Browsing by Subject "video"
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Item Open Access Adult revision surgery of prior hook-and-rod wire instrumentation for idiopathic scoliosis.(Neurosurgical focus: Video, 2020-01) Burke, Rebecca M; Buell, Thomas J; Maggio, Dominic M; Yener, Ulas; Yen, Chun-Po; Shaffrey, Christopher I; Smith, Justin SAdolescent idiopathic scoliosis patients treated with spinal fusion may develop adjacent segment disease and curve progression into adulthood. Revision operations can be challenging, especially for adult patients treated with outdated instrumentation such as sublaminar hooks and/or wires. The authors demonstrate revision lumbar spine surgery in a 38-year-old female with scoliosis progression from junctional degeneration below a prior T5-L3 posterior instrumented arthrodesis with a hook-and-rod wire system. They also demonstrate safe application of an ultrasonic bone scalpel for completion of a Smith-Petersen osteotomy. The patient provided written, informed consent for all material presented in this case demonstration. The video can be found here: https://youtu.be/3PmaFtNcqKc.Item Open Access Digital chalk-talk videos improve knowledge and satisfaction in renal physiology.(Advances in physiology education, 2018-03) Roberts, John K; Chudgar, Saumil M; Engle, Deborah; McClain, Elizabeth K; Jakoi, Emma; Berkoben, Michael; Lehrich, Ruediger WThe authors began a curriculum reform project to improve the experience in a Renal Physiology course for first-year medical students. Taking into account both the variety of learning preferences among students and the benefits of student autonomy, the authors hypothesized that adding digital chalk-talk videos to lecture notes and live lectures would improve student knowledge, course satisfaction, and engagement. The authors measured performance on the renal physiology exam before (the traditional curriculum) and for 2 yr after implementation of the new curriculum. During the traditional and subsequent years, students took a Q-sort survey before and after the Renal Physiology course. Satisfaction was assessed based on ranked statements in the Q sort, as well as through qualitative analysis of student commentary. Compared with the traditional curriculum, mean scores on the renal physiology final exam were higher after implementation of the new curriculum: 65.3 vs. 74.4 ( P < 0.001) with year 1 and 65.3 vs. 79.4 ( P < 0.001) in the second year. After the new curriculum, students were more likely to agree with the statement, "I wish other courses were taught like this one." Qualitative analysis revealed how the video-based curriculum improved student engagement and satisfaction. Adding digital chalk-talk videos to a traditional Renal Physiology course that included active learning led to improved exam performance and high levels of student satisfaction. Other preclinical courses in medical school may benefit from such an intervention.Item Open Access Enhancing Mobile Devices through Code Offload(2012) Cuervo, EduardoAdvances in mobile hardware and operating systems have made mobile a first-class development platform. Activities such as web browsing, casual game play, media playback, and document reading are now as common on mobile devices as on full-sized desktop systems. However, developers are still constrained by the inherent resource limitations of mobile devices. Unlike desktop systems, mobile devices must sacrifice performance to accomodate smaller form factors and battery-backed operation. Opportunistic offloading of computation from a mobile device to remote server infrastructure (i.e., "code offload") offers a promising way to overcome these constraints and to expand the set of applications
(i.e., "apps") that can run on devices.
Deciding to offload requires a careful consideration of the costs and benefits of a range of possible program partitions. This cost-benefit analysis depends on external factors, such as network conditions and the resources availability, as well as internal app properties, such as component dependencies, data representations, and code complexity. Thus, benefiting from offload requires some assistance from developers, but requiring developers to adopt arcane or unnatural programming models will hinder adoption of regardless of the potential benefits.
In this dissertation we characterize two frameworks that reduce the amount of developer effort required to improve the performance of mobile apps through code offload. The first, MAUI, is designed for computationally intensive general-purpose apps such as speech
and facial recognition. The second, Kahawai, is designed for graphics-intensive apps like fast-action video games.
MAUI continuously monitors the device, network, and app, and uses its measurements to compute an energy-efficient program partition. MAUI reduces the burden on developers by taking advantage of core features of the managed code environments common to mobile
platforms: code portability, serialization, reflection, and type safety. These features allows MAUI to automatically instrument and potentially offload methods that the developer has tagged as suitable for offload. MAUI is particularly effective on applications composed by operations whose computational cost is large compared to the transfer cost of their input parameters and their output results.
Kahawai is designed for graphics-intensive apps such as console-style games and takes advantage of two features of today's mobile gaming platforms: capable mobile GPUs and reusable game engines. Even though today's mobile devices cannot duplicate the sophisticated graphical detail provided by gaming consoles and high-end desktop GPUs, devices have seen rapid improvements in their GPU processing capabilities. Kahawai leverages a device's GPU to provide collaborative rendering. Collaborative rendering relies on a mobile GPU to generate low-fidelity output, which when combined with server-side GPU output allows a mobile device to display a high-fidelity result. The benefits of collaborative rendering are substantial: mobile clients can experience high-quality graphical output using relatively little bandwidth. Fortunately, because most modern games are built on top of reusable game engines, developers only have to identify the sources of non-determinism
in the game logic to take advantage collaborative rendering.
Together, MAUI and Kahawai demonstrate that code offload can provide substantial benefits for mobile apps without overburdening app developers.
Item Open Access Revision thoracolumbar surgery for flat back deformity: staged ALIF and posterior column osteotomies to avoid three-column osteotomy.(Neurosurgical focus: Video, 2020-01) Marino, Alexandria C; Buell, Thomas J; Burke, Rebecca M; Wang, Tony R; Yen, Chun-Po; Shaffrey, Christopher I; Smith, Justin SThree-column osteotomies (3COs) can achieve significant alignment correction when revising fixed sagittal plane deformities; however, the technique is associated with high complication rates. The authors demonstrate staged anterior-posterior surgery with L5-S1 ALIF (below a prior L3-5 fusion) and multilevel Smith-Petersen osteotomies to circumvent the morbidity associated with 3CO. The patient was a 67-year-old male with three prior lumbar surgeries who presented with back and leg pain. Imaging demonstrated lumbar flat back deformity and sagittal imbalance. The narrated video details key radiological measurements, operative planning and rationale, surgical steps, and outcomes. The patient provided written, informed consent for publication of this illustrative case. The video can be found here: https://youtu.be/wv4W9D9fUPc.