What is 'minimally invasive' coronary bypass surgery? Experience with a variety of surgical revascularization procedures for single-vessel disease

BACKGROUND: Although the use of small incisions is theoretically appealing, it has been argued that the true advantage of minimally invasive approaches to myocardial revascularization lies in the avoidance of cardiopulmonary bypass. METHODS: Of 25 patients referred for surgical revascularization of single-vessel coronary disease, 20 elected to undergo a minimally invasive coronary artery bypass grafting (MICABG) procedure, while 5 opted to have conventional surgery with cardiopulmonary bypass (CPB). Patients having MICABG underwent single-vessel revascularization without CPB, via limited anterior thoracotomy, hemisternotomy, or median sternotomy. Intraoperatively, hemodynamics, anastomotic time, and total operative time were recorded. Postoperatively, length of hospital stay, incidence of myocardial infarction, indexes of end-organ function, and morbidity rates were recorded. In addition, patient questionnaires were used to assess subjective end points such as postoperative pain, wound drainage, and quality of life. RESULTS: Fifteen of 20 patients undergoing MICABG underwent revascularization without CPB, while 4 were converted to standard coronary artery bypass grafting with CPB due to technical reasons and 1 for intraoperative ventricular fibrillation. Patients undergoing MICABG had no perioperative myocardial infarctions, while those having CPB had two infarctions (20%). Furthermore, there were no differences in length of stay or postoperative morbidity among the various approaches, while the MICABG procedures, especially via median sternotomy, were associated with shorter operative times. CONCLUSIONS: The advantage of MICABG lies mainly in the avoidance of CPB. Thus, we advocate that surgeons initially utilize the median sternotomy and limited skin incision for MICABG to assure adequate exposure, technical precision, and patient safety. After a reasonable level of technical proficiency and experience are attained, the limited anterior thoracotomy approach can be used.     

Antibacterial Silicone-Urea/Organoclay Nanocomposites

Montmorillonite modified with distearyldimethyl ammonium chloride (C18-QAC) (Nanofil-15) (NF15) was incorporated into polydimethylsiloxane-urea (silicone-urea, PSU) copolymers. PSU was obtained by the reaction of equimolar amounts of aminopropyl terminated polydimethylsiloxane (PDMS) oligomer (<M_n> = 3,200 g/mol) and bis(4-isocyanatohexyl)methane (HMDI). A series of PSU/NF15 nanocomposites were prepared by solution blending with organoclay loadings ranging from 0.80 to 9.60% by weight, corresponding to 0.30 to 3.60% C18-QAC. Colloidal dispersions of organophilic clay (NF15) in isopropanol were mixed with the PSU solution in isopropanol and were subjected to ultrasonic treatment. Composite films were obtained by solution casting. FTIR spectroscopy confirmed that the organoclay mainly interacted with the urea groups but not with PDMS. XRD analysis showed that nanocomposites containing up to 6.40% by weight of organoclay had fully exfoliated silicate layers in the polymer matrix, whereas 9.60% loading had an intercalated structure. Physicochemical properties of nanocomposites were determined. PSU/NF15 nanocomposites displayed excellent long-term antibacterial properties against E. coli.     

Quantitation of heterocyclic aromatic amines in ready to eat meatballs by ultra fast liquid chromatography

Heterocyclic aromatic amines (HCAs) in meatballs ready to eat and sold in restaurants in Turkey were determined. A solid phase extraction method was used to isolate HCAs from meatballs. Various HCAs analysed by ultra fast liquid chromatography (UFLC) were varying levels of 2-amino-3-methylimidazo[4,5-f]quinoline (IQ) (up to 1.59 ng/g), 2-amino-3-methylimidazo[4,5-f]quinoxaline (IQx) (up to 3.81 ng/g), 2-amino-3,4-dimethylimidazo[4,5-f]quinoline (MeIQ) (up to 0.66 ng/g), 2-amino-3,8-dimethylimidazo[4,5-f]quinoxaline (MeIQx) (not detected or not quantified), 2-amino-3,4,8-trimethylimidazo[4,5-f]quinoxaline (4,8-DiMeIQx) (not detected or not quantified), 2-amino-3,7,8-trimethylimidazo[4,5-f]quinoxaline (7,8-DiMeIQx) (up to 0.43 ng/g), 2-amino-1-methyl-6-phenylimidazo[4,5-b] pyridine (PhIP) (up to 1.93 ng/g), 2-amino-9H-pyrido[2,3-b]indole (AαC) (up to 0.35 ng/g), and 2-amino-3-methyl-9H-pyrido[2,3-b]indole (MeAαC) (up to 0.43 ng/g) in cooked meatballs which are consumed in Turkey. Overall average of total HCA amount was 5.54 ng/g. The present study is to prove that HCAs can be isolated in a very short time (5 min) by using UFLC.     

Microcystis aeruginosa supported-Mn catalyst as a new promising supercapacitor electrode: A dual functional material

In the present study, a Mn-supported catalyst material developed from Microcystis aeruginosa microalgae for hydrogen generation was tested as a supercapacitor electrode material for the first time. The catalyst material (MA-HCl-Mn) was examined for hydrogen generation through methanolysis of NaBH₄, and it demonstrated good catalytic activity. Symmetric and asymmetric supercapacitor cells were prepared using MA-HCl-Mn as the electrode material. The electrochemical performance of the cells were evaluated by a two-electrode system using 2 M KOH as the electrolyte. The gravimetric capacitance of the symmetric and asymmetric cells found to be 40 F/g and 71 F/g, respectively. It was concluded that MA-HCl-Mn served as a sustainable, dual functional material showing a high catalytic activity for the hydrogen generation and a promising electrochemical performance as the supercapacitor electrode.     

Analytical study of a solution-processed diode based on ZnO nanoparticles using multi-walled carbon nanotubes as Schottky contact

Journal of Materials Science: Materials in Electronics - The search for good electrodes processed by solution has interested several niches to produce printed solar cells, lighting emitting diodes,...     

Effect of wastewater composition on archaeal population diversity

Distribution and occurrence of Archaea and methanogenic activity in a laboratory scale, completely mixed anaerobic reactor treating pharmaceutical wastewaters were investigated and associated with reactor performance. The reactor was initially seeded with anaerobic digester sludge from an alcohol distillery wastewater treatment plant and was subjected to a three step feeding strategy. The feeding procedure involved gradual transition from a glucose containing feed to a solvent stripped pharmaceutical wastewater and then raw pharmaceutical wastewater. During the start-up period, over 90% COD removal efficiency at an organic loading rate (OLR) of 6 kg COD m(-3)d(-1) was achieved with glucose feeding, and acetoclastic methanogenic activity was 336 ml CH4 gTVS(-1)d(-1). At the end of the primary loading, when the feed contained solvent stripped pharmaceutical wastewater at full composition, 71% soluble COD removal efficiency was obtained and acetoclastic methanogenic activity decreased to half of the rate under glucose feed (166 ml CH4 gTVS(-1)d(-1)). At the end of secondary loading with 60% (w/v) raw pharmaceutical wastewater, COD removal dropped to zero and acetoclastic methanogenic activity fell to less than 10 ml CH4 gTVS(-1)d(-1). Throughout the course of the experiment, microbial community structure was monitored by DGGE analysis of 16S rRNA gene fragments. Five different archaeal taxa were identified and the predominant archaeal sequences belonged to methanogenic Archaea. Two of these showed greatest sequence identity with Methanobacterium formicicum and Methanosaeta concilii. The types of Archaea present changed little in response to changing feed composition but the relative contribution of different organisms identified in the archaeal DGGE profiles did change.     

Electrorheological properties and creep behavior of polyindole/poly(vinyl acetate) composite suspensions

In this study, electrorheological (ER) properties of polyindole (PIN) and polyindole/poly (vinyl acetate), (PIN/PVAc) conducting composites having different compositions were investigated. Conductivities and dielectric properties of these composites were determined. The particle sizes of the composites were determined by dynamic light scattering method. Suspensions of PIN and PIN/PVAc composites were prepared in silicone oil, at several concentrations (c = 5–25%, m/m) and their sedimentation stabilities were determined. Then the effects of dispersed particle concentration, shear rate, electric field strength, frequency, and temperature onto ER activities of suspensions were investigated. The flow times of these suspensions at various dc electric field strengths were measured. Further, creep tests were applied to the composite suspensions and a reversible viscoelastic deformation was observed.