Outcome among patients with acute renal failure needing continuous renal replacement therapy: A single center study

Outcome of acute renal failure (ARF) and use of continuous renal replacement therapy (CRRT) have shown a consistently high mortality. (1) Evaluate the short-term patient survival. (2) Evaluate dialysis-free survival. (3) Evaluate risk factors associated with overall survival and the continued need for intermittent dialysis. We identified adults (≥18 years) needing CRRT, treated in the critical care units of Froedtert Medical and Lutheran Hospital from January 1, 2003 till December 31, 2005. Patients were divided into two major groups needing CRRT, end stage renal disease (ESRD) (chronic dialysis) and non-ESRD with ARF. Continuous renal replacement therapy was performed with an average of 2 L replacement fluid exchanges/h. Sigma stat software was used for analysis. Comparison was done for noncontinuous variables by chi-square and t test for categorical and continuous variables, respectively. A total of 110 (ESRD 24/non-ESRD 86) patients received CRRT during study period. Over all in-hospital mortality among non-ESRD patients was 63% vs. 46% for ESRD. Among non-ESRD patients who survived, 47% needed intermittent hemodialysis on intensive care unit discharge and 28% continued to need hemodialysis at last follow-up. Among non-ESRD patients alive at discharge, those who were dialysis dependent on last follow-up were older (64.5) than those who did not require dialysis on last follow-up (58.4) P=0.347. Non-ESRD patients who died were in the hospital for an average of 17.5 days compared with 29 days for those who were discharged from the hospital. Patients with ARF needing CRRT have high in-hospital mortality. A significant percentage of patients remained dialysis dependant on last follow-up.     

Evaluation of an ultrasonic acid digestion procedure for total heavy metals determination in environmental and biological samples

In this study, a sample preparation method based on ultrasonic assisted acid digestion (UAD) has been evaluated for total heavy metals (Cd, Cr, Ni and Pb) determination in different environmental (soil, sediment and sewage sludge), and biological (fish muscles, vegetables and grains) samples, using electrothermal atomic absorption spectrometry (ETAAS). The investigated parameters influencing UAD such as presonication time, sonication time, temperature of ultrasonic bath, and different acid mixtures were fully optimized, whereas power was maintained constant at 100% of nominal power of ultrasonic bath. Six different sets of above parameters were applied on six certified reference materials (CRMs) having different matrices. The accuracy of the method was also tested by comparing the results with those obtained from conventional hot plate assisted acid digestion method on same CRMs. Analytical results for HMs by both methods showed no significant difference at 95% confidence limit (p<0.05). Recoveries of HMs ranging from 96.2% to 102% and 96.3% to 98.6% were obtained from biological and environmental samples, respectively. The average relative standard deviation of UAD method varied between 3.5% and 8.2%, depending on the analyte.     

Behavior of square concrete columns reinforced with Prefabricated Cage System

Behavior of normal strength concrete columns reinforced with a new reinforcement, termed Prefabricated Cage System (PCS) is investigated. A total of 16 small-scale PCS and rebar reinforced column specimens were constructed and tested under monotonic axial displacement. The experimental results indicate that the overall behavior of rebar and PCS reinforced specimens are comparable prior to achieving the peak column load. In general, PCS specimens are more ductile and absorb more energy than similar rebar specimens after the peak load is reached. The effect of different parameters, such as the steel tube thickness, number of longitudinal reinforcements, transverse steel spacing, and crossties on the specimens’ strength and deformation capacity are investigated. A confined concrete model is proposed and used to predict the load–displacement response. The theoretical load–displacement relations obtained from the proposed model are compared with those obtained from the Mander et al. (J Struct Eng 114(8):1804–1826, 1988) confinement model.     

A platform for electrochemical sensing of biomolecules based on Europia/reduced graphene oxide nanocomposite

This study aimed at preparing and evaluating the europium oxide–reduced graphene oxide (rGO) composites. Inorganic nanoparticles anchored onto rGO sheets through a facile sonochemical method. The resultant products were characterized by FT-IR, XRD, SEM. Their activity in biomolecules’ analysis were examined by cyclic voltammetry. The rectified electrodes revealed an incredibly electroactive manner. The obtained progress provided excellent materials for scrutiny of biomolecules. The linear relationship was used in the region of 100–1500 µM ascorbic acid (AA), 50–600 µM dopamine (DA), and 10–700 µM uric acid (UA), between current intensities and concentrations. The detection restrictions (LOD) (S/N?=?3) decreased to 8 µM, 1.1 µM and 0.085 µM for AA, DA and UA respectively by differential pulse voltammetry (DPV).     

Thermal Buckling Analysis of Piezoelectric Functionally Graded Plates with Temperature-Dependent Properties

In this study, the thermal buckling analysis of hybrid laminated plates made of two-layered functionally graded materials (FGMs) that are integrated with surface-bonded piezoelectric actuators referred to as (P/FGM)_s are investigated. Material properties for both substrate FGM layers and piezoelectric layers are temperature-dependent. Uniform temperature rise as a thermal load and constant applied actuator voltage are considered for this analysis. By definition of four new analytic functions, the five coupled governing stability equations, which are derived based on the first-order shear deformation plate theory, are converted into fourth-order and second-order decoupled partial differential equations (PDEs). Considering a Levy-type solution, these two PDEs are reduced to two ordinary differential equations. One of these equations is solved using an accurate analytical solution, which is named as power series Frobenius method. The effects of parameters, such as the plate aspect ratio, ratio of piezoelectric layer thickness to thickness of FGM layer, gradient index, actuator voltage, and the temperature dependency on the critical buckling temperature difference, are illustrated and explained. The critical buckling temperatures of (P/FGM)_s with six various boundary conditions are reported for the first time and can be served as benchmark results for researchers to validate their numerical and analytical methods in the future.     

Association between antiinflammatory cytokine,IL‐10, and sleep quality in patients on maintenance hemodialysis

Elevated proinflammatory cytokines have been attributed to poor sleep quality in patients receiving hemodialysis. This is the first investigation about the relationship between sleep quality and circulating levels of antiinflammatory markers in these patients. A total of 72 patients who were receiving maintenance hemodialysis were enrolled in this cross‐sectional study. The Pittsburgh Sleep Quality Index (PSQI) was used to measure sleep quality. Patients were divided into two groups: good sleepers (PSQI score < 5) and poor sleepers (PSQI score ≥ 5). Assessments were made for serum biochemical parameters (albumin, parathyroid hormone), inflammatory (interleukin [IL]‐6, tumor necrosis factor‐alpha [TNF‐α], and high‐sensitivity c‐reactive protein [hs‐CRP] ) and antiinflammatory (IL‐10) markers. Fifty‐four patients (75%) were classified as poor sleepers. Poor sleepers showed significantly lower levels of serum IL‐10 and higher serum triglyceride and parathyroid hormone concentrations. These patients were more likely to have more comorbidities. The global PSQI score was significantly correlated with serum IL‐10 (p = 0.03) and triglyceride levels (p = 0.01). Multivariate logistic regression analysis showed a direct correlation between PSQI and having comorbidities (p = 0.011, odds ratio [OR] = 3.918; confidence interval 95% [CI] = 2.742–19.031), between PSQI and serum triglyceride (p = 0.027, OR = 1.027 [95% CI = 1.007–1.048] ), and an inverse correlation between PSQI and serum IL‐10 level (p = 0.021, OR = 0.424 [95% CI = 0.195–0.922]). Reduced circulating levels of the antiinflammatory cytokine IL‐10 were significantly associated with poor sleep quality in hemodialysis patients. Factors including serum IL‐10 and triglyceride concentrations and having comorbidities may predict patients prone to poor sleep quality.     

A Comparison of Mamdani and Sugeno Fuzzy Based Packet Scheduler for MANET with a Realistic Wireless Propagation Model

 The mobile nature of the nodes in a wireless mobile ad-hoc network (MANET) and the error prone link connectivity between nodes pose many challenges. These include frequent route changes, high packet loss, etc. Such problems increase the end-toend delay and decrease the throughput. This paper proposes two adaptive priority packet scheduling algorithms for MANET based on Mamdani and Sugeno fuzzy inference system. The fuzzy systems consist of three input variables: data rate, signal-to-noise ratio (SNR) and queue size. The fuzzy decision system has been optimised to improve its efficiency. Both fuzzy systems were verified using the Matlab fuzzy toolbox and the performance of both algorithms were evaluated using the riverbed modeler (formally known as OPNET modeler). The results were compared to an existing fuzzy scheduler under various network loads, for constant-bit-rate (CBR) and variable-bit-rate (VBR) traffic. The measuring metrics which form the basis for performance evaluation are end-to-end delay, throughput and packet delivery ratio. The proposed Mamdani and Sugeno scheduler perform better than the existing scheduler for CBR traffic. The end-to-end delay for Mamdani and Sugeno scheduler was reduced by an average of 52% and 54%, respectively. The performance of the throughput and packet delivery ratio for CBR traffic are very similar to the existing scheduler because of the characteristic of the traffic. The network was also at full capacity. The proposed schedulers also showed a better performance for VBR traffic. The end-to-end delay was reduced by an average of 38% and 52%, respectively. Both the throughput and packet delivery ratio (PDR) increased by an average of 53% and 47%, respectively. The Mamdani scheduler is more computationally complex than the Sugeno scheduler, even though they both showed similar network performance. Thus, the Sugeno scheduler is more suitable for real-time applications.     

Overshoot in the step response of fractional-order control systems

In this paper, a sufficient condition for existence of an overshoot in the step response of fractional-order systems is presented. Based on this condition, it can be shown that the existence of an overshoot in the step responses of some classes of fractional-order systems (for example, the class of fractional-order systems having commensurate orders between 1 and 2) is unavoidable. To show the usefulness of the obtained condition, this condition is applied to prove some results on the time response analysis of fractional-order control systems.     

Smart Innovation Engineering: Toward Intelligent Industries of the Future

ABSTRACT

Knowledge-based engineering systems are founded upon integration of knowledge into computer systems and are one of the core requirements for the future Industry 4.0. This paper presents a system called smart innovation engineering (SIE) capable of facilitating product innovation process semi-automatically. It enhances decision-making processes using the explicit knowledge of formal decision events. The SIE system carries the promise to support the innovation processes of manufactured products in a quick and efficient way. It stores and reuses past decisional events or sets of experiences related to innovation issues, which significantly enhances innovation progression. The analysis of basic concepts and implementation method proves that SIE system is an advanced form of cyber physical systems. It is flexible, systematic, fast, and supports customization. It can play a vital role toward Industry 4.0 development.     

A hybrid metaheuristic approach for the capacitated p-median problem

The capacitated p-median problem (CPMP) seeks to obtain the optimal location of p medians considering distances and capacities for the services to be given by each median. This paper presents an efficient hybrid metaheuristic algorithm by combining a proposed cutting-plane neighborhood structure and a tabu search metaheuristic for the CPMP. In the proposed neighborhood structure to move from the current solution to a neighbor solution, an open median is selected and closed. Then, a linear programming (LP) model is generated by relaxing binary constraints and adding new constraints. The generated LP solution is improved using cutting-plane inequalities. The solution of this strong LP is considered as a new neighbor solution. In order to select an open median to be closed, several strategies are proposed. The neighborhood structure is combined with a tabu search algorithm in the proposed approach. The parameters of the proposed hybrid algorithm are tuned using design of experiments approach. The proposed algorithm is tested on several sets of benchmark instances. The statistical analysis shows efficiency and effectiveness of the hybrid algorithm in comparison with the best approach found in the literature.