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Long-term effects of maxillary skeletal expander treatment on functional breathing
Andrew Combs,Ney Paredes,Ramon Dominguez-Mompell,Martin Romero-Maroto,Boshi Zhang,Islam Elkenawy,Luca Sfogliano,Layla Fijany,Ozge Colak,Ben Wu,Won Moon 대한치과교정학회 2024 대한치과교정학회지 Vol.54 No.1
Objective: To investigate the long-term effects of maxillary skeletal expander (MSE) treatment on functional breathing. Methods: Objective measures of breathing, the peak nasal inspiratory flow (PNIF), and peak oral inspiratory flow (POIF), and subjective measures of breathing, the visual analog scale (VAS) and nasal obstruction symptom evaluation (NOSE) survey, were used to investigate the long-term effects of MSE in functional breathing. Seventeen patients, mean age 19.4 ± 3.9 years treated at the UCLA Orthodontics Clinic were assessed on their functional breathing at 3 timepoints: pre-expansion (T0), post-expansion (T1), and post-orthodontic treatment (T2). Results: Immediately after expansion (T1), all the objective functional breathing values were significantly increased in comparison to T0 (P < 0.05). The VAS total, VAS right and VAS left were significantly lower at T1 in comparison to T0 (P < 0.05). At 26.8 ± 3.9 months after MSE expansion (T2), PNIF total, PNIF right, PNIF left, and POIF were significantly higher when compared to T0 (P < 0.05). Also, VAS total, VAS right and VAS left were significantly lower at T2 when compared to T0 (P < 0.05). Additionally, there was a positive correlation between PNIF and the magnitude of expansion at anterior nasal spine and zygomaticomaxillary point (ZMA). There was a positive correlation between total VAS and the magnitude of expansion at the ZMA. There were no significant changes for the NOSE subjective breathing measurement at all time comparisons. Conclusions: Overall, MSE treatment produces an increased objective and subjective airway improvement that continues to remain stable in the long-term post expansion.
Energy optimization of a Sulfur-Iodine thermochemical nuclear hydrogen production cycle
Juarez-Martinez, L.C.,Espinosa-Paredes, G.,Vazquez-Rodriguez, A.,Romero-Paredes, H. Korean Nuclear Society 2021 Nuclear Engineering and Technology Vol.53 No.6
The use of nuclear reactors is a large studied possible solution for thermochemical water splitting cycles. Nevertheless, there are several problems that have to be solved. One of them is to increase the efficiency of the cycles. Hence, in this paper, a thermal energy optimization of a Sulfur-Iodine nuclear hydrogen production cycle was performed by means a heuristic method with the aim of minimizing the energy targets of the heat exchanger network at different minimum temperature differences. With this method, four different heat exchanger networks are proposed. A reduction of the energy requirements for cooling ranges between 58.9-59.8% and 52.6-53.3% heating, compared to the reference design with no heat exchanger network. With this reduction, the thermal efficiency of the cycle increased in about 10% in average compared to the reference efficiency. This improves the use of thermal energy of the cycle.
Mucoperiosteal Flap Necrosis after Primary Palatoplasty in Patients with Cleft Palate
Rossell-Perry, Percy,Cotrina-Rabanal, Omar,Barrenechea-Tarazona, Luis,Vargas-Chanduvi, Roberto,Paredes-Aponte, Luis,Romero-Narvaez, Carolina Korean Society of Plastic and Reconstructive Surge 2017 Archives of Plastic Surgery Vol.44 No.3
Background The prevalence of flap necrosis after palatoplasty in patients with cleft palate. The prevalence of mucoperiosteal flap necrosis after palatoplasty remains unknown, and this complication is rare. This event is highly undesirable for both the patient and the surgeon. We present here a new scale to evaluate the degree of hypoplasia of the palate and identify patients with cleft palate at high risk for the development of this complication. Methods In this case series, a 20-year retrospective analysis (1994-2014) identified patients from our records (medical records and screening day registries) with nonsyndromic cleft palate who underwent operations at 3 centers. All of these patients underwent operations using 2-flap palatoplasty and also underwent a physical examination with photographs and documentation of the presence of palatal flap necrosis after primary palatoplasty. Results Palatal flap necrosis was observed in 4 cases out of 1,174 palatoplasties performed at these centers. The observed prevalence of palatal flap necrosis in these groups was 0.34%. Conclusions The prevalence of flap necrosis can be reduced by careful preoperative planning, and prevention is possible. The scale proposed here may help to prevent this complication; however, further studies are necessary to validate its utility.
Mucoperiosteal Flap Necrosis after Primary Palatoplasty in Patients with Cleft Palate
Percy Rossell-Perry,Omar Cotrina-Rabanal,Luis Barrenechea-Tarazona,Roberto Vargas-Chanduvi,Luis Paredes-Aponte,Carolina Romero-Narvaez 대한성형외과학회 2017 Archives of Plastic Surgery Vol.44 No.3
Background The prevalence of flap necrosis after palatoplasty in patients with cleft palate. The prevalence of mucoperiosteal flap necrosis after palatoplasty remains unknown, and this complication is rare. This event is highly undesirable for both the patient and the surgeon. We present here a new scale to evaluate the degree of hypoplasia of the palate and identify patients with cleft palate at high risk for the development of this complication. Methods In this case series, a 20-year retrospective analysis (1994–2014) identified patients from our records (medical records and screening day registries) with nonsyndromic cleft palate who underwent operations at 3 centers. All of these patients underwent operations using 2-flap palatoplasty and also underwent a physical examination with photographs and documentation of the presence of palatal flap necrosis after primary palatoplasty. Results Palatal flap necrosis was observed in 4 cases out of 1,174 palatoplasties performed at these centers. The observed prevalence of palatal flap necrosis in these groups was 0.34%. Conclusions The prevalence of flap necrosis can be reduced by careful preoperative planning, and prevention is possible. The scale proposed here may help to prevent this complication; however, further studies are necessary to validate its utility.