The reliability of the angle of deviation measurement from the Photo-Hirschberg tests and Krimsky tests

Objective To compare the angle of deviation measured from Photo-Hirschberg testing and Krimsky testing, with that from an alternate prism cover test (APCT) in strabismus patients. Methods A cross-sectional study was conducted in Songklanagarind Hospital, Thailand. Thirty-three strabismus patients were photographed for analysis by Photo-Hirschberg testing using computer software. The corneal light reflex displacement, converted into prism diopter (PD), was compared to the angle of deviation measured with APCT. Twenty-eight strabismus patients were tested with the Krimsky test. Data were analyzed using Pearson correlation and paired t-tests. The study excluded 4 intermittent exotropia cases, 1 intermittent esotropia case and 2 which cases missing data for krimsky test. Results The mean±SD of the deviation angle, measured by APCT with a fixation target at 30 cm and 6 m; were 48.09±16.34PD and 47.82±15.73 PD, respectively. At 1 m, the difference in the angle of deviation measured from APCT and the Photo-Hirschberg test within 10 PD were 58.8% and 63.6%, for ET and XT, respectively. The difference in the angle of deviation measured from APCT and Krimsky tests within 10 PD in ET and XT were 86.7% and 80.0%, respectively. At 4 m, the difference in angle of deviation measured from APCT and Photo-Hirschberg tests within 10 PD in ET and XT were 58.8% and 54.5%, respectively; whereas, the difference in the angle of deviation measured from APCT and Krimsky tests within 10 PD in ET and XT were 80.0% and 70.0%, respectively. Conclusion The reliability of Krimsky test was better than Photo-Hirschberg test for measuring an angle of deviation.

Hybsync: Nanosecond Wireless Position and Clock Synchronization Based on UWB Communication with Multisensors

PNT (positioning, navigation, and timing) is the core functional part of kinds of wireless sensor network, which can provide high-precision timing and positioning services for cooperative work systems. Unfortunately, the mature wireless PNT schemes are generally based on GNSS and other auxiliary sources to complete the high accuracy synchronization process, which cannot be applied to GNSS degraded and denied environments such as mines, underground application. In order to solve the application problem of high-precision wireless PNT, Hybsync—a novel non-GNSS-aided wireless PNT architecture, is proposed in this paper, which integrates the information from the UWB communication, inertial sensor, and camera to achieve great PNT performance. Hybsync improves the accuracy of time deviation measurement by collecting and recording timestamps in hardware layer, and with the coarse/fine synchronization two-phase calibration, Hybsync greatly improves the accuracy of time deviation adjustment, thus providing accurate time information for the whole system. Besides, Hybsync uses the VINS framework to further integrate the real-time information of IMU and camera to complete the multinode positioning service. Under the premise that the cost is much lower than existing solutions, Hybsync can provide nanosecond-level clock synchronization and centimeter-level positioning. Experiments prove that Hybsync supports high-precision clock synchronization and positioning of more than 10 nodes; the maximum clock synchronization error is 3 ns, and the positioning error is 7 cm. It can provide accurate time and position services for cooperative work systems under complex and GNSS-denied conditions.

Locking Multi-Laser Frequencies to a Precision Wavelength Meter: Application to Cold Atoms

We herein report a simultaneous frequency stabilization of two 780-nm external cavity diode lasers using a precision wavelength meter (WLM). The laser lock performance is characterized by the Allan deviation measurement in which we find σy=10−12 at an averaging time of 1000 s. We also obtain spectral profiles through a heterodyne spectroscopy, identifying the contribution of white and flicker noises to the laser linewidth. The frequency drift of the WLM is measured to be about 2.0(4) MHz over 36 h. Utilizing the two lasers as a cooling and repumping field, we demonstrate a magneto-optical trap of 87Rb atoms near a high-finesse optical cavity. Our laser stabilization technique operates at broad wavelength range without a radio frequency element.

To measure the amount of ocular deviation in strabismus patients with an eye-tracking virtual reality headset

Purpose To investigate the accuracy of a newly developed, eye-tracking virtual reality (VR)-based ocular deviation measurement system in strabismus patients. Methods A VR-based ocular deviation measurement system was designed to simulate the alternative prism cover test (APCT). A fixation target was made to alternate between two screens, one in front of each eye, to simulate the steps of a normal prism cover test. Patient’s eye movements were recorded by built-in eye tracking. The angle of ocular deviation was compared between the APCT and the VR-based system. Results This study included 38 patients with strabismus. The angle of ocular deviation measured by the VR-based system and the APCT showed good to excellent correlation (intraclass correlation coefficient, ICC = 0.897 (range: 0.810–0.945)). The 95% limits of agreement was 11.32 PD. Subgroup analysis revealed a significant difference between esotropia and exotropia (p < 0.001). In the esotropia group, the amount of ocular deviation measured by the VR-based system was greater than that measured by the APCT (mean = 4.65 PD), while in the exotropia group, the amount of ocular deviation measured by the VR-based system was less than that of the APCT (mean = − 3.01 PD). The ICC was 0.962 (range: 0.902–0.986) in the esotropia group and 0.862 (range: 0.651–0.950) in the exotropia group. The 95% limits of agreement were 6.62 PD and 11.25 PD in the esotropia and exotropia groups, respectively. Conclusions This study reports the first application of a consumer-grade and commercial-grade VR-based device for assessing angle of ocular deviation in strabismus patients. This device could provide measurements with near excellent correlation with the APCT. The system also provides the first step to digitize the strabismus examination, as well as the possibility for its application in telemedicine.

Paradox in deviation measure and trap in method improvement—take international comparison as an example

<abstract> <p>Due to the problem of "true value agnostic" in the measurement of the real world, people believe that the existing methods can be closer to the true value by improving them. Therefore, they are willing to excessively affirm the more advanced method and deny the relatively "traditional" method. Taking the exchange rate method and purchasing power parity method commonly used in international economic comparison as examples, this paper generalizes the problems revealed by the exchange-rate-deviation index and concludes that there are at least three paradoxes in the deviation measurement of different methods. These paradoxes are the paradox of behavior significance, the paradox of comparative object, and the paradox of measurement result. The reason is that there is a cautionary trap in the improvement or innovation of measurement methods in reality. Sometimes the improved method is not necessarily better than the unimproved method. People tend to prefer advanced technology and methodology, but the problem of statistical input and related statistical benefits need to be considered in practical measurement. In fact, these basic problems still exist in some of the methods of economic statistics that we regard as common sense. When learning or introducing new methods, scholars do not absolutize the existing methods and conclusions. They should pay attention to critical experience, avoid the trap of improvement methods, and seek real improvement or innovation.</p> </abstract>

Accuracy of CAD/CAM-fabricated bite splints: milling vs 3D printing

Objectives The aim of this study was to investigate the accuracy of CAD/CAM-fabricated bite splints in dependence of fabrication method (milling vs 3D printing), positioning (horizontal vs vertical), selection of material, and method of deviation measurement. Materials and methods Bite splints were 3D-printed in either horizontal or vertical position (n = 10) using four different resins (Dental LT, Ortho Clear, Freeprint Splint, V-Splint). As control, ten bite splints were fabricated by CNC milling (ProArt CAD Splint). The splints were scanned and deviations between the CAD-file (trueness) and between each other within one group (precision) were measured by two different software applications and methods (cloud-to-cloud vs cloud-to-mesh). Data were analyzed using univariate analysis, Kolmogorov-Smirnov, Kruskal-Wallis, and Mann-Whitney U tests. Results The highest impact on accuracy was exerted by the selection of the material (trueness: ηP2 = 0.871, P < 0.001; precision: ηP2 = 0.715, P < 0.001). Milled splints showed the highest trueness (P < 0.01) but not the highest precision at the same time. Horizontally positioned 3D-printed bite splints showed the least deviations in terms of trueness while vertical positioning resulted in the highest precision. The cloud-to-cloud method showed higher measured deviations than the other methods (P < 0.001–P = 0.002). Conclusion Milled splints show higher trueness than 3D-printed ones, while the latter reveal higher reproducibility. The calculated deviations vary according to the measurement method used. Clinical relevance In terms of accuracy, milled and 3D-printed bite splints seem to be of equal quality.