Comparison of Techniques for Obtaining Centric Relation Based on the Reproducibility of the Condylar Positions in Centric Relation—A Systematic Review

The objective of this systematic review was to compare centric relation (CR) techniques that belong to the same method of obtaining CR (guided, graphical, or physiological method), to verify which CR technique within each method of obtaining CR generates the greatest reproducibility of the condylar positions (or mandibular position) in CR. The PubMed, Cochrane Library, SciELO, Scopus, and Web of Science databases were searched for articles published up to May 5, 2021. The search terms were combinations of “dental centric relation” (MeSH), with each of the following terms (individually): “reproducibility of findings” (MeSH); “jaw relation record” (MeSH); “chin point”; “gothic arch”; “bimanual manipulation”; “swallowing” (MeSH); and “jig.” Inclusion criteria: clinical studies in English; individuals without temporomandibular dysfunction and with complete or almost complete dentition or complete edentulous; and comparison between CR techniques belonging to the same method of obtaining CR based on the reproducibility of condylar positions in CR. For each method of obtaining the CR, the following CR techniques were considered: guided method (chin point guidance and bimanual manipulation); graphic method (intraoral and extraoral gothic arch tracing); and physiologic method (swallowing and tongue retrusion along the palate). A total of 1692 articles were screened. After the inclusion and exclusion criteria were applied, six articles were included in this review. None of the included studies evaluated edentulous individuals. All included articles compared CR techniques of the guided method. Three articles concluded that the bimanual technique showed greater reproducibility of the condylar positions in CR than the chin point guidance technique, two articles showed equivalence between these techniques, and 1 article concluded that the chin point guidance technique showed greater reproducibility of the condylar positions in CR than the bimanual technique. Thus, in this systematic review, the bimanual technique was often superior (generated greater reproducibility of the CR) or at least equivalent to the chin point guidance technique. Therefore, for individuals with complete dentition and without temporomandibular disorders, the bimanual technique is more recommended.

Comparison of PLANE Technique versus Standard Echocardiography Guidance for Pediatric Pericardiocentesis

Percutaneous pericardiocentesis remains a challenging and potentially dangerous procedure, particularly in small, critically ill patients. We present outcomes of the PLANE (pericardiocentesis using long-axis in-plane real-time echocardiography) technique for pediatric pericardiocentesis compared with a standard echocardiography (ECHO) guidance cohort. This was a retrospective chart review of all children undergoing percutaneous pericardiocentesis from March 2013 to February 2021 at a single center. A total of 78 procedures were performed, 52 utilizing PLANE technique and 26 utilizing standard ECHO-guidance technique. There was 100% technical success rate with only one minor complication for the entire cohort. Procedures were evenly split between the bedside intensive care unit and cardiac catheterization laboratory. PLANE technique was utilized in significantly younger (1.4 vs. 8.4 years, p = 0.008) and smaller (11.1 vs. 31.8 kg, p = 0.007) patients, as well as in most patients deemed high risk (postoperative < 7 days, extracorporeal membrane oxygenation (ECMO) support, and/or weight less than 5 kg; 19/22, p = 0.021). Other patient characteristics were similar between the two groups. There was a trend toward PLANE technique utilization by noncardiology trained operators. The PLANE technique for pediatric pericardiocentesis is safe and effective and can be effectively utilized in small and high-risk patient populations. The technical similarity to other long-axis ultrasound-guided procedures may facilitate adoption and mastery by critical care trained operators.

A Surrogate Assisted Multi-objective Approach to Social Work Planning

Planning social tasks are essential jobs of every organization, business, and government. With increasing challenges of society, the organization and effective implementation depend on optimizing the plans of the organization and efficient operations of the professional teams in order, time, and specific requirements. In the context of the impact of the COVID-19 pandemic on social activities, developing strategies for the organization and operation of working teams in implementing disease prevention, control, and elimination are research issues that should be raised. This paper model the plan to organize and operate the social-mission working group problem with a multi-objective approach. The problem includes organizing and planning the health workforce to perform tasks in epidemic prevention and implementing guidelines of the Ministry of Health under the administration of the government. These pose a requirement to balance resources, medical equipment, and ancillary equipment to perform tasks according to different priority levels: disease prevention; vaccination; sterilization, isolation, treatment by different locations, and time to ensure effectiveness. The problem is modeled by approaching the multi-objective optimization with three objectives: makespan, performance efficiency, and rate of human resource usage. We also propose a guidance technique to improve the surrogate-assisted multi-objective optimization algorithms on analyzing the factors that influence finding solutions and maintain a balance between local exploration and global exploitation. The enhanced algorithms confirm the proposed model for social tasks against the COVID-19 pandemic.

Is the Greater Trochanter the Ideal Freehand Landmark for the S2AI Screw Angle in the Caudal Direction? Commentary on “Extra-articular Portion of the Sacroiliac Joint—Between the Sacral and Pelvic Tuberosities: An Anatomical Guide for the S2-Alar-Iliac Screw Trajectory” by Tatara et al

The author introduced a novel freehand technique for S2-Alar-Iliac screw placement Which demonstrated good clinical safety. However the optimal anatomical landmarks of the screw angle in the caudal direction have not been unified. The tip of the greater trochanter(TGT) was one of the most frequently chosen landmark in fluoroscopic or navigation guidance technique. Additional adjustments are always needed according to these studies. The freehand technique of the present study also choose the TGT as the as the landmark of the S2AI screw angle in the caudal direction, whether it also need any adjustment? We hope the author could explain more about this issue. Besides, the relationship between TGT and the sacral iliac bone is not static, which will make the reliability of the pre-surgery navigation software simulation doubtful.

OBJECT DETECTION SYSTEM FOR THE BLIND WITH VOICEGUIDANCE

—As object recognition technology has developed recently, various technologies have been applied to autonomousvehicles, robots, and industrial facilities. However, the benefits ofthese technologies are not reaching the visually impaired, who need it the most. This paper proposed an object detection system for the blind using deep learning technologies. Furthermore, a voice guidance technique is used to inform sight impaired persons as to the location of objects. The object recognition deep learning model utilizes the You Only Look Once(YOLO) algorithm and a voice announcement is synthesized using text-tospeech (TTS) to make it easier for the blind to get information about objects. Asa result, it implements an efficient object-detection system that helps the blind find objects in a specific space without help from others, and the system is analyzed through experiments to verify performance.

A Guidance method for robustness surrogate assisted multi-objective evolutionary algorithms

In the real world, multi-objective problems(MOPs) are relatively common in optimization in the areasof design, planning, decision support... In fact, problemsinclude two or many objectives, there is a class of problemscalled expensive problems that are problems with complexmathematical models, large computational costs,... Theycan not be solved by normal techniques, they are usually tobe solved with techniques such as simulation, decomposing,problem transformation. In particular, using a surrogatemodel with Kriging, neuron networks techniques in combination with an evolutionary algorithm is a subtle choice,with many positive results, being studied and applied inpractice. However, the use of a surrogate model withKriging, neuron networks combining selection strategy,sampling... can reduce the robustness of the algorithmsduring the search. This paper analyzes the issues affectingthe robustness of the multi-objective evolutionary algorithms (MOEAs) using surrogate models and suggests theuse of a guidance technique to increase the robustness ofthe algorithm, through analysis, experiment and results arecompetitive and effective to improve the quality of MOEAsusing a surrogate model to solve expensive problems.