Displacement Distance Research Articles

Visualization of retinal displacement after macular hole surgery and its correlation with postoperative visual function.

To observe retinal displacement following macular hole surgery using a three-dimensional barycenter localization algorithm and to evaluate its relationship with postoperative visual function. This prospective study included 28 eyes of 27 patients with idiopathic macular holes. A customized algorithm takes a weighted sum to locate the perimacular area (PMA) barycenter based on the magnitude of the distance between the barycenter and the intersection of retinal vessels. Retinal displacement distance, angle, and the rate of change in the PMA were calculated by comparing the barycenters in preoperative and postoperative photographs. Correlations between retinal displacement and various clinical parameters were also analyzed. The primary outcomes included retinal displacement characteristics (distance, angle, and rate of change in the PMA). Secondary outcomes were postoperative visual function, including best-corrected visual acuity, mean retinal sensitivity, and fixation stability. A significant "rebound" phenomenon, characterized by PMA wrinkling and extension, was observed in 11 cases (39.3%). The PMA was lower at 1 month postoperatively compared to that preoperatively (t=1.876, p=0.025). The mean displacement distance at 1 and 3 months postoperatively was 7.725 ± 0.097 and 6.187 ± 0.827, respectively. Mean retinal sensitivity at 3 months postoperatively improved compared to preoperative values (t=-2.171, p=0.039) and was significantly correlated with the rate of change in PMA at 3 months postoperatively (t=-2.162, p < 0.05). The three-dimensional barycenter localization algorithm effectively visualized retinal displacement. The PMA was shown to be associated with postoperative visual function in this analysis. The change trend of PMA and mean retinal sensitivity is consistent.

Human Footprint and Forest Disturbance Reduce Space Use of Brown Bears (Ursus arctos) Across Europe

ABSTRACTThree‐quarters of the planet's land surface has been altered by humans, with consequences for animal ecology, movements and related ecosystem functioning. Species often occupy wide geographical ranges with contrasting human disturbance and environmental conditions, yet, limited data availability across species' ranges has constrained our understanding of how human pressure and resource availability jointly shape intraspecific variation of animal space use. Leveraging a unique dataset of 758 annual GPS movement trajectories from 375 brown bears (Ursus arctos) across the species' range in Europe, we investigated the effects of human pressure (i.e., human footprint index), resource availability and predictability, forest cover and disturbance, and area‐based conservation measures on brown bear space use. We quantified space use at different spatiotemporal scales during the growing season (May–September): home range size; representing general space requirements, 10‐day long‐distance displacement distances, and routine 1‐day displacement distances. We found large intraspecific variation in brown bear space use across all scales, which was profoundly affected by human footprint index, vegetation productivity, and recent forest disturbances creating opportunity for resource pulses. Bears occupied smaller home ranges and moved less in more anthropized landscapes and in areas with higher resource availability and predictability. Forest disturbances reduced space use while contiguous forest cover promoted longer daily movements. The amount of strictly protected and roadless areas within bear home ranges was too small to affect space use. Anthropized landscapes may hinder the expansion of small and isolated populations, such as the Apennine and Pyrenean, and obstruct population connectivity, for example between the Dinaric Pindos population and the Alpine or Carpathian population. Our findings call for actions to maintain bear movements across landscapes with high human footprint, for example by maintaining forest integrity, to support viable bear populations and their ecosystem functions.

Method for establishing the multipath adaptive mitigation model considering deformation displacement of monitoring stations

ABSTRACT Multipath effects are an unavoidable error in Global Navigation Satellite System (GNSS) deformation monitoring. Existing multipath models are predominantly established under stationary conditions and are not applicable to scenarios involving slope ruptures or rapid displacements. To address this issue, we propose the Multipath Adaptive Mitigation Model (MAMM) and validate its precision. The study demonstrates that traditional multipath models are ineffective in suppressing multipath errors under the specified conditions. The comparison between MAMM and the Multipath Hemispherical Model (MHM) indicates that, in the simulated displacement experiments, MHM’s effectiveness in mitigating multipath errors significantly decreases as the actual displacement distance increases, whereas MAMM consistently maintains an improvement rate in positioning precision of over 100%, markedly surpassing that of MHM. In real displacement scenarios, MAMM demonstrates similar advantages to those observed in the simulated experiments under instantaneous deformation conditions, while in slow displacement scenarios, MAMM offers a limited precision advantage over MHM.

Home ranges and movements of an arboreal folivore after wildfire: comparing rehabilitated and non-rehabilitated animals in burnt and unburnt woodlands

BackgroundWildfires can have complex effects on wildlife populations. Understanding how post-fire conditions affect the movement ecology of threatened species can assist in better conservation and management, including informing the release of rescued and rehabilitated animals. The 2019–2020 megafires in Australia resulted in thousands of animals coming into care due to injury or concerns over habitat degradation. This included hundreds of koalas (Phascolarctos cinereus), for which relatively little was known about how fire affected habitat suitability, or when rehabilitated animals could be returned to burnt areas.MethodsWe compared the movements of koalas across three experimental groups–non-rehabilitated koalas in burnt habitat, non-rehabilitated koalas in nearby unburnt habitat, and rehabilitated koalas returned to their rescue location in burnt habitat in New South Wales, Australia. We GPS-tracked 32 koalas for up to nine months and compared, across treatment groups, home ranges, mean nightly distance moved, the farthest distance moved from their release site and total displacement distance.ResultsWe found no differences in koala movements and home range size between non-rehabilitated koalas in burnt and unburnt habitat. However, rehabilitated koalas moved farther from their release site, had larger displacement distances, and larger home ranges than non-rehabilitated individuals. Regardless of their experimental group, we also found that males moved further than females each night. Additionally, our resource selection analysis showed that, koalas preferred low and moderately burnt habitats over all other fire severity classes.ConclusionsExperimental frameworks that incorporate “treatment” and “control” groups can help isolate disturbance effects on animal movements. Encouragingly, despite catastrophic wildfires, burnt woodlands provided adequate resources for koalas to persist and recover. Furthermore, rehabilitated koalas re-integrated into the burnt landscape despite moving farther from their release sites than non-rehabilitated individuals. Studies like this improve our understanding of the ecological impacts of fire on species and their habitats, and will be instrumental in informing wildlife management and conservation efforts as wildfires increase in frequency and severity worldwide in response to climate change.

Theoretical Framework for the Response of Barotropic Shelf Current to Along-Shelf Bathymetric Perturbations

Abstract The mechanism underlying the response of barotropic shelf current to along-shelf bathymetric perturbations is rationalized by a one-dimensional vorticity equation. Fourier analysis of the equation in the wavenumber domain suggests that bathymetric features with relatively short length scales in the alongshore direction drive steady cross-shelf velocity undulations when the shelf circulation is against the direction of Kelvin wave propagation (upwelling regime). In contrast, much weaker and nonoscillatory cross-shelf velocity is expected when the shelf circulation is in alignment with propagating Kelvin waves (downwelling regime). The velocity undulations in the upwelling regime result from a positive feedback mechanism associated with potential vorticity (PV) advection; however, the presence of bottom friction restricts such undulations within a few wavelengths. The characteristic wavelength of undulations is determined by when the normalized drag coefficient , where u is the along-shelf mean flow speed, Hs is the shelf depth, αs is the bottom slope, f is the Coriolis parameter, and r is the linear drag coefficient. Using this formula, a scale of the cross-shelf displacement distance Yt is proposed, aligning with one-layer barotropic simulations over a large parameter space. The study provides a framework for investigating barotropic cross-shelf exchange caused by shelf circulation over irregular bottom bathymetries.

Clinical effect of medial meniscus posterior root repair combined with centralization technique in the treatment of medial meniscus posterior root tears

PurposeTo investigate the clinical effect of medial meniscus posterior root repair combined with centralization technique in treating medial meniscus posterior root tears (MMPRTs).MethodsA retrospective analysis was conducted on 87 patients with MMPRTs treated in the Department of Joint Surgery of Jinhua Central Hospital from January 2020 to May 2022. Thirty-four patients were males and 53 were females, with an overall average age of 56.4 ± 5.9 years. Patients were divided into two groups based on different surgical methods: the conventional group (those who underwent simple medial meniscus root repair, n = 42) and the modified group (those who underwent medial meniscus root repair combined with centralization technique, n = 45). Clinical effects were evaluated before and after 2 years of surgery using the Lysholm and Knee Injury and Osteoarthritis Outcome Score (KOOS) scores. The inner meniscus displacement distance and the inner meniscus displacement ratio (medial meniscus extrusion (MME)) were compared before and after 2 years of surgery using magnetic resonance imaging. The degree of osteoarthritis (OA) and hip-knee-ankle (HKA) angle were compared before and after 2 years of surgery using X-ray films. OA degree was evaluated using the Kellgren-Lawrence (KL) grading system. Intergroup and intragroup comparisons were conducted.ResultsBaseline demographic data were comparable between the modified and conventional repair groups, with no statistically significant difference. All patients were followed up for 26.8 ± 2.4 months postoperatively. After 2 years of follow-up, both groups exhibited significant improvement in Lysholm and KOOS scores compared with preoperative values (P = 0.049, P = 0.003 ), with the modified group showing significantly higher scores than the conventional repair group (P = 0.0001), and differences were statistically significant. In the conventional group, the lateral displacement of the medial meniscus reduced from 4.5 ± 0.8 mm preoperatively to 4.0 ± 0.5 mm at 2 years postoperatively (P = 0.528), and the MME ratio improved from 41.2 ± 4.5% preoperatively to 39.3 ± 3.9% postoperatively (P = 0.661). In the modified group, the lateral displacement of the medial meniscus reduced from 4.6 ± 1 mm preoperatively to 2.6 ± 0.7 mm at 2 years postoperatively (P = 0.0019), and the MME ratio improved from 42.0 ± 5.2% preoperatively to 23.5 ± 3.6% postoperatively (P < 0.0001). After 2 years of follow-up, the modified group exhibited a higher proportion of KL grades 0 and I, whereas the conventional group had a higher proportion of KL grades I and II, with statistically significant differences between the two groups (P = 0.019). No significant difference in the change in HKA between the two groups (P = 0.321, P = 0.401).ConclusionBoth medial meniscus root repair and its combination with the centralization technique under arthroscopy can significantly enhance knee joint function and alleviate symptoms in patients with MMPRTs. Nevertheless, the combined technique can significantly reduce meniscus protrusion and delay the advancement of OA.Level of evidenceLevel III, retrospective observational study.

Long-distance migrations, population mixing, and growth rate of lumpfish (Cyclopterus lumpus) revealed from tag-recaptures.

We reveal that lumpfish (Cyclopterus lumpus) frequently migrate over long distances between their summer feeding area in the open ocean and their spring spawning sites in coastal areas, through applying tag-recapture methodology. A total of 2750 C. lumpus were tagged in the Irminger Sea around Iceland and in the Norwegian Sea over 6 years, of which 17 C. lumpus were recaptured. Interestingly, four individuals were recaptured more than 1000 km distant from where they were tagged. C. lumpus tagged in the Irminger Sea and north of Iceland were recaptured around Iceland, whereas none of the fish tagged in other areas of the Norwegian Sea were recaptured in Iceland. This difference in recapture rate from different areas suggests that a higher proportion of C. lumpus from the Irminger Sea and north of Iceland spawns around Iceland in comparison with C. lumpus in other areas. Two fish tagged east of Iceland were recaptured on the coast of Denmark, with one fish having a displacement distance of 1612 km. The recapture of these two fish in Denmark demonstrates that part of the C. lumpus population spawning in Denmark utilizes the Norwegian Sea as a major feeding area and that the Norwegian Sea is a common feeding area for several distinct populations of C. lumpus. The growth rate of tagged fish varied from 1.2 to 11.1 cm year-1, indicating that males that are >20 cm and females that are >25 cm during the summer are capable of sufficient growth to achieve a suitable size for spawning (≥25 and ≥35 cm for males and females, respectively) the following spring.

Semiautomated Three-Dimensional Landmark Placement on Knee Models Is a Reliable Method to Describe Bone Shape and Alignment

PurposeThe purpose of this study was to assess the inter- and intra-rater reliability of 21 anatomical landmarks initially placed with an AI-algorithm and then manually verified with human input. Methods30 knee CT scans of participants from the Multicenter Osteoarthritis Study (MOST) ages 45-55 years were included. Approximately one-half experienced progression of patellofemoral osteoarthritis, defined as an increased cartilage score in the patellofemoral compartment on MRI over 2 years. The algorithm automatically placed 19 anatomic landmarks on the femur, tibia, and patella. An additional 2 landmarks were added manually. Two landmark reviewers separately reviewed all 30 scans and verified all landmarks. After 2 weeks, one reviewer repeated the process for the same dataset. The mean Euclidean distance of manual landmark displacement, mean absolute disagreement between and within raters, and intraclass correlation coefficients for inter- and intra-rater reliability were calculated. ResultsAll landmarks had excellent inter-rater reliability. The tibial and femoral shaft centers had ICCs of 1, indicating their positions did not differ. Seventeen landmarks had ICCs between 0.90-0.99 and the tibial tuberosity had an ICC of 0.87. Intra-rater reliability scores were 1 for 16 landmarks and between 0.90-0.99 for the remaining five. ConclusionThere was excellent agreement on the locations of all 21 landmarks evaluated in this study. Clinical RelevanceThe potential role of artificial intelligence in medical imaging and orthopedic research is a growing area of interest. The excellent reliability demonstrated across multiple landmarks in our study reveals the potential for semi-automated 3D methods to enhance precision of anatomical measurements of the knee over 2D methods.

Label-Free Single-Molecule Electrical Sensor for Ultrasensitive and Selective Detection of Iodide Ions in Human Urine.

Herein, a label-free single-molecule electrical sensor was first proposed for the ultrasensitive and selective detection of iodide ions in human urine. Single-molecule conductance measurements in different halogen ion solutions via scanning tunneling microscopy break junction (STM-BJ) clearly revealed that I- ions strongly affect the stability and displacement distance (Δz) distribution of molecular junctions. Theoretical calculations prove that the specific adsorption of I- ions modifies the surface properties and weakens the molecular adsorption. Furthermore, the average conductance peak area versus the logarithm of the I- ion concentration has a very good linear relationship in the range of 5 × 10-6 to 5 × 10-10 M, with a correlation coefficient of 0.99. This quantitative analysis remains valid in the presence of interfering ions of SO42-, ClO4-, Br-, and Cl- as well as interfering molecules of ascorbic acid, uric acid, dopamine, and cysteine. A cross-comparison of the human urine detection results of this single-molecule electrical sensor with those of the clinical method of As3+-Ce4+ catalytic spectrophotometry revealed an average difference of 0.9%, which decreased the detection time of 2 h with the traditional method to approximately 15 min. This work proves the promising practical potential of the single-molecule electrical technique for relevant clinical analysis.

3D-Printed Prosthesis with an Articular Interface for Anatomical Acetabular Reconstruction After Type I + II (+ III) Internal Hemipelvectomy: Clinical Outcomes and Finite Element Analysis.

Pelvic reconstruction after type I + II (or type I + II + III) internal hemipelvectomy with extensive ilium removal is a great challenge. In an attempt to anatomically reconstruct the hip rotation center (HRC) and achieve a low mechanical failure rate, a custom-made, 3D-printed prosthesis with a porous articular interface was developed. The aim of this study was to investigate the clinical outcomes of patients treated with this prosthesis. This retrospective cohort study included 28 patients with type I + II (+ III) internal hemipelvectomy through the articular interface of the sacroiliac joint and managed with a prosthesis at a single center between August 2016 and August 2021. Complications and oncological outcomes were analyzed. The position of the reconstructed HRC was assessed and lower-limb function was evaluated. Biomechanical analyses of different fixation modes of the prosthesis were conducted using finite element analysis. The displacement distance of the HRC from preoperatively to postoperatively was a mean (and standard deviation) of 14.12 ± 8.75 mm. The rate of implant-related complications was 14.3% (4 of 28) for prosthetic breakage, 14.3% (4 of 28) for aseptic loosening, 7.1% (2 of 28) for dislocation, and 7.1% (2 of 28) for deep infection. The mean Musculoskeletal Tumor Society (MSTS)-93 score was 18.2. The aseptic loosening rate was significantly greater for prostheses fixed with 3 sacral screws (4 of 10, 40.0%) than for those fixed with 4 (0 of 10, 0%) or 5 screws (0 of 8, 0%) (p = 0.024). The prosthetic breakage rate was lower in patients who underwent lumbosacral fixation (0 of 13, 0%) than in those who did not (4 of 15, 26.7%), although the difference did not reach significance (p = 0.102). Biomechanical analyses suggested that the addition of lumbosacral fixation or increasing the number of sacral screws from 3 to 4 or 5 visibly reduced the peak stress of the sacral screws. The use of a 3D-printed prosthesis with an articular interface for pelvic reconstruction demonstrated stable prosthetic fixation, anatomical acetabular reconstruction, and acceptable early functional outcomes. Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.

The law of fracture propagation and intersection in zipper fracturing of deep shale gas wells

In response to the unclear understanding of fracture propagation and intersection interference in zipper fracturing under the factory development model of deep shale gas wells, a coupled hydro-mechanical model for zipper fracturing considering the influence of natural fracture zones was established based on the finite element – discrete element method. The reliability of the model was verified using experimental data and field monitoring pressure increase data. Taking the deep shale gas reservoir in southern Sichuan as an example, the propagation and interference laws of fracturing fractures under the influence of natural fracture zones with different characteristics were studied. The results show that the large approaching angle fracture zone has a blocking effect on the forward propagation of fracturing fractures and the intersection of inter well fractures. During pump shutdown, hydraulic fractures exhibit continued expansion behavior under net pressure driving. Under high stress difference, as the approaching angle of the fracture zone increases, the response well pressure increase and the total length of the fractured fracture show a trend of first decreasing and then increasing, and first increasing and then decreasing, respectively. Compared to small approach angle fracture zones, natural fracture zones with large approach angles require longer time and have greater difficulty to intersect. The width of fractures and the length of natural fractures are negatively and positively correlated with the response well pressure increase, respectively, and positively and negatively correlated with the time required for intersection, the total length of hydraulic fractures, and fracturing efficiency, respectively. As the displacement distance of the well increases, the probability of fracture intersection decreases, but the regularity between displacement distance and the response well pressure increase and the total length of fractures is not obvious.

Influence of hot water pipe position on the performance of radiant floor heating systems integrated with PCM

To address the slow heating and low efficiency issues of traditional macro-packed phase change material (PCM) radiant floor heating systems, this study innovatively explores the impact of altering the eccentric positions of hot water pipes within the PCM encasement, based on computational fluid dynamics (CFD) numerical simulations. Starting with a concentric case as a baseline, the investigation extends to six different configurations achieved by displacing the hot water pipes vertically (upward and downward) and horizontally. The analysis encompasses the PCM's thermal state, temperature dynamics, spatial distribution, and heat flux. The results indicate that the arrangement of hot water pipes with upward and horizontal displacements demonstrates a more positive impact on improving the thermal performance of the PCM radiant floor heating system, with the effect becoming more pronounced as the displacement distance increases. Cases with upward eccentric movement of r/4 (where r is the encasement radius) and r/2 reached the optimal floor temperature of 297.15 K faster than the concentric case by 2 h and 3.8 h, respectively, during the heating phase. Cases with horizontal eccentric movement advanced by 0.5 h and 2.5 h, respectively. Cases with horizontal displacements of r/4 and r/2 caused smaller temperature fluctuations and provided greater comfort and energy efficiency than those with upward displacements, with average heat flux values being 4.75 % and 11.82 % lower, respectively. These findings offer theoretical support for the optimization and application of macro-packed PCM floor heating systems.

Machine learning models to predict osteonecrosis in patients with femoral neck fractures undergoing internal fixation

ObjectiveThis study aimed to use machine learning (ML) to establish risk factor and prediction models of osteonecrosis of the femoral head (ONFH) in patients with femoral neck fractures (FNFs) after internal fixation. MethodsWe retrospectively collected clinical data of patients with FNFs who were followed up for at least 2 years. Only intracapsular FNFs were included. In total, 437 patients and 24 variables were enrolled. The entire dataset was divided into training (89.5 %) and test (10.5 %) datasets. Six models—logistic regression, naive Bayes, decision tree, random forest, multilayer perceptron, and AdaBoost—were established and validated for predicting postoperative ONFH. We compared the area under the receiver operating characteristic curve (AUC), accuracy, recall, and F1 score of different models. In addition, a confusion matrix, density curve, and learning curve were used to evaluate the model performance. ResultsThe logistic regression model performed best at predicting ONFH in patients with FNFs undergoing internal fixation surgery, with an AUC, accuracy, recall, F1 score, and prediction value of 0.84, 0.89, 1.00, 0.94, and 89.1 %, respectively. The learning and density curves demonstrated a good prediction fitting degree and distinct separation. When establishing the ML models, the reduction quality, internal fixation removal, American Society of Anesthesiologists classification, injury mechanism, and displacement distance of the medial cortex were the top five risk factors positively correlated with the occurrence of ONFH. ConclusionsThe logistic regression model had excellent performance in predicting ONFH in patients with FNFs after internal fixation and could provide valuable guidance in clinical decision-making. When choosing treatment options for patients with FNFs, doctors should identify the risk factors and consider using the presented models to help anticipate outcomes and select individualised treatment.

Redesign The Layout of Production Facilities at a Garment Company Using the BLOCPLAN Method to Optimize Material Handling

Facility layout design is crucial in production layout setups. The composition of facilities that corresponds to the flow of materials between departments will help to ensure the production system's continuity. PT. KMC is a garment company in West Jakarta that manufactures shirts, dresses, and t-shirt bloats. The company's current layout facilities have not run optimally. This is because inefficient movement distances result in wasted material handling costs, and crossing production flows between departments cause production processes to be disturbed. The objective of this project is to rethink facility layouts using the BLOCPLAN approach in order to optimize material handling. The BLOCPLAN approach may examine layout performance and generate new layout ideas for efficient material handling. The discussion is limited because this research was only conducted on one company. Based on the results of the layout redesign using the BLOCPLAN approach, various improvements were obtained, including a 37.12% increase in material handling cost efficiency. The proposed layout with the BLOCPLAN method is able to provide a reduction in material transfer distance of 22.6 meters and a material handling cost of Rp 155,346 when compared to the initial layout, which had a total overall displacement distance of 35.8 meters and an initial layout material handling cost of Rp 247,059, making it much cheaper.

Analysis of the influence of circumference and displacement of the third fracture fragment on the healing of femoral shaft fractures treated with intramedullary nailing

The effect of circumference and displacement of the third fracture fragment on fracture healing after intramedullary nailing of femoral shaft fractures with a third fracture fragment was investigated. A retrospective cohort study was conducted to analyze the data of 142 patients who suffered femoral shaft fractures with a third fracture fragment and were admitted to the First People’s Hospital of Lianyungang from February 2016 to December 2021. According to the circumference of the third fracture fragments, these were divided into three types of type 1: 71 cases; type 2: 52 cases; and type 3: 19 cases. On the basis of the diaphyseal diameter, the degree of displacement of the third fracture fragment was classified into three degrees of degree I: 95 cases; degree II: 31 cases; and degree III: 16 cases. Postoperative follow-up was performed to compare the fracture healing rate, healing time, and the modified Radiographic Union Scale for Tibia (mRUST) at 9th month after surgery in each group. All 142 patients were followed up after operation, with an average of (14.7 ± 4.1) months, and the overall healing rate was 73.4%. When the third fracture fragments were displaced in degree II and III, the mRUST score at 9th month in the type 1 group was higher than that in the type 2 and 3 groups (P = 0.017). Logistic regression analysis showed that greater displacement of third fracture fragments and greater circumference were associated with lower fracture healing rates (P < 0.05). After intramedullary nailing of femoral fractures, the degree of third fragment displacement and circumference affect fracture healing, and the former has a greater impact. When the third fracture fragment is displaced to degree II or III and its circumference is type 2 or type 3, it significantly affects the fracture healing. Intraoperative intervention to reduce the distance of third displacement of the fragment is required to reduce the incidence of non-union.

Differences in the corrective effects of vertical transposition accompanied by recession–resection of the horizontal rectus muscles for complicated vertical deviation

Background/objectivesTo investigate whether the corrective effect differs between upward and downward transpositions or between exotropia and esotropia in vertical transposition accompanied by horizontal rectus muscle recession–resection.Subjects/methodsThis prospective study investigated 41 patients with concomitant exotropia or esotropia with small-angle vertical deviation who underwent unilateral vertical transposition accompanied by horizontal rectus muscle recession–resection and were followed up for 1 year postoperatively. We analysed the vertical deviation corrective effect, defined as the corrective amount per displacement distance (°/tendon width [TW]). We compared the corrective effects between upward and downward transpositions and between exotropia and esotropia. Additionally, we investigated the correlation between the corrective effect and the studied parameters.ResultsThe 1-year vertical corrective effect was 5.2 ± 4.6° (9.0 ± 8.1 prism dioptres [Δ])/TW. The 1-year vertical corrective effect of upward transposition (7.9 ± 4.0° [13.8 ± 7.0Δ]/TW) was higher than that of the downward transposition (3.9 ± 4.4° [6.8 ± 7.7Δ]/TW, P = 0.009). In contrast, upward and downward transposition did not differ between exotropia and esotropia (P = 0.62). Multivariate analyses revealed that the 1-year vertical corrective effect correlated with the vertical transposition direction (upward or downward) and preoperative vertical deviation but did not correlate with the disease type (exotropia or esotropia). The 1-year motor success (vertical deviation ≤ 5Δ) rate was 89%.ConclusionThe vertical corrective effect of vertical transposition accompanied by horizontal rectus muscle recession–resection is greater in upward transposition than in downward transposition; however, it does not differ between exotropia and esotropia.

DESIGN OF STORAGE LAYOUT FOR PROTECTOR MATERIAL (FAST MOVING) WITH CLASS BASED STORAGE METHOD AT RAW MATERIAL WAREHOUSE JEPARA PT DSV SOLUTIONS INDONESIA (SEMARANG BRANCH)

PT DSV Solutions Indonesia Semarang Branch is a 3PL company engaged in warehousing logistics. The current condition is that the protector material storage still uses a randomized storage method and the GR (Good Receiving) method which rearranges the boxes into pallets. The current layout causes a fairly high displacement distance and has an impact on high material handling costs and the size of the blocks on the shelves that make the GR method long. The purpose of this study is to design a storage layout for protector (fast moving) materials using the class-based storage method to determine changes in displacement distance, material handling costs, and work efficiency and performing the GR (Good Receiving) process. Researchers used descriptive qualitative research methods with observation, interviews, and documentation. The results showed the total distance of the initial displacement of the protector material was 16,172,250 m and the Material Handling Cost was Rp 109,971,300 and the GR process did not require rearrangement into pallets. The output of this research is that it can reduce the total distance of moving the protector material and streamline the distance of movement by 56% and streamline the Material Handling Cost by 56%. In the changed GR (Good receiving) method, it can raise the beam on the level 3 shelf, by 1.5m. The material protector storage layout can be said to be efficient using the class-based storage method when compared to the initial storage layout.

Tricuspid valve septal displacement cutoff value for mortality risk following biventricular repair in Ebstein anomaly.

Surgical intervention is the definitive treatment for Ebstein anomaly, offering both biventricular and nonbiventricular repair options. The objective of this study is to identify a specific cutoff value for tricuspid septal leaflet displacement, which will be a crucial factor in determining the selection of a surgical approach with lower mortality risk in biventricular repair. This is a retrospective cohort study of consecutive patients with Ebstein anomaly undergoing surgical intervention at the National Cardiovascular Center Harapan Kita from January 2010 to December 2023. A total of 83 patients with Ebstein anomaly were treated surgically; 43 of those underwent biventricular repair, whereas the remaining underwent nonbiventricular repair. Echocardiography was performed, and the Great Ormond Street Echocardiography score was calculated. Several risk factors were identified and stratified for patients with biventricular repair (n = 43). Tricuspid septal leaflet displacement was measured for each patient, and there was a statistically significant higher mortality risk directly proportional to higher displacement in patients with biventricular repair (P < 0.05). A cutoff value of 43.5 mm/m² for the tricuspid septal leaflet displacement is the best predictor of mortality risk in biventricular repair with 83.3% sensitivity and 93.3% specificity. In patients with Ebstein anomaly undergoing a biventricular repair, mortality rates are significantly elevated in patients with a higher tricuspid septal leaflet displacement distance. The results of the study indicated that the mortality risk in biventricular repair can be predicted based on the tricuspid septal leaflet displacement distance using a cutoff value of 43.5 mm/m².

Accuracy and clinical efficacy of robot-assisted transiliac-transsacral screw placement for posterior pelvic ring fractures

To explore accuracy and clinical effect of robot-assisted implantation of sacroiliac penetrating screw in orthopedic surgery for posterior pelvic ring fracture. The clinical data of 24 patients with posterior pelvic ring fracture treated with robot-assisted sacroiliac penetration screws from August 2022 to August 2023 were retrospectively analyzed, including 10 males and 14 females; aged from 21 to 73 years old with an average of (49.29±14.48) years old;according to Tile pelvic fractures, 13 patients were type B and 11 were type C. The effect of screw placement was evaluated according to Gras criteria based on postoperative CT scan results. At the final follow-up, fracture healing was evaluated according to Matta score, and functional recovery was evaluated by Majeed score. All patients were followed up for 3 to 13 months with an average of (6.00±3.28) months. Totally 36 sacroiliac penetrating screws, 18 S1 penetrating screws, 18 S2 penetrating screws were inserted, a total of 29 were excellent and 7 good according to Gras standard. Screw adjustment times was 0.00 (0.00, 0.75) times. At the final follow-up, Matta score was excellent in 18 patients, 5 good and 1 moderate, and the maximum displacement distance was 2.55 (0.00, 5.65) mm. Majeed score was 84.37±8.38, 15 patients were excellent, 7 good and 2 moderate. Robot could accurately and safely assist in the placement of sacroiliac joint screws for the treatment of posterior pelvic ring fractures, and promote postoperative functional recovery of patients.

Three-dimensional finite element analysis of lumbar disc herniation under different body positions

To campare biomechanical effects of different postural compression techniques on three-dimensional model of lumbar disc herniation (LDH) by finite element analysis. Lumbar CT image of a 48-year-old female patient with LDH (heighted 163 cm, weighted 53 kg) was collected. Mimics 20.0, Geomagic Studio, Solidwords and other software were used to establish three-dimensional finite element model of LDH on L4,5 segments. Compression techniques under horizontal position, 30° forward bending and 10° backward extension were simulated respectively. After applying the pressure, the effects of compression techniques under different positions on stress, strain and displacement of various tissues of intervertebral disc and nerve root were observed. L4, 5 segment finite element model was successfully established, and the model was validated. When compression manipulation was performed on the horizontal position, 30° flexion and 10° extension, the annular stress were 0.732, 5.929, 1.286 MPa, the nucleus pulposus stress were 0.190, 1.527, 0.295 MPa, and the annular strain were 0.097, 0.922 and 0.424, the strain sizes of nucleus pulposus were 0.153, 1.222 and 0.282, respectively. The overall displacement distance of intervertebral disc on Y direction were -3.707, -18.990, -4.171 mm, and displacement distance of nerve root on Y direction were +7.836, +5.341, +3.859 mm, respectively. The relative displacement distances of nerve root and intervertebral disc on Y direction were 11.543, 24.331 and 8.030 mm, respectively. Compression manipulation could make herniated intervertebral disc produce contraction and retraction trend, by increasing the distance between herniated intervertebral disc and nerve root, to reduce symptoms of nerve compression, to achieve purpose of treatment for patients with LDH, in which the compression manipulation is more effective when the forward flexion is 30°.