Acceptance of Endoscopes in Otology - An Indian Perspective and Review of the Literature

Abstract Introduction The role of endoscopes in the ear, nose, and throat (ENT) field has been described since the 1980s; It started with endoscopic nasal surgeries, followed by otological and laryngological procedures, and, since then, it has experienced a rapid evolution. Endoscopes help otologists understand how to approach difficult areas of middle ear, as well as the physiology of middle ear cleft. Objectives Despite the introduction of endoscopes in the field of otology, microscopes are still widely used in clinics and in operation theaters either alone or with endoscopes. The present study, which was conducted amongst otologists in India, is on their experience with and knowledge of the use of the endoscope compared to microscopes. Methods A Google form-based questionnaire comprising 18 questions was developed and sent online to otologist all over the country. The final dataset included responses from 354 active otologists. Results Out of 354 participants, only 3% had more than 5 years of experience in endoscopic ear surgery (EES), and 16.1% had never worked with an endoscope. Endoscopes were used in clinics and in operation theaters by 74.9% of the participants. Conclusion There has been a rise in the acceptance and use of endoscopes among Indian otologists and otology surgeons in last few decades.

Effects of loupes and microscope on the prosthodontist's posture from ergonomic aspects / 北京大学学报(医学版)

OBJECTIVE@#To assess the effects of loupes and microscope on the posture of prosthodontists when preparing the laminate veneer, and to assess the clinical value of loupes and microscope from the ergonomic aspects.@*METHODS@#Twenty young prosthodontists from Department of Prosthodontics, Peking University School and Hospital of Stomatology were recruited into this study, which was a prospective, single blind, self-control trials. The research hypothesis was concealed and the participants were deceived about the precise purpose of the study to counterbalance the lack of direct blinding. The prosthodontists prepared laminate veneers of open window type in the artificial dental model, under routine visual field (control group), 2.5× headwear loupes (loupes group), and 8× operating microscope (microscopic group) by turning. The participants were photographed from profile view and front view. Thereafter, the subjective assessment was performed by themselves using the visual analogue score (VAS). The expert assessment was performed by two professors using modified-dental operator posture assessment instrument on the basis of photographs of the profile view and front view.@*RESULTS@#The subjective assessment scores for the control group, loupes group and microscopic group were 4.55±1.96, 7.90±1.12, and 9.00±0.92, respectively. There was significant difference between the three groups' subjective scores (P < 0.05). The expert assessment scores for the control group, loupes group and microscopic group were 16.38±1.52, 15.15±1.30, and 13.60±0.88, respectively. There was significant difference between the three groups' expert assessment scores (P < 0.05). Specifically, the three groups' expert assessment scores were significantly different (P < 0.05) in trunk position (front to back) (1.33±0.41, 1.03±0.11, 1.00±0.00), head and neck position (front to back) (2.75±0.38, 2.13±0.36, 1.23±0.38), elbows level (1.38±0.43, 1.40±0.45, 1.13±0.22), and shoulders level (1.43±0.41, 1.23±0.34, 1.13±0.28). Thereinto, the microscopic group was better than loupes group in head and neck position (front to back) and elbows level (P < 0.05).@*CONCLUSION@#Loupes and microscope improve the posture of the prosthodontist when preparing the laminate veneer, in which the microscope is better than loupes. Therefore, the magnification devices have clinical value from the ergonomic aspects.

An interpretation of the Second consensus on the assessment of sublingual microcirculation in critically ill patients issued by the European Society of Intensive Care Medicine in 2018 / 中华危重病急救医学

The European Society of Intensive Care Medicine (ESICM) issued the second consensus on the assessment of sublingual microcirculation in critically ill patients. This paper interprets the consensus for clinicians about: what is microcirculation, how to observe microcirculation, and the details of microcirculation images collection and parameters analysis. Besides, this paper illustrates the relationship between microcirculation alternation and shock, it also evaluates the present situation and future development of microcirculation monitoring.

Research progress of small-scale serial sections-based 3D reconstruction technologies / 国际生物医学工程杂志

3D reconstruction technologies have been widely used in medical diagnostic assist, surgical simulation, anatomy teaching, etc. The resolution of traditional imaging data such as computed tomography (CT) and magnetic resonance imaging (MRI) cannot meet the needs of life science research. Continuous sectioning technology can provide accurate and high-resolution information for the vast majority of tissues, which make it become a valuable method in the research and exploration of microstructures studies. With the development of microscopy and image processing techniques, significant advances have been made in the small-scale serial sections-based 3D reconstruction technologies. This enables the analysis of sample morphology and tissue function, as well as a more complete assessment of the structure of the tissue. Therefore, this technology has led to profound changes in the fields of cell and tissue biology. In this paper, the common small-scale serial sections-based 3D reconstruction technologies were compared and reviewed.

Role of magnification in conservative dentistry and endodontics in today’s practice- a review of literature.

Dentistry has become more sophisticated and complex thus requiring precised motor skills and visual acuity. Optical magnification has expanded the horizons of dentistry. During past decades, dentistry has not only evolved clinically but the histological aspects has also played an important part in the development of new materials as well as helped in better evaluation of treatment procedures. Hence this review article details about the possible alternatives of magnification such as magnifying glasses, dental loupes, optical microscopes, electron microscopes, surgical operating microscopes, endoscopes, and orascopes.

History of Microscopes

Amicroscope (from the Ancient Greek, mikrós, ‘small’ and skopeîn, ‘to look’ or ‘see’) is an instrument used to see objects that are too small for the naked eye. The science of investigating small objects using such an instrument is called Microscopy. Microscopic means invisible to the eye unless aided by a microscope. There are many types of microscopes. The most common (and the first to be invented) is the optical microscope, which uses light to image the sample. Other major types of microscopes include the electron microscope (both the transmission electron microscope and the scanning electron microscope), the ultra-microscope, and the various types of scanning probe microscopes[1, 2]. The first microscope to be developed was the optical microscope, although the original inventor is not easy to identify. Evidence points to the first compound microscope appearing in the Netherlandsin the late 1590s, probably an invention of eye glassmakers there[3], Hans Lippershey (who developed an early telescope) and Zacharias Janssen (also claimed as the inventor of the telescope). There are other claims that the microscope and the telescope were invented by Roger Bacon in the 1200s[4], but this is not substantiated. Giovanni Faber coined the name microscope for Galileo Galilei's compound microscope in 1625[5]. (Galileo had called it the ‘occhiolino’ or ‘little eye’.)

Study on the clinical application of optical microscope in the coagulation pre-test quality control / 中国基层医药

Objective To investigate the clinical value of the optical microscope on the quality control of the coagulation specimen microscopic examination before the coagulation test.Methods 92 patients with coagulation specimens agglutination occurs which taken were selected as the experimental group,92 patients re-blood microscopy to ensure that no agglutination phenomenon was set to control,observed differences in coagulation indexes of the two groups.Results The PT,APTT,TT and Fg were statistically significant(P ＜ 0.05) between experimental group and control group by the q test.Different agglutination specimens group in the experimental group by analysis of variance,PT,APTT.TT and Fg were statistically significant(P ＜ 0.05) between groups comparison of the q test analysis,PT,APTT,TT and Fg were significant differences (P ＜ 0.05).With the aggravation of blood specimens agglutination,PT,APTT and TT time extension and Fg concentration reduce more serious.Conclusion Optical microscope before the introduction of clotting function tests experimental quality control a large extent,to enhance the accuracy of laboratory coagulation test results,clinical diagnosis and preoperative preparation has important clinical value.

Study on measuring method for surface micromorphology of human incisor / 医用生物力学

Objective To develop a microscopic 3D morphology testing system used for measuring the natural texture of human incisor, and provide practical data for the individualized technique used in dental restoration. Methods Based on microscope and digital image correlation (DIC), a microscopic 3D morphology testing system with its software was developed. The precision of this system was then evaluated, and the characterization of the 3D surface morphology for human incisor was measured by the system. Results Within the field of view (FOV) of 17 mm×12 mm, the accuracy of in plane displacement was estimated as 0.6 μm, while that of out of plane displacement was 5.4 μm. The dimension of horizontal grooves on the labial surface of incisor was determined, where the depth and length for the long groove were 83 μm and 5.28 mm, respectively; the depth and length for the short groove were 40 μm and 4.24 mm, respectively, and the space between the two grooves was 2.85 mm. Conclusions The microscopic 3D morphology testing system is an effective instrument for measuring the surface morphology of human incisors accurately.

Clinical evaluation of treating complicated root canals with surgical microscopes / 中国基层医药

Objective To analyze the effect of five kinds of complicated root canals therapy by utilizing sur- gical microscopes.Methods A total of 359 exactly diagnosed complicated root canals were consecutively treated from July 2003 to December 2004 in department of stomatology,No.4 Affilicated Hospital of Inner Mongolia Medical College.The complicated root canals observed included calcified blocked root canals,instrument fracture root canals, MB_2 root canals,"C"type root canals and retreated root canals.Two groups were randomly departed according to the patients' will.180 complicated root canals were in the therapy group treated with surgical microscopes;in control group,179 complicated root canals were treated by traditional root therapy methods without surgical microscopes. From two aspects of statisties and clinic,two groups' achievement ratios were compared.Results Statistically achievement ratios of five kinds of root canals in the therapy group were 68.18 %,71.43 %,70.00 %,83.33 %, 80.39 % respectively,higher than those in the control group which were 13.33 %,16.67 %,25.00 %,22.73 % and 38.46 % respectively.The differences had obvious statistical significance(x~2=21.607,23.572,8.120,19.100, 20.488;P=0.000,0.000,0.004,0.000,0.000,P

Experimental Model of Solar Retinopathy

In order to produce solar retinopathy, the right eyes of Strauge-Dawley albino rats were exposed to sun light(13,1500 lux) for 15 and 30 minutes respechrel(experimental groups), while the left eyes were taped to protect them from solar damages(control groups). In both experimental and control groups. We studies the lnjuries of the retina due to sun llght. The enucleated eyes ln both groups, were examined by light and electron microscopes for histopathologic changes of the retina preceded by the indirect ophthalmoscopic examination under low Illumination. Although there was no definite pathologic change in indirect ophthalmoscopic and light microscopic examinations, rather severe damage was seen at the electron microscopic level. At one day after the experiment, the inner segment of visual cells was relatively well preserved, but the other layers of the retina were markedly damaged. More severe retinal damage was seen in the 30 minute group than in the l5 minute group. At 2 weeks after the experiment, partial recovery of the whole retinal layers was observed, especially in the visual cells. At 4 weeks after experiment, the outer and inner segments of the visual cells were nearly normalized. Considering the results of the experiment, it is evedent that frequent clinical usage of indirect ophthalmoscope, surgical microscope and slit lamp biomicroscope could affect the retina and produce damage ultrastructually, even though no significant abnomalities are found by any other means.