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Πέμπτη 24 Ιανουαρίου 2019

Ease of hand rotation during active exploration of views of a 3-D object modulates view generalization

Abstract

Active exploration of views of 3-D objects by manually controlling a device, such as a trackball, facilitates subsequent object recognition, suggesting that motor simulation contributes to object recognition. Further, biomechanical constraints, such as range of hand rotation, can affect mental rotation. Thus, the ease with which an object can be rotated by hand may modulate the facilitative effect active exploration through manual control has on object recognition. In our experiment, participants performed two sessions of a view-matching task, with a learning task administered between the two. In the learning task, one group of participants (active group) viewed and explored a novel 3-D object using their hand to rotate a handle attached to a cathode-ray tube monitor. The other group (passive group) observed on the monitor a replay of the movements of the 3-D object as manipulated by an active-group participant. Active-group participants were interviewed to determine the direction they found easiest to rotate their hand. The view-generalization performances were compared between the pre and post sessions. Although we observed a facilitative effect on the view-matching process in both groups, the active group exhibited view-dependent facilitation. The view-generalization range of the active group in the post-session was asymmetric in terms of the rotation direction. Most intriguingly, for most participants, this asymmetric change corresponded to the direction that afforded the easiest hand rotation (ulnar deviation). These findings suggest that the object-recognition process can be affected by ease of hand rotation, which is based on the biomechanical constraints of the wrist joint.



http://bit.ly/2RQjpHH

Expressions of Matrix Metalloproteinases-9 and Tissue Inhibitor of Metalloproteinase-1 in Pituitary Adenomas and Their Relationships with Prognosis

Cancer Biotherapy and Radiopharmaceuticals, Ahead of Print.


http://bit.ly/2R7EBnb

Acute gastric volvulus with pneumatosis intestinalis and portal venous gas secondary to hiatus hernia induced gastric outlet obstruction



http://bit.ly/2UdP0PX

Isolated cervical metastasis of colon cancer

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http://bit.ly/2Dx7xS0

Ileocaecal intussusception due to melanoma from an unknown primary

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http://bit.ly/2UgFnAi

Management of intra‐abdominal abscess in Crohn's disease



http://bit.ly/2WfCotF

The role of intraperitoneal ropivacaine in laparoscopic appendicectomy: a prospective, double‐blinded randomized control Australian study

ANZ Journal of Surgery The role of intraperitoneal ropivacaine in laparoscopic appendicectomy: a prospective, double‐blinded randomized control Australian study

Our single Australian centre double blinded randomised control trial demonstrated the use of intraperitoneal ropivacaine has an analgesic effect for patients up to 6 hours following emergency laparoscopic appendicectomy. The study shows a 33% reduction rate in the number of times PCA button was pressed in the intraperitoneal ropivacaine group vs the placebo normal saline group up to 6 hours following surgery.


Background

Currently, intraoperative use of local anaesthetic is not routinely given in all laparoscopic appendicectomies. Although its use has been widely studied in laparoscopic hernia repairs, gynaecological laparoscopy and laparoscopic cholecystectomies, there are no published trials of the use of intraperitoneal local anaesthetic during laparoscopic appendicectomy in the Australasian setting. The aim of this study was to determine whether the use of intraperitoneal ropivacaine during laparoscopic appendicectomy will reduce the amount of post‐operative opiate analgesia used, abdominal pain, post‐operative nausea or vomiting, shoulder tip pain and length of hospital stay.

Methods

A randomized double‐blinded placebo versus control trial was conducted with patients with clinically diagnosed appendicitis undergoing laparoscopic appendicectomy. Primary outcomes measured were the number of times the patient‐controlled analgesia (PCA) button was pressed post‐operatively and the average and total amount of fentanyl from PCA consumed during the post‐operative period from 0 to 6 h and from 6 to 16 h.

Results

A total of 86 patients with 43 patients in the placebo normal saline group and 43 patients in the treatment ropivacaine group were included in the study. During the immediate post‐operative period (0–6 h), there was a statistically significant reduction in the number of times the PCA button was pressed in the ropivacaine group compared to the normal saline group (16 versus 24 times, P = 0.02).

Conclusion

Intraperitoneal ropivacaine has an analgesic effect for patients up to 6 h following emergency laparoscopic appendicectomy.



http://bit.ly/2RcltV0