<strong>Objective:</strong> To compare the congenital tooth deficiencies seen in permanent dentition in individuals with unilateral cleft lip and palate (UCLP) to non-cleft individuals with Angle Class I m...<strong>Objective:</strong> To compare the congenital tooth deficiencies seen in permanent dentition in individuals with unilateral cleft lip and palate (UCLP) to non-cleft individuals with Angle Class I malocclusion. <strong>Method:</strong> The study was performed on orthopantomograph films of 50 individuals with UCLP aged between 12 - 16 years and 50 individuals with Angle Class I malocclusion individuals aged between 13 - 15 years. Individuals with UCLP;32 clefts were on the left side and 18 clefts were on the right side. Permanent third molar teeth deficiency was excluded from the study. <strong>Results: </strong>In 50 individuals with UCLP;35 (70%) upper lateral incisors were congenitally deficient in the cleft area, while 15 (30%) missing lateral teeth were found in the non-cleft side. In control group, 12 (24%) of 50 patients had congenital lateral incisor deficiency. Congenital deficiency of upper lateral incisor in UCLP;the cleft area was higher than the non-cleft side (p < 0.01). The difference was statistically important when compared with the control group (p < 0.001). In 50 individuals with UCLP;while 27 (54%) of second premolar teeth were congenitally deficient in cleft side, 23 (46%) were missing in non-cleft side. In control group, 18 (36%) congenital second premolar deficiency was detected. However, second premolar congenital deficiency was higher in UCLP group when compared to control group (p < 0.01). <strong>Conclusion:</strong> The deficiency of the lateral incisors in the cleft side is more often congenitally deficient than upper second premolar teeth and this should be considered in the treatment planning from an early age.展开更多
The regional odontodysplasia, also referred as odontogenic dysplasia, is a rare condition which has been described as an alteration of the dental development affecting the mineralized structures of both the permanent ...The regional odontodysplasia, also referred as odontogenic dysplasia, is a rare condition which has been described as an alteration of the dental development affecting the mineralized structures of both the permanent and deciduous teeth, and it has been associated with retardation in the eruption of the affected teeth, gum edema, hydrocephalus and Epidermal Nevus Syndrome. The etiology is still unknown, however, some hypotheses have been suggested about their origin. About its incidence, this disease is more frequent in the anterior segment of the maxilla and usually unilateral. Epidemiologically this disease shows no predilection for any racial group, being more frequent in the first and second decade of life and predominantly in females. Clinically the Odontodysplasia Regional is characterized as an hypoplasia of enamel and dentin in teeth badly formed with size alteration and form coloration varying of the yellow to chestnut;the presence of smooth and extremely friable dentine, tooth mobility and defective mineralization increases the possibilities of the pulp exposure and a tendency to develop abscesses. Radio-graphically has the appearance of ghosts tooth with a bizarre morphology;reduction of the normal radiopacity decrease of the thickness of the dentine and enamel structures. They generally present with open apexes;shortened or absent roots;diffuse calcification in the inside of the pulp. Histopathologically it presents with accented reduction of the amount of dentin, presence of great interglobular dentine areas and irregular standard of the dentine canals. Enamel is usually thin, hypoplasic and hypocalcified. The pulp presents atrophic areas, fibrose and hyalinization and the cement does not have marked structural alterations. The treatment of the Regional odontodysplasia has been the reason of many quarrels. This present essay aims to review the literature and report a clinical case.展开更多
The aim of this mini-review was to investigate and compare the clinical efficacy of platelet-rich plasma(PRP) and platelet-rich fibrin(PRF), vs blood clot revascularization(BCR) for the regeneration of immature perman...The aim of this mini-review was to investigate and compare the clinical efficacy of platelet-rich plasma(PRP) and platelet-rich fibrin(PRF), vs blood clot revascularization(BCR) for the regeneration of immature permanent teeth. The clinical efficacy of PRP, PRF, and BCR to regenerate 90 immature permanent teeth after one year, were compared for their ability to accomplish apical closure, a periapical lesion healing response, root lengthening, and dentinal wall thickening. The 90 cases were published in three different articles. The mean success rate for apical closure after one year was: PRP(89.2%) PRF(80%), and BCR(75.6%). The mean success rate for root lengthening after one year was: BCR(88.9%), PRP(68.2%), and PRF(65%). The periapical lesion healing response was 100% for BCR and 100% for PRP. Dentinal wall thickening was 100% for BCR, and 100% for PRP. All the PRP, PRF, and BCR treatments appeared to be effective. The published clinical results for PRP, PRF, and BCR indicate that these treatments are effective for the regeneration of immature permanent teeth.展开更多
The aim of this study is to assess if there is a significant difference between crown to root ratio of male and female permanent teeth in Chinese people in Shanghai.Methods: For this purpose one thousand four hundred ...The aim of this study is to assess if there is a significant difference between crown to root ratio of male and female permanent teeth in Chinese people in Shanghai.Methods: For this purpose one thousand four hundred (700,male and 700,female) extracted teeth were collected between age 25-35 and the crown length (CL) and root length (RL) of permanent teeth were measured by a precise caliper.Statistical analyses were performed with the SPSS 17 software by Student's t-test method.Results: The mean crown length of permanent teeth of male was found to be larger than that of female except for maxillary central incisor and the mean root length of male was found to be comparatively larger than that of female.Conclusion: There was a significant difference in root to crown ratio (RL/CL) between male maxillary teeth and mandibular teeth and female ones.The RL/CL ratio of male tends to be larger than those of female in Shanghai population.展开更多
Objective:To explore the clinical effect of iRoot BP Plus pulpotomy for immediate repair in children with young permanent teeth crown fracture.Methods:From September 2017 to October 2018,80 children(80 affected teeth)...Objective:To explore the clinical effect of iRoot BP Plus pulpotomy for immediate repair in children with young permanent teeth crown fracture.Methods:From September 2017 to October 2018,80 children(80 affected teeth)with young permanent teeth crown fracture who treated in the hospital were selected as the research objects.Random number table method was used to divide them into observation and control groups with each group of forty patients(40 affected teeth).The children in the control group were treated with calcium hydroxide resin,while the observation group were treated with iRoot BP Plus for immediate repair.The surgical success rate was compared between the two groups,and the pulp vitality before and after treatment were compared.Results:At 3 months and 6 months after surgery,the success rate of children in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The percentage of children with negative pulp activity in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Immediate repair with iRoot BP Plus pulpotomy in children with young permanent teeth crown fracture has significant clinical effect.展开更多
BACKGROUND: Permanent tooth avulsion is one of the severe forms of dental traumatic injuries. The immediate action taken at the site of the accident is crucial to the prognosis of the tooth. Replantation is considered...BACKGROUND: Permanent tooth avulsion is one of the severe forms of dental traumatic injuries. The immediate action taken at the site of the accident is crucial to the prognosis of the tooth. Replantation is considered as the treatment of choice. OBJECTIVE: The study was undertaken to assess the knowledge of parents who accompany their children to the pediatric dental clinic, KATH on the pre-hospital management of avulsed permanent tooth in children. METHODS: A researcher administered structured questionnaire was used to collect data on the knowledge of pre-hospital management of avulsed permanent tooth from 83 parents who accompanied their wards to the pediatric dental clinic at KATH. RESULTS: A total of 83 parents were involved in the study. 30 (36%) were males while 53 (64%) were females. The majority of the parents (57%) were either university trained or had attended college of education. Only 32 parents (39%) were aware of the possibility of replantation. Majority of the parents chose non-physiologic media as the transport media of choice and only 10% would attempt self-replantation before seeking professional help. 76 parents (92%) had no previous education on pre-hospital management of avulsed tooth. CONCLUSION: The results obtained from this study indicate that parental knowledge on pre-hospital management of avulsed permanent tooth is low hence the need for massive public educational campaigns.展开更多
Transcatheter aortic valve replacement(TAVR)has emerged as a formidable treatment option for severe symptomatic aortic stenosis ahead of surgical aortic valve replacement.The encouraging results from large randomized ...Transcatheter aortic valve replacement(TAVR)has emerged as a formidable treatment option for severe symptomatic aortic stenosis ahead of surgical aortic valve replacement.The encouraging results from large randomized controlled trials has resulted in an exponential rise in the use of TAVR even in the low-risk patients.However,this is not without challenges.Need for permanent pacemaker(PPM)post-TAVR remains the most frequent and clinically relevant challenge.Naturally,identifying risk factors which predispose an individual to develop high grade conduction block post-TAVR is important.Various demographic factors,electrocardiographic features,anatomic factors and procedural characteristics have all been linked to the development of advanced conduction block and need for PPM following TAVR.Amongst these electrophysiological variables,most notably a prolonged QRS>120 ms regardless of the type of conduction block seems to be one of the strongest predictors on logistic regression models.The index study by Nwaedozie et al highlights that patients requiring PPM post-TAVR had higher odds of having a baseline QRS>120 ms and were more likely to be having diabetes mellitus that those who did not require PPM.展开更多
Permanent magnet synchronous motor(PMSM)speed control systems with conventional linear active disturbance rejection control(CLADRC)strategy encounter issues regarding the coupling between dynamic response and disturba...Permanent magnet synchronous motor(PMSM)speed control systems with conventional linear active disturbance rejection control(CLADRC)strategy encounter issues regarding the coupling between dynamic response and disturbance suppression and have poor performance in suppressing complex nonlinear disturbances.In order to address these issues,this paper proposes an improved two-degree-of-freedom LADRC(TDOF-LADRC)strategy,which can enhance the disturbance rejection performance of the system while decoupling entirely the system's dynamic and anti-disturbance performance to boost the system robustness and simplify controller parameter tuning.PMSM models that consider total disturbances are developed to design the TDOF-LADRC speed controller accurately.Moreover,to evaluate the control performance of the TDOF-LADRC strategy,its stability is proven,and the influence of each controller parameter on the system control performance is analyzed.Based on it,a comparison is made between the disturbance observation ability and anti-disturbance performance of TDOF-LADRC and CLADRC to prove the superiority of TDOF-LADRC in rejecting disturbances.Finally,experiments are performed on a 750 W PMSM experimental platform,and the results demonstrate that the proposed TDOF-LADRC exhibits the properties of two degrees of freedom and improves the disturbance rejection performance of the PMSM system.展开更多
In this editorial,we comprehensively summarized the preoperative risk factors of early permanent pacemaker implantation after transcatheter aortic valve replacement(TAVR)among patients with severe aortic stenosis from...In this editorial,we comprehensively summarized the preoperative risk factors of early permanent pacemaker implantation after transcatheter aortic valve replacement(TAVR)among patients with severe aortic stenosis from several renowned clinical studies and focused on the primary prevention of managing the modifiable factors,e.g.,paroxysmal atrial fibrillation before the TAVR.展开更多
In this paper,a new auxiliary teeth structure is proposed for fault-tolerant permanent magnet(PM)generators,which can reduce the short-circuit currents.Firstly,the short-circuit current and the phase to phase isolatio...In this paper,a new auxiliary teeth structure is proposed for fault-tolerant permanent magnet(PM)generators,which can reduce the short-circuit currents.Firstly,the short-circuit current and the phase to phase isolation of the fault-tolerant generator are analyzed briefly.Secondly,the auxiliary teeth structure is optimized to improve fault-tolerant capability.Then,the PM generators with different stator structures are compared to evaluate the proposed auxiliary teeth structure.Four critical generator parameters are investigated,i.e.back-electromotive forces,short-circuit currents,stator magneto motive force(MMF)harmonics,and torque performances.The results show that the proposed structure has better fault-tolerant capability than the conventional two-layer windings.Moreover,the stator MMF harmonics can be suppressed.Furthermore,the cogging torque and torque ripple can be suppressed by adopting the proposed structure.Finally,the simulated results are given to validate the theoretical analysis.展开更多
A discontinuity of magnetic circuits according to the end effect is generated in the permanent magnet linear synchronous motor (PMLSM).Due to the unbalanced back electro-motive force (EMF) and impedance produced,unbal...A discontinuity of magnetic circuits according to the end effect is generated in the permanent magnet linear synchronous motor (PMLSM).Due to the unbalanced back electro-motive force (EMF) and impedance produced,unbalanced current is generated.The circulating current,which is caused by a decrease in the thrust,is generated by the unbalanced current.The optimal design of auxiliary-teeth at the end of the mover was carried out to solve the unbalance of phase by using design of experiment (DOE),and compared with the basic model through finite element analysis (FEA).As a result,the auxiliary-teeth model compensates for the decrease of thrust caused by the unbalanced phase.Also,this model is proven to reduce the detent force by the vibration and noise of the PMLSM and copper loss caused by the circulating current.展开更多
This paper explores some design parameters of an interior permanent magnet synchronous motor that contribute to enhancing motor performance.Various geometry parameters such as magnet dimension,machine diameter,stator ...This paper explores some design parameters of an interior permanent magnet synchronous motor that contribute to enhancing motor performance.Various geometry parameters such as magnet dimension,machine diameter,stator teeth height,and number of poles are analyzed to compare overall torque,power,and torque ripples in order to select the best design parameters and their ranges.Pyleecan,an open-source software,is used to design and optimize the motor for electric vehicle applications.Following optimization with Non-dominated Sorting Genetic Algorithm(NSGA-Ⅱ),two designs A and B were obtained for two objective functions and the corresponding torque ripples values of the design A and B were later reduced by 32%and 77%.Additionally,the impact of different magnet grades on the output performances is analyzed.展开更多
Background: The aim was to evaluate the nonsurgical Root Canal Treatment (nRCT) outcome, the restorative condition and the relationship between the coronal restoration quality and the outcome of teeth endodontic treat...Background: The aim was to evaluate the nonsurgical Root Canal Treatment (nRCT) outcome, the restorative condition and the relationship between the coronal restoration quality and the outcome of teeth endodontic treated by undergraduates at the University of Caxias do Sul School of Dentistry (UCS-SD), Brazil, between 2019 and 2021. Materials and Methods: Data from the endodontically treated cases were retrieved, and the patients were recalled for a follow-up appointment at the university. The endodontic diagnosis, radiographs, and the presence of definitive restorations were analyzed in the clinical records. During the follow-up appointment, endodontically treated teeth were classified as present or absent. The nRCT was classified as successful (complete or incomplete healing) or failure (uncertain or unsatisfactory healing). Coronal restoration was classified as absent or present. When it was present, it was classified as permanent or temporary, and its quality as adequate or inadequate restoration. The results were presented as percentages. Results: A total of 257 teeth were endodontically treated. The most prevalent diagnosis was Chronic Apical Periodontitis (33.33%) and the most commonly treated teeth were premolars (46.15%). A total of 52 (21%) treated teeth were clinically and radiographically reexamined. The success rate for the nRCT was 98.08%. About 61.54% of this sample had a definitive composite resin restoration. Conclusion: The nRCT success rate was high. Special attention should be given to the presence and quality of the definitive restoration. Clinical Implications: There was no statistically significant impact between the coronal restoration and the nRCT success (P > 0.05).展开更多
Macroscopic magnetic properties of magnets strongly depend on the magnetization process and the microstructure of the magnets.Complex materials such as hard-soft exchange-coupled magnets or just real technical materia...Macroscopic magnetic properties of magnets strongly depend on the magnetization process and the microstructure of the magnets.Complex materials such as hard-soft exchange-coupled magnets or just real technical materials with impurities and inhomogeneities exhibit complex magnetization behavior.Here we investigate the effects of size,volume fraction,and surroundings of inhomogeneities on the magnetic properties of an inhomogeneous magnetic material via micromagnetic simulations.The underlying magnetization reversal and coercivity mechanisms are revealed.Three different demagnetization characteristics corresponding to the exchange coupling phase,semi-coupled phase,and decoupled phase are found,depending on the size of inhomogeneities.In addition,the increase in the size of inhomogeneities leads to a transition of the coercivity mechanism from nucleation to pinning.This work could be useful for optimizing the magnetic properties of both exchange-coupled nanomagnets and inhomogeneous single-phase magnets.展开更多
Due to the harsh actual operating environment of the permanent magnet wind turbine,it is easy to break down and difficult to monitor.Therefore,the electromagnetic characteristics identification of major fault types of...Due to the harsh actual operating environment of the permanent magnet wind turbine,it is easy to break down and difficult to monitor.Therefore,the electromagnetic characteristics identification of major fault types of large-scale permanent magnet wind turbines is studied in this paper.The typical faults of rotor eccentricity,stator winding short circuit and permanent magnet demagnetization of permanent magnet wind turbines are analyzed theoretically.The wavelet analysis algorithm is used to decompose and reconstruct the abnormal electromagnetic signal waveform band,and the characteristic frequency of the electromagnetic signal is obtained when the fault occurs.In order to verify the effectiveness of the proposed method,a 3.680MW permanent magnet wind turbine was taken as the research object.Its physical simulation model was established,and an external circuit was built to carry out field co-simulation.The results show that the motor fault type can be determined by detecting the change rule of fault characteristic frequency in the spectrum diagram,and the electromagnetic characteristic analysis can be applied to the early monitoring of the permanent magnet wind turbine fault.展开更多
Research objective: To study a clinical case that had a complication of subclavian artery bleeding during permanent pacemaker implantation process. Subject and Method: Clinical case report and literature review. Study...Research objective: To study a clinical case that had a complication of subclavian artery bleeding during permanent pacemaker implantation process. Subject and Method: Clinical case report and literature review. Study of a patient had an indication for permanent pacemaker implantation who had complication of subclavian artery bleeding during the procedure. Result: An 84-year-old female patient was admitted to the hospital because of fainting spells with chest pain, on the background of dangerous complex arrhythmias and ischemic heart disease, and was prescribed a pacemaker for this patient. The patient had complication occurred during the procedure, which left subclavian artery bleeding was detected and treated promptly, a cardiac pacemaker was implanted on the right side of the chest, and the patient had a successful endovascular stent cover in the left subclavian artery. Conclude: Subclavian artery bleeding is a rare complication in the procedure of permanent pacemaker implantation, but it can still occur and requires quick detection and timely treatment, needs to be successful in cardiac pacemaker placement and subclavian artery drug-eluting stent cover placement intervention. Individualized patient risk assessment is needed;appropriate and standardized intervention techniques and experience can reduce the occurrence of this variable.展开更多
PNP models with an arbitrary number of positively charged ion species and one negatively charged ion species are studied in this paper under the assumption that positively charged ion species have the same valence and...PNP models with an arbitrary number of positively charged ion species and one negatively charged ion species are studied in this paper under the assumption that positively charged ion species have the same valence and the permanent charge is a piecewise constant function. The permanent charge plays the key role in many functions of an ion channel, such as selectivity and gating. In this paper, using the geometric singular perturbation theory, a flux ratio independent of the permanent charge is proved.展开更多
In this paper, a new type of harmonic injection permanent magnet shape optimization method is proposed to suppress the torque ripple of surface-mounted permanent magnet synchronous motor. The sinusoidal waveform shapi...In this paper, a new type of harmonic injection permanent magnet shape optimization method is proposed to suppress the torque ripple of surface-mounted permanent magnet synchronous motor. The sinusoidal waveform shaping of the axial section of the permanent magnet is added with the third harmonic shaping, and the sine wave and the third harmonic are derived. The optimal ratio is 6:1. The permanent magnet no shaping, sinusoidal shaping and sinusoidal combined third harmonic shaping are compared. The results show that the sinusoidal combined third harmonic shaping design can effectively suppress the torque ripple of the surface mounted permanent magnet synchronous motor and obtain a relatively large output torque. At the same time, a method of using permanent magnet segmentation to approximately equivalently replace sine combined with third harmonic shaping design is proposed, which effectively saves the manufacturing cost of permanent magnets and provides design and research ideas for more economical and effective optimization of surface-mounted permanent magnet motors.展开更多
Because of its simple structure,large torque and high efficiency,permanent magnet synchronous motor of low speed and high torque is widely adopted in many fields.In this paper,a 394.5k W mining low-speed high-torque p...Because of its simple structure,large torque and high efficiency,permanent magnet synchronous motor of low speed and high torque is widely adopted in many fields.In this paper,a 394.5k W mining low-speed high-torque permanent magnet synchronous motor(LSHTPMSM)is regarded as the study object.According to the physical model,a three-dimensional equivalent heat transfer temperature field calculation model of the motor is built to simulate the temperature distribution of the motor under rated conditions.In terms of the serious issue of stator winding temperature increase of permanent magnet synchronous motor of low speed and high torque,the heat conduction optimization of the end of the stator winding is studied,which enhances the heat dissipation effect of the stator end winding,effectively reduces its temperature increase and temperature gradient with the winding in the slot,and improves the practical efficiency and service life of the motor.Finally,the motor temperature rise test platform is constructed for the verification of the feasibility of the optimization scheme,which provides a reference direction for the heat dissipation optimization of permanent magnet synchronous motor of low speed and high torque.展开更多
BACKGROUND Atrioventricular block requiring permanent pacemaker(PPM)implantation is an important complication of transcatheter aortic valve replacement(TAVR).Application of machine learning could potentially be used t...BACKGROUND Atrioventricular block requiring permanent pacemaker(PPM)implantation is an important complication of transcatheter aortic valve replacement(TAVR).Application of machine learning could potentially be used to predict preprocedural risk for PPM.AIM To apply machine learning to be used to predict pre-procedural risk for PPM.METHODS A retrospective study of 1200 patients who underwent TAVR(January 2014-December 2017)was performed.964 patients without prior PPM were included for a 30-d analysis and 657 patients without PPM requirement through 30 d were included for a 1-year analysis.After the exclusion of variables with near-zero variance or≥50%missing data,167 variables were included in the random forest gradient boosting algorithm(GBM)optimized using 5-fold cross-validations repeated 10 times.The receiver operator curve(ROC)for the GBM model and PPM risk score models were calculated to predict the risk of PPM at 30 d and 1 year.RESULTS Of 964 patients included in the 30-d analysis without prior PPM,19.6%required PPM post-TAVR.The mean age of patients was 80.9±8.7 years.42.1%were female.Of 657 patients included in the 1-year analysis,the mean age of the patients was 80.7±8.2.Of those,42.6%of patients were female and 26.7%required PPM at 1-year post-TAVR.The area under ROC to predict 30-d and 1-year risk of PPM for the GBM model(0.66 and 0.72)was superior to that of the PPM risk score(0.55 and 0.54)with a P value<0.001.CONCLUSION The GBM model has good discrimination and calibration in identifying patients at high risk of PPM post-TAVR.展开更多
文摘<strong>Objective:</strong> To compare the congenital tooth deficiencies seen in permanent dentition in individuals with unilateral cleft lip and palate (UCLP) to non-cleft individuals with Angle Class I malocclusion. <strong>Method:</strong> The study was performed on orthopantomograph films of 50 individuals with UCLP aged between 12 - 16 years and 50 individuals with Angle Class I malocclusion individuals aged between 13 - 15 years. Individuals with UCLP;32 clefts were on the left side and 18 clefts were on the right side. Permanent third molar teeth deficiency was excluded from the study. <strong>Results: </strong>In 50 individuals with UCLP;35 (70%) upper lateral incisors were congenitally deficient in the cleft area, while 15 (30%) missing lateral teeth were found in the non-cleft side. In control group, 12 (24%) of 50 patients had congenital lateral incisor deficiency. Congenital deficiency of upper lateral incisor in UCLP;the cleft area was higher than the non-cleft side (p < 0.01). The difference was statistically important when compared with the control group (p < 0.001). In 50 individuals with UCLP;while 27 (54%) of second premolar teeth were congenitally deficient in cleft side, 23 (46%) were missing in non-cleft side. In control group, 18 (36%) congenital second premolar deficiency was detected. However, second premolar congenital deficiency was higher in UCLP group when compared to control group (p < 0.01). <strong>Conclusion:</strong> The deficiency of the lateral incisors in the cleft side is more often congenitally deficient than upper second premolar teeth and this should be considered in the treatment planning from an early age.
文摘The regional odontodysplasia, also referred as odontogenic dysplasia, is a rare condition which has been described as an alteration of the dental development affecting the mineralized structures of both the permanent and deciduous teeth, and it has been associated with retardation in the eruption of the affected teeth, gum edema, hydrocephalus and Epidermal Nevus Syndrome. The etiology is still unknown, however, some hypotheses have been suggested about their origin. About its incidence, this disease is more frequent in the anterior segment of the maxilla and usually unilateral. Epidemiologically this disease shows no predilection for any racial group, being more frequent in the first and second decade of life and predominantly in females. Clinically the Odontodysplasia Regional is characterized as an hypoplasia of enamel and dentin in teeth badly formed with size alteration and form coloration varying of the yellow to chestnut;the presence of smooth and extremely friable dentine, tooth mobility and defective mineralization increases the possibilities of the pulp exposure and a tendency to develop abscesses. Radio-graphically has the appearance of ghosts tooth with a bizarre morphology;reduction of the normal radiopacity decrease of the thickness of the dentine and enamel structures. They generally present with open apexes;shortened or absent roots;diffuse calcification in the inside of the pulp. Histopathologically it presents with accented reduction of the amount of dentin, presence of great interglobular dentine areas and irregular standard of the dentine canals. Enamel is usually thin, hypoplasic and hypocalcified. The pulp presents atrophic areas, fibrose and hyalinization and the cement does not have marked structural alterations. The treatment of the Regional odontodysplasia has been the reason of many quarrels. This present essay aims to review the literature and report a clinical case.
文摘The aim of this mini-review was to investigate and compare the clinical efficacy of platelet-rich plasma(PRP) and platelet-rich fibrin(PRF), vs blood clot revascularization(BCR) for the regeneration of immature permanent teeth. The clinical efficacy of PRP, PRF, and BCR to regenerate 90 immature permanent teeth after one year, were compared for their ability to accomplish apical closure, a periapical lesion healing response, root lengthening, and dentinal wall thickening. The 90 cases were published in three different articles. The mean success rate for apical closure after one year was: PRP(89.2%) PRF(80%), and BCR(75.6%). The mean success rate for root lengthening after one year was: BCR(88.9%), PRP(68.2%), and PRF(65%). The periapical lesion healing response was 100% for BCR and 100% for PRP. Dentinal wall thickening was 100% for BCR, and 100% for PRP. All the PRP, PRF, and BCR treatments appeared to be effective. The published clinical results for PRP, PRF, and BCR indicate that these treatments are effective for the regeneration of immature permanent teeth.
文摘The aim of this study is to assess if there is a significant difference between crown to root ratio of male and female permanent teeth in Chinese people in Shanghai.Methods: For this purpose one thousand four hundred (700,male and 700,female) extracted teeth were collected between age 25-35 and the crown length (CL) and root length (RL) of permanent teeth were measured by a precise caliper.Statistical analyses were performed with the SPSS 17 software by Student's t-test method.Results: The mean crown length of permanent teeth of male was found to be larger than that of female except for maxillary central incisor and the mean root length of male was found to be comparatively larger than that of female.Conclusion: There was a significant difference in root to crown ratio (RL/CL) between male maxillary teeth and mandibular teeth and female ones.The RL/CL ratio of male tends to be larger than those of female in Shanghai population.
文摘Objective:To explore the clinical effect of iRoot BP Plus pulpotomy for immediate repair in children with young permanent teeth crown fracture.Methods:From September 2017 to October 2018,80 children(80 affected teeth)with young permanent teeth crown fracture who treated in the hospital were selected as the research objects.Random number table method was used to divide them into observation and control groups with each group of forty patients(40 affected teeth).The children in the control group were treated with calcium hydroxide resin,while the observation group were treated with iRoot BP Plus for immediate repair.The surgical success rate was compared between the two groups,and the pulp vitality before and after treatment were compared.Results:At 3 months and 6 months after surgery,the success rate of children in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The percentage of children with negative pulp activity in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Immediate repair with iRoot BP Plus pulpotomy in children with young permanent teeth crown fracture has significant clinical effect.
文摘BACKGROUND: Permanent tooth avulsion is one of the severe forms of dental traumatic injuries. The immediate action taken at the site of the accident is crucial to the prognosis of the tooth. Replantation is considered as the treatment of choice. OBJECTIVE: The study was undertaken to assess the knowledge of parents who accompany their children to the pediatric dental clinic, KATH on the pre-hospital management of avulsed permanent tooth in children. METHODS: A researcher administered structured questionnaire was used to collect data on the knowledge of pre-hospital management of avulsed permanent tooth from 83 parents who accompanied their wards to the pediatric dental clinic at KATH. RESULTS: A total of 83 parents were involved in the study. 30 (36%) were males while 53 (64%) were females. The majority of the parents (57%) were either university trained or had attended college of education. Only 32 parents (39%) were aware of the possibility of replantation. Majority of the parents chose non-physiologic media as the transport media of choice and only 10% would attempt self-replantation before seeking professional help. 76 parents (92%) had no previous education on pre-hospital management of avulsed tooth. CONCLUSION: The results obtained from this study indicate that parental knowledge on pre-hospital management of avulsed permanent tooth is low hence the need for massive public educational campaigns.
文摘Transcatheter aortic valve replacement(TAVR)has emerged as a formidable treatment option for severe symptomatic aortic stenosis ahead of surgical aortic valve replacement.The encouraging results from large randomized controlled trials has resulted in an exponential rise in the use of TAVR even in the low-risk patients.However,this is not without challenges.Need for permanent pacemaker(PPM)post-TAVR remains the most frequent and clinically relevant challenge.Naturally,identifying risk factors which predispose an individual to develop high grade conduction block post-TAVR is important.Various demographic factors,electrocardiographic features,anatomic factors and procedural characteristics have all been linked to the development of advanced conduction block and need for PPM following TAVR.Amongst these electrophysiological variables,most notably a prolonged QRS>120 ms regardless of the type of conduction block seems to be one of the strongest predictors on logistic regression models.The index study by Nwaedozie et al highlights that patients requiring PPM post-TAVR had higher odds of having a baseline QRS>120 ms and were more likely to be having diabetes mellitus that those who did not require PPM.
文摘Permanent magnet synchronous motor(PMSM)speed control systems with conventional linear active disturbance rejection control(CLADRC)strategy encounter issues regarding the coupling between dynamic response and disturbance suppression and have poor performance in suppressing complex nonlinear disturbances.In order to address these issues,this paper proposes an improved two-degree-of-freedom LADRC(TDOF-LADRC)strategy,which can enhance the disturbance rejection performance of the system while decoupling entirely the system's dynamic and anti-disturbance performance to boost the system robustness and simplify controller parameter tuning.PMSM models that consider total disturbances are developed to design the TDOF-LADRC speed controller accurately.Moreover,to evaluate the control performance of the TDOF-LADRC strategy,its stability is proven,and the influence of each controller parameter on the system control performance is analyzed.Based on it,a comparison is made between the disturbance observation ability and anti-disturbance performance of TDOF-LADRC and CLADRC to prove the superiority of TDOF-LADRC in rejecting disturbances.Finally,experiments are performed on a 750 W PMSM experimental platform,and the results demonstrate that the proposed TDOF-LADRC exhibits the properties of two degrees of freedom and improves the disturbance rejection performance of the PMSM system.
文摘In this editorial,we comprehensively summarized the preoperative risk factors of early permanent pacemaker implantation after transcatheter aortic valve replacement(TAVR)among patients with severe aortic stenosis from several renowned clinical studies and focused on the primary prevention of managing the modifiable factors,e.g.,paroxysmal atrial fibrillation before the TAVR.
基金supported by the Key Research and Development Program of Jiangsu Province(BE2018107)by the Natural Science Foundation of Jiangsu Province(BK20191225).
文摘In this paper,a new auxiliary teeth structure is proposed for fault-tolerant permanent magnet(PM)generators,which can reduce the short-circuit currents.Firstly,the short-circuit current and the phase to phase isolation of the fault-tolerant generator are analyzed briefly.Secondly,the auxiliary teeth structure is optimized to improve fault-tolerant capability.Then,the PM generators with different stator structures are compared to evaluate the proposed auxiliary teeth structure.Four critical generator parameters are investigated,i.e.back-electromotive forces,short-circuit currents,stator magneto motive force(MMF)harmonics,and torque performances.The results show that the proposed structure has better fault-tolerant capability than the conventional two-layer windings.Moreover,the stator MMF harmonics can be suppressed.Furthermore,the cogging torque and torque ripple can be suppressed by adopting the proposed structure.Finally,the simulated results are given to validate the theoretical analysis.
基金supported by the Second Stage of Brain Korea 21 Projects and Changwon National University in 2009-2010
文摘A discontinuity of magnetic circuits according to the end effect is generated in the permanent magnet linear synchronous motor (PMLSM).Due to the unbalanced back electro-motive force (EMF) and impedance produced,unbalanced current is generated.The circulating current,which is caused by a decrease in the thrust,is generated by the unbalanced current.The optimal design of auxiliary-teeth at the end of the mover was carried out to solve the unbalance of phase by using design of experiment (DOE),and compared with the basic model through finite element analysis (FEA).As a result,the auxiliary-teeth model compensates for the decrease of thrust caused by the unbalanced phase.Also,this model is proven to reduce the detent force by the vibration and noise of the PMLSM and copper loss caused by the circulating current.
基金funded by the Advanced Sustainable Manufacturing Technologies(ASTUTE2020)operation supporting manufacturing companies across Wales,which has been part-funded by the European Regional Development Fund through the Welsh Government and the participating Higher Education Institutions。
文摘This paper explores some design parameters of an interior permanent magnet synchronous motor that contribute to enhancing motor performance.Various geometry parameters such as magnet dimension,machine diameter,stator teeth height,and number of poles are analyzed to compare overall torque,power,and torque ripples in order to select the best design parameters and their ranges.Pyleecan,an open-source software,is used to design and optimize the motor for electric vehicle applications.Following optimization with Non-dominated Sorting Genetic Algorithm(NSGA-Ⅱ),two designs A and B were obtained for two objective functions and the corresponding torque ripples values of the design A and B were later reduced by 32%and 77%.Additionally,the impact of different magnet grades on the output performances is analyzed.
文摘Background: The aim was to evaluate the nonsurgical Root Canal Treatment (nRCT) outcome, the restorative condition and the relationship between the coronal restoration quality and the outcome of teeth endodontic treated by undergraduates at the University of Caxias do Sul School of Dentistry (UCS-SD), Brazil, between 2019 and 2021. Materials and Methods: Data from the endodontically treated cases were retrieved, and the patients were recalled for a follow-up appointment at the university. The endodontic diagnosis, radiographs, and the presence of definitive restorations were analyzed in the clinical records. During the follow-up appointment, endodontically treated teeth were classified as present or absent. The nRCT was classified as successful (complete or incomplete healing) or failure (uncertain or unsatisfactory healing). Coronal restoration was classified as absent or present. When it was present, it was classified as permanent or temporary, and its quality as adequate or inadequate restoration. The results were presented as percentages. Results: A total of 257 teeth were endodontically treated. The most prevalent diagnosis was Chronic Apical Periodontitis (33.33%) and the most commonly treated teeth were premolars (46.15%). A total of 52 (21%) treated teeth were clinically and radiographically reexamined. The success rate for the nRCT was 98.08%. About 61.54% of this sample had a definitive composite resin restoration. Conclusion: The nRCT success rate was high. Special attention should be given to the presence and quality of the definitive restoration. Clinical Implications: There was no statistically significant impact between the coronal restoration and the nRCT success (P > 0.05).
基金Project supported by the National Key R&D Program of China(Grant No.2021YFB3500300)the National Natural Science Foundation of China(Grant Nos.51931007and 51871005)+4 种基金the Program of Top Disciplines Construction in Beijing(Grant No.PXM2019014204500031)the International Research Cooperation Seed Fund of Beijing University of Technology(Grant No.2021B23)the Key Program of Science and Technology Development Project of Beijing Municipal Education Commission of China(Grant No.KZ202010005009)General Program of Science and Technology Development Project of Beijing Municipal Education Commission(Grant No.KM202010005009)Chaoyang District Postdoctoral Research Foundation。
文摘Macroscopic magnetic properties of magnets strongly depend on the magnetization process and the microstructure of the magnets.Complex materials such as hard-soft exchange-coupled magnets or just real technical materials with impurities and inhomogeneities exhibit complex magnetization behavior.Here we investigate the effects of size,volume fraction,and surroundings of inhomogeneities on the magnetic properties of an inhomogeneous magnetic material via micromagnetic simulations.The underlying magnetization reversal and coercivity mechanisms are revealed.Three different demagnetization characteristics corresponding to the exchange coupling phase,semi-coupled phase,and decoupled phase are found,depending on the size of inhomogeneities.In addition,the increase in the size of inhomogeneities leads to a transition of the coercivity mechanism from nucleation to pinning.This work could be useful for optimizing the magnetic properties of both exchange-coupled nanomagnets and inhomogeneous single-phase magnets.
基金supported by the National Natural Science Foundation of China(U22A20215 and 51537007)the Natural Science Foundation of LiaoNing Province(2021-YQ-09).
文摘Due to the harsh actual operating environment of the permanent magnet wind turbine,it is easy to break down and difficult to monitor.Therefore,the electromagnetic characteristics identification of major fault types of large-scale permanent magnet wind turbines is studied in this paper.The typical faults of rotor eccentricity,stator winding short circuit and permanent magnet demagnetization of permanent magnet wind turbines are analyzed theoretically.The wavelet analysis algorithm is used to decompose and reconstruct the abnormal electromagnetic signal waveform band,and the characteristic frequency of the electromagnetic signal is obtained when the fault occurs.In order to verify the effectiveness of the proposed method,a 3.680MW permanent magnet wind turbine was taken as the research object.Its physical simulation model was established,and an external circuit was built to carry out field co-simulation.The results show that the motor fault type can be determined by detecting the change rule of fault characteristic frequency in the spectrum diagram,and the electromagnetic characteristic analysis can be applied to the early monitoring of the permanent magnet wind turbine fault.
文摘Research objective: To study a clinical case that had a complication of subclavian artery bleeding during permanent pacemaker implantation process. Subject and Method: Clinical case report and literature review. Study of a patient had an indication for permanent pacemaker implantation who had complication of subclavian artery bleeding during the procedure. Result: An 84-year-old female patient was admitted to the hospital because of fainting spells with chest pain, on the background of dangerous complex arrhythmias and ischemic heart disease, and was prescribed a pacemaker for this patient. The patient had complication occurred during the procedure, which left subclavian artery bleeding was detected and treated promptly, a cardiac pacemaker was implanted on the right side of the chest, and the patient had a successful endovascular stent cover in the left subclavian artery. Conclude: Subclavian artery bleeding is a rare complication in the procedure of permanent pacemaker implantation, but it can still occur and requires quick detection and timely treatment, needs to be successful in cardiac pacemaker placement and subclavian artery drug-eluting stent cover placement intervention. Individualized patient risk assessment is needed;appropriate and standardized intervention techniques and experience can reduce the occurrence of this variable.
文摘PNP models with an arbitrary number of positively charged ion species and one negatively charged ion species are studied in this paper under the assumption that positively charged ion species have the same valence and the permanent charge is a piecewise constant function. The permanent charge plays the key role in many functions of an ion channel, such as selectivity and gating. In this paper, using the geometric singular perturbation theory, a flux ratio independent of the permanent charge is proved.
基金supported by the National Natural Science Funds of China No.51907129Technology program of Liaoning province No.2021-MS-236。
文摘In this paper, a new type of harmonic injection permanent magnet shape optimization method is proposed to suppress the torque ripple of surface-mounted permanent magnet synchronous motor. The sinusoidal waveform shaping of the axial section of the permanent magnet is added with the third harmonic shaping, and the sine wave and the third harmonic are derived. The optimal ratio is 6:1. The permanent magnet no shaping, sinusoidal shaping and sinusoidal combined third harmonic shaping are compared. The results show that the sinusoidal combined third harmonic shaping design can effectively suppress the torque ripple of the surface mounted permanent magnet synchronous motor and obtain a relatively large output torque. At the same time, a method of using permanent magnet segmentation to approximately equivalently replace sine combined with third harmonic shaping design is proposed, which effectively saves the manufacturing cost of permanent magnets and provides design and research ideas for more economical and effective optimization of surface-mounted permanent magnet motors.
基金supported by the National Natural Science Funds of China No.51907129Technology program of Liaoning province No.2021-MS-236。
文摘Because of its simple structure,large torque and high efficiency,permanent magnet synchronous motor of low speed and high torque is widely adopted in many fields.In this paper,a 394.5k W mining low-speed high-torque permanent magnet synchronous motor(LSHTPMSM)is regarded as the study object.According to the physical model,a three-dimensional equivalent heat transfer temperature field calculation model of the motor is built to simulate the temperature distribution of the motor under rated conditions.In terms of the serious issue of stator winding temperature increase of permanent magnet synchronous motor of low speed and high torque,the heat conduction optimization of the end of the stator winding is studied,which enhances the heat dissipation effect of the stator end winding,effectively reduces its temperature increase and temperature gradient with the winding in the slot,and improves the practical efficiency and service life of the motor.Finally,the motor temperature rise test platform is constructed for the verification of the feasibility of the optimization scheme,which provides a reference direction for the heat dissipation optimization of permanent magnet synchronous motor of low speed and high torque.
基金funded by Mayo Clinic Arizona Cardiovascular Clinical Research Center (MCA CV CRC)
文摘BACKGROUND Atrioventricular block requiring permanent pacemaker(PPM)implantation is an important complication of transcatheter aortic valve replacement(TAVR).Application of machine learning could potentially be used to predict preprocedural risk for PPM.AIM To apply machine learning to be used to predict pre-procedural risk for PPM.METHODS A retrospective study of 1200 patients who underwent TAVR(January 2014-December 2017)was performed.964 patients without prior PPM were included for a 30-d analysis and 657 patients without PPM requirement through 30 d were included for a 1-year analysis.After the exclusion of variables with near-zero variance or≥50%missing data,167 variables were included in the random forest gradient boosting algorithm(GBM)optimized using 5-fold cross-validations repeated 10 times.The receiver operator curve(ROC)for the GBM model and PPM risk score models were calculated to predict the risk of PPM at 30 d and 1 year.RESULTS Of 964 patients included in the 30-d analysis without prior PPM,19.6%required PPM post-TAVR.The mean age of patients was 80.9±8.7 years.42.1%were female.Of 657 patients included in the 1-year analysis,the mean age of the patients was 80.7±8.2.Of those,42.6%of patients were female and 26.7%required PPM at 1-year post-TAVR.The area under ROC to predict 30-d and 1-year risk of PPM for the GBM model(0.66 and 0.72)was superior to that of the PPM risk score(0.55 and 0.54)with a P value<0.001.CONCLUSION The GBM model has good discrimination and calibration in identifying patients at high risk of PPM post-TAVR.
