Cerebral microbleeds and cognitive decline in a hemodialysis patient: Case report and review of literature

Cerebral microbleeds (CMBs) are small hemosiderin deposits indicative of prior cerebral microscopic hemorrhage and previously thought to be clinically silent. Recent population‐based cross‐sectional studies and prospective longitudinal cohort studies have revealed association between CMB and cognitive dysfunction. In the general population, CMBs are associated with age, hypertension, and cerebral amyloid angiopathy. In the chronic kidney disease (CKD) population, diminished estimated glomerular filtration rate has been found to be an independent risk factor for CMB, raising the possibility that a uremic milieu may predispose to microbleeds. In the end‐stage renal disease (ESRD) population on hemodialysis, the incidence of microbleeds is significantly higher compared with a control group without history of CKD or stroke. We present an ESRD patient on chronic hemodialysis with a history of gradual cognitive decline and progressive CMBs. Through this case and literature review, we illustrate the need to develop detection and prediction models to treat this frequent development in ESRD patients.     

Denying History: Comment.

Comments on an article by Eidelson and Eidelson (see record 2003-03645-004) which made an important contribution, at a critical juncture, to the discussion of international conflicts by identifying core dimensions that allow for the systematic examination of the problem. Their article also posed a danger that mirrors a disturbing trend in the public discourse about conflicts and injustice. In response to the recent escalation of international violence and years of mixed results of engagement in debates centered around grievances of injustice (such as the Palestinian-Israeli conflict), many politicians, pundits, and scholars have advocated addressing conflicts by separating them from the underlying grievances and the ongoing injustice. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Contractor-Performed Quality Control: Is the Fox Guarding the Henhouse?

At the same time that state departments of transportation are allowing contractor-performed quality control, they are also concerned about using the contractor-reported data for acceptance and payment purposes. The question is, are we putting the fox in charge of guarding the chickens? To address this concern, a large number of asphalt and concrete projects in Kentucky were examined. The statistical analyses showed that for the most part there is no significant difference between the contractor-performed acceptance data and concomitant highway agency-performed verification data. This is obviously a very encouraging finding that is expected to enhance the level of trust between the contractors and highway agencies.     

An experimental evaluation of traumatic globe rupture

PURPOSE: The purpose of this investigation was to evaluate the surgeon's ability to assess various types of globe injury, to determine the force necessary to rupture the globe with these types of injuries, and to determine typical orbital retraction forces used in the clinical setting. MATERIALS AND METHODS: Forty-four enucleated globes from recently killed cows were divided into four equal groups-one uninjured control group, one group with a through-and-through scleral laceration, another group with a subtotal scleral laceration, and the last group with an 18-gauge needle perforation. Twenty-seven boarded or board eligible oral and maxillofacial surgeons were asked to assess one sample from each of the four groups. They were then asked to retract a simulated globe on a custom-fabricated jig to determine clinical retraction forces. Ten globes from each of the four groups were then subjected to forces until rupture on an Instron 8501M mechanical testing unit. Accuracy of the clinical assessment was determined, and means and standard deviations of the retraction forces and globe rupture forces were derived. RESULTS: Through-and-through lacerations were assessed by surgeons with 100% accuracy, subtotal lacerations with 96% accuracy, uninjured globes with 74% accuracy, and perforated globes with 15% accuracy. Globe rupture occurred at 16.72+/-7.87 kg in the control group, 20.36+/-7.87 kg in the perforated group, 15.38+/-6.06 kg in the subtotal laceration group, and 4.94+/-2.56 kg in the through-and-through laceration group. Statistically significant differences (P < .001) were noted between the total laceration group and all other groups. The mean retraction force was 0.35+/-0.47 kg, which was statistically less than the force used in all of the rupture groups (P < .001). CONCLUSIONS: Severe injuries (through-and-through lacerations) were assessed with 100% accuracy by the clinicians, and less severe injuries with less accuracy. Rupture forces for globes with perforations and subtotal lacerations were no different than for the control group, but substantially less than for the total laceration group. The simulated clinical retraction forces were substantially more than the rupture forces in all of the groups, including the through-and-through laceration group.     

Energy-efficient control of nanosatellites during distributed region formation flying

In this paper, we present an energy-efficient method for distributed region formation flying of nanosatellites. The proposed framework consists of two concurrent sub-schemes that include estimation and formation. In the estimation sub-scheme, unlike the existing methods on satellite formation flying, that assume the availability of the reference orbital elements to all followers, here, a distributed estimator is developed so that the follower nanosatellites estimate the position of the leader in its orbital slot. In the formation sub-scheme, we consider a region formation strategy which is an efficient method in dealing with the formation of a large number of nanosatellites. We propose an optimal region following formation method based on the receding horizon control (RHC) using the estimated reference orbital elements. Subsequently, an algorithm is presented to solve the proposed energy-efficient formation flying method. Finally, the simulation result is presented that illustrates the purposed method improves the power consumption for each nanosatellite with respect to the existing non-optimal region formation flying controllers.     

Comparative evaluation of performance measures for human driving skills

In this paper, we evaluate the adequacy of several performance measures for the evaluation of driving skills between different drivers. This work was motivated by the need for a training system that captures the driving skills of an expert driver and transfers the skills to novice drivers using a haptic-enabled driving simulator. The performance measures examined include traditional task performance measures, e.g., the mean position error, and a stochastic distance between a pair of hidden Markov models (HMMs), each of which is trained for an individual driver. The emphasis of the latter is on the differences between the stochastic somatosensory processes of human driving skills. For the evaluation, we developed a driving simulator and carried out an experiment that collected the driving data of an expert driver whose data were used as a reference for comparison and of many other subjects. The performance measures were computed from the experimental data, and they were compared to each other. We also collected the subjective judgement scores of the driver’s skills made by a highly-experienced external evaluator, and these subjective scores were compared with the objective performance measures. Analysis results showed that the HMM-based distance metric had a moderately high correlation between the subjective scores and it was also consistent with the other task performance measures, indicating the adequacy of the HMM-based metric as an objective performance measure for driving skill learning. The findings of this work can contribute to developing a driving simulator for training with an objective assessment function of driving skills.     

Performance of Pd composite membrane prepared by organic–inorganic method in WGS membrane reactor

H₂ production via water–gas shift (WGS) reaction in a Pd membrane reactor prepared by the electroless plating technique (ELP) “organic–inorganic” method was investigated. Pd nanoparticles embedded polyethylene glycol (PEG) was used as a polymer template during the activation step. Gas permeation results showed an infinite selectivity for H₂/N₂ with a H₂ flux of 0.004–0.016 mol/m²·s depending on operating conditions while it decreased until 0.0005 mol/m²·s for gas mixtures. Furthermore, WGS membrane reactor experiments showed a maximum CO conversion of 98.5% with a H₂ recovery of 16% at 450°C. The membrane performance was consistent during WGS catalytic membrane reactors (CMR) tests, thereby confirming the stability of the obtained membrane.     

Effect of Shot Peening Operation on the Microstructure and Wear Behavior of AZ31 Magnesium Alloy

Protection of Metals and Physical Chemistry of Surfaces - Shot peening is a treatment used to increase surface hardness and wear resistance. In this study, the effect of shot peening on the...     

Simulation and experimental investigation of two hybrid solar domestic water heaters with drain water heat recovery

In this paper, the performance of two solar domestic hot waters (SDHW) with drain water heat recovery (DWHR) units is investigated. Both SDHW systems are recently installed at the Archetype Sustainable Twin Houses at Kortright Center, Vaughan, Ontario. The first SDWH system in House A consists of a flat plate solar thermal collector in combination with a gas boiler and a DWHR unit. The second SDHW system in House B includes an evacuated tube solar collector, an electric tank, and a DWHR unit. Both systems are modeled in TRNSYS, and the models are validated by experimental data. The addition of the DWHR and the flat‐plate solar thermal collector would result in 1831 kWh of annual energy saving in House A. While the addition of the DWHR and the evacuated tube collector in House B would result in an annual energy saving of 1771 kWh. Subsequently, the models are used to investigate the performance of similar systems for five major Canadian cities of Halifax, Montreal, Toronto, Edmonton, and Vancouver. The conjunctions of solar thermal collectors with DWHR units are found most beneficial in Edmonton. It is also noted from experimental and simulated results that flat‐plate solar collector‐based water heater produced more thermal energy than the system based on the evacuated tube solar collector for all major Canadian cities. Copyright © 2015 John Wiley & Sons, Ltd.     

Structural/texture evolution of CaO/MCM‐41 nanocatalyst by doping various amounts of cerium for active and stable catalyst: Biodiesel production from waste vegetable cooking oil

In present work, the aim of producing biodiesel from waste cooking oil was pursued by doping the cerium element into the MCM‐41 framework as catalyst with various Si/Ce molar ratio (5, 10, 25, 50, and Ce = 0). The catalytic performance and stability improved by employing the ultrasound irradiation in active phase loading step of catalyst preparation. The physicochemical characteristics of synthesized samples were investigated using various techniques as follows: Brunauer‐Emmett‐Teller (BET), X‐ray powder diffraction (XRD), Fourier transfer infrared (FTIR), energy‐dispersive X‐ray spectroscopy (EDX), transmission electron microscopy (TEM), and field emission scanning electron microscope (FESEM). The XRD patterns along with the results of FTIR and BET analysis revealed the MCM‐41 framework destruction while increasing the Ce content. The FESEM images of the nanocatalysts illustrated a well distribution and uniform morphology for the Ca/CeM (Si/Ce = 25). The particle size and size distribution of the Ca/CeM (Si/Ce = 25) were subsequently determined by TEM and FESEM images. The activity of fabricated nanocatalysts was evaluated by measuring the free acid methyl ester (FAME) content of produced biodiesel. The tests were carried out at constant operational conditions: T = 60°C, catalyst loading = 5 wt%, methanol/oil molar ratio = 9, and 6‐hour reaction time. A superior activity was observed for Ca/CeM (Si/Ce = 25) among other nanocatalysts with 96.8% conversion of triglycerides to biodiesel. The mentioned sample was utilized in five reaction cycles, and at the end of the fifth cycle, the conversion reached to 91.5% which demonstrated its significant stability.