Perioperative specific management of blood volume loss in craniosynostosis surgery

Accurate assessment and replacement of blood loss and fluid-electrolyte deficit during craniosynostosis repair is difficult owing to patient size and the diversity of surgical technique. Forty-three patients undergoing primary craniosynostosis repair over a 10-year period were studied retrospectively to determine blood loss and fluid deficit and to assess blood transfusion practices during both intraoperative and postoperative periods. Blood loss was calculated on the basis of estimated red cell mass (ERCM) and fluid-electrolyte imbalance was investigated with blood samplings. Blood transfusion was considered appropriate if the postoperative or posttransfusion ERCM was within 12% of the preoperative value. Estimated fluid requirement (EFR) was used in 4 ml kg(-1) h(-1) except for neonates. Intraoperatively, 80% of all patients were appropriately managed with respect to blood transfusion and EFR. Postoperatively only 20% of the patients receiving transfusions were transfused appropriately. In 23.3% of these patients (10/43) unexpected respiratory distress developed immediately after their recovery from the anesthesia. With the measurement of estimated blood volume and allowable blood loss, appropriate transfusion could be achieved for the successful treatment of the primary craniosynostosis.     

Synthesis and characterization of in situ polymerized segmented thermoplastic elastomeric polyurethane/layered silicate clay nanocomposites

Nanocomposites based on thermoplastic elastomeric polyurethane (TPU) and layered silicate clay were prepared by in situ synthesis. The properties of nanocomposites of TPU with unmodified clay were compared with that of organically modified clay. The nanocomposites of the TPU and organomodified clay showed better dispersion and exhibited superior properties. Exfoliation of the clay layers was observed at low organoclay contents, whereas an intercalated morphology was observed at higher clay contents. As one of major purposes of this study, the effect of the silicate layers in the nanocomposites on the order–disorder transition temperature (T_ODT) of the TPU was evaluated from the intensity change of the hydrogen‐bonded and free carbonyl stretching peaks and from the peak position change of the N? H bending peak. The presence of the organoclay increased T_ODT by approximately 10°C, which indicated improved stability in the phase‐separated domain structure. The layered silicate clay caused a tremendous improvement in the stiffness of the TPU; meanwhile, a reduction in the ultimate elongation was observed. © 2006 Wiley Periodicals, Inc. J Appl Polym Sci 102: 3048–3055, 2006     

Silver Nanoflower Decorated Graphene Oxide Sponges for Highly Sensitive Variable Stiffness Stress Sensors

Soft conductive materials should enable large deformation while keeping high electrical conductivity and elasticity. The graphene oxide (GO)‐based sponge is a potential candidate to endow large deformation. However, it typically exhibits low conductivity and elasticity. Here, the highly conductive and elastic sponge composed of GO, flower‐shaped silver nanoparticles (AgNFs), and polyimide (GO‐AgNF‐PI sponge) are demonstrated. The average pore size and porosity are 114 µm and 94.7%, respectively. Ag NFs have thin petals (8–20 nm) protruding out of the surface of a spherical bud (300–350 nm) significantly enhancing the specific surface area (2.83 m² g^?1). The electrical conductivity (0.306 S m^?1 at 0% strain) of the GO‐AgNF‐PI sponge is increased by more than an order of magnitude with the addition of Ag NFs. A nearly perfect elasticity is obtained over a wide compressive strain range (0–90%). The strain‐dependent, nonlinear variation of Young's modulus of the sponge provides a unique opportunity as a variable stiffness stress sensor that operates over a wide stress range (0–10 kPa) with a high maximum sensitivity (0.572 kPa^?1). It allows grasping of a soft rose and a hard bottle, with the minimal object deformation, when attached on the finger of a robot gripper.     

Thermal conductivity of CVD diamond films

Diamond films 60 and 170 µm in thickness were grown by PACVD (plasma-assisted chemical vapor deposition) under similar conditions. The thermal diffusivity of these freestanding films was measured between 100 and 300 K using AC calorimetry. Radiation heat loss from the surface was estimated by analyzing both the amplitude and the phase shift of a lock-in amplifier signal. Thermal conductivity was calculated using the specific heat data of natural diamond. At room temperature, the thermal conductivity of the 60 and 170 m films is 9 and 16 W-cm^–1. K^–1 respectively, which is 40–70% that of natural diamond, The temperature dependence of thermal conductivity of the CVD diamond films is similar to that of natural diamond, Phonon scattering processes are considered using the Debye model, The microsize of the grain boundary has a significant effect on the mean free path of phonons at low temperatures. The grain in CVD diamond film is grown as a columnar structure, Thus, the thicker film has the larger mean grain size and the higher thermal conductivity. Scanning electron microscopy (SEM) and Raman spectroscopy were used to study the microstructure of the CVD diamond films. In this experiment, we evaluated the quality of CVD diamond film of the whole sample by measuring the thermal conductivity.Paper presented at the Twelfth Symposium on Thermophysical Properties, June 19–24, 1994, Boulder, Colorado, U.S.A.     

Mobile-cloud assisted framework for selective encryption of medical images with steganography for resource-constrained devices

In this paper, the problem of outsourcing the selective encryption of a medical image to cloud by resource-constrained devices such as smart phone is addressed, without revealing the cover image to cloud using steganography. In the proposed framework, the region of interest of the medical image is first detected using a visual saliency model. The detected important data is then embedded in a host image, producing a stego image which is outsourced to cloud for encryption. The cloud which has powerful resources, encrypts the image and sent back the encrypted marked image to the client. The client can then extract the selectively encrypted region of interest and can combine it with the region of non-interest to form a selectively encrypted image, which can be sent to medical specialists and healthcare centers. Experimental results and analysis validate the effectiveness of the proposed framework in terms of security, image quality, and computational complexity and verify its applicability in remote patient monitoring centers.     

Transient temperature responses of hydronic radiant floor heating system by different pipe embedding depth and water supply condition

"Ondol" is a Korean unique heating system. It is a specific radiant floor heating system using combustion heat of briquette or timber in Korea. Such traditional "Ondol" is changed to radiant heating system with pipe-coil embedded in the floor or slab. This study has contributed to the understandings of the transient behaviours of Ondol-heated floor panels and enclosure exposed to this type of heating system. The result is that the water supply temperature had a large effect on the rate of increase in floor surface and room air temperature. But, in spite of a higher water supply temperature, the heat flow rate was not increased considerably. The shallow pipe embedding depths, of course, result in a low heat flow rate.     

A study on interfacial mechanisms and structure of poly(ethylene-co-methacrylic acid)/copper with reflection–absorption infrared spectroscopy

The interfacial mechanism and structure of poly(ethylene-co-methacrylic acid)/copper were investigated using reflection-absorption infrared spectroscopy (RAIR). Based on IR spectrum of EMAA/copper, a strong absorption peak appearing at approximate 1,600 cm⁻¹ is attributed to the asymmetric stretching vibration of COO^― (υCOO_as^―) and a relatively weak absorption band at 1,375 cm⁻¹ is assigned to the symmetric stretching vibration of COO^― (υCOO_s^―). Therefore, it can be determined that copper interacts with EMAA through a strong ionic interaction and carboxylate structure is formed in the interfacial regions. And, according to the band intensities of carboxylate stretching modes and different sensitivities of RAIR to perpendicular and parallel transition moments, it can be concluded that EMAA is absorbed onto a copper substrate with a configuration in which the twofold axis of the C_2υ point group for carboxylate group inclines certain degree from the normal to the surface. In addition, the interfacial carboxylate structure of EMAA/copper is confirmed to be a monodentate one through calculating the difference (Δυ)between the asymmetric carboxylate stretch (υCOO_as^―) and the symmetric stretch (υCOO_s^―).