No abstract

The purpose of this study was to clarify the relationship between the cleavage of bone fragments and the stability of osseous healing after performing sagittal split ramus osteotomy (SSRO). The subjects were 11 patients with mandibular prognathism who underwent SSRO on both sides (22 rami). These rami were studied immediately after surgery, 6 months thereafter, and 1 year after surgery

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Repeated hospitalization for heart failure (HF) is a strong predictor of mortality among HF patients. While recent cardiac electrical implantable devices (CIEDs) can detect worsening HF through remote monitoring1,2, there is no early detection system for HF progression in patients at home without a CIED. We therefore developed an artificial intelligence-based HF detection system that uses single-lead electrocardiograms (ECGs) recorded at home. Our convolutional neural network (CNN) model calculated a novel HF-index from the estimated NYHA grades as a quantitative indicator of HF severity. Retrospective data revealed a strong correlation between HF-indexes and plasma BNP levels (R=0.91).A prospective clinical study confirmed the accuracy of the HF severity judged from the estimated HF-index using a portable single-lead ECG monitor at home.We have thus successfully constructed a novel, at-home HF monitoring system for a portable single-lead ECG device, which enables early detection and early medical intervention in HF.

Understanding the desires and motivations of children with ADHD is important in helping them thrive. Their inner worlds, however, have not been well captured. The Three Wishes task provides minimal cues and structure to elicit their desires and hopes in an unbiased manner. The wishes of 299 school-aged children with ADHD (193 boys, aged 6–12) were elicited during a research diagnostic assessment. We developed a coding scheme to characterize different aspects of their wishes, including beneficiary, valence, and immediacy. Maslow’s hierarchy of needs, adapted to take account of the participants’ ages, was used to identify the motivations underlying the children’s wishes. As expected, many of the wishes reported were for immediate fulfillment, with many reflecting material desires. Affiliative wishes, highlighting the children’s desire for positive interpersonal relationships, were also common. There was some evidence for self-actualization/self-betterment goals and a small number of altruistic wishes. A word cloud presents the content of the children’s wishes grouped according to this hierarchy. This study highlights the diversity and typicality of the self-reported needs, desires and hopes of children with ADHD. It also serves as a timely reminder of the value of seeking such information directly from children themselves.