91 research outputs found
Interfacial motion in flexo- and order-electric switching between nematic filled states
We consider a nematic liquid crystal, in coexistence with its isotropic
phase, in contact with a substrate patterned with rectangular grooves. In such
a system, the nematic phase may fill the grooves without the occurrence of
complete wetting. There may exist multiple (meta)stable filled states, each
characterised by the type of distortion (bend or splay) in each corner of the
groove and by the shape of the nematic-isotropic interface, and additionally
the plateaux that separate the grooves may be either dry or wet with a thin
layer of nematic. Using numerical simulations, we analyse the dynamical
response of the system to an externally- applied electric field, with the aim
of identifying switching transitions between these filled states. We find that
order-electric coupling between the fluid and the field provides a means of
switching between states where the plateaux between grooves are dry and states
where they are wet by a nematic layer, without affecting the configuration of
the nematic within the groove. We find that flexoelectric coupling may change
the nematic texture in the groove, provided that the flexoelectric coupling
differentiates between the types of distortion at the corners of the substrate.
We identify intermediate stages of the transitions, and the role played by the
motion of the nematic-isotropic interface. We determine quantitatively the
field magnitudes and orientations required to effect each type of transition.Comment: 14 pages, 12 fig
Numerical calculations of the phase diagram of cubic blue phases in cholesteric liquid crystals
We study the static properties of cubic blue phases by numerically minimising
the three-dimensional, Landau-de Gennes free energy for a cholesteric liquid
crystal close to the isotropic-cholesteric phase transition. Thus we are able
to refine the powerful but approximate, semi-analytic frameworks that have been
used previously. We obtain the equilibrium phase diagram and discuss it in
relation to previous results. We find that the value of the chirality above
which blue phases appear is shifted by 20% (towards experimentally more
accessible regions) with respect to previous estimates. We also find that the
region of stability of the O5 structure -- which has not been observed
experimentally -- shrinks, while that of BP I (O8-) increases thus giving the
correct order of appearance of blue phases at small chirality. We also study
the approach to equilibrium starting from the infinite chirality solutions and
we find that in some cases the disclination network has to assemble during the
equilibration. In these situations disclinations are formed via the merging of
isolated aligned defects.Comment: 16 pages, 5 figures. Accepted for publication in Phys. Rev.
Detection, evaluation, and management of preoperative anaemia in the elective orthopaedic surgical patient: NATA guidelines
Previously undiagnosed anaemia is common in elective orthopaedic surgical patients and is associated with increased likelihood of blood transfusion and increased perioperative morbidity and mortality. A standardized approach for the detection, evaluation, and management of anaemia in this setting has been identified as an unmet medical need. A multidisciplinary panel of physicians was convened by the Network for Advancement of Transfusion Alternatives (NATA) with the aim of developing practice guidelines for the detection, evaluation, and management of preoperative anaemia in elective orthopaedic surgery. A systematic literature review and critical evaluation of the evidence was performed, and recommendations were formulated according to the method proposed by the Grades of Recommendation Assessment, Development and Evaluation (GRADE) Working Group. We recommend that elective orthopaedic surgical patients have a haemoglobin (Hb) level determination 28 days before the scheduled surgical procedure if possible (Grade 1C). We suggest that the patient's target Hb before elective surgery be within the normal range, according to the World Health Organization criteria (Grade 2C). We recommend further laboratory testing to evaluate anaemia for nutritional deficiencies, chronic renal insufficiency, and/or chronic inflammatory disease (Grade 1C). We recommend that nutritional deficiencies be treated (Grade 1C). We suggest that erythropoiesis-stimulating agents be used for anaemic patients in whom nutritional deficiencies have been ruled out, corrected, or both (Grade 2A). Anaemia should be viewed as a serious and treatable medical condition, rather than simply an abnormal laboratory value. Implementation of anaemia management in the elective orthopaedic surgery setting will improve patient outcome
Patient-Specific Prosthetic Fingers by Remote Collaboration - A Case Study
The concealment of amputation through prosthesis usage can shield an amputee
from social stigma and help improve the emotional healing process especially at
the early stages of hand or finger loss. However, the traditional techniques in
prosthesis fabrication defy this as the patients need numerous visits to the
clinics for measurements, fitting and follow-ups. This paper presents a method
for constructing a prosthetic finger through online collaboration with the
designer. The main input from the amputee comes from the Computer Tomography
(CT) data in the region of the affected and the non-affected fingers. These
data are sent over the internet and the prosthesis is constructed using
visualization, computer-aided design and manufacturing tools. The finished
product is then shipped to the patient. A case study with a single patient
having an amputated ring finger at the proximal interphalangeal joint shows
that the proposed method has a potential to address the patient's psychosocial
concerns and minimize the exposure of the finger loss to the public.Comment: Open Access articl
Detection, evaluation, and management of preoperative anaemia in the elective orthopaedic surgical patient: NATA guidelines
Previously undiagnosed anaemia is common in elective orthopaedic surgical patients and is associated with increased likelihood of blood transfusion and increased perioperative morbidity and mortality. A standardized approach for the detection, evaluation, and management of anaemia in this setting has been identified as an unmet medical need. A multidisciplinary panel of physicians was convened by the Network for Advancement of Transfusion Alternatives (NATA) with the aim of developing practice guidelines for the detection, evaluation, and management of preoperative anaemia in elective orthopaedic surgery. A systematic literature review and critical evaluation of the evidence was performed, and recommendations were formulated according to the method proposed by the Grades of Recommendation Assessment, Development and Evaluation (GRADE) Working Group. We recommend that elective orthopaedic surgical patients have a haemoglobin (Hb) level determination 28 days before the scheduled surgical procedure if possible (Grade 1C). We suggest that the patient's target Hb before elective surgery be within the normal range, according to the World Health Organization criteria (Grade 2C). We recommend further laboratory testing to evaluate anaemia for nutritional deficiencies, chronic renal insufficiency, and/or chronic inflammatory disease (Grade 1C). We recommend that nutritional deficiencies be treated (Grade 1C). We suggest that erythropoiesis-stimulating agents be used for anaemic patients in whom nutritional deficiencies have been ruled out, corrected, or both (Grade 2A). Anaemia should be viewed as a serious and treatable medical condition, rather than simply an abnormal laboratory value. Implementation of anaemia management in the elective orthopaedic surgery setting will improve patient outcomes
Seaweed polysaccharide-based hydrogels used for the regeneration of articular cartilage
This manuscript provides an overview of the in vitro and in vivo studies reported in the
literature focusing on seaweed polysaccharides based hydrogels that have been proposed for
applications in regenerative medicine, particularly, in the field of cartilage tissue engineering.
For a better understanding of the main requisites for these specific applications, the main
aspects of the native cartilage structure, as well as recognized diseases that affect this tissue are
briefly described. Current available treatments are also presented to emphasize the need for
alternative techniques. The following part of this review is centered on the description of the
general characteristics of algae polysaccharides, as well as relevant properties required for
designing hydrogels for cartilage tissue engineering purposes. An in-depth overview of the
most well known seaweed polysaccharide, namely agarose, alginate, carrageenan and ulvan
biopolymeric gels, that have been proposed for engineering cartilage is also provided. Finally,
this review describes and summarizes the translational aspect for the clinical application of
alternative systems emphasizing the importance of cryopreservation and the commercial
products currently available for cartilage treatment.Authors report no declarations of interest. Authors thank the Portuguese Foundation for Science and Technology (FCT) for the PhD fellowship of Elena G. Popa (SFRH/BD/64070/2009) and research project (MIT/ECE/0047/2009). The research leading to these results has received funding from the European Union's Seventh Framework Programme (FP7/2007-2013) under grant agreement no REGPOT-CT2012-316331-POLARIS
HFE C282Y and H63D in adults with malignancies in a community medical oncology practice
BACKGROUND: We sought to compare frequencies of HFE C282Y and H63D alleles and associated odds ratios (OR) in 100 consecutive unrelated white adults with malignancy to those in 318 controls. METHODS: Data from patients with more than one malignancy were analyzed according to each primary malignancy. For the present study, OR ≥2.0 or ≤0.5 was defined to be increased or decreased, respectively. RESULTS: There were 110 primary malignancies (52 hematologic neoplasms, 58 carcinomas) in the 100 adult patients. Allele frequencies were similar in patients and controls (C282Y: 0.0850 vs. 0.0896, respectively (OR = 0.9); H63D: 0.1400 vs. 0.1447, respectively (OR = 0.9)). Two patients had hemochromatosis and C282Y homozygosity. With C282Y, increased OR occurred in non-Hodgkin lymphoma, myeloproliferative disorders, and adenocarcinoma of prostate (2.0, 2.8, and 3.4, respectively); OR was decreased in myelodysplasia (0.4). With H63D, increased OR occurred in myeloproliferative disorders and adenocarcinomas of breast and prostate (2.4, 2.0, and 2.0, respectively); OR was decreased in non-Hodgkin lymphoma and B-chronic lymphocytic leukemia (0.5 and 0.4, respectively). CONCLUSIONS: In 100 consecutive adults with malignancy evaluated in a community medical oncology practice, frequencies of HFE C282Y or H63D were similar to those in the general population. This suggests that C282Y or H63D is not associated with an overall increase in cancer risk. However, odds ratios computed in the present study suggest that increased (or decreased) risk for developing specific types of malignancy may be associated with the inheritance of HFE C282Y or H63D. Study of more patients with these specific types of malignancies is needed to determine if trends described herein would remain and yield significant differences
Development of a new pre-vascularized tissue-engineered construct using pre-differentiated rADSCs, arteriovenous vascular bundle and porous nano-hydroxyapatide-polyamide 66 scaffold
Robustness of the nonequilibrium entropy related to the Maxwell-Cattaneo heat equation
Long-term clinical results and MRI changes after autologous chondrocyte implantation in the knee of young and active middle aged patients
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