Noninvasive determination of cardiac output using single breath CO2 analysis

OBJECTIVE: To examine the utility of single breath CO2 analysis as a noninvasive measure of cardiac output. SETTING: An animal laboratory in a university-affiliated medical center. DESIGN: A prospective, animal cohort study comparing 21 parameters derived from single breath CO2 analysis with cardiac output determined by an ultrasonic flow probe. SUBJECTS: Six healthy adult sheep. METHODS: The single breath CO2 analysis station consists of a mainstream capnometer, a variable orifice pneumotachometer, a signal processor, and computer software with capability for both on- and off-line data analysis. Twenty-one derived components of the CO2 expirogram were evaluated as predictors of cardiac output. Cardiac output was manipulated by successive injections of a hydraulic constrictor placed around the inferior vena cava. MEASUREMENTS AND MAIN RESULTS: Thirty-four measurements of cardiac output were available for comparison with derived variables from the CO2 expirogram. Stepwise linear regression identified two variables that were most predictive of cardiac output: a) the angle between the slope lines for phase II and III of the CO2 expirogram divided by the volume of CO2 per breath (angle/mL CO2); and b) the slope of phase II. The multivariate equation was highly statistically significant and explained 94% of the variance (adjusted r2 = .94, p < .0001). The bias and precision of the calculated cardiac output were .00 and .23, respectively. The mean percent difference for the cardiac output estimate derived from the single breath CO2 analysis station was 0.36%. CONCLUSIONS: Our data indicate that analysis of the CO2 expirogram can yield accurate information about the cardiovascular system. Specifically, two variables derived from a plot of expired CO2 concentration vs. expired volume predict changes in cardiac output in healthy adult sheep with an adjusted coefficient of determination of .94. Prospective application of this technology in the setting of lung injury and rapidly changing physiology will be essential in determining the clinical usefulness of the technique.     

The Dübendorf Study: a population-based investigation on normal values of blood pressure self-measurement

In a retrospective study of 50 consecutive children with posterior fossa tumors treated at Texas Children's Hospital, Houston, Tex., in 1989-1992, we evaluated perioperative factors which might influence the development of postoperative cerebrospinal fluid leaks. Factors analyzed included the presence of preoperative hydrocephalus, the institution of cerebrospinal fluid diversion, and the method of dural closure. No statistically significant impact on subsequent cerebrospinal fluid leakage was demonstrated.     

Training for an agricultural discrimination task

Skeleton weed, centaurea juncea, is a declared weed in Western Australia because it competes with grain crops for nutrients and moisture. When it is found during harvesting, mechanised teams search and eradicate it. In an earlier report of field trials (Hartley et al, 1989) it was reported that search teams' detection rate was poor and since search teams had usually never seen skeleton weeds, visual discrimination learning was to be expected and observed during searches. The present study investigated the nature of this discrimination learning in a laboratory by developing a training programme of colour photographic slides of weeds in stubble. Subjects receiving specific training with feedback on their performance compared with those receiving pseudo-training showed a significant improvement in detections. Subsequently the benefit of the programme was validated in a field trial.     

Fiber optic sensing for ultrasonic NDE

An innovative approach to nondestructive evaluation (NDE) using noncontacting optical sensors has demonstrated. In this effort a single mode optical fiber interferometer (OFI) was used to sense the presence and form of Rayleigh waves traveling along the surface of a steel test bar at a velocity of nearly 3mm/µs. Acousto-optic time-domain data was successfully used to detect the presence and locate the position of a test flaw (a machined slot) in the bar, and spectrum analysis was used to estimate its geometry and size. This approach has many potential applications in the ultrasonic evaluation of real flaws in structures with complex geometries. Coupled with the authors' earlier work demonstrating the feasibility of generating acoustic waves in metals using laser light pulses transmitted through the fiber optic probes, this latest achievement points to the development of a fully noncontacting, fiber optic based thermal-acousto-photonic (TAP) NDE system, with potential applications to the reliability testing of many important structures where composition, scale, geometry, or restricted access preclude the use of conventional NDE techniques.     

Synthesis and characterization of aromatic polyisoimides derived from PMDA and para-diamines. An approach to in situ generated rigid-rod molecular composites

A new concept for the processing and fabrication of rigid-rod molecular composites aiming at the elimination or minimization of phase separation is proposed. This approach calls for a coil-like aromatic polyisoimide which is soluble and compatible with an amorphous matrix polymer or thermosettable oligomer and can undergo facile transformation to the corresponding rigid-rod polyimide in solid composite state, thus imparting the inherently high strength/high modulus properties to the final form. To this end, various synthetic routes were explored to obtain para-diamines which could afford high molecular weight and aprotic-solvent-soluble polyisoimides upon polymerization with pyromellitic dianhydride (PMDA). Four such polyisoimides were prepared, with their inherent viscosities ranging from 0.25 to 1.89 dl g⁻¹ in dimethylacetamide at 30°C. Facile thermally induced isoimide-imide conversion was demonstrated by solid-state (film) Fourier transform infrared spectroscopy. A preliminary evaluation of the compatibility of the polyisoimide/matrix resin was made. In one instance, a film prepared from the polyisoimide derived from PMDA and 3,3′,5,5′-tetramethylbenzidine (TMB) showed no visually detectable phase separation.     

Funktionspolymere-ein interdisziplinäres forschungsgebiet-

Functional polymers differ from structural polymers in various aspects. The most evident difference is their lack of visibility as they are mostly empolyed in surface applications, e.g. as crystal growth modifiers to inhibit encrustation in detergents, as hair setting agents, or as electro-conductive films. Additional important differences concerning the motivation for new developments, market aspects, and customer relationships are the subject of this paper. The development of technology and market competence in the field of functional polymers and the special problems of low-volume, high-performance chemicals are discussed in detail. The paper deals with examples of recent developments: Polyaramides for membranes, 3,4-polyethylenedioxythiophene as an electroconductive polymer, polyaspartic acid as a biodegradable polycarboxylate in detergents, highly crosslinked, insoluble vinylpyrrolidone/vinylimidazole copolymers for the removal of heavy metals from wine, and finally an insoluble, crosslinked polyvinylpyrrolidone-iodine complex for the sterile filtration of liquids. The outlook discusses the research challenges which remain before a full understanding of the structure/property relationships can be attained.     

A molecular dynamics simulation of bacteriophage T4 lysozyme

An analysis of a 400 ps molecular dynamics simulation of the164 amino acid enzyme T4 lysozyme is presented. The simulationwas carried out with all hydrogen atoms modeled explicitly,the inclusion of all 152 crystallographic waters and at a temperatureof 300 K. Temporal analysis of the trajectory versus energy,hydrogen bond stability, r.m.s. deviation from the startingcrystal structure and radius of gyration, demonstrates thatthe simulation was both stable and representative of the averageexperimental structure. Average structural properties were calculatedfrom the enzyme trajectory and compared with the crystal structure.The mean value of the C displacements of the average simulatedstructure from the X-ray structure was 1.1 ± 0.1 Å;differences of the backbone and angles between the averagesimulated structure and the crystal structure were also examined.Thermal-B factors were calculated from the simulation for heavyand backbone atoms and both were in good agreement with experimentalvalues. Relationships between protein secondary structure elementsand internal motions were studied by examining the positionalfluctuations of individual helix, sheet and turn structures.The structural integrity in the secondary structure units waspreserved throughout the simulation; however, the A helix didshow some unusually high atomic fluctuations. The largest backboneatom r.m.s. fluctuations were found in non-secondary structureregions; similar results were observed for r.m.s. fluctuationsof non-secondary structure and angles. In general, the calculatedvalues of r.m.s. fluctuations were quite small for the secondarystructure elements. In contrast, surface loops and turns exhibitedmuch larger values, being able to sample larger regions of conformationalspace. The C difference distance matrix and super-positioninganalyses comparing the X-ray structure with the average dynamicsstructure suggest that a ‘hinge-bending’ motionoccurs between the N- and C-terminal domains.     

Numerical characterization and experimental verification of an in-plane MEMS-actuator with thin-film aluminum heater

In this paper, a novel concept of a thermo-mechanical MEMS actuator using aluminum thin-film heaters on a thermal oxide for electrical insulation is presented. The actuator is part of an universal tensile testing platform for thermo-mechanical material characterization of one dimensional materials on a micro- and nano-scopic scale under different environmental conditions, as varying temperatures, pressure, moisture or even vacuum and is realised in BDRIE technology. It is shown, that the actuator concept fulfills the requirements for the use in a tensile loading stage along with heterogeneously integrated nanofunctional elements, following a specimen centered approach in line with bottom-up self-assembly processes. Simulation and experiment agree very well in the thermal and mechanical domain and allow subsequent optimisation of the actuator performance.     

Styryl Dyes for Synthetic-polymer Fibres.

The synthesis of a series of dyes derived from reaction of 2-methyl-4-(N-ethyl-N-hydroxyethyl)amino, lidicyano-styrene with acid chlorides, chloroformates, isocyanates and isothiocyanates is described. Data relevant to dye characterization by electron-impact induced fragmentation is reported. Dyeing and fastness properties of the dyes on cellulose secondary acetate, cellulose triacetate, nylon 6.6 and polyester fibres are discussed in terms of dye structure. Comparison is made between some related dyes derived from 2-methyl-4-(N-ethyl-N-β-aminoethyljamino-β,βdicyanostyrene.     

THE ROLE OF LATTICE OXYGEN IN THE DYNAMIC BEHAVIOR OF OXIDE CATALYSTS

The lattice of an oxide catalyst used for oxidation reactions can act as a reservoir for oxygen, storing and releasing it for reactions at the catalyst surface under appropriate conditions. The implication of this oxygen storage property of an oxide catalyst on its dynamic response characteristics has been investigated through an experimental study of 2-butene oxidation over vanadium oxide as a model reaction. Isothermal reaction rate measurements in a differential reactor and nonisothermal studies in a single pellet reactor have been carried out. Following a step increase in the feed butene concentration, isothermal reaction rate overshoot and pellet temperature overshoot were observed. These observations could be modelled in a qualitatively correct way by a very simple model accounting for the participation of lattice oxygen in the catalytic reactions under dynamic conditions. It is demonstrated through model simulations that the ignition characteristics of a catalyst pellet are significantly affected by the participation of the lattice oxygen, when steady state multiplicity is present.