Counterclockwise Rotation Research Articles

Quantitative evaluation of vertical control in orthodontic camouflage treatment for skeletal class II with hyperdivergent facial type

BackgroundIn this study, we sought to quantify the influence of vertical control assisted by a temporary anchorage device (TAD) on orthodontic treatment efficacy for skeletal class II patients with a hyperdivergent facial type and probe into the critical factors of profile improvement.MethodsA total of 36 adult patients with skeletal class II and a hyperdivergent facial type were included in this retrospective case–control study. To exclude the effect of sagittal anchorage reinforcement, the patients were divided into two groups: a maxillary maximum anchorage (MMA) group (N = 17), in which TADs were only used to help with anterior tooth retraction, and the MMA with vertical control (MMA + VC) group (N = 19), for which TADs were also used to intrude the maxillary molars and incisors. The treatment outcome was evaluated using dental, skeletal, and soft-tissue-related parameters via a cephalometric analysis and cast superimposition.ResultsA significant decrease in ANB (P < 0.05 for both groups), the retraction and uprighting of the maxillary and mandibular incisors, and the retraction of protruded upper and lower lips were observed in both groups. Moreover, a significant intrusion of the maxillary molars was observed via the cephalometric analysis (− 1.56 ± 1.52 mm, P < 0.05) and cast superimposition (− 2.25 ± 1.03 mm, P < 0.05) of the MMA + VC group but not the MMA group, which resulted in a remarkable decrease in the mandibular plane angle (− 1.82 ± 1.38°, P < 0.05). The Z angle (15.25 ± 5.30°, P < 0.05) and Chin thickness (− 0.97 ± 0.45°, P < 0.05) also improved dramatically in the MMA + VC group, indicating a better profile and a relaxed mentalis. Multivariate regression showed that the improvement in the soft tissue was closely related to the counterclockwise rotation of the mandible plane (P < 0.05).ConclusionsTAD-assisted vertical control can achieve intrusion of approximately 2 mm for the upper first molars and induce mandibular counterclockwise rotation of approximately 1.8°. Moreover, it is especially important for patients without sufficient retraction of the upper incisors or a satisfactory chin shape.

Shortening and asthenospheric flow drove Miocene vertical-axis rotations in the northern Tibetan Plateau: A palaeomagnetic study of the northeast Qaidam Basin of China

The timing and magnitude of upper crustal deformation in the northern Tibetan Plateau are important for testing models of plateau uplift and for understanding Cenozoic environmental variations and monsoon evolution in central and eastern Asia. Most published studies focus on the upward and outward growth of the northern Tibetan Plateau, whereas its tectonic, vertical-axis rotation history has received less attention. Here we evaluate paleomagnetic data from six stratigraphic sections in the northeastern Qaidam Basin of China, revealing a phase of clockwise rotation from ca. 20–11 Ma followed by counterclockwise rotation from ca. 11–5 Ma. We propose that differential crustal shortening and right-lateral shear drove early to middle Miocene clockwise rotation, whereas eastward flow of the Tibetan asthenosphere induced the post-middle Miocene counterclockwise rotation. These processes coincide with increased activity of first-order strike-slip faults in the northeastern plateau, emphasizing the important role of strike-slip faults in accommodating crustal deformation in northern Tibetan Plateau during the late Cenozoic.

Disrupted Rotational Perception During Simultaneous Stimulation of Rotation and Inertia.

Two vestibular signals, rotational and inertial cues, converge for the perception of complex motion. However, how vestibular perception is built on neuronal behaviors and decision-making processes, especially during the simultaneous presentation of rotational and inertial cues, has yet to be elucidated in humans. In this study, we analyzed the perceptual responses of 20 participants after pairwise rotational experiments, comprised of four control and four test sessions. In both control and test sessions, participants underwent clockwise and counterclockwise rotations in head-down and head-up positions. The difference between the control and test sessions was the head re-orientation relative to gravity after rotations, thereby providing only rotational cues in the control sessions and both rotational and inertial cues in the test sessions. The accuracy of perceptual responses was calculated by comparing the direction of rotational and inertial cues acquired from participants with that predicted by the velocity-storage model. The results showed that the accuracy of rotational perception ranged from 80 to 95% in the four control sessions but significantly decreased to 35 to 75% in the four test sessions. The accuracy of inertial perception in the test sessions ranged from 50 to 70%. The accuracy of rotational perception improved with repetitive exposure to the simultaneous presentation of both rotational and inertial cues, while the accuracy of inertial perception remained steady. The results suggested a significant interaction between rotational and inertial perception and implied that vestibular perception acquired in patients with vestibular disorders are potentially inaccurate.

An automated method for assessing condyle head changes in patients with skeletal class II malocclusion based on CBCT images.

Currently, there is no reliable automated measurement method to study the changes in the condylar process after orthognathic surgery. Therefore, this study proposes an automated method to measure condylar changes in patients with skeletal class II malocclusion following surgical-orthodontic treatment. Cone-beam computed tomography (CBCT) scans from 48 patients were segmented using the nnU-Net network for automated maxillary and mandibular delineation. Regions unaffected by orthognathic surgery were selectively cropped. Automated registration yielded condylar displacement and volume calculations, each repeated three times for precision. Logistic regression and Linear regression were used to analyze the correlation between condylar position changes at different time points. The Dice score for the automated segmentation of the condyle was 0.971. The Intraclass correlation coefficients (ICCs) for all repeated measurements ranged from 0.93 to 1.00. The results of the automated measurement showed that 83.33% of patients exhibited condylar resorption occurring six months or more after surgery. Logistic regression and Linear regression indicated a positive correlation between counterclockwise rotation in the Pitch plane and condylar resorption(p < 0.01). And a positive correlation between the rotational angles in both three planes and changes in the condylar volume at six months after surgery(p ≤ 0.04). This study's automated method for measuring condylar changes shows excellent repeatability. Skeletal class II malocclusion patients may experience condylar resorption after bimaxillary orthognathic surgery, and this is correlated with counterclockwise rotation in the sagittal plane. This study proposes an innovative multi-step registration method based on CBCT, and establishes an automated approach for quantitatively measuring condyle changes post-orthognathic surgery. This method opens up new possibilities for studying condylar morphology.

Fairweather transform boundary Oligocene to present orogenesis: Fairweather Range vertical extrusion and rotation of the Yakutat microplate at ca. 3 Ma

Oblique-slip along transform fault boundaries is often partitioned between a strike-slip system and thrust faults that accommodate contraction. However, topography along the Yakutat-North American transform (Fairweather fault), is asymmetric with low-terrain above active thrusts on the western, Yakutat side of the transform and high topography on the continental side with peaks >4500 m (Mount Fairweather: 4671 m) to the west of the Border Ranges fault, limited recorded earthquakes >M4, and no apparent reverse faults to generate the highest terrain. In this study we compile, for the first time, published U-Pb zircon, 40Ar/39Ar and K-Ar (hornblende, muscovite, and biotite) and U-Th/He and fission-track (zircon and apatite) bedrock ages (109) from 75 samples to investigate the exhumation history of the Fairweather Range region, complemented by a published detrital sample (ZFT and AFT) and 13 new 40Ar/39Ar (hornblende, biotite, and K-feldspar) ages on 9 bedrock samples from both sides of the Fairweather fault. Additionally, we examined published seismicity and geodetic data of the Fairweather region and assessed if plate paleo-vectors correlate with the cooling history of the Fairweather Range. Cooling age, seismic, and block-motion patterns indicate the Fairweather Range has been vertically extruded between the Fairweather and the Border Ranges faults as a coherent block since ca. 25 Ma. The pre-6 Ma Pacific plate motion (N30°W) aligns with the N33°W strike of the Fairweather Fault whereas a hypothetical pre-6 Ma Yakutat microplate paleo-vector of (N39°W) does not: indicating a post-6 Ma timing for Yakutat microplate counter-clockwise rotation (9°). We infer that rotation and impingement of the Yakutat microplate along the Fairweather fault at ca. 3 Ma led to the development of the Fairweather restraining bend and increased cooling rates. The resultant thickened Fairweather welt and the ∼30 km thick southeast end of the Yakutat microplate compounded double-indenter tectonics into Alaska's southeast convergent corner

Nonsurgical synergistic full-arch vertical intrusion treatment of bimaxillary protruded hyperdivergent skeletal Class II malocclusion using aligners.

A bone-borne full-arch vertical control strategy using miniscrews was deployed with aligners to treat a case of skeletal hyperdivergent Class II malocclusion with bimaxillary protrusion. Miniscrews were inserted in the posterior buccal and palatal regions and the anterior buccal region of the maxilla to distribute vertical intrusive force through the upper arch by anchoring vertical elastics from the miniscrews to the aligners. Synergetic lower anterior intrusion was completed using bilateral posterior miniscrews to counteract the extrusive force generated. Substantial full upper arch and lower anterior vertical intrusion was achieved. In conjunction with en masse anterior-posterior retraction, synergetic posterior and anterior vertical intrusion facilitated counterclockwise rotation of the mandible, creating significant esthetic improvement. Anterior vertical elastics also provided flaring of the anterior teeth, reducing the side effect of lingual tipping from en masse retraction, while successfully controlling overbite and incisor torque during space closure. The bone-borne full-arch vertical intrusion strategy can work well with aligners to address hyperdivergent skeletal Class II malocclusion with bimaxillary protrusion.

Individualized rotation of left double lumen endobronchial tube to improve placement success rate: a randomized controlled trial

BackgroundIn conventional practice, the left double lumen tube (DLT) is rotated 90° counterclockwise when the endobronchial cuff passes glottis. Success rate upon the first attempt is < 80%, likely owing to varying morphology of the bronchial bifurcation.MethodsWe conducted a randomized controlled trial to compare 90° counterclockwise rotation versus individualized degree of rotation in adult patients undergoing elective thoracic surgery using left DLT. The degree of rotation in the individualized group was based on the angle of the left main bronchi as measured on computed tomography (CT). The primary outcome was the first attempt left DLT placement success rate.ResultsA total of 556 patients were enrolled: 276 in the control group and 280 in the individualized group. The average angle of the left main bronchi was 100.6±9.5° (range 72° to 119°). The first attempt left DLT placement success rate was 82.6% (228/276) in the control group versus 91.4% (256/280) in the individualized group (P=0.02, χ2 test). The rate of carina mucosal injury, as measured at 30 min after the start of surgery under fibreoptic bronchoscopy, was significantly lower in individualized group than control group (14.0% versus 19.6%, P=0.041). The individualized group also had lower rate of postoperative sore throat (29.4% versus 44.0%, P<0.001) and hoarseness (16.8% versus 24.7%, P＜0.05).ConclusionsIndividualized rotation of left DLT based on the angle of the left main bronchi on preoperative CT increased first attempt success rate in adult patients undergoing elective thoracic surgery.Trial registrationThe trial is registered at Chinese Clinical Trial Registry (ChiCTR2100053349; principal investigator Xiang Quan, date of registration November 19, 2021).

Initiation and Eruption of a Two-turn Helical Quiescent Filament on 2013 August 2

We investigate a quiescent filament that erupted on 2013 August 2; the eruption was observed in EUV and Hα by the Solar Dynamics Observatory and GONG. After a B9.7 flare in the nearby active region, the dark filament materials near its eastern footpoint start to move in the direction of eruption, and are followed by a counterclockwise rotation identified as the motion of a combination of dark and bright filament materials. Then the entire filament rises up and keeps rotating in a clockwise direction during the eruption. More interestingly, the filament exhibits an unusual two-helix structure near its western footpoint during the eruption, which indicates the existence of a highly twisted flux rope. This hypothesis is confirmed by magnetic field modeling using the flux rope insertion method. In the best-fit unstable model, the lower limits of the estimated maximum and average twist numbers of the erupting flux rope reach 7.5π and 4π, which suggests that kink instability plays an important role in the eruption. During these magnetically coupled sympathetic eruptions, the highly twisted filament under the western lobe of a pseudo-streamer-like structure becomes unstable and erupts due to the removal of confinement by magnetic reconnection at the overlying hyperbolic flux tube, which is initiated by the B9.7 flare in the nearby active region. The initial filament motion occurs at the more unstable eastern footpoint, where the surrounding fields are weaker and decrease with height more rapidly.

Comparison of different maxillary advancement protocols in patients with unilateral cleft lip and palate: a finite element analysis.

The aim of this study was to evaluate the stress distributions and possible amount of movement in the maxillofacial region resulting from different maxillary advancement protocols in patients with unilateral cleft lip and palate. A unilateral cleft lip and palate model (CLP model) with Goslon score 4 was created for finite element analysis. Three different protocols were compared: Group 1: usage of a face mask with elastics placed at a 30? angle to the occlusal plane over a conventional acrylic plate; Group 2: usage of a face mask with elastics placed at a 30? angle to the occlusal plane over miniplates placed in the infrazygomatic crest region; Group 3: usage of elastic from the menton plate placed in the mandible to the infrazygomatic plates in the maxilla. Dental effects were greater in the maxillary protraction protocol with a face mask over a conventional acrylic plate (Von Misses Stress Values; Group 1?=?cleft side:0.076, non-cleft side:0.077; Group 2?=?cleft side:0.004, non-cleft side: 0.003; Group 3?=?cleft side:0.0025; non-cleft side:0.0015), whereas skeletal effects were greater in maxillary protraction protocols with face mask using skeletal anchorage (Von Misses Stress Values; Group 1:0.008; Group 2:0.02; Group 3:0.0025). The maximum amount of counterclockwise rotation of the maxilla as a result of protraction was observed in traditional acrylic plate face mask protocol, and the minimum amount was observed by using elastics between infrazygomatic plates and menton plate. In individuals with unilateral cleft lip and palate with Goslon score 4, it was observed that the skeletally anchored face mask caused more skeletal impact and displacement than both the traditional acrylic plate face mask model and the pure skeletally supported maxillary protraction model. When planning maxillary protraction treatment in patients with cleft lip and palate, it should be considered that more movement in the sagittal plane might be expected on the cleft side than the non-cleft side, and miniplate and screws on the cleft side are exposed to more stress when using infrazygomatic plates as skeletal anchorage.

Impact of Endogenous Lipids on Mechanical Properties of Wheat Gluten Fractions, Gliadin and Glutenin, under Small, Medium, and Large Deformations

The individual viscoelastic responses of gluten proteins and their lipid-removed counterparts were studied under mixing deformations and small, medium, and large deformations selected in the Large Amplitude Oscillatory Shear (LAOS) sweeps. During Farinograph mixing, gliadin reached the 500 BU consistency line after 3.6 ± 0.4 min, while the highest consistency recorded for lipid-removed gliadin was 268 ± 8.4 BU, suggesting a reduction in the water absorption of gliadin in the absence of lipids. The affinity of glutenin to water increased in the absence of lipids, as development time was reached 11 min earlier for lipid-removed glutenin. Under small LAOS strains, tanδ of gliadin remained constant with the removal of lipids, while glutenin’s elasticity decreased (tanδ increased) in the absence of lipids at high frequencies. Intracycle strain-stiffening behavior (e3/e1 &gt; 0) of gliadin increased under medium deformations with high frequency and decreased under low-frequency large deformations as lipids were removed, while this response decreased for glutenin with the removal of lipids only under high-frequency medium and large deformations. Under large LAOS strains, the clockwise rotation of the Lissajous–Bowditch curves for gliadin in the absence of lipids suggested higher intercycle strain-softening and shear-thinning, while the counter-clockwise rotation of the curves for glutenin in the absence of lipids suggested lower intercycle strain-softening and shear-thinning. These results revealed the influence of endogenous lipids on the viscous-dominated response of gliadin and to the elastic-dominated response of glutenin, while balancing the intracycle strain-stiffening behaviors of these gluten proteins especially under large deformations.

Noninvasive conservative management of anterior open bite treated with TADs versus clear aligner therapy.

Anterior open bite can be treated non-surgically via molar intrusion using temporary skeletal devices (TAD). Clear aligner therapy (CAT) is recognized as a viable therapeutic modality for non-extraction treatment of adults with mild open bite. This study aimed to compare the treatment effect and mechanisms of open bite closure between patients treated with braces and TADs double arch intrusion and those treated with CAT. Treatment success at T3 was based on 1- positive overbite on ceph; 2- Change in the vertical dimension 3- post treatment POSI score equal to zero. The TAD group includes 18 consecutively treated patients from the main author. The CAT group consisted of 16 selected patients from three different orthodontists. The observation time points were as follows: pretreatment (T1), end of molar intrusion and positive overbite achieved (T2), end of treatment (T3), at least 6-month follow-up (T4). Treatment changes were assessed by cephalometric analysis and frontal intraoral photo. At the end of treatment, 100% of the patient of the TAD group and 78,6% of the CAT group had a posi score of 0. The TAD group showed a significant reduction in vertical measurements (SN-MPA: -1,55° ± 0.41, LAFH: -3,05 ± 0.51mm, U6-PP: -1.48 ± 0.30mm), but the CAT group did not have significant changes for these variables. Both groups had significant increases in overbite from T1 to T3 (TAD: 4,32 ± 0,5mm; CAT: 2,33 ± 0.56mm), and overbite remained stable at T4. The CAT group did not have a significant upper molar intrusion, but a significant extrusion of 1.22 ± 0.42mm of the lower incisor occurred. The TAD group achieved bite closure by upper molar intrusion, lower molar and incisors vertical control, and mandibular plane counterclockwise rotation, resulting in an improved AP and vertical relationship. The CAT group achieved bite closure through the lower incisor extrusion without significant change in the vertical dimension. This study provides relevant information about the skeletal and dental changes of open bite treatment with TADs double arch intrusion. The comparison with a control group treated with CAT confirms known information.

The Upper Crustal Deformation Field of Greece Inferred From GPS Data and Its Correlation With Earthquake Occurrence

AbstractWe present a new geodetic strain rate and rotation rate model for Greece that has been derived using a highly dense GPS velocity field. The spatial distribution and the resolved rates of the various velocity gradient tensor quantities provided updated constraints on the present‐day upper crustal deformation in the region and revealed new details not reported previously. The spatial distribution of the second invariant demonstrated that the overall magnitude of strain rates is highest across two well‐defined provinces. The first follows the North Anatolian Fault and its two branches within the north Aegean, crosses central Greece and through the Gulf of Corinth it terminates in western Greece, while the second encompasses the extensional province of western Turkey and the eastern Aegean Sea islands. Our estimates revealed that shearing affects some of the fault‐bounded grabens of central Greece that lie to the SW of the North Aegean Basin implying considerable oblique extension. We identified a narrow region of counterclockwise rotation whose location and kinematics have been induced by the net effect across the intersection of the clockwise rotating domains of western and central Greece. The Aegean microplate and the Anatolian plate are separated by a wide transition zone which accommodates the curved stretching of the entire plate system. In both edges of the Hellenic forearc the dominant mode of crustal strain is E‐W extension. We found that earthquakes of M ≥ 5.6 are spatially well‐correlated with high‐strain areas, indicating that strain rate mapping could be used to inform future probabilistic seismic hazard analyses.

Enhancing thermal performance in a magnetized square cavity: Novel insights from mixed convection of Ag-MgO nanofluid around a rotating cylinder

This numerical investigation considers the mixed convection of a magnetically influenced hybrid nanofluid in a two-dimensional square cavity containing a centrally positioned rotating circle cylinder with a radius of R = 0.12. The nanofluid within the enclosure is water-based and incorporates Ag-MgO nanoparticles, the chemical and physical interactions between MgO nanoparticles and Ag molecules play an important function in determining the thermal conductivity and dynamic viscosity of MgO-Ag nanofluid. These findings exhibit that MgO-Ag nanofluid has the potential to be used as an advanced heat transfer fluid in cooling systems and heat exchangers. Two distinct cases are examined: firstly, with all walls of the square cavity and the rotating circle cylinder being adiabatic, except for the bottom side, and secondly, with the right side of the cavity being maintained at an isothermal condition. A finite element software package (FLEXPDE) is used in the present study. The governing partial equations, rendered dimensionless and encompassing various physical parameters, are solved utilising the Galerkin-based finite element method. Novelty is injected into the exploration through a meticulous parametric study, delving into the influence of key parameters, including the angular velocity spanning from -25 to 25, Reynolds number (10 ≤ Re ≤ 100), and Richardson number (0 ≤ Ri ≤ 35). The outcomes are vividly portrayed through visualisation of the flow structure via streamlines, the depiction of the heat transfer process through isotherms, and the computation of average Nusselt numbers. A discernible trend emerges, demonstrating that an increase in the Reynolds number, angular rotation speed, and Richardson number corresponds to an elevation in the average Nusselt number. Increasing Reynolds number (Re) from 10 to 50 intensifies streamlines, indicating fivefold higher flow resistance, with isotherms at Re = 50 showing 80 % concentration near the hot bottom wall compared to Re = 10. Counterclockwise rotation induces 90 % curvature near the bottom, clockwise rotation near the top, highlighting directional effects on flow resistance and streamlines. Remarkably, an intriguing observation surfaces as the angular velocity intensifies counterclockwise, revealing a 10 % augmentation in the average Nusselt values compared to a clockwise direction. Furthermore, the adoption of nanofluids as cooling agents, in lieu of pure water, is shown to enhance the cavity's thermal and overall performance, surpassing previous results. This underscores the novel insight into the advantageous utilisation of nanofluids in improving the efficacy of thermal systems.

Dynamic Morphological Growth Trajectory of Crouzon Population: A Geometric Morphometric Analysis.

This study is to visualize the morphological growth trajectory of the Crouzon population and provide a more comprehensive and perceptual understanding of pathologic aggregation in terms of maxillofacial and soft tissue surfaces. Twenty-two patients with Crouzon syndrome were included in this retrospective surgery. Preoperative computed tomography was segmented into maxillofacial and soft tissue surface morphologies. Fifty-two anatomical landmarks and a standardized template were used to extract the morphological phenotypes and transform them into spatial coordinates. Geometric morphometrics (GM) were applied to visualize the growth trajectory and estimate the morphological variation of the Crouzon population. Cephalometric analysis was conducted to validate the growth trajectory in a clinical aspect. It was found that both maxillofacial and soft tissue surface morphologies were strongly covaried with age. Morphological development of the Crouzon population was characterized by (1) maxillary retrusion and clockwise rotation, (2) mandibular counterclockwise rotation, (3) facial width narrowing and aggregated concave face, and (4) sunken nasal bone. Pathologic maxillary retrusion continuously existed from infancy to adulthood, and rapid aggravation took place at 3 to 6 years old. In conclusion, this study is the first to visualize the dynamic growth trajectories on both maxillofacial and soft tissue surface morphologies. More attention and monitoring of breathing, snoring, intelligence, and global development should be cast on Crouzon patients between 3 and 6 years old in family care. If any functional abnormalities occur during this period, professional consultations and evaluations should be conducted timely to avoid pathologic aggravation. Consistency between GMs and cephalometry validates the reliability of GM potentials in the clinical field, allowing a promising and revolutionary methodology for dynamically and qualitatively analyzing pathologic changes in some rare congenital diseases.

Rotational stability of a new hydrophobic acrylic intraocular lens platform.

To evaluate rotational stability for ease of rotation of a new intraocular lens (IOL) platform with 4 haptics in an ex vivo model and compare it with a control single-piece lens with 2 open loops. Intermountain Ocular Research Center, John A. Moran Eye Center, University of Utah, Salt Lake City, Utah. Experimental study. 10 human cadaver eyes were prepared as per the Miyake-Apple technique. After injection of the test or control lens, clockwise and counterclockwise rotations were attempted with a hook, with and without an ophthalmic viscosurgical device in place. Ease of rotation was scored as (1) very easy, (2) easy, (3) difficult, and (4) very difficult. Rotation of the entire eye containing test or control IOL was also performed with a multipurpose rotator (2 minutes; 220 revolutions per minute) to evaluate its effect on IOL alignment. There were statistically significant differences regarding ease of rotation between test and control lenses in all 4 scenarios, with rotation being more difficult with the test lens ( P < .05, Wilcoxon signed-rank test). No change in the alignment of test or control lenses was observed after eye rotation with the multipurpose rotator. The new IOL platform showed greater rotational stability than the control lens in this model, owing to design features such as 4 small arcs of contact between the haptics and the bag equator, a bulge at the distal end of each haptic, and arcuate haptics with curvatures oriented toward each other.

Design and Implementation of Sensored Brushless DC Motor Control Using dsPIC30F4012 for CW/CCW Bidirectional Rotation

This paper presents the development of BLDC (Brushless DC) motor control based on dsPIC30F4012. The system is designed to control motor rotation in clockwise (CW) and counter clockwise (CCW) directions. There are 3 input pins used to facilitate the control interface, namely ground (GND) pin, control (CTRL) pin and enable (EN) pin. An analog input was assigned as command input for rotation in CW/CCW direction. The CTRL pin input has full-scale of analog input that comprises of three regions, namely CCW rotation input (0V~2.4V), CW rotation input (2.6V~5V), and neutral input (2.5±0.1)V as the deadband. The commutation sequences of six steps for direction of motor rotation, while P-I (Proportional-Integral) controller is used to control the motor current. The control law and commutation sequences are implemented in single chip dsPIC30F4012 microcontroller. To verify the system performance, we test the system implementation to drive BLDC motor and measured current are sent to the host PC through serial communication. From the experimental results it is shown that the realizing P-I controller is good performance in small frequency where the bldc motor current can follow the input commands. The bandwidth of motor control to characterize the performance of designed system is also presented.

Optimized reamer geometry for controlled reaming of the proximal femur

Preparation of the femoral proximal medullary cavity by reaming is essential for intramedullary nail osteosynthesis and hip revision arthroplasty. The use of reamers sometimes exerts high torsional forces on the bone. Design and direction of rotation of the reamer are potential influencing factors. The aim of this biomechanical study is to evaluate the best combination of a right- or left-cutting reamer with a clockwise- or counterclockwise-rotating insert in terms of preparation and safety. Right- and left-cutting reamers with conical design were each introduced into five synthetic femurs in both clockwise and counterclockwise rotation with constant feed force. A specially constructed test system was used for this series of tests, with which the respective intramedullary channel were reamed step by step. This was then used to determine the required torque. In addition, the feed rate measurement was analyzed using a modified digital caliper. The feed rates of the reamers with rotation in the same direction as the cutting direction were significantly increased compared to rotation in the opposite cutting direction (CCRLC vs. CCRRC 76.8 ± 9.0 mm/s vs. 25.2 ± 8.3 mm/s and CRRC vs. CRLC 54.3 ± 12.3 mm/s vs. 19.3 ± 0.6 mm/s; p < 0.01). In contrast, the mean torque during the reaming process was identical in all four groups. When preparing the proximal femoral medullary cavity, especially in cases with fragile bone structure, the available reamers should be introduced in opposite rotation to the cutting direction to achieve a more controllable feed of the reamer. Left-cutting reamers represent an alternative, using them in the usual clockwise-rotating technique to reduce the risk of complications during reaming.

The effect of tongue reduction for preventing adverse effects in patients undergoing class III orthognathic surgery: a three-dimensional comparative analysis.

This study aims to evaluate the potential benefits of combining tongue reduction with mandibular setback surgery in patients undergoing class III orthognathic surgery. Specifically, we investigated whether this combined approach reduced the risk of surgical relapse, condylar resorption, and airway space reduction by mitigating tongue pressure on the mandible. The study retrospectively enrolled patients who had undergone bilateral sagittal split ramus osteotomy (BSSRO) with at least 5 mm of setback and met the criteria of a body mass index > 20 kg/m2 and tongue volume > 100 mm3. The study included 20 patients with 10 in the tongue reduction group (TR, n = 10) and 10 in the BSSRO only group (SO, n = 10). The volumetric changes of the total airway space were significantly different between the TR and SO groups (p = 0.028). However, no significant differences were observed in the condylar resorption and postoperative relapse between the groups (p = 0.927 and 0.913, respectively). The difference between the resorption of the anterior and posterior segments of the condyle was also statistically insignificant (p = 0.826). Postoperative counterclockwise rotation of the proximal segment only demonstrated a significant correlation with postoperative relapse (p = 0.048). The reduction in tongue volume demonstrated a preventive effect on the reduction of the airway space after mandibular setback, although it did not yield statistical significance concerning surgical relapse and condylar volume. The counterclockwise rotation of the proximal segment might be responsible for the forward displacement of the distal segment and postoperative relapse. However, the clinical implications of this finding should be interpreted with caution owing to the limited sample size CLINICAL RELEVANCE: Tongue reduction could potentially serve as a preventive measure in preserving the airway space and might be beneficial in mitigating the risk of obstructive sleep apnea in patients with class III deformity.

Three-dimensional finite element analysis on the effects of maxillary protraction with an individual titanium plate at multiple directions and locations.

: A three-dimensional-printed individual titanium plate was applied for maxillary protraction to eliminate side effects and obtain the maximum skeletal effect. This study aimed to explore the stress distribution characteristics of sutures during maxillary protraction using individual titanium plates in various directions and locations. : A protraction force of 500 g per side was applied at forward and downward angles between 0° and 60° with respect to the Frankfort horizontal plane, after which the titanium plate was moved 2 and 4 mm upward and downward, respectively. Changes in sutures with multiple protraction directions and various miniplate heights were quantified to analyze their impact on the maxillofacial bone. : Protraction angle of 0-30° with respect to the Frankfort horizontal plane exhibited a tendency for counterclockwise rotation in the maxilla. At a 40° protraction angle, translational motion was observed in the maxilla, whereas protraction angles of 50-60° tended to induce clockwise rotation in the maxilla. Enhanced protraction efficiency at the lower edge of the pyriform aperture was associated with increased height of individual titanium plates. : Various protraction directions are suitable for patients with different types of vertical bone surfaces. Furthermore, when the titanium plate was positioned lower, the protraction force exhibited an increase.

Heat transfer and fluid flow in nano-encapsulated PCM-filled undulated cavity

This article discusses the heat transfer characteristics of the mixed convection of NEPCM-fluid (Polyurethane/ Nonadecane dispersed in water) contained within a wavy-sided walls cavity. Mixed convection is caused by an adiabatic rotating cylinder located in the cavity center, while natural convection results from deferential heating of side walls. The upper and lower walls of the cavity are insulated. The Galerkin finite element method (GFEM) implemented in COMSOL CFD package is employed to solve the governing equations. The influence of the nanoparticles volume fraction (Ø = 0.02, and 0.05), cylinder radius (R = 0.05, 0.15, and 0.25), cylinder rotating speed (Ω = 100, −500, 500, and 1000), the dimensionless fusion temperature (θfu = 0.1, 0.25, and 0.5), wavy side walls undulation peaks number (N = 1 to 4) on the flow pattern and temperature field are presented. The results revealed that the heat transfer enhances by increasing the angular speed of the cylinder and its radius, also an enhancement in heat transfer is obtained by upgrading the volume fraction of NEPCM, however, it was noticed that for small cylinders, the counterclockwise rotation of the cylinder reduced the heat transfer rate as the rotation opposed the direction of natural heat convection. In addition, the waviness pattern has a specific impact on each case, for example, N = 4 denotes the best result for only the cases Ω = -500 or 500 when R = 0.25 and Ø = 0.05, while the heat transfer is negatively affected by increasing N for the other cases. On another hand, the impact of θfu on the heat transfer rate was found to be insignificant. Globally, at the biggest cylinder radius, higher Ø and highest angular speed an enhancement by more than 900 % can be achieved.