Evaluation of the use of robotic surgery with remote simulation for use in the field of Medical Tourism and Pro-Tourism development

Subject Areas : Journal of Simulation and Analysis of Novel Technologies in Mechanical Engineering

Esmaeil Khaksarshahmirzadi ¹ , Tulen Saner ² , Ali Attaeyan ³ , Somayeh Abdollahi ⁴ , Molood Mohammadi ⁵ , Sharif Heydari ⁶

1 - Faculty of Tourism, Near East University (NEU), Nicosia, Turkish Republic of North Cyprus, Turkey
2 - Faculty of Tourism, Near East University (NEU), Nicosia, Turkish Republic of North Cyprus, Turkey
3 - Department of Biomedical Engineering, Biomechanics Faculty, Najafabad Branch, Islamic Azad University, Najafabad, Iran
4 - Department of biomedical engineering Isfahan(khorasgon) Branch, Islamic Azad University, Isfahan, Iran
5 - BDS, MS Ramaiah Dental College & hospital, Rajiv Gandhi university, Bangalore, India
6 - Department of Biomedical Engineering, Kerman Branch, Islamic Azad University, Kerman, Iran

Received: 2022-02-06 Accepted : 2022-06-25 Published : 2022-03-01

Keywords: Robot, Remote Surgery, Medical Technology, Tourism industries Telemedicine,

Abstract :

Today, using modern technology and software simulation, it is possible to help the medical tourism industry with the support of treating patients all over the world in order to treat diseases for those who are not able to migrate. Therefore, in this study we consider all the essential parameter to reach to the best condition for medical tourism using robotic and artificial intelligence (AI) system. Recently, information technology has penetrated in all fields and changed the face of many phenomena. In the field of medicine, engineering and tourism, the use of this technology is becoming a necessity by using advance robots. Telemedicine is a general concept used to describe various aspects of telemedicine care. The main idea of telemedicine is to transmit information via electrical signals and to automate clinical services and counseling all around the world by advance and smart system. Use of robots, AI and the creation of medical robots as assistants to physicians. The success of medical robot’s design and construction means that the realization of such ideas cannot be unexpected. Today, the use of robots in various fields of medicine, from the creation of small cavities without the need for deep incisions to complex surgeries has become possible. One of the goals of telemedicine is to improve patient care, improve access and medical care for rural areas and deprive better access to physicians for counseling. Telemedicine includes distance counseling E-learning, remote monitoring, remote surgery treatment of skin diseases telemedicine ultrasound imaging, pathology, and remote cognitive disorders treatment. The observation indicated that using progressed telemedicine and remote surgery has become possible in which skilled surgeon in one country with strong internet connections and precise technical infrastructure can perform the surgery quickly.

References:

• Lanfranco, A. R., Castellanos, A. E., Desai, J. P., & Meyers, W. C. (2004). Robotic surgery: a current perspective. Annals of surgery, 239(1), 14.


• Khandan, A., Abdellahi, M., Ozada, N., & Ghayour, H. (2016). Study of the bioactivity, wettability and hardness behaviour of the bovine hydroxyapatite-diopside bio-nanocomposite coating. Journal of the Taiwan Institute of Chemical Engineers, 60, 538-546.


• Karamian, E., Motamedi, M. R. K., Khandan, A., Soltani, P., & Maghsoudi, S. (2014). An in vitro evaluation of novel NHA/zircon plasma coating on 316L stainless steel dental implant. Progress in Natural Science: Materials International, 24(2), 150-156.


• Karamian, E., Abdellahi, M., Khandan, A., & Abdellah, S. (2016). Introducing the fluorine doped natural hydroxyapatite-titania nanobiocomposite ceramic. Journal of Alloys and Compounds, 679, 375-383.


• Najafinezhad, A., Abdellahi, M., Ghayour, H., Soheily, A., Chami, A., & Khandan, A. (2017). A comparative study on the synthesis mechanism, bioactivity and mechanical properties of three silicate bioceramics. Materials Science and Engineering: C, 72, 259-267.


• Ghayour, H., Abdellahi, M., Ozada, N., Jabbrzare, S., & Khandan, A. (2017). Hyperthermia application of zinc doped nickel ferrite nanoparticles. Journal of Physics and Chemistry of Solids, 111, 464-472.


• Kazemi, A., Abdellahi, M., Khajeh-Sharafabadi, A., Khandan, A., & Ozada, N. (2017). Study of in vitro bioactivity and mechanical properties of diopside nano-bioceramic synthesized by a facile method using eggshell as raw material. Materials Science and Engineering: C, 71, 604-610.


• Khandan, A., & Ozada, N. (2017). Bredigite-Magnetite (Ca7MgSi4O16-Fe3O4) nanoparticles: A study on their magnetic properties. Journal of Alloys and Compounds, 726, 729-736.


• Khandan, A., Jazayeri, H., Fahmy, M. D., & Razavi, M. (2017). Hydrogels: Types, structure, properties, and applications. Biomat Tiss Eng, 4(27), 143-69.


• Sharafabadi, A. K., Abdellahi, M., Kazemi, A., Khandan, A., & Ozada, N. (2017). A novel and economical route for synthesizing akermanite (Ca2MgSi2O7) nano-bioceramic. Materials Science and Engineering: C, 71, 1072-1078.


• Khandan, A., Abdellahi, M., Ozada, N., & Ghayour, H. (2016). Study of the bioactivity, wettability and hardness behaviour of the bovine hydroxyapatite-diopside bio-nanocomposite coating. Journal of the Taiwan Institute of Chemical Engineers, 60, 538-546.


• Shayan, A., Abdellahi, M., Shahmohammadian, F., Jabbarzare, S., Khandan, A., & Ghayour, H. (2017). Mechanochemically aided sintering process for the synthesis of barium ferrite: Effect of aluminum substitution on microstructure, magnetic properties and microwave absorption. Journal of Alloys and Compounds, 708, 538-546


• Heydary, H. A., Karamian, E., Poorazizi, E., Khandan, A., & Heydaripour, J. (2015). A novel nano-fiber of Iranian gum tragacanth-polyvinyl alcohol/nanoclay composite for wound healing applications. Procedia Materials Science, 11, 176-182.


• Khandan, A., Karamian, E., & Bonakdarchian, M. (2014). Mechanochemical synthesis evaluation of nanocrystalline bone-derived bioceramic powder using for bone tissue engineering. Dental Hypotheses, 5(4), 155.


• Karamian, E., Khandan, A., Kalantar Motamedi, M. R., & Mirmohammadi, H. (2014). Surface characteristics and bioactivity of a novel natural HA/zircon nanocomposite coated on dental implants. BioMed research international, 2014.


• Jabbarzare, S., Abdellahi, M., Ghayour, H., Arpanahi, A., & Khandan, A. (2017). A study on the synthesis and magnetic properties of the cerium ferrite ceramic. Journal of Alloys and Compounds, 694, 800-807.


• Razavi, M., & Khandan, A. (2017). Safety, regulatory issues, long-term biotoxicity, and the processing environment. In Nanobiomaterials Science, Development and Evaluation (pp. 261-279). Woodhead Publishing.


• Khandan, A., Ozada, N., & Karamian, E. (2015). Novel microstructure mechanical activated nano composites for tissue engineering applications. J Bioeng Biomed Sci, 5(1), 1.


• Ghayour, H., Abdellahi, M., Bahmanpour, M., & Khandan, A. (2016). Simulation of dielectric behavior in RFeO $$ _ {3} $$3 orthoferrite ceramics (R= rare earth metals). Journal of Computational Electronics, 15(4), 1275-1283.


• Saeedi, M., Abdellahi, M., Rahimi, A., & Khandan, A. (2016). Preparation and characterization of nanocrystalline barium ferrite ceramic. Functional Materials Letters, 9(05), 1650068.


• Khandan, A., Karamian, E., Faghih, M., & Bataille, A. (2014). Formation of AlN Nano Particles Precipitated in St-14 Low Carbon Steel by Micro and Nanoscopic Observations. Journal of Iron and Steel Research International, 21(9), 886-890.


• Karamian, E. B., Motamedi, M. R., Mirmohammadi, K., Soltani, P. A., & Khandan, A. M. (2014). Correlation between crystallographic parameters and biodegradation rate of natural hydroxyapatite in physiological solutions. Indian J Sci Res, 4(3), 092-9.


• Khandan, A., & Esmaeili, S. (2019). Fabrication of polycaprolactone and polylactic acid shapeless scaffolds via fused deposition modelling technology. Journal of Advanced Materials and Processing, 7(4), 16-29.


• Ozada, N., Yazdi, S. G., Khandan, A., & Karimzadeh, M. (2018). A brief review of reverse shoulder prosthesis: arthroplasty, complications, revisions, and development. Trauma Monthly, 23(3), e58163-e58163.


• Ghomi, F., Daliri, M., Godarzi, V., & Hemati, M. (2021). A novel investigation on characterization of bioactive glass cement and chitosan-gelatin membrane for jawbone tissue engineering. Journal of Nanoanalysis.


• Mirsasaani, S. S., Bahrami, M., & Hemati, M. (2016). Effect of Argon laser Power Density and Filler content on Physico-mechanical properties of Dental nanocomposites. Bull. Env. Pharmacol. Life Sci, 5, 28-36.


• Mirsasaani, S. S., Hemati, M., Dehkord, E. S., Yazdi, G. T., & Poshtiri, D. A. (2019). Nanotechnology and nanobiomaterials in dentistry. In Nanobiomaterials in clinical dentistry (pp. 19-37). Elsevier.


• Ravi, G. R., & Subramanyam, R. V. (2012). Calcium hydroxide-induced resorption of deciduous teeth: A possible explanation. Dental Hypotheses, 3(3), 90.


• Anttonen, V., Tanner, T., Kämppi, A., Päkkilä, J., Tjäderhane, L., & Patinen, P. (2012). A methodological pilot study on oral health of young, healthy males. Dental Hypotheses, 3(3), 106.


• Gupta, R., Thakur, N., Thakur, S., Gupta, B., & Gupta, M. (2013). Talon cusp: a case report with management guidelines for practicing dentists. Dental Hypotheses, 4(2), 67.


• Kjaer, I. (2013). External root resorption: Different etiologies explained from the composition of the human root-close periodontal membrane. Dental Hypotheses, 4(3), 75.


• Motamedi, M. R. K., Behzadi, A., Khodadad, N., Zadeh, A. K., & Nilchian, F. (2014). Oral health and quality of life in children: a cross-sectional study. Dental Hypotheses, 5(2), 53.


• Narayanan, N., & Thangavelu, L. (2015). Salvia officinalis in dentistry. Dental Hypotheses, 6(1), 27.


• Shavarani, S. M., Nejad, M. G., Rismanchian, F., & Izbirak, G. (2018). Application of hierarchical facility location problem for optimization of a drone delivery system: a case study of Amazon prime air in the city of San Francisco. The International Journal of Advanced Manufacturing Technology, 95(9), 3141-3153.


• Shirani, K., Sheikhbahaei, E., Torkpour, Z., Nejad, M. G., Moghadas, B. K., Ghasemi, M., ... & Khandan, A. (2020). A narrative review of COVID-19: the new pandemic disease. Iranian Journal of Medical Sciences, 45(4), 233.


• Ghadirinejad, N., Nejad, M. G., & Alsaadi, N. (2021). A fuzzy logic model and a neuro-fuzzy system development on supercritical CO2 regeneration of Ni/Al2O3 catalysts. Journal of CO2 Utilization, 54, 101706.


• Ghasemi, M., Nejad, M. G., & Aghaei, I. (2021). Knowledge management orientation and operational performance relationship in medical tourism (overview of the model performance in the COVID-19 pandemic and post-pandemic era). Health Services Management Research, 34(4), 208-222.


• Ghasemi, M., Nejad, M. G., & Bagzibagli, K. (2017). Knowledge management orientation: an innovative perspective to hospital management. Iranian journal of public health, 46(12), 1639.


• Mosallaeipour, S., Nejad, M. G., Shavarani, S. M., & Nazerian, R. (2018). Mobile robot scheduling for cycle time optimization in flow-shop cells, a case study. Production Engineering, 12(1), 83-94.


• Nejad, M. G., Güden, H., & Vizvári, B. (2019). Time minimization in flexible robotic cells considering intermediate input buffers: a comparative study of three well-known problems. International Journal of Computer Integrated Manufacturing, 32(8), 809-819.


• Ghasemi, M., Nejad, M. G., Alsaadi, N., Abdel-Jaber, M. T., Yajid, A., Shukri, M., & Habib, M. (2022). Performance measurment and lead-time reduction in epc project-based organizations: a mathematical modeling approach. Mathematical Problems in Engineering, 2022.


• Golabi, M., & Nejad, M. G. (2022). Intelligent and fuzzy UAV transportation applications in aviation 4.0. In Intelligent and Fuzzy Techniques in Aviation 4.0 (pp. 431-458). Springer, Cham.


• Nejad, M. G., & Kashan, A. H. (2019). An effective grouping evolution strategy algorithm enhanced with heuristic methods for assembly line balancing problem. Journal of Advanced Manufacturing Systems, 18(03), 487-509.


• Davani, P. P., Kloub, A. W. M., & Ghadiri Nejad, M. (2020). Optimizing the first type of U-shaped assembly line balancing problems. Annals of Optimization Theory and Practice, 3(4), 65-82.


• Saeedi, M. R., Morovvati, M. R., & Mollaei-Dariani, B. (2020). Experimental and numerical investigation of impact resistance of aluminum–copper cladded sheets using an energy-based damage model. Journal of the Brazilian Society of Mechanical Sciences and Engineering, 42(6), 1-24.


• Kardan-Halvaei, M., Morovvati, M. R., & Mollaei-Dariani, B. (2020). Crystal plasticity finite element simulation and experimental investigation of the micro-upsetting process of OFHC copper. Journal of Micromechanics and Microengineering, 30(7), 075005.


• Fazlollahi, M., Morovvati, M. R., & Mollaei Dariani, B. (2019). Theoretical, numerical and experimental investigation of hydro-mechanical deep drawing of steel/polymer/steel sandwich sheets. Proceedings of the Institution of Mechanical Engineers, Part B: Journal of Engineering Manufacture, 233(5), 1529-1546.


• Saeedi, M. R., Morovvati, M. R., & Alizadeh-Vaghasloo, Y. (2018). Experimental and numerical study of mode-I and mixed-mode fracture of ductile U-notched functionally graded materials. International Journal of Mechanical Sciences, 144, 324-340.


• Morovvati, M. R., & Mollaei-Dariani, B. (2018). The formability investigation of CNT-reinforced aluminum nano-composite sheets manufactured by accumulative roll bonding. The International Journal of Advanced Manufacturing Technology, 95(9), 3523-3533.


• Morovvati, M. R., & Dariani, B. M. (2017). The effect of annealing on the formability of aluminum 1200 after accumulative roll bonding. Journal of Manufacturing Processes, 30, 241-254.


• Morovvati, M. R., Lalehpour, A., & Esmaeilzare, A. (2016). Effect of nano/micro B4C and SiC particles on fracture properties of aluminum 7075 particulate composites under chevron-notch plane strain fracture toughness test. Materials Research Express, 3(12), 125026.


• Fatemi, A., Morovvati, M. R., & Biglari, F. R. (2013). The effect of tube material, microstructure, and heat treatment on process responses of tube hydroforming without axial force. The International Journal of Advanced Manufacturing Technology, 68(1), 263-276.


• Pourmoghadam, M. N., Esfahani, R. S., Morovvati, M. R., & Rizi, B. N. (2013). Bifurcation analysis of plastic wrinkling formation for anisotropic laminated sheets (AA2024–Polyamide–AA2024). Computational materials science, 77, 35-43.


• Morovvati, M. R., Fatemi, A., & Sadighi, M. (2011). Experimental and finite element investigation on wrinkling of circular single layer and two-layer sheet metals in deep drawing process. The International Journal of Advanced Manufacturing Technology, 54(1), 113-121.


• Morovvati, M. R., Mollaei-Dariani, B., & Haddadzadeh, M. (2010). Initial blank optimization in multilayer deep drawing process using GONNS. Journal of manufacturing science and engineering, 132(6).


• Fatemi, A., Biglari, F., & Morovvati, M. R. (2010). Influences of inner pressure and tube thickness on process responses of hydroforming copper tubes without axial force. Proceedings of the Institution of Mechanical Engineers, Part B: Journal of Engineering Manufacture, 224(12), 1866-1878.


• Anarestani, S. S., Morovvati, M. R., & Vaghasloo, Y. A. (2015). Influence of anisotropy and lubrication on wrinkling of circular plates using bifurcation theory. International Journal of Material Forming, 8(3), 439-454.


• Monfared, R. M., Ayatollahi, M. R., & Isfahani, R. B. (2018). Synergistic effects of hybrid MWCNT/nanosilica on the tensile and tribological properties of woven carbon fabric epoxy composites. Theoretical and Applied Fracture Mechanics, 96, 272-284.


• Kamarian, S., Bodaghi, M., Isfahani, R. B., & Song, J. I. (2021). Thermal buckling analysis of sandwich plates with soft core and CNT-Reinforced composite face sheets. Journal of Sandwich Structures & Materials, 23(8), 3606-3644.


• Kamarian, S., Bodaghi, M., Isfahani, R. B., & Song, J. I. (2022). A comparison between the effects of shape memory alloys and carbon nanotubes on the thermal buckling of laminated composite beams. Mechanics Based Design of Structures and Machines, 50(7), 2250-2273.


• Barbaz-I, R. (2014). Experimental determining of the elastic modulus and strength of composites reinforced with two nanoparticles (Doctoral dissertation, Doctoral dissertation, MSc Thesis, School of Mechanical Engineering Iran University of Science and Technology, Tehran, Iran).


• Lucchini, R., Carnelli, D., Gastaldi, D., Shahgholi, M., Contro, R., & Vena, P. (2012). A damage model to simulate nanoindentation tests of lamellar bone at multiple penetration depth. In 6th European Congress on Computational Methods in Applied Sciences and Engineering, ECCOMAS 2012 (pp. 5919-5924).


• Mahjoory, M., Shahgholi, M., & Karimipour, A. (2022). The effects of initial temperature and pressure on the mechanical properties of reinforced calcium phosphate cement with magnesium nanoparticles: A molecular dynamics approach. International Communications in Heat and Mass Transfer, 135, 106067.


• Talebi, M., Abbasi‐Rad, S., Malekzadeh, M., Shahgholi, M., Ardakani, A. A., Foudeh, K., & Rad, H. S. (2021). Cortical bone mechanical assessment via free water relaxometry at 3 T. Journal of Magnetic Resonance Imaging, 54(6), 1744-1751.


• Shahgholi, M., Oliviero, S., Baino, F., Vitale-Brovarone, C., Gastaldi, D., & Vena, P. (2016). Mechanical characterization of glass-ceramic scaffolds at multiple characteristic lengths through nanoindentation. Journal of the European Ceramic Society, 36(9), 2403-2409.


• Fada, R., Farhadi Babadi, N., Azimi, R., Karimian, M., & Shahgholi, M. (2021). Mechanical properties improvement and bone regeneration of calcium phosphate bone cement, Polymethyl methacrylate and glass ionomer. Journal of Nanoanalysis, 8(1), 60-79.


• Malekzadeh, R., Abedi, G., Abedini, E., Haghgoshayie, E., Hasanpoor, E., & Ghasemi, M. (2021). Ethical predictability of patient safety in Iranian hospitals. International Journal of Risk & Safety in Medicine, 32(1), 51-60.


• Ghasemi, M., Nejad, M. G., Alsaadi, N., Abdel-Jaber, M. T., Yajid, A., Shukri, M., & Habib, M. (2022). Performance measurment and lead-time reduction in epc project-based organizations: a mathematical modeling approach. Mathematical Problems in Engineering, 2022.


• Malekzadeh, R., Yaghoubian, S., Hasanpoor, E., & Ghasemi, M. (2021). Health system responsiveness in Iran: a cross-sectional study in hospitals of Mazandaran province. International Journal of Human Rights in Healthcare.


• Ghasemi, M., & Hasanpoor, E. (2021). COVID-19 attack on the world's tourism industry. Evidence Based Health Policy, Management and Economics.


• Malekzadeh, R., Abedi, G., Abedini, E., Haghgoshayie, E., Hasanpoor, E., & Ghasemi, M. (2020). Use of ethical predictability in respect for human rights in Iranian hospitals with a 360-degree approach. International Journal of Human Rights in Healthcare.


• Malekzadeh, R., Abedi, G., Hasanpoor, E., Ghasemi, M., & Mahmoodi, G. (2021). A Hospital Performance Assessment Model Using the IPOCC Approach. Ethiopian journal of health sciences, 31(3).


• ARUEYİNGHO, O., Ghasemi, M., & BODAMYALI, T. Medical Tourism in the Turkish Republic of Northern Cyprus: Strategies for Improvement. Journal of Multidisciplinary Academic Tourism, 1-18.


• SHIRKHANI, S., & GHASEMI, M. Medical Tourism Destination: Considering Distance, Cost and Quality with AHP Method. Asst. Prof. Dr. Mehmet Necati CIZRELIOGULLARI, Ph. D., 201.


• Bahadori, M., Ghasemi, M., Hasanpoor, E., Hosseini, S. M., & Alimohammadzadeh, K. (2021). The influence of ethical leadership on the organizational commitment in fire organizations. International Journal of Ethics and Systems.


• Athari, S. A., Alola, U. V., Ghasemi, M., & Alola, A. A. (2021). The (Un) sticky role of exchange and inflation rate in tourism development: insight from the low and high political risk destinations. Current Issues in Tourism, 24(12), 1670-1685.


• Heydari, E., Mokhtarian, A., Pirmoradian, M., Hashemian, M., & Seifzadeh, A. (2020). Sound transmission loss of a porous heterogeneous cylindrical nanoshell employing nonlocal strain gradient and first-order shear deformation assumptions. Mechanics Based Design of Structures and Machines, 1-22.


• Torkan, E., & Pirmoradian, M. (2019). Efficient higher-order shear deformation theories for instability analysis of plates carrying a mass moving on an elliptical path. Journal of Solid Mechanics, 11(4), 790-808.


• Torkan, E., Pirmoradian, M., & Hashemian, M. (2019). Dynamic instability analysis of moderately thick rectangular plates influenced by an orbiting mass based on the first-order shear deformation theory. Modares Mechanical Engineering, 19(9), 2203-2213.


• Torkan, E., Pirmoradian, M., & Hashemian, M. (2017). Occurrence of parametric resonance in vibrations of rectangular plates resting on elastic foundation under passage of continuous series of moving masses. Modares Mechanical Engineering, 17(9), 225-236.


• Pirmoradian, M., Torkan, E., Zali, H., Hashemian, M., & Toghraie, D. (2020). Statistical and parametric instability analysis for delivery of nanoparticles through embedded DWCNT. Physica A: Statistical Mechanics and Its Applications, 554, 123911.


• Pirmoradian, M., Torkan, E., & Toghraie, D. (2020). Study on size-dependent vibration and stability of DWCNTs subjected to moving nanoparticles and embedded on two-parameter foundations. Mechanics of Materials, 142, 103279.


• Pirmoradian, M., & Karimpour, H. (2017). Parametric resonance and jump analysis of a beam subjected to periodic mass transition. Nonlinear Dynamics, 89(3), 2141-2154.


• Shahmirzadi, E. K. (2017). Pro-Tourism and Anti-Tourism Community Groups at a World Heritage Site in Turkey, Pamukkale.


• Shahmirzadi, E. K. (2012). Community Based Tourism (CBT) Planning and Possibilities: The Case of Shahmirzad, Iran (Doctoral dissertation, Eastern Mediterranean University (EMU)).