Complications of 1303 central venous cannulations

Central venous catheterization (CVC), now a common procedure, has several major complications. We assessed their incidence in a prospective study of 1303 cannulations done in the intensive care unit or operating theatre. Chest radiographs were obtained to verify proper catheter placement and to detect pneumothorax. Complications were arterial puncture in 68 (5.2%) patients, arrhythmias in 21 (1.6%), cardiopulmonary arrest in 1 (0.1%), and pneumothorax in 5 (0.5%). The tip of the CVC was incorrectly located in 149 (11.2%). The chest radiograph was a valuable method for detecting complications of central venous catheterization.     

A randomized comparison of the 3 Papanicolaou smear collection methods

The purpose of this study was to compare the effectiveness of 3 cervical smear sampling devices for obtaining acceptable yields of endocervical cells in Papanicolaou smears. In a randomized, controlled clinical trial, we collected 346 smears over a 6-month period, 110 with the Cervex brush, 125 with the cotton swab plus Ayre spatula and 111 with the Cytobrush plus Ayre spatula. The Cytopathology Laboratory, blinded to the Papanicolaou smear method, screened the smears using the Bethesda system guidelines. Statistical analyses were performed using the Pearson X2 and analysis of variance tests. There was an increased detection of endocervical cells in the Cytobrush plus Ayre spatula and the Cervex brush methods, compared with the cotton swab plus Ayre spatula group (p = 2.39 x 10(-6), p = 4.49 x 10(-7) respectively). There was no statistically significant difference between the Cytobrush-Ayre spatula and the Cervex brush sampling methods were equally effective in obtaining endocervical cells in Papanicolaou smears.     

Status of the tick-borne diseases in sheep and goats in Turkey

A patient treatment is presented to demonstrate a technique using visible-light-cured (VLC) resin to create a characterized denture base for an interim denture. This indication for characterization is routinely seen with African-Americans with dark-pigmented gingiva. Using a combination of blue VLC tray resin and pink VLC denture base resin, the mixture achieves a darker-colored denture base. This technique was used for the fabrication of an interim denture for a patient who required an immediate interim denture. The prosthesis was worn during the healing phase and allowed the patient to function while the definitive prosthesis was being fabricated.     

Synthesis of phosphorus‐ and phenyl‐based ROMP polymers and investigation of their effects on the thermomechanical and flammability properties of a polypropylene–IFR system

In this study, we present an approach for the synthesis of novel phosphorous‐ or phenyl‐ containing polymers, 2_phenyl, 3_phospho, and 2_phenyl‐co‐3_phospho, derived from ring‐opening metathesis polymerization (ROMP), to reduce the flammability of polypropylene (PP). The composites were processed by melt‐blending ROMP polymers and octaphenyl–polyhedral oligomeric silsesquioxane with PP/intumescent flame retardant (IFR) compounds at different compositions. The composites were characterized by limiting oxygen index (LOI), UL‐94, and mechanical tests as well as thermogravimetric analysis (TGA) and differential scanning calorimetry (DSC). The molecular structures of phosphorous‐ and phenyl‐containing polymers were proved by ¹H‐NMR, ¹³C‐NMR, and Fourier transform infrared spectroscopy. The online rheological measurements indicated that the addition of additives to the PP/IFR system increased the melt viscosity of the compounds regardless of the type. The DSC analysis showed that the addition of ROMP polymers to the PP/IFR system influenced the crystal perfection and degree of crystallization. TGA analysis of the composites revealed that the addition of ROMP polymers to PP/IFR compounds deteriorated the thermal stability as the amount of phosphorus increased in the matrix. Dynamic mechanical properties such as storage modulus (E′) and loss modulus (E″) of the composites were lowered by the addition of ROMP polymers. The LOI and UL‐94 rating of PP/IFR were enhanced by the addition of ROMP polymers. It was successfully demonstrated that the novel phosphorous‐ or phenyl‐containing polymers were highly potent additives in optimizing the flammability of PP composites. © 2017 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2018 , 135, 45998.     

In Situ Synthesis of Graphene-Coated Silicon Monoxide Anodes from Coal-Derived Humic Acid for High-Performance Lithium-Ion Batteries

Silicon monoxide (SiO) is attaining extensive interest amongst silicon-based materials due to its high capacity and long cycle life; however, its low intrinsic electrical conductivity and poor coulombic efficiency strictly limit its commercial applications. Here low-cost coal-derived humic acid is used as a feedstock to synthesize in situ graphene-coated disproportionated SiO (D-SiO@G) anode with a facile method. HR-TEM and XRD confirm the well-coated graphene layers on a SiO surface. Scanning transmission X-ray microscopy and X-ray absorption near-edge structure spectra analysis indicate that the graphene coating effectively hinders the side-reactions between the electrolyte and SiO particles. As a result, the D-SiO@G anode presents an initial discharge capacity of 1937.6 mAh g⁻¹ at 0.1 A g⁻¹ and an initial coulombic efficiency of 78.2%. High reversible capacity (1023 mAh g⁻¹ at 2.0 A g⁻¹), excellent cycling performance (72.4% capacity retention after 500 cycles at 2.0 A g⁻¹), and rate capability (774 mAh g⁻¹ at 5 A g⁻¹) results are substantial. Full coin cells assembled with LiFePO₄ electrodes and D-SiO@G electrodes display impressive rate performance. These results indicate promising potential for practical use in high-performance lithium-ion batteries.     

Developing Predictive Equations to Model the Visual Demand of In-Vehicle Touchscreen HMIs

Touchscreen human–machine interfaces (HMIs) are commonly employed as the primary control interface and touch-point of vehicles. However, there has been very little theoretical work to model the demand associated with such devices in the automotive domain. Instead, touchscreen HMIs intended for deployment within vehicles tend to undergo time-consuming and expensive empirical testing and user trials, typically requiring fully functioning prototypes, test rigs, and extensive experimental protocols. While such testing is invaluable and must remain within the normal design/development cycle, there are clear benefits, both fiscal and practical, to the theoretical modeling of human performance. We describe the development of a preliminary model of human performance that makes a priori predictions of the visual demand (total glance time, number of glances, and mean glance duration) elicited by in-vehicle touchscreen HMI designs, when used concurrently with driving. The model incorporates information theoretic components based on Hick–Hyman Law decision/search time and Fitts’ Law pointing time and considers anticipation afforded by structuring and repeated exposure to an interface. Encouraging validation results, obtained by applying the model to a real-world prototype touchscreen HMI, suggest that it may provide an effective design and evaluation tool, capable of making valuable predictions regarding the limits of visual demand/performance associated with in-vehicle HMIs, much earlier in the design cycle than traditional design evaluation techniques. Further validation work is required to explore the behavior associated with more complex tasks requiring multiple screen interactions, as well as other HMI design elements and interaction techniques. Results are discussed in the context of facilitating the design of in-vehicle touchscreen HMI to minimize visual demand.     

Influences of elastic foundations and shear deformations on the buckling behavior of functionally graded material truncated conical shells under axial compression

This article presents an investigation on the buckling of functionally graded (FG) truncated conical shells under an axial load resting on elastic foundations within the shear deformation theory (SDT). The governing equations are solved using the Galerkin method, and the closed-form solution of the axial buckling load for FG conical shells on elastic foundations within the SDT is obtained. Various numerical examples are presented and discussed to verify the accuracy of the closed-form solution in predicting dimensionless buckling loads for FG conical shells on the Winkler–Pasternak elastic foundations within the SDT.     

Modeling of ferrofluid magnetic actuation with dynamic magnetic fields in small channels

One of the most important and promising research areas in biomedical and micropumping applications is magnetic actuation of ferrofluids with dynamic magnetic fields. For ensuring the use of ferrofluids in various applications in engineering fields, their flows generated by magnetic fields should be extensively investigated and simulated. In this study, simulations of ferrofluid actuation with dynamic magnetic fields were performed by modeling it using the COMSOL Multiphysics software, and iron oxide nanoparticle-based ferrofluids at different angles of rotating magnets were considered to provide insight into ferrofluid flow in small channels. Ferrofluid flows were modeled at different magnetic flux densities provided by rotating magnets, and velocity profiles inside the channel were analyzed. It was shown that ferrofluid actuation can be considered as a futuristic micropumping alternative, simulation results matched well with the experimental results of previous work, and the established model could serve as a tool to analyze ferrofluid flows generated by dynamic magnetic fields. The results of the model show that flow rates up to 100 µl/s can be reached at a rotation angle of 30° by using dynamic magnetic fields. Various applications including biomedical applications might be envisaged.     

Spray‐Coating Magnetic Thin Hybrid Films of PS‐b‐PNIPAM and Magnetite Nanoparticles

Spray coating is employed to fabricate magnetic thin films composed of the diblock copolymer polystyrene‐block‐poly(N‐isopropylacrylamide) and Fe₃O₄ magnetic nanoparticles (MNPs) functionalized with hydrophobic coatings. The kinetics of structure formation of the hybrid films is followed in situ with grazing incidence small angle X‐ray scattering during the spray deposition. To gain a better understanding of the influence of MNPs on the overall structure formation, the pure polymer film is also deposited as a reference via an identical spray protocol. At the initial spraying stage, the hybrid film (containing 2 wt% of MNPs) exhibits a faster formation process of a complete film as compared to the reference. The existence of MNPs depresses the dewetting behavior of polymer films on the substrate at macroscale and simultaneously alters the polymer microphase separation structure orientation from parallel to vertical. As spraying proceeds, MNPs aggregate into agglomerates with increasing sizes. After the spray deposition is finished, both samples gradually reach an equilibrium state and magnetic films with stable structures are achieved in the end. Superconducting quantum interference device investigation reveals the superparamagnetic property of the sprayed hybrid film. Consequently, potential application of sprayed films in fields such as magnetic sensors or data storage appears highly promising.