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.
Carbon-based hollow structured nanomaterials have become one of the hot areas for research and development of hollow structured nanomaterials due to their unique structure, excellent physicochemical properties and promising applications. The design and synthesis of novel carbon-based hollow structured nanomaterials are of great scientific significance and wide application value. The recent research on the synthesis, structure and functionalization of carbon-based hollow structured nanomaterials and their related applications are reviewed. The basic synthetic strategies of carbon-based hollow structure nanomaterials are briefly introduced, and the structural design, material functionalization and main applications of carbon-based hollow structure nanomaterials are described in detail. Finally, the current challenges and opportunities in the synthesis and application of carbon-based hollow structured nanomaterials are discussed.
The danger of riverbed processes is considered. Their speed varies from the first few months of the flood to the most dynamic process in nature. It happened in front of people. This may make life on the river bank and the utilization of river resources more difficult. This paper introduces the causes and consequences of the danger performance of riverbed processes, and focuses on the mapping methods of the danger assessment of riverbed processes: determining the danger degree of riverbed processes and different methods of displaying it on the map. An example of displaying danger on the previously drawn map is given, and the distribution of different types and expression degrees of dangerous riverbed processes under various natural conditions in Russia is briefly analyzed.
In the domains of geological study, natural resource exploitation, geological hazards, sustainable development, and environmental management, lithological mapping holds significant importance. Conventional approaches to lithological mapping sometimes entail considerable effort and difficulties, especially in geographically isolated or inaccessible regions. Incorporating geological surveys and satellite data is a powerful approach that can be effectively employed for lithological mapping. During this process, contemporary RS-enhancing methodologies demonstrate a remarkable proficiency in identifying complex patterns and attributes within the data, hence facilitating the classification of diverse lithological entities. The primary objective of this study is to ascertain the lithological units present in the western section of the Sohag region. This objective will be achieved by integrating Landsat ETM+ satellite imagery and field observations. To achieve our objectives, we employed many methodologies, including the true and false color composition (FCC&TCC), the minimal noise fraction (MNF), principal component analysis (PCA), decoration stretch (DS), and independent component analysis (ICA). Our findings from the field investigation and the data presented offer compelling evidence that the distinct lithological units can be effectively distinguished. A recently introduced geology map has been incorporated within the research area. The sequence of formations depicted in this map is as follows: Thebes, Drunka, Katkut, Abu Retag, Issawia, Armant, Qena, Abbassia, and Dandara. Implementing this integrated technique enhances our comprehension of geological units and their impacts on urban development in the area. Based on the new geologic map of the study area, geologists can improve urban development in the regions by detecting building materials “aggregates”. This underscores the significance and potential of our research in the context of urban development.
Social media influencer marketing has emerged as an essential marketing strategy in the online interactive environment. This study investigates the impact of influencer-consumer fit (ICF) on behavioral intentions; intention to co-create brand value (ICC) and purchase intention (PI), with the serial mediation of influencer authenticity (IA) and attitude toward brand (ATB). A self-administered questionnaire was distributed to followers of social media influencers in Pakistan. The data were collected from 421 female followers of social media influencers through survey and partial least squares—structural equation modeling was used for data analysis. The findings reveal that ICF impacts IA, while the latter impacts ATB. ATB in turn impacts behavioral intentions. The direct effects suggest that ICF impacts consumers’ PI but not the ICC. However, with the serial mediation of IA and ATB, the relationship becomes significant. The findings of this study may assist managers in building brand strategies to achieve excellence in a highly dynamic and competitive market by leveraging the power of influencer marketing.
For centuries, stem cuttings harvested from sexually mature trees have been recognized to be more difficult to root than those from juvenile shoots. This has been poorly understood and attributed to a combination of ontogenetic and physiological ageing. The recent suggestion that micro-RNA may play a key role in phase change has stimulated a re-examination of some old data that identified pre-severance light x nutrient interactions affecting the rooting ability of stem cuttings. This was linked to vigorous growth and active photosynthesis without constraint from accumulated starch. Support for the prime importance of physiological factors was also obtained when seeking to induce physiological youth in the crowns of ontogenetically mature trees by the induction of roots within the tree crown. Meanwhile, at the other end of the phase change spectrum, floral initiation occurred when the opposite set of environmental conditions prevailed so that growth was stunted, and carbohydrates accumulated in leaves and stems. A re-examination of this literature suggests that rooting ability is driven at the level of an individual leaf and internode emerging from the terminal bud affecting both morphological and physiological activity. In contrast, flowering occurs when internode elongation and assimilate mobilization were hindered. It is therefore suggested that the concepts of juvenility and ageing are not relevant to vegetative propagation and should instead be replaced by physiological and morphological ‘fitness’ to root.
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