ABSTRACT
We present a numerical method specifically designed for simulating three-dimensional fluid-structure interaction (FSI) problems based on the reference map technique (RMT). The RMT is a fully Eulerian FSI numerical method that allows fluids and large-deformation elastic solids to be represented on a single fixed computational grid. This eliminates the need for meshing complex geometries typical in other FSI approaches and greatly simplifies the coupling between fluid and solids. We develop a three-dimensional implementation of the RMT, parallelized using the distributed memory paradigm, to simulate incompressible FSI with neo-Hookean solids. As part of our method, we develop a field extrapolation scheme that works efficiently in parallel. Through representative examples, we demonstrate the method's suitability in investigating many-body and active systems, as well as its accuracy and convergence. The examples include settling of a mixture of heavy and buoyant soft ellipsoids, lid-driven cavity flow containing a soft sphere, and swimmers actuated via active stress.
Subject(s)
Computer Simulation , Suspensions , Humans , Locomotion , Mechanics , Models, CardiovascularABSTRACT
High-throughput transcriptomics is of increasing fundamental biological and clinical interest. The generation of molecular data from large collections of samples, such as biobanks and drug libraries, is boosting the development of new biomarkers and treatments. Focusing on gene expression, the transcriptomic market exploits the benefits of next-generation sequencing (NGS), leveraging RNA sequencing (RNA-seq) as standard for measuring genome-wide gene expression in biological samples. The cumbersome sample preparation, including RNA extraction, conversion to cDNA and amplification, prevents high-throughput translation of RNA-seq technologies. Bulk RNA barcoding and sequencing (BRB-seq) addresses this limitation by enabling sample preparation in multi-well plate format. Sample multiplexing combined with early pooling into a single tube reduces reagents consumption and manual steps. Enabling simultaneous pooling of all samples from the multi-well plate into one tube, our technology relies on smart labware: a pooling lid comprising fluidic features and small pins to transport the liquid, adapted to standard 96-well plates. Operated with standard fluidic tubes and pump, the system enables over 90% recovery of liquid in a single step in less than a minute. Large scale manufacturing of the lid is demonstrated with the transition from a milled polycarbonate/steel prototype into an injection molded polystyrene lid. The pooling lid demonstrated its value in supporting high-throughput barcode-based sequencing by pooling 96 different DNA barcodes directly from a standard 96-well plate, followed by processing within the single sample pool. This new pooling technology shows great potential to address medium throughput needs in the BRB-seq workflow, thereby addressing the challenge of large-scale and cost-efficient sample preparation for RNA-seq.
Subject(s)
High-Throughput Nucleotide Sequencing , RNA , FecesABSTRACT
Natural language is frequently employed for information exchange between humans and computers in modern digital environments. Natural Language Processing (NLP) is a basic requirement for technological advancement in the field of speech recognition. For additional NLP activities like speech-to-text translation, speech-to-speech translation, speaker recognition, and speech information retrieval, language identification (LID) is a prerequisite. In this paper, we developed a Language Identification (LID) model for Ethio-Semitic languages. We used a hybrid approach (a convolutional recurrent neural network (CRNN)), in addition to a mixed (Mel frequency cepstral coefficient (MFCC) and mel-spectrogram) approach, to build our LID model. The study focused on four Ethio-Semitic languages: Amharic, Ge'ez, Guragigna, and Tigrinya. By using data augmentation for the selected languages, we were able to expand our original dataset of 8 h of audio data to 24 h and 40 min. The proposed selected features, when evaluated, achieved an average performance accuracy of 98.1%, 98.6%, and 99.9% for testing, validation, and training, respectively. The results show that the CRNN model with (Mel-Spectrogram + MFCC) combination feature achieved the best results when compared to other existing models.
ABSTRACT
PURPOSE: To assess the clinical outcomes of fat repositioning via supraperiosteal dissection with midface lift for correction of tear trough deformity in a large Asian patient population. METHODS: Retrospectively review 1152 Asian patients who underwent fat repositioning to the supraperiosteal plane with a midface lift between 2005 and 2022. Surgical technique, postoperative course, and complications were recorded. At the 6-month postoperative follow-up, the degree of patient satisfaction was assessed. RESULTS: A total of 2304 eyes from 1152 patients with an average follow-up of 10 months. These procedures were performed using a transforniceal approach in 185 patients (16%) or a transcutaneous skin excision approach in 967 patients (84%). Among the patients who underwent the transcutaneous technique, seven individuals (0.6%) experienced effective treatment of lower lid ectropion through lateral tarsal strip procedures. Nine patients (0.7%) required revision surgery to address the remaining lateral fat pad due to inadequate lateral orbital fat excision during the initial procedure. At the 6-month follow-up, most patients reported a high level of satisfaction, with 800 patients (78%) expressing extreme satisfaction and 196 patients (19.1%) reporting satisfaction with the improvement in their appearance. No one reported facial numbness, lower eyelid or cheek paralysis, newly developed diplopia or granuloma formation. CONCLUSION: The procedure of fat repositioning involving supraperiosteal dissection and a midface lift, whether performed using a transforniceal approach or a transcutaneous skin excision approach, in lower eyelid blepharoplasty proves to be a secure and auspicious surgical technique for rectifying tear trough deformity and attaining a pleasing aesthetic outcome.
Subject(s)
Adipose Tissue , Blepharoplasty , Eyelids , Humans , Blepharoplasty/methods , Retrospective Studies , Female , Male , Middle Aged , Adipose Tissue/transplantation , Eyelids/surgery , Aged , Follow-Up Studies , Adult , Patient Satisfaction , Treatment Outcome , Periosteum/surgery , Rhytidoplasty/methods , Aged, 80 and overABSTRACT
BACKGROUND: Blepharoptosis is a common symptom in ophthalmology clinic, but eyelid retraction when smiling in a ptosis eye is a rare manifestation. Here we report a novel manifestation that eyelid retraction during smiling in a patient with monocular congenital ptosis. CASE DESCRIPTION: A 10-year-old girl with isolated and mild unilateral congenital ptosis showed eyelid retraction in ptotsis eye when smiling together with a lid lag on downgaze. She didn't have any systematic and ocular diseases other than myopia and astigmatism.Eyelid retraction during smiling is 5 mm, resulting in a significant difference in the height of bilateral palpebral fissures.As for ptosis, is mild.The margin to reflex distance 1 is 1.0 mm on the right eye(ptosis eye) and 3.0 mm on the left eye. A lid lag of 1.0 mm on downward gaze was noted on the right, she could close her eyes fully while sleeping.The ice pack test, laboratory test for thyroid function, whole-exome sequencing (WES) and magnetic resonance imaging(MRI) of the orbital and ocular motor nerves showed normal results.Her symptoms alleviated after 6 months, with the retraction of the right upper eyelid when smiling was approximately 3 mm, thus the difference in the palpebral fissure height when smiling was smaller than that at the initial presentation. CONCLUSION: Blepharoptosis may accompanied with abnormal innervation like eyelid retraction, this phenomenon can be alleviated with age.The results of the levator muscle function test should be carefully examined to determine whether it is ptosis in an impaired innervation eyelid.
Subject(s)
Blepharoptosis , Eyelids , Humans , Female , Blepharoptosis/congenital , Blepharoptosis/physiopathology , Child , Eyelids/physiopathology , Smiling/physiology , Oculomotor Muscles/physiopathologyABSTRACT
OBJECTIVE: This randomised clinical trial assessed the impact on symptoms, tear film dynamics and ocular surface integrity of daily disposable silicone-hydrogel contact lenses (CLs) over a month, paying special attention to lid wiper epitheliopathy (LWE) and its implications for CL discomfort. METHODS: Neophyte CL wearers (n = 44, 21.09 ± 5.00 years old) were randomly assigned to either the experimental (n = 24) or control group (n = 20). Participants assigned to the experimental group were required to wear daily disposable CLs for 1 month for at least 8 h/day and 6 days/week. All participants were healthy subjects (no history of ocular surgery or active ocular disease) with spherical refractive errors between -8.00 and +5.00 D and cylindrical power <0.75 D. At the baseline and 1-month sessions, the Dry Eye Questionnaire 5 (DEQ-5) was completed, together with the measurement of tear film osmolarity with the TearLab osmometer, tear meniscus height (TMH) and lipid layer pattern (LLP) using a slit-lamp with Tearscope Plus attached, fluorescein break-up time (FBUT), maximum blink interval (MBI), corneal staining with fluorescein under cobalt blue light and LWE with lissamine green under slit lamp and halogen white light. RESULTS: At the baseline session, LWE showed a negative correlation with DEQ-5 (r = -0.37, p = 0.02). Significant differences in FBUT and LWE (p = 0.04) and a positive correlation between LWE and DEQ-5 (r = 0.49, p = 0.007) were observed at 1 month. Intrasession analysis at 1 month showed significant differences between the experimental and control groups in DEQ-5, FBUT and LWE (all p ≤ 0.02). Intersession analysis in the experimental group showed variations in DEQ-5, FBUT and LWE (all p ≤ 0.02) but no significant variation in the control group (all p ≥ 0.11). CONCLUSION: The presence of LWE was significantly correlated with higher symptom values in the DEQ-5. Also, participants in the experimental group presented higher values of LWE after 1 month of CL wear, in comparison with the control group.
Subject(s)
Contact Lenses, Hydrophilic , Disposable Equipment , Dry Eye Syndromes , Tears , Humans , Male , Female , Tears/physiology , Tears/metabolism , Young Adult , Dry Eye Syndromes/physiopathology , Dry Eye Syndromes/diagnosis , Adult , Refractive Errors/therapy , Refractive Errors/physiopathology , Silicones , Adolescent , Surveys and Questionnaires , Eyelid Diseases/physiopathology , Eyelid Diseases/therapy , Osmolar ConcentrationABSTRACT
AIM: Endodontic microsurgery (EMS) of maxillary molars may represent a complex challenge to the clinician due to the location of the roots and the proximity of the maxillary sinus floor. This report aimed to describe the simultaneous use of a computer-assisted dynamic navigation (C-ADN) system and piezoelectric bony-window osteotomy for the transantral microsurgical approach of a maxillary left first molar with adequate root canal filling and symptomatic apical periodontitis. SUMMARY: This case report highlights the importance of C-ADN to carry out a minimally invasive buccal surgical access to palatal roots affected by apical periodontitis and provides a practical example to help clinicians make treatment decisions based on the available evidence. Clinical and tomographic evaluations were performed before the surgical procedure and at 24-month follow-up. This case was treated using a C-ADN system fitted to a piezotome for the buccal approach of the buccal roots, maxillary sinus membrane lifting, and for transantral location, root-end resection, cavity preparation, and filling of the palatal root. The navigation system allowed to achieve an accurate apical canal terminus location and root-end filling of the three roots with a minimally invasive piezoelectric crypt approach. At the 24-month follow-up examination, the patient remains asymptomatic, with normal periapical structures, and regeneration of maxillary sinus walls. It was concluded that the combination of dynamic navigation with piezoelectric bony-window osteotomy offers enhanced accuracy, tissue preservation, diminished risk of iatrogenic complications, and could maximize success and survival rates in transantral EMS.
Subject(s)
Periapical Periodontitis , Sinus Floor Augmentation , Humans , Microsurgery/methods , Apicoectomy/methods , Tooth Root/surgery , Periapical Periodontitis/surgeryABSTRACT
The current study aimed to explore the impact of buffer species on the dissolution behavior of orally disintegrating tablets (ODT) containing a basic polymer and its influence on bioequivalence (BE) prediction. Fexofenadine hydrochloride ODT formulations were used as the model formulations, Allegra® as the reference formulation, and generic formulations A and B as the test formulations. Allegra®, generic A, and generic B are ODT formulations that contain aminoalkyl methacrylate copolymers E (Eudragit® E, EUD-E), a basic polymer commonly used to mask the bitter taste of drugs. Both generic A and generic B have been known to be bioequivalent to Allegra®. The dissolution tests were conducted using a compendial paddle, with either bicarbonate (10 mM, pH 6.8) or phosphate buffer (25 mM, pH 6.8) as the dissolution media. A floating lid was employed to cover the surface of the bicarbonate buffer to prevent volatilization. Results indicated that in phosphate buffer, the dissolution profiles of Allegra and generic B significantly varied from that of generic A, whereas in the bicarbonate buffer, the dissolution profiles of Allegra, generic A, and generic B were comparable. These findings suggest that the use of bicarbonate buffer may offer a more precise prediction of human bioequivalence compared to phosphate buffer.
Subject(s)
Bicarbonates , Taste , Terfenadine/analogs & derivatives , Humans , Polymers , Solubility , Tablets , Phosphates , Administration, Oral , Drug Compounding/methodsABSTRACT
OBJECTIVES: Currently, premixed putty-type bioceramic cements (PPBCs) have become popular materials for root-end fillings. This study investigated three root-end filling techniques using PPBCs and calcium silicate-based sealers including EDTA pretreatment. MATERIALS AND METHODS: Ninety root segments were prepared and standardized with an artificial fin and lateral canal, and assigned to three groups (n = 30). Root-end fillings were placed using BC-RRM Putty alone (Group PA), injection of BC sealer followed by BC-RRM Putty (Lid Technique: Group LT) or BC-RRM Putty with BC sealer coating (Deep putty packing technique: Group DP). Half of each group was pretreated with 17% EDTA. The radiographic images of the specimens were assessed by five graders and push-out bond strength tests were conducted. The data were analyzed with a general linear model including two-way ANOVA and chi-square test at a significance level of 5%. RESULTS: DP approach demonstrated significantly higher bond strength than LT (P < 0.05). However, there was no statistically significant difference in bond strength between PA and either DP or LT. EDTA pretreatment had no significant effect on push-out bond strength. Radiographically, for the main canal, PA and DP scored significantly higher than LT. In the fin, PA scored significantly higher than others (P < 0.05). CONCLUSION: Our study highlights variations in root-end filling techniques. Injecting a bulk of bioceramic sealer before the placement of PPBCs may reduce bond strength and radiopacity. The application of PPBCs alone or in the deep putty technique demonstrates potential for favorable outcomes. EDTA pretreatment did not enhance bond-strength. CLINICAL RELEVANCE: Careful selection and application of bioceramic materials and techniques in root-end fillings may influence the outcome of endodontic root-end surgery. When PPBCs and calcium silicate-based sealers are used together for root-end fillings, sealer followed by deep putty application may offer improved bond strength and radiographic fill compared to the lid technique.
Subject(s)
Calcium Compounds , Materials Testing , Root Canal Filling Materials , Silicates , Root Canal Filling Materials/chemistry , Silicates/chemistry , Calcium Compounds/chemistry , In Vitro Techniques , Humans , Dental Bonding/methods , Ceramics/chemistry , Dental Cements/chemistry , Retrograde Obturation/methods , Edetic Acid/chemistry , Dental Stress AnalysisABSTRACT
Urban flooding poses a significant challenge to the rapidly growing Indian cities. Low-impact development strategies such as green roofs have shown the potential to reduce urban flooding. However, their performance assessment significantly varies across different studies. Therefore, the study's primary objective is to evaluate green roofs in the Indian context. For this evaluation, the green roofs are assessed based on building-level implementation scenarios for a high-density urban area in India for 25%,50%, and 75% application rates and different rainfall intensities (2,3 and 4-h duration and 2,5,10 and 25-year frequencies). Secondly, to probe the variations in the green roof performance across studies, uncertainty contributions to the runoff reduction from different parameters are quantified. The results show that green roofs can reduce up to 62% of flood volume and 24% of runoff. However, they are reasonably effective only beyond 25% application rates. Further, rainfall intensity contributes the most to the uncertainty of runoff reduction from green roofs. This uncertainty assessment implies that localized evaluation of green roofs depending on local rainfall conditions is required for city-wide policy planning. The study has a significant contribution to building confidence in the ability of green roofs to reduce urban floods in the context of developing countries like India.
Subject(s)
Cities , Floods , India , Uncertainty , Rain , Conservation of Natural Resources/methodsABSTRACT
The construction of sponge cities in mountainous areas is crucial to achieving high-quality development in these regions. Owing to rugged terrain, significant changes in elevation, and uneven distribution of cities, the construction of sponge cities in mountainous areas faces challenges such as difficulties in clearing mountains and roads, high cost, and varying regional development requirements. However, there is currently limited research focusing on the impact of terrain on sponge city construction plans. In this study, we developed an optimal low impact development (LID) system layout method based on the annual runoff control rate. This study suggests implementing LID plans in stages to balance cost-effectiveness and enhance resilience. The optimized case1_100 scheme, which takes regional differences into account, can effectively achieve a runoff control coefficient of less than 0.25 in 98.86% of the area. Remarkably, this achievement comes at a significantly lower total cost of only 1.22 billion RMB compared to the unoptimized case2_100 scheme (which does not consider regional differences) with a cost of 3.03 billion RMB. Interestingly, the optimized case1_100 plan, selected using the Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS) method, has an LID layout that is closely related to the surface terrain. Structural equation modeling analysis indicates that terrain affects land types, which in turn impacts the surface impermeability and runoff coefficients, ultimately influencing the corresponding LID deployment plan. The coefficients of relative elevation and slope on the final plan are determined as -0.13 and -0.77, respectively, with a high overall explanatory power of 0.84. This indicates that terrain characteristics have a significant impact on the spatial patterns and surface features of typical mountainous cities in China and the optimal LID strategy largely depends on the initial terrain conditions. This study provides valuable insights for optimizing LID construction in sponge cities, particularly in the context of new mountainous urban planning.
Subject(s)
Cities , Conservation of Natural Resources/methods , City PlanningABSTRACT
The site selection for Low Impact Development (LID) practices is a significant process. It affects the effectiveness of LID in controlling stormwater surface runoff, volume, flow rate, and infiltration. This research paper presents a comprehensive review of various methods used for LID site selection. It starts by introducing different methods and tools. Three main methods: index-based methods, GIS-based multi-criteria decision analysis (MCDA), and multi-criteria models and tools, are discussed in detail. A comparative analysis of these methods is then conducted based on ten different criteria. These criteria include the number of variables, data properties, the scale of analysis, benefits maximization approach, multi-attribute decision analysis, user-friendliness, community and stakeholder participation, and the validation methods. This comparison reveals limitations in each method. These include inadequate data availability and quality, lack of evaluation methods, comprehensive assessment criteria and spatial explicitness. These challenges underscore the need for future research to prioritize spatial clarity, broaden criteria, improve data quality through standardization, incorporate field visits and remote sensing for robust results, integrate big data, and develop web-based, open-source tools for enhanced accessibility. These key strategies provide valuable insights for advancing LID site selection methods.
Subject(s)
Rain , Water Movements , Research DesignABSTRACT
Urban flood risk assessment delivers invaluable information regarding flood management as well as preventing the associated risks in urban areas. The present study prepares a flood risk map and evaluate the practices of low-impact development (LID) intended to decrease the flood risk in Shiraz Municipal District 4, Fars province, Iran. So, this study investigate flood vulnerability using MCDM models and some indices, including population density, building age, socio-economic conditions, floor area ratio, literacy, the elderly population, and the number of building floors to. Then, the map of thematic layers affecting the urban flood hazard, including annual mean rainfall, land use, elevation, slope percentage, curve number, distance from channel, depth of groundwater, and channel density, was prepared in GIS. After conducting a multicollinearity test, data mining models were used to create the urban flood hazard map, and the urban flood risk map was produced using ArcGIS 10.8. The evaluation of vulnerability models was shown through the use of Boolean logic that TOPSIS and VIKOR models were effective in identifying urban flooding vulnerable areas. Data mining models were also evaluated using ROC and precision-recall curves, indicating the accuracy of the RF model. The importance of input variables was measured using Shapley value, which showed that curve number, land use, and elevation were more important in flood hazard modeling. According to the results, 37.8 percent of the area falls into high and very high categories in terms of flooding risk. The study used a stormwater management model (SWMM) to simulate node flooding and provide management scenarios for rainfall events with a return period ranging from 2 to 50 years and five rainstorm events. The use of LID practices in flood management was found to be effective for rainfall events with a return period of less than 10 years, particularly for two-year events. However, the effectiveness of LID practices decreases with an increase in the return period. By applying a combined approach to a region covering approximately 10 percent of the total area of Shiraz Municipal District 4, a reduction of 2-22.8 percent in node flooding was achieved. The analysis of data mining and MCDM models with a physical model revealed that more than 60% of flooded nodes were classified as "high" and "very high" risk categories in the RF-VIKOR and RF-TOPSIS risk models.
Subject(s)
Floods , Groundwater , Aged , Humans , IranABSTRACT
Rain barrels/cisterns are a type of green infrastructure (GI) practice that can help restore urban hydrology. Roof runoff captured and stored by rain barrels/cisterns can serve as a valuable resource for landscape irrigation, which would reduce municipal water usage and decrease runoff that other stormwater infrastructures need to treat. The expected benefits of rainwater harvesting and reuse with rain barrels/cisterns are comprehensive but neither systematically investigated nor well documented. A comprehensive tool is needed to help stakeholders develop efficient strategies to harvest rainwater for landscape irrigation with rain barrels/cisterns. This study further improved the Soil and Water Assessment Tool (SWAT) in simulating urban drainage networks by coupling the Storm Water Management Model (SWMM)'s closed pipe drainage network (CPDN) simulation methods with the SWAT model that was previously improved for simulating the impacts of rainwater harvesting for landscape irrigation with rain barrels/cisterns. The newly improved SWAT or SWAT-CPDN was applied to simulate the urban hydrology of the Brentwood watershed (Austin, TX) and evaluate the long-term effects of rainwater harvesting for landscape irrigation with rain barrels/cisterns at the field and watershed scales. The results indicated that the SWAT-CPDN could improve the prediction accuracy of urban hydrology with good performance in simulating discharges (15 min, daily, and monthly), evapotranspiration (monthly), and leaf area index (monthly). The impacts of different scenarios of rainwater harvesting and reuse strategies (rain barrel/cistern sizes, percentages of suitable areas with rain barrels/cisterns implemented, auto landscape irrigation rates, and landscape irrigation starting times) on each indicator (runoff depth, discharge volume, peak runoff, peak discharge, combined sewer overflow-CSO, freshwater demand, and plant growth) at the field or watershed scale varied, providing insights for the long-term multi-functional impacts (stormwater management and rainwater harvesting/reuse) of rainwater harvesting for landscape irrigation with rain barrels/cisterns. The varied rankings of scenarios found for achieving each goal at the field or watershed scale indicated that tradeoffs in rainwater harvesting and reuse strategies exist for various goals, and the strategies should be evaluated individually for different goals to optimize the strategies. Efficient rainwater harvesting and reuse strategies at the field or watershed scale can be created by stakeholders with the assist of the SWAT-CPDN to reduce runoff depth, discharge volume, peak runoff, peak discharge, CSO, and freshwater demand, as well as improve plant growth.
Subject(s)
Rain , Water Resources , Models, Theoretical , Hydrology , Conservation of Water Resources/methods , Water Supply , Conservation of Natural Resources/methodsABSTRACT
The impermeable areas in catchments are proportional to peak flows that result in floods in river reaches where the flow-carrying capacity is inadequate. The high rate of urbanization witnessed in the Kinyerezi River catchment in Dar es Salaam city has been noted to contribute to floods and siltation in the Msimbazi River. The Low-Impact Development (LID) practices that includes bio-retention (BR) ponds, rain barrels (RBs), green roofs (GRs), etc. can be utilized to mitigate portion of the surface runoff. This study aims to propose suitable LID practices and their sizes for mitigating runoff floods in the Kinyerezi River catchment using the Multi-Criteria Decision-Making (MCDM) approach. The results indicated that the BR and RBs were ranked high in capturing the surface runoff while the sediment control fences were observed to be the best in reducing sediments flowing into the BR. The proposed BR ponds were greater than 800 m2 with 1.2 m depth while RB sizes for Kinyerezi and Kisungu secondary schools and Kinyerezi and Kifuru primary schools were 2,730; 2,748; 1,385; and 1,020 m3, respectively. The BR ponds and RBs are capable of promoting water-demanding economic activities such as horticulture, gardening, car washing while reducing the school expenses and runoff generation.
Subject(s)
Rivers , Tanzania , Decision Making , Conservation of Natural Resources/methods , Water Movements , FloodsABSTRACT
BACKGROUND: Jaw lesions are frequent in the oral and maxillofacial areas. Different methods for enucleating jaw lesions in the oral and maxillofacial sites have been proposed, including the bone lid technique. PURPOSE: The aim of this study was to compare the clinical and radiographic results of the bone lid technique employing a piezoelectric surgery to the traditional technique in individuals with mandibular lesions. MATERIALS AND METHODS: A randomized controlled trial was conducted on 24 patients with mandibular lesions. They were randomly allocated into two groups (n = 12 for each group). Group I: the mandibular lesion was excised with bone lid technique using a piezoelectric device, followed by the fixation of the bony window after its repositioning. Group II: the lesion was excised with the traditional method using rotatory burs. Pain, soft tissue healing, bone exposure, bone lid integration, and the volume of the residual bone defect were all assessed clinically and radiographically after one week, one month, and six months. RESULTS: All patients in both groups showed adequate soft tissue healing except for one case in group I experienced wound dehiscence and bone lid exposure. The bone lid group reported significantly less pain than the usual approach at the 3rd and 7th days. After six months, the volume of bone defect filling was considerably higher in the bone lid group compared to the conventional group. CONCLUSION: The bone lid technique was an effective procedure in the management of mandibular lesions compared to the standard method. Besides, this technique provides better bone healing and reduces bone loss. TRIAL REGISTRATION: This clinical trial was registered at clinicaltrials.gov on 14/8/2023 and had registration number NCT05987930.
Subject(s)
Piezosurgery , Humans , Female , Male , Adult , Middle Aged , Piezosurgery/methods , Wound Healing , Mandible/surgery , Mandible/diagnostic imaging , Treatment Outcome , Mandibular Diseases/surgery , Mandibular Diseases/diagnostic imagingABSTRACT
Congenital eyelid imbrication syndrome (CEIS) is a rare condition presenting at birth and is characterised by overriding of the upper lid on the lower lid. It is due to longer upper lid, than the lower lid. Overriding leads to spontaneous eversion of the upper lids. In our patient, examination revealed canthal tendon laxity and hyperaemia of the tarsal conjunctiva. All the rest of the structures in the eyeball and adnexa were normal. Spontaneous eversion occurred in two weeks as the upper lid grew with time. No treatment was required.
Subject(s)
Eyelids , Humans , Pakistan/epidemiology , Eyelids/abnormalities , Female , Male , Eyelid Diseases/congenital , Eyelid Diseases/diagnosis , Infant, NewbornABSTRACT
Lid-driven cavity (LDC) flow is a significant area of study in fluid mechanics due to its common occurrence in engineering challenges. However, using numerical simulations (ANSYS Fluent) to accurately predict fluid flow and mixed convective heat transfer features, incorporating both a moving top wall and a heated hemispherical obstruction at the bottom, has not yet been attempted. This study aims to numerically demonstrate forced convection in a lid-driven square cavity (LDSC) with a moving top wall and a heated hemispherical obstacle at the bottom. The cavity is filled with a Newtonian fluid and subjected to a specific set of velocities (5, 10, 15, and 20 m/s) at the moving wall. The finite volume method is used to solve the governing equations using the Boussinesq approximation and the parallel flow assumption. The impact of various cavity geometries, as well as the influence of the moving top wall on fluid flow and heat transfer within the cavity, are evaluated. The results of this study indicate that the movement of the wall significantly disrupts the flow field inside the cavity, promoting excellent mixing between the flow field below the moving wall and within the cavity. The static pressure exhibits fluctuations, with the highest value observed at the top of the cavity of 1 m width (adjacent to the moving wall) and the lowest at 0.6 m. Furthermore, dynamic pressure experiences a linear increase until reaching its peak at 0.7 m, followed by a steady decrease toward the moving wall. The velocity of the internal surface fluctuates unpredictably along its length while other parameters remain relatively stable.
ABSTRACT
Parkinson's disease associated psychosis (PDAP) is a prevalent non-motor symptom (NMS) that significantly erodes patients' and caregivers' quality of life yet remains vastly understudied. One potential source of PDAP in late-stage Parkinson's disease (PD) is the common dopamine (DA) replacement therapy for motor symptoms, Levodopa (L-DOPA). Given the high incidence of L-DOPA-induced dyskinesia (LID) in later phases of PD, this study sought to characterize the relationship between PDAP and LID in a bilateral medial forebrain bundle 6-hydroxydopamine hydrobromide (6-OHDA) lesion rat model. To assess PDAP in this model, prepulse inhibition (PPI), a well-validated assay of sensorimotor gating, was employed. First, we tested whether a bilateral lesion alone or after chronic L-DOPA treatment was sufficient to induce PPI dysfunction. Rats were also monitored for LID development, using the abnormal involuntary movements (AIMs) test, to examine PPI and LID associations. In experiment 2, Vilazodone (VZD), a serotonin transporter (SERT) blocker and 1A receptor (5-HT1A) partial agonist was administered to test its potential efficacy in reducing LID and PPI dysfunction. Once testing was complete, tissue was collected for high performance liquid chromatography (HPLC) to examine the monoamine levels in motor and non-motor circuits. Results indicate that bilateral DA lesions produced motor deficits and that chronic L-DOPA induced moderate AIMs; importantly, rats that developed more severe AIMs were more likely to display sensorimotor gating dysfunction. In addition, VZD treatment dose-dependently reduced L-DOPA-induced AIMs without impairing L-DOPA efficacy, although VZD's effects on PPI were limited. Altogether, this project established the bilateral 6-OHDA lesion model accurately portrayed LID and PDAP-like behaviors, uncovered their potential relationship, and finally, demonstrated the utility of VZD for reducing LID.
Subject(s)
Dyskinesia, Drug-Induced , Parkinson Disease , Psychotic Disorders , Rats , Animals , Levodopa/adverse effects , Parkinson Disease/complications , Oxidopamine/toxicity , Quality of Life , Rats, Sprague-Dawley , Dopamine , Antiparkinson Agents/adverse effects , Disease Models, AnimalABSTRACT
Parkinson's disease is a progressive neurodegenerative disorder caused by the degeneration of dopaminergic neurons. This leads to the pathogenesis of multiple basal ganglia-thalamomotor loops and diverse neurotransmission alterations. Dopamine replacement therapy, and on top of that, levodopa and l-3,4-dihydroxyphenylalanine (L-DOPA), is the gold standard treatment, while it develops numerous complications. Levodopa-induced dyskinesia (LID) is well-known as the most prominent side effect. Several studies have been devoted to tackling this problem. Studies showed that metabotropic glutamate receptor 5 (mGluR5) antagonists and 5-hydroxytryptamine receptor 1B (5HT1B) agonists significantly reduced LID when considering the glutamatergic overactivity and compensatory mechanisms of serotonergic neurons after L-DOPA therapy. Moreover, it is documented that these receptors act through an adaptor protein called P11 (S100A10). This protein has been thought to play a crucial role in LID due to its interactions with numerous ion channels and receptors. Lately, experiments have shown successful evidence of the effects of P11 blockade on alleviating LID greater than 5HT1B and mGluR5 manipulations. In contrast, there is a trace of ambiguity in the exact mechanism of action. P11 has shown the potential to be a promising target to diminish LID and prolong L-DOPA therapy in parkinsonian patients owing to further studies and experiments.