Incorrect Position Research Articles

An Operational Processing Framework for Spaceborne SAR Formations

The paper proposes a flexible and efficient wavenumber domain processing scheme suited for close formations of low earth orbiting (LEO) synthetic aperture radar (SAR) sensors hosted on micro-satellites or CubeSats. Such systems aim to generate a high-resolution image by combining data acquired by each sensor with a low pulse repetition frequency (PRF). This is usually performed by first merging the different channels in the wavenumber domain, followed by bulk focusing. In this paper, we reverse this paradigm by first upsampling and focusing each acquisition and then combining the focused images to form a high-resolution, unambiguous image. Such a procedure is suited to estimate and mitigate artifacts generated by incorrect positioning of the sensors. An efficient wave–number method is proposed to focus data by adequately coping with the orbit curvature. Two implementations are provided with different quality/efficiency. The image quality in phase preservation, resolution, sidelobes, and ambiguities suppression is evaluated by simulating both point and distributed scatterers. Finally, a demonstration of the capability to compensate for ambiguities due to a small across-track baseline between sensors is provided by simulating a realistic X-band multi-sensor acquisition starting from a stack of COSMO-SkyMed images.

The accuracy of intensive care nurses' interpretation of chest radiographs to recognise misplacement of endotracheal and nasogastric tubes after a single training session and comparison with residents' interpretation

BackgroundMisplacements of endotracheal and nasogastric tubes are frequent encounters in critically ill patients. ObjectivesThe purpose of this study was to assess the effectiveness of a single standardised training session on the ability of intensive care registered nurses (RNs) to recognise the misplacement of endotracheal and nasogastric tubes on bedside chest radiographs of patients in intensive care units (ICUs). MethodsIn eight French ICUs, RNs received a 110-min standardised teaching on the position of endotracheal and nasogastric tubes on chest radiographs. Their knowledge was evaluated within the subsequent weeks. For 20 chest radiographs, each with an endotracheal and nasogastric tube, RNs had to indicate whether each tube was in the proper or incorrect position. Training success was defined as >90% for the lower bound of the 95% confidence interval (95% CI) of the mean correct response rate (CRR). Residents of the participating ICUs underwent the same evaluation (without prior specific training). ResultsIn total, 181 RNs were trained and evaluated and 110 residents were evaluated. The global mean CRR for RNs was 84.6% (95% CI: 83.3–85.9), significantly higher than for residents (81.4% [95% CI: 79.7–83.2]) (P < 0.0001). The mean CRR for RNs and residents was 95.9% (93.9–98.0) and 97.0% (94.7–99.3) for misplaced nasogastric tubes (P = 0.54), 86.8% (85.2–88.5) and 82.6% (79.4–85.7) (P = 0.07) for nasogastric tubes in the correct position, 86.6% (83.8–89.3) and 62.7% (57.9–67.5) for misplaced endotracheal tubes (P < 0.0001), and 79.1% (76.6–81.6) and 84.7% (82.1–87.2) for endotracheal tubes in the correct position (P = 0.01), respectively. ConclusionsThe ability of trained RNs to detect tube misplacement did not reach the predetermined arbitrary level, indicating training success. Their mean CRR was higher than that for residents and was considered satisfactory for detecting misplaced nasogastric tubes. This finding is encouraging but insufficient to ensure patient safety. Transferring responsibility for reading radiographs to detect the misplacement of endotracheal tubes to intensive care RNs will need a more advanced or more in-depth teaching method.

Fitness functions for RNA structure design.

An RNA design algorithm takes a target RNA structure and finds a sequence that folds into that structure. This is fundamentally important for engineering therapeutics using RNA. Computational RNA design algorithms are guided by fitness functions, but not much research has been done on the merits of these functions. We survey current RNA design approaches with a particular focus on the fitness functions used. We experimentally compare the most widely used fitness functions in RNA design algorithms on both synthetic and natural sequences. It has been almost 20years since the last comparison was published, and we find similar results with a major new result: maximizing probability outperforms minimizing ensemble defect. The probability is the likelihood of a structure at equilibrium and the ensemble defect is the weighted average number of incorrect positions in the ensemble. We find that maximizing probability leads to better results on synthetic RNA design puzzles and agrees more often than other fitness functions with natural sequences and structures, which were designed by evolution. Also, we observe that many recently published approaches minimize structure distance to the minimum free energy prediction, which we find to be a poor fitness function.

Diagnostic Accuracy of Auscultation During General Anesthesia by Taking Fiberoptic Bronchoscopy as Gold Standard

Objective: To evaluate the diagnostic accuracy of auscultation in the detection of inappropriate positioning of endotracheal tube, in patients undergoing elective surgeries, by taking fiberoptic bronchoscopy as gold standard. Study design: cross sectional study Place and duration: Department of anesthesia, Nishtar Hospital, Multan Methodology: A total of 205 patients admitted in general surgery ward were included in the study. The pre-operative assessment was done one day before surgery. The level of difficulty of intubation was assessed during pre-operative assessment. SPSS version 23 was used for data analysis. Tests of significance chi square and t-test were applied. P-value &lt; 0.05 was taken as statistically significant. Results: Therefore, the estimated sensitivity was 72.03%. The estimated specificity was 65.6%. Positive predictive value was 73.9% and negative predictive value was 63.3%. Two hundred and five patients were included in this study of both genders. Gender distribution revealed as n=144 (70.2%) males and n=61 (29.8%) females. The mean age of the patients was 38.92±10.61years. ASA status I and II observed as n=121 (59.0%) and n=84 (41.0%), respectively. Mallampati grading I and II observed as n=127 (62.0%) and n=78 (38.0%), respectively. Laryngoscopy grading I and II observed as n=135 (65.9%) and n=70 (34.1%), respectively. Practical Implication: The main objective of this study was to evaluate the relative diagnostic accuracy of auscultation during GA. Therefore, we evaluated each technique's sensitivity, specificity, (PPV), (NPV) and overall accuracy in detecting incorrect endotracheal tube positioning. Conclusion: The five point auscultation technique is a reliable method of confirmation of endotracheal intubation, as verified by flexible fiberoptic bronchoscope. Keywords: Auscultation, Fiberoptic bronchoscopy, General analgesia, Diagnostic accuracy, sensitivity.

Chest Tube in Thoracic Trauma - Recommendations of the Interdisciplinary Thoracic Trauma Task Group of the German Society for Thoracic Surgery (DGT) and the German Trauma Society (DGU)

For unstable patients with chest trauma, the chest tube is the method of choice for the treatment of a relevant pneumothorax or haemothorax. In the case of a tension pneumothorax, needle decompression with a cannula of at least 5cm length should be performed, directly followed by the insertion of a chest tube. The evaluation of the patient should be performed primarily with a clinical examination, a chest X-ray and sonography, but the gold standard of diagnostic testing is computed tomography (CT).A small-bore chest tube (e.g. 14 French) should be used in stable patients, while unstable patients should receive a large-bore drain (24 French or larger). Insertion of chest drains has a high complication rate of between 5% and 25%, and incorrect positioning of the tube is the most common complication. However, incorrect positioning can usually only be reliably detected or ruled out with a CT scan, and chest X-rays proofed to be insufficient to answer this question. Therapy should be carried out with mild suction of approximately 20cmH2O, and clamping the chest tube before removal showed no beneficial effect. The removal of drains can be safely performed, either at the end of inspiration or at the end of expiration. In order to reduce the high complication rate, in the future the focus should be more on the education and training of medical staff members.

Filter Masks during the Second Phase of SARS-CoV-2: Study on Population.

During the SARS-CoV-2 pandemic, the most common countermeasure are the use of masks, which are supposed to filter inhaled and exhaled air to reduce the spread of the virus. The masks, which are medical devices, must be used by providing appropriate instructions for correct use. This study, which examined the population during the advanced stage of the pandemic, highlighted a substantial improvement in the management and choice of masks, even though the information disseminated to the population probably should be even more detailed and precise in order to avoid incorrect behavior that could compromise the effectiveness of these devices; in fact a high percentage of subjects had behaviors that can facilitate the spread of the virus, such as the continuous attempts to correct the incorrect positioning of the mask on the face or the need to move it because it is annoying.

Technical notes on peripheral refraction, peripheral eye length and retinal shape determination.

To give an overview of the misconceptions and potential artefacts associated with measuring peripheral refractive error and eye length, the use of these measures to determine the retinal shape and their links to myopia development. Several issues were identified: the relationship between peripheral refractive error and myopia development, inferring the retinal shape from peripheral refraction or eye length patterns, artefacts and accuracy when measuring peripheral eye length using an optical biometer. A theory was developed to investigate the influence of artefacts in measuring peripheral eye length and on using peripheral eye length to make inferences about retinal shape. When determining peripheral axial length, disregarding the need to realign instruments with mounted targets can lead to incorrect field angles and positions of mounted targets by more than 10% for targets placed close to the eye. Peripheral eye length is not a good indicator of the effects of myopia or of treatment for myopia development because eyes of different lengths but with the same retinal shape would be interpreted as having different retinal shapes; the measurement leads to overestimates of changes in retinal curvature as myopia increases. Determining peripheral eye length as a function of estimated retinal height rather than field angle will halve the magnitude of the artefact. The artefact resulting from the peripheral use of biometers with an on-axis calibration is modest and can be ignored. There are significant issues with peripheral measurements of the refractive error and eye length that must be considered when interpreting these data for myopia research. Some of these issues can be mitigated, while others require further investigation.

PSCSO: Enhanced sand cat swarm optimization inspired by the political system to solve complex problems

The Sand Cat Swarm Optimization (SCSO) algorithm is a recently introduced metaheuristic with balanced behavior in the exploration and exploitation phases. However, it is not fast in convergence and may not be successful in finding the global optima, especially for complex problems since it starts the exploitation phase late. Moreover, the performance of SCSO is also affected by incorrect position as it depends on the location of the global optimum. Therefore, this study proposes a new method for the SCSO algorithm with a multidisciplinary principle inspired by the Political (Parliamentary) system, which is named PSCSO. The suggested algorithm increases the chances of finding the global solution by randomly choosing positions between the position of the candidate's best solution available so far and the current position during the exploitation phase. In this regard, a new coefficient is defined that affects the exploration and exploitation phases. In addition, a new mathematical model is introduced to use in the exploitation phase. The performance of the PSCSO algorithm is analyzed on a total of 41 benchmark functions from CEC2015, 2017, and 2019. In addition, its performance is evaluated in four classical engineering problems. The proposed algorithm is compared with the SCSO, Stochastic variation and Elite collaboration in SCSO (SE-SCSO), Hybrid SCSO (HSCSO), Parliamentary Optimization Algorithm (POA), and Arithmetic Optimization Algorithm (AOA) algorithms, which have been proposed in recent years. The obtained results depict that the PSCSO algorithm performs better or equivalently to the compared optimization algorithms.

Anesthesia mumps with airway obstruction after radical nephrectomy: A case report and literature review.

Anesthesia mumps have rarely been reported. This article presents the diagnosis and treatment of a case of anesthesia mumps with airway obstruction in the urology department and reviews previous cases of the disease. A 58-year-old man had a history of hypertension and diabetes, and his blood pressure and glucose levels were well controlled. He underwent laparoscopic radical nephrectomy for a right renal tumor. Postoperatively, a swelling of approximately 5 × 4 cm was observed in the left parotid region and left eyelid, no palpable crepitation was detected, and the skin overlying the left parotid gland was mildly hyperemic and tender. Enhanced computed tomography of the head and neck revealed obvious swelling of the laryngopharyngeal airway, and electronic laryngoscopy showed narrow airway. Laboratory test results including white blood cell count, C-reactive protein, serum amylase, and lipase levels were normal. Glycosylated hemoglobin level was 6.8%, and the salivary culture from Stensen's duct was negative. The patient was managed with endotracheal intubation and a ventilator to maintain breathing along with anti-infection, expectorant, and symptomatic treatment. The swelling in the left parotid gland gradually resolved without recurrence, and the patient was extubated on the 7th postoperative day. In this case, the pathophysiology of anesthesia mumps may have been related to the incorrect positioning of the thick short neck and the use of a head ring, which can result in the squeezing of vessels. In most cases, the salivary gland swelling resolves with observation and symptomatic treatment. In patients with anesthesia mumps, emergency airway management and careful observation are necessary if upper airway obstruction occurs. This case report should increase awareness of anesthesia mumps and its complications among anesthesiologists, surgeons, and postoperative caregivers.

Isolation of Clinical Microbial Isolates during Orthodontic Aligner Therapy and Their Ability to Form Biofilm.

The purpose of this study is to calculate microbiological composition of aligners after a day of wearing them. To date, the dental market for orthodontists offers many ways to correct bites. Aligners are transparent and almost invisible from the teeth. They are used for everyday wear to correct the incorrect position of the teeth, which was once considered the prerogative of braces. Scientists worldwide have repeatedly considered questions regarding the interaction between aligners and the oral cavity's microflora; however, the emphasis has mainly shifted toward species composition and antibiotic resistance. The various properties of these microorganisms, including biofilm formation, adhesion to various cells, and the ability to phagocytize, have not been studied so widely. In addition, these characteristics, as well as the microorganisms themselves, have properties that change over time, location, and in certain conditions. In this regard, the problem of biofilm formation in dental practice is always relevant. It requires constant monitoring since high contamination of orthodontic materials can reduce the effectiveness of local anti-inflammatory therapy and cause relapses in caries and inflammatory diseases of the oral cavity. Adhesive properties, one of the key factors in forming the architectonics of biofilms, provide the virulence factors of microorganisms and are characterized by an increase in optical density, determining the duration and retrospectivity of diagnostic studies. This paper focuses on the isolation of clinical microbial isolates during aligner therapy and their ability to form biofilms. In the future, we plan to use the obtained strains of microorganisms to create an effective and safe biofilm-destroying agent. We aimed to study morphometric and densitometric indicators of biofilms of microorganisms persisting on aligners.

Marketing strategy in social networks: theoretical and practical basis

In the current market environment, a number of small and medium enterprises utilize social media platforms (SMM) as key channels for brand promotion. This trend is primarily due to the effectiveness of these platforms and their ability to cover a significant target audience. Entrepreneurs employ digital marketing tools, tailoring their offers to the target audience. The purpose of this article is to identify and explore the theoretical and practical basis for developing a marketing strategy in social networks. The analysis results have shown an increase in scientific publications from 2006 to 2023. The leaders in publication activity are scientists from the USA, Australia, and Spain. Based on the results of summarizing the scientific work, the article systematizes the main challenges companies face when implementing SMM strategies, namely: the absence of a clear strategy, incorrect positioning, uncertainty of the target audience, and irrelevant content. The authors have analyzed approaches to defining a marketing strategy in social networks and described examples of effective implementation of such strategies by global brands. The article argues that one of the catalysts for the avalanche-like development of SMM is the COVID-19 pandemic. It is determined that the theoretical foundation of the marketing strategy in social networks is based on the principles of digital marketing and takes into account the specifics of conducting a dialogue with users in virtual space. The key components of such a strategy are content marketing, interaction with influencers (influencer marketing), community management, and data analysis (data analytics). The practical aspect of the marketing strategy in social networks includes developing specific tactics and methods for implementing strategic goals. This encompasses creating content plans and developing and conducting SERM (Search Engine Reputation Management) campaigns. The authors have substantiated the need to develop integrated and flexible SMM strategies that take into account the uniqueness of each social network and the needs of target audiences, trends, and innovations in digital marketing

Technologies in Anaesthesia for the Paediatric Patient.

Spine surgery is an increasingly frequent surgery and includes a wide range of procedures, from minor surgeries (removal of herniated discs, simple laminectomies) to major surgeries (arthrodesis, removal of spinal meningiomas, etc.).These surgeries commonly involve complex patients (elderly population, ASA II-III) and are sometimes performed in emergency settings (polytrauma, cauda syndrome, pathological fractures), which require specific positions (pronation or lateral decubitus), whereby there can be difficulty in airway management, especially in surgeries that concern the cervical tract.One of the main peculiarities of spine surgery involves the prone position.Patient positioning on the operating bed is an action that must be carried out under medical supervision, in particular by the anaesthetist who is supposed to supervise the regular positioning of the patient at the very moment in which it is performed. The correct positioning of the patient is one of the most important moments of the patient care process in the operating room, given that an error in this field may cause serious damage to the patient by giving rise to permanent and significant nerve damage.The prone position is associated with a variety of complications (Kwee et al., Int Surg 100(2): 292-303, 2015). The points of greatest compression during pronation are eyes, nose, breasts, genitals and neck veins.Therefore, the main risks that can derive from an incorrect position are visual disturbances from inappropriate orbital compression, brachial plexus stretching, ulnar nerve compression and lateral femur-cutaneous nerve stretching. In addition, an inappropriate compression of the abdominal organs in this position, may cause ischemia and consequent organ failure resulting in hospitalization prolongation, permanent disability and sometimes even death (Edgcombe et al., Br J Anaesth 100: 165-183, 2008).In addition to the mechanical effects on anatomical structures, there are also the physiological effects of the prone position, which can be divided into circulatory and respiratory effects.These effects are even more pronounced in elderly patients, cardiopaths or patients with respiratory diseases.

LATCH Score as a Tool to Predict Weight Gain in Term Babies at Six Weeks Post-discharge: A Prospective Cohort Study

Introduction: The LATCH score is an acronym representing L- LATCH, A- Audible swallowing, T- Type of nipple, C- Comfort, H- Hold. It is a comprehensive yet simple breastfeeding assessment tool used to evaluate breastfeeding practices. Babies with a poor LATCH score at discharge are at an increased risk of early breastfeeding cessation and inadequate weight gain. According to World Health Organisation (WHO), only about 44% of infants aged 0-6 months worldwide were exclusively breastfed from 2015-2020, with a goal of increasing this rate to atleast 50% by 2025. There have been very few studies conducted in developing countries regarding this matter. Aim: To determine the correlation between the LATCH score and weight gain at six weeks post-discharge in term babies. Materials and Methods: This prospective cohort study was conducted at MVJ Medical College and Research Hospital, Bengaluru, Karnataka, India, from January 2023 to June 2023. The study included 355 healthy term and singleton babies. LATCH scores were assessed at the time of the first feed, 24 hours, 48 hours, 72 hours, and at the time of discharge. Mothers with a low LATCH score and the reasons for the low score were identified, corrected, and counselled until discharge. Weight gain velocity was analysed at the six-week follow-up. Analysis of Variance (ANOVA) was used to compare the mean values between variables, and Pearson’s correlation was used to analyse the correlation between the LATCH score and weight gain at six weeks post-discharge in term babies. Results: In the present study, the mean age of mothers was 26.21±5.40 years, and there were 200 males and 155 females babies. The mean LATCH score at the time of the first feed was found to be 3.91±1.09, which improved to 5.61±0.890, 7.03±0.742, 7.67±0.578, and 9.12±0.662 at 24 hours, 48 hours, 72 hours, and at the time of discharge, respectively. The reasons for a poor LATCH score were mainly attributed to primiparous mothers (42%) and incorrect positioning (35.5%). A significant positive correlation was found between the improvement of the LATCH score and weight gain at the six-week follow-up. Conclusion: The LATCH score was found to be a simple tool for identifying mothers and infants who require breastfeeding support and timely intervention to sustain breastfeeding. The LATCH score can serve as an effective predictor of weight gain at the six-week follow-up.

Role of time in binding features in visual working memory.

Previous research on feature binding in visual working memory has supported a privileged role for location in binding an object's nonspatial features. However, humans are able to correctly recall feature conjunctions of objects that occupy the same location at different times. In a series of behavioral experiments, we investigated binding errors under these conditions, and specifically tested whether ordinal position can take the role of location in mediating feature binding. We performed two dual report experiments in which participants had to memorize three colored shapes presented sequentially at the screen center. When participants were cued with the ordinal position of one item and had to report its shape and color, report errors for the two features were largely uncorrelated. In contrast, when participants were cued, for example, with an item's shape and reported an incorrect ordinal position, they had a high chance of making a corresponding error in the color report. This pattern of error correlations closely matched the predictions of a model in which color and shape are bound to each other only indirectly via an item's ordinal position. In a third experiment, we directly compared the roles of location and sequential position in feature binding. Participants viewed a sequence of colored disks displayed at different locations and were cued either by a disk's location or its ordinal position to report its remaining properties. The pattern of errors supported a mixed strategy with individual variation, suggesting that binding via either time or space could be used for this task. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Standard Technique versus Rotational Technique of Insertion of Baska Mask®

Background and Aims: Baska Mask® is a new third-generation supraglottic airway device (SGAD). The placement of Baska Mask® using the standard technique causes posterior displacement of the tongue, leading to incorrect positioning and insertion failure. The rotation technique may alleviate this obstacle during insertion by decreasing resistance between the airway and tongue. The primary objective of this study was to compare the insertion time between the standard versus rotational technique of Baska Mask®, and the secondary outcome measures were ease of insertion, number of attempts and postoperative airway morbidity with both techniques. Methods: One hundred consenting adults of the American Society of Anaesthesiologists I-II, aged 20–65 years of either gender scheduled for a variety of surgical procedures under general anaesthesia in a tertiary care hospital (May 2019 to November 2020), were included in the study. The patients were randomly allocated to Group S and Group R using the standard and rotation techniques, respectively. All statistical analyses were done using the SPSS (Statistical Package for the Social Sciences) software. The comparison of quantitative variables between the study groups was done using the Student's t-test and Mann–Whitney test. For comparing categorical data, the Chi-square χ 2 test was performed. Results: The mean insertion time was significantly higher with the standard compared to the rotation technique of Baska Mask (20.90 ± 3.13 vs. 14.84 ± 1.11 s, P = 0.000). Device insertion was easy in rotation compared to the standard technique (P = 0.031). The number of attempts required for insertion was more with the standard technique than with the rotation technique (P = 0.011). Conclusion: Although the standard technique of Baska Mask® remains the first choice, the rotational technique of Baska Mask® has a higher success of insertion with fewer complications than the standard technique; hence, it can be accepted as an alternative.

Wortakzentfehler vermeiden, aber wie – zu der Automatisierung der richtigen Akzentposition im Deutschen unter polnischen Germanistikstudenten

The article deals with the recurrent incorrect accent position in the German words articulated by Polish learners, whether when reading aloud or speaking. This seems all the more serious because incorrect word accent (as well as incorrect sentence accentuation) can contribute to communication problems or even misunderstandings. The main problem here is the frequency of the errors, which are always corrected, but without success. The article is meant as a postulate to work out efficient automation methods.

Lumbar overlordosis — towards the better understanding of the May-Thurner syndrome pathogenesis

Introduction: May-Thurner Syndrome (MTS) is a condition in which the left common iliac vein is compressed by the right common iliac artery, which together with intraluminal vein changes can lead to clinically symptomatic venous outflow obstruction. Patients having such pathology may suffer from symptoms of venous hypertension as well as lower leg deep venous thrombosis. In most of the MTS cases, static and continuous compression is observed which can also lead to the intraluminal spur formation. According to the literature, among the factors which can influence the severity of iliac vein compression, lumbar spinal degeneration can also be mentioned. Considering the aortic bifurcation anatomical conditions, also other, non — degenerative changes of the lumbar vertebral column segment can be taken into consideration. Aim: This study aimed to reveal the prevalence of the left common iliac vein compression in young healthy individuals as well as to assess the severity of the left iliac vein compression provoked by lumbar hyperlordosis. Material and methods: The study was performed on a group of 207 volunteers of both sexes, aged 21–27 yrs. using ultrasound examination to measure the diameter of the right common iliac vein as well as the diameter of the left common iliac vein in the area of the possible compression by the right iliac artery. In all the patients the measurements were performed in the supine position as well as in the provoked lumbar hyperlordosis position. In all the individuals the presence of the symptoms and signs of the lower leg chronic venous disease were investigated. Results: The mean anterior-posterior diameter of the right common iliac vein in the standard supine position in the whole study group was 5.71 mm (± 0.6 mm). The mean diameter of the left common iliac vein in a normal horizontal position was 4.87 mm (± 0.6 mm) with a range from 3.8 mm to 6.2 mm. In most of the cases, the difference between the left and iliac common vein diameter (when measured in the place of the right iliac artery crossing) did not exceed 20%. In 15.9% of the study subjects, the right and left iliac vein diameter difference ranges between 20–30% and in 2.41% only, the diameter difference over 30% was noticed (in none of the cases the stenosis exceeding 40% of the vein diameter was found). Looking for the effect of the overlordosis on the proclivity to decrease left iliac vein diameter, in the provoked hyperlordosis position the changes of the iliac vein diameter in the range of 21–30% were observed in 15.9% and over 30% in 2.4% of the study subjects. Hyperlordosis presence was also responsible for the shift towards lower left iliac vein diameter — in 36.2% of the patients, the left iliac vein diameter below 4 mm was noticed including 1.9% of individuals with a diameter not exceeding 3 mm. In the analysis, there was no statistically significant correlation between the presence of the reported CVD symptoms in the left leg and the reported diameter reduction between the right and left iliac veins in the population of the studied young individuals. Conclusions: Left common iliac vein compression may be anatomically conditioned at least in some of the young population individuals. Lumbar hyperlordosis influence on the left common iliac vein diameter suggests that also in healthily individuals, an incorrect spinal position can promote the occurrence of the left iliac vein compression. Further studies are needed to assess the haemodynamic influence of these findings on the lower leg venous outflow.

Comparison of Characteristics of Gamma-Ray Imager Based on Coded Aperture by Varying the Thickness of the BGO Scintillator

Background: The conventional cerium-doped Gd2Al2Ga3O12 (GAGG(Ce)) scintillator-based gamma-ray imager has a bulky detector, which can lead to incorrect positioning of the gammaray source if the shielding against background radiation is not appropriately designed. In addition, portability is important in complex environments such as inside nuclear power plants, yet existing gamma-ray imager based on a tungsten mask tends to be weighty and therefore difficult to handle. Motivated by the need to develop a system that is not sensitive to background radiation and is portable, we changed the material of the scintillator and the coded aperture.Materials and Methods: The existing GAGG(Ce) was replaced with Bi4Ge3O12 (BGO), a scintillator with high gamma-ray detection efficiency but low energy resolution, and replaced the tungsten (W) used in the existing coded aperture with lead (Pb). Each BGO scintillator is pixelated with 144 elements (12 × 12), and each pixel has an area of 4 mm × 4 mm and the scintillator thickness ranges from 5 to 20 mm (5, 10, and 20 mm). A coded aperture consisting of Pb with a thickness of 20 mm was applied to the BGO scintillators of all thicknesses.Results and Discussion: Spectroscopic characterization, imaging performance, and image quality evaluation revealed the 10 mm-thick BGO scintillators enabled the portable gamma-ray imager to deliver optimal performance. Although its performance is slightly inferior to that of existing GAGG(Ce)-based gamma-ray imager, the results confirmed that the manufacturing cost and the system’s overall weight can be reduced.Conclusion: Despite the spectral characteristics, imaging system performance, and image quality is slightly lower than that of GAGG(Ce), the results show that BGO scintillators are preferable for gamma-ray imaging systems in terms of cost and ease of deployment, and the proposed design is well worth applying to systems intended for use in areas that do not require high precision.

105 A CASE OF RARE ATYPICAL ATRIAL STRUCTURE

Abstract A 27-year-old woman, without previous cardiological history, was admitted at our emergency department in the clinical context of an acute pericarditis. Echocardiography documented mild pericardial effusion (8 mm) without any sign of hemodynamic impact. The patient was then admitted at our Cardiology Unit. During the hospitalization a complete transthoracic echocardiogram showed a normal biventricular morphology and function, normal valvular function and found an anechoic structure on the postero-lateral left atrial wall (1.75×1.5 cm). To better characterize this accidental finding, a transesophageal echocardiography was performed unmasking a dilated coronary sinus with anomalous course. A subsequent cardiac computed tomography was performed showing anomalous systemic venous return with the persistency of the left superior vena cava draining into the coronary sinus. No other congenital anomalies were found. PLSVC is present in approximatively 0.5% of individuals in the general population and is the most frequent congenital malformation of the thoracic venous return. In about 90% coexists with the right superior vena cava and co-occur in almost 40% of patients with other congenital heart abnormalities such as atrial septal defect, aortic coarctation, bicuspid aortic valve, tetralogy of Fallot, transposition of the great vessels, anomalous connections of the pulmonary veins, dextroversion and cor triatatum. Patients usually are asymptomatic. Nevertheless, this congenital malformation may cause chest discomfort, cardiac arrhythmias, thromboembolic events, decreased exercise tolerance and syncope. Moreover, the correct identification of this condition has important clinical implications. In fact, it is a relative contraindication to the administration of retrograde cardioplegia during cardiac surgery. Furthermore, the placement of central venous-access line, pulmonary artery catheterization or the implantation of pacemaker/resynchronization leads could be difficult or can result in incorrect positioning. In these cases, it is recommended to access to the right heart through the right subclavian vein instead the left one. Legend: *: Anomalous course of coronary sinus; LA: Left Atrium; LV: Left Ventricle; Ao: Aorta; RA: Right Atrium; R-SVC: Right superior vena cava; L-SVC: Left superior vena cava; LSPV: Left superior pulmonary vein.

PHYSICAL REHABILITATION METHODS FOR CONGENITAL TORTICOLLIS

Congenital muscle torticollis is one of the most common congenital diseases of the musculoskeletal system (5-12%) ranking third. 3 out of 1000 children are diagnosed with torticollis. None of the many theories of the occurrence of curvature fully reveals the mechanism of the occurrence of this pathology. Therefore, it is considered one of the urgent problems of pediatric orthopedics. The aim of the work is to study the methods of physical rehabilitation used in the treatment of congenital muscle torticollis, to find out their effectiveness and to discover new approaches. One of the main causes of curvature is dysfunction of the sternocleidomastoid muscle, which leads to its shortening. Violation, underdevelopment of this muscle is mainly associated with birth trauma. The main symptoms are incorrect position of the head, tilting and turning of the face, neck deformation. However, different changes may occur depending on the degree of damage. After diagnosis, timely treatment is very important. From the literature we studied, it became clear that the most effective methods of treatment are exercises, massage, hydrokinesiotherapy, and kinesiotaping. However, the effectiveness of all these methods lie in their correct combination. It is important to remember that one should start treatment in the first months of a child's life regularly until he fully recovers. Correctly selected remedies at an early stage will help the child to avoid further complications and surgery.