An epidemiologic, clinical, and therapeutic study of childhood Guillain-Barré syndrome in Kuwait: is it related to the oral polio vaccine?

We studied Guillain-Barré syndrome, affecting children 12 years old or less, throughout Kuwait, in the period between January 1, 1992, and March 31, 1997. Nineteen children had the diagnostic criteria of Guillain-Barré syndrome, with an overall annual incidence rate of 0.95/100,000 population at risk. Female patients outnumbered male patients with a sex ratio of 1.4:1. There was a clustering of cases in winter and spring and in the year 1996. The disease symptoms were relatively severe in our patients because only 16% (3 of 19) of them were able to walk at the height of their illness, whereas the rest were bed or chair bound or needed assisted ventilation. Two patients had the electrodiagnostic features of axonal neuropathy and both had residual deficits on follow-up, whereas the rest recovered fully. All the patients received intravenous immunoglobulin. The mean time to walk unaided was 23.5 days (range, 2-84 days) after intravenous immunoglobulin and excluding the two patients with axonal neuropathy, and full recovery was achieved in a mean time of 103 days (range, 30-300 days). Contrary to previous studies, we found no correlation between oral polio vaccine administration and Guillain-Barré syndrome in 2 successive years (1995 and 1996) during a nationwide campaign targeting children less than 5 years old.     

Human-centered design of a wearable kinesthetic haptic device for surgical teleoperation

Artificial Life and Robotics - This paper describes the design and performance evaluation of a flexible wearable haptic device that aims to realize full kinesthetic haptic feedback for application...     

Encouraging user participation in a course recommender system: An impact on user behavior

User participation emerged as a critical issue for collaborative and social recommender systems as well as for a range of other systems based on the power of user community. A range of mechanisms to encourage user participation in social systems has been proposed over the last few years; however, the impact of these mechanisms on users behavior in recommender systems has not been studied sufficiently. This paper investigates the impact of encouraging user participation in the context of CourseAgent, a community-based course recommender system. The recommendation power of CourseAgent is based on course ratings provided by a community of students. To increase the number of course ratings, CourseAgent applies an incentive mechanism which turns user feedback into a self-beneficial activity. In this paper, we describe the design and implementation of our course recommendation system and its incentive mechanism. We also report a dual impact of this mechanism on user behavior discovered in two user studies.     

Controlling the initial phase of PECVD growth of vertically aligned carbon nanofibers on TiN

We explore the growth of vertically aligned carbon nanofibers by plasma enhanced chemical vapor deposition, using lithographically defined Ni catalyst seeds on TiN. TiN is selected for being an electrically conducting diffusion barrier suitable for the realization of electronic devices. We show that the rate of Ni diffusion correlates to both the level of oxygen content in the TiN film and to the film resistivity. The synthesis of the nanofibers was characterized using electron microscopy with an emphasis on three growth parameters: substrate temperature, plasma power, and chamber pressure. We propose that a catalyst surface free from carbon deposits throughout the process will induce diffusion-limited growth. The growth will shift towards a supply-limited process when the balance between acetylene, as the effective carbon bearing gas, and atomic hydrogen, as the main etching agent, is skewed in favor of acetylene. This determines whether the dominating growth mode will be vertically aligned ‘tip-type’ or disordered ‘base-type’, by affecting the competition between the formation of the first graphitic sheets on the catalyst surface and at the catalyst-substrate interface.     

On-chip whole blood plasma separator based on microfiltration,sedimentation and wetting contrast

Miniaturized on-chip blood separators have a great value for point-of-care diagnosis. In our work, a combined design strategy—microfiltration, sedimentation in a retarded flow, and wetting contrast—was taken to overcome the known limitations of on-chip blood separators. Our microfluidic chip consists of a polydimethylsiloxane micropillar array and an etched glass with microchannel branches. The red blood cells are significantly slowed and gradually settled down due to micropillars and enlarged dimension of a chamber. An etched glass microchannel allows the extraction of blood plasma exclusively due to the capillary effect. The fabricated microfluidic device can separate blood plasma from a whole blood sample without any external driving force or dilution. The measured plasma separation efficiency was close to 100 % from human whole blood. Autonomous on-chip separation and collection of blood plasma was demonstrated.     

A soft robotics nonlinear hybrid position/force control for tendon driven catheters

Minimally invasive steerable catheters, commonly implemented in cardiac ablation, are currently operated by interventionalists exposing them to X-ray radiation and requiring the dexterity for accurate steering. To conduct robot-assisted cardiac ablation, highly accurate stable control platform for precise force/position control on the moving tissue is required. This paper introduces hybrid force/position control strategy to apply a constant force to the cardiac tissue while tracking the desired trajectory. The position controller is based on a nonlinear model predictive tracking control satisfying the input constraints. Cosserat rod theory is incorporated for the distal shaft modeling of tendon-driven catheters, and the model is reformulated for controller design and stability proof. Lyapunov-based stability analysis is conducted. To apply the controller, the force-displacement mapping of the cardiac tissue is obtained through ex vivo experimental tests. The performance of the controller is evaluated, and the catheter is capable of regulating the force with the RMSE of 4.9 mN and tracking the position with the RMSE of 0.89 mm. The promising results verify the potential of the application of the introduced approach in real applications including in vitro and clinical cardiac ablation.     

Failure analysis of unidirectional polymeric matrix composites with two serial pin loaded-holes

The objective of this study is to investigate the effects of geometrical and physical parameters on failure modes and failure loads in unidirectional polymeric matrix composites with two serial pin loaded holes, analytically and experimentally. It is assumed that all of unidirectional fibers in the laminate lie in one direction while loaded by a load p ₀ at infinity, parallel to the direction of the fibers. To derive equilibrium equations based on a Shear-Lag theory, a rectangular arrangement of fibers is considered and with the proper use of boundary and boundness conditions, stress and displacement fields are computed within the laminate, along with the surrounding pinholes. Finally by using the Hashin criterion failure modes and failure loads are estimated. To validate analytical results based on shear-lag theory, an experimental program is carried out. A very good agreement is observed between two procedures. Based on results, in small sizes of two pins, the dominant failure mode is bearing and with the increasing of hole sizes, failure modes are changed to tension and shear modes.     

A356 Reinforced with Nanoparticles: Numerical Analysis of Mechanical Properties

Commercial casting Al-Si (A356)-based composites reinforced with different volume fractions of alumina (Al₂O₃) nanoparticulates (average particle size 50 nm) were synthesized in this study. Particle distribution, hardness, and tensile properties in the as-cast condition were experimentally investigated. The A356 alloy composite showed an increase in hardness, elastic modulus, and tensile strength compared with monolithic alloys. Finally, a combination of an artificial neural network and the finite element method (FEM) was implemented to predict the microstructure and mechanical properties including grain size, length of silicon rods, amount of porosity, hardness, tensile yield stress, ultimate tensile stress, and elongation percentage.     

On the hierarchy of distribution-sensitive properties for data structures

In this paper new dependencies are added to the hierarchy of the distribution-sensitive properties for data structures. Most remarkably, we prove that the working-set property is equivalent to the unified-bound property; a fact that had gone unnoticed since the introduction of such bounds in the Eighties by Sleator and Tarjan.