Rapid infusion system for neurosurgical treatment of massive intraoperative hemorrhage

Using an illustrative case of severe closed head injury that resulted in a posterior fossa epidural hematoma (EDH) and supratentorial epidural/subdural hematomas (SDH), the massive blood losses associated with operative repair of the torn sigmoid sinus and the significant fluid losses associated with refractory diabetes insipidus were treated by the intraoperative use of the Rapid Infusion System (RIS, Haemonetics). The RIS can rapidly infuse warm blood, crystalloid, or colloid at rates up to 1.5 L/min, thereby limiting the commonly associated hypotension, hypothermia, and coagulopathies. During the suboccipital craniectomy for evacuation of the EDH and repair of the sigmoid sinus, the patient required 18 units of blood replacement secondary to a large tear in the sigmoid sinus. During a separate craniotomy for evacuation of the SDH, the patient also developed diabetes insipidus, which increased the operative fluid replacement to 39 L. Despite these massive blood and fluid losses, the RIS limited the hypotension to less than 2 min and prevented hypothermia and the frequently associated coagulopathies. When used in a neurosurgical setting associated with massive blood and/or fluid losses, the RIS accomplishes three important objectives: (1) rapid infusion of intravenous fluids for maintaining perfusion pressure, (2) rapid warming of fluids despite high intravenous infusion rates of cold crystalloids, thereby preventing intraoperative hypothermia, and (3) continuous monitoring of infusion rates and totals.     

Photoinduced changes of the electrical conductivity in modified Y-Ba-Cu-O thin films

The conductivity changes of Y₁Ba₂Cu₃O_7– thin films under r.f. field and white light treatment at 77 K and under laser irradiation at 300 K were studied. The modified films were found to recover partially after prolonged laser illumination. The kinetics of photoactivation was investigated. The observed nonthermally induced changes were associated with free carrier trapping and local disordering of the lattice.     

Wind turbine extreme gust control

This paper focuses on the problem of extreme wind gust and direction change recognition (EG&DR) and control (EEC). An extreme wind gust with direction change can lead to large loads on the turbine (causing fatigue) and unnecessary turbine shutdowns by the supervisory system caused by rotor overspeed. The proposed EG&DR algorithm is based on a non‐linear observer (extended Kalman filter) that estimates the oblique wind inflow angle and the blade effective wind speed signals, which are then used by a detection algorithm (cumulative sum test) to recognize extreme events. The non‐linear observer requires that blade root bending moments measurements (in‐plane and out‐of‐plane) are available. Once an extreme event is detected, an EEC algorithm is activated that: (i) tries to prevent the rotor speed from exceeding the overspeed limit by fast collective blade pitching; and (ii) reduces 1p blade loads by means of individual pitch control algorithm, designed in an ?_∞ optimal control setting. The method is demonstrated on a complex non‐linear test turbine model. Copyright © 2009 John Wiley & Sons, Ltd.     

Development of sera reference panels for quality control of ELISA diagnostic kits in Russia

The clinico-immunological examination of 57 patients with chronic bacterial prostatitis was carried out. The clinical analysis made it possible to divide the patients into 3 groups characterized by the presence of chronic inflammatory diseases of other organs which had appeared before (group 1) or after (group 2) the manifestation of the symptoms of prostatitis, aw well as by the absence of concomitant inflammatory diseases (group 3). At the same time these patients were found to have changes in their immune status, most pronounced in patients of groups 1 and 2. The clinico-immunological analysis of the patients with chronic bacterial prostatitis revealed the fact that chronic bacterial prostatitis was a chronic inflammatory process linked with changes in the immune system; these changes had the signs of secondary immunodeficiency and required immunocorrective therapy.     

Heat transfer during laminar flow in a vertical annular channel with a constant temperature of the outer wall

Developed flows during combined convection in a vertical concentric annular channel are discussed. The problem is solved for descending and ascending flows. A dimensionless equation is obtained for calculating the value of the heat-transfer coefficient averaged over the length of the channel.Translated from Inzhenerno-Fizicheskii Zhurnal, Vol. 33, No. 1, pp. 11–16, July, 1977.     

Distinguishing the causes of firing with the membrane potential slope

In this letter, we aim to measure the relative contribution of coincidence detection and temporal integration to the firing of spikes of a simple neuron model. To this end, we develop a method to infer the degree of synchrony in an ensemble of neurons whose firing drives a single postsynaptic cell. This is accomplished by studying the effects of synchronous inputs on the membrane potential slope of the neuron and estimating the degree of response-relevant input synchrony, which determines the neuron's operational mode. The measure is calculated using the normalized slope of the membrane potential prior to the spikes fired by a neuron, and we demonstrate that it is able to distinguish between the two operational modes. By applying this measure to the membrane potential time course of a leaky integrate-and-fire neuron with the partial somatic reset mechanism, which has been shown to be the most likely candidate to reflect the mechanism used in the brain for reproducing the highly irregular firing at high rates, we show that the partial reset model operates as a temporal integrator of incoming excitatory postsynaptic potentials and that coincidence detection is not necessary for producing such high irregular firing.