SERS aptasensor for simultaneous detection of ochratoxin A and zearalenone utilizing a rigid enhanced substrate (ITO/AuNPs/GO) combined with Au@AgNPs.

The contamination of mycotoxins poses a serious threat to global food security, hence the urgent need for simultaneous detection of multiple mycotoxins. Herein, two SERS nanoprobes were synthesized by embedded SERS tags (4-mercaptopyridine, 4MPy; 4-mercaptobenzonitrile, TBN) into the Au and Ag core-shell structure, and each was coupled with the aptamers specific to ochratoxin A (OTA) and zearalenone (ZEN). Meanwhile, a rigid enhanced substrate Indium tin oxide glass/AuNPs/Graphene oxide (ITO/AuNPs/GO) was combined with aptamer functionalized Au@AgNPs via π-π stacking interactions between the aptamer and GO to construct a surface-enhanced Raman spectroscopy (SERS) aptasensor, thereby inducing a SERS enhancement effect for the effective and swift simultaneous detection of both OTA and ZEN. The presence of OTA and ZEN caused signal probes dissociation, resulting in an inverse correlation between Raman signal intensity (1005 cm-1 and 2227 cm-1) and the concentrations of OTA and ZEN, respectively. The SERS aptasensor exhibited wide linear detection ranges of 0.001-20 ng/mL for OTA and 0.1-100 ng/mL for ZEN, with low detection limits (LOD) of 0.94 pg/mL for OTA and 59 pg/mL for ZEN. Furthermore, the developed SERS aptasensor demonstrated feasible applicability in the detection of OTA and ZEN in maize, showcasing its substantial potential for practical implementation.

A Case of Bacterial Keratitis in a Patient Using Orthokeratology and Soft Contact Lenses.

A 63-year-old male with high myopia developed sudden visual loss, eyelid swelling, eye pain, discharge, and tearing in his left eye while wearing soft contact lenses (CLs) during the day and orthokeratology lenses at night. At the initial visit, his corrected visual acuity in the left eye was 20/1000, with a ring-shaped ulcer in the central cornea, corneal infiltration across the entire cornea, and conjunctival hyperemia. Pseudomonas aeruginosa was detected from corneal scrapings, and after antibiotic treatment, the ulcer healed with corneal opacity remaining. On the 60th day, corrected visual acuity of 20/20 was achieved with rigid gas-permeable CLs. To prevent CL-related ocular complications, eye care professionals must carefully evaluate the suitability of all CLs, including orthokeratology.

A rigidly foldable and reconfigurable thick origami antenna.

A rigidly foldable and reconfigurable origami antenna is developed here. This antenna uses thick folding panels thereby providing robust operation and folding/unfolding actuation, which are very important for many applications in extreme environments, such as space. Also, this antenna can be constructed using standard printed circuit boards, which simplifies its manufacturing. For the reconfigurable antenna developed here, the origami flasher pattern is chosen to achieve a spatial transformation of a dipole operating at 0.48 GHz to a conical spiral antenna (CSA) operating from 2.1 to 3.7 GHz. The design equations for the origami CSA are derived. A prototype is built using a 0.81-mm-thick FR4 substrate to validate the proposed methodology. The antenna parameters are investigated in a wide frequency range. Our simulated results agree very well with the measurements. The rigid structure of the proposed design and its reconfigurable nature make it a good candidate for satellite communications.This article is part of the theme issue 'Origami/Kirigami-inspired structures: from fundamentals to applications'.

The small incisions combined with interrupted buried suture blepharoplasty: flexible-rigid fixation.

Background: The traditional full incision blepharoplasty is the most commonly used in Asia. However, it has significant drawbacks like long recovery period, excessive surgical marks etc. We offer a new suture idea and combine it with interrupted suture buried blepharoplasty to improve these disadvantages. Methods: In our procedure, the orbital septum is opened and separating the levator aponeurosis-the retro-orbital septum complex under this 3-5 millimeters small incision, a flexible-rigid fixation would be made: suture fixation was made to the tarsus-the complex-lower lip orbicularis oculi muscle. We interrupted bury the sutures in the uncut skin between the two small incisions. Results: This paper included 333 patients divided into small incision groups using flexible-rigid fixation (n = 244, 73.3%) and full incision groups using rigid fixation (n = 89, 26.7%). Both at 6-month and at 5-year postoperative follow-up, the satisfaction of small incision group was statistically higher than the full incision group. The overall postoperative complication rate was statistically significantly less in the small incision. The permanence was not statistically different. For Assignment of Postoperative Effort Score (PES) results, at 6 months postoperatively, the mean score was 8.29 ± 1.32 in the small incision group, 7.86 ± 1.54 in the full incision group. At 5 years postoperatively, the mean score was 7.48 ± 1.45 in the small incision group, 7.51 ± 1.73 in the full incision group. None were statistically different. Conclusion: The small incisions group achieves a higher level of patient satisfaction and more mild trauma in the surgical area, has a low complication rate, and a decent degree of durability.

Automatic Landmark Annotation and Measurement of 3D Mandibular Morphology Using Non-Rigid Registration: A Preliminary Exploration and Accuracy Assessment.

This study aimed to develop an automatic methodology for mandibular landmarking and measurement using non-rigid registration as well as analyze the accuracy of automatic landmarking and measurements.Statistical analysis.Digital technology center, tertiary hospital.130 healthy Chinese adults with equal gender distribution, average age 28.2 ± 5.6 years.Four mean shape mesh templates were generated from 100 head CT scans. Following manual indication of landmarks, these templates were applied for automatic landmark annotation and measurements on mandibles from another 30 head CT scans, using non-rigid iterative closest point registration.Differences of landmark coordinates and measurements between automatic and manual annotation were analyzed using mean difference, centroid size, Euclidean distances and intraclass correlation coefficient (ICC), assessing the accuracy and validity of automatic landmark annotation.The majority of automatic landmarks (16/22) did not exhibit consistent displacement to specific direction. ICCs of all landmark coordinates exceed 0.950, with 87.9% larger than 0.990. The average Euclidean distance between manual and automatic landmarks was 2.038 ± 0.947 mm. Most ICCs of linear and angular measurements between manual and automatic annotation (20/26) exceeded 0.900, with the average errors being 1.425 ± 0.973 mm and 2.257 ± 0.649 °, respectively.A novel and efficient method for automatic landmark annotation was established based on non-rigid registration. Its credibility and accuracy in mandibular annotation and measurements were demonstrated.

Endoscopic Ventriculocisternostomy with Stent Placement for Trapped Temporal Horn.

BACKGROUND: Trapped temporal horn (TTH) is a subtype of focal obstructive hydrocephalus. Although a ventriculoperitoneal shunt (VPS) is a traditional treatment approach, it poses risks of shunt failure and infection. The emergence of neuroendoscopy has led to an increased interest in ventriculocisternostomy as an alternative. This study aimed to evaluate the efficacy and safety of endoscopic ventriculocisternostomy with stent placement (EVSP) for TTH. METHODS: We collected data of TTH cases treated with EVSP at our institutions between September 2013 and September 2021 and evaluated baseline characteristics and outcomes. A ventricular stoma was created at the medial wall of the abnormally enlarged temporal horn using a neuroendoscope, and a ventricular stent tube with multiple side holes was placed through the stoma to maintain patency. RESULTS: The study included 10 patients (4 women and 6 men) with a mean age of 56.7±19.7 years. The average follow-up period was 35.0 months (range, 1-96 months). The underlying pathologies were postoperative scarring (5 cases), intraventricular tumor (3 cases), and extraventricular tumor (2 cases). There were no procedural complications; however, one patient experienced recurrence and underwent additional cisternostomy. All patients exhibited partial or complete resolution of the preoperative symptoms and demonstrated shrinkage of the trapped ventricle, with a mean reduction rate of 84.5%±14.9%. CONCLUSIONS: EVSP is a safe and feasible option for the treatment of TTH and is a viable alternative to VPS.

Dynamic Organic Phosphorescence Glass by Rigid-Soft Coupling.

Organic phosphorescence glass has garnered considerable attention owing to the excellent shaping ability and photophysical behavior, but facile construction from single-component phosphors is still challenging. Herein, a rigid-soft coupling design is adopted in organic phosphors of ICO, CCO and PCO, thus preparing phosphorescence glasses through melting-quenching method to give excellent shaping ability and dynamic phosphorescence. RTP performance is significantly enhanced in the dense-structure glass, and intriguing high-temperature phosphorescence (HTP) is still observable even at 400 K. Direct patterning under UV irradiation is also achieved using photolithography technique, allowing for the creation of high-quality afterglow patterns that can be reversibly erased and rewritten. This rigid-soft conformation in organic phosphors elucidates a promising concept for achieving efficient RTP glass with wide application prospects.

Recycling of Polyurethane Foams via Glycolysis: A Review.

Polyurethane foams constitute highly problematic waste due to their low density and consequently large volume. Among the most promising recycling approaches, the glycolysis of polyurethane waste stands out and was extensively discussed in this article. Existing literature reviews lack a detailed analysis of glycolysis processes and a clear presentation of the most important data. However, in this review, the scientific literature on glycolysis has been thoroughly examined and updated with the latest research in the field. The article provides an overview of glycolysis methods, categorized into rigid and flexible foams, along with a review of the catalysts and process conditions employed. Additionally, this study offers a comprehensive analysis of industrial methods protected by active patents, which has not been previously explored in the literature. This detailed examination of patent information adds significant value to the review and distinguishes it from others. Furthermore, this review also aims to introduce the main types of polyurethanes and their properties. It outlines the fundamentals of recycling strategies, thermomodernization trends, and environmental considerations, highlighting the critical role of recycling in the industry. The article serves as a complete foundation for exploring new alternative methods in this field.

Influence of Connector Design on Displacement and Micromotion in Tooth-Implant Fixed Partial Dentures Using Different Lengths and Diameters: A Three-Dimensional Finite Element Study.

The literature presents insufficient data evaluating the displacement and micromotion effects resulting from the combined use of tooth-implant connections in fixed partial dentures. Analyzing the biomechanical behavior of tooth-implant fixed partial denture (FPD) prothesis is vital for achieving an optimum design and successful clinical implementation. The objective of this study was to determine the relative significance of connector design on the displacement and micromotion of tooth-implant-supported fixed dental prostheses under occlusal vertical loading. A unilateral Kennedy class I mandibular model was created using a 3D reconstruction from CT scan data. Eight simulated designs of tooth-implant fixed partial dentures (FPDs) were split into two groups: Group A with rigid connectors and Group B with non-rigid connectors. The models were subjected to a uniform vertical load of 100 N. Displacement, strain, and stress were computed using finite element analysis. The materials were defined as isotropic, homogeneous, and exhibiting linear elastic properties. This study focused on assessing the maximum displacement in various components, including the bridge, mandible, dentin, cementum, periodontal ligament (PDL), and implant. Displacement values were predominantly higher in Group B (non-rigid) compared to Group A (rigid) in all measured components of the tooth-implant FPDs. Accordingly, a statistically significant difference was observed between the two groups at the FPD bridge (p value = 0.021 *), mandible (p value = 0.021 *), dentin (p value = 0.043 *), cementum (p value = 0.043 *), and PDL (p value = 0.043 *). Meanwhile, there was an insignificant increase in displacement values recorded in the distal implant (p value = 0.083). This study highlighted the importance of connector design in the overall stability and performance of the prosthesis. Notably, the 4.7 mm × 10 mm implant in Group B showed a displacement nearly 92 times higher than its rigid counterpart in Group A. Overall, the 5.7 mm × 10 mm combination of implant length and diameter showcased the best performance in both groups. The findings demonstrate that wider implants with a proportional length offer greater resistance to displacement forces. In addition, the use of rigid connection design provides superior biomechanical performance in tooth-implant fixed partial dentures and reduces the risk of micromotion with its associated complications such as ligament overstretching and implant overload, achieving predictable prognosis and enhancing the stability of the protheses.

Tape-Fixation for the Treatment of a Dorsal Boss in Lisfranc Joints of an Elderly Patient.

A dorsal boss, also known as a tarsal boss, is a bony prominence often associated with osteoarthritis (OA) of the tarsometatarsal (TMT) joints, leading to significant pain and a reduced quality of life (QOL) in elderly individuals. This condition frequently forces patients to abandon recreational activities and is typically resistant to conservative treatments. This report details a successful surgical intervention in an 83-year-old female patient with a dorsal boss and OA of the TMT joint, which involved osteophyte excision and semi-rigid fixation using ligament tape with an absorbable screw (Arthrex, Inc., Florida, USA). Post-surgery, the patient, who had experienced pain and deformity in the dorsal region of her right foot, showed significant improvement and returned to playing golf three months later. This case underscores the significance of considering a semi-rigid, flexible dorsal fixation approach in elderly patients with dorsal bosses and associated joint instability while preserving joint surfaces and facilitating early reintegration into society. The patient's favorable outcome highlights the potential advantages of this surgical method, particularly in managing dorsal boss cases that are resistant to conservative treatment.

Flexible versus Rigid Bronchoscopy for Tracheobronchial Foreign Body Removal in Children: A Comparative Systematic Review and Meta-Analysis.

The removal of foreign bodies (FBs) from the airways of children is a critical procedure that can avert serious complications. While both flexible and rigid bronchoscopy techniques are employed for this purpose, their comparative efficacy and safety remain subjects of debate. Therefore, we conducted this investigation to compare between both procedures. Studies comparing flexible to rigid bronchoscopy (n = 14) were identified by searching PubMed, Scopus, Web of Science, Cochrane Library, and Google Scholar. We performed comparative meta-analyses of reported presentation characteristics and clinical outcomes, using fixed- and random-effects models. A diverse range of FB types and locations were identified. No difference was observed in the success rate of FB removal between flexible and rigid bronchoscopy (logOR = 0.27; 95%CI: -1.91:2.45). The rate of negative first bronchoscopy was higher in the flexible compared to the rigid group (logOR = 2.68; 95%CI: 1.68:3.67). Conversion rates to the alternative method were higher in the flexible bronchoscopy group. The overall complication rates were similar between both methods; however, the risk of desaturation was significantly lower with flexible bronchoscopy (logOR = -2.22; 95%CI: -3.36:-1.08). Flexible bronchoscopy was associated with a shorter length of hospital stay. The choice of bronchoscopy technique should be tailored to individual case characteristics.

Complex Phase Transitions of Fully Rigid Sphere-Rod Amphiphiles Induced by Solvent Polarity in Dilute Solutions.

We report complex macrophase and microphase transitions of rigid amphiphiles with spherical Keggin molecular clusters as the solvophilic block and rod-like rigid oligofluorene (OF) as the solvophobic block in mixed solvents of water and polar organic solvent. By properly adjusting the solvent polarity, the amphiphiles are found to respond accordingly by self-assembling into multilayered incomplete onion-like structures (10-25 vol % THF), single-layered vesicular structures (60 vol % THF), and an unexpected macrophase separation in the middle (40-50 vol % THF), which is due to the anomalous trends in Keggin solubility as a result of the nature of TBA+ counterions. The rigidity of the OF block prevents the amphiphile from assembling by following the rule of packing parameters; instead, interdigitation among different rods leads to the formation of the solvophobic domain to achieve self-assembly. The incomplete onion structures are controlled by the interdigitation of rigid rods for the number of layers and the electrostatic interaction among Keggin head groups for the interlayer distance. When the degree of interdigitation becomes lower, the self-assembly process shows a trend that can be explained by the traditional rule of packing parameter. This study demonstrates the formation of different self-assembled structures by rigid amphiphiles and their transitions induced by solvent composition. The self-assembly (microphase separation) of rigid amphiphiles in a dilute solution could indeed represent a broad area containing complicated, uncharted rules.

Using Office-Based Zero-Degree Rigid Laryngoscopy to Predict Glottic Exposure in Microlaryngoscopy.

OBJECTIVES: Poor glottic exposure in microlaryngeal surgery can result in difficult instrumentation or incomplete surgery affecting surgical outcomes. Anticipating poor glottic exposure preoperatively allows surgeons to prepare adequately, ensuring successful surgery. This study aims to determine the diagnostic utility of 4-mm zero-degree rigid endoscopic laryngeal examination as a tool to predict glottic exposure in microlaryngoscopy (MLS). STUDY DESIGN: Cross-sectional observational study. METHODS: This is a cross-sectional study, conducted from March 1, 2022 to November 30, 2023 at the ENT department of a tertiary care hospital in North India. A total of 35 adult participants who underwent MLS were consecutively enrolled. Participants in whom the lesion was obscuring the anterior commissure and in whom gag reflex prevented complete zero-degree laryngeal examination were excluded from the study. All enrolled participants were evaluated preoperatively with a 4-mm rigid zero-degree laryngoscopic examination and the Laryngoscore. The total score on the Laryngoscore proforma was calculated and recorded. The visualized glottis on zero-degree laryngoscopy was graded as follows: grade 1, anterior commissure and the entire glottic plane can be seen; grade 2, glottis can be seen but not the anterior commissure; grade 3, only the posterior half of the glottis can be seen; grade 4, only the arytenoids can be seen. The glottic exposure on MLS was also assessed using the same grading system. Depending on the exposure of the anterior commissure, the cohort was divided into two groups: good laryngeal exposure and difficult laryngeal exposure. Receiver operating characteristic curve analysis was done to evaluate the predictive accuracy of zero-degree laryngoscopy and to compare it with Laryngoscore. RESULTS: A total of 35 adults participated in the study, of which 28 were men (80%) with a median (range) age of 45 (24-76) years. The area under the curve for zero-degree laryngoscopy and Laryngoscore were 0.97 and 0.83, respectively. The optimal cut-off value (sensitivity, specificity) to identify difficult laryngeal exposure for zero-degree laryngoscopy and Laryngoscore were 1.5 (93.3%, 100%) and 4.5 (80%, 85%), respectively. CONCLUSIONS: Zero-degree laryngoscopy is an excellent predictor of glottic exposure on MLS. Its accuracy surpasses that of the Laryngoscore in identifying an ideal candidate for MLS.

Liquefaction optimization of grape pulp using response surface methodology for biopolyol production and bio-based polyurethane foam synthesis.

Both environmental and economic disadvantages of using petroleum-based products have been forcing researchers to work on environmentally friendly, sustainable, and economical alternatives. The purpose of this study is to optimize the solvothermal liquefaction process of grape pomace using response surface methodology coupled with a central composite design. After investigating the physicochemical properties of the liquified products (biopolyol) in detail, a bio-based rigid polyurethane foam (RPUF) was synthesized and characterized. The hydroxyl and acid numbers and viscosity values of all the biopolyols were analyzed. According to variance analysis results (%95 confidence range), both the reaction temperature and catalyst loading were determined as significant parameters on the liquefaction yield (LY). The model was validated experimentally in the following reaction conditions: 4.25% catalyst loading, 50 min reaction time, and 165 °C reaction temperature, which yields an LY of 81.3%. The biopolyols produced by the validation experiment display similar characteristics (hydroxyl number: 470.5 mg KOH/g; acid number: 2.31 mg KOH/g; viscosity: 1785 cP at 25 °C) to those of commercial polyols widely preferred in the production of polyurethane foam. The physicochemical properties of bio-based foam obtained from the biopolyol were determined and the thermal conductivity, closed-cell content, apparent density, and compressive strength values of bio-based RPUF were 31.3 mW/m·K, 71.1%, 33.4 kg/m3, and 105.3 kPa, respectively.

Steerable ultrasonic propulsion of rigid objects based on circular pressure modulation of a focused sectorial transducer array.

As a common disease of human urinary system, the high prevalence and incidence rate of renal calculus have brought heavy burden to society. Traditional ultrasonic lithotripsy struggles with the comprehensive elimination of residual fragments and may inadvertently inflict renal damage. Although focused ultrasound can propel stones by the acoustic radiation force (ARF) with minimal tissue damage and enhanced passage rate, it is still lack of the accurate control for calculi at different locations. A circular pressure modulation approach for steerable ultrasonic propulsion of rigid objects is developed based on a sector-array of focused transducers. The ARF exerted on on-axis rigid spheres (stones) is derived based on acoustic scattering. It is proved that the ARF of focused fields exhibits an axial distribution of increasing followed by decreasing with the peak slightly beyond the focus. As the sphere radius increases, the ARF exerted on spheres at the focus increases accordingly with a decreasing growth rate. Inclined propulsion can be realized by the circular binary pressure modulation with the deflection increased by expanding the angle of power-off sector sources. The maximum deflection angle approaching 60° is determined by the F-number and element number of the sector-array. Experimental propulsions of steel balls are conducted using an 8-element sector-array with motion trajectories captured by a high-speed camera. Distributions of the motion speed and acceleration for steel balls of different radii are calculated through image processing. The ARF of mN level and the deflection angle of 12° are demonstrated by the successful propulsion of steel balls. This research provides an effective and flexible approach of steerable stone propulsion using an ultrasonic power supply without the complex control in amplitude or phase and the high-precision motion of the sector-array, hence promoting the practical application in non-invasive treatment of stones.

Soft-Rigid Hybrid Revolute and Prismatic Joints Using Multilayered Bellow-Type Soft Pneumatic Actuators: Design, Characterization, and Its Application as Soft-Rigid Hybrid Gripper.

Despite the exponentially expanding capabilities of robotic systems with the introduction of soft robotics, the lack of practical considerations in designing and integrating soft robotic components hinders the widespread application of newly developed technology in real life. This study investigates the development and performance evaluation of soft-rigid hybrid (SRH) robotic systems employing multilayered bellow-shaped soft pneumatic actuators (MBSPAs) to overcome the common challenges exclusively exhibited in soft robotics. Specifically, we introduce a unique SRH revolute joint enabled by a single thermoplastic polyurethane-MBSPA and rigid components to tackle the limitations of existing soft pneumatic actuators (SPAs), such as restricted payload capacity, vulnerability to external damages, and lack of resilience against outdoor environment. The proposed SRH system entails rigid components encapsulating to protect the MBSPA throughout the entirety of the desired range of motion, and demonstrates improved displacement efficiency, force output, and resilience against external loads. The rigid components also help to stabilize the axis of motion, fostering high durability and repeatable motion. We also extend this concept to a one-degree of freedom SRH prismatic joint. Finite element method modeling is used to estimate the general actuator performance, facilitating the design of MBSPA with limited material information and bypassing trial and error. The wider application of this research targets delicate object handling in industries such as agriculture, encouraging safe and efficient automated harvesting. The article includes thorough actuator performance characterization including displacement, frequency response, durability with life cycle testing up to 25,000 cycles, force output, stiffness, and power density. Performance comparisons with other SPA are provided. A proof of concept 3-point gripper enabled by the proposed SRH joints is capable of gripping objects of various sizes and shapes, with detailed workspace analysis and demonstration showing the gripper's versatility. The SRH system presented here lays a robust foundation for the ongoing advancement of soft robotic technology toward real-life applications, unveiling the potential for a future in which robots operate efficiently in the targeted applications, aiming to integrate seamlessly into workflows with human workers.

Lord of the (Magnetic) Rings: Rigid Bronchoscopy for Aspirated Magnetic Foreign Bodies in Tertiary Bronchi.

OBJECTIVES: To describe operative techniques using rigid bronchoscopy and ferromagnetic bronchoscopic equipment to retrieve magnetic foreign bodies in distal tertiary bronchi beyond the reach of traditional optical instrumentation. METHODS: A 13-year-old presented to the Emergency Department following aspiration of three backing magnets from a magnetic nose ring. Chest radiographs demonstrated a 4 mm × 3 mm foreign body in the right lower lobe 0.5 cm from diaphragm on expiratory film. She was taken to the operating room for removal of an airway foreign body. RESULTS: The foreign body was visualized with direct laryngoscopy followed by rigid bronchoscopy in the distal right lower tertiary bronchus. Attempts to pass optical instruments were limited both by distance of the object and size of instrumentation compared to the diameter of the tertiary bronchus. A salivary wire basket and ureteral stone retrieval basket were then passed with endoscopic visualization into the tertiary bronchus but were unable to engage the foreign body. An attempt was made to pass a 2 French Fogarty embolectomy catheter distally, but the catheter was too large to bypass the foreign body. Finally, ferromagnetic pulmonary rat tooth biopsy forceps were advanced into the tertiary bronchus and successfully attracted the magnetic foreign body for safe removal through our rigid bronchoscope. CONCLUSION: We present a novel method of utilizing ferromagnetic flexible bronchoscopic instruments to safely remove magnetic foreign bodies in the tertiary bronchi beyond the reach of traditional bronchoscopic instruments. Laryngoscope, 2024.

Diagnosis and Management of an H-type Tracheoesophageal Fistula in a Neonate: A Case Report.

Tracheoesophageal fistula (TEF) is a congenital anomaly resulting from the incomplete fusion of the tracheoesophageal ridge during the third week of embryonic development. This case report presents a male neonate, born at term via normal vaginal delivery, who developed respiratory distress, persistent cough, and vomiting within hours of birth. Despite initial management with respiratory support and antibiotics, the infant's condition persisted, prompting further investigation. High-resolution computed tomography and an esophagogram revealed a suspected H-type TEF, which was confirmed via rigid bronchoscopy. Following the diagnosis, the patient underwent corrective surgery, leading to symptom resolution. This case underscores the importance of considering TEF in neonates with persistent respiratory symptoms and the need for a combination of diagnostic modalities to confirm this rare anomaly. Prompt surgical intervention is crucial to prevent complications and improve outcomes.

A review on organ deformation modeling approaches for reliable surgical navigation using augmented reality.

Augmented Reality (AR) holds the potential to revolutionize surgical procedures by allowing surgeons to visualize critical structures within the patient's body. This is achieved through superimposing preoperative organ models onto the actual anatomy. Challenges arise from dynamic deformations of organs during surgery, making preoperative models inadequate for faithfully representing intraoperative anatomy. To enable reliable navigation in augmented surgery, modeling of intraoperative deformation to obtain an accurate alignment of the preoperative organ model with the intraoperative anatomy is indispensable. Despite the existence of various methods proposed to model intraoperative organ deformation, there are still few literature reviews that systematically categorize and summarize these approaches. This review aims to fill this gap by providing a comprehensive and technical-oriented overview of modeling methods for intraoperative organ deformation in augmented reality in surgery. Through a systematic search and screening process, 112 closely relevant papers were included in this review. By presenting the current status of organ deformation modeling methods and their clinical applications, this review seeks to enhance the understanding of organ deformation modeling in AR-guided surgery, and discuss the potential topics for future advancements.

Fast and Simple Statistical Shape Analysis of Pregnant Women Using Radial Deformation of a Cylindrical Template.

Non-rigid deformation of a template to fit 3D scans of human subjects is widely used to develop statistical models of 3D human shapes and poses. Complex optimization problems must be solved to use these models to parameterize scans of pregnant women, thus limiting their use in antenatal point-of-care tools in low-resource settings. Moreover, these models were developed using datasets that did not contain any 3D scans of pregnant women. In this study, we developed a statistical shape model of the torso of pregnant women at greater than 36 weeks of gestation using fast and simple vertex-based deformation of a cylindrical template constrained along the radial direction. The 3D scans were pre-processed to remove noisy outlier points and segment the torso based on anatomical landmarks. A cylindrical template mesh T was then fitted onto the segmented scan of the torso by moving each vertex of T in the direction of the radial vector. This process is computationally inexpensive taking only 14.80 seconds to deform a template with 9090 vertices. Principal component analysis (PCA) was performed on the deformed vertex co-ordinates to find the directions of maximum variance. The first 10 principal vectors of our model explained 79.03% of the total variance and reconstructed unseen scans with a mean error of 2.43 cm. We also used the PCA weights of the first 10 principal vectors to accurately predict anthropometric measurements of the pregnant women.