, respectively, over a mean follow-up period of 3.25 years. The mean marginal bone loss recorded was 1.04 mm, and high patient satisfaction rates were reported across the studies. Conclusion: Current evidence suggests that a three implant-supported fixed prosthesis for the edentulous mandible is a successful treatment strategy presenting high implant and prosthetic survival rates over the short-to-medium term. Further well-designed controlled clinical trials are required to evaluate longer-term outcomes, with supplemental data correlating implant dimensions and prosthetic design. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=implants" title="implants">implants</a>, <a href="https://publications.waset.org/abstracts/search?q=mandible" title=" mandible"> mandible</a>, <a href="https://publications.waset.org/abstracts/search?q=fixed" title=" fixed"> fixed</a>, <a href="https://publications.waset.org/abstracts/search?q=prosthesis" title=" prosthesis"> prosthesis</a> </p> <a href="https://publications.waset.org/abstracts/142731/the-predictability-of-three-implants-to-support-a-fixed-prosthesis-in-the-edentulous-mandible" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/142731.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">131</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">73</span> Ultrasonography of Low Extremities Veins Before and After Replacement of Knee Joint by Endoprosthesis </h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=A.%20V.%20Alabut">A. V. Alabut</a>, <a href="https://publications.waset.org/abstracts/search?q=V.%20D.%20Sikilinda"> V. D. Sikilinda</a>, <a href="https://publications.waset.org/abstracts/search?q=N.%20J.%20Nelasov"> N. J. Nelasov</a>, <a href="https://publications.waset.org/abstracts/search?q=O.%20L.%20Eroshenko"> O. L. Eroshenko</a>, <a href="https://publications.waset.org/abstracts/search?q=M.%20N.%20Morgunov"> M. N. Morgunov</a>, <a href="https://publications.waset.org/abstracts/search?q=I.%20V.%20Koroleva"> I. V. Koroleva </a> </p> <p class="card-text"><strong>Abstract:</strong></p> We have analyzed the results of treatment of 204 patients with knee prosthetic arthroplasty. For the purpose of active delineation of vascular pathology triplex sonography of arterial and venous vessels of low extremities was performed in all cases in the preoperative period. When it was necessary, reconstructive vascular surgery was implemented to improve peripheral circulation and reduce the hazard of thrombosis after knee replacement. The combination of specific and nonspecific methods of thromboprophylaxis was used in perioperative period. On 7-10 day and 2.5-3 month after prosthetic arthroplasty, all patients iteratively underwent triple sonography. In case of detection of floating thrombus, urgent venous ligation was performed. Active diagnostics of venous thrombosis gave the opportunity to avoid fatal pulmonary embolism. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=knee%20replacement" title="knee replacement">knee replacement</a>, <a href="https://publications.waset.org/abstracts/search?q=venous%20thrombosis" title=" venous thrombosis"> venous thrombosis</a>, <a href="https://publications.waset.org/abstracts/search?q=pulmonary%20embolism" title=" pulmonary embolism"> pulmonary embolism</a>, <a href="https://publications.waset.org/abstracts/search?q=vascular%20surgery" title=" vascular surgery "> vascular surgery </a> </p> <a href="https://publications.waset.org/abstracts/5218/ultrasonography-of-low-extremities-veins-before-and-after-replacement-of-knee-joint-by-endoprosthesis" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/5218.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">368</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">72</span> The Effects of Prosthetic Leg Stiffness on Gait, Comfort, and Satisfaction: A Review of Mechanical Engineering Approaches</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Kourosh%20Fatehi">Kourosh Fatehi</a>, <a href="https://publications.waset.org/abstracts/search?q=Niloofar%20Hanafi"> Niloofar Hanafi</a> </p> <p class="card-text"><strong>Abstract:</strong></p> One of the challenges in providing optimal prosthetic legs for lower limb amputees is to select the appropriate foot stiffness that suits their individual needs and preferences. Foot stiffness affects various aspects of walking, such as stability, comfort, and energy expenditure. However, the current prescription process is largely based on trial-and-error, manufacturer recommendations, or clinician judgment, which may not reflect the prosthesis user’s subjective experience or psychophysical sensitivity. Therefore, there is a need for more scientific and technological tools to measure and understand how prosthesis users perceive and prefer different foot stiffness levels, and how this preference relates to clinical outcomes. This review covers how to measure and design lower leg prostheses based on user preference and foot stiffness. It also explores how these factors affect walking outcomes and quality of life, and identifies the current challenges and gaps in this field from a mechanical engineering standpoint. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=perception" title="perception">perception</a>, <a href="https://publications.waset.org/abstracts/search?q=preference" title=" preference"> preference</a>, <a href="https://publications.waset.org/abstracts/search?q=prosthetics" title=" prosthetics"> prosthetics</a>, <a href="https://publications.waset.org/abstracts/search?q=stiffness" title=" stiffness"> stiffness</a> </p> <a href="https://publications.waset.org/abstracts/171957/the-effects-of-prosthetic-leg-stiffness-on-gait-comfort-and-satisfaction-a-review-of-mechanical-engineering-approaches" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/171957.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">81</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">71</span> Analysis of a Single Motor Finger Mechanism for a Prosthetic Hand</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Shaukat%20Ali">Shaukat Ali</a>, <a href="https://publications.waset.org/abstracts/search?q=Kanber%20Sedef"> Kanber Sedef</a>, <a href="https://publications.waset.org/abstracts/search?q=Mustafa%20Yilmaz"> Mustafa Yilmaz</a> </p> <p class="card-text"><strong>Abstract:</strong></p> This work analyzes a finger mechanism for a prosthetic hand that will help in improving the living standards of people who have lost their hands for a variety of reasons. The finger mechanism is single degree of freedom and hence has advantages such as compact size, reduced mass and less energy consumption. The proposed finger mechanism is a six bar linkage actuated by a single motor. The kinematic, static and dynamic analyses have been done by using the conventional methods of mechanism analysis. The kinematic results present the motion of the proposed finger mechanism and location of the fingertip. The static and dynamic analyses provide the useful information about the gripping force at the fingertip for various configurations and the selection of motor that will move the finger over its range of configuration. This single motor finger mechanism is simple and resembles the human finger’s motion suitable for grasping operation. This study can be used in the optimization of geometrical parameters of the proposed mechanism to obtain the desired configurations with minimum torque and enhanced griping. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=dynamics" title="dynamics">dynamics</a>, <a href="https://publications.waset.org/abstracts/search?q=finger%20mechanism" title=" finger mechanism"> finger mechanism</a>, <a href="https://publications.waset.org/abstracts/search?q=grasping" title=" grasping"> grasping</a>, <a href="https://publications.waset.org/abstracts/search?q=kinematics" title=" kinematics"> kinematics</a> </p> <a href="https://publications.waset.org/abstracts/49855/analysis-of-a-single-motor-finger-mechanism-for-a-prosthetic-hand" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/49855.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">358</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">70</span> Influence of ABCB1 2677G &gt; T Single Nucleotide Polymorphism on Warfarin Maintenance Therapy among Patients with Prosthetic Heart Valve</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=M.%20G.%20Gopisankar">M. G. Gopisankar</a>, <a href="https://publications.waset.org/abstracts/search?q=A.%20Surendiran"> A. Surendiran</a>, <a href="https://publications.waset.org/abstracts/search?q=M.%20Hemachandren"> M. Hemachandren</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The dose requirement of warfarin to achieve target INR range varies in patients with prosthetic heart valve. This variation in is affected by both genetic and non-genetic factors. Earlier studies have identified role of CYP2C9 and VKORC1 genetic polymorphisms on warfarin dose requirement. Warfarin being a substrate for drug transporter, P-glycoprotein coded by ABCB1 gene, may also be influenced by its genetic polymorphisms. This study was aimed to study the effect of single nucleotide polymorphism (SNP), ABCB1 2677G > T on warfarin maintenance dose requirement in patients with steady-state International Normalized Ratio (INR). The median dose requirement was significantly different between the genotype groups GG vs. GT (35 ± 20; 42.5 ± 18, p < 0.05), GG vs. TT (35 ± 20; 41.25 ± 25, p<0.05). There was no significant difference between GT vs. TT. In conclusion, patients with variant allele require a higher weekly maintenance dose of warfarin compared to patients without variant allele. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=warfarin%20pharamcogenetics" title="warfarin pharamcogenetics">warfarin pharamcogenetics</a>, <a href="https://publications.waset.org/abstracts/search?q=pharmacogenomics%20of%20warfarin" title=" pharmacogenomics of warfarin"> pharmacogenomics of warfarin</a>, <a href="https://publications.waset.org/abstracts/search?q=ABCB1%20and%20warfarin" title=" ABCB1 and warfarin"> ABCB1 and warfarin</a>, <a href="https://publications.waset.org/abstracts/search?q=pglycoprotein%20and%20warfarin" title=" pglycoprotein and warfarin "> pglycoprotein and warfarin </a> </p> <a href="https://publications.waset.org/abstracts/84939/influence-of-abcb1-2677g-t-single-nucleotide-polymorphism-on-warfarin-maintenance-therapy-among-patients-with-prosthetic-heart-valve" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/84939.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">260</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">69</span> Development of Underactuated Robot Hand Using Cross Section Deformation Spring</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Naoki%20Saito">Naoki Saito</a>, <a href="https://publications.waset.org/abstracts/search?q=Daisuke%20Kon"> Daisuke Kon</a>, <a href="https://publications.waset.org/abstracts/search?q=Toshiyuki%20Sato"> Toshiyuki Sato</a> </p> <p class="card-text"><strong>Abstract:</strong></p> This paper describes an underactuated robot hand operated by low-power actuators. It can grasp objects of various shapes using easy operations. This hand is suitable for use as a lightweight prosthetic hand that can grasp various objects using few input channels. To realize operations using a low-power actuator, a cross section deformation spring is proposed. The design procedure of the underactuated robot finger is proposed to realize an adaptive grasping movement. The validity of this mechanism and design procedure are confirmed through an object grasping experiment. Results demonstrate the effectiveness of a cross section deformation spring in reducing the actuator power. Moreover, adaptive grasping movement is realized by an easy operation. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=robot%20hand" title="robot hand">robot hand</a>, <a href="https://publications.waset.org/abstracts/search?q=underactuated%20mechanism" title=" underactuated mechanism"> underactuated mechanism</a>, <a href="https://publications.waset.org/abstracts/search?q=cross-section%20deformation%20spring" title=" cross-section deformation spring"> cross-section deformation spring</a>, <a href="https://publications.waset.org/abstracts/search?q=prosthetic%20hand" title=" prosthetic hand"> prosthetic hand</a> </p> <a href="https://publications.waset.org/abstracts/1439/development-of-underactuated-robot-hand-using-cross-section-deformation-spring" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/1439.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">372</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">68</span> Study on Stability and Wear in a Total Hip Prostheses</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Virgil%20Florescu">Virgil Florescu</a>, <a href="https://publications.waset.org/abstracts/search?q=Lucian%20Capitanu"> Lucian Capitanu</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The studies performed by the author and presented here focus mainly on the FE simulation of some relevant phenomena related to stability of orthopedic implants, especially those components of Total Hip Prostheses. The objectives are to study the mechanisms of achieving stability of acetabular prosthetic components and the influence of some characteristic parameters, to evaluate the effect of femoral stem fixation modality on the stability of prosthetic component and to predict long-term behavior, to analyze a critical phenomena which influence the loading transfer mechanism through artificial joints and could lead to aseptic loosening – the wear of joint frictional surfaces. After a theoretical background an application is made considering only three activities: normal walking, stair ascending and stair descending. For each activity, this function is maximized in a different locations: if for normal walking the maxima is in the superior-posterior part of the acetabular cup, for stair descending this maxim value could be located rather in the superior-anterior part, for stair ascending being even closer to the central area of the cup. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=THA" title="THA">THA</a>, <a href="https://publications.waset.org/abstracts/search?q=acetabular%20stability" title=" acetabular stability"> acetabular stability</a>, <a href="https://publications.waset.org/abstracts/search?q=FEM%20simulation" title=" FEM simulation"> FEM simulation</a>, <a href="https://publications.waset.org/abstracts/search?q=stresses%20and%20displacements" title=" stresses and displacements"> stresses and displacements</a>, <a href="https://publications.waset.org/abstracts/search?q=wear%20tests" title=" wear tests"> wear tests</a>, <a href="https://publications.waset.org/abstracts/search?q=wear%20simulation" title=" wear simulation"> wear simulation</a> </p> <a href="https://publications.waset.org/abstracts/19240/study-on-stability-and-wear-in-a-total-hip-prostheses" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/19240.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">269</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">67</span> Preliminary Study of Hand Gesture Classification in Upper-Limb Prosthetics Using Machine Learning with EMG Signals</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Linghui%20Meng">Linghui Meng</a>, <a href="https://publications.waset.org/abstracts/search?q=James%20Atlas"> James Atlas</a>, <a href="https://publications.waset.org/abstracts/search?q=Deborah%20Munro"> Deborah Munro</a> </p> <p class="card-text"><strong>Abstract:</strong></p> There is an increasing demand for prosthetics capable of mimicking natural limb movements and hand gestures, but precise movement control of prosthetics using only electrode signals continues to be challenging. This study considers the implementation of machine learning as a means of improving accuracy and presents an initial investigation into hand gesture recognition using models based on electromyographic (EMG) signals. EMG signals, which capture muscle activity, are used as inputs to machine learning algorithms to improve prosthetic control accuracy, functionality and adaptivity. Using logistic regression, a machine learning classifier, this study evaluates the accuracy of classifying two hand gestures from the publicly available Ninapro dataset using two-time series feature extraction algorithms: Time Series Feature Extraction (TSFE) and Convolutional Neural Networks (CNNs). Trials were conducted using varying numbers of EMG channels from one to eight to determine the impact of channel quantity on classification accuracy. The results suggest that although both algorithms can successfully distinguish between hand gesture EMG signals, CNNs outperform TSFE in extracting useful information for both accuracy and computational efficiency. In addition, although more channels of EMG signals provide more useful information, they also require more complex and computationally intensive feature extractors and consequently do not perform as well as lower numbers of channels. The findings also underscore the potential of machine learning techniques in developing more effective and adaptive prosthetic control systems. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=EMG" title="EMG">EMG</a>, <a href="https://publications.waset.org/abstracts/search?q=machine%20learning" title=" machine learning"> machine learning</a>, <a href="https://publications.waset.org/abstracts/search?q=prosthetic%20control" title=" prosthetic control"> prosthetic control</a>, <a href="https://publications.waset.org/abstracts/search?q=electromyographic%20prosthetics" title=" electromyographic prosthetics"> electromyographic prosthetics</a>, <a href="https://publications.waset.org/abstracts/search?q=hand%20gesture%20classification" title=" hand gesture classification"> hand gesture classification</a>, <a href="https://publications.waset.org/abstracts/search?q=CNN" title=" CNN"> CNN</a>, <a href="https://publications.waset.org/abstracts/search?q=computational%20neural%20networks" title=" computational neural networks"> computational neural networks</a>, <a href="https://publications.waset.org/abstracts/search?q=TSFE" title=" TSFE"> TSFE</a>, <a href="https://publications.waset.org/abstracts/search?q=time%20series%20feature%20extraction" title=" time series feature extraction"> time series feature extraction</a>, <a href="https://publications.waset.org/abstracts/search?q=channel%20count" title=" channel count"> channel count</a>, <a href="https://publications.waset.org/abstracts/search?q=logistic%20regression" title=" logistic regression"> logistic regression</a>, <a href="https://publications.waset.org/abstracts/search?q=ninapro" title=" ninapro"> ninapro</a>, <a href="https://publications.waset.org/abstracts/search?q=classifiers" title=" classifiers"> classifiers</a> </p> <a href="https://publications.waset.org/abstracts/193326/preliminary-study-of-hand-gesture-classification-in-upper-limb-prosthetics-using-machine-learning-with-emg-signals" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/193326.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">28</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">66</span> SockGEL/PLUG: Injectable Nano-Scaled Hydrogel Platforms for Oral and Maxillofacial Interventional Application</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Z.%20S.%20Haidar">Z. S. Haidar</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Millions of teeth are removed annually, and dental extraction is one of the most commonly performed surgical procedures globally. Whether due to caries, periodontal disease, or trauma, exodontia and the ensuing wound healing and bone remodeling processes of the resultant socket (hole in the jaw bone) usually result in serious deformities of the residual alveolar osseous ridge and surrounding soft tissues (reduced height/width). Such voluminous changes render the placement of a proper conventional bridge, denture, or even an implant-supported prosthesis extremely challenging. Further, most extractions continue to be performed with no regard for preventing the onset of alveolar osteitis (also known as dry socket, a painful and difficult-to-treat/-manage condition post-exodontia). Hence, such serious resorptive morphological changes often result in significant facial deformities and a negative impact on the overall Quality of Life (QoL) of patients (and oral health-related QoL); alarming, particularly for the geriatric with compromised healing and in light of the thriving longevity statistics. Despite advances in tissue/wound grafting, serious limitations continue to exist, including efficacy and clinical outcome predictability, cost, treatment time, expertise, and risk of immune reactions. For cases of dry socket, specifically, the commercially available and often-prescribed home remedies are highly-lacking. Indeed, most are not recommended for use anymore. Alveogyl is a fine example. Hence, there is a great market demand and need for alternative solutions. Herein, SockGEL/PLUG (patent pending), an innovative, all-natural, drug-free, and injectable thermo-responsive hydrogel, was designed, formulated, characterized, and evaluated as an osteogenic, angiogenic, anti-microbial, and pain-soothing suture-free intra-alveolar dressing, safe and efficacious for use in fresh extraction sockets, immediately post-exodontia. It is composed of FDA-approved, biocompatible and biodegradable polymers, self-assembled electro-statically to formulate a scaffolding matrix to (1) prevent the on-set of alveolar osteitis via securing the fibrin-clot in situ and protecting/sealing the socket from contamination/infection; and (2) endogenously promote/accelerate wound healing and bone remodeling to preserve the volume of the alveolus. The intrinsic properties of the SockGEL/PLUG hydrogel were evaluated physical-chemical-mechanically for safety (cell viability), viscosity, rheology, bio-distribution, and essentially, capacity to induce wound healing and osteogenesis (small defect, in vivo) without any signaling cues from exogenous cells, growth factors or drugs. The proposed animal model of cranial critical-sized and non-vascularized bone defects shall provide new and critical insights into the role and mechanism of the employed natural bio-polymer blend and gel product in endogenous reparative regeneration of soft tissues and bone morphogenesis. Alongside, the fine-tuning of our modified formulation method will further tackle appropriateness, reproducibility, scalability, ease, and speed in producing stable, biodegradable, and sterilizable thermo-sensitive matrices (3-dimensional interpenetrating yet porous polymeric network) suitable for the intra-socket application. Findings are anticipated to provide sufficient evidence to translate into pilot clinical trials and validate the innovation before engaging the market for feasibility, acceptance, and cost-effectiveness studies. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=hydrogel" title="hydrogel">hydrogel</a>, <a href="https://publications.waset.org/abstracts/search?q=nanotechnology" title=" nanotechnology"> nanotechnology</a>, <a href="https://publications.waset.org/abstracts/search?q=bioengineering" title=" bioengineering"> bioengineering</a>, <a href="https://publications.waset.org/abstracts/search?q=bone%20regeneration" title=" bone regeneration"> bone regeneration</a>, <a href="https://publications.waset.org/abstracts/search?q=nanogel" title=" nanogel"> nanogel</a>, <a href="https://publications.waset.org/abstracts/search?q=drug%20delivery" title=" drug delivery"> drug delivery</a> </p> <a href="https://publications.waset.org/abstracts/152315/sockgelplug-injectable-nano-scaled-hydrogel-platforms-for-oral-and-maxillofacial-interventional-application" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/152315.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">111</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">65</span> Managing of Cobalt and Chromium Ions by Patients with Metal-on-Metal Hip Prosthesis</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Alina%20Beraudi">Alina Beraudi</a>, <a href="https://publications.waset.org/abstracts/search?q=Simona%20Catalani"> Simona Catalani</a>, <a href="https://publications.waset.org/abstracts/search?q=Dalila%20De%20Pasquale"> Dalila De Pasquale</a>, <a href="https://publications.waset.org/abstracts/search?q=Eva%20Bianconi"> Eva Bianconi</a>, <a href="https://publications.waset.org/abstracts/search?q=Umberto%20Santoro"> Umberto Santoro</a>, <a href="https://publications.waset.org/abstracts/search?q=Susanna%20Stea"> Susanna Stea</a>, <a href="https://publications.waset.org/abstracts/search?q=Pietro%20Apostoli"> Pietro Apostoli</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Recently the European Community, in line with the international scientific community such as with the Consensus Statement, has determined to stop the use of metal-on-metal big head stemmed hip prosthesis. Among the factors accounted as responsible for the high failure rates of these hip implants are the release and accumulation of metal ions. Many studies have correlated the presence of these ions, besides other factors, with the induction of oxidative stress response. In our study on 12 subjects, we observed the patient specific capability to eliminate metal ions after revision surgery. While for cobalt all the patients were able to completely excrete cobalt ions within 5-7 months after metal-on-metal bearing removal, for chromium ions it didn’t happen. If on the one hand the toxicokinetic differences between the two types of ions are confirmed by toxicological and occupational studies, on the other hand, this peculiar way of exposition represents a novel and important point of view. Thus, two different approaches were performed to better understand the subject specific capability to transport metal ions (albumin study) and to manage the response to them (heme-oxygenase-1 study): - a mutational screening of ALBUMIN gene was conducted in 30 MoM prosthetic patients resulting in the absence of nucleotidic changes compared with the ALB reference sequence. To this study was also added the analysis of expression of modified albumin protein; - a gene and protein expression study on 44 patients of heme-oxygenase-1, that is one of the most important antioxidant enzyme induced by metallic ions, was performed. This study resulted in no statistically significant differences in the expression of the gene and protein heme-oxygenase-1 between prosthetic and non-prosthetic patients, as well as between patients with high and low ions levels. Our results show that the protein studied (albumin and heme-oxygenase-1) seem to be not involved in determining chromium and cobalt ions level. On the other hand, achromium and cobalt elimination rates are different, but similar in all patients analyzed, suggesting that this process could be not patient-related. We support the importance of researching more about ions transport within the organism once released by hip prosthesis, about the chemical species involved, the districts where they are contained and the mechanisms of elimination, not excluding the existence of a subjective susceptibility to these metals ions. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=chromium" title="chromium">chromium</a>, <a href="https://publications.waset.org/abstracts/search?q=cobalt" title=" cobalt"> cobalt</a>, <a href="https://publications.waset.org/abstracts/search?q=hip%20prosthesis" title=" hip prosthesis"> hip prosthesis</a>, <a href="https://publications.waset.org/abstracts/search?q=individual%20susceptibility" title=" individual susceptibility"> individual susceptibility</a> </p> <a href="https://publications.waset.org/abstracts/32160/managing-of-cobalt-and-chromium-ions-by-patients-with-metal-on-metal-hip-prosthesis" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/32160.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">383</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">64</span> A Method for Precise Vertical Position of the Implant When Using Computerized Surgical Guides and Bone Reduction</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Abraham%20Finkelman">Abraham Finkelman</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Computerized Surgical Guides have been proven to be a predictable way to perform dental implants, with a relatively high accuracy in comparison to a treatment plan. When using the CSG Bone supported, it allows us to make the necessary changes of the hard tissue prior to the implant placement and after the implant placement. The CSG gives us an accurate position for the drilling, and during the implant placement it allows us to alter the vertical position of the implant altering the final position of the abutment and avoiding any risk of any damage to the adjacent anatomical structures. Any Changes required to the bone level can be done prior to the fixation of the CSG using a reduction guide, which incur extra surgical fees and the need of a second surgical guide. Any changes of the bone level after the implant placement are at the risk of damaging the implant neck surface. The technique consists of a universal system that allows us to remove the excess bone around the implant sockets prior to the implant placement which then enables us to place the implant in the vertical position with accuracy as planned with the CSG. The systems consist of a hollow pin of different sizes and diameters. Depending on the implant system that we are using. Length sizes are from 6mm-16mm and a diameter of 2.6mm-4.8mm. Upon the completion of the drilling, the pin is then inserted into the implant socket-using the insertion tool. Once the insertion tool has unscrewed the pin, we can continue with the bone reduction. The bone reduction can be done using conventional methods upon the removal of all the excess bone around the pin. The insertion tool is then screwed into the pin and the pin is then removed. We now, have the new bone level at the crest of the implant socket which is our mark for the vertical position of the implant. In some cases, when we are locating the implant very close to anatomical structures, any form of deviation to the vertical position of the implant during the surgery, can cause damage to such anatomical structures, creating irreversible damages such as paresthesia or dysesthesia of the mandibular nerve. If we are planning for immediate loading and we have done our temporary restauration in base of our computerized plan, deviation in the vertical position of the implant will affect the position of the abutment, affecting the accuracy of the temporary prosthesis, extending the working time till we adapt the prosthesis to the new position. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=bone%20reduction" title="bone reduction">bone reduction</a>, <a href="https://publications.waset.org/abstracts/search?q=computer%20aided%20navigation" title=" computer aided navigation"> computer aided navigation</a>, <a href="https://publications.waset.org/abstracts/search?q=dental%20implant%20placement" title=" dental implant placement"> dental implant placement</a>, <a href="https://publications.waset.org/abstracts/search?q=surgical%20guides" title=" surgical guides"> surgical guides</a> </p> <a href="https://publications.waset.org/abstracts/48789/a-method-for-precise-vertical-position-of-the-implant-when-using-computerized-surgical-guides-and-bone-reduction" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/48789.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">331</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">63</span> Osteoarthritis (OA): A Total Knee Replacement Surgery</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Loveneet%20Kaur">Loveneet Kaur</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Osteoarthritis (OA) is one of the leading causes of disability, and the knee is the most commonly affected joint in the body. The last resort for treatment of knee OA is Total Knee Replacement (TKR) surgery. Despite numerous advances in prosthetic design, patients do not reach normal function after surgery. Current surgical decisions are made on 2D radiographs and patient interviews. Aims: The aim of this study was to compare knee kinematics pre and post-TKR surgery using computer-animated images of patient-specific models under everyday conditions. Methods: 7 subjects were recruited for the study. Subjects underwent 3D gait analysis during 4 everyday activities and medical imaging of the knee joint pre- and one-month post-surgery. A 3D model was created from each of the scans, and the kinematic gait analysis data was used to animate the images. Results: Improvements were seen in a range of motion in all 4 activities 1-year post-surgery. The preoperative 3D images provide detailed information on the anatomy of the osteoarthritic knee. The postoperative images demonstrate potential future problems associated with the implant. Although not accurate enough to be of clinical use, the animated data can provide valuable insight into what conditions cause damage to both the osteoarthritic and prosthetic knee joints. As the animated data does not require specialist training to view, the images can be utilized across the fields of health professionals and manufacturing in the assessment and treatment of patients pre and post-knee replacement surgery. Future improvements in the collection and processing of data may yield clinically useful data. Conclusion: Although not yet of clinical use, the potential application of 3D animations of the knee joint pre and post-surgery is widespread. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=Orthoporosis" title="Orthoporosis">Orthoporosis</a>, <a href="https://publications.waset.org/abstracts/search?q=Ortharthritis" title=" Ortharthritis"> Ortharthritis</a>, <a href="https://publications.waset.org/abstracts/search?q=knee%20replacement" title=" knee replacement"> knee replacement</a>, <a href="https://publications.waset.org/abstracts/search?q=TKR" title=" TKR"> TKR</a> </p> <a href="https://publications.waset.org/abstracts/185506/osteoarthritis-oa-a-total-knee-replacement-surgery" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/185506.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">47</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">62</span> Computer Aided Shoulder Prosthesis Design and Manufacturing </h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Didem%20Venus%20Yildiz">Didem Venus Yildiz</a>, <a href="https://publications.waset.org/abstracts/search?q=Murat%20Hocaoglu"> Murat Hocaoglu</a>, <a href="https://publications.waset.org/abstracts/search?q=Murat%20Dursun"> Murat Dursun</a>, <a href="https://publications.waset.org/abstracts/search?q=Taner%20Akkan"> Taner Akkan</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The shoulder joint is a more complex structure than the hip or knee joints. In addition to the overall complexity of the shoulder joint, two different factors influence the insufficient outcome of shoulder replacement: the shoulder prosthesis design is far from fully developed and it is difficult to place these shoulder prosthesis due to shoulder anatomy. The glenohumeral joint is the most complex joint of the human shoulder. There are various treatments for shoulder failures such as total shoulder arthroplasty, reverse total shoulder arthroplasty. Due to its reverse design than normal shoulder anatomy, reverse total shoulder arthroplasty has different physiological and biomechanical properties. Post-operative achievement of this arthroplasty is depend on improved design of reverse total shoulder prosthesis. Designation achievement can be increased by several biomechanical and computational analysis. In this study, data of human both shoulders with right side fracture was collected by 3D Computer Tomography (CT) machine in dicom format. This data transferred to 3D medical image processing software (Mimics Materilise, Leuven, Belgium) to reconstruct patient’s left and right shoulders’ bones geometry. Provided 3D geometry model of the fractured shoulder was used to constitute of reverse total shoulder prosthesis by 3-matic software. Finite element (FE) analysis was conducted for comparison of intact shoulder and prosthetic shoulder in terms of stress distribution and displacements. Body weight physiological reaction force of 800 N loads was applied. Resultant values of FE analysis was compared for both shoulders. The analysis of the performance of the reverse shoulder prosthesis could enhance the knowledge of the prosthetic design. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=reverse%20shoulder%20prosthesis" title="reverse shoulder prosthesis">reverse shoulder prosthesis</a>, <a href="https://publications.waset.org/abstracts/search?q=biomechanics" title=" biomechanics"> biomechanics</a>, <a href="https://publications.waset.org/abstracts/search?q=finite%20element%20analysis" title=" finite element analysis"> finite element analysis</a>, <a href="https://publications.waset.org/abstracts/search?q=3D%20printing" title=" 3D printing"> 3D printing</a> </p> <a href="https://publications.waset.org/abstracts/116132/computer-aided-shoulder-prosthesis-design-and-manufacturing" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/116132.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">156</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">61</span> Comparison of Gait Variability in Individuals with Trans-Tibial and Trans-Femoral Lower Limb Loss: A Pilot Study</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Hilal%20Keklicek">Hilal Keklicek</a>, <a href="https://publications.waset.org/abstracts/search?q=Fatih%20Erbahceci"> Fatih Erbahceci</a>, <a href="https://publications.waset.org/abstracts/search?q=Elif%20Kirdi"> Elif Kirdi</a>, <a href="https://publications.waset.org/abstracts/search?q=Ali%20Yalcin"> Ali Yalcin</a>, <a href="https://publications.waset.org/abstracts/search?q=Semra%20Topuz"> Semra Topuz</a>, <a href="https://publications.waset.org/abstracts/search?q=Ozlem%20Ulger"> Ozlem Ulger</a>, <a href="https://publications.waset.org/abstracts/search?q=Gul%20Sener"> Gul Sener</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Objectives and Goals: The stride-to-stride fluctuations in gait is a determinant of qualified locomotion as known as gait variability. Gait variability is an important predictive factor of fall risk and useful for monitoring the effects of therapeutic interventions and rehabilitation. Comparison of gait variability in individuals with trans-tibial lower limb loss and trans femoral lower limb loss was the aim of the study. Methods: Ten individuals with traumatic unilateral trans femoral limb loss(TF), 12 individuals with traumatic transtibial lower limb loss(TT) and 12 healthy individuals(HI) were the participants of the study. All participants were evaluated with treadmill. Gait characteristics including mean step length, step length variability, ambulation index, time on each foot of participants were evaluated with treadmill. Participants were walked at their preferred speed for six minutes. Data from 4th minutes to 6th minutes were selected for statistical analyses to eliminate learning effect. Results: There were differences between the groups in intact limb step length variation, time on each foot, ambulation index and mean age (p < .05) according to the Kruskal Wallis Test. Pairwise analyses showed that there were differences between the TT and TF in residual limb variation (p=.041), time on intact foot (p=.024), time on prosthetic foot(p=.024), ambulation index(p = .003) in favor of TT group. There were differences between the TT and HI group in intact limb variation (p = .002), time on intact foot (p<.001), time on prosthetic foot (p < .001), ambulation index result (p < .001) in favor of HI group. There were differences between the TF and HI group in intact limb variation (p = .001), time on intact foot (p=.01) ambulation index result (p < .001) in favor of HI group. There was difference between the groups in mean age result from HI group were younger (p < .05).There were similarity between the groups in step lengths (p>.05) and time of prosthesis using in individuals with lower limb loss (p > .05). Conclusions: The pilot study provided basic data about gait stability in individuals with traumatic lower limb loss. Results of the study showed that to evaluate the gait differences between in different amputation level, long-range gait analyses methods may be useful to get more valuable information. On the other hand, similarity in step length may be resulted from effective prosthetic using or effective gait rehabilitation, in conclusion, all participants with lower limb loss were already trained. The differences between the TT and HI; TF and HI may be resulted from the age related features, therefore, age matched population in HI were recommended future studies. Increasing the number of participants and comparison of age-matched groups also recommended to generalize these result. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=lower%20limb%20loss" title="lower limb loss">lower limb loss</a>, <a href="https://publications.waset.org/abstracts/search?q=amputee" title=" amputee"> amputee</a>, <a href="https://publications.waset.org/abstracts/search?q=gait%20variability" title=" gait variability"> gait variability</a>, <a href="https://publications.waset.org/abstracts/search?q=gait%20analyses" title=" gait analyses"> gait analyses</a> </p> <a href="https://publications.waset.org/abstracts/62682/comparison-of-gait-variability-in-individuals-with-trans-tibial-and-trans-femoral-lower-limb-loss-a-pilot-study" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/62682.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">280</span> </span> </div> </div> <ul class="pagination"> <li class="page-item disabled"><span class="page-link">&lsaquo;</span></li> <li class="page-item active"><span class="page-link">1</span></li> <li class="page-item"><a class="page-link" href="https://publications.waset.org/abstracts/search?q=prosthetic%20socket&amp;page=2">2</a></li> <li class="page-item"><a class="page-link" href="https://publications.waset.org/abstracts/search?q=prosthetic%20socket&amp;page=3">3</a></li> <li class="page-item"><a class="page-link" href="https://publications.waset.org/abstracts/search?q=prosthetic%20socket&amp;page=2" rel="next">&rsaquo;</a></li> </ul> </div> </main> <footer> <div id="infolinks" class="pt-3 pb-2"> <div class="container"> <div style="background-color:#f5f5f5;" class="p-3"> <div class="row"> <div class="col-md-2"> <ul class="list-unstyled"> About <li><a href="https://waset.org/page/support">About Us</a></li> <li><a href="https://waset.org/page/support#legal-information">Legal</a></li> <li><a target="_blank" rel="nofollow" href="https://publications.waset.org/static/files/WASET-16th-foundational-anniversary.pdf">WASET celebrates its 16th foundational anniversary</a></li> </ul> </div> <div class="col-md-2"> <ul class="list-unstyled"> Account <li><a href="https://waset.org/profile">My Account</a></li> </ul> </div> <div class="col-md-2"> <ul class="list-unstyled"> Explore <li><a href="https://waset.org/disciplines">Disciplines</a></li> <li><a href="https://waset.org/conferences">Conferences</a></li> <li><a href="https://waset.org/conference-programs">Conference Program</a></li> <li><a href="https://waset.org/committees">Committees</a></li> <li><a href="https://publications.waset.org">Publications</a></li> </ul> </div> <div class="col-md-2"> <ul class="list-unstyled"> Research <li><a href="https://publications.waset.org/abstracts">Abstracts</a></li> <li><a href="https://publications.waset.org">Periodicals</a></li> <li><a href="https://publications.waset.org/archive">Archive</a></li> </ul> </div> <div class="col-md-2"> <ul class="list-unstyled"> Open Science <li><a target="_blank" rel="nofollow" href="https://publications.waset.org/static/files/Open-Science-Philosophy.pdf">Open Science Philosophy</a></li> <li><a target="_blank" rel="nofollow" href="https://publications.waset.org/static/files/Open-Science-Award.pdf">Open Science Award</a></li> <li><a target="_blank" rel="nofollow" href="https://publications.waset.org/static/files/Open-Society-Open-Science-and-Open-Innovation.pdf">Open Innovation</a></li> <li><a target="_blank" rel="nofollow" href="https://publications.waset.org/static/files/Postdoctoral-Fellowship-Award.pdf">Postdoctoral Fellowship Award</a></li> <li><a target="_blank" rel="nofollow" href="https://publications.waset.org/static/files/Scholarly-Research-Review.pdf">Scholarly Research Review</a></li> </ul> </div> <div class="col-md-2"> <ul class="list-unstyled"> Support <li><a href="https://waset.org/page/support">Support</a></li> <li><a href="https://waset.org/profile/messages/create">Contact Us</a></li> <li><a href="https://waset.org/profile/messages/create">Report Abuse</a></li> </ul> </div> </div> </div> </div> </div> <div class="container text-center"> <hr style="margin-top:0;margin-bottom:.3rem;"> <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank" class="text-muted small">Creative Commons Attribution 4.0 International License</a> <div id="copy" class="mt-2">&copy; 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