Career Orientation of Students in the Faculty of Mining at Hanoi University of Mining and Geology

Career orientation has become significant in Vietnamese education recently. To students of theMining Faculty of Hanoi University of Mining and Geology, this issue is more important as societychanges its acceptance of mining. The research uses investigation, interview, and observation methods for205 students to see their career orientation. The performance is on the following criteria: 1) Career choicebased on individual interests, abilities, personalities, career values; 2) Understanding of the profession inaspects of quality and capacity, workplace, future working environment, the development trend, etc.; 3)The suitability of the profession with individual interests, abilities, personality, and values of theprofession during the study; 4) Study plans to meet industry requirements; 5) Self-development plans inthe future career. Research results show that the majority of students have the right and appropriate career.These students have clear and positive motivations and goals in the learning process. Only a few studentshave not determined the proper position in the profession due to their emotions, which are not stable andoriented.

Tatalaksana Penggunaan Forceps pada Posisi Oksiput Posterior Persisten

Maternal health is the health of women during pregnancy, childbirth and the postnatal period. World Health Organization (WHO) record every day in 2017 about 810 women died from preventable causes related to pregnancy and childbirth. Between 2000-2017, the maternal mortality ratio dropped by about 38% worldwide, but 4% of all maternal deaths occur in low and lower middle-income countries. Persistent occiput posterior (OP) is associated with increased rates of maternal and newborn morbidity. Cesarean delivery is higher (3 times greater risk of death) maternal morbidity and mortality than vaginal delivery and also costs more than normal childbirth. Forceps extraction is one of the operative obstetric actions that aims to help childbirth through normal childbirth. This is done for all conditions that threaten the mother and fetus that have indications to undergo childbirth. the use of forceps techniques, will assure successful, safe, and steady performance of forced delivery. Therefore, obstetric forceps should be inherited of skills to the trainee at this time. Therefore, it is reasonable for the standards establishing the proper position for forceps delivery to vary between experienced and inexperienced operators. The first priority is safe and secure implementation of the procedure.

Use of 3-D Printed Models for Implant Placement - A Case Series

Long-term stability of a dental implant depends on various factors, one among them is proper position within the alveolar bone. Pre-operative thorough examination of the surgical site is preliminary step while planning dental implants. Conventional techniques such as Intra-Oral Periapical Radiograph and Ortho Pantamogram sometimes not sufficient and clinical scenario always surprises the surgeon. Later advent of Cone-Beam Computed Tomography alleviated this problem to some extent but there are some clinical situations such as resorbed ridge where better visualisation is needed. This led to the innovation of rapid prototyping techniques for the fabrication of three-dimensional complex structures. This technology has numerous applications from the development of an instrument, 3-D printed anatomical models to the fabrication of 3-D printed tissues for regeneration procedures. A 3-D printed model is much more useful than plaster models in many aspects such as demonstrating anatomical structures, better treatment planning, and better understanding for the patient. Hence, this case series focuses on the use of 3-D printed models in the placement of dental implants.

Crawl Position Depends on Specific Earlier Motor Skills

Early assessment of motor performance should allow not only the detection of disturbances but also create a starting point for the therapy. Unfortunately, a commonly recognised method that should combine these two aspects is still missing. The aim of the study is to analyse the relationship between the qualitative assessment of motor development at the age of 3 months and the acquisition of the crawl position in the 7th month of life. A total of 135 children were enrolled (66 females). The analysis was based on physiotherapeutic and neurological assessment and was performed in the 3rd, 7th and 9th months of life in children, who were classified according to whether they attained the crawl position or not in the 7th month. Children who did not attain the crawl position in the 7th month did not show distal elements of motor performance at the age of 3 months and thus achieved a lower sum in the qualitative assessment. Proper position of the pelvis at the age of 3 months proved to be very important for the achievement of the proper crawl position at the 7th month. Failure to attain the crawl position in the 7th month delays further motor development. The proximal-distal development must be achieved before a child is able to assume the crawl position. Supine position in the 3rd month seemed more strongly related to achieving the crawl position than assessment in the prone position.

CFD Analysis of the Influence of the Front Wing Setup on a Time Attack Sports Car’s Aerodynamics

In time attack races, aerodynamics plays a vital role in achieving short track times. These races are characterized by frequent braking and acceleration supported by aerodynamic downforce. Usually, typical cars are modified for these races by amateurs. Adjusting the aerodynamic solutions to work with bodies developed for other flow conditions is difficult. This paper presents the results of a numerical analysis of the effects of installing a straight wing in front of or above the body on the modified vehicle system’s aerodynamic characteristics, particularly on the front wheels’ aerodynamic downforce values. The paper presents the methodology and results of calculations of the aerodynamic characteristics of a car with an additional wing placed in various positions in relation to the body. The numerical results are presented (Cd, Cl, Cm, Clf, Clr), as well as exemplary pressure distributions, pathlines, and visualizations of vortex structures. Strong interactions between the wing operation and body streamline structure are shown. An interesting and unexpected result of the analysis is that the possibility of obtaining aerodynamic downforce of the front wheels is identified, without an increase in aerodynamic drag, by means of a wing placed in a proper position in front of the body. A successful attempt to balance the additional downforce coming from the front wing on the front axle is made using a larger spoiler. However, for large angles of attack, periodically unsteady flow is captured with frequency oscillations of ca. 6–12 Hz at a car speed of 40 m/s, which may interfere with the sports car’s natural suspension frequency.

Removal of a Giant Cyst of the Left Ovary from a Pregnant Woman in the First Trimester by Laparoscopic Surgery under Spinal Anesthesia during the COVID-19 Pandemic

This paper reports a case of a 21 year old primigravida at 6 weeks gestation, suffering from important abdominal pain, who was admitted into the medical center with a giant cyst of 28 × 20 cm on her left ovary. A torsion of the ovarian cyst was suspected. Her COVID-19 status was unknown. In view of the emergency of the situation and the COVID-19 pandemic, laparoscopy in spinal anesthesia was performed. The patient remained conscious during the surgical intervention and tolerated it well apart from a slight dyspnea, which was easily eliminated by changing her body position and decreasing the pneumoperitoneum pressure. The ovarian cyst was removed by enlarging the trocar incision. The patient recovered with neither incident nor pregnancy loss. COVID-19-related complications can induce adverse pregnancy outcomes. Under general anesthesia, patients with COVID-19 are at risk of severe pneumonia and of passing their infection to the medical personnel. To avoid such complications in non-specialized centers, laparoscopy should be performed in regional anesthesia. Laparoscopy in spinal anesthesia can be performed safely on pregnant patients by placing them in the proper position, using a low pneumoperitoneum, and monitoring the hemodynamics. During early pregnancy, general anesthesia induces a higher risk of teratogenic effects and of miscarriage.

Cone beam CT augmented fluoroscopy allows safe and efficient diagnosis of a difficult lung nodule

Background Detection of small peripheral lung nodules is constantly increasing with the development of low dose computed tomography lung cancer screening programs. A tissue diagnosis is often required to confirm malignity, with endobronchial biopsies being associated with a lower pneumothorax rate than percutaneous approaches. Endoscopic diagnosis of peripheral small size lung nodules is however often challenging using traditional bronchoscopy and endobronchial ultrasound alone. New virtual bronchoscopic navigation techniques such as electromagnetic navigational bronchoscopy (ENB) have developed to improve peripheral navigation, with diagnostic yield however remaining in the 30–50% range for small lesions. Recent studies have shown the benefits of combining Cone beam computed tomography (CBCT) with ENB to improve diagnostic yield to up to 83%. The use of ENB however remains limited by disposable cost, bronchus sign dependency and inaccuracies due to CT to body divergence. Case presentation This case report highlights the feasibility and usefulness of CBCT-guided bronchoscopy for the sampling of lung nodules difficult to reach through traditional bronchoscopy because of nodule size and peripheral position. Procedure was scheduled in a mobile robotic hybrid operating room with patient under general anaesthesia. CBCT acquisition was performed to localize the target lesion and plan the best path to reach it into bronchial tree. A dedicated software was used to segment the lesion and the bronchial path which 3D outlines were automatically fused in real time on the fluoroscopic images to augment live guidance. Navigation to the lesion was guided with bronchoscopy and augmented fluoroscopy alone. Before the sampling, CBCT imaging was repeated to confirm the proper position of the instrument into the lesion. Four transbronchial needle aspirations (TBNA) were performed and the tissue analysis showed a primary lung adenocarcinoma. Conclusions CBCT and augmented fluoroscopy technique is a safe and effective and has potential to improve early stage peripheral lesions endobronchial diagnostic yield without ENB. Additional studies are warranted to confirm its safety, efficacy and technical benefits, both for diagnosis of oncological and non-oncological disease and for endobronchial treatment of inoperable patients.

Evaluation of implanted perforated lacrimal punctal plugs using anterior segment optical coherence tomography

Purpose Evaluation of the patency and position of perforated lacrimal punctal plugs implanted for treating punctal stenosis together with quantitative assessment of the precorneal tear film using anterior segment optical coherence tomography (AS-OCT). Methods In a prospective study, the lower punctum of 54 eyes of 29 patients implanted with perforated punctal plugs were examined using AS-OCT during the early postoperative period. Preoperative tear meniscus height (TMH) and tear meniscus area (TMA) were evaluated. Postoperatively, the patency of the plug, its position, TMH and TMA were evaluated, and the results were correlated with postoperative epiphora. Munk scale was used for epiphora grading. Results Using AS-OCT, 48 (88.9%) plugs were found in proper position while 6 (11.1%) were rotated. The lumen of the plugs was completely patent in 47 (87%) plugs, partially obstructed in 2 (3.7%) plugs and completely occluded in 5 (9.2%) plugs. There was a statistically significant postoperative decrease of TMH and TMA (P < 0.001) and postoperative epiphora Munk score (P < 0.001). Conclusion AS-OCT is a valuable, reliable, and noninvasive investigative tool that can detect the proper positioning, patency, and contents of the implanted perforated lacrimal punctal plugs in addition to measurement of TMH and TMA. Trial registration ClinicalTrials.gov ID: NCT04624022, https://clinicaltrials.gov/ct2/show/NCT04624022

Blind temporary pacemaker lead insertion using femoral access when fluoroscopy is unavailable: A case report

The temporary pacemaker (TPM) insertion must be done in symptomatic bradycardia to provide adequate heart rate and stable hemodynamic. Transvenous TPM is inserted under fluoroscopy guidance. However, in an extraordinary situation, such as the unavailability of the catheterization laboratory, transvenous TPM insertion can be performed using the blind approach. This case report focused on the procedural aspects of blind transvenous TPM insertion using femoral vein access when fluoroscopy is unavailable. By performing the blind transvenous TPM insertion, the patient should be stabilized as soon as possible. The confirmation of the lead placement using fluoroscopy was needed to ensure that the tip of the electrode was in the proper position.