Perioperative specific management of blood volume loss in craniosynostosis surgery

Accurate assessment and replacement of blood loss and fluid-electrolyte deficit during craniosynostosis repair is difficult owing to patient size and the diversity of surgical technique. Forty-three patients undergoing primary craniosynostosis repair over a 10-year period were studied retrospectively to determine blood loss and fluid deficit and to assess blood transfusion practices during both intraoperative and postoperative periods. Blood loss was calculated on the basis of estimated red cell mass (ERCM) and fluid-electrolyte imbalance was investigated with blood samplings. Blood transfusion was considered appropriate if the postoperative or posttransfusion ERCM was within 12% of the preoperative value. Estimated fluid requirement (EFR) was used in 4 ml kg(-1) h(-1) except for neonates. Intraoperatively, 80% of all patients were appropriately managed with respect to blood transfusion and EFR. Postoperatively only 20% of the patients receiving transfusions were transfused appropriately. In 23.3% of these patients (10/43) unexpected respiratory distress developed immediately after their recovery from the anesthesia. With the measurement of estimated blood volume and allowable blood loss, appropriate transfusion could be achieved for the successful treatment of the primary craniosynostosis.     

The synthesis of symmetrical and unsymmetrical P1/P1' cyclic ureas as HIV protease inhibitors

Cyclic urea SD146, a potent HIV protease inhibitor bearing a flat resistance profile, possessed poor solubility and bioavailability, which precluded further development of the compound. In an effort to improve upon the pharmacokinetic profile of the compound, several analogs modified at the P1/P1' residues were prepared and evaluated. Several of those compounds displayed significant improvement of physical properties.     

Prediction of venturi scrubber efficiency used in an updraft gasifier cleaning train

The performance of a venturi scrubber in the removal of tar from gas in updraft gasification has been studied. The gasifier has been operated with a husk feed rate of 1.6 × 10^?4 kg/s. The venturi scrubber has been operated at a superficial gas velocity of 56.4 m/s at the throat. A wide variety of scrubbing liquids having surface tensions ranging from 0.026 to 0.072 N/m have been used. The Q_g/Q_l, has been varied in the range of 1000–8000. The tar separation efficiency η has been found to vary from 51 to 98.5%. A mathematical model, assuming steady-state operation, has been developed considering very high pseudosolubility of tar in the scrubbing liquids. The predicted values of η have been compared with experimental results. The model satisfactorily explains the tar removal efficiency of the venturi for Q_g/Q_l values ranging from 4000 to 8000 for all scrubbing liquids. The following correlation has been developed for predicting venturi scrubber efficiency: .     

Discrete element approach for mine dump stability analysis

Mine overburden dumps have posed significant safety issues in the operations of various unit operations of open pit min-ing especially the external dumps. The external dumps are composed of a mixture of fragmented rocks and loose soil. Their charac-teristic is comparable to heavily discontinuous solid mass. The conventional approach of limit equilibrium methods provide safety factors for the slope but nothing about the stress-strain characteristics of the large dump mass. The designs of dump location and their respective geometry are integrated for the know-how of the stability characteristics of these dumps. The discrete element method uses a circular disk to represent the granular solid mass and their interactions are described by the Newton's third law of motion. The displacement is described by the sliding of the circular disk. This work is focused on the modeling efficiency of the discrete element methods to represent the behaviour of mine dump masses with the specified joint plane for the limit equilibrium method. The advantage of the work lies on the ease of information retrieval at any point at the dump mass concerning the stress and strain histories, displacement, failures etc. which when integrated produces a better understanding of the stability of the dump masses.     

Differential regulation of redox proteins and chaperones in HbEβ-thalassemia erythrocyte proteome

Purpose: In (hemoglobin, Hb) HbEβ‐thalassemia, HbE (β‐26 Glu→Lys) interacts with β‐thalassemia to produce clinical manifestation of varying severity. This is the first proteomic effort to study changes in protein levels of erythrocytes isolated from HbEβ‐thalassemic patients compared to normal. Experimental design: We have used 2‐DE and MALDI‐MS/MS‐based techniques to investigate the differential proteome profiling of membrane and Hb‐depleted fraction of cytosolic proteins of erythrocytes isolated from the peripheral blood samples of HbEβ‐thalassemia patients and normal volunteers. Results: Our study showed that redox regulators such as peroxiredoxin 2, Cu‐Zn superoxide dismutase and thioredoxin and chaperones such as α‐hemoglobin stabilizing protein and HSP‐70 were upregulated in HbEβ‐thalassemia. We have also observed larger amounts of membrane associated globin chains and indications of disruption of spectrin‐based junctional complex in the membrane skeleton of HbEβ‐thalassemic erythrocytes upon detection of low molecular weight fragments of β‐spectrin and decrease in β‐actin and dematin content. Conclusion and clinical relevance: We have observed interesting changes in the proteomic levels of redox regulators and chaperons in the thalassemic hemolysates and have observed strong correlation or association of the extent of such proteomic changes with HbE levels. This could be important in understanding the role of HbE in disease progression and pathophysiology.     

Fast and efficient extraction algorithm for high-speed interconnects with arbitrary boundaries

In this paper, we present an accurate and general interconnect model for planar transmission line interconnects with arbitrary boundary conditions. Based on the unified approach, we develop a SPICE-compatible parameter extraction algorithm that can be used in high-performance computer-aided-design applications. A range of multilayered interconnect geometries with arbitrary boundaries are analyzed. Different typical configurations of ground placement are considered to verify the applicability of this method. For all such cases, results are compared for admittance, line parameters, and delay giving physical insight on the effect of boundary conditions on them. Compared with existing industry standard numerical field-solvers, like HFSS, the proposed model demonstrates more than 10× speedup within 2% accuracy.     

A Generalized Line and Junction Labeling Scheme with Application to scene Analysis

A line and junction labeling scheme is introduced that is valid for both planar and curved-surface bodies. Seven generalized junction types are defined and shown to cover all valid projections for a wide class of planar and curved-surface bodies. It is further shown that there are limitations on the permissible junction types as one moves from one end of a line segment to the other. The valid junction transitions provide 1) a new set of edge semantics for line labeling and 2) an ability to verify whether a given sequence of junctions forms a realizable configuration.