Search Results (19)

Introduction: Maxillary setback in orthognathic surgery has been extensively discussed regarding its effects on bone healing and facial soft tissue profile; however, its impact on upper airway volume remains unclear. Objective: We evaluate the influence of maxillary setback combined with counterclockwise (CCW) rotation of the occlusal plane on upper airway dimensions. Methods: A retrospective observational case series was conducted with eight patients diagnosed with Class II malocclusion who underwent orthognathic surgery involving maxillary setback and CCW mandibular rotation. All procedures were performed by the same surgeon. Preoperative (T1) and 6-month postoperative (T2) facial CT scans were analyzed using Dolphin Imaging software11.7 to measure airway volume (VOL), surface area (SA), and linear distances D1, D2 and D3. Statistical analysis was performed using the Wilcoxon test with a 5% significance level. Results: Significant skeletal changes were observed, including 10.2 mm of mandibular advancement, 5.2 mm of hyoid advancement, and 4.1° of CCW rotation. Although increases in airway volume and surface area were noted, they did not reach statistical significance (p = 0.327 and p = 0.050, respectively), but suggesting a favorable trend toward airway adaptation. Conclusions: Maxillary setback combined with CCW rotation appears to safely correct Class II skeletal deformities without compromising upper airway space. These preliminary findings highlight the technique’s potential for both functional and aesthetic outcomes, warranting further long-term studies. Full article

Urban roads must remain open after an earthquake, requiring the urban transportation network and surrounding buildings to meet earthquake-resilient standards. The 6 February 2023 Kahramanmaraş (Türkiye) earthquakes showed that Türkiye’s cities fail to meet these standards, making debris-blocked roads a significant challenge. Currently, there are no global normative standards for earthquake-resilient transportation and buildings. In countries like Türkiye, the main issues are zoning standards for earthquake-resilient urbanization and ensuring that roads stay open post-earthquake. This study investigates the earthquake suitability of residential setback distances using a quantitative methodology based on field data. This study recommends standards for earthquake-resilient setback distances to maintain open roads after an earthquake. Elbistan (Kahramanmaraş), impacted by the 2023 earthquakes, was selected as the research area. The goal is for this research to serve as a reference in the global literature and guide the development of earthquake-resilient zoning regulations for Türkiye’s cities. Research findings show that residential setback distances in Türkiye are inadequate for earthquake resilience. In the context of sustainable urbanization, the study emphasizes the need to integrate resilience into city planning. Earthquake-resilient zoning standards and setback distances can help to ensure that cities are better prepared for natural disasters and more sustainable communities for the future. Full article

The incorporation of automatic segmentation methodologies into dental X-ray images refined the paradigms of clinical diagnostics and therapeutic planning by facilitating meticulous, pixel-level articulation of both dental structures and proximate tissues. This underpins the pillars of early pathological detection and meticulous disease progression monitoring. Nonetheless, conventional segmentation frameworks often encounter significant setbacks attributable to the intrinsic limitations of X-ray imaging, including compromised image fidelity, obscured delineation of structural boundaries, and the intricate anatomical structures of dental constituents such as pulp, enamel, and dentin. To surmount these impediments, we propose the Deformable Convolution and Mamba Integration Network, an innovative 2D dental X-ray image segmentation architecture, which amalgamates a Coalescent Structural Deformable Encoder, a Cognitively-Optimized Semantic Enhance Module, and a Hierarchical Convergence Decoder. Collectively, these components bolster the management of multi-scale global features, fortify the stability of feature representation, and refine the amalgamation of feature vectors. A comparative assessment against 14 baselines underscores its efficacy, registering a 0.95% enhancement in the Dice Coefficient and a diminution of the 95th percentile Hausdorff Distance to 7.494. Full article

Soil nailing is a prevalent and cost-effective technique employed to reinforce and enhance the stability of precarious natural or cut slopes; however, its application as a primary support system to prevent collapses or cave-ins during foundation excavation could be more frequent. To better understand the behavior of such a support system, this study simulated a full-scale nail-supported excavation for the foundation pit of a 20-story building to examine the effect of placing a strip footing with various combinations of configurations on the crest of the excavation pit. The results are discussed in terms of the nail axial force, wall horizontal deflection, basal heave, and safety factor against sliding. The results show that the footing width and setback distance are the two most significant factors dominating the wall horizontal deflection. This study also reveals that the maximum axial force is closely related to the apparent active earth pressure, which accounts for the presence of a tension crack, at nail depth. Such a finding allows engineers to assess and mitigate the risks of structural failure more effectively and optimize the design of nail-retaining structures. Full article

The purpose of this retrospective study was to analyze changes in the position of the condyles following mandibular setback surgery with manual guidance. The study included 28 patients with mandibular prognathism who underwent mandibular setback surgery using manual guidance with a bioabsorbable mesh for mandibular fixation, and changes in the position of the center of the condylar head were compared at three time points: before surgery (T0), within 1 week after surgery (T1), and 6 months after surgery (T2). The results showed significant lateral, anterior, and inferior movements of the condyle at T1 compared to T0, with an average movement of 0.66 ± 0.84 mm along the x-axis, −1.27 ± 0.82 mm along the y-axis, and −0.20 ± 0.69 mm along the z-axis, with a 1.77 ± 0.87 mm linear distance (p < 0.05). At T2, the condylar position had mainly changed inferiorly along the y-axis (−0.17 ± 0.48 mm) (p < 0.05) compared to that at T0. The change in the position along the x-axis (−0.14 ± 0.57 mm), z-axis (−0.05 ± 0.68 mm), and linear distance (0.85 ± 0.57 mm) at T2 was not significantly different from that in the condylar position at T0 (p > 0.05). The study suggests that significant anterior–lateral–inferior condylar movement occurs within 1 week after mandibular setback surgery using manual guidance, but the condyle returns to its original position over time, which is clinically acceptable. Full article

The article presents selected results of research related to the use of outdoor lighting, mainly street lighting, in the design of facility illumination. The indicated subject matter primarily concerns architectural structures that are located in urbanized city spaces and in the strict centers of old cities. It is in these areas that there is usually a significant saturation of historic secular and sacred buildings with significant tourist values. At the same time, the immediate surroundings of the structures are usually wrapped by a dense network of street lighting infrastructure. This illumination can be a major setback in the process of illumination planning. Therefore, it is necessary to take into account the extent of this impact on the planned illumination work, related to the selection, mounting, and direction of illumination equipment. This is related to the distance of the street luminaires from the facade, the height of their installation, the distance of the poles from each other, the power of the street luminaires, and the luminous flux distribution of the luminaires used. The purpose of the work undertaken was to analyze the extent to which outdoor lighting influences the planned illumination of an architectural structure and to explore the possibility of its potential use as a component of illumination. Analytical work was conducted at two levels of detail using advanced graphical computer applications. After general considerations and the derivation of conclusions, an example of illumination of a large sacral building was realized successfully using the element of street lighting as a component of illumination. Full article

This study conducted plane-strain scaled model tests to investigate the deformation characteristics of geosynthetic reinforced soil (GRS) abutments subjected to vertical loads. Setback distance, i.e., the distance between the back of the abutment facing and the front of the loading plate, was chosen as the investigated influencing factor since it is one of the most frequently used variables by engineers for the design of GRS abutments. This study analyzed the settlements at the top of the abutment, the lateral displacements of the abutment facing, and the volumetric deformations of the abutment under the applied vertical loads. Test results showed that increasing the setback distance could effectively reduce the deformations of the GRS abutment. There existed an optimum setback distance and further increasing the setback distance beyond this optimum value did not have a significant effect on reducing the abutment deformations. The vertical, lateral, and total volumetric deformations of the GRS abutment showed an approximately linear increase with the increase of the applied vertical loads. The lateral volumetric deformations of the GRS abutment were larger than its vertical volumetric deformations and therefore the total volumetric strains of the GRS abutment were not zero based on the test results. However, the theory of zero volume change may still be suitable for the deformation calculation of the GRS abutment since the values of the volumetric strains were minimal. The measured maximum lateral facing displacements were compared with the calculated values using the US Federal Highway Administration (FHWA) method, which assumes zero volume change of the GRS abutment under vertical loads. Comparison results indicated that the FHWA method overestimated the maximum lateral facing displacements of the GRS abutment under vertical loads. An improved method was proposed in this study to calculate the maximum lateral facing displacements under vertical loads based on the theory of zero volume change and a revised distribution of the settlements at the top of the GRS abutment. Results showed that the improved method could better predict the maximum lateral facing displacements as compared to the FHWA method. Full article

The construct of Pythagorean fuzzy distance measure (PFDM) is a competent measuring tool to curb incomplete information often encountered in decision making. PFDM possesses a wider scope of applications than distance measure under intuitionistic fuzzy information. Some Pythagorean fuzzy distance measure approaches (PFDMAs) have been developed and applied in decision making, albeit with some setbacks in terms of accuracy and precision. In this paper, some novel PFDMAs are developed with better accuracy and reliability rates compared to the already developed PFDMAs. In an effort to validate the novel PFDMAs, some of their properties are discussed in terms of theorems with proofs. In addition, some applications of the novel PFDMAs in problems of disease diagnosis and pattern recognition are discussed. Furthermore, we present comparative studies of the novel PFDMAs in conjunction to the existing PFDMAs to buttress the merit of the novel approaches in terms of consistency and precision. To end with, some new Pythagorean fuzzy similarity measuring approaches (PFDSAs) based on the novel PFDMAs are presented and applied to solve the problems of disease diagnosis and pattern recognition as well. Full article

Urban beekeeping has gained salience because of its significance in biodiversity conservation and community building. Despite this, beekeeping practices in urban areas have received negative perceptions from residents, which stem from public safety concerns. There is, therefore, a need to enhance and/or work on appropriate rules for maximizing the profits while minimizing the risks. Amongst the present regulations, the installation of barriers and setbacks is the most common rule for public safety. However, only a limited number of empirical studies have reported on their effective location and height. Thus, in this study, an experimental apiary was set up with different types of barriers installed with varying distances to observe and measure flyway patterns of honey bees. We used a 3D laser scanner, which obtained 8529 points of highly accurate flight location data in about five hours. Results showed that the heights (1.8 and 0.9 m) of the barriers installed were effective in increasing the flight altitudes. The distance of the fence, which was installed as close as 1 m from the hives, was effective as well. These findings, which showed that barriers and setbacks are effective, can have regulatory implications in designing apiaries in urban spaces, where location is often restricted. Full article

The COVID-19 pandemic has proven to be a social and economic disruptor on a global scale, severely curtailing people’s ability to travel and engage in many recreation activities. Periodic lockdown and stay-at-home orders have exacerbated the situation. In this social climate, urban green spaces have attained a high significance for the maintenance of the physical and mental health of the population. Given the presence of similar coronaviruses in animal populations, it can be predicted that future epidemics and even pandemics will occur. Urban planning needs to incorporate the lessons learnt during COVID-19 in order to future-proof our communities. This paper reviews the role that urban green spaces played during the COVID-19 pandemic. Based on these observations, the paper discusses a range of options for the provision of pandemic-sensitive spaces for physical exercise and mental recreation. Design concepts for long-term planning adjustments as well as for future ad-hoc solutions are provided. These include the provision of social distancing ‘pods’ embedded in design and landscaping of permanent parks, the design of ad-hoc, socially distanced ‘parklets’ on a quietened street and a rethink of the design of curb-to-boundary setbacks (nature strip) in residential streets. Full article

The present study focuses on the impact of SARS-CoV-2 (COVID-19) transmission prevention measures and, in particular, home confinement of families with children with autism spectrum disorder (ASD) in Greece. It is assumed that the implemented new measures during the pandemic constitute a profound change for children on the spectrum, considering that the core ASD symptoms include the persistence and adherence to routine and stability, a condition that also directly affects the children’s parents. Semi-structured telephone interviews were conducted. Participants were 10 caregivers with a child diagnosed with ASD of medium or high functioning in Greece. The ages of the children range from 6.5 to 15 years old. The results of the thematic analysis revealed three main themes: (1) the educational framework, (2) the management of daily life, and (3) the construction of the new daily routine. These three themes represent the levels that have undergone a decisive transition, and the sub-themes recommend the areas, individual ways of dealing with this shift. So far, the impact of the pandemic mitigation measures cannot be described as generally positive or negative, as there have been advances and setbacks for children and families alike. Finally, governmental measures and technology-assisted teaching (distance learning) were considered necessary but not sufficient enough for full adaptation. Full article

Lockdown policies applied worldwide to limit the spread of COVID-19, and mainly based on health considerations, have negatively impacted on public transport (PT) usage, suspected as a means for the virus spreading due to difficulties ensuring social distancing. This resulted not only in a setback to sustainable mobility, but also impacting on equity and social exclusion issues. The paper aimed to cover this topic, investigating the conjecture that the spread of the coronavirus is directly correlated to PT usage. A correlation analysis among the daily number of certified coronavirus cases and the PT trips measured in the day in which the contagions occurred was performed within the second wave in Italy. The appropriateness of the case study is twofold because Italy was one of the main European countries with a high mass contagion and because the vaccination campaign had not yet started in Italy. Estimation results show a high correlation (up to 0.87) between COVID-19 contagion and PT trips performed 22 days before. This threshold indicates that quarantine measures, commonly set at two weeks and based only on incubation considerations, were inadequate as a containment strategy, and may have produced a possible slowdown in identifying new cases and hence, in adopting mitigation policies. A cause–effect test was also implemented, concluding that there is a strong causal link between COVID-19 and PT trips. The main issues discussed in this research cover the transportation and the health filed but also laid the groundwork for ethical considerations concerning the right to mobility and social equity. Obtained results could yield significant insights into the context variables that influence the spread of the virus, also helping appropriate definition of restrictive policies, thereby ensuring a sustainable recovery and development of urban areas in the post-pandemic era. Full article

Purpose: The purpose of present study was to review the literature regarding the postoperative skeletal stability in the treatment of mandibular prognathism after isolated sagittal split ramus osteotomy (SSRO) or intraoral vertical ramus osteotomy (IVRO). Materials and Methods: The articles were selected from 1980 to 2020 in the English published databases (PubMed, Web of Science and Cochrane Library). The articles meeting the searching strategy were evaluated based on the eligibility criteria, especially at least 30 patients. Results: Based on the eligibility criteria, 9 articles (5 in SSRO and 4 in IVRO) were examined. The amounts of mandibular setback (B point, Pog, and Me) were ranged from 5.53–9.07 mm in SSRO and 6.7–12.4 mm in IVRO, respectively. In 1-year follow-up, SSRO showed the relapse (anterior displacement: 0.2 to 2.26 mm) By contrast, IVRO revealed the posterior drift (posterior displacement: 0.1 to 1.2 mm). In 2-year follow-up, both of SSRO and IVRO presented the relapse with a range from 0.9 to 1.63 mm and 1 to 1.3 mm respectively. Conclusion: In 1-year follow-up, SSRO presented the relapse (anterior displacement) and IVRO posterior drift (posterior displacement). In 2-year follow-up, both of SSRO and IVRO showed the similar relapse distances. Full article

When it comes to air pollution complaints, odours are often the most significant contributor. Sources of odour emissions range from natural to anthropogenic. Mitigation of odour can be challenging, multifaceted, site-specific, and is often confounded by its complexity—defined by existing (or non-existing) environmental laws, public ordinances, and socio-economic considerations. The objective of this paper is to review and summarise odour legislation in selected European countries (France, Germany, Austria, Hungary, the UK, Spain, the Netherlands, Italy, Belgium), North America (the USA and Canada), and South America (Chile and Colombia), as well as Oceania (Australia and New Zealand) and Asia (Japan, China). Many countries have incorporated odour controls into their legislation. However, odour-related assessment criteria tend to be highly variable between countries, individual states, provinces, and even counties and towns. Legislation ranges from (1) no specific mention in environmental legislation that regulates pollutants which are known to have an odour impact to (2) extensive details about odour source testing, odour dispersion modelling, ambient odour monitoring, (3) setback distances, (4) process operations, and (5) odour control technologies and procedures. Agricultural operations are one specific source of odour emissions in rural and suburban areas and a model example of such complexities. Management of agricultural odour emissions is important because of the dense consolidation of animal feeding operations and the advance of housing development into rural areas. Overall, there is a need for continued survey, review, development, and adjustment of odour legislation that considers sustainable development, environmental stewardship, and socio-economic realities, all of which are amenable to a just, site-specific, and sector-specific application. Full article

One of the basic measures of the World Health Organization (WHO) in the fight against the COVID-19 pandemic is a lockdown policy with reduced contacts and physical distance. This presents a challenge, especially for fast-moving-consumer-goods (FMCG) supply chains, which are characterized by a large number of physical contacts between employees in production, physical distribution, wholesale, and retail. One of the ways to comply with the prescribed measures with the smooth functioning of the supply chain is the complete digitalization and automation of all business activities and operations based on the application of the Internet of Things (IoT). In this regard, this paper aims to analyze the setbacks to the digitalization of business processes and the sustainability of the FMCG supply chain based on the implementation of IoT. The research has been conducted among the participants in the standardization chain in the sectors of production, physical distribution, wholesale, and retail of FMCG in the Western Balkans region during the COVID-19 pandemic. The results showed significant differences between business sectors in terms of the intensity of setbacks to successful IoT implementation. Based on the obtained results, a set of measures and incentives was proposed that the competent institutions and the management of the FMCG supply chain should apply to encourage the digitalization process. Suggestions for future research are given in the paper. Full article