Abstract
Introduction and Objectives. Laparoscopic surgery has undeniable advantages, such as reduced postoperative pain, smaller incisions, and faster recovery. However, to improve surgeons' performance, ergonomic adaptations of the laparoscopic instruments and introduction of robotic technology are needed. The aim of this study was to ascertain the influence of a new hand-held robotic device for laparoscopy (HHRDL) and 3D vision on laparoscopic skills performance of 2 different groups, naive and expert. Materials and Methods. Each participant performed 3 laparoscopic tasksPeg transfer, Wire chaser, Knotin 4 different ways. With random sequencing we assigned the execution order of the tasks based on the first type of visualization and laparoscopic instrument. Time to complete each laparoscopic task was recorded and analyzed with one-way analysis of variance. Results. Eleven experts and 15 naive participants were included. Three-dimensional video helps the naive group to get better performance in Peg transfer, Wire chaser 2 hands, and Knot; the new device improved the execution of all laparoscopic tasks (P < .05). For expert group, the 3D video system benefited them in Peg transfer and Wire chaser 1 hand, and the robotic device in Peg transfer, Wire chaser 1 hand, and Wire chaser 2 hands (P < .05). Conclusion. The HHRDL helps the execution of difficult laparoscopic tasks, such as Knot, in the naive group. Three-dimensional vision makes the laparoscopic performance of the participants without laparoscopic experience easier, unlike those with experience in laparoscopic procedures.

Abstract
Minimally invasive cardiovascular interventions guided by multiple imaging modalities are rapidly gaining clinical acceptance for the treatment of several cardiovascular diseases. These images are typically fused with richly detailed pre-operative scans through registration techniques, enhancing the intra-operative clinical data and easing the image-guided procedures. Nonetheless, rigid models have been used to align the different modalities, not taking into account the anatomical variations of the cardiac muscle throughout the cardiac cycle. In the current study, we present a novel strategy to compensate the beat-to-beat physiological adaptation of the myocardium. Hereto, we intend to prove that a complete myocardial motion field can be quickly recovered from the displacement field at the myocardial boundaries, therefore being an efficient strategy to locally deform the cardiac muscle. We address this hypothesis by comparing three different strategies to recover a dense myocardial motion field from a sparse one, namely, a diffusion-based approach, thin-plate splines, and multiquadric radial basis functions. Two experimental setups were used to validate the proposed strategy. First, an in silico validation was carried out on synthetic motion fields obtained from two realistic simulated ultrasound sequences. Then, 45 mid-ventricular 2D sequences of cine magnetic resonance imaging were processed to further evaluate the different approaches. The results showed that accurate boundary tracking combined with dense myocardial recovery via interpolation/diffusion is a potentially viable solution to speed up dense myocardial motion field estimation and, consequently, to deform/compensate the myocardial wall throughout the cardiac cycle. Copyright (C) 2015 John Wiley & Sons, Ltd.

Abstract
Pectus Excavatum (PE) is the most common congenital chest wall deformity, affecting 1 in 400 live births. This deformity is commonly corrected using the minimally invasive Nuss procedure, where a bar is positioned under the sternum. Although recent procedure advances based on patientspecific prosthesis were proposed, correct bar placement is still challenging. In this work, we propose a novel augmented reality system to guide the surgeon during PE bar placement. This system combines a 3D sensor with a projector to superimpose the thoracic ribs cage on the chest wall of the patient, thus indicating the optimal insertion and bar placement points. This system was validated in three different scenarios: 1) simulated chest surface models; 2) 3D printed phantom; and 3) 3D commercial thoracic phantom. An error of 3.93 ± 3.44 mm, and 3.08 ± 1.57 mm were obtained in the first and second experiments, respectively. In the final experiment, visual assessment of the result proved that a high similarity was obtained between the projected model and the real ribs cage position. Overall, the proposed system showed high feasibility with low error, proving that 3D projection of the ribs on the patient’s chest wall may facilitate PE bar insertion and ultimately provide useful information to guide Nuss procedure. © 2016 Taylor & Francis Group, London.

Abstract
The reduction in physical and social activity in elderly people degrades the aging process, causing or increasing suffering to the individual and to his family and friends. Most times, the individual well-being is related to the strength of the social bonds with the family and friends group, so it is important to keep this bonds in the various stages of life, especially in the later life, when the individual has health limitations and is living in a community centre. This paper proposes an exploratory approach, regarding the use of information technologies systems, as autonomous systems, to assist in supporting and encouraging elderly people to preserve and develop their social activities and the relationships with their family and friends social group. During the course of the aging process, some aging people have their social activity degraded due to health limitations and institutionalization in elderly care centers, in which they are admitted as residents. We propose the design of a software system, capable of running in autonomous devices, such as, robots and other consumer appliances, enabling them to recognize and interact with the users, according to their state of mind and the specific current moment context. The interactions should be simple and focused on keeping the users informed about the current life events of their family and friends, and create the opportunities for the users to interact with the participants of those events by creating interaction proposals. The systems would monitor the user's family and friends group, regarding their information and actions on the social media. The system's interactions with the user would be based on that knowledge and on the knowledge of the user's current context. An adaptive user interface would present and manage the user interactions, acting as a mediator between the user and his family and friends group.

Abstract
In this paper a 3D map solution combined with a mobile phone application is presented. This solution enables blind users to perceive their spatial location from tactile stimulation, but also contextual information from a mobile application that provides this information via mobile phone, using audio. In the proposed model, 3d map sections embedding NFC technology support the application scenario described in this work.

Abstract
Stroke episodes are a major health issue worldwide for which most patients require an initial period of special rehabilitation and functional treatment, involving medical doctors and specialized therapists, followed by ambulatory physiotherapy exercise. In this second period most do not fulfil the prescribed recovery plan, resulting in setbacks in their recovery. This paper reports on the design of a methodology to develop a system to support the ambulatory rehabilitation therapy, providing constant feedback to the clinicians, by means of an information system platform, and maintaining the patient motivation by using an exergames approach to design and deliver the therapy exercises to the patient.