Stress in surgical environment is generally very high and can result in performance degradation increasing patient risk .Current Training systems for learning minimally invasive surgical skills do not consider the component of stress in their training model. In this study the focus was on developing alternative training models that would allow the learner to effectively perform minimally invasive skill under stress. Two alternate training methods: 1) Training under stress until high performance levels and 2) training until high performance and low cognitive load are achieved were considered for this study. The control group consisted of training under no stress and until high performance levels are achieved. Stressful environments for this study were simulated using physiologic stressors. The effectiveness of the training was evaluated by a comparative analysis of the different performance measures across the groups. We determined that training until automation as the most effective method to perform effectively under stress.

This dissertation addresses the question of how leaf litter from trees affects animals that live in aquatic environments, with an emphasis on the effect of Chinese tallow (Triadica sebifera) leaf litter on anuran larvae (i.e., frog tadpoles). This question is important to our understanding of how allochthonous inputs to aquatic habitats drive biodiversity in wetlands. It also addresses a timely conservation concern in southeastern Louisiana where invasion by Chinese tallow trees (Triadica sebifera) is displacing native trees. The invasion process is homogenizing forest composition and changing the quantity and quality of litter inputs to ponds from those produced by a mixture of native species to that of a single invasive species. This change in litter quality may have important effects on aquatic animals because leaf litter that falls into ponds is an important source of nutrients and energy in wetland foodwebs. Leaf litter also affects water quality via effects on dissolved oxygen and leaching of defensive compounds, which may subsequently affect the diversity and performance of aquatic animals. Herein I address these issues by presenting a series of studies in which tadpole and aquatic invertebrate responses were tested using leaf litter from Chinese tallow leaves and three native tree species. The major findings of this research are: (1) Leaf litter has a direct effect on water quality (2) Chinese tallow can cause differential survival and performance of tadpoles (3) Differences in water quality due to leaf litter can cause changes in tadpole behavior (4) Chinese tallow leaf litter breaks down much faster than litter from native trees (5) Difference in litter breakdown rates influence aquatic community composition.

Diabetes Mellitus is a major health problem which affects about 200 million people worldwide. Diabetics require their blood glucose levels to be kept within the normal range in order to prevent diabetes-related complications from occurring. Blood glucose measurement is therefore of vital importance. The current glucose measurement techniques are, however, painful, inconvenient and episodic. This document provides an investigation into the use of near-infrared spectroscopy for continuous, non-invasive measurement of blood glucose. Artificial neural networks are used for the development of multivariate calibration models which predict glucose concentrations based on the near-infrared spectral data. Simulations have been performed which make use of simulated spectral data generated from the characteristic spectra of many of the major components of human blood. The simulations show that artificial neural networks are capable of predicting the glucose concentrations of complex aqueous solutions with clinically relevant accuracy. The effect of interference, such as temperature changes, pathlength variations, measurement noise and absorption due other analytes, has been investigated and modelled. The artificial neural network calibration models are capable of providing acceptably accurate predictions in the presence of multiple forms of interference. It was found that the performance of the measurement technique can be improved through careful selection of the optical pathlength and wavelength range for the spectroscopic measurements, and by using preprocessing techniques to reduce the effect of interference. Although the simulations suggest that near-infrared spectroscopy is a promising method of blood glucose measurement, which could greatly improve the quality of life of diabetics, many further issues must be resolved before the long-term goal of developing a continuous non-invasive home glucose monitor can be achieved.

Invasões biológicas estão entre as principais causas da perda de biodiversidade no planeta. Ambientes isolados como as ilhas oceânicas e ambientes sujeitos a distúrbio antrópico são considerados mais propensos à invasão. Para as plantas, o sucesso na invasão pode ter relação com a superioridade na competição com as espécies nativas, que pode ocorrer através da produção de substâncias alelopáticas. Dentre as 100 principais espécies invasoras do planeta está a Leguminosa Leucaena leucocephala, que produz substâncias com potencial alelopático e está estabelecida em ilhas oceânicas tropicais em todo o mundo. No Brasil, a invasora foi introduzida na ilha de Fernando de Noronha, onde ocupa vastas áreas. Apesar da relevância desta ilha para a conservação da biodiversidade, não há informações essenciais para o manejo da invasora, como a situação da invasão e seus fatores determinantes. Neste trabalho, realizado em Fernando de Noronha, utilizamos experimentos para investigar a alelopatia como mecanismo associado à invasão e para avaliar o efeito de L. leucocephala sobre o estabelecimento de Erythrina velutina (Leguminosae), espécie nativa comum na ilha, mas frequentemente excluída das áreas invadidas por L. leucocephala. Não encontramos indícios de efeitos alelopáticos de L. leucocephala sobre a germinação de E. velutina, mas a exótica reduziu o crescimento e a sobrevivência da nativa. O efeito negativo é potencializado quando L. leucocephala está associada à Capparis flexuosa (Capparaceae), única espécie nativa frequentemente encontrada em áreas invadidas. Isoladamente, o efeito de C. flexuosa sobre E. velutina varia de positivo a neutro, evidenciando que o saldo das interações entre espécies nativas é alterado na presença de uma exótica. Adicionalmente, diagnosticamos a extensão atual da invasão e sua expansão nos últimos 20 anos, seus fatores determinantes e o impacto sobre a comunidade de plantas nativas em Fernando de Noronha. O diagnóstico da invasão mostrou que L. leucocephala está amplamente distribuída pela ilha, povoando densamente a maioria dos locais onde ocorre. A área ocupada pela espécie aumentou cerca de 40% nos últimos 20 anos, e não há restrições ambientais para o estabelecimento da exótica, embora ela seja favorecida pela atividade agropecuária. Em áreas invadidas o número de espécies nativas diminui quase pela metade e observamos uma tendência à homogeneização da comunidade. É provável que o alto grau de perturbação antrópica em Fernando de Noronha gere limitações à dispersão e modifique os ambientes tornando-os desfavoráveis para o estabelecimento de espécies nativas. Entretanto, há fortes evidências de que L. leucocephala causa mudanças ecológicas na ilha influenciando na perda espécies nativas. Considerando a importância biológica de Fernando de Noronha, ações de controle da expansão da exótica e restauração das áreas invadidas demonstram-se urgentes / Biological invasions are among the main causes of biodiversity loss on the planet. Isolated environments such as oceanic islands and disturbed environments are considered more prone to invasion. For plants, the invasion success may be related to advantages in competition with native species, which may occur through the production of allelopathic substances. Among the 100 most invasive species on the planet is the legume Leucaena leucocephala, which produces substances with putative allelopathic effects and is established on tropical oceanic islands worldwide. In Brazil, the invader was introduced on the island of Fernando de Noronha, where it occupies vast areas. Despite the relevance of this island for biodiversity conservation, important information for the management of the invasion, as its extension and determinants, do not exist. In this work we use experiments to investigate allelopathy as a mechanism associated with the invasion and to evaluate the effect of L. leucocephala on the establishment of Erythrina velutina, a native species common on the island, but often absent from invaded areas. We found no evidence of allelopathic effects of L. leucocephala in the germination of E. velutina, but the exotic reduced the growth and survival of the native. The negative effect is enhanced when L. leucocephala is associated with Capparis flexuosa, the only native species often found in heavily invaded areas. When alone, the effect of C. flexuosa on E. velutina varies from positive to neutral, indicating that the balance of interactions between native species is altered in the presence of an exotic. Additionally, we describe the current distribution of L. leucocephala and its expansion in the last 20 years in Fernando de Noronha. We also investigate the environmental and anthropic factors determining the invasion and the impact of L. leucocephala on the plant community. We found that L. leucocephala is widely distributed throughout the island, densely populating most places where it occurs. The area occupied by the species increased about 40% in the last 20 years, and there are no environmental restrictions for the establishment of exotic, although it is favored by farming. In invaded areas, the number of dominant native species decreased by almost half and we observed a tendency towards homogenization of the community. It is likely that the high degree of human disturbance in Fernando de Noronha poses dispersal limitations and modifies the environments making them unsuitable to the establishment of natives. However, there are strong evidences that L. leucocephala is driving ecological changes on the island that influence in native species loss. Considering the biological importance of Fernando de Noronha, actions to control the expansion of exotic and to restore the invaded areas are urgent

"Ischemia is a condition of decreased tissue viability caused by a lack of perfusion, which prevents the delivery of oxygen and nutrients to biological tissue. Ischemia plays a major role in many clinical disorders, yet there are limited means by which tissue viability can be assessed. The long-term objective of this research is to develop a non-invasive or non-contact instrument for quantifying human tissue ischemia. Skeletal muscle ischemia is evaluated at this stage because skeletal muscle is easily accessible, its ischemia represents a clinical problem, and it can endure short periods of ischemia without suffering permanent injury. The ischemia monitor designed for this study is based on impedance spectroscopy, the measurement of tissue impedance at various frequencies. This study had three major goals. The first goal was to improve upon the design of the ischemia monitor to achieve optimal system performance in a clinical environment. Major considerations included electrode sterility, instrument mobility, and electrosurgical unit interference. The second goal was to collect both impedance and pH data from human subjects undergoing tourniquet surgeries, which induce skeletal muscle ischemia and result in changes of the tissue's pH and impedance. The average in recorded pH during ischemia was 0.0053 pH units/minute and the average change in Ro was -0.1481 Ohms/minute. The third goal was to develop a relationship between parameters of tissue impedance and pH utilizing neural networks. This goal was accomplished in three stages. First, the optimal neural network type for classifying impedance data and pH values was determined. Based on these results, the backpropagation neural network was utilized for all subsequent work. Then, the input parameters of the neural network were optimized using previously collected data. The number of inputs to the previously developed neural network were reduced by 35% (13/20) with a maximum of a 3% reduction in neural network performance. Finally, the neural network was trained and tested using human impedance and pH data. The network was able to correctly estimate tissue pH values with an average error of 0.0440 pH units. Through the course of this research the ischemia monitor based on impedance spectroscopy was improved, a methodology for the use of the instrument in the operating room was developed, and a preliminary relationship between parameters of impedance spectra and pH was established. The results of this research indicate the feasibility of the instrument to monitor both pH and impedance in a clinical setting. Additionally, it was demonstrated that impedance data collected non-invasively could be used to estimate the pH and level of ischemia in human skeletal muscle."

Intracranial pressure (ICP) is an important monitoring modality in the clinical management of several neurological diseases carrying the risk of fatal intracranial hypertension. However, this parameter is not always considered due to its invasive assessment. In this scenario, a non-invasive estimation of ICP (nICP) may be essential, and indeed it has become a Holy Grail in Clinical Neurosciences: extensively searched, albeit never found. This thesis is devoted to the assessment, applications and development of transcranial Doppler (TCD)-based non-invasive methods for ICP and cerebral perfusion pressure (CPP) monitoring. The thesis is divided into three sections: I) The accuracy of existing TCD-based nICP estimators in various scenarios of varying ICP (traumatic brain injury, rise of ICP during plateau waves, and rise in ICP induced by infusion of cerebrospinal fluid during infusion test). The estimators of nICP consisted of a mathematical black box model, methods based on non-invasive CPP, and a method based on TCD pulsatility index. II) The feasibility of the best performing nICP estimator in clinical practice, including patients with closed TBI and brain midline shift, patients with acute liver failure during liver transplant surgery, and patients during non-neurosurgical surgery in the beach chair position. III) The description and assessment of a novel methodology for non-invasive assessment of cerebral perfusion pressure (nCPP) based on spectral arterial blood volume accounting. As main results, TCD-based non-invasive methods could replicate changes in direct ICP across time confidently, and could provide reasonable accuracy in comparison to the standard invasive techniques. Furthermore, in feasibility studies, nICP in association with other TCD physiological parameters provided a comprehensive interpretation of cerebral haemodynamics in conditions presenting impairment of cerebral blood flow circulation. The new method of nCPP estimation could identify changes in CPP across time reliably in conditions of decreasing and increasing CPP. These findings support the use of TCD-based nICP methods in a variety of clinical conditions requiring management of ICP and brain perfusion. More importantly, the low costs associated with nICP methods, since TCD is a widely available medical device, could contribute to its widespread use as a reliable alternative for ICP monitoring in everyday clinical practice.

O uso de animais de montaria em áreas naturais tem gerado grande preocupação, pois podem gerar impactos ambientais. Um dos problemas que precisa ser investigado é a relação entre animais de montaria e a presença de plantas exóticas em áreas de alto valor ecológico. Assim, o presente trabalho teve como objetivo testar um protocolo de germinação para sementes de duas espécies de gramíneas, braquiária (Urochloa decumbens) e capim gordura (Melinis minutiflora) que passaram pelo trato digestório de cavalos. As sementes foram ofertadas aos animais junto com a ração com posterior coleta das fezes. No experimento foram realizados três tratamento. No tratamento \"braquiária\" foram ofertadas sementes de Urochloa decumbens, no tratamento \"capim gordura\" foram ofertadas sementes de Melinis minutiflora e o \"sem tratamento\" foi ofertada apenas a ração. Parte das sementes foram retiradas das fezes e submetidas a testes de germinação e o material restante foi utilizado para testar a capacidade germinativa das sementes diretamente nas fezes em um ambiente controlado. Na germinadora verificou-se que as sementes que passaram pelo trato digestório dos cavalos tiveram uma menor taxa de germinação comparadas com as sementes com tratamento de quebra de dormência. No tratamento feito em casa de vegetação as sementes que foram retiradas das fezes e que germinaram foram identificadas. Não houve diferença na taxa de germinação entre os cavalos, o que ocorreu entre os tratamentos. No tratamento braquiária predominou a germinação de Urochloa decumbens, no tratamento capim gordura a maior taxa de germinação de Melinis minutiflora e no sem tratamento predominou o nascimento de outras espécies. As sementes estudas tem potencial de germinar, crescer e frutificar, porém não se sabe se as espécies podem formar uma população capaz de colonizar novas áreas. / The use of riding animals in natural areas has caused great concern because their use cause environmental impacts. One of the problems that needs to be investigated is the relationship between the use of riding animals and the presence of exotic plants in natural areas. This study aimed to test a germination protocol for the of two species Urochloa decumbens and Melinis minutiflora that has passed through the digestive tract of the horse. The seeds were offered to horses and their feces were collected. Tree treatments were set, in \"braquiaria\" treatment seeds Urochloa decumbens were offered to the horses, in the \"capim gordura\" treatment seeds of Melinis minutiflora offered and the untreated were offered only horse food. Part of the seeds were removed from the feces and undergo germination test and the remain of the feces were used to test in a green house. The germination rate of the seed from de horse dung was lower than germination rate of the dormancy breaking treatment seeds. The seeds that germinate on the greenhouse were identified. There were no difference between the germination rate between treatments, but there was between species in braquiaria treatment predominated the germination of Urochloa decumbens in the grass fat treatment most Melinis minutiflora germination rate and the untreated predominated the germination of other species. Seeds from horse dung has the potential to germinate, grow and bear fruit, but it is not known if this species can form a population able to colonize new areas.

This dissertation addresses issues pertinent to the control of an invasive species, issues that pertain both to a species’ introduction at a country’s international border and its spread within the country’s border. In the first essay, tariffs and inspections are examined as a joint border control mechanism. In a deterministic setting, where the invasive species level is functionally related to a foreign (i.e., exporting) country’s shipment size, a traditional tariff can be optimal for the home (i.e., importing) country in the short run, but distorts the entry condition for foreign firms and results in a suboptimal industry size in the foreign country in the long run. When the foreign country’s abatement effort determines the invasive species level, an additional home-country tariff on the invasive-species level (which I call an “invasive-species tariff”) is necessary to motivate the foreign firms to abate the invasive species at socially optimal level. In the second essay I consider the case where the invasive species contamination level is jointly determined by the foreign countries’ abating efforts and random environmental factors. The home country may use standard contracts to mitigate imperfect observability caused by the random factors. However, I show that the home country must provide risk-averse foreign countries with higher subsidy rates than the first-best rates with perfect information as compensation for partially bearing the risk. When risk-averse foreign countries face both individualistic and common random environmental factors, a standard tournament scheme is capable of attaining the home country’s first-best invasive-species solution. The third essay addresses the control of an established invasive species outbreak in the home country with multiple spatially-connected individuals. The optimal response to invasion (eradicating, stopping, or ignoring invasion) is determined by the incremental damage of invasion and the marginal control cost. Different spatial scales lead to a divergence between the control incentives of society and individuals, and result in a deficiency of individualistic control, which in turn results in a larger steady-state invasion area. Numerical analysis also demonstrates that the number, size, and spatial configuration of small and large individual land parcels influence the severity of the externality and the insufficiency of privately supplied control. I introduce a dynamic multiple-source-subsidy scheme to internalize the externalities, which prompts individuals to coordinate and follow the social optimal control path without a budget burden on the government.

Invasive plants are a significant threat to native ecosystems and to biodiversity. They are often strong competitors and have multiple techniques to outcompete native plants. Thus, controlling or removing invasive plants facilitates the restoration of native ecosystems. We used GPS technology coupled with field surveying techniques adapted from the U.S. Fish and Wildlife Service to locate and identify invasive plants present within VCU’s Rice Rivers Center. We digitally overlaid a 50-meter x 50-meter grid system over the property. In each grid cell we recorded visual estimations of invasive plant coverage sorted into modified Daubenmire cover classes and used ArcGIS for mapping and analysis. Altogether, we found 25 unique invasive plant species. 93% of the grid cells contained at least one invasive species, and one grid cell contained seven unique species. The influence of anthropogenic disturbance on invasive species distribution, analyzed by using a 50-meter wide buffer zone around each disturbance (e.g., roads, buildings, etc.), showed that the presence and coverage of invasive species was greater within disturbed areas compared to intact forest. Microstegium vimineum, Lonicera japonica, and Ligustrum sinense were most common and widely distributed within terrestrial habitats, while Murdannia keisak was most widely distributed in the restored wetland. Our results for M. vimineum were compared to a similar 2004 study: this species has since spread from 40% to 76% of the grid cells. The spatial maps we have created will be a foundation for an integrated invasive species management program at the Rice Rivers Center and will assist with management, control and restoration efforts within terrestrial and aquatic ecosystems.

The introduction of a species to areas outside its native range can result in ecological and genetic changes of evolutionary significance. The frog Eleutherodactylus coqui was introduced to Hawaii, from Puerto Rico, in the late 1980s and has lost genetic variation in mitochondrial DNA. The extent to which founder effects have influenced phenotypic variation in the introduced range is unknown. In this study I compared phenotypic variation in life-history traits, advertisement calls, and stripe patterns among introduced and native populations of the frog Eleutherodactylus coqui. I also conducted laboratory experiments to determine the influence of genetics and temperature on trait variation. Body size in wild populations was positively correlated with elevation in both ranges, but the slope of elevation on body size was greater in Puerto Rico than in Hawaii. Advertisement call frequencies and rates were negatively correlated with elevation but duration was positively correlated with elevation. Frequencies were correlated with body size, but rate, duration, and intensity were not. Color patterns are more variable in Puerto Rico than Hawaii and appear to be maintained by balancing selection in Puerto Rico. Lab results indicate that body size is negatively correlated with temperature, which may explain Bergmann's rule in the field, but patterns of intrinsic growth rate may explain differences in the effect of elevation between Hawaii and Puerto Rico. Body size appears to explain most of the variation in call frequencies, whereas temperature explained most of the variation in rate and duration. Color patterns appear to be determined by a single locus with five alleles. Founder effects appear to explain the difference between Hawaii and Puerto Rico in color pattern variation and in clinal variation in body size and call frequencies. The loss of genetic variation in these traits is likely to have evolutionary consequences for this species in Hawaii.