Nitinol Embolic Protection Filters: Design Investigation by Finite Element Analysis

The widespread acceptance of carotid artery stenting (CAS) to treat carotid artery stenosis and its effectiveness compared with surgical counterpart, carotid endarterectomy (CEA), is still a matter of debate. Transient or permanent neurological deficits may develop in patients undergoing CAS due to distal embolization or hemodynamic changes. Design, development, and usage of embolic protection devices (EPDs), such as embolic protection filters, appear to have a significant impact on the success of CAS. Unfortunately, some drawbacks, such as filtering failure, inability to cross tortuous high-grade stenoses, malpositioning and vessel injury, still remain and require design improvement. Currently, many different designs of such devices are available on the rapidly growing dedicated market. In spite of such a growing commercial interest, there is a significant need for design tools as well as for careful engineering investigations and design analyses of such nitinol devices. The present study aims to investigate the embolic protection filter design by finite element analysis. We first developed a parametrical computer-aided design model of an embolic filter based on micro-CT scans of the Angioguard? XP (Cordis Endovascular, FL) EPD by means of the open source pyFormex software. Subsequently, we used the finite element method to simulate the deployment of the nitinol filter as it exits the delivery sheath. Comparison of the simulations with micro-CT images of the real device exiting the catheter showed excellent correspondence with our simulations. Finally, we evaluated circumferential basket-vessel wall apposition of a 4 mm size filter in a straight vessel of different sizes and shape. We conclude that the proposed methodology offers a useful tool to evaluate and to compare current or new designs of EPDs. Further simulations will investigate vessel wall apposition in a realistic tortuous anatomy.     

Cortical atrophy and personality in multiple sclerosis.

Although the cognitive disorder of multiple sclerosis (MS) is well characterized, little is known about personality changes that may occur in this disease. There are reliable personality tests available for research in neurological disease, based on the well-known Five Factor Model. Preliminary research suggests that cognitively impaired MS patients exhibit elevation in Neuroticism, and diminution in Extraversion, Agreeableness, and Conscientiousness, as do patients with Alzheimer's disease. We predicted that these characteristics would be associated with lower neocortical volume. We studied 44 patients using brain MRI and the NEO Five-Factor Inventory. Regression models controlling for T2 lesion volume, depression, and cognitive dysfunction revealed significant correlation between cortical atrophy and reduction in Extraversion and Conscientiousness. Discrepancies between patient- and informant-reports were found, and overreporting of high Openness and Conscientiousness among patients was associated with lower neocortical volume. A final regression model accounting for depression, cognitive function, and personality accounted for 38% of the variance in neocortical volume. These findings suggest that cortical atrophy in MS is associated with adverse impact on personality, although longitudinal research is needed to test this hypothesis. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The determinants of user satisfaction with community psychiatric nursing care

A 70-year-old diabetic woman with sensory polyneuropathy presented with osteonecrosis of the toes and a plaque-like lesion on the dorsum of the ipsilateral foot. Histological diagnosis of eccrine syringofibroadenoma (ES) was made. A review of the literature reveals several cases of solitary ES of the foot in diabetic patients with peripheral neuropathy. This variant of ES seems to be an eccrine sweat duct hyperplasia during the restoration of skin structures damaged by traumas in a situation of peripheral neuropathy. Diabetes and polyneuropathy should be searched for in patients with ES, particularly in acral locations.     

Bismuth-catalyzed and doped silicon nanowires for one-pump-down fabrication of radial junction solar cells

Silicon nanowires (SiNWs) are becoming a popular choice to develop a new generation of radial junction solar cells. We here explore a bismuth- (Bi-) catalyzed growth and doping of SiNWs, via vapor-liquid-solid (VLS) mode, to fabricate amorphous Si radial n-i-p junction solar cells in a one-pump-down and low-temperature process in a single chamber plasma deposition system. We provide the first evidence that catalyst doping in the SiNW cores, caused by incorporating Bi catalyst atoms as n-type dopant, can be utilized to fabricate radial junction solar cells, with a record open circuit voltage of V(oc) = 0.76 V and an enhanced light trapping effect that boosts the short circuit current to J(sc) = 11.23 mA/cm(2). More importantly, this bi-catalyzed SiNW growth and doping strategy exempts the use of extremely toxic phosphine gas, leading to significant procedure simplification and cost reduction for building radial junction thin film solar cells.     

Occurrence, molecular characterization and antibiogram of water quality indicator bacteria in river water serving a water treatment plant

Water pollution by microorganisms of fecal origin is a current world-wide public health concern. Total coliforms, fecal coliforms (Escherichia coli) and enterococci are indicators commonly used to assess the microbiological safety of water resources. In this study, influent water samples and treated water were collected seasonally from a water treatment plant and two major water wells in a Black Belt county of Alabama and evaluated for water quality indicator bacteria. Influent river water samples serving the treatment plant were positive for total coliforms, fecal coliforms (E. coli), and enterococci. The highest number of total coliform most probable number (MPN) was observed in the winter (847.5 MPN/100 mL) and the lowest number in the summer (385.6 MPN/100 mL). Similarly E. coli MPN was substantially higher in the winter (62.25 MPN/100 mL). Seasonal variation of E. coli MPN in influent river water samples was strongly correlated with color (R² = 0.998) and turbidity (R² = 0.992). Neither E. coli nor other coliform type bacteria were detected in effluent potable water from the treatment plant. The MPN of enterococci was the highest in the fall and the lowest in the winter. Approximately 99.7 and 51.5 enterococci MPN/100 mL were recorded in fall and winter seasons respectively. One-way ANOVA tests revealed significant differences in seasonal variation of total coliforms (P < 0.05), fecal coliforms (P < 0.01) and enterococci (P < 0.01). Treated effluent river water samples and well water samples revealed no enterococci contamination. Representative coliform bacteria selected by differential screening on Coliscan Easygel were identified by 16S ribosomal RNA gene sequence analysis. E. coli isolates were sensitive to gentamicin, trimethoprim/sulfamethazole, ciprofloxacin, vancomycin, tetracycline, ampicillin, cefixime, and nitrofurantoin. Nonetheless, isolate BO-54 displayed decreased sensitivity compared to other E. coli isolates. Antibiotic sensitivity pattern can be employed in microbial source tracking.     

Investigation of wall bounded flows using SPH and the unified semi-analytical wall boundary conditions

Semi-analytical wall boundary conditions present a mathematically rigorous framework to prescribe the influence of solid walls in smoothed particle hydrodynamics (SPH) for fluid flows. In this paper they are investigated with respect to the skew-adjoint property which implies exact energy conservation. It will be shown that this property holds only in the limit of the continuous SPH approximation, whereas in the discrete SPH formulation it is only approximately true, leading to numerical noise. This noise, interpreted as a form of “turbulence”, is treated using an additional volume diffusion term in the continuity equation which we show is equivalent to an approximate Riemann solver. Subsequently two extensions to the boundary conditions are presented. The first dealing with a variable driving force when imposing a volume flux in a periodic flow and the second showing a generalization of the wall boundary condition to Robin type and arbitrary-order interpolation. Two modifications for free-surface flows are presented for the volume diffusion term as well as the wall boundary condition. In order to validate the theoretical constructs numerical experiments are performed showing that the present volume flux term yields results with an error 5 orders of magnitude smaller then previous methods while the Robin boundary conditions are imposed correctly with an error depending on the order of the approximation. Furthermore, the proposed modifications for free-surface flows improve the behavior at the intersection of free surface and wall as well as prevent free-surface detachment when using the volume diffusion term. Finally, this paper is concluded by a simulation of a dam break over a wedge demonstrating the improvements proposed in this paper.     

Effects of Varying Parameters on Solvent Extraction of Natural Rubber from Guayule

Current annual demand for natural rubber in the United States is around 900,000 metric tons, all of which must be imported from countries with tropical rain forest climates. Since natural rubber is a strategic material, it is vital for the US to develop both a domestic source and the technology to extract and utilize the rubber and coproducts efficiently (Bragg and Lamb, 1980).     

Bioactive Alkaloids from Plants Poisonous to Livestock in North America

Plants produce a multiplicity of chemical compounds which have a variety of uses including flavors, fragrances, insecticides, dyes, poisons, and pharmaceutical agents. In this review, we focus on plant alkaloids from the genera Delphinium, Lupinus, Conium, Nicotiana, Veratrum, and selected plant endophyte derived alkaloids. Alkaloids discussed include norditerpenoid alkaloids which act as antagonists to block the ligand binding sites of nicotinic acetylcholine receptors and cause acute toxicosis in adult animals which can result in death. The inhibition of fetal movement and resulting fetal defects caused by quinolizidine and piperidine alkaloids, the inhibition of the hedgehog (Hh) signaling pathway by Veratrum alkaloids, and compounds derived from fungal endophytes that form symbioses with plant hosts will be also be discussed. The bioactivity of these alkaloids makes them useful tools for research and in human and veterinary medicine or potentially harmful toxins.