Technical Report Research Articles

Computer-Guided Bone Lid Technique for Surgical Extraction of Deeply Impacted Mandibular Third Molars: A Technical Report

The extraction of mandibular impacted third molars is one of the most common procedures in oral surgery. One of the extraction methods consists of the preparation of a buccal bone lid to obtain access and remove the tooth. This technique aims to reduce bone loss, promote bone healing distal to the second molar, and increase the accessibility to the impacted tooth, particularly in cases of concomitant pathologies or proximity to the mandibular canal. The procedure benefits from the application of 3D printing technologies to produce cutting guides that, combined with piezosurgery, allow deeply impacted third molar extractions with excellent preoperative planning and extreme localisation precision, as well as predictable repositioning and fixation of the bone lid. The objective of this article is to present two clinical cases of the application of the bone lid technique to extract deeply impacted third molars using 3D printed guides with different designs and piezosurgery.

Deficiência e direitos: um olhar a partir dos instrumentos que garantem a acessibilidade educacional e informativa no Paraguai.

Disability has evolved historically and has been addressed from a variety of approaches, and the social model underpins the Convention on the Rights of Persons with Disabilities. Another international instrument inspired by the Convention’s principles is the Marrakesh Treaty, which facilitates beneficiaries' access to reading and education. This article aims to examine these agreements approved by Paraguay, which are mechanisms for achieving an equitable and inclusive society. Also under consideration is the progress made in complying with the provisions of the Convention and the axes of the National Action Plan for the Rights of Persons with Disabilities. This public policy tool enables the cross-cutting of this issue in state institutions. A qualitative descriptive study methodology was employed through a bibliographic review of documentary research and technical reports within the scope of the current study's topic. While Paraguay has witnessed legislative progress recognizing the rights of this group, challenges persist in ensuring their effective implementation. Hence, it is crucial to have a coordinated effort between institutions and civil society organizations to achieve legislative initiatives and actions for educational and informational accessibility that consider the needs of this vulnerable social sector.

Confidentiality in the Care of Adolescents: Technical Report.

Confidentiality is a foundational element of high-quality, accessible, and equitable health care. Despite strong grounding in federal and state laws, professional guidelines, and ethical standards, health care professionals and adolescent patients face a range of complexities and barriers to seeking and providing confidential care to adolescents across different settings and circumstances. The dynamic needs of adolescents, the oftentimes competing interests of key stakeholders, the rapidly evolving technological context of care, and variable health care billing and claims requirements are all important considerations in understanding how to optimize care to focus on and meet the needs of the adolescent patient. The following assessment of the evolving evidence base offers a view of the current state and best practices while pointing to numerous unmet needs and opportunities for improvement in the care experiences of youth as well as their health outcomes.

Establishment of beam qualities for medical applications (mammography and CT) in the gamma and X calibration laboratory of CNESTEN according to EN 61267 standards

The present study aimed to validate the different radiodiagnostic beam qualities (RQT, WAH and WAV) by the measurements of the X-ray beams HVL of a HOPEWELL generator, X80-225 kV from a high voltage range of 10 at 200 kV, at CNESTEN Gamma and X Calibration Laboratory. The experiments were carried out using the PTW TN 32005 ionization chamber, established at 100 cm from the center of the X-ray tube and connected to a SUPERMAX electrometer. The HVL values were measured by applying the attenuation law to the flow of Kair air kerma, including their uncertainties. The obtained HVL values were compared with standard values of diagnostic levels. It was observed that the HVL of the present X-ray machine in most qualities are smaller than the standard ones. An approved method (described in the STANDARD EN 61267 and IAEA TECHNICAL REPORTS SERIES n° 457) was applied to determine the amount of additional filtration required to meet the standard values, and by checking their compliance with the maximum absolute deviation. The results indicate the adequacy of the LEGX laboratory for the calibration of the radiation detection instruments used in computed tomography and mammography with an expanded uncertainty in the best measurement capability of ±4 % (k = 2).

Enhancing external quantum efficiency of deep ultraviolet micro-leds through geometry design and multi-physics field coupling analysis

Abstract High-efficiency deep-ultraviolet (DUV) micro light-emitting diodes (LEDs) are explored for inspiring development in numerous fields, such as non-line-of-sight solar-blind communication, optical pumping, and maskless lithography. In this study, we performed FDTD and SimuLED calculations to investigate the optimized DUV micro-LED structure geometry for high light extraction efficiency (LEE) by designing different mesa structures, including square, hexagonal, and circular geometries of micro-LEDs emitted at a wavelength of 275 nm. The results showed that a circular mesa of 5 μm diameter achieved a LEE of 27% from the bottom and sidewall emissions of as-prepared DUV micro-LED. And both the near- and far-field transverse magnetic polarized light intensities were enhanced by a factor of 1.5 over the square and hexagonal mesas. Meanwhile, the transverse electric (TE) polarized light of the circular mesa structure was enhanced and concentrated along the normal direction. Moreover, the internal quantum efficiency (IQE) of circular mesas with varied sizes was comprehensively investigated in the interactions of the thermal and electric fields. An AlGaN-based DUV micro-LED with a diameter of 5 μm was found to obtain the highest IQE owing to a high current-density distribution and its self-heating properties, thereby achieving a sufficiently high external quantum efficiency of 26.75%. This study provides a comprehensive technical report, including electrical, thermal, and optical analyses, and a new perspective for developing high-efficiency, high-performance DUV micro-LEDs in practical applications.

Left-Handed Palming of the Needle Driver: A Technical Report for Surgical Trainees.

Left-handed surgical trainees are uniquely challenged when learning how to suture using standard needle drivers designed for right-handed individuals and often feel disadvantaged in comparison to their right-handed peers. "Palming," a suturing technique that improves suturing mechanics and efficiency, cannot be achieved in the standard manner using the left hand. This paper proposes a previously undescribed technique for palming using the left hand that provides many of the same benefits as standard palming methods using the right hand, potentially reducing a common source of inequity in surgical training.

Statins As Anti-Hypertensive Therapy: A Systematic Review and Meta-Analysis.

Hypertension is the most prevalent condition in clinical practice. Hypertension, diabetes, and hypercholesterolaemia are major contributing factors to cardiovascular diseases. They commonly coexist in a single patient. Statins have been used as prominent medicines for the reduction of cardiovascular events. Statins have been shown to reduce blood pressure in patients with hypertension and have lipid-lowering properties in recent articles. Statins reduce blood pressure because of their impact on endothelial function, their interactions with the renin-angiotensin system, and their influence on major artery compliance. This meta-analysis aimed to ascertain the effectiveness and efficacy of statins for managing hypertension in patients with hypertension. Systematic searches were conducted on PubMed, Science Direct, Embase, Cochrane Library, and Google Scholar. Randomized controlled trials, systematic trials, and cohort studies were retrieved using keywords on statins and their use in patients with hypertension. Exclusion criteria included studies that were not in the English language, studies that did not include patients on statins with hypertension, studies that did not provide enough information, technical reports, opinions, or editorials, and studies involving patients < 18 years old. The inclusion criteria were randomized controlled trials, meta-analyses, adult patients aged > 18 years old, and studies that were freely available or through institutional login. This meta-analysis scrutinized 9361 randomized controlled trials, clinical trials, meta-analyses, and systematic reviews, of which 32 articles including 25 randomized controlled trials and seven meta-analyses were included in the final analysis. This meta-analysis of the role of statins in hypertensive patients aimed to determine the outcome of hypertension control along with antihypertensive medication. Our study showed that statins are useful in reducing both systolic and diastolic blood pressure. We used a heterogeneous model for analysis due to variations in the study characteristics. The I2 value was 0.33 (0.76, 0.10) for systolic blood pressure and 0/88 (0.86, 0.90) for diastolic blood pressure. The I2 value for the seven meta-analyses included in the study was 1.79 (2.88, 0.69).

Y-Stent Technique Using Dual Comaneci Embolization Assist Devices for Coil Embolization of a Ruptured Wide-Necked Anterior Communicating Artery Aneurysm: A Technical Case Report.

Despite technological advances, ruptured wide-necked aneurysms continue to pose a challenge for endovascular management. Comaneci (Rapid Medical) is a relatively new temporary aneurysm neck bridging device to assist in coiling of wide-necked aneurysms without the need for dual antiplatelet therapy or parent vessel flow interruption. Y configuration is often necessary to prevent coil migration in cases of wide-necked aneurysms. Thus far, there have been no reports of using Comaneci device in Y configuration to aid anterior circulation aneurysm treatment. A 60-year-old man presented with a Hunt-Hess grade 5, modified Fisher grade 4 subarachnoid hemorrhage from a ruptured wide-necked anterior communicating artery aneurysm with a dome-to-neck ratio of 1:2. Two Comaneci devices were used in a Y configuration to prevent coil prolapse into the contralateral A2 branch. After successful coiling of the aneurysm, both Comaneci devices were collapsed and removed without incident; the coil catheter was also removed without incident. Follow-up angiogram demonstrated successful occlusion of the wide-necked anterior communicating artery aneurysm without the use of a permanent stent or balloon assistance. This case represents a first-time report of successfully using 2 Comaneci devices in a Y configuration for the treatment of a ruptured wide-necked anterior circulation aneurysm. This knowledge can potentially further expand the use of double Comaneci devices in Y configuration for the treatment of both anterior and posterior circulation aneurysms.

A digital workflow for designing and manufacturing metal frameworks and removable partial dentures: A novel dental technique.

The purpose of this technical report is to demonstrate a fully digital workflow for designing and fabricating metal frameworks and removable partial dentures. After obtaining a digital cast of the dental arch with bilateral distal extension defect, computer-aided design software and 3D printing technology are used for the design and fabrication of the removable partial denture frameworks, denture teeth, and denture bases, instead of the traditional workflow. The assembly of the three components is facilitated through a meticulously structured framework. The technology, which prints metal frameworks, denture bases, and denture teeth through different processes with different materials, achieves full 3D printing technology for making removable partial dentures.

Dosimetric Comparison of Dedicated Radiosurgery Platforms for the Treatment of Essential Tremor: Technical Report.

Essential tremor (ET) is one of the most common adult movement disorders. As the worldwide population ages, the incidence and prevalence of ET is increasing.Although most cases can be managed conservatively, there is a subset of ET that is refractory to medical management. By virtue of being "reversible", deep brain stimulation (DBS) of the ventral intermediate nucleus (VIM) of the thalamus is one commonly accepted intervention. As an alternative to invasive and expensive DBS, there has been a renaissance in treating ET with lesion-based approaches, spearheaded most recently by high-intensity focused ultrasound (HIFU), the hallmark of which is that it is non-invasive. Meanwhile, stereotactic radiosurgical (SRS) lesioning of VIM represents another time-honored lesion-based non-invasive treatment of ET, which is especially well suited for those patients that cannot tolerate open neurosurgery and is now also getting a "second look". While multiple SRS platforms have been and continue to be used to treat ET, there is little in the way of dosimetric comparison between different technologies. In this brief technical report we compare the dosimetric profiles of three major radiosurgical platforms (Gamma Knife, CyberKnife Robotic Radiosurgery, and Zap-X Gyroscopic Radiosurgery (GRS)) for the treatment of ET. In general, the GRS and Gamma Knife were shown to have the best theoretical dosimetric profiles for VIM lesioning. Nevertheless the relevance of such superiority to clinical outcomes requires future patient studies.

The modern anesthesiologist's manual: the development and maintenance of an anesthesia case reference application.

Anesthesia clinicians care for patients undergoing a wide range of procedures, making access to reliable references crucial. However, existing resources have key limitations. This technical report describes the development of an in-house anesthesia case reference application designed for use in a tertiary academic hospital. Additionally, it details our experiences in maintaining this system over a 22-month period and compares this system to alternative resources. Utilizing JavaScript and the React library, we developed a cross-platform perioperative reference application. Over fifty articles, encompassing anesthetic considerations for various surgical disciplines, have been created. Furthermore, we conducted a preliminary analysis of analytics data. In the 22months since the application's inception, the application has garnered over 22,000 views from local users. While there are more than 150 registered users, the number of unregistered users accessing the application on the hospital network remains unknown. Notably, 70% of users accessed the application through a mobile device. The most popular articles centered around procedures with diverse and specific surgeon preferences. Currently, the reported case reference application is routinely utilized by anesthesia clinicians at our institution. Future endeavors will concentrate on establishing a robust content management workflow to broaden the coverage of topics.

An Efficient Design for the DVB-S2 Forward Link System Outer Layer Encoding Based on PCC Turbo Coding Across Fading Channel

The most significant challenges wireless broadcasting systems face are channel effects and Inter Symbol Interference (ISI). Many different kinds of channel coding are employed to get around these issues. Digital Video Broadcasting for Satellite Telecommunication Second Generation (DVB-S2) uses a serial concatenation of Bose, Ray-Chaudhuri, and Hocquenghem (BCH) code and Low-Density Parity-Check (LDPC) code as a Forward Error Correction (FEC) for error detection purpose and correction. In this work, a MATLAB code (m-files) is constructed to simulate the standard DVB-S2 Bit-Interleaved Coded Modulation (BICM) system according to the ETSI Technical Report (EN 302 307 1). Then, the traditional design is redesigned with a Parallel Concatenation Convolutional (PCC) Turbo coding in concatenation with LDPC coding to enhance the (FEC). The two approaches have been tested under the official modulation types QPSK, 8PSK, 16APSK, and 32APSK with 2/3, 3/4, 3/5, 4/5, and 5/6 code rates (RC). Over a Rayleigh Fading channel, the two models are compared. The proposed model performed better than the standard model regarding bit error rate (BER) mitigation when operating at varying signal-to-noise ratio (SNR) levels, especially in 8PSK 3/5 MODCODE. The proposed model achieved (2.6272×10-3) BER mitigation value with power gain equal to 4 dB.

Study protocol to assess aflatoxin M1 health risks versus benefits of dairy consumption in Ethiopian children: an epidemiological trial and risk-benefit analysis

IntroductionIn Sidama, Ethiopia, animal-source foods can be difficult to access. Milk has important nutrients for child growth, but carries the risk of aflatoxin M1 (AFM1) contamination. AFM1 is a metabolite...

Feasibility of Robot-Assisted Cytoreductive Surgery With Upper-Abdominal Peritonectomy for Pseudomyxoma Peritonei With Low Peritoneal Carcinomatosis Index: A Pilot Study.

Our study's objective was to provide the method for, and preliminary findings from, robot-assisted cytoreductive surgery (r-CRS) combined with upper-abdominal peritonectomy in pseudomyxoma peritonei (PMP) with limited peritoneal surface malignancy (PSM). We conducted a retrospective pilot study on consecutive patients with PSM secondary to pseudomyxoma peritonei with a peritoneal cancer index (PCI) of under 10 who were indicated for r-CRS combined with upper-abdominal peritectomy. Perioperative and 30-day major morbidity and mortality characteristics were analyzed and compared with cases in which laparoscopic CRS (l-CRS) was performed under the same conditions. Six patients underwent r-CRS combined with an upper-abdominal partial peritonectomy. Their mean PCI was 4.83. Complete cytoreduction was achieved in all patients. The mean duration of the operation was 156.8 minutes. There was no major complication and no mortality. The mean length of hospital stay after surgery was 6.33 days. r-CRS resulted in less blood loss, a lower C-reactive protein level, and a shorter length of hospital stay that were significantly different compared with those of l-CRS. This is the initial technical report of a robotic approach for CRS combined with upper-abdominal peritonectomy. r-CRS with a combined upper-abdominal peritonectomy was shown to be safe and feasible for PMP with limited PSM.

Technical Report Column

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Genre analysis of introduction section in electrical engineering undergraduate laboratory reports.

This study examines the genre of Engineering Laboratory Reports (ELR) introduction section written by Electrical Engineering Undergraduates in a higher learning institution. The aims of this study are to identify the rhetorical moves and combinations of move patterns used by electrical engineering (EE) students to write introduction section. A genre analysis was conducted to identify writing patterns and convention practices of engineering undergraduate students thus a corpus of N = 35 was selected from electrical engineering students in their final year of study. This study adopted Genre Theory as its theoretical framework, Ngowu 1997 analytical framework and BCU approach for analysis procedure. A pilot test was conducted to determine the model that fits the best to describe moves and steps of ELR. Coding scheme was developed and intercoder reliability showed a significance of 0.91 The study benchmarks a move or step to be present in at least 60% of the reports. The finding shows the introduction consists of one main move which is providing background information of the experiment and followed by four subsequent steps which are reference to research purposes, reference to theoretical knowledge in the field, providing an overview of the study and identification of main research apparatus. The move 1 and all four steps identified above are viewed as obligatory, conventional and optional move and steps in introduction section among undergraduates in academic context. The exemplification of finding shows lack of compliance among undergraduates to produce EELR based on university's guideline in discussing previous literature and underpinning theories, lack of referencing and citation, absence in describing apparatus used and non-sequential moves steps. This study posits the importance of collaboration between English for Academic (EAP) practitioners such as English-writing instructors and discipline specific specialist from engineering field to further improve on genre-based writing instruction, and to identify student learning needs. The method employed in this study may be replicated to analyse other sections of scientific and technical reports such as method, result, discussion and conclusion (MRDC) that may pave ways to address grey areas for improvement in this genre.

OCCUR Shiny application: A user‐friendly guide for curating species occurrence records

Abstract Ecology increasingly relies on a massive volume of biodiversity occurrence records to draw insights into large‐scale biogeographical, ecological and evolutionary phenomena. This often involves defining a set of criteria that guides the collection, filtering and standardising of available records. These curation processes are often neither described in detail nor well documented. This hampers the comparability and reproducibility of studies and thus undermines the robustness of any ecological result. Yet, to date, there is no guide providing a friendly way to reason and document a complete data curation process. We reviewed the available literature on data curation, including tools such as R packages and workflows. From this assessment, we created a complete guide organised into five modules that allows users to consciously select and validate occurrence records based on these curation criteria. This is presented in the user‐friendly Shiny R OCCUR application, available at https://ecoinformatic.shinyapps.io/OCCUR/. OCCUR application provides a guide for researchers to deal with the trade‐off between data certainty and coverage generated in each data curation step. An interactive graph of these changes is provided within each module. OCCUR also produces a custom‐made final report including all steps used for data filtering. This report helps to streamline the writing of the methods section of manuscripts and technical reports, thus promoting the reproducibility of data curation processes. This Shiny application provides an interactive overview of the data curation methods and their use for handling occurrence records from public repositories. It brings together the taxonomic, temporal and spatial dimensions of data and also the identification of duplicates of the records. OCCUR can be applied for multiple purposes, such as teaching R to ecologists or enhancing reproducibility of macroecology and biogeography.

Sustainable Transportation in The Brazilian Agroindustrial Supply Chain: A Literature Review

Objective: This article aims to discuss the importance of incorporating sustainable transportation practices into the supply chains of the Brazilian agro-industry, highlighting their potential to reduce costs, increase operational efficiency, and enhance companies' reputation in an increasingly sustainability-focused global context. Theoretical framework: Agribusiness plays a vital role in the Brazilian economy, converting agricultural raw materials into higher value-added products and driving economic gains and job creation. However, transportation in this chain has a significant environmental impact, with Brazil heavily reliant on road transport, contributing to carbon emissions. Companies from various sectors are adopting sustainable transportation practices to address these challenges, recognizing the growing importance of sustainability as a business strategy to ensure competitive advantage in the global market. Method: The literature review was conducted in five detailed stages: formulation of the research question, identification and careful selection of relevant studies, analysis and synthesis of data, and description and dissemination of results. Scientific articles, book chapters, and technical reports published between 2015 and 2023 were considered, ensuring a solid and updated basis for analysis. Results and conclusion: The analysis of 102 studies highlighted the relevance of implementing sustainable transportation practices, such as the use of electric vehicles and bioenergy, in reducing greenhouse gas emissions and optimizing logistics costs. Intermodality also emerged as an effective strategy adopted to mitigate environmental impacts and strengthen competitiveness. However, there is a continuous need for future research to understand the nuances of sustainable transportation strategies in different segments and regions of the Brazilian agro-industrial supply chain. Research implications: This study emphasizes the urgency and importance of transitioning to sustainable transportation practices in the Brazilian agro-industry, highlighting the need for government intervention and investment in research to develop approaches tailored to the specific challenges of each sector and region. Additionally, it underscores the importance of public policies that incentivize and promote sustainability in supply chains. Originality/value: It significantly contributes to understanding the complexities of sustainable transportation in the Brazilian agro-industry, providing insights for companies and policymakers interested in promoting sustainability in supply chains. By filling knowledge gaps and presenting innovative perspectives, this study stands out for its original contribution and practical value.

Effect of Radiation Position of Photon Beam at Axis Point and Field Edge on Absorbed Dose on Linear Accelerator (Linac)

&#x0D; &#x0D; &#x0D; &#x0D; Radiotherapy is a medical treatment that uses ionizing radiation to kill cancer cells using a Linear Accelerator (Linac). One of the errors in radiotherapy irradiation can occur because the radiation beam that comes out is not in accordance with the planning. Therefore, radiation absorbed dose measurement is needed to carry out as a quality assurance to control the accuracy and suitability of the dose to be received by the patient by following the standards of the Technical Report Series (TRS) 398. This study was conducted at Radiotherapy Installation of RSUD A.W. Sjahranie Samarinda. In the measurement of radiation absorbed dose, the detector was placed in the center of the water phantom with a certain depth and placed in an axis position perpendicular to the radiation source. The detector is not only placed in the axis position, but also placed on the 4 edges of the field with the aim of knowing the effect of the location of the detector on the absorbed dose on the Linac plane. Medium water phantom, Farmer type ionization detector with a depth of 10 cm, and radiation source distance to the phantom surface of 100 cm were applied in this study. The measurement deviation results at the axis position and 4 field edges are 0.01%, 0.06%, 0.03%, 0.05%, and 0.05%. These values are within the tolerance limits written in the IAEA TRS 398 protocol, which is ± 2%. This states that the radiation absorbed dose by the water phantom is homogeneous in all directions.&#x0D; &#x0D; &#x0D; &#x0D;

Assessing Urban Sustainability in Saudi Arabia: An Empirical Evidence from Al-MedinaAl-Munawwarah

Abstract This study aims to assess the progress towards Sustainable Development Goal 11 (SDG 11) in Al-Madinah Al-Munawwarah, Saudi Arabia. The study also examines challenges that encounter SDG 11. To this end, six targets consisting of 40 indicators of SDG 11 have been adopted, relying on literature, international and national technical reports, and the personal perspectives of twelve experts. Overall progress towards SDG 11 has shown significant improvement considerably, with a middle level, particularly after Saudi Vision 2030 was approved. The findings show that three targets including affordable housing, sustainable transportation, and sustainable urbanization and participation, have achieved average progress, and two targets, including air quality, and waste management, and access to green areas have been demonstrated poor progress, as well as a single target, which is the preservation and protection of natural and cultural heritage, which has achieved relatively optimal progress. The results highlight several challenges that hinder progress towards SDG 11, but the level of these challenges varies from one target to another target, ranging from minor to major challenges. These challenges should be considered in continuing urban strategies and could be reduced by establishing resource-saving and innovative community urban renewal programs.&amp;#xD;