EFEITOS DOS APARELHOS TWIN FORCE BITE CORRECTOR E FORSUS FATIGUE RESISTANT DEVICE NA JUNÇÃO TEMPOROMANDIBULAR E NAS VIAS AÉREAS

O objetivo deste estudo prospectivo foi verificar os efeitos dos aparelhos Twin Force Bite Corrector e Forsus Fatigue Resistant Device na junção temporomandibular e nas vias aéreas. Para tanto, foram selecionados 21 pacientes adultos jovens, má oclusão de Classe II 1ª. divisão, bilateral, mínimo de 1/2 Classe II, padrão de crescimento horizontal. Para tanto, a amostra foi dividida em 2 grupos: grupo A, com média de idade inicial de 14,55 anos, tratado com o aparelho ortopédico fixo Twin ForceR por um período médio de 3,7 meses e o grupo B com média de idade inicial de 15,45 anos, tratado com o aparelho Forsus, por um período médio de 7,4 meses, ambos associados à aparelhagem fixa com mecânica straight-wire, prescrição MBT. Os pacientes do grupo A realizaram TCFC em três tempos: T1A (inicial - sem instalação do aparelho), T2A (no dia da i nstalação do aparelho ortopédico fixo), T3A (após a remoção do aparelho ortopédico fixo). Já o grupo 2 realizou TCFC em dois tempos: T2B (no dia da instalação do aparelho ortopédico fixo) e T3B (após a remoção do aparelho ForsusTM). Após a obtenção das imagens 3Dforam realizados cortes sagitais e coronais na ATM para avaliação do tamanho do côndilo e avaliação dos espaços articulares e vias aéreas. Para comparação intergrupos foi utilizado o teste "t" independente e correlação de Pearson e para comparação intragrupos, análise de variância a um critério e teste t pareado. O nível de significância adotado foi de p<0,05%. Não houve alteração significante na avaliação intergrupos, para as dimensões condilares, espaços articulares, e vias aéreas. Por outro lado, na avaliação intragrupo, houve alteração significante no comprimento efetivo da mandíbula (Co-Gn) para o grupo B, supostamente devido a um maior tempo de tratamento, pois houve correlação significante da largura coronal esquerda e direita com Co-Gn, embora clinicamente tenha sido irrelevante. Sendo assim, conclui-se que não houve diferença entre o desempenho dos dois aparelhos estudados na remodelação óssea condilar em pacientes jovens adultos e não houve alteração das vias aéreas após o tratamento com os aparelhos ortopédicos funcionais fixos e Forsus e Twin Force.

Classification of oximetry signals using Bayesian neural networks to assist in the detection of obstructive sleep apnoea syndrome

In the present study, multilayer perceptron (MLP) neural networks were applied to help in the diagnosis of obstructive sleep apnoea syndrome (OSAS). Oxygen saturation (SaO2) recordings from nocturnal pulse oximetry were used for this purpose. We performed time and spectral analysis of these signals to extract 14 features related to OSAS. The performance of two different MLP classifiers was compared: maximum likelihood (ML) and Bayesian (BY) MLP networks. A total of 187 subjects suspected of suffering from OSAS took part in the study. Their SaO2 signals were divided into a training set with 74 recordings and a test set with 113 recordings. BY-MLP networks achieved the best performance on the test set with 85.58% accuracy (87.76% sensitivity and 82.39% specificity). These results were substantially better than those provided by ML-MLP networks, which were affected by overfitting and achieved an accuracy of 76.81% (86.42% sensitivity and 62.83% specificity). Our results suggest that the Bayesian framework is preferred to implement our MLP classifiers. The proposed BY-MLP networks could be used for early OSAS detection. They could contribute to overcome the difficulties of nocturnal polysomnography (PSG) and thus reduce the demand for these studies.

Dynamic simulation of chemical plant

A CSSL- type modular FORTRAN package, called ACES, has been developed to assist in the simulation of the dynamic behaviour of chemical plant. ACES can be harnessed, for instance, to simulate the transients in startups or after a throughput change. ACES has benefited from two existing simulators. The structure was adapted from ICL SLAM and most plant models originate in DYFLO. The latter employs sequential modularisation which is not always applicable to chemical engineering problems. A novel device of twice- round execution enables ACES to achieve general simultaneous modularisation. During the FIRST ROUND, STATE-VARIABLES are retrieved from the integrator and local calculations performed. During the SECOND ROUND, fresh derivatives are estimated and stored for simultaneous integration. ACES further includes a version of DIFSUB, a variable-step integrator capable of handling stiff differential systems. ACES is highly formalised . It does not use pseudo steady- state approximations and excludes inconsistent and arbitrary features of DYFLO. Built- in debug traps make ACES robust. ACES shows generality, flexibility, versatility and portability, and is very convenient to use. It undertakes substantial housekeeping behind the scenes and thus minimises the detailed involvement of the user. ACES provides a working set of defaults for simulation to proceed as far as possible. Built- in interfaces allow for reactions and user supplied algorithms to be incorporated . New plant models can be easily appended. Boundary- value problems and optimisation may be tackled using the RERUN feature. ACES is file oriented; a STATE can be saved in a readable form and reactivated later. Thus piecewise simulation is possible. ACES has been illustrated and verified to a large extent using some literature-based examples. Actual plant tests are desirable however to complete the verification of the library. Interaction and graphics are recommended for future work.

Spectral characteristics of tapered LPG device as a sensing element for refractive index and temperature

The fabrication and characterization of long-period gratings (LPGs) in fiber tapers is presented alongside supporting theory. The devices possess a high sensitivity to the index of aqueous solutions due to an observed spectral bifurcation effect, yielding a limiting index resolution of ±8.5×10-5 for solutions with an index in the range 1.330-1.335.

Refractometer based on a liquid core FBG device

A 1.2X500µm slot was engraved across a fiber Bragg grating (FBG) using femtosecond laser patterning and chemical etching. liquid core FBGs were constructed and their sensitivity to refractive index of up to 10-6/pm was measured.

Low refractive index gas sensing using a Surface Plasmon Resonance fibre device

A series of surface plasmonic fibre devices were fabricated using multiple coatings deposited on a lapped section of a single mode fibre. Coupling from the guided mode to surface plasmons was promoted following UV laser irradiation of the coated region through a phase mask, which generated a surface relief grating structure. The devices showed high spectral sensitivities and strong coupling for low refractive indices as compared to other grating-type fibre devices. The plasmonic devices were used to detect the variation in the refractive indices of alkane gases with measured wavelength and coupling sensitivity to index of 3400 nm RIU-1 and 8300 dB RIU-1, respectively. As a demonstration of the performance of these gas sensors, a minimum concentration of 2% by volume of butane in ethane was achieved.