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1.
Cureus ; 16(8): e68277, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-39350814

RESUMEN

OBJECTIVE: To simulate the en masse traction technique with the integration (EMTI) of six maxillary anterior teeth using a finite element model (FEM) and explore various protocols for maxillary protrusion. The study aimed to investigate root displacement and stress distribution in the periodontal ligament (PDL) by varying the retraction position and direction of EMTI applied to the maxillary anterior teeth. No actual participants were involved. MATERIALS AND METHODS: The FEM model included six teeth (central and lateral incisors and canines) with a PDL thickness of 0.3 mm. The model encompassing the alveolar bone (ALB) and EMTI had 180,528 elements and 47,836 nodes. The EMTI integrated six anterior teeth via a 0.9-mm-diameter stainless steel lingual wire, equipped with three moment arms extending toward the root apex: one midline (central arm) and two distal to the canines (lateral arms). The position and direction of the traction force applied to the three moment arms of the EMTI were varied to assess crown and apex displacement, as well as PDL stress. RESULTS: Lingual tipping was consistent across all protocols, emphasizing controlled incisor tipping. The application of horizontal traction at 10 mm and traction at 7 mm from the central and lateral arms of the EMTI, respectively, demonstrated the most uniform stress distribution across the PDL of all six anterior teeth. CONCLUSIONS AND CLINICAL SIGNIFICANCE: The FEM analysis results suggest that the new EMTI method, which retracts the maxillary anterior teeth as a unit, is effective for tooth movement and PDL stress distribution. The EMTI technique, with its specific traction protocols and emphasis on controlled tipping, appears to be a promising approach for addressing maxillary protrusions.

2.
Sci Rep ; 14(1): 23597, 2024 Oct 09.
Artículo en Inglés | MEDLINE | ID: mdl-39384905

RESUMEN

This paper presents a numerical investigation into the fire endurance of carbon fiber reinforced polymer (CFRP)-strengthened columns, shielded with fire-resistant materials, in piloti-type reinforced concrete buildings. The strengthened column, equipped with a fire protection system, underwent exposure to the ASTM E119 standard time-temperature curve for a duration of 4 h. To comprehensively evaluate the thermal and structural performance of the strengthened column at elevated temperatures and substantiate the effectiveness of the fire protection system, a fully coupled thermal-stress analysis was conducted. The numerical modeling approach employed in this study was rigorously validated through previous experimental studies in conjunction with adherence to the ACI design guideline, specifically ACI 440.2R-17. Using the validated structural fire model, the thermal and structural behaviors of the RC column with an insulated CFRP strengthening system were investigated based on four key performance criteria: glass transition temperature, ignition temperature of polymer matrix, critical temperature of reinforcing bars, and the design axial load capacity at elevated temperatures. Furthermore, a comparative assessment of fire endurance was performed using diverse fire-resistant materials, including Sprayed Fire-Resistive Material (SFRM) and Sikacrete®-213 F, with insulation thicknesses ranging from 10 to 30 mm, during the 4-hour fire exposure period.

3.
J Orofac Orthop ; 2024 Oct 08.
Artículo en Inglés | MEDLINE | ID: mdl-39377793

RESUMEN

OBJECTIVE: Precise root torque adjustment of anterior teeth is indispensable for optimizing dental esthetics and occlusal stability in orthodontics. The efficiency of traditional rectangular archwire manipulation within bracket slots seems to be limited. The crimpable gate spring, a novel device, has emerged as a promising alternative. Yet, there is a paucity of guidelines for its optimal clinical application. This study used finite element analysis (FEA) to investigate the biomechanical impact of the gate spring on torque adjustment of individual anterior teeth and to elucidate the most effective application strategy. METHODS: A FEA model was constructed by a maxillary central incisor affixed with an edgewise bracket featuring a 0.022â€¯× 0.028 inch (in) slot. A range of stainless steel rectangular archwires, in conjunction with a gate spring, were modeled and simulated within the bracket slots. A control group utilized a conventional rectangular wire devoid of a gate spring. Palatal root moments were standardized to 9, 18, and 36 Nmm for both experimental and control groups. RESULTS: The gate spring significantly amplified palatal root movement, notably with the 0.019â€¯× 0.025 in archwire. However, this was accompanied by an increase in stress on the tooth and periodontal ligament, particularly in the cervical regions. The synergistic use of a 0.019â€¯× 0.025 in rectangular archwire with a gate spring in a 0.022â€¯× 0.028 in bracket slot was identified as most efficacious for torque control of individual anterior teeth. CONCLUSIONS: The gate spring is a viable auxiliary device for enhancing torque adjustment on individual teeth. However, caution is advised as excessive initial stress may concentrate in the cervical and apical regions of the periodontal ligament and tooth.

4.
Eur J Oral Sci ; : e13021, 2024 Sep 30.
Artículo en Inglés | MEDLINE | ID: mdl-39350333

RESUMEN

Access cavity preparation represents the initial step in root canal treatment. Minimally invasive approaches have gained increasing attention and involve advancements in the traditional access cavity preparation. Simultaneously, the development of three-dimensional finite element analysis (3D-FEA) has provided a theoretical foundation for evaluating the merits and drawbacks of various access cavity preparations. Studies using static loading 3D-FEA have suggested that conservative access cavity preparation reduces the concentration of stress in the cervical region, thereby strengthening fracture resistance. However, the lack of support from clinical data raises concerns about the validity of this suggestion. Conversely, studies involving cyclic loading 3D-FEA and dynamic loading 3D-FEA have challenged the prevailing perspectives by taking into account additional factors such as filling materials, thus providing a more comprehensive understanding of the impact of access cavity preparation on fracture resistance. Existing research lacks a comprehensive comparison of the different 3D-FEA methods, and this review fills this gap by providing a systematic assessment of different 3D-FEA methods and their applications in access cavity preparation.

5.
Sensors (Basel) ; 24(18)2024 Sep 11.
Artículo en Inglés | MEDLINE | ID: mdl-39338638

RESUMEN

Physiological hand tremors, twitching, and the nonlinear characteristics of the relationship between surgical forceps clamping force and operating force seriously affect the clamping accuracy of surgical instruments. To address this problem, a new type of surgical forceps with a force-holding function was developed to replace traditional forceps, which was studied in terms of structural design, statics, and dynamics. The overall structure of the surgical forceps was designed based on the lever principle, the kinematic model of the clamping part of the surgical forceps was established by the geometrical method, and the correctness of the kinematic model was verified by ADAMS. To address the clamping accuracy of the surgical forceps, a stress analysis was performed, its dynamics model was established, a finite element simulation was performed, the modal of the forceps was optimized using the Box-Behnken method, and, finally, an experimental platform was built to perform the accuracy test. The results demonstrate that the designed surgical forceps exhibit high clamping accuracy and fulfill the design specifications for surgical operations.


Asunto(s)
Diseño de Equipo , Instrumentos Quirúrgicos , Humanos , Fenómenos Biomecánicos , Análisis de Elementos Finitos
6.
J Pharm Bioallied Sci ; 16(Suppl 3): S2652-S2654, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-39346335

RESUMEN

Introduction: For the best possible clinical results, dental implant systems must have their biomechanical characteristics thoroughly evaluated. These systems are essential to restorative dentistry. The purpose of this study was to analyze the resistance and stress distribution of prosthetic screws across five distinct implant systems. Methods: The stress distribution on prosthesis screws was evaluated, and loading conditions were simulated using finite element analysis (FEA). To assess the screws' resistance to torque forces, mechanical testing was done. Findings: Among the implant systems, there were notable differences in torque resistance and stress distribution. System A had the least amount of stress and the most torque resistance, whereas System E displayed the most stress and the least torque resistance. Conclusion: The results emphasize the significance of taking biomechanical characteristics into account when choosing implant systems for clinical usage, which has ramifications for patient care and treatment planning. Additional investigation concentrating on thorough clinical assessments is necessary to confirm these results and enhance treatment plans.

7.
Bioengineering (Basel) ; 11(9)2024 Aug 29.
Artículo en Inglés | MEDLINE | ID: mdl-39329620

RESUMEN

The design of the access cavity is an important factor in endodontic treatment for the further evolution of the tooth. The objective of this study was to highlight the most favorable access cavity design (TrussAC, UltraAC, TradAC, CariesAC, ConsAC, RestoAC) based on the stress distribution on virtual models of mandibular molars. To achieve the objectives of the study, four series of virtual models of six molars were made. The first two series of external virtual models were obtained based on the three-dimensional scanning of the molars before the access cavity preparation and after their restoration, to obtain the density of the restorative materials. Internal morphology was added to the next two series of virtual models and after that, materials were added, specific for root canal obturation and coronal restoration. The simulations were performed for two coronary restoration materials, bulk fill composite and amalgam. The results showed, based on the stress maps, that the highest values were recorded for CariesAC and the lowest values for UltraAC. Comparing the two restorative materials, the lowest level of stress, strains, and displacements was highlighted in the case of UltraAC, TradAC, and ConsAC cavities for amalgam. The results obtained in this study should guide doctors towards a conservative attitude with the preservation of as much hard tissue as possible and the differentiated use of restorative materials according to the amount of tissue lost when preparing the access cavity.

8.
Int Dent J ; 2024 Sep 25.
Artículo en Inglés | MEDLINE | ID: mdl-39327150

RESUMEN

INTRODUCTION AND AIMS: Finite element analysis (FEA) is an incrementally practical and precise tool for the prediction of stress effects on different tissue structures and has therefore interested dental researchers for decades. This bibliometric and visualized study was aimed to assess the research progress related to FEA in the dental sciences in terms of research trends and frontiers. METHODS: The articles about FEA studies in this field during 1999 to 2024 were obtained from Web of Science Core Collection. Then, these results were analysed and plotted using Microsoft Excel, VOSviewer, and CiteSpace in order to find out the historical evolution, current hotspots, and future directions. RESULTS: Total 2838 literature records related to the topic were retrieved from Web of Science Core Collection. The most active country and institution were USA (538 documents) and Universidade Estadual Paulista (140 documents), respectively. Baggi et al from University of Naples Federico II was the author with the most highly cited article (352 citations), which was published on the Journal of Prosthetic Dentistry in 2008. Dental Materials ranked first (231 documents) among the 10 journals with the greatest numbers of relevant publications. The top three trending keywords were 'dental implant', 'stress distribution', and 'fracture'. The endocrown, clear aligner, and posterior edentulism were scientific frontiers in this field. CONCLUSION: The present study provides a comprehensive bibliometric analysis of research in the dental science by FEA approaches, which will identify active hotspots of scientific interest to guide further research endeavours.

9.
J Mech Behav Biomed Mater ; 160: 106723, 2024 Sep 05.
Artículo en Inglés | MEDLINE | ID: mdl-39255714

RESUMEN

Zygomatic implants (ZIs) were developed as a graftless alternative to rehabilitate severely reabsorbed maxillae. This study aims to employ three-dimensional finite element analysis (FEA) to simulate the impact of external hexagonal implant connection (EHC) and internal hexagonal implant connection (IHC) on the stress distribution and fatigue lifetime within the ZI systems using parameters defined in ISO 14801:2016. Two ZI assemblies (Nobel Biocare and Noris Medical) were scanned in a micro-CT scanner and reconstructed using Nrecon software. Three-dimensional models were generated by Simpleware ScanIP Medical software. All models were exported to FEA software (ABAQUS) and subsequently to a fatigue analysis software (Fe-safe). A compressive 150 N load was applied at a 40° angle on the cap surface. A 15 Hz frequency was applied in the in silico cyclic test. The implant components had material properties of commercially pure grade 4 titanium (CPTi) and Titanium-6Aluminum-4Vanadium alloy (Ti64). Von Mises stress data, contour plots, and fatigue limits were collected and analyzed. EHC models exhibited higher peak stresses in implant components for both materials compared to IHC models. However, simulated bone support results showed the opposite trend, with higher stresses on IHCthan EHC models. The fatigue analysis revealed that assemblies with both designs exceeded ISO 14801:2016 number of cycles limits using Ti64, while CPTi groups exhibited comparatively lower worst life-repeats. In conclusion, ZIs with IHC were found to have a more homogeneous and advantageous stress distribution within both materials tested. Ti64 demonstrates a prolonged service life for both design connections.

10.
J Appl Crystallogr ; 57(Pt 4): 896-911, 2024 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-39108816

RESUMEN

The influence of various combinations of residual stress, composition and grain interaction gradients in polycrystalline materials with cubic symmetry on energy-dispersive X-ray stress analysis is theoretically investigated. For the evaluation of the simulated sin2ψ distributions, two different strategies are compared with regard to their suitability for separating the individual gradients. It is shown that the separation of depth gradients of the strain-free lattice parameter a 0(z) from residual stress gradients σ(z) is only possible if the data analysis is carried out in section planes parallel to the surface. The impact of a surface layer z* that is characterized by a direction-dependent grain interaction model in contrast to the volume of the material is quantified by comparing a ferritic and an austenitic steel, which feature different elastic anisotropy. It is shown to be of minor influence on the resulting residual stress depth profiles if the data evaluation is restricted to reflections hkl with orientation factors Γ hkl close to the model-independent orientation Γ*. Finally, a method is proposed that allows the thickness of the anisotropic surface layer z* to be estimated on the basis of an optimization procedure.

11.
Materials (Basel) ; 17(16)2024 Aug 12.
Artículo en Inglés | MEDLINE | ID: mdl-39203193

RESUMEN

Metal composite parts are widely used in different industries owing to their significant improvement in material properties, such as mechanical strength, electrical conductivity, and corrosion resistivity, compared to traditional single metals. Such composite parts can be manufactured and processed in different ways to achieve the desired geometry and quality. Among various metal forming techniques, drawing is the most commonly used process to produce long composite wires or rods from raw single materials. During the drawing process of composite wires or rods, not only does the core radius ratio change, but the core or sleeve layer may also undergo necking or fracture due to excessive tensile stresses in the softer layer. In this paper, bimetallic rods with AISI-1006 low-carbon steel cores and C10100 oxygen-free electronic copper sleeves are modeled using the finite element software DEFORM. The simulation models are verified by drawing experiments. The effects of initial bonding conditions, the initial core ratio, reduction ratio, semi-die angle, drawing speed, and friction on the plastic deformation behavior of the bimetallic rods are investigated. The results indicate that the initial bonding conditions have a great impact on the deformation behavior of the billets in terms of strain distribution, material flow, residual stress, and the final core ratio. The permissible forming parameters for obtaining a sound product are investigated as well. With the aid of these analyses, the drawing process and the quality of the products can be controlled steadily.

12.
J Funct Biomater ; 15(7)2024 Jul 21.
Artículo en Inglés | MEDLINE | ID: mdl-39057320

RESUMEN

The purpose of this finite element analysis (FEA) was to evaluate the stress distribution within the prosthetic components and bone in relation to varying cement thicknesses (from 20 to 60 µm) utilized to attach a zirconia crown on a conometric cap. The study focused on two types of implants (Cyroth and TAC, AoN Implants, Grisignano di Zocco, Italy) featuring a Morse cone connection. Detailed three-dimensional (3D) models were developed to represent the bone structure (cortical and trabecular) and the prosthetic components, including the crown, cement, cap, abutment, and the implant. Both implants were placed 1.5 mm subcrestally and subjected to a 200 N load at a 45° inclination on the crown. The results indicated that an increase in cement thickness led to a reduction in von Mises stress on the cortical bone for both Cyroth and TAC implants, while the decrease in stress on the trabecular bone (apical zone) was relatively less pronounced. However, the TAC implant exhibited a higher stress field in the apical area compared to the Cyroth implant. In summary, this study investigated the influence of cement thickness on stress transmission across prosthetic components and peri-implant tissues through FEA analysis, emphasizing that the 60 µm cement layer demonstrated higher stress values approaching the material strength limit.

13.
BMC Oral Health ; 24(1): 760, 2024 Jul 04.
Artículo en Inglés | MEDLINE | ID: mdl-38965507

RESUMEN

BACKGROUND: Preservation of the remaining structures while maintaining an esthetic appearance is a major objective in removable partial prosthodontics. So, the aim of the current study was to compare the stresses induced on the supporting structures by two digitally produced esthetic core materials; Zirconia and Polyetheretherketone when used as an extracoronal attachment in distal extension removable partial dentures using strain gauge analysis. METHODS: A mandibular Kennedy class II stone cast with the necessary abutments' preparations was scanned. The mandibular left canine and first premolar teeth were virtually removed. An acrylic mandibular left canine and first premolar teeth were prepared with heavy chamfer finish line and scanned. Virtual superimposition of the acrylic teeth in their corresponding positions was done. Two strain gauge slots were designed: distal to the terminal abutment and in the residual ridge. Two models and two sets of scanned teeth were digitally printed. The printed teeth were then placed in their corresponding sockets in each model and scanned. The attachment design was selected from the software library and milled out of Zirconia in the model ZR and Polyetheretherketone in the model PE. Five removable partial dentures were constructed for each model. The strain gauges were installed in their grooves. A Universal testing machine was used for unilateral load application of 100 N (N). For each removable partial denture, five measurements were made. The data followed normal distribution and were statistically analyzed by using unpaired t test. P value < 0.05 was considered to be statistically significant. RESULTS: During unilateral loading unpaired t test showed statistically significant difference (p = 0.0001) in the microstrain values recorded distal to the abutment between the models ZR (-1001.6 µÎµ ± 24.56) and PE (-682.6 µÎµ ± 22.18). However, non statistically significant difference (p = 0.3122) was observed in the residual ridge between them; ZR (16.2 µÎµ ± 4.53) and PE (15 µÎµ ± 3.74). CONCLUSIONS: In removable partial dentures, Polyetheretherketone extracoronal attachment induces less stress on the supporting abutments compared to the zirconia one with no difference in the stresses induced by them on the residual ridge.


Asunto(s)
Benzofenonas , Diseño de Dentadura , Dentadura Parcial Removible , Cetonas , Polímeros , Circonio , Cetonas/química , Humanos , Circonio/química , Polietilenglicoles , Análisis del Estrés Dental , Materiales Dentales/química , Diseño Asistido por Computadora , Pilares Dentales , Estrés Mecánico , Estética Dental , Ensayo de Materiales
14.
Med J Armed Forces India ; 80(4): 442-448, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39071759

RESUMEN

Background: Few studies have established the relationship between connector widths, cuspal angulation, loading forces, and supporting structures of zirconia fixed dental prosthesis (FDP). The objective of the study was to compare the stress distribution in implant- and tooth-supported zirconia FDP with different connector designs, and cuspal angulations of replaced teeth under diverse angulations of forces. Methods: Finite element (FE) analysis was done by simulating a 3-unit implant- and tooth-supported FDP. FE models with varying cuspal angulations 0°, 20°, and 33° and connector designs 2 mm, 2.5 mm, and 3 mm was generated. The simulated models were loaded with 100 N of forces under different axial and non-axial angulations. The graphical and numerical stresses were observed, recorded, and statistically analyzed. Results: Higher stress of 245.55 MPa in implant-supported FDP and lower stress value of 28.22 MPa in tooth-supported FDP was observed at 0-cuspal inclination for 3 mm connector width. The data were statistically analyzed with unpaired t test to eliminate the differences. The inter-group, intra-group tests, p and t values for various connector, and tooth angulations of tooth- and implant-supported FDP were statistically insignificant. (p > 0.05). Conclusion: There was no statistically significant difference in stress was observed between tooth- and implant-supported FDP for different connector widths, cuspal inclination, and diverse angulation of forces.

15.
Foot (Edinb) ; 60: 102113, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-38941820

RESUMEN

The aim of the current study was to understand the importance of the joint alignment following triple arthrodesis by analysing the contact characteristics in a normal and arthritic ankle joint using a patient-specific numerical model developed using open source software. The alignment of the hindfoot with respect to tibia is calculated from CT scans and the ankle joint model was numerically analysed for neutral, valgus and varus positions in both normal and arthritic conditions. The contact area, the magnitude and distribution of the contact pressure on the articular surface of the talar dome was evaluated using a cell-centred Finite Volume Method implemented in open-source software OpenFOAM. It was found that all positions of the hindfoot predict higher lateral pressures during heel strike. The varus position predicts the maximum increase in lateral pressures. Comparing the valgus and neutral positions, although the neutral position predicts 9.1 % higher increase in lateral pressures during heel strike than valgus, it predicts 33.6 % decrease in pressures during heel-rise and the distribution is more medial during toe-off. In the case of arthritic ankle, it could be observed that the neutral and varus hindfoot fusion positions result in a concentrated increase of lateral pressures in heel strike and flat-foot. In the case of toe-off, the neutral alignment results in an increase of 62.3 % in the contact pressures compared to the arthritic pressure of the unfused foot and is 20.8 % higher than the valgus alignment. The study helps to conclude that the fusion is more beneficial at the neutral position of the hindfoot for the patient specific ankle. However, the 5° valgus position of hindfoot alignment could be more beneficial in the arthritic ankle. Patient-specific approach to the placement of the hindfoot with the help of numerical analysis could help address the issue of ankle degradation following arthrodesis.


Asunto(s)
Articulación del Tobillo , Artrodesis , Humanos , Artrodesis/métodos , Articulación del Tobillo/cirugía , Articulación del Tobillo/fisiopatología , Articulación del Tobillo/diagnóstico por imagen , Modelación Específica para el Paciente , Fenómenos Biomecánicos , Tomografía Computarizada por Rayos X
16.
J Exp Orthop ; 11(3): e12031, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38741903

RESUMEN

Purpose: Thermoelastic stress analysis (TSA) was used to evaluate stress changes over the entire surface of a specimen. This study aimed to assess the relationship between femoral stress distribution, analysed using TSA and changes in bone mineral density (BMD) after total hip arthroplasty (THA). Methods: Stress changes in the simulated bone before and after taper-wedge stem insertion were measured using the TSA. Stress changes were compared with BMD changes around the stem 1 year after surgery in a THA patient (58 hips) with the same taper-wedge stem. Subsequently, we compared the correlation between stress changes and BMD changes. Results: TSA revealed significant stress changes before and after stem insertion, with prominent alterations in the proximal medial region. The BMD changes at 1 year post-THA exhibited a 15%-25% decrease in the proximal zones, while Zones 2-6 showed a -6% to 3% change. Notably, a strong positive correlation (0.886) was found between the stress change rate and BMD change rate. Conclusions: This study demonstrated a high correlation between femoral stress distribution assessed using TSA and subsequent BMD changes after THA. The TSA method offers the potential to predict stress distribution and BMD alterations postsurgery, aiding in implant development and clinical assessment. Combining TSA with finite element analysis could provide even more detailed insights into stress distribution. Level of Evidence: Case series (with or without comparison).

17.
Sensors (Basel) ; 24(9)2024 Apr 24.
Artículo en Inglés | MEDLINE | ID: mdl-38732810

RESUMEN

With neutron diffraction, the local stress and texture of metallic components can be analyzed non-destructively. For both, highly accurate positioning of the sample is essential, requiring the measurement at the same sample location from different directions. Current sample-positioning systems in neutron diffraction instruments combine XYZ tables and Eulerian cradles to enable the accurate six-degree-of-freedom (6DoF) handling of samples. However, these systems are not flexible enough. The choice of the rotation center and their range of motion are limited. Industrial six-axis robots have the necessary flexibility, but they lack the required absolute accuracy. This paper proposes a visual servoing system consisting of an industrial six-axis robot enhanced with a high-precision multi-camera tracking system. Its goal is to achieve an absolute positioning accuracy of better than 50µm. A digital twin integrates various data sources from the instrument and the sample in order to enable a fully automatic measurement procedure. This system is also highly relevant for other kinds of processes that require the accurate and flexible handling of objects and tools, e.g., robotic surgery or industrial printing on 3D surfaces.

18.
Sensors (Basel) ; 24(9)2024 May 02.
Artículo en Inglés | MEDLINE | ID: mdl-38733021

RESUMEN

Robot-Assisted Minimally Invasive Surgery (RAMIS) marks a paradigm shift in surgical procedures, enhancing precision and ergonomics. Concurrently it introduces complex stress dynamics and ergonomic challenges regarding the human-robot interface and interaction. This study explores the stress-related aspects of RAMIS, using the da Vinci XI Surgical System and the Sea Spikes model as a standard skill training phantom to establish a link between technological advancement and human factors in RAMIS environments. By employing different physiological and kinematic sensors for heart rate variability, hand movement tracking, and posture analysis, this research aims to develop a framework for quantifying the stress and ergonomic loads applied to surgeons. Preliminary findings reveal significant correlations between stress levels and several of the skill-related metrics measured by external sensors or the SURG-TLX questionnaire. Furthermore, early analysis of this preliminary dataset suggests the potential benefits of applying machine learning for surgeon skill classification and stress analysis. This paper presents the initial findings, identified correlations, and the lessons learned from the clinical setup, aiming to lay down the cornerstones for wider studies in the fields of clinical situation awareness and attention computing.


Asunto(s)
Procedimientos Quirúrgicos Robotizados , Cirujanos , Humanos , Procedimientos Quirúrgicos Robotizados/métodos , Frecuencia Cardíaca/fisiología , Ergonomía/métodos , Fenómenos Biomecánicos/fisiología , Procedimientos Quirúrgicos Mínimamente Invasivos , Aprendizaje Automático , Masculino
19.
J Prosthodont ; 2024 May 12.
Artículo en Inglés | MEDLINE | ID: mdl-38734932

RESUMEN

PURPOSE: To evaluate the fracture resistance of zirconia overlays, considering various preparation designs and the presence of endodontic access. MATERIALS AND METHODS: Ninety translucent zirconia (5Y-PSZ) overlay restorations were divided into six groups (n = 15/group) based on different preparation designs, with and without endodontic access: chamfer margin 4 mm above the gingival level without (group 1) and with endodontic access (group 2); margin 2 mm above the gingival level without (group 3) and with endodontic access (group 4); overlay with no chamfer margin without (group 5) and with endodontic access (group 6). Restorations were bonded to mandibular first molar resin dies, and the groups with endodontic access were sealed with flowable resin composite. All restorations underwent 100,000 cycles of thermal cycling between 5°C and 55°C, followed by loading until fracture. Maximum load and fracture resistance were recorded. ANOVA with Tukey post-hoc tests were used for statistical comparison (α < 0.05). RESULTS: Fracture resistance significantly varied among overlay designs with and without endodontic access (p < 0.001), except for the no-margin overlays (groups 5 and 6). Overlays with a 2 mm margin above the gingival margin with endodontic access (group 4) exhibited significantly higher fracture resistance compared to both the 4-mm supragingival (group 2) and no-margin (group 6) designs, even when compared to their respective intact groups (groups 1 and 5). There were no significant differences between the no-margin and 4-mm supragingival overlays. CONCLUSION: The more extensive zirconia overlay for mandibular molars is the first choice since the 2 mm margin above the gingival level design withstood considerable loads even after undergoing endodontic access. A no-margin overlay is preferred over the 4-mm supragingival design as it preserves more tooth structure and there was no outcome difference, irrespective of endodontic access. Caution is warranted in interpreting these findings due to the in vitro nature of the study.

20.
Heliyon ; 10(9): e29918, 2024 May 15.
Artículo en Inglés | MEDLINE | ID: mdl-38765096

RESUMEN

The crane hook is a widely utilized component in several industries for the purpose of lifting things. The crane hook must possess the capacity to withstand the intended load without encountering any complications, hence ensuring the safety of both personnel and the objects being lifted. The process of analysis is crucial for the effective utilization of a crane hook. The primary aim of this study was to determine the most efficient cross-sectional crane hook among five distinct geometric profiles. This was achieved through the application of finite element analysis using Solidworks software. Subsequently, the identified cross-sectional profile was further examined using the Python programming language, taking into account the classical equation of a curved beam. The five cross-sectional shapes seen in the study were circular, rectangular, trapezoidal, I-shaped, and T-shaped. For the purposes of this investigation, the chosen material for each cross-sectional crane hook model was 34CrMo4 steel. Despite the identical boundary constraints imposed on all the chosen cross-sectional crane hook profiles, it was observed that the trapezoidal cross-sectional crane hook exhibited superior performance compared to the others. The trapezoidal cross-sectional crane hook model exhibited a Von Mises stress of 203 MPa, with a corresponding factor of safety of 3.20. Further experimentation was conducted using Python to examine the trapezoidal profile. The results indicated that an increased level of parallelism in the inner side of the trapezoidal shape corresponded to a higher factor of safety. Hence, it is advisable to maintain the trapezoidal cross-sectional profile of the crane hook, with due consideration given to maximizing the length of the inner parallel side. The enhancement of design leads to a decrease in the likelihood of failure and the occurrence of undesirable accidents.

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