Techniques And Parameters Investigations On Crosslinked Rubber Foam Formations.

Single Stage. Heat Tranfer and Heat and Chill techniques were applied to determine suitable methods for crosslinked rubber foam formation. Various parameters such as expansion temperature and blowing agent concentration were also investigated

Crosslinking of polyolefin foam II. Applicability of parameters to assess crosslinking/foam density relationships

The effect of introducing triallyl cyanurate (TAC) monomer, into dicumyl peroxide (DCP) crosslinking systems for low-density polyethylene (LDPE) is considered. In the foam formation, chemical blowing used in a fixed amount of 8.0 phr. Effects are characterised as a function of relative concentrations in solid, melt and foamed states. It was observed that gel content could only be used as a reasonable indicator to predict foaming behaviour only for traditional crosslinking with DCP alone. The results also showed that melt modulus seemed a better indicator when TAC was incorporated in the system but appeared only to be particularly relevant at a specific TAC concentration. It was found that swell ratio better controls expansion prediction whereas foam density determines physical and mechanical properties independent of formulation. Moreover, swell ratio appeared to be able to define expansion characteristics not only of traditional crosslinking systems but also those containing triallyl cyanurate monomer

Optimal antiplatelet strategy after transcatheter aortic valve implantation: a meta-analysis

Objective International guidelines recommend the use of dual antiplatelet therapy (DAPT) after transcatheter aortic valve implantation (TAVI). The recommended duration of DAPT varies between guidelines. In this two-part study, we (1) performed a structured survey of 45 TAVI centres from around the world to determine if there is consensus among clinicians regarding antiplatelet therapy after TAVI; and then (2) performed a systematic review of all suitable studies (randomised controlled trials (RCTs) and registries) to determine if aspirin monotherapy can be used instead of DAPT. Methods A structured electronic survey regarding antiplatelet use after TAVI was completed by 45 TAVI centres across Europe, Australasia and the USA. A systematic review of TAVI RCTs and registries was then performed comparing DAPT duration and incidence of stroke, bleeding and death. A variance weighted least squared metaregression was then performed to determine the relationship of antiplatelet therapy and adverse events. Results 82.2% of centres routinely used DAPT after TAVI. Median duration was 3 months. 13.3% based their practice on guidelines. 11 781 patients (26 studies) were eligible for the metaregression. There was no benefit of DAPT over aspirin monotherapy for stroke (P=0.49), death (P=0.72) or bleeding (P=0.91). Discussion Aspirin monotherapy appears to be as safe and effective as DAPT after TAVI

Dysfunctional gut microbiome networks in childhood IgE-mediated food allergy

The development of food allergy has been reported to be related with the changes in the gutmicrobiome, however the specific microbe associated with the pathogenesis of food allergy remainselusive. This study aimed to comprehensively characterize the gut microbiome and identify individual or group gut microbes relating to food-allergy using 16S rRNA gene sequencing with networkanalysis. Faecal samples were collected from children with IgE-mediated food allergies (n = 33) andwithout food allergy (n = 27). Gut microbiome was profiled by 16S rRNA gene sequencing. OTUsobtained from 16S rRNA gene sequencing were then used to construct a co-abundance network usingWeighted Gene Co-expression Network Analysis (WGCNA) and mapped onto Kyoto Encyclopediaof Genes and Genomes (KEGG) pathways. We identified a co-abundance network module to bepositively correlated with IgE-mediated food allergy and this module was characterized by a hubtaxon, namely Ruminococcaceae UCG-002 (phylum Firmicutes). Functional pathway analysis of all thegut microbiome showed enrichment of methane metabolism and glycerolipid metabolism in the gutmicrobiome of food-allergic children and enrichment of ubiquinone and other terpenoid-quinonebiosynthesis in the gut microbiome of non-food allergic children. We concluded that RuminococcaceaeUCG-002 may play determinant roles in gut microbial community structure and function leading tothe development of IgE-mediated food allergy

A space vector PWM algorithm for a three-level asymmetrical six-phase motor drive

A space vector pulse-width modulation (SVPWM) algorithm for a three-level asymmetrical six-phase drive based on vector space decomposition (VSD) approach is presented in this paper. A modification in zero plane of the transformation matrix is proposed in order to meet the requirement that the realisation of sinusoidal output phase voltages can be obtained through the chosen output leg voltage space vectors. Furthermore, a method of choosing the switching sequences based on all possible one-level transitions of the leg voltages, i.e. a permutation method, is introduced. The algorithm is then validated experimentally and obtained results show that the developed method successfully achieves the desired fundamental phase voltage, although low order harmonics are present due to uncompensated inverter dead time. Last but not least, the performance of the proposed SVPWM algorithm is compared to several carrier-based PWM algorithms including in-phase disposition with ‘double min-max injection’ (PD-DI). This is a little known type of injection, which is verified to obtain identical performance as the presented multilevel algorithm

Gaze–mouse coordinated movements and dependency with coordination demands in tracing.

Eye movements have been shown to lead hand movements in tracing tasks where subjects have to move their fingers along a predefined trace. The question remained, whether the leading relationship was similar when tracing with a pointing device, such as a mouse; more importantly, whether tasks that required more or less gaze–mouse coordination would introduce variation in this pattern of behaviour, in terms of both spatial and temporal leading of gaze position to mouse movement. A three-level gaze–mouse coordination demand paradigm was developed to address these questions. A substantial dataset of 1350 trials was collected and analysed. The linear correlation of gaze–mouse movements, the statistical distribution of the lead time, as well as the lead distance between gaze and mouse cursor positions were all considered, and we proposed a new method to quantify lead time in gaze–mouse coordination. The results supported and extended previous empirical findings that gaze often led mouse movements. We found that the gaze–mouse coordination demands of the task were positively correlated to the gaze lead, both spatially and temporally. However, the mouse movements were synchronised with or led gaze in the simple straight line condition, which demanded the least gaze–mouse coordination

Patterns of myocardial injury in recovered troponin-positive COVID-19 patients assessed by cardiovascular magnetic resonance

BACKGROUND: Troponin elevation is common in hospitalized COVID-19 patients, but underlying aetiologies are ill-defined. We used multi-parametric cardiovascular magnetic resonance (CMR) to assess myocardial injury in recovered COVID-19 patients. METHODS AND RESULTS: One hundred and forty-eight patients (64 ± 12 years, 70% male) with severe COVID-19 infection [all requiring hospital admission, 48 (32%) requiring ventilatory support] and troponin elevation discharged from six hospitals underwent convalescent CMR (including adenosine stress perfusion if indicated) at median 68 days. Left ventricular (LV) function was normal in 89% (ejection fraction 67% ± 11%). Late gadolinium enhancement and/or ischaemia was found in 54% (80/148). This comprised myocarditis-like scar in 26% (39/148), infarction and/or ischaemia in 22% (32/148) and dual pathology in 6% (9/148). Myocarditis-like injury was limited to three or less myocardial segments in 88% (35/40) of cases with no associated LV dysfunction; of these, 30% had active myocarditis. Myocardial infarction was found in 19% (28/148) and inducible ischaemia in 26% (20/76) of those undergoing stress perfusion (including 7 with both infarction and ischaemia). Of patients with ischaemic injury pattern, 66% (27/41) had no past history of coronary disease. There was no evidence of diffuse fibrosis or oedema in the remote myocardium (T1: COVID-19 patients 1033 ± 41 ms vs. matched controls 1028 ± 35 ms; T2: COVID-19 46 ± 3 ms vs. matched controls 47 ± 3 ms). CONCLUSIONS: During convalescence after severe COVID-19 infection with troponin elevation, myocarditis-like injury can be encountered, with limited extent and minimal functional consequence. In a proportion of patients, there is evidence of possible ongoing localized inflammation. A quarter of patients had ischaemic heart disease, of which two-thirds had no previous history. Whether these observed findings represent pre-existing clinically silent disease or de novo COVID-19-related changes remain undetermined. Diffuse oedema or fibrosis was not detected

Determining the Predominant Lesion in Patients With Severe Aortic Stenosis and Coronary Stenoses: A Multicenter Study Using Intracoronary Pressure and Flow

Background: Patients with severe aortic stenosis (AS) often have coronary artery disease. Both the aortic valve and the coronary disease influence the blood flow to the myocardium and its ability to respond to stress; leading to exertional symptoms. In this study, we aim to quantify the effect of severe AS on the coronary microcirculation and determine if this is influenced by any concomitant coronary disease. We then compare this to the effect of coronary stenoses on the coronary microcirculation. Methods: Group 1: 55 patients with severe AS and intermediate coronary stenoses treated with transcatheter aortic valve implantation (TAVI) were included. Group 2: 85 patients with intermediate coronary stenoses and no AS treated with percutaneous coronary intervention were included. Coronary pressure and flow were measured at rest and during hyperemia in both groups, before and after TAVI (group 1) and before and after percutaneous coronary intervention (group 2). Results: Microvascular resistance over the wave-free period of diastole increased significantly post-TAVI (pre-TAVI, 2.71±1.4 mm Hg·cm·s−1 versus post-TAVI 3.04±1.6 mm Hg·cm·s−1 [P=0.03]). Microvascular reserve over the wave-free period of diastole significantly improved post-TAVI (pre-TAVI 1.88±1.0 versus post-TAVI 2.09±0.8 [P=0.003]); this was independent of the severity of the underlying coronary stenosis. The change in microvascular resistance post-TAVI was equivalent to that produced by stenting a coronary lesion with an instantaneous wave-free ratio of ≤0.74. Conclusions: TAVI improves microcirculatory function regardless of the severity of underlying coronary disease. TAVI for severe AS produces a coronary hemodynamic improvement equivalent to the hemodynamic benefit of stenting coronary stenoses with instantaneous wave-free ratio values <0.74. Future trials of physiology-guided revascularization in severe AS may consider using this value to guide treatment of concomitant coronary artery disease