Cost of extracorporeal life support in pediatric patients with acute respiratory failure

OBJECTIVES: To determine the impact of extracorporeal life support (ECLS) on mortality in pediatric patients with acute hypoxemic respiratory failure (AHRF) at our institution; and to calculate the hospital charges associated with the use of ECLS. DESIGN: Retrospective review of medical records and hospital charges. SETTING: Pediatric intensive care unit (ICU) of a university-affiliated children's hospital. PATIENTS: Twenty patients admitted to the pediatric ICU between 1991 and 1995 for AHRF who received ECLS as a part of their hospital course. INTERVENTIONS: Predicted mortality was calculated using the Pediatric Respiratory Failure score and was compared with survival at the time of hospital discharge. Hospital charges were used as a proxy for resource utilization. Cost-per-life-year-saved calculations were performed based on a normal life expectancy for survivors. MEASUREMENTS AND MAIN RESULTS: Twenty patients were identified. The median age was 4.83 yrs. The median duration of ECLS was 9 days, with 19.5 days in the pediatric ICU and 23.5 days for the entire hospital length of stay. The observed mortality rate for these patients was 20%. Median predicted mortality rate based on the Pediatric Respiratory Failure score calculation was 83%. The hospital charges incurred by these patients was a median of $199,096. Based on a normal life expectancy for survivors, this results in a cost of $4,190/life-year. CONCLUSIONS: ECLS for the pediatric patient with AHRF is done at a considerable cost. However, ECLS affects survival favorably, and compares favorably when considering cost/life-year calculations. The data presented in this study may serve as a benchmark for comparison with newer therapies (i.e., liquid ventilation, nitric oxide). These data also provide a framework for cost-based analyses at other ECLS institutions.     

Fluid Simulation with Articulated Bodies

We present an algorithm for creating realistic animations of characters that are swimming through fluids. Our approach combines dynamic simulation with data-driven kinematic motions (motion capture data) to produce realistic animation in a fluid. The interaction of the articulated body with the fluid is performed by incorporating joint constraints with rigid animation and by extending a solid/fluid coupling method to handle articulated chains. Our solver takes as input the current state of the simulation and calculates the angular and linear accelerations of the connected bodies needed to match a particular motion sequence for the articulated body. These accelerations are used to estimate the forces and torques that are then applied to each joint. Based on this approach, we demonstrate simulated swimming results for a variety of different strokes, including crawl, backstroke, breaststroke, and butterfly. The ability to have articulated bodies interact with fluids also allows us to generate simulations of simple water creatures that are driven by simple controllers.     

Study of Thermally Activated Phase-Slip and Scaling of Magneto-Resistance Near TC in YBa2Cu3O7−δ/Ag bulk composites

Journal of Superconductivity and Novel Magnetism - Dissipation in YBCO polycrystalline bulk samples added with nominally different amounts of silver (0, 5, 15, 25 wt%) has been studied through...     

Engineered perovskite LaCoO3/rGO nanocomposites for asymmetrical electrochemical supercapacitor application

Journal of Materials Science: Materials in Electronics - Here, we report the synthesis route of LaCoO3 and nanocomposite with reduced graphene oxide (rGO) via solvothermal approach. The study of...     

Mutual Insight on Ferroelectrics and Hybrid Halide Perovskites: A Platform for Future Multifunctional Energy Conversion

An insight into the analogies, state‐of‐the‐art technologies, concepts, and prospects under the umbrella of perovskite materials (both inorganic–organic hybrid halide perovskites and ferroelectric perovskites) for future multifunctional energy conversion and storage devices is provided. Often, these are considered entirely different branches of research; however, considering them simultaneously and holistically can provide several new opportunities. Recent advancements have highlighted the potential of hybrid perovskites for high‐efficiency solar cells. The intrinsic polar properties of these materials, including the potential for ferroelectricity, provide additional possibilities for simultaneously exploiting several energy conversion mechanisms such as the piezoelectric, pyroelectric, and thermoelectric effect and electrical energy storage. The presence of these phenomena can support the performance of perovskite solar cells. The energy conversion using these effects (piezo‐, pyro‐, and thermoelectric effect) can also be enhanced by a change in the light intensity. Thus, there lies a range of possibilities for tuning the structural, electronic, optical, and magnetic properties of perovskites to simultaneously harvest energy using more than one mechanism to realize an improved efficiency. This requires a basic understanding of concepts, mechanisms, corresponding material properties, and the underlying physics involved with these effects.     

Laser-Empowered Random Metasurfaces for White Light Printed Image Multiplexing

Printed image multiplexing based on the design of metasurfaces has attracted much interest in the past decade. Optical switching between different images displayed directly on the metasurface is performed by altering the parameters of the incident light such as polarization, wavelength, or incidence angle. When using white light, only two-image multiplexing is implemented with polarization switching. Such metasurfaces are made of nanostructures perfectly controlled individually, which provide high-resolution pixels but small images and involve long fabrication processes. Here, it is demonstrated that laser processing of nanocomposites offers a versatile low-cost, high-speed method with large area processing capabilities for controlling the statistical properties of random metasurfaces, allowing up to three-image multiplexing under white light illumination. By independently controlling absorption and interference effects, colors in reflection and transmission can be varied independently yielding two-image multiplexing under white light. Using anisotropy of plasmonic nanoparticles, a third image can be multiplexed and revealed through polarization changes. The design strategy, the fundamental properties, and the versatility of implementation of these laser-empowered random metasurfaces are discussed. The technique, applied on flexible substrate, can find applications in information encryption or functional switchable optical devices, and offers many advantages for visual security and anticounterfeiting.     

Surface modification of textured silicon and its wetting behaviour

Textured silicon (Si) substrate were prepared using various texturing methods both chemical and physical and their water contact angle, surface topography and Raman spectra were studied and investigated. The effect of plasma and chemical treatment on micro/nanostructure and roughness of the surface with and without deposition of Octadecyltrichlorosilane (ODTS, Cl₃Si (CH₃)₁₇), self-assembled monolayer (SAM) is investigated for achieving higher water contact angle (θ_c). The importance of synergism of texturing with deposition of ODTS SAM in preparing superhydrophobic silicon surfaces has been discussed. It is shown that superhydrophobic silicon surfaces can be achieved on silicon surfaces by coating with ODTS, irrespective of whether it is textured or not, polished or unpolished, provided a chemical treatment is given to the surface prior to the ODTS coating.     

The dynamic mechanical analysis,impact, and morphological studies of EPDM–PVC and MMA‐g‐EPDM–PVC blends

The dynamic mechanical studies, impact resistance, and scanning electron microscopic studies of ethylene propylene diene terpolymer–poly(vinyl chloride) (EPDM–PVC) and methyl methacrylate grafted EPDM rubber (MMA‐g‐EPDM)–PVC (graft contents of 4, 13, 21, and 32%) blends were undertaken. All the regions of viscoelasticity were present in the E′ curve, while the E″ curve showed two glass transition temperatures for EPDM–PVC and MMA‐g‐EPDM–PVC blends, and the T_g increased with increasing graft content, indicating the incompatibility of these blends. The tan δ curve showed three dispersion regions for all blends arising from the α, β, and Γ transitions of the molecules. The sharp α transition peak shifted to higher temperatures with increasing concentration of the graft copolymer in the blends. EPDM showed less improvement while a sixfold increase in impact strength was noticed with the grafted EPDM. The scanning electron microscopy micrographs of EPDM–PVC showed less interaction between the phases in comparison to MMA‐g‐EPDM–PVC blends. © 1999 John Wiley & Sons, Inc. J Appl Polym Sci 71: 1959–1968, 1999