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BackgroundCOVID-19 pandemic has strained human and material resources around the world. Practices in surgical oncology had to change in response to these resource limitations, triaging based on acuity, expected oncologic outcomes, availability of supportive resources, and safety of health care personnel.MethodsThe MD Anderson Head and Neck Surgery Treatment Guidelines Consortium devised the following to provide guidance on triaging head and neck cancer (HNC) surgeries based on multidisciplinary consensus. HNC subsites considered included aerodigestive tract mucosa, sinonasal, salivary, endocrine, cutaneous, and ocular.RecommendationsEach subsite is presented separately with disease-specific recommendations. Options for alternative treatment modalities are provided if surgical treatment needs to be deferred.ConclusionThese guidelines are intended to help clinicians caring for patients with HNC appropriately allocate resources during a health care crisis, such as the COVID-19 pandemic. We continue to advocate for individual consideration of cases in a multidisciplinary fashion based on individual patient circumstances and resource availability.

BackgroundCOVID-19 pandemic has strained human and material resources around the world. Practices in surgical oncology had to change in response to these resource limitations, triaging based on acuity, expected oncologic outcomes, availability of supportive resources, and safety of health care personnel.MethodsThe MD Anderson Head and Neck Surgery Treatment Guidelines Consortium devised the following to provide guidance on triaging head and neck cancer (HNC) surgeries based on multidisciplinary consensus. HNC subsites considered included aerodigestive tract mucosa, sinonasal, salivary, endocrine, cutaneous, and ocular.RecommendationsEach subsite is presented separately with disease-specific recommendations. Options for alternative treatment modalities are provided if surgical treatment needs to be deferred.ConclusionThese guidelines are intended to help clinicians caring for patients with HNC appropriately allocate resources during a health care crisis, such as the COVID-19 pandemic. We continue to advocate for individual consideration of cases in a multidisciplinary fashion based on individual patient circumstances and resource availability.

The COVID-19 pandemic has shifted from traditional face-to-face teaching to technology-mediated distance learning, creating significant new challenges for teachers and students. The rapid integration of new technologies into the teaching and learning process can give rise to privacy issues. This study investigates how teachers and students of undergraduate and graduate courses in Information and Communication Technology (ICT) have been educated about protecting their privacy during online course activities. An exploratory qualitative-quantitative study was conducted, and 91 participants were interviewed to determine how they were guided to protect their privacy during online course activities. The study found that 75% of teachers consider teaching about privacy in ICT courses to be “very important”. However, these teachers still lack guidance, as 66% have not communicated privacy-related rights to their students. Furthermore, 80% have yet to communicate about websites or the location of privacy information from the educational institution. Despite some positive results identified in the study, such as 93% of teachers reporting that they are recording activities and 91% of students stating that they were informed about the recording of activities, challenges still need to be addressed regarding privacy issues during online teaching and learning activities. Therefore, the study proposes some good privacy practices that can be adopted by educational institutions, teachers, and students in the context of technology-mediated education.

Purpose: To report the results of a 2020 international survey of the most commonly used materials and techniques for the fabrication of extraoral maxillofacial prosthetics and to assess the use of 3D technology.Materials and Methods: A 43-question survey was administered via Qualtrics to the members of the American Academy of Maxillofacial Prosthetics, the International Anaplastology Association, and the International Society of Maxillofacial Rehabilitation. The use of current 3D technology in the fabrication of maxillofacial prostheses, as well as barriers to care such as patient cost and insurance coverage, were also assessed.Results: A total of 134 respondents (13%) completed the survey; 96 (73%) reported that they were currently fabricating maxillofacial prostheses and were thus included in the survey. The majority of respondents reported currently using Silastic MDX4-4210 BioMedical Grade Elastomer (DuPont) with either Silastic Medical Adhesive Silicone Type A or Silastic MDX4-4210 crosslinker. Incorporating the use of current CAD/CAM technology was reported by a majority of respondents (58%; 45/77); however, a small cohort (33%, 15/45) reported they were "still experimenting how best to use technology." A total of 39 clinicians (49%) reported that facial prosthetics were most often paid for by the patient (fee for service), with the fee ranging from $10 to $5,500 USD.Conclusion: The results of this survey indicate that current CAD/CAM technology has been adopted and incorporated into the design and fabrication of maxillofacial prostheses. More research is needed to advance CAD/CAM technology as well as the physical and mechanical properties of materials in maxillofacial prosthetics and anaplastology clinical practice. [ABSTRACT FROM AUTHOR]

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This paper presents a mathematical study applied to Hepatitis B disease utilizing fractional calculus and numerical methods. We begin by discussing mathematical fundamentals, focusing on fractional calculus concepts and relevant numerical aspects for disease modeling. We then formulate the problem, describing a nonlinear fractional differential system that models hepatitis B virus (HBV) infection and its response to drug therapy. A detailed theoretical analysis explores system properties and biological implications. We provide a qualitative analysis of the model, discussing important dynamic behaviors such as stability and parameter sensitivity. Subsequently, numerical analysis is performed to validate the model and estimate unknown parameters from patient data. Our findings include significant insights into biological parameters and their impact on therapeutic response. We conclude that the proposed fractional-order model is effective, offering optimal therapeutic strategies for hepatitis B. [ABSTRACT FROM AUTHOR]

Background: Abundant literature exists on the morphology of the carpal tunnel. Despite this, the shape of the carpal tunnel has been reported erratically, and most studies did not attempt to correlate findings with measurements taken from cadavers. The objective of this study was to perform a morphological analysis, determine the shape and mean dimensions of the carpal tunnel, determine the level of the narrowest area of the tunnel, and establish a set of values capable of serving as a reference for carpal tunnel release. Methods: The carpal tunnels of 20 fresh cadaveric hands were dissected, and acrylic casts were created and measured using industrial computed tomography. Results: Of the 20 casts, 19 were shaped like elliptic cylinders, with little variation in their measurements along the length. The location of the narrowest section of the carpal tunnel is very different among casts, and the length of the roof of the carpal tunnel ranged from 21.26 to 29.86 mm. Conclusions: The most common shape of the carpal tunnel is an elliptic cylinder. Because of the unpredictability of the location of the narrowest area of the carpal tunnel, carpal tunnel release must continue through all extension of its roof. We advise that the release should rarely be extended distally more than 30 mm from the distal palmar wrist crease, which corresponds, in most cases, to the middle of the pisiform. [ABSTRACT FROM AUTHOR]

The weather poses challenges for wildlife. Environmental challenges can be responded to at the group level by social animals, but the influence of weather on group behavior is poorly understood. We investigated how weather affects behavior in a gregarious species by monitoring common waxbills (Estrilda astrild) in a large mesocosm during 5 yr. We found seasonal patterns in collective foraging, aggressiveness, and the structure of the social network, usually showing 2 cycles per year: one peaking in Spring and a smaller one peaking in late Summer. Controlling for seasonality, we found behavioral changes related to increased energy demands in colder and/or cloudier days, such as more frequent and larger foraging groups that resulted in less-structured social networks. Rain and wind disturb movement, and we found that, on rainy days, foraging group journeys became briefer and more synchronous, resulting in stronger associations between individuals and less-structured networks, and that on windy days foraging groups were less frequent, larger, and with more within-group aggression. The results show that the weather has more varied effects than anticipated on ecologically relevant group behavior. We discuss how such weather-related effects can improve predictions of how social animals will react to environmental changes. [ABSTRACT FROM AUTHOR]