Tunneled Catheter–Associated Atrial Thrombi: Successful Treatment with Chronic Anticoagulation

Tunneled dialysis catheter–associated right atrial thrombus (RAT) is a rarely reported complication. We reviewed hospital records of 10 patients from a teaching hospital dialysis unit, in whom RAT was diagnosed by trans‐esophageal echocardiography (TEE). Patients were treated with chronic anticoagulation (heparin followed by warfarin) and followed over time. The group included 7 women; 6 patients were African American, 3 were Caucasian, and 1 was Hispanic. The average age was 52.1 ± 15.3 years. The most common presenting symptom was poor catheter flow on hemodialysis followed by fever and chills. On average, the patients had had 3.4 ± 2.7 catheter insertions before diagnosis of RAT, and the tunneled dialysis catheter (TC) had been in place for a mean of 91 ± 89.4 days when the thrombi were diagnosed. Trans‐thoracic echocardiography (2‐D echo) was done in 4 patients, but it identified RAT in only 1 patient. The catheter tip was at the junction of the superior vena cava and right atrium (SVC/RA) in most patients. Thrombolysis (unsuccessful) was attempted with urokinase in 3 patients, complicated in 2 patients by hemorrhage. After anticoagulation, 90% of the RAT resolved on repeated TEE. One patient had persistent RAT for 23 weeks and underwent surgical thrombolysis, but died postoperatively. We conclude that RAT is a frequently missed complication of a TC. Positioning the tip of the TC at the SVC/RA junction may not prevent RAT. Trans‐esophageal echocardiography is a more sensitive diagnostic tool than 2‐D echo and should be obtained early. Most patients can be successfully treated with anticoagulation alone. Thrombolytic therapy and surgical thrombolysis have high morbidity and mortality.     

Evaluation of Biodegradation of Pineapple Leaf Fiber Reinforced PVA Composites

Composites of polyvinyl alcohol (PVA) reinforced with different weight percentages of pineapple leaf fibers (PALF) were fabricated and evaluated for biodegradation by soil burial test and plate test. FTIR analysis indicated the existence of a chemical interaction between PVA and PALF. The water uptake study showed that the composites with higher fiber content displayed high tensile strength and brittleness but possessed lower water uptake potential. In the soil burial test, the composites with low matrix to filler ratios exhibited higher rates of degradation as evident by the associated decrease in molecular weights. Plate test performed using Pseudomonas putida showed that the composites were susceptible for degradation by bacteria. The results of this study indicated that PALF-reinforced PVA composites were completely biodegradable and could find potential applications in industries such as agriculture and packaging and safely disposed after use without causing environmental damage.     

Mathematical modelling of burr height of the drilling process using a statistical-based multi-gene genetic programming approach

Drilling is one of the important machining processes performed extensively in production industry. Literature emphasises that the output process parameters such as burr height, surface roughness, strength, etc. are related to and can be improved by the appropriate settings of the input process parameters. Recently, researchers have applied well-known computational intelligence methods such as regression analysis, artificial neural networks (ANNs), support vector regression (SVR), etc. in the prediction of performance characteristics of the drilling process. Alternatively, an evolutionary approach of multi-gene genetic programming (MGGP) that evolves the model structure and its coefficients automatically can be applied. Despite of being widely applied, MGGP has the limitation for producing models that over-fit on the testing data. One of the reasons attributed for this behaviour is the over-size of the evolved models. Therefore, a statistical-based MGGP (S-MGGP) approach is proposed and applied to the burr height data obtained from the drilling of AISI 316L stainless steel. In this proposed approach, Bayesian information criterion is embedded in its paradigm, which punishes the fitness of larger size models. The performance of S-MGGP and ANN models is found to be better than those of the standardised MGGP and SVR. Further, the parametric and sensitivity analysis conducted validates the robustness of our proposed model and is proved to capture the dynamics of the drilling phenomenon by unveiling dominant input process parameters and the hidden non-linear relationships.     

An effective hybrid approach to remote-sensing image classification

This article presents a hybrid fuzzy classifier for effective land-use/land-cover (LULC) mapping. It discusses a Bayesian method of incorporating spatial contextual information into the fuzzy noise classifier (FNC). The FNC was chosen as it detects noise using spectral information more efficiently than its fuzzy counterparts. The spatial information at the level of the second-order pixel neighbourhood was modelled using Markov random fields (MRFs). Spatial contextual information was added to the MRF using different adaptive interaction functions. These help to avoid over-smoothing at the class boundaries. The hybrid classifier was applied to advanced wide-field sensor (AWiFS) and linear imaging self-scanning sensor-III (LISS-III) images from a rural area in India. Validation was done with a LISS-IV image from the same area. The highest increase in accuracy among the adaptive functions was 4.1% and 2.1% for AWiFS and LISS-III images, respectively. The paper concludes that incorporation of spatial contextual information into the fuzzy noise classifier helps in achieving a more realistic and accurate classification of satellite images.     

Low sintering effect on structural,electrical and magnetic properties of rare-earth metal ion Er3+-substituted nickel–zinc spinal ferrites

Journal of Materials Science: Materials in Electronics - The nano-crystalline particles of erbium-substituted Ni–Zn ferrites with compositional formula Ni0.7Zn0.3ErxFe2?xO4...     

An IND-CCA2 Secure Certificateless Hybrid Signcryption

This article proposes a hybrid certificateless signcryption scheme that is secure against adaptive chosen ciphertext adversary in the random oracle model. The scheme combines an asymmetric encryption which is one way against chosen plaintext attack and any One-Time secure symmetric encryption scheme, combined using Fujisaki–Okamoto transformation. Uncommon to many Fujisaki–Okamoto based constructions which ensure message integrity alone, this scheme provides entity authentication in addition. By the choice of a hash function that utilizes the advantage of sponge based construction, the scheme enables the user to incorporate any One-Time secure symmetric encryption by re-configuring the input/output parameters. Fujisaki–Okamoto transformation, which is currently a standard in hybrid constructions, guarantees the indistinguishability against adaptive chosen ciphertext attack. The provision for choosing symmetric encryption in the scheme enables it to be implemented in all sort of cryptographic requirements including those in wireless communication.

     

Acrylic-based fire-retardant coatings for steel protection: Employing the concept of in situ ceramization

Traditional intumescent coatings are widely used as passive fire-protective coatings for steel structures as they are capable of expanding in the range of 20–50 times the original thickness thereby providing excellent insulation. However, the fragile nature of such residue and susceptibility to thermo-oxidation given their carbonaceous nature are key problematic issues. The concept of in situ ceramization is explored in this work as a means to form inorganic cohesive char with improved rigidity and thermo-oxidative stability. Coating samples were prepared by incorporating ammonium polyphosphate, talc, Mg(OH)₂, and polydimethylsiloxane as additives into acrylic resin at different weight fractions. Thermal analysis and x-ray diffraction have confirmed the reactions between the additives to form various crystalline magnesium phosphate phases, and to a small extent, silicon phosphate, thereby ensuring the thermo-oxidative stability of the residue. This is reiterated by the fire performance tests (by exposing the coatings to a temperature profile in a furnace similar to ISO 834 fire curve). Despite the advantages of rigid char and its thermo-oxidative stability as a result of formation of inorganic phosphates, the lack of swelling has resulted in relatively poor insulation capabilities of the char, and subsequently, compromised the fire protection times (that are in the range of 45–55 min). However, pyrolysis flow combustion calorimeter results of the coatings are promising and have shown a significant drop of up to 70% in the peak of heat release rate values as compared to neat resin.