Fabrication of biocompatible hydrogel coatings for implantable medical devices using Fenton-type reaction

In this paper the authors present a simple method of coating polyurethane (PU) surface with poly(vinyl pirrolidone) (PVP) hydrogel. The hydrogel-coated materials were designed for use in biomedical applications, especially in blood-contacting devices. The coating is formed due to free radical macromolecular grafting–crosslinking. Polymer surface was first immersed in an organic solution containing radical source: cumene hydroperoxide (CHP) with an addition of a branching and anchoring agent: ethylene glycol dimethylacrylate (EGDMA). In the second step, the substrate was immersed in a water solution containing given concentration of PVP and Fe²⁺. The novelty of the process consists in the fact that free radicals are formed mostly at the polymer/solution interface, what assures high grafting efficiency together with the formation of covalent bonds between polymer substrate and modifying layer.The process was optimized for reagents concentrations. The coating properties: thickness and the swelling ratio were strongly influenced by CHP, Fe²⁺, PVP and EGMDA concentrations. The chemical composition of the surface analyzed with FTIR-ATR spectroscopy confirmed the presence of PVP coating. In vitro biocompatibility tests with L929 fibroblasts confirmed non-cytotoxicity of the coatings. Hydrogel coating significantly improved polyurethane hemocompatibility. Studies with human whole blood revealed that both, the platelet consumption and the level of platelet activation were as low as for negative control.     

Soft computing methods applied to combination of one-class classifiers

The paper shows the possibilities of generalizing the two-class classification into multi-class classification by means of a fuzzy inference system. Fuzzy combiner harnesses the support values from classifiers to provide final response having no other restrictions on their structure. We compare proposed combination methods with ECOC and two variations of decision templates, based on Euclidean and symmetric distance. The effectiveness of the proposed combination method based on the fuzzy logic theory is also evaluated via computer experiments carried out on benchmark datasets.     

Improved Open Photoacoustic Helmholtz Cell

This paper presents the design of an open photoacoustic Helmholtz cell in which high acoustic volumes with quarter-wave ducts act as high-impedance separators between the main Helmholtz cell structure and the exterior. As a result, penetration of the external acoustic noise into the cell was substantially reduced in comparison to earlier open Helmholtz cell designs. Although the presented cell is not windowless, the photoacoustic background signal resulting from the absorption of the light by the windows is significantly lower in comparison to standard Helmholtz cells. Such an effect was obtained by locating the windows not at the relatively small sample cavity, but at the acoustic buffers, for which the volumes are two orders of magnitude higher. The proposed cell is dedicated for gas or liquid measurements, and its design allows for constant flow of the fluid. Hence, it can be used in continuous, real-time photoacoustic measurements.     

Creation of arteriovenous fistulae for hemodialysis in octogenarians

Elderly patients, defined as octogenarians and nonagenarians, are an increasing population entering renal replacement therapy. Advanced age appears as an exclusive factor negatively influencing dialysis practice. Elderly patients are referred late for the initiation of hemodialysis and more likely are offered catheters rather than arteriovenous fistulae (AVF), which increase mortality and negatively affect quality of life. We present our approach to the creation of vascular access for hemodialysis in this demanding population. In 2006–2012, 39 patients aged 85.9 ± 2.05 with end‐stage renal disease, mainly resulting from ischemic nephropathy, were admitted to the Department of Nephrology to establish permanent vascular access for hemodialysis: preferably AVF. Temporary dialysis catheters were implanted in uremic emergency to bridge the time to fistula creation/maturation. AVF was attempted in 87.2% of the patients. Primary AVF function was achieved in 54% of the patients. Cumulative proportional survival of AVF at months 12 and 24 was 81.5%. Ninety‐four percent of AVF were localized on the forearm: 74% in the distal and 20% in the proximal part. Mean duration of hemodialysis therapy was 20.80 ± 19.45 months. The mean time of AVF use was 15.9 ± 20.2 months. Until present, 38% have been dialyzed using AVF for 31.0 ± 18.8 months. Five patients died with functioning fistula. Eight patients initiated hemodialysis therapy with fistula. During further observation, the use of AVF increased to 62%. Elderly patients should not be denied creation of AVF as a rule. The outcome of AVF benefits more from acknowledging individual vascular conditions rather than age of the patient.     

Hot Deformation of AA6082 Containing Fine Intermetallic Particles

Hot deformation of AA6082 aluminum alloy was studied by compression tests carried out between 573 K and 823 K (300 °C and 550 °C) under a wide range of strain rates. Light optical and scanning electron microscopy were used to study the as-received microstructure, which consisted of elongated, partially recrystallized grains containing fine Mg₂Si and AlFeMnSi particles. The hot-deformed material showed the effects of dynamic recovery, i.e., small low angle grain boundary formation and dislocation pinning by fine particles. The flow data were used to calculate the constitutive equations, obtaining high values of n exponent. This behavior was attributed to the interaction of particles with dislocations during hot deformation. Threshold stresses were introduced to adjust the constitutive equation to a n exponent value of 5 at high stresses and a value of 3 in the low stresses range, which was related to dislocations’ climbing and sliding and thus to dynamic recovery. The threshold values were related to the detachment stresses in close connection with the precipitation state which was a function of the deformation temperature.     

Interfacial Phenomena in Al/Al,Al/Cu,and Cu/Cu Joints Soldered Using an Al-Zn Alloy with Ag or Cu Additions

The studies of soldered joints were carried out in systems: Al/solder/Al, Al/solder/Cu, Cu/solder/Cu, where the solder was (Al-Zn)_EUT, (Al-Zn)_EUT with 0.5, 1.0, and 1.5 at.% of Ag and (Al-Zn)_EUT with 0.5, 1.0, and 1.5 at.% of Cu addition. Brazing was performed at 500 °C for 3 min. The EDS analysis indicated that the composition of the layers starting from the Cu pad was CuZn, Cu5Zn8, and CuZn4, respectively. Wetting tests were performed at 500 °C for 3, 8, 15, and 30 min, respectively. Thickness of the layers and their kinetics of growth were measured based on the SEM micrographs. The formation of interlayers was not observed from the side of Al pads. On the contrary, dissolution of the Al substrate and migration of Al-rich particles into the bulk of the solder were observed.     

Thermal Expansion,Electrical Resistivity,and Spreading Area of Sn-Zn-In Alloys

Thermal expansion and electrical resistivity of alloys based on Sn-Zn eutectic with 0.5, 1.0, 1.5, and 4.0 wt.% additions of In were studied. Thermal expansion measurements were performed using thermomechanical analysis tester over 223-373 K temperature range. Electrical resistivity measurements were performed with four-probe method over 298-423 K temperature range. The electrical resistivity of alloys increases linearly with temperature and concentration of In; also coefficient of thermal expansion of the studied alloys increases with In concentration. Scanning electron microscopy revealed simple eutectic microstructure with In dissolved in Sn-rich matrix. The results obtained were compared with the available literature data. Spreading tests on Cu of Sn-8.8Zn alloys with 0.5, 1.0, and 1.5 at.% of In were performed. Wetting tests were performed at 250 °C, by sessile drop method, by means of flux, and wetting times were 3, 8, 15, 30, and 60 min. In general, no clear effect of wetting time on spreading was observed.     

Innovative method of Transthoracic Lung Cancer Biopsy of Parietal Lung Tumors under US Guidance after CT Pre-biopsy Planning as an Alternative to CT- Guided Biopsy

The authors compared their earlier results of the tumor biopsies performed under computer tomography （CT） guidance against the results of their recently modified-combined method of visualization and measurement of lung tumor parameters by CT imaging followed by US guided biopsy. In 238 （6.36%） of 3,745 patients in CT examination, the lung tumor was located peripherally, and obtaining histopathological confirmation was crucial to start the proper treatment. The patients were divided into two groups, the division was based on the biopsy method. Within the first group in I 18 patients, parietal lung tumor was confirmed and CT guided biopsy was performed. Within the second group, parietal lung tumor was confirmed in 120 patients and combined method of CT pre- biopsy planning and US guided biopsy were used. Pre-biopsy planning was performed using CT, measurements such as depth and distance of the tumor were made, obtained data were then saved on CT image and patient＇s skin was marked. Then obtained results were analyzed using test for two proportions. The analysis of the results confirmed the higher efficacy of the combined method taking into account the number of complications （p 〈 0.01） and diagnostic histopathological results （P 〈 0.001）. Suggested innovative method, involving both CT pre-biopsy planning and US guided biopsy, allows to analyze simultaneously static CT and dynamic US images and it is considered to be an easy and effective method comparing to relying on static in nature CT images only. Our method is related to a lower complication risk rate.