Surgical soundtracks: automatic acoustic augmentation of surgical procedures.

PURPOSE: Advances in sensing and digitalization enable us to acquire and present various heterogeneous datasets to enhance clinical decisions. Visual feedback is the dominant way of conveying such information. However, environments rich with many sources of information all presented through the same channel pose the risk of over stimulation and missing crucial information. The augmentation of the cognitive field by additional perceptual modalities such as sound is a workaround to this problem. A major challenge in auditory augmentation is the automatic generation of pleasant and ergonomic audio in complex routines, as opposed to overly simplistic feedback, to avoid alarm fatigue. METHODS: In this work, without loss of generality to other procedures, we propose a method for aural augmentation of medical procedures via automatic modification of musical pieces. RESULTS: Evaluations of this concept regarding recognizability of the conveyed information along with qualitative aesthetics show the potential of our method. CONCLUSION: In this paper, we proposed a novel sonification method for automatic musical augmentation of tasks within surgical procedures. Our experimental results suggest that these augmentations are aesthetically pleasing and have the potential to successfully convey useful information. This work opens a path for advanced sonification techniques in the operating room, in order to complement traditional visual displays and convey information more efficiently.

Long-term electrical resistivity monitoring of recharge-induced contaminant plume behavior.

Geophysical measurements, and electrical resistivity tomography (ERT) data in particular, are sensitive to properties that are related (directly or indirectly) to hydrological processes. The challenge is in extracting information from geophysical data at a relevant scale that can be used to gain insight about subsurface behavior and to parameterize or validate flow and transport models. Here, we consider the use of ERT data for examining the impact of recharge on subsurface contamination at the S-3 ponds of the Oak Ridge Integrated Field Research Challenge (IFRC) site in Tennessee. A large dataset of time-lapse cross-well and surface ERT data, collected at the site over a period of 12 months, is used to study time variations in resistivity due to changes in total dissolved solids (primarily nitrate). The electrical resistivity distributions recovered from cross-well and surface ERT data agrees well, and both of these datasets can be used to interpret spatiotemporal variations in subsurface nitrate concentrations due to rainfall, although the sensitivity of the electrical resistivity response to dilution varies with nitrate concentration. Using the time-lapse surface ERT data interpreted in terms of nitrate concentrations, we find that the subsurface nitrate concentration at this site varies as a function of spatial position, episodic heavy rainstorms (versus seasonal and annual fluctuations), and antecedent rainfall history. These results suggest that the surface ERT monitoring approach is potentially useful for examining subsurface plume responses to recharge over field-relevant scales.

Physicochemical heterogeneity controls on uranium bioreduction rates at the field scale.

It has been demonstrated in laboratory systems that U(VI) can be reduced to immobile U(IV) by bacteria in natural environments. The ultimate efficacy of bioreduction at the field scale, however, is often challenging to quantify and depends on site characteristics. In this work, uranium bioreduction rates at the field scale are quantified, for the first time, using an integrated approach. The approach combines field data, inverse and forward hydrological and reactive transport modeling, and quantification of reduction rates at different spatial scales. The approach is used to explore the impact of local scale (tens of centimeters) parameters and processes on field scale (tens of meters) system responses to biostimulation treatments and the controls of physicochemical heterogeneity on bioreduction rates. Using the biostimulation experiments at the Department of Energy Old Rifle site, our results show that the spatial distribution of hydraulic conductivity and solid phase mineral (Fe(III)) play a critical role in determining the field-scale bioreduction rates. Due to the dependence on Fe-reducing bacteria, field-scale U(VI) bioreduction rates were found to be largely controlled by the abundance of Fe(III) minerals at the vicinity of the injection wells and by the presence of preferential flow paths connecting injection wells to down gradient Fe(III) abundant areas.

Effects of physical and geochemical heterogeneities on mineral transformation and biomass accumulation during biostimulation experiments at Rifle, Colorado.

Electron donor amendment for bioremediation often results in precipitation of secondary minerals and the growth of biomass, both of which can potentially change flow paths and the efficacy of bioremediation. Quantitative estimation of precipitate and biomass distribution has remained challenging, partly due to the intrinsic heterogeneities of natural porous media and the scarcity of field data. In this work, we examine the effects of physical and geochemical heterogeneities on the spatial distributions of mineral precipitates and biomass accumulated during a biostimulation field experiment near Rifle, Colorado. Field bromide breakthrough data were used to infer a heterogeneous distribution of hydraulic conductivity through inverse transport modeling, while the solid phase Fe(III) content was determined by assuming a negative correlation with hydraulic conductivity. Validated by field aqueous geochemical data, reactive transport modeling was used to explicitly keep track of the growth of the biomass and to estimate the spatial distribution of precipitates and biomass. The results show that the maximum mineral precipitation and biomass accumulation occurs in the vicinity of the injection wells, occupying up to 5.4vol.% of the pore space, and is dominated by reaction products of sulfate reduction. Accumulation near the injection wells is not strongly affected by heterogeneities present in the system due to the ubiquitous presence of sulfate in the groundwater. However, accumulation in the down-gradient regions is dominated by the iron-reducing reaction products, whose spatial patterns are strongly controlled by both physical and geochemical heterogeneities. Heterogeneities can lead to localized large accumulation of mineral precipitates and biomass, increasing the possibility of pore clogging. Although ignoring the heterogeneities of the system can lead to adequate prediction of the average behavior of sulfate-reducing related products, it can also lead to an overestimation of the overall accumulation of iron-reducing bacteria, as well as the rate and extent of iron reduction. Surprisingly, the model predicts that the total amount of uranium being reduced in the heterogeneous 2D system was similar to that in the 1D homogeneous system, suggesting that the overall uranium bioremediation efficacy may not be significantly affected by the heterogeneities of Fe(III) content in the down-gradient regions. Rather, the characteristics close to the vicinity of the injection wells might be crucial in determining the overall efficacy of uranium bioremediation. These findings have important implications not only for uranium bioremediation at the Rifle site and for bioremediation of other redox sensitive contaminants at sites with similar characteristics, but also for the development of optimal amendment delivery strategies in other settings.

Composite thermal conductivity in a large heterogeneous porous methane hydrate sample.

By employing inverse modeling to analyze the laboratory data, we determined the composite thermal conductivity (k(theta), W/m/K) of a porous methane hydrate sample ranged between 0.25 and 0.58 W/m/K as a function of density. The calculated composite thermal diffusivities of porous hydrate sample ranged between 2.59 x 10(-7) m(2)/s and 3.71 x 10(-7) m(2)/s. The laboratory study involved a large heterogeneous sample (composed of hydrate, water, and methane gas). The measurements were conducted isobarically at 4.98 MPa over a temperature range of 277.3-279.1 K. Pressure and temperature were monitored at multiple locations in the sample. X-ray computed tomography (CT) was used to visualize and quantify the density changes that occurred during hydrate formation from granular ice. CT images showed that methane hydrate formed from granular ice was heterogeneous and provided an estimate of the sample density variation in the radial direction. This facilitated quantifying the density effect on composite thermal conductivity. This study showed that the sample heterogeneity should be considered in thermal conductivity measurements of hydrate systems. Mixing models (i.e., arithmetic, harmonic, geometric mean, and square root models) were compared to the estimated composite thermal conductivity determined by inverse modeling. The results of the arithmetic mean model showed the best agreement with the estimated composite thermal conductivity.