Execution Of Procedures Research Articles

Study protocol of an exercise and nutrition intervention for ovarian cancer patients during and after first-line chemotherapy (BENITA) - a randomized controlled trial.

In ovarian cancer frequently reported side effects are muscle wasting and malnutrition, leading to frailty, decreased health-related quality of life (HRQoL), and cancer-related fatigue (CRF). Both often begin during first-line chemotherapy and develop progressively into a refractory state, if left untreated. Primary objective is to evaluate effectiveness of a newly developed app-based exercise and nutrition program under non-standardized conditions of clinical routine. We hypothize that patients who receive an individually tailored exercise and nutrition program for six months will have improved physical performance compared to patients who receive usual care. This is a multicenter randomized controlled open-label trial comparing an intervention group receiving a six-month exercise and nutrition intervention and a control group receiving usual care. Primary endpoint is the change in 6-Minute Walk Test (6MWT) from baseline to T2 (26 weeks after baseline) as a measure of physical functioning. Secondary endpoints include patients' utilization and adherence to the nutrition program (MEDAS), their malnutrition risk (NRS2002), as well as patients' HRQoL (see Table1). Using the two-sample t-test with a two-sided type I error of 5% and 80% power, a medium effect size of Cohen's d = 0.50 can be demonstrated with a minimum of 128 participants (64 per group). With a conservatively estimated dropout rate of 30%, 182 patients will be recruited. Patients who are included must be over 18 years of age, be diagnosed with ovarian cancer, cancer of fallopian tubes, or peritoneal cancer, FIGO stages II-IV, receive surgery and chemotherapy (adjuvant or neoadjuvant). Exclusion criteria are an ECOG status greater than 2, inadequate proficiency in German, or physical or mental impairments hindering the implementation of the program or execution of study procedures. In case of success, the project contributes in the long term to (i) improving medical care (diagnosis, psychoeducation, patient orientation, and empowerment), (ii) reducing the burden of disease and promoting physical autonomy for patients, and (iii) being incorporated into relevant guidelines. The study was registered at ClinicalTrials.gov (NCT06250686).

Telesurgery: humanitarian and surgical benefits while navigating technologic and administrative challenges.

Telesurgery, the remote execution of surgical procedures through telecommunication and robotic systems, has witnessed substantial growth in recent years, promising to address global healthcare disparities and enhance surgical expertise. This paper explores the humanitarian and surgical benefits of telesurgery, emphasizing its potential to provide expert surgical care to underserved regions. Despite its transformative potential, telesurgery faces significant technologic challenges, including issues of data transmission, latency, and the need for advanced robotic platforms. The advent of 5G networks and innovative robotic systems provides a promising technological landscape, yet global disparities in 5G coverage remain a concern. Ethical considerations, ranging from preserving the surgeon-patient relationship to addressing patient vulnerability and conflicts of interest, are pivotal aspects that demand attention. The paper underscores the importance of clear regulatory frameworks and international collaboration to navigate legal complexities and ensure ethical standards. As telesurgery progresses, integrating artificial intelligence, augmented reality, and haptic feedback technologies holds promise for further advancements. Despite these challenges, telesurgery has the potential to achieve equitable access to expert surgical care; however, it requires a collective effort to overcome its intricate technologic and administrative hurdles.

Position Paper of the German Society for Interventional Radiology and Minimally Invasive Therapy (DeGIR) and the German Roentgen Society (DRG) on Structural and Professional Requirements in Interventional Oncology.

Interventional oncology (IO) employs various techniques to enable minimally invasive, image-guided treatment of tumor diseases with both curative and palliative goals. Additionally, it significantly contributes to managing tumor-related and perioperative complications, offering diverse supportive procedures for patients at all stages of their diseases. The execution of IO procedures places unique demands on the equipment, personnel, and structural organization of radiological clinics, necessitating specific expertise from interventional radiologists.This position paper aims to comprehensively outline the multifaceted aspects of IO and discuss the requisite criteria for hospitals, radiological clinics, and interventional radiologists (IRs). Furthermore, it underscores overarching considerations of quality assurance that clinics and professional societies should prioritize.The requirements for hospitals, radiological clinics, and IRs are varied and demand not only a high level of proficiency in performing IO procedures but also in-depth knowledge of the differential therapy for various tumor diseases. This expertise is essential for effectively serving as clinical partners in the interdisciplinary treatment of oncologic patients. Additionally, a thorough understanding and safe handling of ionizing radiation technologies, along with proficiency in radiation protection methods, which are fundamental aspects of radiological specialist training, is crucial for ensuring the safety of IO procedures for both patients and staff. The Deutsche Gesellschaft für Interventionelle Radiologie und minimal-invasive Therapie (DeGIR) and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) have long-established dedicated quality management programs, accrediting radiology clinics and certifying IRs. These initiatives aim to uphold the highest standards of care and meet the quality expectations set by politics in healthcare system, particularly in the realm of interventional radiology. · The various procedures in the field of interventional oncology (IO) are complex medical interventions that require not only the most advanced technical equipment but also adequate human resources, particularly specialized expertise in interventional radiology, diagnostic imaging, oncology, and radiation protection.. · This expertise is an integral part of the specialized medical training in radiology and is certified by professional societies such as the German Society for Interventional Radiology (DeGIR) and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE).. · Professional societies like DeGIR, CIRSE, and the American Society of Interventional Radiology (SIR) establish the necessary quality assurance framework for comprehensive, high-quality IO therapy through quality assurance (QA) registries, standard operating procedure (SOP) documents, and participation in guideline development.. · Currently, radiology is the only discipline that provides physicians with the theoretical and practical knowledge, skills, and competencies required to perform the demanding procedures in the field of IO through specialized training programs and tailored certification processes.. · Isfort P, Sommer CM, Bruners P et al. Position Paper of the German Society for Interventional Radiology and Minimally Invasive Therapy (DeGIR) and the German Roentgen Society (DRG) on Structural and Professional Requirements in Interventional Oncology. Fortschr Röntgenstr 2024; DOI 10.1055/a-2373-1013.

Backwards-reachability for cooperating multi-pushdown systems

A cooperating multi-pushdown system consists of a tuple of pushdown systems that can delegate the execution of recursive procedures to sub-tuples; control returns to the calling tuple once all sub-tuples finished their task. This allows the concurrent execution since disjoint sub-tuples can perform their task independently. Because of the concrete form of recursive descent into sub-tuples, the content of the multi-pushdown does not form an arbitrary tuple of words, but can be understood as a Mazurkiewicz trace. For such systems, we prove that the backwards reachability relation efficiently preserves recognizability, generalizing a result and proof technique by Bouajjani et al. for single-pushdown systems. It follows that the reachability relation is decidable for cooperating multi-pushdown systems in polynomial time and the same holds, e.g., for safety and liveness properties given by recognizable sets of configurations.

Mathematical Model of Horizontal Track Conflict Prevention Algorithm in Detect-and-Avoid Framework

With the proliferation of Unmanned Aerial Vehicle (UAV) technology, the demand for effective collision avoidance technology has intensified. The DAIDALUS algorithm, devised by NASA Langley Research Center under the Detect-and-Avoid (DAA) framework, provides conflict prevention bands for remotely piloted UAVs navigating in intricate airspace. The algorithm computes the bands in two distinct phases: Conflict and Recovery. The formal model for both phases has been established and implemented through iterative programming approaches. However, the mathematical model remains incomplete. Therefore, based on the model, this paper proposes the mathematical model for the two phases of the horizontal track conflict prevention algorithm. Firstly, Cauchy’s inequality is proposed to formulate the model that addresses trajectory conflicts considering the UAV non-instantaneous maneuvering dynamics model, and then a prudent maneuvering strategy is designed to optimize the model for the recovery phase. Finally, the execution procedure of the algorithm within the two-stage mathematical model is also detailed. The results demonstrate that the proposed model achieves a higher precision in the preventive bands, implements an effective collision avoidance strategy, and consistently aligns with the DAIDALUS model while offering a larger buffer time or distance. This work theoretically validates the formal model of the DAIDLAUS algorithm and provides insights for further refinement.

A framework for a low-cost system of automated gate control in assays of spatial cognition in fishes.

Automation of experimental setups is a promising direction in behavioral research because it can facilitate the acquisition of data while increasing its repeatability and reliability. For example, research in spatial cognition can benefit from automated control by systematic manipulation of sensory cues and more efficient execution of training procedures. However, commercial solutions are often costly, restricted to specific platforms, and mainly focused on the automation of data acquisition, stimulus presentation, and reward delivery. Animal welfare considerations as well as experimental demands may require automating the access of an animal or animals to the experimental arena. Here, we provide and test a low-cost, versatile Raspberry Pi-based solution for such use cases. We provide four application scenarios of varying complexities, based on our research of spatial orientation and navigation in weakly electric fish, with step-by-step protocols for the control of gates in the experimental setups. This easy-to-implement, platform-independent approach can be adapted to various experimental needs, including closed-loop as well as field experiments. As such, it can contribute to the optimization and standardization of experiments in a variety of species, thereby enhancing the comparability of data.

Hydroxypropyl methylcellulose remove dense water droplets during fluid-air exchange on the posterior surface of intraocular lenses with posterior capsule loss

Purpose: The research investigates the efficacy of hydroxypropyl methylcellulose (HPMC) treatment in facilitating the development of compact water droplets on the rear surface of synthetic lenses with capsule imperfections during the process of fluid-air exchange. Method: This study examined four patients with intraocular lens (IOL) implants and posterior capsule defects who experienced the formation of dense water droplets on the posterior surface following fluid-air exchange. When this occurrence obstructs fundus visualization during surgery, it is recommended to suspend the surgical procedure. Upon removal of the non-contact fundoscope and inspection of the IOL, the presence of dense water droplets becomes evident. Subsequently, the removal of bubbles can be achieved by employing a blunt needle filled with HPMC, which is subsequently administered to the area posterior to the intraocular lens. Subsequently, the HPMC should be uniformly distributed on IOL back surface using the blunt needle. Results: During the surgical procedure, it was noted that all patients attained a clear fundus field of vision after the administration of HPMC and insertion of the IOL, facilitating the successful execution of subsequent surgical procedures. Conclusion: HPMC serves as a suitable viscoelastic agent for the elimination of dense water droplets adhered to the surface of intraocular lenses following application, consequently maintaining a clear visual field of the fundus. This surgical intervention is characterized by its efficacy and safety.

A SEGURANÇA DO PACIENTE

Objective: Promote training for nursing team professionals to reduce the risks of infections caused by invasive procedures. Methods: This study was based on a quantitative research, of an exploratory nature, conducted through field research. Results: The aim was to decrease hospital-acquired infections by raising awareness among the nursing team about the importance of following safety protocols. This included reducing the percentage of devices that could potentially aggravate risks for clients/patients. Final Considerations: The study highlighted the need for targeted training using the presented approach. It emphasized the importance of the entire team remaining vigilant in hygiene practices, handwashing, equipment cleaning, and proper execution of invasive procedures to minimize the risks of infection transmission and spread.

Tao: Improving Resource Utilization while Guaranteeing SLO in Multi-tenant Relational Database-as-a-Service

It is an open challenge for cloud database service providers to guarantee tenants' service-level objectives (SLOs) and enjoy high resource utilization simultaneously. In this work, we propose a novel system Tao to overcome it. Tao consists of three key components: (i) tasklet-based DAG generator, (ii) tasklet-based DAG executor, and (iii) SLO-guaranteed scheduler. The core concept in Tao is tasklet, a coroutine-based lightweight execution unit of the physical execution plan. In particular, we first convert each SQL operator in the traditional physical execution plan into a set of fine-grained tasklets by the tasklet-based DAG generator. Then, we abstract the tasklet-based DAG execution procedure and implement the tasklet-based DAG executor using C++20 coroutines. Finally, we introduce the SLO-guaranteed scheduler for scheduling tenants' tasklets across CPU cores. This scheduler guarantees tenants' SLOs with a token bucket model and improves resource utilization with an on-demand core adjustment strategy. We build Tao on an open-sourced relational database, Hyrise, and conduct extensive experimental studies to demonstrate its superiority over existing solutions.

Inner Prison of the NKGB (MGB, KGB) of Lithuanian Soviet Socialist Republic 1944–1959

This study discloses the 1944-1959 period history of the inner prison of NKGB (Narodny Komissariat Gosudarstvennoy bezopasnosti, English translation – The People‘s Commissariat for State Security) of Lithuanian Soviet Socialist Republic, including MGB (Ministerstvo Gosudarstvennoy Bezopasnosti, English translation – the Ministry for State Security) and KGB (Komitet Gosudarstvennoy Bezopasnosti, English translation – Committee for State Security) as users of this prison. The significance of this prison in the common system of prisons under State Security Institutions is analysed as well as the cases of collaboration with the prisons operating under Ministry of Internal Affairs. Inner prison routine is analysed: living conditions of prisoners, regime, etc. Direct links between the work of the Interrogation Division of the NKGB (MGB, KGB) of Lithuanian Soviet Socialist Republic and inner prison are disclosed, as well as the procedure of execution at the inner prison. The inner prison was the most important prison of the Soviet secret police organization (Cheka) in Lithuanian Soviet Socialist Republic – political prisoners of special importance were imprisoned there and interrogated in the Interrogation Division located in the same building. In the first post-war years, the inner prison was overcrowded, and prison conditions were poor. They improved just at the end of the fifth decade, because the number of imprisoned persons decreased, and bunks were installed in the cells. In the first post-war decade, during interrogation sessions, employees at the Interrogation Division used to apply not only psychological violence against prisoners, but physical violence as well. In 1953, officially, physical torture measures were prohibited, still cases of physical torturing of prisoners happened even much later. In the period 1944–1969, death sentences were carried out in the inner prison. Over one quarter of the last century, 1 019 persons were executed. Although an official method of carrying out the capital punishment used to be squad firing, the investigation of remains of those executed and buried in the burial grounds in Tuskulėnai, show that people who had been sentenced to death penalty, sometimes, during first post-war years at least, were just tortured to death.

Legal nature of postponement of execution, change or establishment of the method and procedure of execution of a decision in civil proceedings

This article is devoted to the general theoretical analysis of the legal nature of such a legal phenomenon as the postponement of execution, modification, or establishment of the method and procedure of executing a decision in civil proceedings, viewed through the lens of proposed doctrinal definitions of this cross-sectoral legal institute. It is determined that in modern civil proceedings, issues of postponement and installment of execution, modification, or establishment of the method and procedure of executing court decisions are among the aspects that determine the effectiveness and fairness of justice. Attention is drawn to the fact that, under certain circumstances, postponement of execution, modification, or establishment of the method and procedure of executing a decision is more justified and rational during the execution of a court decision. It is precisely these measures ‒ postponement, installment of execution, modification, or establishment of the method and procedure of execution ‒ that allow for balancing the interests of all participants in the enforcement proceedings, as well as creating the possibility for the actual execution of the court decision in the future. The article examines scientific positions regarding the legal definition of such concepts as postponement and installment of execution, modification of the method of executing court decisions, and modification of the procedure for their execution. Based on the analysis, it is concluded that postponement, installment of execution, modification, or establishment of the method and procedure of execution are primarily aimed at ensuring the timely, complete, and impartial execution of a decision, and thereby, the actual restoration of violated rights, freedoms, and interests of individuals. Consequently, by their legal nature, these measures are more about balancing the interests of the parties in enforcement proceedings, with the aim of ensuring the full execution of the court decision and achieving the ultimate goal of judicial protection ‒ the restoration of the violated right.

Establishing the validity of “Sports Talent®”: a methodology for motor talent detection in sports

The objective of the study was to establish the scientific validity of a comprehensive methodology for motor talent detection in sports, named “Sports Talent®”. The methodology was created and validated through the Delphi method, with the participation of expert evaluators with expertise in High Performance Sport (HPS). The proposed structure of the method was submitted to an Expert Evaluator Panel (QPA), initially consisting of 90 participants, of whom 23 remained until the end of the study. The characteristics of the remaining participants were as follows: age = 44.3 ± 10.5 years; period dedicated to work in HPS: = 12.3 ± 10.4 years. The Delphi method involved formulating questions to obtain responses on a Likert scale, conducted over three rounds. Significant improvements in reliability and agreement among the QPA were noted in each round of the Delphi method. In Round 1, out of 95 sent questionnaires, 43 responses were received, yielding a Cronbach's alpha value of α = 0.72 and a 93.0% agreement rate for the tests. By Round 3, of the 25 questionnaires sent, 23 responses were received, achieving a perfect Cronbach's alpha value of α = 1.0 and a 100.0% agreement rate. The high relevance and consistency of tests such as the Sociocultural Contextual Inventory, Biological Maturation by Tanner, Informatized Dermatoglyphics, Epigenetic Anthropometry, and the Motivation Form were evident across all rounds. The order of procedure execution also showed increasing consensus, highlighting the progressive alignment of expert opinions throughout the study. Keywords: Dermatoglyphics; Sexual Characteristics; Athletic Performance; Epigenome; Delphi Technique.

Transcatheter Aortic Valve Replacement is Ready for Most Low-risk Patients: A Systematic Review of the Literature.

Transcatheter aortic valve replacement (TAVR) has undergone rapid expansion, emerging as a viable therapeutic option for low-risk patients in lieu of surgical aortic valve replacement. This paper aims to provide a review of the scientific evidence concerning TAVR in low-risk patients, encompassing both observational and clinical trial data. Furthermore, a substantial proportion of low-risk patients possesses a bicuspid aortic valve, necessitating careful examination of the pertinent anatomic and clinical considerations to TAVR that is highlighted in this review. Additionally, the review expands upon some of the unique challenges associated with alternate access in low-risk patients evaluated for TAVR. Last, this review outlines the pivotal role of a multidisciplinary heart team approach in the execution of all TAVR procedures and the authors' vision of 'minimalist TAVR' as a new era in low-risk TAVR.

The Correlation Between CT Findings and Neurosurgical Intervention in Mild Traumatic Brain Injury Patients with Isolated Subdural Hematomas

Abstract Objective In patients with mild traumatic brain injuries (mTBIs), with Glasgow Coma Scale (GCS) scores of 13 to 15, isolated subdural hematomas (iSDHs) are identified as a prevalent category of intracranial hemorrhage. The primary objective of our research was to investigate the relationship between the characteristics of iSDHs, as revealed through computed tomography (CT) scans on patient admission, and the consequent necessity for neurosurgical intervention. Materials and Methods This was a 1-year study, employing a prospective observational design at our institution. We enrolled adult trauma patients diagnosed with mTBIs and concurrent iSDHs, intent on documenting the hemorrhages' quantitative parameters such as maximum length and thickness, among other related variables. The eventual execution of neurosurgical procedures constituted our primary outcome, aiming to establish a decisive correlation between CT scan metrics of iSDHs upon admission and the imperative for subsequent surgical intervention. Results A total of 50 patients were included in our study: 14 patients received a neurosurgical intervention and 36 patients did not. The neurosurgical intervention group had a mean maximum SDH length and thickness that were 38 mm longer and 9.6 mm thicker than those of the non-neurosurgical intervention group (p < 0.001 for both). Conclusion In this study, we evaluated the odds of a neurosurgical intervention based on hemorrhage characteristics on CT, in patients with an iSDH and mTBI. Once validated in a second population, these data can be used to evaluate the necessity of interhospital transfers and to better inform patients and families of the risk of future neurosurgical intervention and prognosis.

The personnel support of the long-turn care system in the Russian Federation

In Russia, over the past few years, long-term care system is developing as pilot project. Its main goal is to maintain habitual lifestyle of citizens of retirement age and the disabled who have functional impairments and who need help in household chores, sanitary hygienic procedures performance, medications intake, medical procedures execution and and physician prescriptions following in general. According to approved standard model of long-term care main sources of long-term care services are social security system, health care system, relatives and friends of service addressees. However, full-fledged and systemic implementation of program requires not only definition of these components, but also establishment of mechanism of interaction between them. For this, in most cases, elimination of normative inconsistencies impeding care and consideration of interests of elder citizens and the disabled is required. At the same time, it is necessary to foresee personnel staffing for long-term care, since this area is labor-intensive and is based on people interaction, model of person-to-person care. The problems with personnel staffing in medical and social sphere were present earlier, prior to development of long-term care system and without their elimination it is impossible to implement program in accordance with approved road-map. The training of medical specialists to working with older people, training of junior medical personnel to perform sanitary hygienic and medical procedures, provision with social and medical personnel rural areas are among tasks to be implemented. The article presents evaluation of compliance of components of long-term care system with program tasks, including medical personnel staffing and compliance of standards in force with interests of citizens.

Secondary cleft palate correction with 3D-printed thermoplastic polyurethane film – a case report

Cleft palate is an oronasal communication that can affect the area comprehending the lips and the soft palate. Its clinical signs vary depending on the degree of the defect and the age of the animal, ranging from nasal secretion, coughing, sneezing, halitosis, respiratory difficulty, aspiration pneumonia, and loss of body condition. Its diagnosis is based on inspection of the oral cavity and imaging tests. Palatal defects must be surgically corrected as quickly as possible, using mucosal flaps, grafts, or implants. A desire to evolve alternative treatments for cleft palates drives the search for ways to manufacture customized pieces. 3D printing and biomaterials have enhanced in detail and applicability; combined with design tools and imaging exams, they allow for the making of precise implants and anatomical models for the planning and execution of surgical procedures. This report describes the case of a female, mixed-breed feline treated at a veterinary clinic; it was diagnosed with secondary cleft palate, had a history of falling, and underwent previous palatoplasties with recurrence. A surgical reintervention was performed to implant a 3D-printed TPU film to close its secondary cleft palate.

Triple digital guides for implant-supported restorations with alveoloplasty procedure in the esthetic zone.

The principal aim of this report is to address the challenge of integrating prosthetic crowns with natural dentition in the esthetic zone. It highlights the utilization of a prosthetically driven treatment plan, designed to ensure predictable esthetic outcomes. This report details a technique that utilizes three digital guides, all derived from a 3-dimensional digital smile design. The integration of a restoration guide, an implant drilling guide, and an alveoloplasty guide is described. These tools collectively facilitate the precise execution of both surgical and prosthetic procedures, enhancing treatment accuracy and esthetic integration. This technique considers the esthetic prosthetic crowns, implant positions, and alveoloplasty collectively. It enhances the predictability of esthetic outcomes in oral implantology and potentially provides an integrated prosthetically driven workflow in cosmetic dental treatments. The application of multiple digital guides derived from the same prosthetically driven treatment significantly enhances the predictability of esthetic outcomes in oral implantology.

Automating execution of surveillance procedures for NPP main control rooms

ABSTRACT For the past 30 years, progress in the automation of control processes in the nuclear industry has been much slower compared to other industries. In the same timeframe, other complex industrial and/or high-risk processes (e.g., aviation) have been revolutionized by the exponential increase of technology capability in computing and information systems. The reason for the relatively slow trickling of technology advancements in the nuclear field is multi-faceted: i) resistance to change from a traditionally proven solution (partially due to very specific regulation requirements); ii) the cost to adopt Computerized Procedure Systems for existing NPPs, without having a quantified and proven safety benefit; iii) relatively low number of new NPPs being built following the Chernobyl and Fukushima disasters; iv) possible negative impact on the human factors aspect. After a short introduction to automation in another high-risk industry (aviation), this paper focuses on the practical approach required for automating Surveillance Procedures, and at the same time taking into consideration the human factors impact of this approach.

Некоторые проблемы административного регулирования в сфере миграционной политики

This article analyzes some aspects of administrative regulations, establishes their significance, identifies some imperfections in their implementation, including non-compliance with the norms of administrative law, since most of them are not relevant, they do not have a single general procedure, sequence, specificity in the execution of administrative procedures, and some procedures are duplicated and arise significant problems in the implementation of migration legislation. The article considers the need for a comprehensive scientific study of the legal nature of administrative regulations, the need to study and define the general concept, the essence of administrative regulations and the importance of analyzing the classification of regulations.

Comprehensive Morphometric Analysis of the Rhomboid Fossa: Implications for Safe Entry Zones in Brainstem Surgery

The rhomboid fossa (RF) is a crucial anatomical region in brainstem surgery, as it contains essential structures like the reticular formation and cranial nerve nuclei. This study aims to provide a detailed understanding of the RF's complex microsurgical anatomy, which is vital for the safe execution of neurosurgical procedures. Morphometric analysis was conducted on 45 adult human brainstems preserved in 10% formalin. Thirteen linear measurements were performed under 20x magnification, using a millimeter graph to identify key anatomical landmarks. The study provided precise measurements of the rhomboid fossa, with a length of 34.65 mm and a width of 22.61 mm. The facial colliculus (FC) measured 4.26 mm in length on the left and 4.45 mm on the right, with corresponding widths of 3.77 mm and 3.50 mm. The distance between the sulcus limitans incisures was 9.52 mm, while the distance from the upper border of the medullary striae to obex was 11.53 mm. The proximity of the FC to the median sulcus was measured at 0.86 mm on the right and 0.96 mm on the left. Additionally, two safe entry zones-the suprafacial and infrafacial triangles-were identified, offering pathways to reach dorsal pons lesions through the RF. This comprehensive morphometric analysis of the RF enhances the understanding of its intricate anatomy. By describing safe entry zones, the suprafacial and infrafacial triangles, and providing precise measurements of key anatomical features, this research serves as a valuable resource for neurosurgeons in planning and executing brainstem surgeries.