Idle central venous catheter-days pose infection risk for patients after discharge from intensive care

This prospective observational study measured idle central venous catheter (CVC)-days (no medical indication), and ward clinicians\u27 adherence to evidence-based practices for preventing short-term central line-associated bloodstream infections (CLABSIs). In 340 patients discharged from ICU over a 1-year period, 208 of 794 CVC-days (26.2%) were idle. Interventions to prevent CLABSIs were poorly implemented. Ward clinicians need education regarding risk management strategies to prevent CLABSIs, and clear accountability processes for prompt catheter removal are recommended

Mechanical properties of very young bone in the axis deer (Axis axis) and humans

(With 2 figures in the text) The mechanical properties of bone from a pregnant axis deer, her full-term foetus, three young children, and an adult man, were compared. The properties of the bone of the foetal deer were more similar to those of the man than to those of the children, and corresponded to the high degree of mineralization of the foetal bone. These properties accord with the different habits and selective pressures acting on children, and on neonatal deer

Magnetorheological landing gear: 2. Validation using experimental data

Aircraft landing gears are subjected to a wide range of excitation conditions with conflicting damping requirements. A novel solution to this problem is to implement semi-active damping using magnetorheological (MR) fluids. In part 1 of this contribution, a methodology was developed that enables the geometry of a flow mode MR valve to be optimized within the constraints of an existing passive landing gear. The device was designed to be optimal in terms of its impact performance, which was demonstrated using numerical simulations of the complete landing gear system. To perform the simulations, assumptions were made regarding some of the parameters used in the MR shock strut model. In particular, the MR fluid's yield stress, viscosity, and bulk modulus properties were not known accurately. Therefore, the present contribution aims to validate these parameters experimentally, via the manufacture and testing of an MR shock strut. The gas exponent, which is used to model the shock strut's nonlinear stiffness, is also investigated. In general, it is shown that MR fluid property data at high shear rates are required in order to accurately predict performance prior to device manufacture. Furthermore, the study illustrates how fluid compressibility can have a significant influence on the device time constant, and hence on potential control strategies

Rational and affordable concepts of Landing Gear for small reentry vehicle demonstrators

The paper proposes an innovative solution for landing gear of small space vehicles, in particular of technological demonstrators of reentry space vehicles. After explaining why small space vehicles can benefit from landing gears, the work investigates a solution, which avoids the use of fluidic systems and minimizes constraints on the whole vehicle, thus limiting cost raising and making the installation of the landing gear easier on vehicles that originally did not envisage landing gears

Is the collagen primed for mineralization in specific regions of the Turkey tendon?:an investigation of the protein-mineral interface using Raman spectroscopy

The tendons in the turkey leg have specific well-defined areas which become mineralized as the animal ages and they are a thoroughly characterized model system for studying the mineralization process of bone. In this study, nondestructive Raman spectroscopic analysis was used to explore the hypothesis that regions of the turkey tendon that are associated with mineralization exhibit distinct and observable chemical modifications of the collagen prior to the onset of mineralization. The Raman spectroscopy features associated with mineralization were identified by probing (on the micrometer scale) the transition zone between mineralized and nonmineralized regions of turkey leg tendons. These features were then measured in whole tendons and identified in regions of tendon which are destined to become rapidly mineralized around 14 weeks of age. The data show there is a site-specific difference in collagen prior to the deposition of mineral, specifically the amide III band at 1270 cm(-1) increases as the collagen becomes more ordered (increased amide III:amide I ratio) in regions that become mineralized compared to collagen destined to remain nonmineralized. If this mechanism were present in materials of different mineral fraction (and thus material properties), it could provide a target for controlling mineralization in metabolic bone disease

Influence of UV Treatment on the Food Safety Status of a Model Aquaponic System

Few microbial studies in aquaponics, a growing trend in food production, have been conducted to determine food safety status. The aim of this study was to determine the food safety status and the effectiveness of ultraviolet treatment (15 W, luminous flux of 900 lm) as a food safety intervention in reducing the microbial loads of the water system in a model aquaponic unit growing lettuce, basil, and barramundi (Australian Sea Bass). Sweet basil, bibb lettuce, water samples, and fish swabs were collected throughout the 118-day production period, and microbial analysis was conducted in triplicate for the presence of E. coli O157:H7, Salmonella spp., and the prevalence of aerobic plate counts (APC), coliforms, and fecal coliforms in these systems. Absence of foodborne pathogens was confirmed using ELISA technology and enumeration through petrifilms (coliform/E. coli). A significant increase was observed in aerobic plate counts over the trial period (1 to 3 log10 CFU·mL−1) in the presence and absence of UV (p \u3e 0.05). Ultraviolet treatment did not significantly reduce the APC or coliform counts when compared to the control system samples. Future work should focus on improving the unit design, the evaluation of bio-solid filtration, and other food safety interventions

Theoretical characterization of a model of aragonite crystal orientation in red abalone nacre

Nacre, commonly known as mother-of-pearl, is a remarkable biomineral that in red abalone consists of layers of 400-nm thick aragonite crystalline tablets confined by organic matrix sheets, with the $(001)$ crystal axes of the aragonite tablets oriented to within $\pm$ 12 degrees from the normal to the layer planes. Recent experiments demonstrate that this orientational order develops over a distance of tens of layers from the prismatic boundary at which nacre formation begins. Our previous simulations of a model in which the order develops because of differential tablet growth rates (oriented tablets growing faster than misoriented ones) yield patterns of tablets that agree qualitatively and quantitatively with the experimental measurements. This paper presents an analytical treatment of this model, focusing on how the dynamical development and eventual degree of order depend on model parameters. Dynamical equations for the probability distributions governing tablet orientations are introduced whose form can be determined from symmetry considerations and for which substantial analytic progress can be made. Numerical simulations are performed to relate the parameters used in the analytic theory to those in the microscopic growth model. The analytic theory demonstrates that the dynamical mechanism is able to achieve a much higher degree of order than naive estimates would indicate.Comment: 20 pages, 3 figure

Calcite distribution and orientation in the tergite exocuticle of the isopods porcellio scaber and armadillidium vulgare (Oniscidea, Crustacea) - A combined FE-SEM, polarized SCm-RSI and EBSD study

The crustacean cuticle is a bio-composite consisting of hierarchically organized chitin-protein fibres, reinforced with calcite, amorphous calcium carbonate and phosphates. Comparative studies revealed that the structure and composition of tergite cuticle of terrestrial isopods is adapted to the habitat of the animals, and to their behavioural patterns to avoid predation. In this contribution we use FE-SEM, polarized SCm-RSI and EBSD to investigate micro- and nano-patterns of mineral phase distribution and crystal orientation within the tergite cuticle of the two terrestrial isopod species Armadillidium vulgare and Porcellio scaber. The results show that the proximal regions of the exocuticle contain both calcite and ACC, with ACC located within the pore canals. Calcite forms hierarchically organised mesocrystalline aggregates of similar crystallographic orientation. Surprisingly, c-axis orientation preference is horizontal in regard to the local cuticle surface for both species, in contrast to mollusc and brachiopod shell structures in which the c-axis is always perpendicular to the shell surface. The overall sharpness of calcite crystal orientation is weak compared to that of mollusc shells. However, there are considerable differences in texture sharpness between the two isopod species. In the thick cuticle of the slow-walking A. vulgare calcite is more randomly oriented resulting in more isotropic mechanical properties of the cuticle. In contrast, the rather thin and more flexible cuticle of the fast- running P. scaber texture sharpness is stronger with a preference of c-axis orientation being parallel to the bilateral symmetry-plane of the animal, leading to more anisotropic mechanical properties of the cuticle. These differences may represent adaptations to different external and/or internal mechanical loads the cuticle has to resist during predatory attempts

The Influence of Mineralization on Intratrabecular Stress and Strain Distribution in Developing Trabecular Bone

The load-transfer pathway in trabecular bone is largely determined by its architecture. However, the influence of variations in mineralization is not known. The goal of this study was to examine the influence of inhomogeneously distributed degrees of mineralization (DMB) on intratrabecular stresses and strains. Cubic mandibular condylar bone specimens from fetal and newborn pigs were used. Finite element models were constructed, in which the element tissue moduli were scaled to the local DMB. Disregarding the observed distribution of mineralization was associated with an overestimation of average equivalent strain and underestimation of von Mises equivalent stress. From the surface of trabecular elements towards their core the strain decreased irrespective of tissue stiffness distribution. This indicates that the trabecular elements were bent during the compression experiment. Inhomogeneously distributed tissue stiffness resulted in a low stress at the surface that increased towards the core. In contrast, disregarding this tissue stiffness distribution resulted in high stress at the surface which decreased towards the core. It was concluded that the increased DMB, together with concurring alterations in architecture, during development leads to a structure which is able to resist increasing loads without an increase in average deformation, which may lead to damage

NRG Oncology-Radiation Therapy Oncology Group Study 1014: 1-Year Toxicity Report From a Phase 2 Study of Repeat Breast-Preserving Surgery and 3-Dimensional Conformal Partial-Breast Reirradiation for In-Breast Recurrence.

PURPOSE: To determine the associated toxicity, tolerance, and safety of partial-breast reirradiation. METHODS AND MATERIALS: Eligibility criteria included in-breast recurrence occurring \u3e1 year after whole-breast irradiation, \u3c3 \u3ecm, unifocal, and resected with negative margins. Partial-breast reirradiation was targeted to the surgical cavity plus 1.5 cm; a prescription dose of 45 Gy in 1.5 Gy twice daily for 30 treatments was used. The primary objective was to evaluate the rate of grade ≥3 treatment-related skin, fibrosis, and/or breast pain adverse events (AEs), occurring ≤1 year from re-treatment completion. A rate of ≥13% for these AEs in a cohort of 55 patients was determined to be unacceptable (86% power, 1-sided α = 0.07). RESULTS: Between 2010 and 2013, 65 patients were accrued, and the first 55 eligible and with 1 year follow-up were analyzed. Median age was 68 years. Twenty-two patients had ductal carcinoma in situ, and 33 had invasive disease: 19 ≤1 cm, 13 \u3e1 to ≤2 cm, and 1 \u3e2 cm. All patients were clinically node negative. Systemic therapy was delivered in 51%. All treatment plans underwent quality review for contouring accuracy and dosimetric compliance. All treatment plans scored acceptable for tumor volume contouring and tumor volume dose-volume analysis. Only 4 (7%) scored unacceptable for organs at risk contouring and organs at risk dose-volume analysis. Treatment-related skin, fibrosis, and/or breast pain AEs were recorded as grade 1 in 64% and grade 2 in 7%, with only 1 ( CONCLUSION: Partial-breast reirradiation with 3-dimensional conformal radiation therapy after second lumpectomy for patients experiencing in-breast failures after whole-breast irradiation is safe and feasible, with acceptable treatment quality achieved. Skin, fibrosis, and breast pain toxicity was acceptable, and grade 3 toxicity was rare