Surgical treatment of Wolff-Parkinson-White syndrome: a "retrospectroscopic" view

The surgical treatment of the Wolff-Parkinson-White syndrome made its appearance in 1968 when Dr W. C. Sealy performed the first direct surgical intervention for ablating an accessory connection in a patient with incessant atrioventricular reentrant tachycardia. The surgical approach fell into disfavor in 1990 when catheter ablation using radiofrequency energy was adopted into widespread use. In this presentation, I will attempt to assess the scientific value of the surgical experience using the scholarly tool, the "retrospectroscope," and also to answer the questions, Was it worth it? What was learned? and What was achieved? We conclude that a large body of scientific knowledge and skill was brought to light by this experience and, of even more importance, passed on for best use to the catheter surgeons.     

Storage of trachea for X-ray microanalytical studies of tracheal submucosal glands

Previous studies have suggested that penicillin-resistant pneumococcal isolates (especially those with MIC > 1 microgram/mL) usually are clonally related. To test this hypothesis, the molecular epidemiology of 29 clinical isolates of penicillin-resistant pneumococci (of which 83% were also resistant to either cefotaxime or ceftriaxone) collected in central Taiwan was investigated by pulsed field gel electrophoresis. Twenty-seven distinct patterns were identified. Our results indicate that an increase in penicillin-resistant S. pneumoniae between April 1993 and June 1994 in central Taiwan is not due to the clonal dissemination of a limited number of epidemic strains.     

Physico-chemical Properties of Marine Phospholipid Emulsions

Many studies have shown that marine phospholipids (PL) have better bioavailability, better resistance towards oxidation and contain higher polyunsaturated fatty acids such as eicosapentaenoic (EPA) and docosahexaenoic acids (DHA) than triglycerides (TAG) present in fish oil. The objective of this study was to investigate the emulsifying properties of various commercial marine PL and the feasibility of using them to prepare stable emulsions prepared with or without addition of fish oil. In addition, this study also investigated the relationship between chemical composition of marine PL and the stability of their emulsions. Physical stability was investigated through particle size distribution (PSD), zeta potential, microscopy inspection and emulsion separation (ES); while the oxidative and hydrolytic stability of emulsions were investigated through peroxide value (PV) and free fatty acids value (FFA) after 32?days storage at room temperature and at 2?°C. In conclusion, marine PL showed good emulsifying properties and it was possible to prepare marine PL emulsions with and without addition of fish oil. Emulsion with both good oxidative stability and physical stability could be prepared by using marine PL of high purity, less TAG, more PL, cholesterol and higher antioxidant content.     

Flotation rates,molecular weights and hydrated densities of the low-density lipoproteins

A method involving three computer programs is described for characterizing the major component of the S_f 0–12 low-density lipoprotein class by its S_f rate, hydrated density and molecular weight. All necessary information is obtained from a standard low and high-density lipoprotein ultracentrifugal analysis. Moving-boundary flotation rates are measured in 1.061 g/ml sodium chloride and 1.200 g/ml sodium bromide solutions and are corrected to flotation at zero concentration. Hydrated densities are calculated from η F^o versus ρ plots and minimum hydrated molecular weights calculated using Stokes' frictional factor, assuming spherical molecules. Preliminary application of this procedure indicates higher S _f ^o rates, higher molecular weights, and lower hydrated densities in females than in males. Molecular weights and standard deviations of the principal S_f 0–12 component for non-fasting normal adult females and males were 2.36±0.16 and 2.12±0.20 millions, respectively. Presented at the AOCS Meeting, New York, October, 1968.     

Redox Control in Solvent Extraction Studies Using a PEEK AKUFVE Unit

Abstract

When studying actinides or other elements with different possible oxidation states it is important to control which state is present in solution. Earlier redox control has been done by adding some other element to the solution but this approach introduces additional uncertainties. Since the sixties the AKUFVE apparatus has been used for precise solvent extraction studies. Now this equipment has been improved with redox control facilities, additional thermal control, and all parts in contact with the liquids are made of polyetherether ketone (PEEK) to minimize sorption.     

An integrated qualitative and quantitative modeling framework for computer‐assisted HAZOP studies

The article proposes a novel practical framework for computer‐assisted hazard and operability (HAZOP) that integrates qualitative reasoning about system function with quantitative dynamic simulation in order to facilitate detailed specific HAZOP analysis. The practical framework is demonstrated and validated on a case study concerning a three‐phase separation process. The multilevel flow modeling (MFM) methodology is used to represent the plant goals and functions. First, means‐end analysis is used to identify and formulate the intention of the process design in terms of components, functions, objectives, and goals on different abstraction levels. Based on this abstraction, qualitative functional models are constructed for the process. Next MFM‐specified causal rules are extended with systems specific features to enable proper reasoning. Finally, systematic HAZOP analysis is performed to identify safety critical operations, its causes and consequences. The outcome is a qualitative hazard analysis of selected process deviations from normal operations and their consequences as input to a traditional HAZOP table. The list of unacceptable high risk deviations identified by the qualitative HAZOP analysis is used as input for rigorous analysis and evaluation by the quantitative analysis part of the framework. To this end, dynamic first‐principles modeling is used to simulate the system behavior and thereby complement the results of the qualitative analysis part. The practical framework for computer‐assisted HAZOP studies introduced in this article allows the HAZOP team to devote more attention to high consequence hazards. © 2014 American Institute of Chemical Engineers AIChE J 60: 4150–4173, 2014     

Predicting and rationalizing the effect of surface charge distribution and orientation on nano-wire based FET bio-sensors

A single charge screening model of surface charge sensors in liquids (De Vico et al., Nanoscale, 2011, 3, 706-717) is extended to multiple charges to model the effect of the charge distributions of analyte proteins on FET sensor response. With this model we show that counter-intuitive signal changes (e.g. a positive signal change due to a net positive protein binding to a p-type conductor) can occur for certain combinations of charge distributions and Debye lengths. The new method is applied to interpret published experimental data on Streptavidin (Ishikawa et al., ACS Nano, 2009, 3, 3969-3976) and Nucleocapsid protein (Ishikawa et al., ACS Nano, 2009, 3, 1219-1224).     

Telepresence surgery

The authors' institute has established that precise surgical procedures can be carried out with Telepresence. Within this decade, Telepresence surgery may become an established component of a new, technologically enhanced mode of cost-effective health care delivery. Because of the substantial medical and financial benefit that Telepresence will bring to laparoscopic and other minimally invasive procedures, its first routine use is expected to be within the individual hospital and surgical center. Telepresence surgical procedures have been demonstrated over distances of 160 meters, and the authors are working toward demonstrating animal surgeries over a much greater distance by using microwave and fiber-optic links. Mobile Telepresence surgical equipment may prove especially effective for trauma care in combat and in civilian disasters. Because the stereographic images and the motions and forces can be readily scaled, microsurgeries of all kinds can be made easier with this technology. Arthroscopic procedures, especially difficult surgery on joints such as the wrist and shoulder, are good Telepresence candidates. In neurosurgery, excision of pituitary adenomas could benefit from the increased dexterity and tactile sensitivity of Telepresence. Eventually, neurosurgery under real-time magnetic resonance imaging could be performed by a Telepresence surgeon operating on a three dimensional reconstruction that is immediately updated to show the actual tissue changes caused by the telemanipulated instruments