Santosnorris3176

Regarding the divisions category, in 96% and 58.2% of teeth examined, nasal cavity alone was found to be superior to the canine and first premolar, respectively, defined as Division A. In 46.9% and 85.6% of teeth examined, maxillary sinus alone was located above the second premolar and first molar, respectively, defined as Division C. Identifying Class 3 on the paraxial reconstruction is the first step in identifying big-nose variant, with further assurance gained from each determining division. The use of the classes and divisions may enable better maxillary treatment planning, alert surgeons for the unexpected, and avoid complications.This systematic review aimed to investigate the clinical and functional outcomes and complication rate of simultaneous anterior cruciate ligament reconstruction (ACLR) and unicompartmental knee arthroplasty (UKA). A systematic search in PubMed-Medline, Cochrane Library, and Google Scholar was carried out to identify eligible randomized clinical trials, observational studies, or case series that reported on clinical and functional results of combined ACLR and UKA in adults with a unicompartmental knee osteoarthritis and ACL deficiency. Four retrospective studies and three prospective studies were included in this review. A total of 169 patients were included with a mean follow-up of 6.3 years. The Mean Oxford Knee Score improved from 29.4 to 43.9 at the final follow-up. All the other reported scores significantly improved after surgery. The overall revision rate was 3.5%. The MINORS score ranged from 8 to 14. Association analysis of MINORS score and year of publication, through Pearson's coefficient, showed no significant association (p = -0.089). Simultaneous ACLR and UKA is a safe procedure with a significant postoperative improvement of functional and clinical outcomes for patients with ACL injury that complain of knee instability and isolated medial compartment pain.Spine surgery is painful despite the balanced techniques including intraoperative and postoperative opioids use. We investigated the effect of intraoperative magnesium sulfate (MgSO4) on acute pain intensity, analgesic consumption and intraoperative neurophysiological monitoring (IOM) during spine surgery. Seventy-two patients were randomly allocated to two groups the Mg group or the control group. The pain intensity was significantly alleviated in the Mg group at 24 h (3.2 ± 1.7 vs. 4.4 ± 1.8, p = 0.009) and 48 h (3.0 ± 1.2 vs. 3.8 ± 1.6, p = 0.018) after surgery compared to the control group. Total opioid consumption was reduced by 30% in the Mg group during the same period (p = 0.024 and 0.038, respectively). Patients in the Mg group required less additional doses of rocuronium (0 vs. 6 doses, p = 0.025). Adequate IOM recordings were successfully obtained for all patients, and abnormal IOM results denoting warning criteria (amplitude decrement >50%) were similar. Total intravenous anesthesia with MgSO4 combined with opioid-based conventional pain control enables intraoperative patient immobilization without the need for additional neuromuscular blocking drugs and reduces pain intensity and analgesic requirements for 48 h after spine surgery, which is not achieved with only opioid-based protocol.Surgical re-explorations represent 3-5% of all cardiac surgery. Concerns regarding mortality and major morbidity of re-explorations in the intensive care unit (ICU) setting exist. We sought to investigate whether they may have different outcomes compared with those performed in the operating room (OR). Single center retrospective review of patients who underwent mediastinal re-exploration in the ICU or in the OR after cardiac surgery. Mediastinal re-explorations were also classified as "planned" and "unplanned". Primary outcome was 30-day mortality, secondary outcomes include deep sternal wound infection (DSWI), sepsis, ICU and hospital length of stay, prolonged intubation (>72 h), tracheostomy, pneumonia, acute kidney injury requiring dialysis and stroke. Between 2010 and 2019, 195 of 7263 patients (2.7%) underwent mediastinal re-exploration after cardiac surgery. More patients in the ICU group experienced two or more re-explorations (30.3% vs. 2.3%, p less then 0.001), a higher incidence of postoperative pneumonia (22% vs. 7%, p = 0.004), prolonged intubation (46.8% vs. 19.8%, p less then 0.001) and longer hospital stay (30.3 ± 34.2 vs. 20.8 ± 18.3 days, p = 0.014). There were no differences in mortality between ICU and OR (16.5% vs. 13.9%, p = 0.24) nor in sepsis (14.7% vs. 7%, p = 0.91) and DSWI rates (1.8% vs. 1.2%, p = 0.14). Re-explorations in the ICU were not associated with increased mortality, sepsis and mediastinitis rate.Error in Figure/Table [...].The degradation mechanisms for environmental barrier coatings (EBCs) under high-temperature water vapour conditions are vital for the service of aero-engine blades. This study proposes a theoretical model of high-temperature water vapour corrosion coupled with deformation, mass diffusion and chemical reaction based on the continuum thermodynamics and the actual water vapour corrosion mechanisms of an EBC system. The theoretical model is suitable for solving the stress and strain fields, water vapour concentration distribution and coating corrosion degree of an EBC system during the water vapour corrosion process. The results show that the thickness of the corrosion zone on the top of the EBC system depended on water vapour diffusion, which had the greatest influence on the corrosion process. The top corroded area of the rare-earth silicate EBC system was significantly evident, and there was a clear dividing line between the un-corroded and corroded regions.Magnetite nanoparticles (MNPs) represent one of the most intensively studied types of iron oxide nanoparticles in various fields, including biomedicine, pharmaceutics, bioengineering, and industry. Since their properties in terms of size, shape, and surface charge significantly affects their efficiency towards the envisaged application, it is fundamentally important to develop a new synthesis route that allows for the control and modulation of the nanoparticle features. In this context, the aim of the present study was to develop a new method for the synthesis of MNPs. Specifically, a microfluidic lab-on-chip (LoC) device was used to obtain MNPs with controlled properties. The study investigated the influence of iron precursor solution concentration and flowed onto the final properties of the nanomaterials. The synthesized MNPs were characterized in terms of size, morphology, structure, composition, and stability. Results proved the formation of magnetite as a single mineral phase. Moreover, the uniform spherical shape and narrow size distribution were demonstrated. Optimal characteristics regarding MNPs crystallinity, uniformity, and thermal stability were obtained at higher concentrations and lower flows. In this manner, the potential of the LoC device is a promising tool for the synthesis of nanomaterials by ensuring the necessary uniformity for all final applications.Vibration suppression, as well as its generation, is a common subject of scientific investigations. More and more often, but still rarely, shape memory alloys (SMAs) are used in vibrating systems, despite the fact that SMA springs have many advantages. This is due to the difficulty of the mathematical description and the considerable effortfulness of analysing and synthesising vibrating systems. The article shows the analysis of vibrating systems in which spring elements made of SMAs are used. The modelling and analysis method of vibrating systems is shown in the example of a vibrating system with a dynamic vibration absorber (DVA), which uses springs made of a shape memory alloy. The formulated mathematical model of a 2-DOF system with a controlled spring, mounted in DVA suspension, uses the viscoelastic model of the SMA spring. For the object, a control system was synthesised. Finally, model tests with and without a controller were carried out. The characteristics of the vibrations' transmissibility functions for both systems were determined. It was shown that the developed DVA can tune to frequency excitation changes of up to ±10%.Most of the historical and old building stock in Europe are constructed from masonry, when brick, stones, or their combination are bound with traditional mortars. Rising damp, due to accompanying effects, is the main factor influencing the quality of indoor climate as well as having an important impact on the durability of masonry structures. In this study, new types of lightweight concrete with waste aggregate content as a suitable material for remediation of damp damaged masonries were designed and tested. Alternative aggregate served as silica sand substitution in the range of 0-100 vol.%. Basic structural properties, mechanical resistance, water, and water vapor transport properties were measured after 28 days of water curing and were compared with dense reference concrete and with traditional masonry materials as well. Moreover, the porous structure of produced concretes and changes caused by usage of alternative aggregate usage were evaluated with the mercury intrusion porosimetry (MIP) technique. Obtained experimental data showed the suitability of modified concretes with 25-50 vol.% of waste aggregate content to ensure acceptable strength and hydric properties, and these properties were found to be comparable with masonry structures and materials used in the past.Coating magnesium alloys with nitride surface layers is a prospective way of improving their intrinsically poor surface properties; in particular, their tribological and corrosion resistance. These layers are usually produced using PVD methods using magnetron sputtering or arc evaporation. Even though the thus-produced layers significantly increase the wear resistance of the alloys, their effects on corrosion resistance are unsatisfactory because of the poor tightness, characteristic of PVD-produced products. Tightness acquires crucial significance when the substrate is a highly-active magnesium alloy, hence our idea to tighten the layers by subjecting them to a post-deposition chemical-hydrothermal-type treatment. This paper presents the results of our experiments with a new hybrid surface engineering method, using a final tightening pressure hydrothermal gas treatment in overheated steam of the composite titanium nitride layers PVD, produced on AZ91D magnesium alloy. The proposed method resulted in an outstanding improvement of the performance properties, in particular resistance to corrosion and wear, yielding values that exceed those exhibited by commercially anodized alloys and austenitic stainless 316L steel. The developed hybrid method produces new, high-performance corrosion and wear resistant, lightweight magnesium base materials, suitable for heavy duty applications.Sulfate erosion is a major cause of concrete durability deteriorations, especially for the service tunnels that suffer sulfate erosion for a long time. Accurately predicting the concrete damage failure under sulfate erosion has been a challenging problem in the evaluation and maintenance of concrete structures. Here we design the dry-wet cycle test of service tunnel concrete under sulfate erosion and analyze the Elastic relative dynamic modulus (Erd) and mass under 35 times cycle periods. Then we develop an autoregressive integrated moving average (ARIMA) prediction model linking damage failure to Erd and mass. The results show that the deterioration of concrete first increased and then decreased with an extension of the dry-wet cycle period. Moreover, based on a finite set of training data, the proposed prediction approach shows high accuracy for the changes of concrete damage failure parameters in or out of the training dataset. DIRECTRED80 The ARIMA method is proven to be feasible and efficient for predicting the concrete damage failure of service tunnels under sulfate erosion for a long time.