Coronavirus disease (COVID-19) is an infectious disease caused by a newly discovered coronavirus. It is similar to influenza viruses and raises concerns through alarming levels of spread and severity resulting in an ongoing pandemic worldwide. Within eight months (by August 2020), it infected 24.0 million persons worldwide and over 824 thousand have died. Drones or Unmanned Aerial Vehicles (UAVs) are very helpful in handling the COVID-19 pandemic. This work investigates the drone-based systems, COVID-19 pandemic situations, and proposes an architecture for handling pandemic situations in different scenarios using real-time and simulation-based scenarios. The proposed architecture uses wearable sensors to record the observations in Body Area Networks (BANs) in a push–pull data fetching mechanism. The proposed architecture is found to be useful in remote and highly congested pandemic areas where either the wireless or Internet connectivity is a major issue or chances of COVID-19 spreading are high. It collects and stores the substantial amount of data in a stipulated period and helps to take appropriate action as and when required. In real-time drone-based healthcare system implementation for COVID-19 operations, it is observed that a large area can be covered for sanitization, thermal image collection, and patient identification within a short period (2 KMs within 10 min approx.) through aerial route. In the simulation, the same statistics are observed with an addition of collision-resistant strategies working successfully for indoor and outdoor healthcare operations. Further, open challenges are identified and promising research directions are highlighted.

Objectives To investigate the influence of micro-osteoperforation (MOP) on rate of orthodontic tooth movement and pain perception with fixed appliances. Design 2 arm parallel randomized controlled trial with an allocation ratio of 1:1. Setting The outpatient department of a dental college. Participants 105 patients were screened, out of which 60 met the inclusion criteria and consented to participate; consisting of 33 females and 27 males requiring en-masse retraction following first premolar extractions. Methods The experimental group consisted of patients bonded with a fixed appliance (Gemini 3M) who received MOP distal to canines throughout the period of retraction every 28 days. These were compared with a control group treated with identical brackets without MOP and were assessed for rate of tooth movement (canine retraction) and pain perception using a Visual Analogue Scale (VAS) of 10 mm. Results Prior to commencement, all baseline parameters were matched between the two groups (p>0.05). A statistically significant increase in rate of tooth movement in the MOP group (p<0.05). Conclusion MOP appears to enhance the rate of tooth movement with no differences in pain perception.

Blockchain technology is found to have its applicability in almost every domain because of its advantages such as crypto-security, transparency, immutability, decentralized data network. In present times, a smart healthcare system with a blockchain data network and healthcare 4.0 processes provides transparency, easy and faster accessibility, security, efficiency, etc. Healthcare 4.0 trends include industry 4.0 processes such as the internet of things (IoT), industrial IoT (IIoT), cognitive computing, artificial intelligence, cloud computing, fog computing, edge computing, etc. The goal of this work is to design a smart healthcare system and it is found to be possible through integration and interoperability of Blockchain 3.0 and Healthcare 4.0 in consideration with healthcare ground-realities. Here, healthcare 4.0 processes used for data accessibility are targeted to be validated through statistical simulation-optimization methods and algorithms. The blockchain is implemented in the Ethereum network, and with associated programming languages, tools, and techniques such as solidity, web3.js, Athena, etc. Further, this work prepares a comparative and comprehensive survey of state-of-the-art blockchain-based smart healthcare systems. The comprehensive survey includes methodology, applications, requirements, outcomes, future directions, etc. A list of groups, organizations, and enterprises are prepared that are working in electronic health records (EHR), electronic medical records (EMR) or electronic personal records (EPR) mainly, and a comparative analysis is drawn concerning adopting the blockchain technology in their processes. This work has explored optimization algorithms applicable to Healthcare 4.0 trends and improves the performance of blockchain-based decentralized applications for the smart healthcare system. Further, smart contracts and their designs are prepared for the proposed system to expedite the trust-building and payment systems. This work has considered simulation and implementation to validate the proposed approach. Simulation results show that the Gas value required (indicating block size and expenditure) lies within current Etherum network Gas limits. The proposed system is active because block utilization lies above 80%. Automated smart contract execution is below 20 seconds. A good number (average 3 per simulation time) is generated in the network that indicates a health competition. Although there is error observed in simulation and implementation that lies between 0.55% and 4.24%, these errors are not affecting overall system performance because simulated and actual (taken in state-of-the-art) data variations are negligible.

This study supports the sparse dosimetric data regarding the quantitative tumour volume reduction, re-emphasizing the need for adaptive replanning for minimizing normal tissue toxicity without compromising local control, and adds to the existing body of literature.

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