Comparison of Oxygen Flux in Hydrogel and Silicone Hydrogel Contact Lenses

The prevalence of contact lens use has been continuously growing for their convenience and for cosmetic reasons. Although contact lenses do offer many advantages over glasses, the major concern for many contact lens users is dryness that results from a lack of oxygen that goes through the contact lens to meet the demand of eye tissue. A new type of contact lens, made out of silicone hydrogel, has been introduced in the market which has garnered much attention from many contact users. The silicone hydrogel is different from the traditional hydrogel contact lens since oxygen is permeable through silicone, which was not possible through hydrogels. The hydrogel contact lenses must have high water content for oxygen delivery, silicone hydrogel contacts depends on their high oxygen diffusivity while having low water content. Night and day contact lenses are made out of silicone hydrogel whereas traditional ones for day use are often made out of hydrogel. A model was developed to validate the advantage of wearing silicone hydrogel contact lenses in both day and night conditions. By analyzing the center area of the eye around the pupil as a thin slab, the performance of these two types of contact lenses were compared by computing average oxygen concentrations in the stroma, which is the largest layer of cornea. Using COMSOL Multiphysics, the simplified geometry that included the layers of contact lens, tear, endothelium, and stroma was used as our model to find the oxygen concentration after eight hours of use either with eyes open or closed. The thickness of 80/mu m was used for both hydrogel and silicone hydrogel, the average oxygen concentration was found to be 9.100219x10-8mol/cm3 and 4.198608x10-8 mol/cm3 respectively for day setting with eyes open for eight hours and 3.536442x10-8 mol/cm3 and 2.119774x10-8 mol/cm3 respectively for night setting with eyes closed. Variations of other parameters in modeling also showed the same trend that silicone hydrogel contact lenses ended up with less oxygen in the cornea than hydrogel. Thus, the modeling showed how the silicone hydrogel did not offer any increase in oxygen delivery in both day and night settings

Database Security System for Applying Sophisticated Access Control via Database Firewall Server

Database security, privacy, access control, database firewall, data break masking Recently, information leakage incidents have occurred due to database security vulnerabilities. The administrators in the traditional database access control methods grant simple permissions to users for accessing database objects. Even though they tried to apply more strict permissions in recent database systems, it was difficult to properly adopt sophisticated access control policies to commercial databases due to performance degradations. This paper proposes a database security system including a database firewall server as an enhanced database access control system which can efficiently enforce sophisticated security policies to provide database with confidentiality using a data masking technique for diverse conditions such as the date, time, SQL string, and table columns to database systems

Construction of the Nursing Diagnosis Ontology in Obstetric and Gynecologic Nursing Unit using Nursing Process and SNOMED CT

PURPOSE: This study was performed to propose an ontology methodology based on standardized nursing process as framework in obstetric and gynecologic nursing practice. METHODS: The instrument used in this study was based on the nursing diagnosis classification established by North American Nursing Diagnosis Association (NANDA) (2009-2011), fifth edition of the Nursing Interventions Classification (NIC) (2008), forth edition of the Nursing Outcomes Classification (NOC) (2008) developed by Iowa State University and systematized nomenclature of medicine clinical terms (SNOMED CT). The nursing records data were collected from electronic medical records of one hospital from August to October 2010. RESULTS: One hundred and forty-one nursing diagnosis statements used in obstetric and gynecologic nursing unit were linked standardized nursing classifications and constructed nursing diagnosis ontology including interoperability. CONCLUSION: Not only will this result be helpful to complete nurse's lack of knowledge and experience, it will also help to determine nursing diagnosis logically by using standardized nursing process. It will be utilized as the method to construct ontology including interoperability in other nursing units. It will be presented nursing interventions according to nursing diagnosis and thus will be easier to establish nursing planning. This can provide immediate feedback of the nursing process application

Lattice-patterned LC-polymer composites containing various nanoparticles as additives

In this study, we show the effect of various nanoparticle additives on phase separation behavior of a lattice-patterned liquid crystal [LC]-polymer composite system and on interfacial properties between the LC and polymer. Lattice-patterned LC-polymer composites were fabricated by exposing to UV light a mixture of a prepolymer, an LC, and SiO2 nanoparticles positioned under a patterned photomask. This resulted in the formation of an LC and prepolymer region through phase separation. We found that the incorporation of SiO2 nanoparticles significantly affected the electro-optical properties of the lattice-patterned LC-polymer composites. This effect is a fundamental characteristic of flexible displays. The electro-optical properties depend on the size and surface functional groups of the SiO2 nanoparticles. Compared with untreated pristine SiO2 nanoparticles, which adversely affect the performance of LC molecules surrounded by polymer walls, SiO2 nanoparticles with surface functional groups were found to improve the electro-optical properties of the lattice-patterned LC-polymer composites by increasing the quantity of SiO2 nanoparticles. The surface functional groups of the SiO2 nanoparticles were closely related to the distribution of SiO2 nanoparticles in the LC-polymer composites, and they influenced the electro-optical properties of the LC molecules. It is clear from our work that the introduction of nanoparticles into a lattice-patterned LC-polymer composite provides a method for controlling and improving the composite's electro-optical properties. This technique can be used to produce flexible substrates for various flexible electronic devices

The relationship between eosinophilia and bronchopulmonary dysplasia in premature infants at less than 34 weeks' gestation

PurposeEosinophilia is common in premature infants, and its incidence increases with a shorter gestation period. We investigated the clinical significance of eosinophilia in premature infants born at 3% of the total leukocytes. Perinatal parameters and clinical parameters were also analyzed.ResultsOf the 261 infants born at <34 weeks gestation, 22.4% demonstrated eosinophilia at birth. The eosinophil percentage peaked in the fourth postnatal week at 7.5%. The incidence of severe eosinophilia increased after birth up to the fourth postnatal week when 8.8% of all patients had severe eosinophilia. Severity of eosinophilia was positively correlated with a lower gestational age, birth weight, and Apgar score. Respiratory distress syndrome, bronchopulmonary dysplasia, nephrocalcinosis, intraventricular hemorrhage, and sepsis were associated with a higher eosinophil percentage. The eosinophil percentage was significantly higher in infants with bronchopulmonary dysplasia from the first postnatal week and the percentage was the highest in the fourth postnatal week, with the maximal difference being 4.1% (P<0.001).ConclusionEosinophilia is common in premature infants and reaches peak incidence and severity in the fourth postnatal week. The eosinophil percentage was significantly higher in bronchopulmonary dysplasia patients from the first postnatal week. Severe eosinophilia was significantly associated with the incidence of bronchopulmonary dysplasia even after adjusting for other variables

Comparison of gastric and other bowel perforations in preterm infants: a review of 20 years' experience in a single institution

PurposeIn this study, we aimed to review the clinical presentation of preterm infants with gastrointestinal perforations and compare the clinical features of gastric perforation with other intestinal perforations.MethodsThe medical records of preterm neonates with pneumoperitoneum, admitted to the neonatal intensive care unit (NICU) between January 1994 and December 2013, were retrospectively reviewed.ResultsTwenty-one preterm infants underwent exploratory laparotomy to investigate the cause of the pneumoperitoneum. The sample consisted of five patients (23.8%) with gastric perforation and 16 patients (76.2%) with intestinal perforation. No statistical differences were found in the birth history and other perinatal factors between the two groups. Underlying necrotizing enterocolitis, bilious vomiting, and paralytic ileus preceding the perforation were statistically more common in the intestinal perforation group. All preterm infants with gastric perforation survived to discharge; however, six preterm infants with intestinal perforation expired during treatment in the NICU. In the gastric perforation group, sudden pneumoperitoneum was the most common finding, and the mean age at diagnosis was 4.4±1.7 days of life. The location and size of the perforations varied, and simple closure or partial gastrectomy was performed.ConclusionPatients with gastric perforation did not have a common clinical finding preceding the perforation diagnosis. Although mortality in previous studies was high, all patients survived to discharge in the present study. When a preterm infant aged less than one week presents with sudden abdominal distension and pneumoperitoneum, gastric perforation should first be excluded. Prompt exploratory laparotomy will increase the survival rates of these infants

A girl with sternal malformation/vascular dysplasia association

Sternal malformation/vascular dysplasia association is a rare congenital dysmorphology, which has not yet been reported in Korea. Its typical clinical features include a sternal cleft covered with atrophic skin, a median abdominal raphe extending from the sternal defect to the umbilicus, and cutaneous craniofacial hemangiomata. We report a case of a full-term newborn who presented with no anomalies at birth, except for a skin defect over the sternum and a supraumbilical raphe. Multiple hemangiomas appeared subsequently on her chin and upper chest wall, and respiratory distress due to subglottic hemangioma developed during the first 2 months of life. Her symptoms were controlled with oral prednisolone administration. No respiratory distress have recurred during the 3-year follow-up period