scholarly journals Identifying Three-Dimensional Facial Fluctuating Asymmetry in Normal Pediatric Individuals: A Panel Assessment Outcome Study of Clinicians and Observers

2019 ◽  
Vol 8 (5) ◽  
pp. 648 ◽  
Author(s):  
Pang-Yun Chou ◽  
Rafael Denadai ◽  
Shih-Heng Chen ◽  
Hsiao-Jung Tseng ◽  
Chih-Kai Hsu ◽  
...  
Keyword(s):  
Fluctuating Asymmetry ◽  
Three Dimensional ◽  
Facial Asymmetry ◽  
Outcome Study ◽  
Higher Symmetry ◽  
Level Ii ◽  
Level I

This study measured three-dimensional facial fluctuating asymmetry in 600 normal and healthy Taiwanese individuals (6 to 12 years old) and assessed the perceptions of increasing levels of facial fluctuating asymmetric severity by using a panel composed of 20 clinicians (surgical professionals), as well as 20 adult and 40 pre-adolescent observers. On average, this normal cohort presented a facial fluctuating asymmetry of 0.96 ± 0.52 mm, with 0.52 ± 0.05, 0.67 ± 0.09, 1.01 ± 0.10, and 1.71 ± 0.36 mm for levels I, II, III, and IV of severity, respectively. For all categories of raters, significant differences in the average symmetry–asymmetry scale values were observed, with level I < level II < level III = level IV (all p < 0.01, except for level III vs. IV comparisons with p > 0.05). For level I, pre-adolescent observers presented a significantly (p < 0.05) higher symmetry–asymmetry scale value than adult observers, with no significant (all p > 0.05) differences for other comparisons. For overall facial asymmetry and levels II, III, and IV, no significant (all p > 0.05) differences were observed. This study reveals that the normal pediatric face is asymmetric and the panel assessment of facial fluctuating asymmetry was influenced by the level of severity and the category of raters and contributes to the literature by revealing that pre-adolescent raters present a similar or higher perception of facial asymmetry than adult raters.

Spatial Distribution Prediction of Steady-State Sound Field With the Ray-Tracing Method

2008 ◽  
Vol 130 (6) ◽  
Author(s):  
Zhong-Jin Jiang ◽  
Tie-Jun Cui
Keyword(s):  
Spatial Distribution ◽  
Steady State ◽  
Ray Tracing ◽  
Three Dimensional ◽  
Sound Field ◽  
Energy Matrix ◽  
Sound Energy ◽  
Sound Fields ◽  
Level Ii ◽  
Level I

A novel two-level space volume partition (SVP) algorithm based on the ray-tracing technique is proposed to predict the spatial distribution of the steady-state sound field. The sound space is subdivided into voxels in two levels. The voxels of the level-I are of greater size and comparable to the space walls, and the ray-wall intersection points are calculated based on this level of voxels. Then each level-I voxel is hierarchically subdivided into small voxels of level-II, the size of which is determined according to the needed solution in the sound field description. The sound field spatial distribution is predicted based on this level of voxels. A three-dimensional energy matrix is set up to memorize the spatial distribution of sound energy. The numbers of the row, column, and layer of the energy matrix are equal to those of the level-II voxels, namely, each element in the energy matrix corresponds to a level-II voxel. When a sound ray enters a voxel, its sound energy is calculated and recorded in the corresponding element of the energy matrix. When all the sound rays have been traced over, the sound energy spatial distribution in the sound space has been established in the energy matrix. The sound pressure level (SPL) in a certain plane or along a certain line can be calculated and imaged directly from the energy matrix. The novel two-level SVP algorithm can finish the simulation more efficiently than the traditional SVP algorithm. Experiments were performed to measure the SPL in steady-state sound fields, and the results were consistent with the predicted results.

CLINICAL FEATURES, INDICATIONS AND RESULT OF TRACHEOTOMY

2017 ◽  
pp. 50-55
Author(s):  
Duc Luu Ngo ◽  
Tu The Nguyen ◽  
Manh Hung Ho ◽  
Thanh Thai Le
Keyword(s):  
Clinical Features ◽  
University Hospital ◽  
Female Ratio ◽  
Tube Obstruction ◽  
Level Ii ◽  
Study Results ◽  
Male Female Ratio ◽  
Hospital Patients ◽  
Level I

Background: This study aims to survey some clinical features, indications and results of tracheotomy at Hue Central Hospital and Hue University Hospital. Patients and method: Studying on 77 patients who underwent tracheotomy at all of departments and designed as an prospective, descriptive and interventional study. Results: Male-female ratio was 4/1. Mean age was 49 years. Career: farmer 44.2%, worker 27.2%, officials 14.3%, student 7.8%, other jobs 6.5%. Respiratory condition before tracheotomy: underwent intubation 62.3%, didn’t undergo intubation 37.7%. Period of stay of endotracheal tube: 1-5 days 29.2%, 6-14 days 52.1%, >14 days 18.7%. Levels of dyspnea before tracheotomy: level I 41.4%, level II 48.3%, level III 0%, 10.3% of cases didn’t have dyspnea. Twenty cases (26%) were performed as an emergency while fifty seven (74%) as elective produces. Classic indications (37.7%) and modern indications (62.3%). On the bases of the site, we divided tracheostomy into three groups: high (0%), mid (25.3%) and low (74.7%). During follow-up, 44 complications occurred in 29 patients (37.7%). Tracheobronchitis 14.3%, tube obstruction 13%, subcutaneous empysema 10.4%, hemorrhage 5%, diffcult decannulation 5.2%, tube displacement 3.9%, canule watery past 2.6%, wound infection 1.3%. The final result after tracheotomy 3 months: there are 33 patients (42.9%) were successfully decannulated. In the 33 patients who were successfully decannulated: the duration of tracheotomy ranged from 1 day to 90 days, beautiful scar (51.5%), medium scar (36.4%), bad scar (12.1%). Conclusions: In tracheotomy male were more than female, adult were more than children. The main indication was morden indication. Tracheobronchitis and tube obstruction were more common than other complications. Key words: Tracheotomy

Central ossifying fibroma of mandible

2020 ◽  
Vol 13 (12) ◽  
pp. e239286
Author(s):  
Kumar Nilesh ◽  
Prashant Punde ◽  
Nitin Shivajirao Patil ◽  
Amol Gautam
Keyword(s):  
Fibrous Tissue ◽  
Three Dimensional ◽  
Facial Asymmetry ◽  
Ossifying Fibroma ◽  
Mandible Reconstruction ◽  
Three Dimensional Printing ◽  
Osseous Lesion ◽  
Large Size ◽  
Dimensional Printing

Ossifying fibroma (OF) is a rare, benign, fibro-osseous lesion of the jawbone characterised by replacement of the normal bone with fibrous tissue. The fibrous tissue shows varying amount of calcified structures resembling bone and/or cementum. The central variant of OF is rare, and shows predilection for mandible among the jawbone. Although it is classified as fibro-osseous lesion, it clinically behaves as a benign tumour and can grow to large size, causing bony swelling and facial asymmetry. This paper reports a case of large central OF of mandible in a 40-year-old male patient. The lesion was treated by segmental resection of mandible. Reconstruction of the surgical defect was done using avascular fibula bone graft. Role of three-dimensional printing of jaw and its benefits in surgical planning and reconstruction are also highlighted.

scholarly journals Secondary prevention medication persistence and prognosis of acute ischaemic stroke or transient ischaemic attack

2021 ◽  
pp. svn-2020-000471
Author(s):  
Lei Zhang ◽  
Junfeng Shi ◽  
Yuesong Pan ◽  
Zixiao Li ◽  
Hongyi Yan ◽  
...  
Keyword(s):  
Secondary Prevention ◽  
Ischaemic Stroke ◽  
Acute Ischaemic Stroke ◽  
Transient Ischaemic Attack ◽  
Recurrent Stroke ◽  
Medication Persistence ◽  
Level Ii ◽  
Composite Events ◽  
Ischaemic Attack ◽  
Level I

IntroductionThe risk of disability and mortality is high among recurrent stroke, which highlights the importance of secondary prevention measures. We aim to evaluate medication persistence for secondary prevention and the prognosis of acute ischaemic stroke or transient ischaemic attack (TIA) in China.MethodsPatients with acute ischaemic stroke or TIA from the China National Stroke Registry II were divided into 3 groups based on the percentage of persistence in secondary prevention medication classes from discharge to 3 months after onset (level I: persistence=0%, level II: 0%<persistence<100%, level III: persistence=100%). The primary outcome was recurrent stroke. The secondary outcomes included composite events (stroke, myocardial infarction or death from cardiovascular cause), all-cause death and disability (modified Rankin Scale score=3–5) from 3 months to 1 year after onset. Recurrent stroke, composite events and all-cause death were performed using Cox regression model, and disability was identified through logistic regression model using the generalised estimating equation method.Results18 344 patients with acute ischaemic stroke or TIA were included, 315 (1.7%) of whom experienced recurrent strokes. Compared with level I, the adjusted HR of recurrent stroke for level II was 0.41 (95% CI 0.31 to 0.54) and level III 0.37 (0.28 to 0.48); composite events for level II 0.41 (0.32 to 0.53) and level III 0.38 (0.30 to 0.49); all-cause death for level II 0.28 (0.23 to 0.35) and level III 0.20 (0.16–0.24). Compared with level I, the adjusted OR of disability for level II was 0.89 (0.77 to 1.03) and level III 0.82 (0.72 to 0.93).ConclusionsPersistence in secondary prevention medications, especially in all classes of medications prescribed by the physician, was associated with lower hazard of recurrent stroke, composite events, all-cause death and lower odds of disability in patients with acute ischaemic stroke or TIA.

Source depth estimation using multi-station waveform data

1984 ◽  
Vol 74 (5) ◽  
pp. 1623-1643
Author(s):  
Falguni Roy
Keyword(s):  
Depth Estimation ◽  
The United States ◽  
Digital Data ◽  
United States Geological Survey ◽  
Travel Times ◽  
Source Depth ◽  
Time Data ◽  
Waveform Data ◽  
Level Ii ◽  
Level I

Abstract A depth estimation procedure has been described which essentially attempts to identify depth phases by analyzing multi-station waveform data (hereafter called level II data) in various ways including deconvolution, prediction error filtering, and spectral analysis of the signals. In the absence of such observable phases, other methods based on S-P, ScS-P, and SKS-P travel times are tried to get an estimate of the source depth. The procedure was applied to waveform data collected from 31 globally distributed stations for the period between 1 and 15 October 1980. The digital data were analyzed at the temporary data center facilities of the National Defense Research Institute, Stockholm, Sweden. During this period, a total number of 162 events in the magnitude range 3.5 to 6.2 were defined by analyzing first arrival time data (hereafter called level I data) alone. For 120 of these events, it was possible to estimate depths using the present procedure. The applicability of the procedure was found to be 100 per cent for the events with mb &gt; 4.8 and 88 per cent for the events with mb &gt; 4. A comparison of level I depths and level II depths (the depths as obtained from level I and level II data, respectively) with that of the United States Geological Survey estimates indicated that it will be necessary to have at least one local station (Δ &lt; 10°) among the level I data to obtain reasonable depth estimates from such data alone. Further, it has been shown that S wave travel times could be successfully utilized for the estimation of source depth.

scholarly journals Towards More Realistic Leaf Shapes in Functional-Structural Plant Models

Symmetry ◽  
2018 ◽  
Vol 10 (7) ◽  
pp. 278 ◽  
Author(s):  
Dominik Schmidt ◽  
Katrin Kahlen
Keyword(s):  
Fluctuating Asymmetry ◽  
Leaf Shape ◽  
Three Dimensional ◽  
Directional Asymmetry ◽  
The Novel ◽  
Shape Model ◽  
Plant Model ◽  
Virtual Plant ◽  
Perfect Symmetry

Fluctuating asymmetry in plant leaves is a widely used measure in geometric morphometrics for assessing random deviations from perfect symmetry. In this study, we considered the concept of fluctuating asymmetry to improve the prototype leaf shape of the functional-structural plant model L-Cucumber. The overall objective was to provide a realistic geometric representation of the leaves for the light sensitive plant reactions in the virtual plant model. Based on three-dimensional data from several hundred in situ digitized cucumber leaves comparisons of model leaves and measurements were conducted. Robust Bayesian comparison of groups was used to assess statistical differences between leaf halves while respecting fluctuating asymmetries. Results indicated almost no directional asymmetry in leaves comparing different distances from the prototype while detecting systematic deviations shared by both halves. This information was successfully included in an improved leaf prototype and implemented in the virtual plant model L-Cucumber. Comparative virtual plant simulations revealed a slight improvement in plant internode development against experimental data using the novel leaf shape. Further studies can now focus on analyses of stress on the 3D-deformation of the leaf and the development of a dynamic leaf shape model.

scholarly journals Three-dimensional symmetry and parallelism of the skeletal and soft-tissue poria in patients with facial asymmetry

2014 ◽  
Vol 44 (2) ◽  
pp. 62 ◽  
Author(s):  
Min-Gun Kim ◽  
Jin-Woo Lee ◽  
Kyung-Suk Cha ◽  
Dong-Hwa Chung ◽  
Sang-Min Lee
Keyword(s):  
Soft Tissue ◽  
Three Dimensional ◽  
Facial Asymmetry
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