Brain mass estimation by head circumference and body mass methods in neonatal glycaemic modelling and control

Introduction

Hyperglycaemia is a common complication of stress and prematurity in extremely low-birth-weight infants. Model-based insulin therapy protocols have the ability to safely improve glycaemic control for this group. Estimating non-insulin-mediated brain glucose uptake by the central nervous system in these models is typically done using population-based body weight models, which may not be ideal.

Method

A head circumference-based model that separately treats small-for-gestational-age (SGA) and appropriate-for-gestational-age (AGA) infants is compared to a body weight model in a retrospective analysis of 48 patients with a median birth weight of 750 g and median gestational age of 25 weeks. Estimated brain mass, model-based insulin sensitivity (S_I) profiles, and projected glycaemic control outcomes are investigated. SGA infants (5) are also analyzed as a separate cohort.

Results

Across the entire cohort, estimated brain mass deviated by a median 10% between models, with a per-patient median difference in S_I of 3.5%. For the SGA group, brain mass deviation was 42%, and per-patient S_I deviation 13.7%. In virtual trials, 87–93% of recommended insulin rates were equal or slightly reduced (Δ < 0.16 mU/h) under the head circumference method, while glycaemic control outcomes showed little change.

Conclusion

The results suggest that body weight methods are not as accurate as head circumference methods. Head circumference-based estimates may offer improved modelling accuracy and a small reduction in insulin administration, particularly for SGA infants.     

Thermotropic liquid crystalline polymer (Rodrun LC5000)/polypropylene in situ composite films: rheology, morphology, molecular orientation and tensile properties

In situ composite films were prepared by a two-step method. First, polypropylene and thermotropic liquid crystalline polymer (TLCP), Rodrun LC5000 (80 mol% p-hydroxy benzoic acid (HBA)/20 mol% polyethylene terephthalate (PET)), were melt blended in a twin-screw extruder and then fabricated by extrusion through a mini-extruder as cast film. Rheological behavior of the blends, morphology of the extruded strands and films, and tensile properties of the in situ composite films were investigated. Rheological behavior of the blends at 295 °C studied using a plate-and-plate rheometer revealed a substantial reduction of the complex viscosity with increasing TLCP content, and all specimens exhibited shear thinning behavior. Over the angular frequency range of 0.6-200 rad/s, the viscosity ratio (dispersed phase to matrix phase) was found to be very low, in the range of 0.03-0.07. Morphologies of the fracture surfaces of the blend extrudates and the film surfaces etched in permanganic solution were investigated by scanning electron microscope (SEM). The TLCP droplets in the extruded strands were seen with a progressive deformation into fibrillar structure when TLCP content was increased up to 30 wt%. In the extruded films, TLCP fibrils with increasing aspect ratio (length to width) were observed with increasing TLCP concentration. Orientation functions of each component were determined by X-ray diffraction using a novel separation technique. It was observed that the Young's modulus in machine direction of the extruded film was greatly improved with increasing TLCP loading, due to the increase in fiber aspect ratio and also molecular orientation.     

Thermomechanical heat of deformation studies on cis-polybutadiene

Thermomechanical heat of torsional deformation measurements have been made on crosslinked cis-polybutadiene by means of a Calvet microcalorimeter operated at 30°C. When corrected for volume changes utilizing the Gaussian statistical theory of elasticity, the data gave a value for the relative energy contribution to the torsional couple, $\text{M}{}_{\mathrm{e}}\text{M}$, of 0.14 ± 0.02. Measurements were also made on a sample subjected to simple tensile deformations. The relative energy contribution to the tensile force ($\text{f}{}_{\mathrm{e}}\text{f}$) was found to agree within experimental error with the value obtained for $\text{M}{}_{\mathrm{e}}\text{M}$, and the two results gave an average value for din $\text{〈r}{}^2{}_0\text{〉}\text{d}\text{T}$ of 4.1 × 10^?4 K^?1.     

Apparatus for measuring physical adsorption on intact supported porous membranes

We present a non-destructive, reusable apparatus with which to measure physical adsorption isotherms of intact porous membranes. We developed a two-piece sample container to make reliable sorption measurements of porous membranes, the properties of which may differ from those of powders due to crystal intergrowth. This novel system employs a resealable container that can be immersed in a cryogenic bath, into which tubular, planar, or other porous membranes and films may be placed. Detailed sorption isotherms, including high-resolution adsorption in the low pressure (micropore-filling) region, are shown for MFI-type zeolite membranes grown on two types and configurations of α-alumina support.     

Preparation and Characterization of 17O-Enriched Alumina for Nuclear Fusion Damage Experiments

Alumina enriched in ¹⁷O was successfully fabricated from aluminum isopropoxide and water containing the ¹⁷O isotope. This material was necessary for an experiment to study the radiation damage expected in alumina exposed to a nuclear fusion reactor environment. The enrichment levels of specimens subjected to different preparation schedules were measured using a nuclear reaction analysis technique. Replacement of the ¹⁷O isotope in the ceramic by atmospheric oxygen occurred readily. Therefore, successful fabrication of suitably enriched alumina specimens required that all processing steps be performed under vacuum or inertgas environments. The optimum fabrication procedure produced enriched alumina specimens of >99.5% of theoretical density, ∽10-μm grain size, and a flexural strength of 280 MPa.     

Surface Preparation of Tantalum for Encapsulation and Adhesive Bonding

A number of methods of surface preparation of tantalum for encapsulation in silicone rubber and for structural adhesive bonding were explored. The only ones which could be generally useful were boiling for 24 hours in distilled water (28% improvement) or boiling for 4 hours in 20% sodium hydroxide solution followed by boiling for 2 hours in dilute hydrochloric acid (34% improvement). An alternative, which could sometimes be used, was heating in air for at least 2 hours at 100°C.     

Effects of experimental endogenous hyperlipemia on circulating leukocytes and erythrocytes

Effects of hyperlipemia on circulating leukocytes and erythrocytes were studied in dogs which were given repeated, intravenous injections of a nonionic detergent, Triton WR-1339. Erythrocyte lipid concentrations increased from 3.6±0.9 mg/10¹⁰ cells in control animals to 9.3±1.5 mg in the hyperlipemic group. This increase was accompanied by a shift in the distribution of total fatty acids toward a higher percentage of saturated and monounsaturated acids. In contrast to the changes observed in erythrocytes, the leukocyte lipid content remained unaltered in dogs with serum cholesterol levels ranging from 500 to more than 2,000 mg/100 ml. Leukocyte counts rose whereas hematocrit values, hemoglobin concentrations, and erythrocyte counts decreased. Oxygen utilization studies showed no significant metabolic differences between leukocytes which were isolated from hyperlipemic or control animals. Circulating leukocytes in dogs with an endogenously induced hyperlipemia were shown therefore to maintain normal lipid concentrations and did not participate in lipophage formation, as reported for certain diet-induced lipemias.     

Water uptake and tensile properties of carboxylated styrene butadiene rubber based water born paints: Models for water uptake prediction

Despite significant advances in water based surface coating technology, the presence of surfactants in emulsion polymer binders leads to loss of performance after prolonged immersion in water, relative to solvent based coatings that are free of surfactant impurities. This study begins with water uptake evaluation of a range of emulsion polymer binders. A carboxylated styrene butadiene rubber latex (c-SBR) performed best in the latter evaluations and was selected for the formulation of an exterior grade paint and construction of a mathematical model to predict water uptake of the dry film. The c-SBR was then compounded with a range of inorganic fillers and water uptake and tensile properties were evaluated. Talc was found to be the best performing filler, and was used in a three factorial central composite design study where the simultaneous effects of talc, titanium dioxide and phenolic stabiliser on water up take were evaluated and fitted to response equations. A quadratic model was found to provide the most accurate prediction of effects associated with interactions between talc and TiO₂. Certain combinations of talc and titanium dioxide were found to be synergistic in reducing the water uptake. This was considered to be associated with a packing effect stemming from the vast difference in particle size between talc and titanium dioxide particles. An optimised formulation was finally prepared to meet one of the final formulation objectives; i.e., minimised water uptake. Preparation of such a formulation showed that the predicted and measured water uptake responses were in excellent agreement. This study illustrates the effectiveness of statistical experimental design methods in predicting the water uptake characteristics of water-based coatings.     

Note: The Use of Triallyl Cyanurate in Bonding PVC Plastisols to Steel

The use of diallyl phthalate as the basis for a non-extractable plasticizer for poly(vinylchloride) (PVC) is well-known. Used in conjunction with a primary plasticizer and a polymerization initiator, a plastisol coating for steel can be formulated which is oil or grease tolerant and can also be used for bonding some structural steel parts if the area is relatively large compared with the load to be applied. Defrayne and Twiss¹ describe the bonding of automobile hood assemblies by vinyl plastisol adhesives and Schneberger² emphasizes their use in the automobile industry though neither article gives the formulations employed. Commercial formulations giving pull-off strengths of the order of 1 to 4 MN. m^-2 always incorporate a proportion of a phenolformaldehyde resin or even an epoxy, but sound-deadening and other coatings of steel do not necessarily need this reinforcement. Phillips and Longworth³ particularly studied the use of diallylphthalate (DAP) as a polymerizable plasticizer and the consequent improvement in adhesion to mild steel. Sherlock⁴ used a simple formulation without additives when investigating the effect of surface cleaning and conversion coatings (oxides and phosphates). It was suggested that, as outlined below, improved adhesion would be expected if a small proportion of triallyl cyanurate (TAC) were added to the polymerizable plasticizer. This paper shows this expectation to be achieved although the proportion of the more expensive TAC needed for substantial increase in bond strength is greater than was hoped.     

Relative roles of chemical and mass transfer rate control in fluidized-bed combustion of coal chars

The relative roles of mass transfer and chemical reaction in controlling combustion rates in fluidized beds are examined in the light of measurements of char-particle combustion kinetics and correlated data on gas—particle mass transfer in fluidized beds. It is concluded that at 1200 K mass transfer is the main rate-control influence for materials having reactivities the same as, or higher than, a char from a swelling bituminous coal. Mass transfer has little effect on the combustion rate of materials whose reactivity to oxygen is one-tenth that of the bituminous coal char. At 800 K, chemical reaction control is dominant for all reactivities considered. The main uncertainty in the present calculations arises from the lack of a suitable analysis of mass-transfer rates in conditions appropriate to fluidized-bed combustion.