Spontaneous bacterial peritonitis in patients with ventriculoperitoneal shunts

A questionnaire to evaluate the needs of dialytic patients and the burden that these have on the health service and staff, was formulated by the nurses. The results showed how the patient's case history indicate, significantly, not only personal and subjective aspects (e.g. interpersonal relationships), but also how they construct their relationships with the hospital and its service (including the hospital staff). This opens up certain reflections on what role communication and information play within the hospital structure.     

Swords to plowshares: Shock wave applications to advanced lithography

xtreme ltra iolet ithography (EUVL) seeks to apply radiation in a wavelength region centered near 13 nm to produce microcircuits having feature sizes 0.1 micron or less. A critical requirement for the commercial application of this technology is the development of an economical, compact source of this radiation which is suitable for lithographic applications. A good candidate is a laser-plasma source, which is generated by the interaction of an intermediate intensity laser pulse (up to 10¹² W/cm²) with a metallic target. While such a source has radiative characteristics which satisfy the needs of an EUVL source, the debris generated during the laser-target interaction strikes at the economy of the source. Here, we review the use of concepts and computer modeling, originally developed for hypervelocity impact analysis, to study this problem.     

Ventilatory management in the postanesthesia care unit

Postoperative ventilatory depression is common in patients who have received intravenous and inhalational anesthetic agents. Prompt assessment and treatment of ventilatory depression are essential to minimize morbidity and mortality.     

Ignition mechanism of the Zr/PbCrO4 pyrotechnic mixture in presence of an oxidizing atmosphere

In presence of oxygen, the Zr/PbCrO₄ (60%/40%) solid mixture exhibits a high amplitude exothermal reaction at low temperature (before reaching the oxidant decomposition temperature). We assume that the reaction is entertained by the air oxygen which continuously diffuses into the mixture pores. The solid-phase diffusion of oxygen through a zircon layer seems to constitute the limiting step of the reaction. To verify this assumption, a model allowing for diffusion in a protective oxide is developed. The results obtained with this model correspond to the tests for an apparent energy diffusion value varying between 130 kJ/mol and 170 kJ/mol. A value of 130 kJ/mol corresponds to the migration energy of the anionic gaps in a porous zircon layer. The evolution of the apparent diffusion energy can be attributed to the formation energy of crystalline defects (in particular anionic gaps).     

Warranty-based method for establishing reliability improvement targets

Modern day competition in manufacturing requires producers to rely heavily on continuous quality improvement methods to remain competitive. Reliability being a significant element of quality is the primary means for making design and process improvements. Current reliability allocation methods to establish improvement goals focus on cost reduction but do not necessarily give due consideration to the relative impact of component cost. A method is presented that uses warranty burden rates as a weighting factor to develop component improvement goals. A sample application is given to illustrate application of the method.     

Quasicrystalline Structures as Catalyst Precursors for Hydrogenation Reactions

The quasicrystalline structures of alloys with nominal compositions of Al₇₂Ni_13.4Co_14.6 and Al_72.3Ni_7.8Co_19.8 were characterized by X-ray diffraction, transmission electron microscopy and scanning electron microscopy. For catalytic application, the solids were leached with an alkaline NaOH solution and tested at 373 K with two model reactions under atmospheric pressure: hydrogenation of crotonaldehyde and acetonitrile. The catalytic activities of these leached alloys were compared to that of a Raney nickel reference catalyst. Catalysts prepared from quasicrystals showed high catalytic activities and high selectivities towards butanal (in crotonaldehyde hydrogenation) and ethylamine (in acetonitrile hydrogenation).     

Bioactivity modulation of Bioglass® powder by thermal treatment

A discussion of the effects of Bioglass^® powder crystallisation on the in vitro bioactivity in simulated body fluid (SBF) is presented.Starting from Bioglass^® powder, different glass–ceramics were obtained by thermal treatments between 580 °C and 800 °C, with variable crystallisation content (from 10 to 92 wt%). All samples (glass and glass–ceramics) showed apatite formation at their surface when immersed in SBF. In case of the glass and the samples with lowest crystallinity, the first step of apatite formation involved a homogenous dissolution followed by an amorphous calcium phosphate (CaP) layer precipitation. For the samples with a high crystallisation content, heterogeneous dissolution occurred. For the first time, the Stevels number of the amorphous phase is used to explain the possible dissolution of the crystalline phase present in materials with a similar chemical composition of the Bioglass^®. All samples presented at 21 days of immersion in SBF B-type hydroxycarbonate apatite crystals.     

A study of the mechanism of in vitro cytotoxicity of metal oxide nanoparticles using catfish primary hepatocytes and human HepG2 cells

Nanoparticles (NPs), including nanometal oxides, are being used in diverse applications such as medicine, clothing, cosmetics and food. In order to promote the safe development of nanotechnology, it is essential to assess the potential adverse health consequences associated with human exposure. The liver is a target site for NP toxicity, due to NP accumulation within it after ingestion, inhalation or absorption. The toxicity of nano-ZnO, TiO₂, CuO and Co₃O₄ was investigated using a primary culture of channel catfish hepatocytes and human HepG2 cells as in vitro model systems for assessing the impact of metal oxide NPs on human and environmental health. Some mechanisms of nanotoxicity were determined by using phase contrast inverted microscopy, 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assays, reactive oxygen species (ROS) assays, and flow cytometric assays. Nano-CuO and ZnO showed significant toxicity in both HepG2 cells and catfish primary hepatocytes. The results demonstrate that HepG2 cells are more sensitive than catfish primary hepatocytes to the toxicity of metal oxide NPs. The overall ranking of the toxicity of metal oxides to the test cells is as follows: TiO₂ < Co₃O₄ < ZnO < CuO. The toxicity is due not only to ROS-induced cell death, but also to damages to cell and mitochondrial membranes.