3D Printed Biomimetic Rabbit Airway Simulation Model for Nasotracheal Intubation Training.

Rabbit inhalation anesthesia by endotracheal intubation involves a higher risk among small animals owing to several anatomical and physiological features, which is pathognomonic to this species of lagomorphs. Rabbit-specific airway devices have been designed to prevent misguided intubation attempts. However, it is believed that expert anesthetic training could be a boon in limiting the aftermaths of this procedure. Our research is aimed to develop a novel biomimetic 3D printed rabbit airway model with representative biomechanical material behavior and radiodensity. Imaging data were collected for two sacrificed rabbit heads using micro-computed tomography (µCT) and micro-magnetic resonance imaging for the first head and cone beam computed tomography (CBCT) for the second head. Imaging-based life-size musculoskeletal airway models were printed using polyjet technology with a combination of hard and soft materials in replicates of three. The models were evaluated quantitatively for dimensional accuracy and radiodensity and qualitatively using digital microscopy and endoscopy for technical, tactic, and visual realism. The results displayed that simulation models printed with polyjet technology have an overall surface representation of 93% for µCT-based images and 97% for CBCT-based images within a range of 0.0-2.5 mm, with µCT showing a more detailed reproduction of the nasotracheal anatomy. Dimensional discrepancies can be caused due to inadequate support material removal and due to the limited reconstruction of microstructures from the imaging on the 3D printed model. The model showed a significant difference in radiodensities in hard and soft tissue regions. Endoscopic evaluation provided good visual and tactile feedback, comparable to the real animal. Overall, the model, being a practical low-cost simulator, comprehensively accelerates the learning curve of veterinary nasotracheal intubation and paves the way for 3D simulation-based image-guided interventional procedures.

The role of computed tomography in the assessment of dental disease in 66 guinea pigs.

Sixty-six guinea pigs with dental disease were presented to the University of Veterinary Medicine, Vienna, Austria, from 2006 to 2010. Almost all patients had a history of eating difficulties (95 per cent) and underwent clinical and oral examination as well as CT of the head. Findings on extra- and intraoral examination were asymmetric elongation (n=28) and symmetric bridging (n=24) of cheek teeth, obliquely worn incisors (n=17), palpable lower jaw swellings (n=13), exophthalmos (n=10) and incisor macrodontia (n=6). Eighty per cent of guinea pigs with exophthalmos showed ipsilateral periapical disease of the maxillary cheek teeth on CT. Ninety-two per cent of patients with palpable lower jaw swellings showed corresponding dental pathologies on CT. Periapical disease of incisors (n=11) and cheek teeth (n=32) were the most common findings on CT. All abnormally large incisors were found on oral examination and CT, but macrodontia of cheek teeth could only be visualised by CT. Deviation of the lower jaw evaluated in awake animals by visual inspection appeared to correlate with cheek teeth abnormalities. Results emphasise the importance of diagnostic imaging, in particular CT, in guinea pigs with dental disease in order to localise lesions and underlying aetiologies.

Understanding public skepticism toward organ donation and its commercialization: the important role of reciprocity.

QUESTION: We explored ideas and motives behind public attitudes toward organ donation and its commercialization in the context of recent academic and political debates on attempts to increase the number of donor organs by means of financial incentives. METHODS: We analyzed 4 focus group discussions (FGs) conducted in Germany between 2005 and 2008 with various participants: (1) recipients of a cadaveric donation, (2) recipients of a living donation, (3) living organ donors, and (4) lay people (N((a-d)) = 30). In our analysis we used the method of qualitative content analysis to extract the major argument classes and moral viewpoints about organ donation and its commercialization. RESULTS: We found a thorough concordance in the critical assessment of most commercial strategies over the 4 groups of participants. Slight deviations between groups were most likely due to different perspectives resulting from the various ways the groups were affected. Overall, we observed a strong tendency to assess the practice of organ procurement in terms of reciprocity. CONCLUSIONS: The current political and legal discourse neglects the central role of reciprocity for lay people and patients. Targeted legal and practical solutions should (re) consider strategies to integrate the highly valued idea of reciprocity in organ donation practice: for example, the club model and the paradigm of anonymity in cadaveric organ allocation.

"One man's trash is another man's treasure": exploring economic and moral subtexts of the "organ shortage" problem in public views on organ donation.

The debate over financial incentives and market models for organ procurement represents a key trend in recent bioethics. In this paper, we wish to reassess one of its central premises-the idea of organ shortage. While the problem is often presented as an objective statistical fact that can be taken for granted, we will take a closer look at the underlying framework expressed in the common rhetoric of "scarcity", "shortage" or "unfulfilled demand". On the basis of theoretical considerations as well as a socioempirical examination of public attitudes, we will argue that this rhetoric has an economic subtext that imbues the debate with normative premises that have far-reaching social and ethical consequences and need to be made explicit and discussed.