Definitive diagnosis of Craniosynostosis (CS) with computed tomography (CT) is readily available, however, exposure to ionizing radiation is often a hard stop for parents and practitioners. Lowering head CT radiation exposure helps mitigate risks and improves diagnostic utilization. The purpose of the study is to quantify radiation exposure from head CT in patients with CS using a ‘new’ (ultra-low dose) protocol; compare prior standard CT protocol; summarize published reports on cumulative radiation doses from pediatric head CT scans utilizing other low-dose protocols. A retrospective study was conducted on patients undergoing surgical correction of CS, aged less than 2 years, between August 2014 and February 2022. Cumulative effective dose (CED) in mSv was calculated, descriptive statistics were performed, and mean ± SD was reported. A literature search was conducted describing cumulative radiation exposure from head CT in pediatric patients and analyzed for ionizing radiation measurements. Forty-four patients met inclusion criteria: 17 females and 27 males. Patients who obtained head CT using the ‘New’ protocol resulted in lower CED exposure of 0.32 mSv ± 0.07 compared to the prior standard protocol at 5.25 mSv ± 2.79 (p < 0.0001). Five studies specifically investigated the reduction of ionizing radiation from CT scans in patients with CS via the utilization of low-dose CT protocols. These studies displayed overall CED values ranging from 0.015 mSv to 0.77 mSv. Our new CT protocol resulted in 94% reduction of ionizing radiation. Ultra-low dose CT protocols provide similar diagnostic data without loss of bone differentiation in CS and can be easily incorporated into the workflow of a children’s hospital.
National governments and academic higher education institutions continue to realign human resource development (HRD) strategies to address the gaps in HRD mandate. This study will investigate new and recalibrated skills that higher institutions (HEIs) professionals and the labor force produce to reconfigure curriculum development in tertiary education. The study extracts narrative from 6 curriculum developers, 3 HRD heads and h3 manpower organizations on the labor landscapes from different local and multinational industries from entry-level to mid-career ranges through case scenario-based interviews and focus group discussions to determine the skills around motivation, innovativeness, and adaptability and subsequently integrate strategic initiatives to reconfigure the compatibility of these skills from higher education institutions to post-pandemic industries. The findings reveal skills that can be managed at the individual level, e.g., self-motivation and adaptability as well as the need to emerge from the technological pressures by adapting to organizational and clientele demands. These human resource traits become the mantra of surviving and progressing in a landscape shaped by the pre- and post-pandemic setting and become the basis of HEI programs to match the needs of the labor force and the industries.
The mining sector faces a complex dilemma as an economic development agent through social upliftment in places where mining corporations operate. Resource extraction is destructive and non-renewable, making it dirty and unsustainable. To ensure corporate sustainability, this paper examines the effects of knowledge management (KM), organizational learning (OL), and innovation capability (IC) on Indonesian coal mining’s organizational performance (OP). We used factor and path analysis to examine the relationships between the above constructs. After forming a conceptual model, principal component analysis validated the factor structure of a collection of observed variables. Path analysis examined the theories. The hypothesized framework was confirmed, indicating a positive association between constructs. However, due to mining industry peculiarities, IC does not affect organizational performance (OP). This study supports the importance of utilizing people and their relevant skills to improve operational performance. The findings have implications for managers of coal mining enterprises, as they suggest that KM and OL are critical drivers of OP. Managers should focus on creating an environment that facilitates knowledge sharing and learning, as this will help improve their organizations’ performance.
Among the dental composites, Urethane Dimethacrylate (UDMA) is commonly used as a component in treating oral complications. Many molecular dynamics approaches are used to understand the behaviour of the material at room temperature as well as at higher temperatures to get a better insight after comparison with experimental values at the atomic level. There are three critical physical properties associated with these components, like abrasive wear, viscosity, and moduli, which play an essential role in determining the treatment and can be computed using the Large-scale Atomic/Molecular Massively Parallel Simulator (LAMMPS), the general-purpose quantum chemistry program package (ORCA), and the General Utility Lattice Program (GULP) molecular dynamics methods. A radial distribution function plot is generated using visual molecular dynamics (VMD) for UDMA and BisGMA. A comparison of these parameters with BisGMA, another component of dental composites, along with experimental results, is carried out in the present investigation. Further, since radiation also matters for settling the materials in dental treatment, we have computed absorption spectra from 200 nm to 800 nm using LAMMPS/ORCA.
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