Impact of arteriovenous fistula cannulation on the quality of dialysis

Introduction: Adequate hemodialysis directly improves health. Puncturing an arteriovenous fistula (AVF) and the amount of blood recirculation greatly affect the quality of dialysis. Few studies have assessed the method to cannulate a fistula and its influence on efficiency of hemodialysis. Methods: This prospective pilot study included 14 patients with end‐stage renal failure receiving regular intermittent hemodialysis. Patients received three consecutive treatments with both needles directed upstream then three consecutive treatments with the venous needle directed upstream and the arterial needle directed downstream. With both techniques, the distance between the needles was kept constant at 2.5 cm. Recirculation rate and Kt/V ratio were measured during each treatment using thermodilution and a diascan Fresenius generator. Findings: The 14 patients received 84 hemodialysis sessions: i.e., 8 (57.1%) males and 6 (42.8%) females, mean age 62.3 ± 15.57 years. Results showed that mean recirculation rates and Kt/V did not significantly differ between the two techniques. Discussion: Because no significant difference was found between the two techniques, the direction of insertion of needles should be decided upon on a case‐by‐case basis depending on the anatomy of the AVF and the feasibility of the puncture.     

Cyclic Nanoindentation for Local High Cycle Fatigue Investigations: A Methodological Approach Accounting for Thermal Drift

Cyclic nanoindentation allows characterizing the influence of single phases and their interactions on fatigue mechanisms. Herein, a method for high cycle fatigue testing by nanoindentation is presented. By combining high- and low-frequency indentation modes, high cycle numbers are achieved while obtaining sufficient data points to reconstruct force–displacement hysteresis loops. A challenge is the stochastic course of thermal drift which is addressed by measuring drift rate in regular low-force holding segments. Drift rates are used to correct the displacement values, yielding reproducible cyclic deformation data as it is shown for two very different materials, a ductile metal and a brittle ceramic.     

IEEE 802.21: Media independence beyond handover

The IEEE 802.21 standard facilitates media independent handovers by providing higher layer mobility management functions with common service primitives for all technologies. Right after the base specification was published, several voices rose up in the working group advocating to broaden the scope of IEEE 802.21 beyond handovers. This paper aims at updating the reader with the main challenges and functionalities required to create a Media Independence Service Layer, through the analysis of scenarios which are being discussed within the working group: 1) Wireless Coexistence, and 2) Heterogeneous Wireless Multihop Backhaul Networks.     

Using Similarity Analyses to Scale Out Research Findings Across Andean Watershed Basins

Abstract

Strategic research in agriculture and natural resources carried out by international research centers is deemed a public good and should, sooner or later, be put into the hands of development, governmental and non-governmental organizations. However, this research is usually done at specific pilot sites; there is a greater need to know how representative those sites are in relation to the diversity of contexts in other locations. Such is the case with the Challenge Program on Water and Food (CPWF), a global initiative in water research promoted by the Consultative Group on International Agricultural Research (CGIAR), which is developing and implementing strategic research in nine basins located in the tropics of Africa, Asia and South America. Given that resources are not available to collect data from the whole of the region, pilot sites are needed. It is hoped that research outputs obtained in the selected pilot sites can be the basis for scaling out solutions to similar situations in neighbouring or adjacent areas in same or different basins.

In order to contribute to the scaling-out process, different classification methodologies were applied to determine how specific watershed basins are representative of larger areas. The Andean eco-region served as a case study but the methods can easily be applied in other regions. The spatial diversity of biophysical and social conditions across the Andes requires careful site selection. Two methods, a combination of Weight of Evidence (WofE) and Logistic Regression (LR) methods and Fast Cluster analysis, were used to determine the similarity of selected sites with those excluded. A 1-km study resolution covering most of the Andes eco-region included annual rainfall, elevation, length of growing period, land cover, roads and population density as the key variables. Results showed complementarities between the two methods in presenting a probability surface of similarity across the Andes and a clustering of similar sites inside and outside the pilot basins. The output information forms a strong basis for devising plans to scale out research findings from the pilot basins to the whole region.     

Cell formation in group technology using constraint programming and Boolean satisfiability

Cell formation consists in organizing a plant as a set of cells, each of them containing machines that process similar types or families of parts. The idea is to minimize the part flow among cells in order to reduce costs and increase productivity. The literature presents different approaches devoted to solve this problem, which are mainly based on mathematical programming and on evolutionary computing. Mathematical programming can guarantee a global optimal solution, however at a higher computational cost than an evolutionary algorithm, which can assure a good enough optimum in a fixed amount of time. In this paper, we model and solve this problem by using state-of-the-art constraint programming (CP) techniques and Boolean satisfiability (SAT) technology. We present different experimental results that demonstrate the efficiency of the proposed optimization models. Indeed, CP and SAT implementations are able to reach the global optima in all tested instances and in competitive runtime.     

How Does Negative Life Change Following Disaster Response Impact Distress Among Red Cross Responders?

The American Red Cross is the largest nongovernmental organization responding to disasters in the United States. This study investigated the impact of negative life change occurring in the year following the September 11, 2001, terrorist attacks on levels of distress among 757 Red Cross Disaster Services Human Resources (national disaster team) employees and volunteers who responded to this disaster. Negative life change in the year following disaster response fully mediated the relationship between disaster response and symptoms of depression and partially mediated the responses between disaster response and posttraumatic stress and anxiety symptoms. Results highlight the importance of life experiences in the year following disaster response and, therefore, the education and follow-up services provided to disaster workers prior to and following disaster assignment. Suggestions for monitoring disaster-related stress during and following assignment are provided. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Overt and Relational Aggression and Perceived Popularity: Developmental Differences in Concurrent and Prospective Relations.

Relations of overt and relational aggression with perceived popularity among children and early adolescents were examined in 2 studies (Ns = 607 and 1,049). Among older youths, positive concurrent relations found between overt aggression and perceived popularity became nonsignificant when relational aggression was controlled, whereas positive associations found between relational aggression and perceived popularity held when overt aggression was controlled. Aggression and perceived popularity were not positively related for the younger participants. The 2nd study also examined the temporal ordering of these relations over 6 months. For older girls, positive relations between relational aggression and perceived popularity were bidirectional. For older boys, relational aggression did not predict increased perceived popularity, but perceived popularity predicted increased relational aggression. Implications for intervention are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reversible, high-voltage square-wave pulse generator for triggering spark gaps

A design is presented for a reversible, square-pulse generator that employs coaxial cables for charge storage and pulse formation and a thyratron as the switch. The generator has a nominal output voltage of 5-30 kV and a pulse duration determined by the cable's physical length. Two variations are presented: (1) a single-stage one consisting of cable that is charged via its shield on one end and discharged with a thyratron on the opposite end and (2) a two-stage one having an inverting circuit that uses a coaxial cable to reverse the polarity of the pulse. The generator operates with "flying shields," i.e., high-voltage pulses also propagate on the outside of the cables; this calls for a dedicated insulation that avoids breakdown between sections of the cable's shield. The rise time obtained is mostly dictated by the switching time of the thyratron; with the one we used in the tests, rise times in the range of 30-40 ns were obtained. We present the results obtained in the implementation of the generators as well as its application to fire a large Marx generator.     

Poly(L‐lactic acid) with added α‐tocopherol and resveratrol: optical,physical, thermal and mechanical properties

Poly(L ‐lactic acid) (PLLA) films containing various concentrations of two natural antioxidants, α‐tocopherol and resveratrol, were fabricated by a melt compounding and compression molding process. The influence of the antioxidants on the optical properties such as color and UV‐visible light transmission was analyzed. The thermal, mechanical, rheological and physical properties of PLLA films with added antioxidants were assessed. PLLA films with added α‐tocopherol and resveratrol showed a yellowish brown color and the lightness was influenced by the presence of the antioxidants. The glass transition and melting temperatures were significantly reduced with the addition of antioxidants while enhanced thermal stability was observed, which could be a benefit and important for processing and production. PLLA films with added antioxidants were slightly more hydrophobic than neat PLLA. The combination effect of plasticizing and enhancement of the elastic modulus with differing concentrations of two antioxidants played a critical role in the mechanical and thermomechanical properties of PLLA films. The melt viscosity of the PLLA films with added antioxidants was substantially higher than that of neat PLLA. The higher melt viscosity and G′(ω) could be an indication of formation of entanglement between PLLA and the two antioxidants. Copyright © 2012 Society of Chemical Industry     

Pharmacogenetics Biomarkers and Their Specific Role in Neoadjuvant Chemoradiotherapy Treatments: An Exploratory Study on Rectal Cancer Patients

Background: Pathological complete response (pCR) to neoadjuvant chemoradiotherapy (CRT) in locally advanced rectal cancer (LARC) is still ascribed to a minority of patients. A pathway based-approach could highlight the predictive role of germline single nucleotide polymorphisms (SNPs). The primary aim of this study was to define new predictive biomarkers considering treatment specificities. Secondary aim was to determine new potential predictive biomarkers independent from radiotherapy (RT) dosage and cotreatment with oxaliplatin. Methods: Thirty germ-line SNPs in twenty-one genes were selected according to a pathway-based approach. Genetic analyses were performed on 280 LARC patients who underwent fluoropyrimidine-based CRT. The potential predictive role of these SNPs in determining pathological tumor response was tested in Group 1 (94 patients undergoing also oxaliplatin), Group 2 (73 patients treated with high RT dosage), Group 3 (113 patients treated with standard RT dosage), and in the pooled population (280 patients). Results: Nine new predictive biomarkers were identified in the three groups. The most promising one was rs3136228-MSH6 (p = 0.004) arising from Group 3. In the pooled population, rs1801133-MTHFR showed only a trend (p = 0.073). Conclusion: This exploratory study highlighted new potential predictive biomarkers of neoadjuvant CRT and underlined the importance to strictly define treatment peculiarities in pharmacogenetic analyses.