Investigation on The Effect of Drill Diameter During Bone Drilling for Surgery Applications

Drilling through bone is an effective method to get rapid cure for bone injury. During orthopedic surgery there is a need to fix the bones at their right position so that it can heal at its natural position correctly. Bones can be fixed with a lot of possibilities such as implants and screws for the overall curing process. Therefore, drilling through bone is a necessary action to fulfill this objective. The drilling mechanism for bone drilling is the same as the mechanical drilling procedure. So the drill-bit and its specifications used during bone drilling affects the surroundings wither by surface roughness, necrosis or the accuracy of the drill or a lot of other things

USING CONE-BEAM COMPUTED TOMOGRAPHY TO EVALUATE APICAL TRANSPORTATION AND CENTERING ABILITY OF WAVEONE, ONESHAPE AND TORNADO ROTARY SYSTEMS: A CLINICAL STUDY

This clinical study was aimed to evaluate apical transportation and centering ability of WaveOne, OneShape files and Tornado rotary system using Cone-beam computed tomography (CBCT). Lower molars with a curving angle of buccal canals extending from 15°-45° in 24 patients were arbitrarily divided into three groups (n=8) rendering to the rotary systems used: Group 1, Tornado system, Group 2, WaveOne rotary system, and Group 3, OneShape rotary system. CBCT was used as a diagnostic method to evaluate centering ratio and canal transportation at 2, 5 and 8 mm from apical foramen. One-way analysis of variance and post hoc Tukey tests were used for statistical analysis at p≤0.05. No statistically significant difference in the magnitude of transportation and centering ability was found at all tested levels (P\u3e0.05). WaveOne and OneShape nickel-titanium files and Tornado stainless-steel file conserved the original canal curvature with no significant variance

Investigation on The Effect of Drill Diameter During Bone Drilling for Surgery Applications

Drilling through bone is an effective method to get rapid cure for bone injury. During orthopedic surgery there is a need to fix the bones at their right position so that it can heal at its natural position correctly. Bones can be fixed with a lot of possibilities such as implants and screws for the overall curing process. Therefore, drilling through bone is a necessary action to fulfill this objective. The drilling mechanism for bone drilling is the same as the mechanical drilling procedure. So the drill-bit and its specifications used during bone drilling affects the surroundings wither by surface roughness, necrosis or the accuracy of the drill or a lot of other things

Remote Sensing Satellites Planning System

A Remote Sensing Satellites Planning system (RSSP) for satellite constellations is responsible for managing these satellites by assigning the imaging tasks to each satellite in the constellation such that the loads are balanced and the resources are well used. The proposed system can be used with heterogeneous constellations that consist of satellites whose different specifications, different orbits' types and/or different payload types. This problem is a combinatorial optimization NP-hard problem modeled in this paper as a Constraint Satisfaction Problem using the Constraint Programming Technique. The output plan is obtained using one of three objective functions (gain maximization, area maximization, and image quality maximization) using four search algorithms (simulated annealing, hill climbing, tabu search and late acceptance) and different planning horizons (one track, one day and one month)

Direct cord implantation in brachial plexus avulsions: revised technique using a single stage combined anterior (first) posterior (second) approach and end-to-side side-to-side grafting neurorrhaphy

<p>Abstract</p> <p>Background</p> <p>The superiority of a single stage combined anterior (first) posterior (second) approach and end-to-side side-to-side grafting neurorrhaphy in direct cord implantation was investigated as to providing adequate exposure to both the cervical cord and the brachial plexus, as to causing less tissue damage and as to being more extensible than current surgical approaches.</p> <p>Methods</p> <p>The front and back of the neck, the front and back of the chest up to the midline and the whole affected upper limb were sterilized while the patient was in the lateral position; the patient was next turned into the supine position, the plexus explored anteriorly and the grafts were placed; the patient was then turned again into the lateral position, and a posterior cervical laminectomy was done. The grafts were retrieved posteriorly and side grafted to the anterior cord. Using this approach, 5 patients suffering from complete traumatic brachial plexus palsy, 4 adults and 1 obstetric case were operated upon and followed up for 2 years. 2 were C5,6 ruptures and C7,8T1 avulsions. 3 were C5,6,7,8T1 avulsions. C5,6 ruptures were grafted and all avulsions were cord implanted.</p> <p>Results</p> <p>Surgery in complete avulsions led to Grade 4 improvement in shoulder abduction/flexion and elbow flexion. Cocontractions occurred between the lateral deltoid and biceps on active shoulder abduction. No cocontractions occurred after surgery in C5,6 ruptures and C7,8T1 avulsions, muscle power improvement extended into the forearm and hand; pain disappeared.</p> <p>Limitations include</p> <p>spontaneous recovery despite MRI appearance of avulsions, fallacies in determining intraoperative avulsions (wrong diagnosis, wrong level); small sample size; no controls rule out superiority of this technique versus other direct cord reimplantation techniques or other neurotization procedures; intra- and interobserver variability in testing muscle power and cocontractions.</p> <p>Conclusion</p> <p>Through providing proper exposure to the brachial plexus and to the cervical cord, the single stage combined anterior (first) and posterior (second) approach might stimulate brachial plexus surgeons to go more for direct cord implantation. In this study, it allowed for placing side grafts along an extensive donor recipient area by end-to-side, side-to-side grafting neurorrhaphy and thus improved results.</p> <p>Level of evidence</p> <p>Level IV, prospective case series.</p

Titrated Misoprostol Versus Dinoprostone for Labor Induction

Background: Misoprostol is as effective as dinoprostone for labor induction with low cost and temperature stability.Aim: This study designed to compare titrated misoprostol regarding its safety and efficacy with dinoprostone for induction of labor.Subjects and Methods: Women with a single pregnancy, above 37 weeks’ gestation, cephalic presentation, modified Bishop’s score &lt;8, and not in labor with reassuring fetal heart rate, admitted for labor induction enrolled in this randomized controlled study. Studied women were randomized into; Group I: received oral misoprostol titrated in sterile water (200 μg tablet was dissolved in 200 ml sterile water [1 μg/ml]), starting dose of 20 μg misoprostol required, given every 2 h, and stopped if adequate contractions obtained and Group II: received vaginal dinoprostone tablet maximum two doses followed by augmentation of labor by oxytocin ± amniotomy if there is no uterine contractions after two doses of dinoprostone. In Group I, if the contractions were inadequate after two doses of oral titrated misoprostol (20 μg [20 ml]), the starting dose increased to 40 μg (40 ml), escalating the dose from 5 to 10 ml (45–50 μg), and 20 ml (60 μg) maximum ± amniotomy. If the uterine contractions were adequate, the next dose of misoprostol or dinoprostone was omitted. Statistical analysis done using Student’s t‑test for quantitative data and Chi‑square test for qualitative data.Results: Induction‑to‑delivery time was significantly longer in misoprostol than dinoprostone group (975 vs. 670 min, respectively), (P = 0.01). About 20.2% (21/104) of women in misoprostol group did not deliver vaginally within 24 h compared to 7.4% (8/108) in dinoprostone group (significant difference, P = 0.01). Augmentation of labor was significantly high in dinoprostone (37.96% [41/108]) compared to misoprostol group (10.6% [11/104]) (P &lt; 0.01).Conclusion: Titrated misoprostol for induction of labor seems to be associated with significantly longer induction‑to‑delivery time, low incidence of vaginal birth within 24 h, and less need for augmentation of labor compared to vaginal dinoprostone.KEY WORDS: Dinoprostone, labor induction, titrated misoprosto

Estimation of key potentially toxic elements in arid agricultural soils using Vis-NIR spectroscopy with variable selection and PLSR algorithms

Potentially toxic elements (PTEs) pose a significant threat to soil and the environment. Therefore, the fast quantification of PTEs is crucial for better management of contaminated sites. Versatile technique such as Visible near-infrared spectroscopy (Vis–NIRS) (350–2,500 nm) has attracted tremendous attention for assessing PTEs and has achieved promising results combined with successful multivariate analysis. This research investigated the potential of Vis–NIRS combined with partial least squares regression (PLSR) and variable selection methods to assess key PTEs (Cd, Co, Cu, Cr, Pb, and Zn) in agricultural soils under arid conditions. The soil samples (80) were collected from a polluted area around Al-Moheet drainage, Minya Governorate–upper Egypt. The samples were scanned using an ASD FieldSpec-4 spectroradiometer. Simulated annealing (SA) and uninformative variable elimination (UVE) were used to select the effective wavelengths in predicting PTEs. PLSR was used to develop the spectral models using the full range (FR-PLS) and feature-selected spectra techniques SA (SA-PLS) and UVE (UVE-PLS). The results indicated that UVE-PLS models performed better than FR-PLS and SA-PLS models in predicting the key PTEs. The obtained coefficient of determination (R2) and the ratio of performance to deviation (RPD) were 0.74 and 2.48 (Cr), 0.72 and 2.03 (Pb), 0.62 and 1.86 (Cd), 0.59 and 1.78 (Cu), 0.52 and 1.68 (Co), and 0.46 and 1.41 (Zn), respectively. The results suggested that the UVE-PLS spectral model is promising for predicting Cr, Pb, and Cd, and can be improved for predicting Cu, Co, and Zn elements in agricultural soils