Neurocognitive Monitoring and Care During Pediatric Cardiopulmonary Bypass—Current and Future Directions

Neurologic injury in patients with congenital heart disease remains an important source of morbidity and mortality. Advances in surgical repair and perioperative management have resulted in longer life expectancies for these patients. Current practice and research must focus on identifying treatable risk factors for neurocognitive dysfunction, advancing methods for perioperative neuromonitoring, and refining treatment and care of the congenital heart patient with potential neurologic injury. Techniques for neuromonitoring and future directions will be discussed

Mercury Methylation by Cobalt Corrinoids: Relativistic Effects Dictate the Reaction Mechanism

The methylation of HgII(SCH3)2 by corrinoid‐based methyl donors proceeds in a concerted manner through a single transition state by transfer of a methyl radical, in contrast to previously proposed reaction mechanisms. This reaction mechanism is a consequence of relativistic effects that lower the energies of the mercury 6p1/2 and 6p3/2 orbitals, making them energetically accessible for chemical bonding. In the absence of spin–orbit coupling, the predicted reaction mechanism is qualitatively different. This is the first example of relativity being decisive for the nature of an observed enzymatic reaction mechanism.Of relative importance: The methylation of HgII(SCH3)2 by corrinoid‐based methyl donors proceeds in a concerted manner through a single transition state by transfer of a methyl radical. This reaction mechanism is a consequence of relativistic effects, and constitutes the first example of relativity being decisive for the nature of an enzymatic reaction mechanism. SOC=spin–orbit coupling.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/137374/1/anie201606001-sup-0001-misc_information.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/137374/2/anie201606001.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/137374/3/anie201606001_am.pd

Time Required for Lameness Detection on an Embedded Microcomputer Based Force Plate in a Lab Based Setting

The objective of this study was to determine the minimum time required for the embedded microcomputer based force plate (force plate) to detect lameness. The force plate can be placed under an electronic sow feeder or a gestation stall to routinely assess lameness. Previous work with the force plate has required sows to remain standing in a gestation stall for longer than a typical feeding time allotment of 9 minutes to measure the force applied to each foot. Comparing sows’ weight distribution across time showed that an adjustment period is required before force distribution measurements are consistent, as the sows adapts to the force plate. When using a 30 second adjustment period, sows only needed to stand on the force plate for 210 seconds in order to have a consistent reading across time. This could create a labor reduction during research trials, and allow more data to be used from a commercial setting, than when using the previous times

Demonstration of integrated microscale optics in surface-electrode ion traps

In ion trap quantum information processing, efficient fluorescence collection is critical for fast, high-fidelity qubit detection and ion-photon entanglement. The expected size of future many-ion processors require scalable light collection systems. We report on the development and testing of a microfabricated surface-electrode ion trap with an integrated high numerical aperture (NA) micromirror for fluorescence collection. When coupled to a low NA lens, the optical system is inherently scalable to large arrays of mirrors in a single device. We demonstrate stable trapping and transport of 40Ca+ ions over a 0.63 NA micromirror and observe a factor of 1.9 enhancement in photon collection compared to the planar region of the trap.Comment: 15 pages, 8 figure

Moving black holes via singularity excision

We present a singularity excision algorithm appropriate for numerical simulations of black holes moving throughout the computational domain. The method is an extension of the excision procedure previously used to obtain stable simulations of single, non-moving black holes. The excision procedure also shares elements used in recent work to study the dynamics of a scalarfield in the background of a single, boosted black hole. The robustness of our excision method is tested with single black-hole evolutions using a coordinate system in which the coordinate location of the black hole, and thus the excision boundary, moves throughout the computational domain.Comment: 9 pages and 11 figure

A pilot study: Comparing a novel noninvasive measure of cerebrovascular stability index with an invasive measure of cerebral autoregulation in neonates with congenital heart disease

Infants with congenital heart disease (CHD) may have impaired cerebral autoregulation (CA) associated with cerebral fractional tissue oxygen extraction (FTOE). We conducted a pilot study in nine CHD neonates to validate a noninvasive CA measure, cerebrovascular stability index (CSI), by eliciting responses to postural tilts. We compared CSI to an invasive measure of CA and to FTOE collected during tilts (FTOESpot). FTOESpot correlated with CSI, as did the change in FTOE during tilts, but CSI’s correlation with impaired CA did not reach significance. Larger trials are indicated to validate CSI, allowing for noninvasive CA measurements and measurements in outpatient settings

Impact of densitized lapse slicings on evolutions of a wobbling black hole

We present long-term stable and second-order convergent evolutions of an excised wobbling black hole. Our results clearly demonstrate that the use of a densitized lapse function extends the lifetime of simulations dramatically. We also show the improvement in the stability of single static black holes when an algebraic densitized lapse condition is applied. In addition, we introduce a computationally inexpensive approach for tracking the location of the singularity suitable for mildly distorted black holes. The method is based on investigating the fall-off behavior and asymmetry of appropriate grid variables. This simple tracking method allows one to adjust the location of the excision region to follow the coordinate motion of the singularity.Comment: 10 pages, 8 figure

Individual Response to Risk As a Function of Normative Social Pressure: A Pilot Study of Seat Belt Use

The authors attempt to clarify some of the variables that influence whether people act appropriately when a Risk is substantial and subject to individual control. They do so by reporting results of a pilot study of seat belt use. Also, the authors believe their approach to be generalizable to problems such as encouraging people to test for radon, to use condoms to prevent AIDS or to quit smoking