Application of USAF G-suit technology for clinical orthostatic hypotension: a case study

INTRODUCTION: The purpose of this study was to determine the effectiveness of a USAF anti-gravity suit (G-suit) on the stability of a patient with chronic orthostatic hypotension. METHODS: A 37-yr-old female with a history of insulin-dependent diabetes mellitus (IDDM) and symptomatic orthostasis was evaluated and the results were compared with those of non-diabetic controls, matched for age, height, and weight. Cardiac vagal tone was assessed by determination of standard deviation of 100 R-R intervals (R-R SD). We assessed the carotid-cardiac baroreflex response by plotting R-R intervals (ms) at each of eight neck pressure steps with their respective carotid distending pressures (mm Hg). Heart rate and blood pressure were recorded in response to the Valsalva maneuver (VM) performed at an expiratory pressure of 30 mmHg to assess integrated baroreflex responses. Blood pressures and heart rate were measured during three 5-min stand tests to assess orthostatic responses: a) without G-suit; b) with noninflated G-suit; and c) with inflated G-suit (50 mm Hg). RESULTS: The IDDM patient had minimal baseline cardiac vagal tone (R-R SD = 8.5 ms) compared with the average response of a control group of 24 subjects with orthostatic stability (R-R SD = 67.2 +/- 7.1 ms). Carotid-cardiac baroreflex response was virtually non-existent in the IDDM patient (Gain = 0.06 ms.mm Hg-1) compared to the control subjects (4.4 +/- 0.8 ms.mm Hg-1). VM responses corroborated the lack of cardiac baroreflex response in the IDDM patient, while blood pressure changes during the VM were similar to those of the controls. Upon standing, the IDDM patient demonstrated severe orthostatic hypotension (90 mm Hg SBP) and tachycardia without the G-suit. The G-suit, with and without pressure, reduced hypotension and tachycardia during standing. CONCLUSION: These results demonstrate successful application of Air Force technology as a useful alternative to pharmacologic intervention in the treatment of a patient with autonomic dysfunction leading to supine hypertension and orthostatic hypotension.     

3D Printing/Interfacial Polymerization Coupling for the Fabrication of Conductive Hydrogel

In this study, 3D printing is coupled with interfacial polymerization to obtain electroactive hydrogels with complex and defined geometry. Conductive hydrogels are created through a two‐step procedure: first a digital light processing 3D printing system is used to fabricate poly(ethylene glycol)diacrylate 3D structure and then pyrrole is oxidized to polypyrrole (PPY), exploiting an interfacial polymerization mechanism through which PPY can be formed in the poly(ethylene glycol) matrix, thus creating a conductive phase.     

Effect of a New High-Pressure Heat Treatment on Additively Manufactured AlSi10Mg Alloy

Metallurgical and Materials Transactions A - The application of an innovative high-pressure T6 treatment (HPT6) to additively manufactured AlSi10Mg alloy is reported in this paper. The aim of this...     

Towards mining the organizational structure of a dynamic event scenario

The increasing volume and value of data is an important enabler for data science. In this study, we consider the event data, i.e. information on things that happen in organizations, machines, systems and people’s lives. Each event refers to a well-defined activity in a certain business process execution, the resource (i.e. person or device) executing or initiating the activity, the timestamp of the event, as well as to various data elements recorded with the event (e.g. the geo-location of an activity). Process mining aims to analyze event data, in order to mine knowledge that can contribute to improving a business process behavior. In particular, the focus of this study is on organizational mining, that is a sub-field of process mining that aims at understanding the life cycle of a dynamic organizational structure (i.e. a configuration of organization units) and the interactions among co-workers (resources) arising from the analysis of real-world event logs. The innovative contribution of this study is that the organizational mining goal is here achieved by combining concepts from process mining, stream mining and social network analysis. This combination is an original contribution of this study, not still explored in organizational mining field. In an assessment, benchmark event data are explored, in order to understand how the presented solution allows us to identify the life cycle a dynamic organizational structure.     

A Monolithic Approach to Fluid–Composite Structure Interaction

We study a nonlinear fluid–structure interaction (FSI) problem between an incompressible, viscous fluid and a composite elastic structure consisting of two layers: a thin layer (membrane) in direct contact with the fluid, and a thick layer (3D linearly elastic structure) sitting on top of the thin layer. The coupling between the fluid and structure, and the coupling between the two structures is achieved via the kinematic and dynamic coupling conditions modeling no-slip and balance of forces, respectively. The coupling is evaluated at the moving fluid–structure interface with mass, i.e., the thin structure. To solve this nonlinear moving-boundary problem in 3D, a monolithic, fully implicit method was developed, and combined with an arbitrary Lagrangian–Eulerian approach to deal with the motion of the fluid domain. This class of problems and its generalizations are important in e.g., modeling FSI between blood flow and arterial walls, which are known to be composed of several different layers, each with different mechanical characteristics and thickness. By using this model we show how multi-layered structure of arterial walls influences the pressure wave propagation in arterial walls, and how the presence of atheroma and the presence of a vascular device called stent, influence intramural strain distribution throughout different layers of the arterial wall. The detailed intramural strain distribution provided by this model can be used in conjunction with ultrasound B-mode scans as a predictive tool for an early detection of atherosclerosis (Zahnd et al. in IEEE international on ultrasonics symposium (IUS), pp 1770–1773, 2011).     

Production and thermomechanical characterization of wool–geopolymer composites

Load‐bearing and thermal insulating wool waste/geopolymer composites with fire‐resistant properties were produced and characterized. Two formulations, with different amounts of wool fibers, corresponding in the final composites to about 23 vol% and 31 vol%, were tested. The composites exhibited an average density of 1.0 g/cm³, with a thermal conductivity of 0.2 W/mK, and compressive and flexural strength around 9 and 5 MPa, respectively. The flexural strength and fracture behavior were improved by the presence of the fibers, which promoted the onset of a toughening mechanism in the material. Results showed that a geopolymer matrix loaded with 23 vol% of wool fibers is suitable as flame‐resistant barrier, as reaction to fire is in class A2 (UNI‐EN 13501‐1), and as insulating structural partition in buildings because it ensures a consistent load‐bearing ability coupled with thermal insulating properties, similarly to other man‐made fiber products, with a considerable gain in terms of cost and environmental impact.     

Influence of the operating conditions on the electrochemical disinfection process of natural waters at BDD electrodes

Results are reported of an investigation of the oxidation products formed during electrolyses of aqueous solutions of NaCl, in which the initial concentration of chloride ions was maintained at levels normally present in natural waters. The Design of Experiments (DOE) technique has been used effectively to plan a framework of experiments, in which the main operative parameters: current density, electrolyte stirring rate, and cell geometry, were varied at two levels. Their effects, as well as their possible interactions have been evaluated on the yield of chloride oxidation and on the selectivity of the reaction towards the formation of hypochlorite.     

Effects of supercritical and liquid carbon dioxide extraction on hemp (Cannabis sativa L.) seed oil

The increase in the popularity of hemp-based products is mainly linked to the presence of non-psychoactive cannabinoids that provide relief from aches, pain and anxiety. In this study, hemp seed oils were produced by two innovative and environmentally friendly extraction techniques: supercritical and liquid carbon dioxide (CO₂) extraction. The chemical composition of the two oils was analysed and compared with that of a control oil obtained by solvent (n-hexane) extraction. Both oils obtained by liquid and supercritical CO₂ extraction presented interesting compositions: they contained large amounts of cannabinoids, polyphenols and tocopherols and were less oxidised than the control and contained a large amount of hexanal, which provided a pleasant aroma. The maximum cannabinoid content was found in the oil obtained by liquid CO₂ extraction (71.51 mg of cannabidiol per kg of oil and 113.92 mg of cannabinol per kg of oil). Carotenoids were prevalent in the oil obtained by supercritical CO₂ extraction (61.00 mg kg⁻¹ of oil).