87 research outputs found

    Rationality and Evidence of Pre-Prepared Treatment Plan in Oesophageal HDR Brachytherapy

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    As a part of routine oesophageal HDR brachytherapy procedure, treatment planning takes about 45 minutes while patients are under light sedation. Some patients may suffer gagging and/or spasms, and the treatment may need to be aborted. A pre-prepared plan generated before the patient's sedation may reduce the brachytherapy procedure time by forty minutes. This paper reports the rationality and evidence of pre-prepared treatment plans. A retrospective study of 28 patients confirm that all of the pre-prepared plans would be acceptable. The rationality of pre-prepared HDR brachytherapy plans is further confirmed by a systemic study with a wide range of applicator curvature and treatment volume. Detailed comparison between CT based treatment plans and pre-prepared plans are discussed. This argument holds also for endobronchial HDR brachytherapy. With the above evidence, pre-prepared plans have been used for all oesophagus and bronchus HDR brachytherapy cases in our clinic

    Expanded Multiband Super-Nyquist CAP Modulation for Highly Bandlimited Organic Visible Light Communications

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    In this article, we experimentally demonstrate a novel expanded nonorthogonal multiband super-Nyquist carrier-less amplitude and phase (m-ESCAP) modulation for bandlimited organic visible light communication (VLC) systems. The proposed scheme has the same bandwidth requirement as the conventional m-CAP while breaking the orthogonality between subcarriers by purposely overlapping them. We compare m-ESCAP with the conventional m-CAP and a compressed nonorthogonal version of m-CAP (m-SCAP) in terms of measured bit error rate (BER) performance, bit rates, and spectral efficiencies. We show that the m-ESCAP system offers improvement in the bit rate of \sim 10% and 20% compared to the m-CAP and m-SCAP, respectively, and in the spectral efficiency of \sim 20% compared to m-CAP. These gains are achieved at the cost of increased BER, which, however, remains below the 7% forward error correction limit

    Perioperative provider safety in the pandemic : Development, implementation and evaluation of an adjunct COVID-19 Surgical Patient Checklist

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    We would like to acknowledge Eliana Lillevik, Luciano Barbosa, Daniela Farchi, Dr Laila Woc-Colburn, Dr Gustavo Moraes, Suko Dwi Nugroho, Nguyen Tri Dung, Dr Rong Hu, Priya Desai and Senait Bitew for their contributions to language translations, survey distribution and data collection. Funding The authors disclosed receipt of the following financial support for the research, authorship, and publication of this article: NS received salary support during the conduct of this study from NIH Fogarty International Center (Global Health Equity Scholars NIH FIC D43TW010540).Peer reviewedPublisher PD

    Influence of Nano-/Microfiller Addition on Mechanical and Morphological Performance of Kenaf/Glass Fibre-Reinforced Hybrid Composites

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    Natural-based composite’s progress as carriers has revealed many benefits in biomedicine, notably in the construction field, synthetic biology, and genetic engineering. Compared to analogous composites without nanoparticles, incorporating nanoparticles into polymeric materials improved architectural performance, physiological connections, and ecological features. The major goal of the current investigation is to determine the impact of nano-/micro-TiO2 on the mechanical characteristics of kenaf/glass/epoxy hybrids. The samples have been created using a hand layup method and a variety of filler loading and stacking sequences. The addition of nano-/microfiller significantly improved the mechanical performance of the epoxy/hybrid composite material. It was discovered that nanofiller-added composite materials fared better when composites were compared to and without microfilter-added composites. SEM was used to investigate the microstructure of the interfaces to ensure a good understanding of interfacial adherence between the reinforcement and their matrix. Compared to pure epoxy resin, the 15 wt% of microfiller additions of glass-kenaf-kenaf-glass type composites exhibit a 39.48% improvement in tensile and a 42.88% improvement in flexural. Similarly, 5 wt% nanofiller addition reveals a 44.214% improvement in tensile and a 50.50% improvement in flexural

    In situ, broadband measurement of the radio frequency attenuation length at Summit Station, Greenland

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    Over the last 25 years, radiowave detection of neutrino-generated signals, using cold polar ice as the neutrino target, has emerged as perhaps the most promising technique for detection of extragalactic ultra-high energy neutrinos (corresponding to neutrino energies in excess of 0.01 Joules, or 101710^{17} electron volts). During the summer of 2021 and in tandem with the initial deployment of the Radio Neutrino Observatory in Greenland (RNO-G), we conducted radioglaciological measurements at Summit Station, Greenland to refine our understanding of the ice target. We report the result of one such measurement, the radio-frequency electric field attenuation length LαL_\alpha. We find an approximately linear dependence of LαL_\alpha on frequency with the best fit of the average field attenuation for the upper 1500 m of ice: Lα=((1154±121)(0.81±0.14)(ν/\langle L_\alpha \rangle = \big( (1154 \pm 121) - (0.81 \pm 0.14) (\nu/MHz)))\big) m for frequencies ν[145350]\nu \in [145 - 350] MHz.Comment: 13 pages, 8 figures, Accepted to Journal of Glaciolog

    Precision measurement of the index of refraction of deep glacial ice at radio frequencies at Summit Station, Greenland

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    Glacial ice is used as a target material for the detection of ultra-high energy neutrinos, by measuring the radio signals that are emitted when those neutrinos interact in the ice. Thanks to the large attenuation length at radio frequencies, these signals can be detected over distances of several kilometers. One experiment taking advantage of this is the Radio Neutrino Observatory Greenland (RNO-G), currently under construction at Summit Station, near the apex of the Greenland ice sheet. These experiments require a thorough understanding of the dielectric properties of ice at radio frequencies. Towards this goal, calibration campaigns have been undertaken at Summit, during which we recorded radio reflections off internal layers in the ice sheet. Using data from the nearby GISP2 and GRIP ice cores, we show that these reflectors can be associated with features in the ice conductivity profiles; we use this connection to determine the index of refraction of the bulk ice as n=1.778 +/- 0.006

    Search for low-mass dark matter via bremsstrahlung radiation and the Migdal effect in SuperCDMS

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    We present a new analysis of previously published SuperCDMS data using a profile likelihood framework to search for sub-GeV dark matter (DM) particles through two inelastic scattering channels: bremsstrahlung radiation and the Migdal effect. By considering these possible inelastic scattering channels, experimental sensitivity can be extended to DM masses that are undetectable through the DM-nucleon elastic scattering channel, given the energy threshold of current experiments. We exclude DM masses down to 220  MeV/c2 at 2.7×10−30  cm2 via the bremsstrahlung channel. The Migdal channel search provides overall considerably more stringent limits and excludes DM masses down to 30  MeV/c2 at 5.0×10−30  cm2

    Academic screencasting: Internet-based dissemination of ophthalmology grand rounds

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    Objective: To evaluate and compare the preferences and attitudes of Ontario ophthalmologists and ophthalmology residents toward screencasting as an educational tool with potential use for continuing medical education (CME) events. Design: Cross-sectional study. Participants: Eighty of 256 participants completed the survey. Methods: The surveys were sent to participants by email, with follow-up via telephone. Study participants were urban and rural Ontario ophthalmologists, registered with the Canadian Ophthalmological Society, and University of Toronto ophthalmology residents. Pre-recorded online presentations - screencasts - were used as the main intervention. Online surveys were used to measure multiple variables evaluating the attitudes of the participants toward screencasting. This data was then used for further quantitative and qualitative analysis. Results: Over 95% of participants replied favourably to the introduction and future utilization of screencasting for educational purposes. Rural ophthalmologists were the most enthusiastic about future events. Practising in rural Ontario was associated with a higher interest in live broadcasts than practising in urban centres (p<0.02), an association supported by qualitative data. Qualitative analysis revealed geographic isolation, busy schedules, ease of use/access, and convenience to be the key factors contributing to interest in screencasting. Conclusions: Practising ophthalmologists and residents in Ontario are interested in academic online screencasting. Rural ophthalmologists were more interested in live lectures than their urban colleagues. More research is required to assess the potential of screencasting as a CME tool.Link_to_subscribed_fulltex
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