Orthopedic Surgery Planning Based on the Integration of Reverse Engineering and Rapid Prototyping

This paper describes orthopedic surgical planning based on the integration of RE and RP. Using symmetrical characteristics of the human body, CAD data of the original bone without damages for the injured extent are generated from a mirror transformation of undamaged bone data for the uninjured extent. The physical model before the injury is manufactured from RP apparatus. Surgical planning, such as the selection of the proper implant, pre-forming of the implant, decision of fixation positions and incision sizes, etc., is determined by a physical simulation using the physical model. In order to examine the applicability and efficiency of surgical planning technology for orthopedics, various case studies, such as a proximal tibia plateau fracture, a distal tibia comminuted fracture and an iliac wing fracture of pelvis, are carried out. As a result of the examination, it has been shown that the orthopedic surgical planning based on the integration of RE and RP is an efficient surgical tool.Mechanical Engineerin

Graphene Q-switched Yb:KYW planar waveguide laser

A diode-pumped Yb:KYW planar waveguide laser, single-mode Q-switched by evanescent-field interaction with graphene, is demonstrated for the first time. Few-layer graphene grown by chemical vapor deposition is transferred onto the top of a guiding layer, which initiates stable Q-switched operation in a 2.4-cm-long waveguide laser operating near 1027 nm. Average output powers up to 34 mW and pulse durations as short as 349 ns are achieved. The measured output beam profile, clearly exhibiting a single mode, agrees well with the theoretically calculated mode intensity distribution inside the waveguide. As the pump power is increased, the repetition rate and pulse energy increase from 191 to 607 kHz and from 7.4 to 58.6 nJ, respectively, whereas the pulse duration decreases from 2.09 μs to 349 ns

Inhibition of methane and natural gas hydrate formation by altering the structure of water with amino acids

Natural gas hydrates are solid hydrogen-bonded water crystals containing small molecular gases. The amount of natural gas stored as hydrates in permafrost and ocean sediments is twice that of all other fossil fuels combined. However, hydrate blockages also hinder oil/gas pipeline transportation, and, despite their huge potential as energy sources, our insufficient understanding of hydrates has limited their extraction. Here, we report how the presence of amino acids in water induces changes in its structure and thus interrupts the formation of methane and natural gas hydrates. The perturbation of the structure of water by amino acids and the resulting selective inhibition of hydrate cage formation were observed directly. A strong correlation was found between the inhibition efficiencies of amino acids and their physicochemical properties, which demonstrates the importance of their direct interactions with water and the resulting dissolution environment. The inhibition of methane and natural gas hydrate formation by amino acids has the potential to be highly beneficial in practical applications such as hydrate exploitation, oil/gas transportation, and flow assurance. Further, the interactions between amino acids and water are essential to the equilibria and dynamics of many physical, chemical, biological, and environmental processes.11Ysciescopu

A rapid, efficient, and facile solution for dental hypersensitivity: The tannin–iron complex

Dental hypersensitivity due to exposure of dentinal tubules under the enamel layer to saliva is a very popular and highly elusive technology priority in dentistry. Blocking water flow within exposed dentinal tubules is a key principle for curing dental hypersensitivity. Some salts used in "at home" solutions remineralize the tubules inside by concentrating saliva ingredients. An "in-office" option of applying dense resin sealants on the tubule entrance has only localized effects on well-defined sore spots. We report a self-assembled film that was formed by facile, rapid (4 min), and efficient (approximately 0.5 g/L concentration) dip-coating of teeth in an aqueous solution containing a tannic acid-iron(III) complex. It quickly and effectively occluded the dentinal tubules of human teeth. It withstood intense tooth brushing and induced hydroxyapatite remineralisation within the dentinal tubules. This strategy holds great promise for future applications as an effective and user-friendly desensitizer for managing dental hypersensitivity.111310Ysciescopu

Bi-modal Structure of Copper via Room-Temperature Partial Recrystallization After Cryogenic Dynamic Compression

Pure copper was compressed at high strain rates (over similar to 3 x 10(3) s(-1)) under liquid nitrogen. This deformation resulted in bi-modal microstructures of ultrafine grains and abnormally grown micro grains, and in greater hardness (by similar to 30 Hv) than room-temperature, dynamically deformed copper. This bi-modal microstructure is attributable to partial recrystallization at room temperature, activated by high-energy states and by twins generated at high Zener-Hollomon parameter conditions. This result demonstrates a new approach for producing bi-modally structured materials.open1121sciescopu

Effect of unsupervised Kinect-based mixed reality fitness programs on health-related fitness in men during COVID-19 pandemic: randomized controlled study

This study aimed to investigate the effect of Kinect-based mixed reality (KMR) exercise and unsupervised individual exercise on health-related fitness. A total of 27 participants underwent cardiorespiratory fitness tests for the inclusion criteria and were randomly assigned to three groups: a KMR group (KMRG), an unsupervised individual group (UIG), or a control group (CG). Pre and post-tests were conducted to measure Maximum oxygen uptake (VO₂max), body composition, upper and lower-body (LB) muscle strength, and endurance. KMRG and UIG attended exercise sessions 3 days per week for 8 weeks. KMRG used the KMR device and UIG used an instructive banner for exercise. All groups maintained their daily routines and submitted diet records every 4 weeks. Results showed that VO₂max, upper-body muscle endurance, and LB muscle endurance of knee extension was increased in KMRG and UIG. LB muscle strength in knee flexion was increased in UIG and LB muscle endurance in knee flexion was increased in KMRG. VO₂max, LB muscle strength, and LB muscle endurance were greater in KMRG than in CG. LB muscle strength in knee flexion was greater in KMRG than in UIG. Body fat was increased and skeletal muscle mass was decreased in CG. KMR exercise showed better performance than unsupervised individual (UI) exercise, and the exercise program was effective in both KMR and UI environments. These findings contribute to the growing evidence supporting the use of technology-based exercise interventions as a potential strategy to enhance health-related fitness

Precise stacking of decellularized extracellular matrix based 3D cell-laden constructs by a 3D cell printing system equipped with heating modules

Three-dimensional (3D) cell printing systems allow the controlled and precise deposition of multiple cells in 3D constructs. Hydrogel materials have been used extensively as printable bioinks owing to their ability to safely encapsulate living cells. However, hydrogel-based bioinks have drawbacks for cell printing, e.g. inappropriate crosslinking and liquid-like rheological properties, which hinder precise 3D shaping. Therefore, in this study, we investigated the influence of various factors (e.g. bioink concentration, viscosity, and extent of crosslinking) on cell printing and established a new 3D cell printing system equipped with heating modules for the precise stacking of decellularized extracellular matrix (dECM)-based 3D cell-laden constructs. Because the pH-adjusted bioink isolated from native tissue is safely gelled at 37 degrees C, our heating system facilitated the precise stacking of dECM bioinks by enabling simultaneous gelation during printing. We observed greater printability compared with that of a non-heating system. These results were confirmed by mechanical testing and 3D construct stacking analyses. We also confirmed that our heating system did not elicit negative effects, such as cell death, in the printed cells. Conclusively, these results hold promise for the application of 3D bioprinting to tissue engineering and drug development.119Ysciescopu

Duration of acute kidney injury and mortality in critically ill patients: a retrospective observational study

Background : The addition of relevant parameters to acute kidney injury (AKI) criteria might allow better prediction of patient mortality than AKI criteria alone. Here, we evaluated whether inclusion of AKI duration could address this issue. Methods : AKI was defined according to the Kidney Disease: Improving Global Outcomes (KDIGO) guidelines in 2,143 critically ill patients, within 15 days of patient admission. AKI cases were categorized according to tertiles of AKI duration: 1st tertile, 1–2 days; 2nd tertile, 3–5 days; and 3rd tertile, ≥6 days. The hazard ratios (HRs) for overall survival rates in three groups were calculated after adjustment for multiple covariates compared with ICU patients without AKI as the reference group. The predictive ability for mortality was assessed by calculating the area under the curve (AUC) of the receiver operating characteristic curve. Results : AKI increased the HRs for overall mortality, and the mortality rate increased with AKI duration: the adjusted HRs were 1.99 (1st tertile), 2.67 (2nd tertile), and 2.85 (3rd tertile) compared with the non-AKI group (all Ps < 0.001). The AUC of the ROC curve for overall mortality based on the AKI duration groups (0.716) was higher than the AUC of AKI staging using the KDIGO guidelines (0.696) (P = 0.001). When considering KDIGO stage and AKI duration together, the AUC (0.717) was also significantly higher than that using the KDIGO stage alone (P < 0.001). Conclusions : AKI duration is an additional parameter for the prediction of mortality in critically ill patients. The inclusion of AKI duration could be considered as a refinement of the AKI criteria.This work was supported by a grant from the Seoul National University Bundang Hospital Research Fund (No. 03-2012-020).Peer Reviewe

Impermeable inorganic “walls” sandwiching perovskite layer toward inverted and indoor photovoltaic devices

Interfaces between the perovskite active layer and the charge-transport layers (CTLs) play a critical role in both efficiency and stability of halide-perovskite photovoltaics. One of the major concerns is that surface defects of perovskite could cause detrimental nonradiative recombination and material degradation. In this work, we addressed this challenging problem by inserting ultrathin alkali-fluoride (AF) films between the tri-cation lead-iodide perovskite layer and both CTLs. This bilateral inorganic “walls” strategy makes use of both physical-blocking and chemical-anchoring functionalities of the continuous, uniform and compact AF framework: on the one hand, the uniformly distributed alkali-iodine coordination at the perovskite-AF interfaces effectively suppresses the formation of iodine-vacancy defects at the surfaces, thus reducing the trap-assisted recombination at the perovskite-CTL interfaces and therewith the open-voltage loss; on the other hand, the impermeable AF buffer layers effectively prevent the bidirectional ion migration at the perovskite-CTLs interfaces even under harsh working conditions. As a result, a power-conversion efficiency (PCE) of 22.02% (certified efficiency 20.4%) with low open-voltage deficit (<0.4 V) was achieved for the low-temperature processed inverted planar perovskite solar cells. Exceptional operational stability (500 h, ISOS-L-2) and thermal stability (1000 h, ISOS-D-2) were obtained. Meanwhile, a 35.7% PCE was obtained under dim-light source (1000 lux white LED light) with the optimized device, which is among the best records in perovskite indoor photovoltaics