Multilayered printed circuit boards inspected by X-ray laminography

Technique produces high resolution cross-sectional radiographs with close interplane spacing for inspecting multilayer boards to be used in providing circuitry routing and module structural support

On the Elastohydrodynamic Film-Forming Properties of Metalworking Fluids and Oil-in-Water Emulsions

Oil-in-water (O/W) emulsions are water-based lubricants and used as fire-resistant hydraulic fluids and metalworking fluids (MWFs) in industry. The (elasto-)hydrodynamic film-forming properties of O/W emulsions have been studied extensively in literature. Typical elastohydrodynamic lubrication (EHL) behaviors are revealed at low rolling speeds followed by a starved EHL regime at elevated speeds. These emulsions are self-prepared and mostly stable only for a limited time ranging from hours to several days. By contrast, the film-forming behavior of water-miscible commercial MWFs (long-term stable O/W emulsions) has rarely been reported. This restricts the understanding of the lubrication status of many tribological interfaces in manufacturing processes, e.g., the chip-tool contact in cutting. In this work, the (elasto-)hydrodynamic film-forming property of two commercial MWFs is investigated by measuring the film thickness on two ball-on-disc test rigs using different optical interferometry techniques. For comparison, two self-prepared simple O/W emulsions with known formulation have also been investigated. Experimental results from the two test rigs agree well and show that the two self-prepared emulsions have typical EHL behaviors as reported in literature. However, for the two commercial MWFs, there is almost no (elasto-)hydrodynamic film-forming ability over the whole range of speeds used in this study. This could be explained by the cleaning and re-emulsification effects of the MWFs. The lubrication mechanism of the two MWFs is mainly boundary lubrication rather than hydrodynamic lubrication. Graphical Abstract: [Figure not available: see fulltext.].</p

On the Elastohydrodynamic Film-Forming Properties of Metalworking Fluids and Oil-in-Water Emulsions

Oil-in-water (O/W) emulsions are water-based lubricants and used as fire-resistant hydraulic fluids and metalworking fluids (MWFs) in industry. The (elasto-)hydrodynamic film-forming properties of O/W emulsions have been studied extensively in literature. Typical elastohydrodynamic lubrication (EHL) behaviors are revealed at low rolling speeds followed by a starved EHL regime at elevated speeds. These emulsions are self-prepared and mostly stable only for a limited time ranging from hours to several days. By contrast, the film-forming behavior of water-miscible commercial MWFs (long-term stable O/W emulsions) has rarely been reported. This restricts the understanding of the lubrication status of many tribological interfaces in manufacturing processes, e.g., the chip-tool contact in cutting. In this work, the (elasto-)hydrodynamic film-forming property of two commercial MWFs is investigated by measuring the film thickness on two ball-on-disc test rigs using different optical interferometry techniques. For comparison, two self-prepared simple O/W emulsions with known formulation have also been investigated. Experimental results from the two test rigs agree well and show that the two self-prepared emulsions have typical EHL behaviors as reported in literature. However, for the two commercial MWFs, there is almost no (elasto-)hydrodynamic film-forming ability over the whole range of speeds used in this study. This could be explained by the cleaning and re-emulsification effects of the MWFs. The lubrication mechanism of the two MWFs is mainly boundary lubrication rather than hydrodynamic lubrication. Graphical Abstract: [Figure not available: see fulltext.]

Stimulus - response curves of a neuronal model for noisy subthreshold oscillations and related spike generation

We investigate the stimulus-dependent tuning properties of a noisy ionic conductance model for intrinsic subthreshold oscillations in membrane potential and associated spike generation. On depolarization by an applied current, the model exhibits subthreshold oscillatory activity with occasional spike generation when oscillations reach the spike threshold. We consider how the amount of applied current, the noise intensity, variation of maximum conductance values and scaling to different temperature ranges alter the responses of the model with respect to voltage traces, interspike intervals and their statistics and the mean spike frequency curves. We demonstrate that subthreshold oscillatory neurons in the presence of noise can sensitively and also selectively be tuned by stimulus-dependent variation of model parameters.Comment: 19 pages, 7 figure

Panton-Valentine Leucocidin-Positive Staphylococcus Aureus Gonarthritis in a Healthy Adult Leads To Fulminant Sepsis with Multiple Metastatic Soft Tissue Infection and Necessity of Extracorporeal Membrane Oxygenation

Background: Infections with Panton-Valentine leucocidin (PVL) positive Staphylococcus aureus ( S. aureus ) are often complicated by necrotizing pneumonia, myositis and osteomyelitis. Case Description: We describe a 50 years old, previously healthy male which presented a severe infection with PVL-positive, methicillin- susceptible S. aureus (MSSA) in his left knee after returning from China. He developed a fulminant sepsis with necrotizing pneumonia, acute respiratory distress syndrome (ARDS), acute renal failure and multiple soft tissue abscesses. Extra-corporeal membrane oxygenation (ECMO) was needed for five days. The patient recovered after multiple surgical interventions and long-term antibiotic treatment and eventually returned to work five months after initial admission. Conclusion: While most staphylococcal skin and soft tissue infections (SSTI) show a favorable outcome, SSTI caused by PVL- positive bacteria can lead to fulminant and fatal disease manifestations. Immunocompetent individuals are equally affected as immunocompromised ones. Early suspicion, surgical intervention with debridement and drainage of abscess formations are of key importance in concert with appropriate antibiotic therapy without delay. Imaging should be done to identify clinically silent foci

Development and feasibility of a telemedicine tool for patients with recurrent urinary tract infection:myRUTIcoach

INTRODUCTION AND HYPOTHESIS: Patients with recurrent urinary tract infection (rUTI) have limited knowledge of preventive strategies to lower the risk of UTI. We aimed to develop and test the feasibility of an eHealth system for women with rUTI, named myRUTIcoach, and explored the facilitators and barriers related to its adoption.METHODS: We developed myRUTIcoach in a structured iterative process and tested its feasibility among 25 women with rUTI over 2 months. Subsequent questionnaires covered satisfaction, accessibility, and experiences with myRUTIcoach. A random selection of participants and relevant stakeholders took part in semi-structured interviews to explore adoption. Data were analyzed and elaborated using inductive and deductive approaches using the Non-adoption, Abandonment, Spread, Scale-up, and Sustainability (NASSS) framework.RESULTS: MyRUTIcoach was not only widely accepted but also facilitated communication with health care professionals (HCPs) and contributed to greater knowledge of rUTI. Women graded the system a mean of 8.0 (±0.6) out of 10, with 89% stating that they would recommend it to others. Patients indicated that self-management skills were the major facilitators and barriers related to adoption, whereas HCPs stated that the disconnect between myRUTIcoach and electronic health care records (EHRs) was the major barrier.CONCLUSIONS: This research describes the development and testing of myRUTIcoach for women with rUTI. Patients and HCPs reported high satisfaction and compliance with myRUTIcoach. However, adoption by the intended users is complex and influenced by all examined domains of the NASSS framework. We have already improved linkage to EHRs, but further optimization to meet patient needs may improve the effectiveness of this self-management tool for rUTI.</p

Timing of major fracture care in polytrauma patients – an update on principles, parameters and strategies for 2020

Objectives Sustained changes in resuscitation and transfusion management have been observed since the turn of the millennium, along with an ongoing discussion of surgical management strategies. The aims of this study are threefold: a) to evaluate the objective changes in resuscitation and mass transfusion protocols undertaken in major level I trauma centers; b) to summarize the improvements in diagnostic options for early risk profiling in multiply injured patients and c) to assess the improvements in surgical treatment for acute major fractures in the multiply injured patient. Methods I. A systematic review of the literature (comprehensive search of the MEDLINE, Embase, PubMed, and Cochrane Central Register of Controlled Trials databases) and a concomitant data base (from a single Level I center) analysis were performed. Two authors independently extracted data using a pre-designed form. A pooled analysis was performed to determine the changes in the management of polytraumatized patients after the change of the millennium. II. A data base from a level I trauma center was utilized to test any effects of treatment changes on outcome. Inclusion criteria: adult patients, ISS > 16, admission < less than 24 h post trauma. Exclusion: Oncological diseases, genetic disorders that affect the musculoskeletal system. Parameters evaluated were mortality, ICU stay, ICU complications (Sepsis, Pneumonia, Multiple organ failure). Results I. From the electronic databases, 5141 articles were deemed to be relevant. 169 articles met the inclusion criteria and a manual review of reference lists of key articles identified an additional 22 articles. II. Out of 3668 patients, 2694 (73.4%) were male, the mean ISS was 28.2 (SD 15.1), mean NISS was 37.2 points (SD 17.4 points) and the average length of stay was 17.0 days (SD 18.7 days) with a mean length of ICU stay of 8.2 days (SD 10.5 days), and a mean ventilation time of 5.1 days (SD 8.1 days). Both surgical management and nonsurgical strategies have changed over time. Damage control resuscitation, dynamic analyses of coagulopathy and lactate clearance proved to sharpen the view of the worsening trauma patient and facilitated the prevention of further complications. The subsequent surgical care has become safer and more balanced, avoiding overzealous initial surgeries, while performing early fixation, when patients are physiologically stable or rapidly improving. Severe chest trauma and soft tissue injuries require further evaluation. Conclusions Multiple changes in management (resuscitation, transfusion protocols and balanced surgical care) have taken place. Moreover, improvement in mortality rates and complications associated with several factors were also observed. These findings support the view that the management of polytrauma patients has been substantially improved over the past 3 decades