Hemodialysis‐induced bradycardia, “a plumbing issue”: Resolved with catheter repositioning

Sudden cardiac death (SCD) is reported as leading cause of death in patients on chronic hemodialysis. Arrhythmias are proposed to be a major predisposing factor for SCD. However, triggers for potentially lethal arrhythmias are not well understood. Here we describe a case of 72‐year‐old man on chronic hemodialysis via permanent Central venous catheter (CVC) who was admitted for evaluation after unwitnessed fall. Within 10 minutes of his first routine dialysis session in the hospital, he had cardiac‐arrest. He was successfully resuscitated within 3 minutes. The next day, fifteen minutes into the dialysis session, he had bradycardia with telemetry demonstrating long sinus pause and he lost consciousness. After few minutes of Advanced Cardiac Life Support (ACLS) he regained pulse and consciousness. Further review of the chest X‐ray revealed the tip of CVC to be directly touching the distal Superior Vena Cava (SVC) wall. We felt the catheter tip may have migrated after the fall and now is irritating the Sinoatrial node and triggering bradyarrhythmia. Next day, the CVC was exchanged, and the tip was placed higher up in superior vena‐cava. After repositioning, we started him on dialysis under intensive monitoring, and he tolerated well without any arrhythmia. Subsequent dialysis was uneventful. We describe a case of recurrent symptomatic intra‐dialytic bradycardia due to abnormal positioning of CVC that resolved after the repositioning of the catheter. This case in addition to similar case in nondialysis settlings provides additional insights into mechanisms of fatal arrhythmias in hemodialysis patient having CVC.     

Bioprocess Scale-up for Acetohydroxamic Acid Production by Hyperactive Acyltransferase of Immobilized Rhodococcus Pyridinivorans

Catalysis Letters - In this study, Rhodococcus pyridinivorans cells containing hyperactive acyltransferase was immobilized on various macromolecules based-polymeric matrices and used to improve...     

Application of ameliorated Harris Hawks optimizer for designing of low-power signed floating-point MAC architecture

Neural Computing and Applications - Recently established Harris Hawks optimization (HHO) has natural behaviour for finding an optimum solution in global search space without getting trapped in...     

RETRACTED ARTICLE: Towards understanding polyhydroxyalkanoates and their use

It is fact that Polymers and their products have changed the face of the world in all the field of the technology. They are the future of the coming up generation of the research of the world. But this is also fact that these synthetic non biodegradable polymers have created a tough situation for the living being for a healthy life. Polyhydroxyalkanoates are polyesters produced by bacteria as intracellular storage materials in response to a variety of nutritional and environmental conditions, such as nitrogen limitation Polyhydroxyalkanoates (PHAs) are gaining increasing attention in the biodegradable polymer market due to their promising properties such as high biodegradability in different environments, not just in composting plants, and processing versatility. Indeed among biopolymers, these biogenic polyesters represent a potential sustainable replacement for fossil fuel-based thermoplastics. Most commercially available PHAs are obtained with pure microbial cultures grown on renewable feedstocks (i.e.glucose) under sterile conditions but recent research studies focus on the use of wastes as growth media.PHA can be extracted from the bacteria cell and then formulated and processed by extrusion for production of rigid and flexible plastic suitable not just for the most assessed medical applications but also considered for applications including packaging, moulded goods, paper coatings, non-oven fabrics, adhesives, films and performance additives. The present paper reviews the PHAs, their main properties, processing aspects, commercially available ones, as well as limitations and related improvements being researched,with specific focus on potential applications of PHAs in packaging.     

Effects of baking conditions on colour,texture and crumb grain characteristics of Chhana Podo

Baking, the key step in the preparation of Chhana Podo, involves simultaneous heat and mass transfer that induces physicochemical and structural changes in the product. The effects of baking conditions on colour, texture and crumb grain development in the product were evaluated. The browning index of baked Podo increased from the initial value of 15.7 to 95, 101 and 112, at baking temperatures of 120, 135 and 150 °C, respectively. Browning kinetics followed the logistic model (R² > 0.98) with an activation energy of 17.81 kJ/mol. In general, crumb grain characteristics such as mean cell area, cell density and cell‐to‐total area ratio increased with increase in baking time and temperature. Textural attributes such as hardness, chewiness and gumminess increased with baking time and temperature while springiness, cohesiveness and resilience increased up to 40 min due to the filling‐up of pores water and liquid by fat and expanding water, but decreased thereafter.     

Effect of Duplex Ageing on the Properties of A356 Alloy Containing Rare Earth Elements

Reduced weight of automobiles for the purpose of fuel economy has encouraged the use of light metals especially aluminium alloys. A356 Al alloy containing 7% Si and 0.3% Mg is widely used in automobile and aircraft industries due to excellent castability, good corrosion resistance and good pressure tightness. A356 is age hardenable alloy and there is appreciable improvement in strength and hardness achievable due to precipitation of intermetallic compound Mg₂Si. In the present investigation, aluminium alloy A356 with and without rare earth (RE) addition (0.5 wt%) was subjected to single ageing as well as double aging treatment. The results were compared for mechanical properties like hardness and ultimate tensile strength with the material not containing RE additions.     

Phase Diagram and Upper Critical Field of Homogeneously Disordered Epitaxial 3-Dimensional NbN Films

We report the evolution of superconducting properties with disorder, in 3-dimensional homogeneously disordered epitaxial NbN thin films. The effective disorder in NbN is controlled from moderately clean limit down to Anderson metal?Cinsulator transition by changing the deposition conditions. We propose a phase diagram for NbN in temperature-disorder plane. With increasing disorder, we observe that as k _F l??1 the superconducting transition temperature (T _c ) and normal state conductivity in the limit T??0 (?? ₀) go to zero. The phase diagram shows that in homogeneously disordered 3-D NbN films, the metal?Cinsulator transition and the superconductor?Cinsulator transition occur at a single quantum critical point, k _F l??1.