Complete Coverage Research Articles

High-Speed Fluorescence Imaging Corroborates Biological Data on the Influence of Different Nozzle Types on Cell Spray Viability and Formation

Treating severe dermal disruptions often presents significant challenges. Recent advancements have explored biological cell sprays as a promising treatment, but their success hinges on efficient cell delivery and complete wound coverage. This requires a good spray distribution with a small droplet size, high particle number, and ample surface coverage. The type of nozzle used with the spray device can impact these parameters. To evaluate the influence of different nozzles on spray characteristics, we compared air-assisted and unassisted nozzles. The unassisted nozzle displayed small particle size, high particle number, good overall coverage, high cell viability, preserved cell metabolic activity, and low cytotoxicity. Air-assisted nozzles did not perform well regarding cell viability and metabolic activity. Flow visualization analysis comparing two different unassisted nozzles using high-speed imaging (100 kHz frame rate) revealed a tulip-shaped spray pattern, indicating optimal spray distribution. High-speed imaging showed differences between the unassisted nozzles. One unassisted nozzle displayed a bi-modal distribution of the droplet diameter while the other unassisted nozzle displayed a mono-modal distribution. These findings demonstrate the critical role of nozzle selection in successful cell delivery. A high-quality, certified nozzle manufactured for human application omits the need for an air-assisted nozzle and provides a simple system to use with similar or better performance characteristics than those of an air-assisted system.

Coverage-dependent adsorption of n-hexane and isopropanol on silica: A density-functional study

This study delves into the adsorption behavior of both polar and non-polar molecules on silica surfaces, spanning a range from low coverage to full adsorption scenarios. Our results reveal that isopropanol exhibits a self-competitive adsorption mechanism on the surface. However, due to its thermodynamic stability, we anticipate fully covered pores under experimental conditions. In contrast, n-hexane demonstrates a substantial interaction with the hydrophilic substrate, displaying an enhanced adsorption effect whereby the adsorption gets stronger with an increasing number of molecules adhering to the pore’s surface. As a consequence, we predict a complete coverage of the pores under experimental conditions, accompanied by a discernible reduction in the mobility of these attached molecules. This observation carries significance, as alkanes are typically employed as probing molecules for measuring the geometric tortuosity of silica pores, assuming a reflective surface. Caution is advised, particularly for pores with thin diameters, in the order of a few molecular sizes.

Diagnostic accuracy of autofluorescence-Raman microspectroscopy for surgical margin assessment during Mohs micrographic surgery of basal cell carcinoma.

Autofluorescence (AF)-Raman microspectroscopy is a technology that can detect residual basal cell carcinoma (BCC) on the resection margin of fresh, surgically excised tissue specimens. The technology does not require tissue fixation, staining, labelling or sectioning, and provides quantitative diagnosis maps of the surgical margins in 30 min. To determine the accuracy of the AF-Raman instrument in detecting incomplete BCC excisions during Mohs micrographic surgery (MMS), using histology as the reference standard. Skin layers from 130 patients undergoing MMS at the Nottingham University Hospitals NHS Trust (September 2022-July 2023) were investigated with the AF-Raman instrument. The layers were measured when fresh, immediately after excision. The AF-Raman results and the intraoperative assessment by Mohs surgeons were compared with a postoperative consensus-derived reference produced by three dermatopathologists. The sensitivity, specificity, and positive and negative predictive values were calculated. The study was registered with ClinicalTrials.gov (NCT03482622). AF-Raman analysis was successfully completed for 125 of 130 layers and, on average, covered 91% of the specimen surface area, with the lowest surface area covered being 87% for the eyelid and the highest being 94% for forehead specimens. The AF-Raman instrument identified positive margins in 24 of 36 BCC-positive cases [67% sensitivity, 95% confidence interval (CI) 49-82] and negative margins in 65 of 89 BCC-negative cases (73% specificity, 95% CI 63-82). Only one of 12 false-negative cases was caused by misclassification by the AF-Raman algorithm. The other 11 false-negatives cases were a result of no valid Raman signal being recorded at the location of the residual BCC due to either occlusion by blood or poor contact between tissue and the cassette window. The intraoperative diagnosis by Mohs surgeons identified positive margins in 31 of 36 BCC-positive cases (86% sensitivity, 95% CI 70-95) and negative margins in 79 of 89 BCC-negative cases (89% specificity, 95% CI 81-95). The AF-Raman instrument has the potential to provide intraoperative microscopic assessment of surgical margins in BCC surgery. Further improvements are required for tissue processing, to ensure complete coverage of the surgical specimens.

Long-Term Results After Laparoscopic Lavage for Perforated Diverticulitis Purulent Peritonitis in Sweden: A Population-Based Observational Study.

To compare long-term outcomes after laparoscopic lavage with resection surgery for perforated diverticulitis, Hinchey grade III as practiced in Sweden for 3 years. Laparoscopic lavage has been studied in 3 randomized controlled trials. Long-term results indicate that additional surgery and a remaining stoma are less common after lavage compared with resection, but data from routine care and larger cohorts are needed to get a more complete picture. LapLav is a national cohort study with nearly complete coverage of all patients operated in Sweden between 2016 and 2018. The cohort was retrieved from the national patient register by a definition based on the Classification of Diseases and Related Health Problems-10 code plus the surgical procedural code. All medical records have been reviewed and data retrieved in addition to registry data. Propensity score with inverse probability weighting was used to balance the 2 groups, that is, laparoscopic lavage vs resection surgery. Before the propensity score was applied, the cohort consisted of 499 patients. Additional surgery was more common in the resection group [odds ratio, 0.714; 95% confidence interval (CI) = 0.529-0.962; P = 0.0271]. Mortality did not differ between the groups (hazard ratio, 1.20; 95% CI = 0.69-2.07; P = 0.516). In the lavage group, 27% of patients went on to have resection surgery. In Swedish routine care, laparoscopic lavage was feasible and safe for the surgical treatment of perforated diverticulitis, Hinchey grade III. Our results indicate that laparoscopic lavage can be used as a first-choice treatment.

Spiral complete coverage path planning based on conformal slit mapping in multi-connected domains

The generation of smoother and shorter spiral complete coverage paths in multi-connected domains is a crucial research topic in path planning for robotic cavity machining and other related fields. Traditional methods for spiral path planning in multi-connected domains typically incorporate a subregion division procedure that leads to excessive subregion bridging, requiring longer, more sharply turning, and unevenly spaced spirals to achieve complete coverage. To address this issue, this paper proposes a novel spiral complete coverage path planning method using conformal slit mapping. It takes advantage of the fact that conformal slit mapping can transform multi-connected domains into regular disks or annuluses without the need for subregion division. Firstly, a slit mapping calculation technique is proposed for segmented cubic spline boundaries with corners. Secondly, a spiral path spacing control method is developed based on the maximum inscribed circle radius between adjacent conformal slit mapping iso-parameters. Thirdly, the spiral coverage path is derived by offsetting iso-parameters. Numerical experiments indicate that our method shares a comparable order-of-magnitude in computation time with the traditional PDE-based spiral complete coverage path method, but it excels in optimizing total path length, smoothness, and spacing consistency. Finally, we performed experiments on cavity milling and dry runs to compare the new method with the traditional PDE-based method in terms of machining duration and steering impact, respectively. The comparison reveals that, with both algorithms achieving complete coverage, the new algorithm reduces machining time and steering impact by 12.34% and 22.78%, respectively, compared with the traditional PDE-based method.

Multi-Drone Cooperation for Improved LiDAR-Based Mapping.

This paper focuses on mission planning and cooperative navigation algorithms for multi-drone systems aimed at LiDAR-based mapping. It aims at demonstrating how multi-UAV cooperation can be used to fulfill LiDAR data georeferencing accuracy requirements, as well as to improve data collection capabilities, e.g., increasing coverage per unit time and point cloud density. These goals are achieved by exploiting the CDGNSS/Vision paradigm and properly defining the formation geometry and the UAV trajectories. The paper provides analytical tools to estimate point density considering different types of scanning LIDAR and to define attitude/pointing requirements. These tools are then used to support centralized cooperation-aware mission planning aimed at complete coverage for different target geometries. The validity of the proposed framework is demonstrated through numerical simulations considering a formation of three vehicles tasked with a powerline inspection mission. The results show that cooperative navigation allows for the reduction of angular and positioning estimation uncertainties, which results in a georeferencing error reduction of an order of magnitude and equal to 16.7 cm in the considered case.

Selective aromatization of 1-hexene to BTX over core-shell structured Silicalite-1@ZSM-5 catalyst

The strong acidity on the external surface of ZSM-5 is a primary factor resulting in the low BTX selectivity and catalyst deactivation during the olefin aromatization. In this study, a membrane-restricted Silicalite-1@ZSM-5 core–shell structured catalytic catalyst was designed and constructed for 1-hexene aromatization using a hydrothermal coating method. TEM and NMR results confirmed the complete coverage of Silicalite-1 on the surface of ZSM-5, with a shell thickness of 50 nm. The further reaction of the TIPB (1,3,5-triisopropylbenzene) molecular probe reactions demonstrated the passivation of the acid sites on ZSM-5 external surface. The inert shell layer passivated the acid sites on the external surface, thereby suppressing the isomerization of PX and the side-chain alkylation reaction of light aromatics. Compared to ZSM-5, the Silicalite-1@ZSM-5 catalyst exhibited a 37.15 % increase in BTX selectivity, a 58.65 % increase in PX selectivity, significantly reduced coke deposition, and demonstrated better stability. This strategy of in-situ epitaxial growth of inert shell layers holds significant promise for enhancing the selectivity of shape-selective catalysts and extending catalyst lifetime.

Analysis of the Effectiveness of Midwifery Care in Health Observations of 24-Month-Old Toddlers: Study in Kute Rayang Village, Central Aceh, Indonesia

Toddler health is an important indicator of public health and nation development. Midwifery care plays an important role in maintaining the health of toddlers, including observing the health of toddlers aged 24 months. This study aims to analyze the effectiveness of midwifery care in observing the health of 24-month-old toddlers in Kute Rayang Village, Central Aceh, Indonesia. This study used a cross-sectional observational design with a sample of 100 toddlers aged 24 months who were selected at simple random. Data was collected through interviews, observation, and physical examination. Data analysis was carried out using Chi-square and T-test. The results showed that midwifery care in observing the health of 24-month-old toddlers in Kute Rayang Village, Central Aceh, Indonesia was quite effective. As many as 80% of toddlers have undergone complete health observation by midwives. Observation of toddler health has increased complete immunization coverage (p<0.05), nutritional status of toddlers (p<0.05), and maternal knowledge about toddler health (p<0.05). Midwifery care in health observations for 24-month-old toddlers in Kute Rayang Village, Central Aceh, Indonesia is quite effective, but can still be improved. Increasing the effectiveness of midwifery care can be done through various efforts, including increasing the knowledge and skills of midwives, increasing community access to health services, and increasing community participation in maintaining the health of toddlers.

Fracture resistance of chairside CAD-CAM lithium disilicate occlusal veneer with various designs after mechanical aging.

This study evaluated the fracture resistance of chairside computer-aided design and computer-aided manufacturing (CAD-CAM) lithium disilicate crown, onlay, and non-anatomical occlusal veneer (A-OV) with and without margin fabricated. Sixty-four CAD-CAM lithium disilicate restorations were designed as (1) complete coverage crown (CCC); (2) A-OV with margin; (3) non-A-OV with margin (NA-OV-M); and (4) non-A-OV without margin (NA-OV-NM), 16 of each. Restorations were crystallized and adhesively luted to resin dies using resin cement. Specimens were then subjected to 400,000 cycles of chewing in a mastication simulator. A universal testing machine was used to apply a compressive load at a crosshead speed of 1mm/min to the long axis of the tooth with a stainless-steel sphere until fracture occurred. One-way ANOVA followed by post hoc tests were used to assess the impact of preparation design on the fracture load of CAD-CAM lithium disilicate restorations. The highest fracture load was recorded for CAD-CAM lithium disilicate indirect restorations for non-A-OVs preparation with margin (2549±428 N) and onlay (2549±293 N) and the lowest fracture load was recorded for CCCs (2389±428 N); however, there was no significant (p = 0.640) between groups. CAD-CAM lithium disilicate restorations fabricated for anatomical and non-A-OV preparation display a fracture resistance similar to CCCs. Conservative partial coverage restorations may be considered an acceptable approach for posterior teeth.

Treatment of multiple adjacent gingival recessions using leucocyte- and platelet-rich fibrin with coronally advanced flap: a 12-month split-mouth controlled randomized clinical trial.

This split-mouth randomized study aimed to assess efficacy of leucocyte-platelet-rich fibrin (L-PRF) versus connective tissue graft (CTG) in achieving root coverage (RC) for multiple adjacent gingival recessions (MAGRs) throughout 12-month period. The study enrolled 59 teeth from 12 patients with Miller Class I MAGRs ≥ 2mm on bilateral or contralateral sides. Patients were randomly assigned to receive coronally advanced flap (CAF) with either CTG (control) or L-PRF (test) treatment. Various parameters, including plaque and gingival index, clinical attachment level, recession depth, probing depth, recession width (RW), papilla width (PW), keratinized tissue width (KTW), gingival thickness (GT), percentage of RC, complete root coverage (CRC), and location of the relative gingival margin concerning the cemento-enamel junctions (GMCEJ) after CAF, were recorded at baseline, 3-, 6-, and 12-months post-surgery. On June 29, 2021 the study was registred to ClinicalTrials.gov (NCT04942821). Except KTW and GT gain, all clinical parameters, RC, and CRC were similar between the groups at all follow-up periods (p > 0.05). The higher GT and KTW gains were detected in the control group compared to test group at 12 months (p < 0.05). Both RC and CRC were positively associated with initial PW and GMCEJ, but negatively with initial RW (p < 0.05). The current study concludes that L-PRF were equally effective as CTG in treating MAGRs in terms of RC and CRC. Additionally, RC and CRC outcomes appeared to be influenced by GMCEJ, PW, and RW. L-PRF could represent a feasible substitute for CTG in treating MAGRs.

Lower Third Leg Trauma Management Algorithm; Kasr Alainy Protocol.

Soft tissue defects in the lower third of the leg present significant challenges for surgeons. Despite various options available for soft tissue coverage, selecting the most suitable option is limited by potential complications. In response to this challenge, some surgeons have sought to develop algorithms to guide decision-making in the management of lower leg trauma. This prospective observational cross-sectional study included 53 patients with traumatic injuries to the lower third leg and ankle regions. Each patient underwent a management plan based on our proposed algorithm, which incorporated the utilization of negative pressure wound therapy and dermal substitutes. Outcomes were assessed in terms of the ability to achieve complete coverage, complication rates, duration of hospital stay, and return to normal daily activity. The proposed algorithm proved to be comprehensive and easily applicable, achieving complete coverage in 98.1% of cases. The mean duration for definitive coverage was 21.89 ± 12.84 days, and the majority of cases (81.1%) returned to normal daily activity within a mean duration of 60.69 ± 56.7 days. The use of dermal substitutes resulted in achieving coverage in wounds with exposed structures, with favorable outcomes in cases with a mean size of 11.39 ± 10.05 cm². Our algorithm provides a safe and effective approach to manage traumatic defects of the lower third leg and ankle, considering the patient's general condition and the complexity of the wound. Proper utilization of dermal substitutes and negative pressure wound therapy is emphasized in the algorithm.

Vision detection and path planning of mobile robots for rebar binding

AbstractFocused on the problems of cumbersome operation, low efficiency, and high cost in the traditional manual rebar binding process, we propose a mobile robot vision detection and path‐planning method for rebar binding to realize automated rebar binding by combining deep learning and path‐planning technology. A MobileNetV3‐SSD rebar binding crosspoints recognition model is built based on TensorFlow deep learning framework, and a crosspoints localization method combining control factor α and feature projection curve is introduced to achieve the localization of unbound crosspoints. In addition, A back‐and‐forth path‐planning algorithm with priority constraints combined with dead zone escape algorithm based on improved A* is proposed to achieve complete coverage path planning of the working area and path transfer of the dead zone. In the field test of the robot prototype, the classification accuracy and localization accuracy reached 94.40% and 90.49%, and the robot was able to reach complete coverage path planning successfully. The experimental results show that the visual detection method can achieve fast, noncontact and intelligent recognition of rebar binding crosspoints, which has good robustness and application value. At the same time, the proposed path‐planning method has higher efficiency in the execution of robot complete coverage path planning, and meets the basic requirements of path planning for rebar binding process.

Complete stent coverage of the coronary bifurcation is an outdated concept: reply.

Complete stent coverage of the coronary bifurcation is an outdated concept: reply.

Micro-needling versus acellular dermal matrix in RT1 gingival recession coverage: A randomized clinical trial.

This randomized trial assessed for the first time the efficacy of coronally advanced flap (CAF) followed by micro-needling (MN) in contrast to CAF with acellular dermal matrix (ADM) on gingival thickness (GT, primary outcome), keratinized tissue width (KTW), clinical attachment level (CAL), probing depth (PD), recession depth (RD), recession width (RW), recession reduction (Rec-Red), complete root coverage (CRC) and percentage of root coverage (all secondary outcomes) in management of RT1 gingival recession in patients with thin gingival phenotype. A total of 24 patients (n = 24) with a thin gingival phenotype and single RT1 gingival recession in the aesthetic zone were randomly allocated to test- (CAF + MN; n = 12) or control group (CAF + ADM; n = 12). All clinical parameters were evaluated at baseline, 3 and 6 months. Both groups independently demonstrated significant gain in GT, RW, RD, CAL, PD, Rec-Red, CRC and percentage of root coverage, with reduced PI and BOP (p < .05) at 3 and 6 months, without intergroup differences (p > .05). At 6 months, KTW gain was significantly higher in CAF + MN (5.08 ± 0.9 mm) than in CAF + ADM-group (4.25 ± 1.06 mm; p < .05). Stepwise linear regression model with GT as dependent variable showed that base-line GT was the only statistically significant predictor for GT with a direct correlation between base-line GT and GT after 6 months. CAF followed by MN could represent a promising graft-less approach for increasing gingival thickness, comparable to CAF with ADM, with superior keratinized tissue width improvement, in the treatment of RT1 recession defects in patients with thin gingival phenotype.

Achieving Complete Human Gingival Fibroblast Collagen Coverage on Implant Abutments through Vacuum Ultraviolet (VUV) Photofunctionalization.

The formation of a biological seal between implant abutments and the surrounding soft tissue is a preventive strategy against peri-implantitis. The aim of this study is to test the hypothesis that surfaces of prosthetic implant abutments treated with vacuum ultraviolet (VUV) light enhance the growth and function of human gingival fibroblasts. Implant abutments were treated with 172 nm VUV light for one minute. Untreated abutments were subjected as controls. Their surface properties were characterized using SEM, contact angle measurements, and chemical composition analysis. Human gingival fibroblasts were cultured on both untreated and VUV-treated abutments to evaluate cell attachment, proliferation, distribution, and collagen production. Cell detachment assays were also performed under various mechanical and chemical stimuli. After VUV treatment, implant abutments demonstrated a notable transition from hydrophobic to hydrophilic wettability. Surface element analysis revealed a considerable reduction in surface carbon and increases in oxygen and titanium elements on the VUV-treated surfaces. On day 1 of culture, 3.9 times more fibroblasts attached on VUV-treated abutments than on untreated control abutments. Fibroblastic proliferation increased 1.9-3.1 times on VUV-treated abutments, along with a significant improvement in the distribution of populating cells. Collagen production on VUV-treated abutments increased by 1.5-1.7 times. While untreated abutment surfaces showed voids and limited spread of collagen deposition, dense and full coverage of collagen was observed on VUV-treated abutments, with a great contrast in the challenging axial surface zone. Cell retention against mechanical and chemical detaching stimuli was increased 11.3 and 4.3 times, respectively, by VUV treatment. Treatment of implant abutments with VUV light for one minute resulted in a reduction of surface carbon and a transformation of the surface from hydrophobic to hydrophilic. This led to enhanced attachment, proliferation, and retention of human gingival fibroblasts, along with nearly complete collagen coverage on implant abutments. These in vitro results indicate the promising potential of utilizing VUV photofunctionalized implant abutments to enhance soft tissue reaction and sealing mechanisms.

Construction of the ETECFinder database for the characterization of enterotoxigenic Escherichia coli (ETEC) and revision of the VirulenceFinder web tool at the CGE website.

Detecting colonization factors in enterotoxigenic Escherichia coli (ETEC) is challenging due to their large number, heterogeneity, and lack of standardized tests. Therefore, it is important to include these ETEC-related genes in a more comprehensive VirulenceFinder database in order to obtain a more complete coverage of the virulence gene repertoire of pathogenic types of E. coli. ETEC vaccines are of great importance due to the severity of the infections, primarily in children. A tool such as this could assist in the surveillance of ETEC in order to determine the prevalence of relevant types in different parts of the world, allowing vaccine developers to target the most prevalent types and, thus, a more effective vaccine.

An Engineered Minimal-Set Stimulus for Periodic Information Leakage Fault Detection on a RISC-V Microprocessor

Recent evaluations of counter-based periodic testing strategies for fault detection in Microprocessor (μP) have shown that only a small set of counters is needed to provide complete coverage of severe faults. Severe faults are defined as faults that leak sensitive information, e.g., an encryption key on the output of a serial port. Alternatively, fault detection can be accomplished by executing instructions that periodically test the control and functional units of the μP. In this paper, we propose a fault detection method that utilizes an ’engineered’ executable program combined with a small set of strategically placed counters in pursuit of a hardware Periodic Built-In-Self-Test (PBIST). We analyze two distinct methods for generating such a binary; the first uses an Automatic Test Generation Pattern (ATPG)-based methodology, and the second uses a process whereby existing counter-based node-monitoring infrastructure is utilized. We show that complete fault coverage of all leakage faults is possible using relatively small binaries with low latency to fault detection and by utilizing only a few strategically placed counters in the μP.

Unveiling Acoustic Cavitation Characterization in Opaque Chambers through a Low-Cost Piezoelectric Sensor Approach

This study investigates the characterization of acoustic cavitation in a water-filled, opaque chamber induced by ultrasonic waves at 20 kHz. It examines the effect of different acoustic radiator geometries on cavitation generation across varying electrical power levels. A cost-effective piezoelectric sensor, precisely positioned, quantifies cavitation under assorted power settings. Two acoustic radiator shape configurations, one with holes and another solid, were examined. The piezoelectric sensor demonstrated efficacy, corroborating with existing literature, in measuring acoustic cavitation. This was achieved through the Fast Fourier Transform (FFT) analysis of voltage data, specifically targeting sub-harmonic patterns, thereby providing a robust method for cavitation detection. Results demonstrate that perforated geometries enhance cavitation intensity at lower power levels, while solid shapes predominantly affect cavitation axially, exhibiting decreased activity at minimal power. The findings recommend using two different shape geometries on the acoustic radiator for efficient cavitation detection, highlighting intense cavitation on radial walls and cavitation generation on the bottom. Due to the stochastic nature of cavitation, averaging data is critical. The spatial limitation of the sensor necessitates prioritizing specific areas over complete coverage, with multiple sensors recommended for comprehensive cavitation pattern analysis.

Completion of three-dose hepatitis B vaccination cycle and associated factors among health care workers in the Greater Accra Region of Ghana.

Despite the availability of a safe and effective vaccine coupled with the awareness of the potential risk of Healthcare Workers acquiring Hepatitis B Virus infection, some HCWs never get vaccinated. Generally, hepatitis B vaccination coverage globally is below the expected level as adherence has remained poor in various healthcare settings, especially in developing countries. The objective of this study was to assess the completion of a three-dose Hepatitis B virus vaccination cycle and associated factors among healthcare workers in the Greater Accra Region of Ghana. An analytical cross-sectional study was conducted and included 363 healthcare workers selected using probability sampling procedures. The participants were recruited from five facilities within the Greater Accra Region in the first half of 2018. A pretested questionnaire was used to collect data which was analyzed using SPSS version 21. The proportion of healthcare workers receiving the recommended 3 doses of the hepatitis vaccine was computed. The multivariable analysis procedure identified the factors associated with adherence to the receipt of three doses of the hepatitis B vaccine. Odds ratios were estimated with corresponding confidence intervals with the level of significance set at 0.05. A total of 340 sample units were included in the analysis. Most of the participants (252/340, 74.1%) were females, mainly nurses/midwives (162/340, 47.6%) with a mean age of 34.5 (SD ±7.7). A high proportion of the participants (82.7%) have tertiary/post-tertiary level education and ever participated in at least one training workshop on the prevention of blood-borne infections (80.6%). Overall vaccination uptake was 60.9% (207/340) (95% CI = 55.7%-66.1%). Complete vaccination coverage (three doses) was 46.8% (159/340). High-risk perception (AOR = 4.0; 95% CI = 1.3-12.5), and previous training in infection prevention (AOR = 2.8; 95% CI = 1.1-7.5) were significantly associated with adherence to receipt of three doses of hepatitis B vaccine. Adherence to three-dose hepatitis B vaccination cycles is not universal among the healthcare workers in the Greater Accra Region. Receipt of the three-dose regimen is significantly associated with high-risk perception and attendance of training in infectious disease prevention. Interventions to increase risk perception and training in the prevention of blood-borne infections could improve adherence to complete/full vaccination protocol among healthcare workers who are at constant risk of exposure to the hepatitis B virus.

High-Resolution Canopy Height Mapping: Integrating NASA’s Global Ecosystem Dynamics Investigation (GEDI) with Multi-Source Remote Sensing Data

Accurate structural information about forests, including canopy heights and diameters, is crucial for quantifying tree volume, biomass, and carbon stocks, enabling effective forest ecosystem management, particularly in response to changing environmental conditions. Since late 2018, NASA’s Global Ecosystem Dynamics Investigation (GEDI) mission has monitored global canopy structure using a satellite Light Detection and Ranging (LiDAR) instrument. While GEDI has collected billions of LiDAR shots across a near-global range (between 51.6°N and &gt;51.6°S), their spatial distribution remains dispersed, posing challenges for achieving complete forest coverage. This study proposes and evaluates an approach that generates high-resolution canopy height maps by integrating GEDI data with Sentinel-1, Sentinel-2, and topographical ancillary data through three machine learning (ML) algorithms: random forests (RF), gradient tree boost (GB), and classification and regression trees (CART). To achieve this, the secondary aims included the following: (1) to assess the performance of three ML algorithms, RF, GB, and CART, in predicting canopy heights, (2) to evaluate the performance of our canopy height maps using reference canopy height from canopy height models (CHMs), and (3) to compare our canopy height maps with other two existing canopy height maps. RF and GB were the top-performing algorithms, achieving the best 13.32% and 16% root mean squared error for broadleaf and coniferous forests, respectively. Validation of the proposed approach revealed that the 100th and 98th percentile, followed by the average of the 75th, 90th, 95th, and 100th percentiles (AVG), were the most accurate GEDI metrics for predicting real canopy heights. Comparisons between predicted and reference CHMs demonstrated accurate predictions for coniferous stands (R-squared = 0.45, RMSE = 29.16%).