Implant Prophylaxis: The Next Best Practice Toward Asepsis in Spine Surgery.

Study designA literature review.ObjectivesAn evaluation of the contaminants prevalent on implants used for surgery and the aseptic methods being employed against them.MethodsPubMed was searched for articles published between 2000 and 2017 for studies evaluating the contaminants present on spine implants, and associated pre- and intraoperative implant processing and handling methodology suggested to avoid them. Systematic reviews, observational studies, bench-top studies, and expert opinions were included.ResultsEleven studies were identified whose major focus was the asepsis of implants to reduce the incidence of surgical site infection incidences during surgery. These studies measured the colony forming units of bacteria on sterilized implants and/or gloves from the surgeon, scrub nurse, and assistants, as well as reductions of surgical site infection rates in spine surgery due to changes in implant handling techniques. Additionally, the search included assessments of endotoxins and carbohydrates present on reprocessed implants. The suggested changes to surgical practice based on these studies included handling implants with only fresh gloves, keeping implants covered until the immediate time of use, reducing operating room traffic, avoiding reprocessing of implants (ie, providing terminally sterilized implants), and avoiding touching the implants altogether.ConclusionsBoth reprocessing (preoperative) and handling (intraoperative) of implants seem to lead to contamination of sterilized implants. Using a terminally sterilized device may mitigate reprocessing (preoperative implant prophylaxis), whereas the use of fresh gloves for handling each implant and/or a permanent shielding technique (intraoperative implant prophylaxis) could potentially avoid recontamination at the theatre

Origin of the anomalous magnetic circular dichroism spectral shape in ferromagnetic (Ga,Mn)As: Impurity bands inside the band gap

The electronic structure of a prototype dilute magnetic semiconductor (DMS), Ga1-xMnxAs, is studied by magnetic circular dichroism (MCD) spectroscopy. We prove that the optical transitions originated from impurity bands cause the strong positive MCD background. The MCD signal due to the E0 transition from the valence band to the conduction band is negative indicating that the p-d exchange interactions between the p-carriers and d-spin is antiferromagnetic. The negative E0 MCD signal also indicates that the hole-doping of the valence band is not so large as previously assumed. The impurity bands seem to play important roles for the ferromagnetism of Ga1-xMnxAs.Comment: 13 pages, 3 figure

Instrumental Techniques for Chemical Analysis of Ferro-Alloys

Ferro-alloys are metallic addition agents used in iron and steel making to incorporate an alloying element into the molten material or to refine steel, for example by removal of oxygen and sulphur, in which case the alloying element is only to a minor extent incorporated in the steel. These additions are made to the ladle before the pouting into moulds. Most ferro-alloys are alloys of the main element (usually, 15-85%), with iron, hence the name. Sometimes ferro-alloy contain two or three alloying elements which act in different ways and there are also complex boron alloys in which titanium and aluminum can fix the oxygen and nitrogen in the steel bath so, that the boron may enter Solution and exert a metallurgical influence

Off Resonant Pumping for Transition from Continuous to Discrete Spectrum and Quantum Revivals in Systems in Coherent States

We show that in parametrically driven systems and, more generally, in systems in coherent states, off-resonant pumping can cause a transition from a continuum energy spectrum of the system to a discrete one, and result in quantum revivals of the initial state. The mechanism responsible for quantum revivals in the present case is different from that in the non-linear wavepacket dynamics of systems such as Rydberg atoms. We interpret the reported phenomena as an optical analog of Bloch oscillations realized in Fock space and propose a feasible scheme for inducing Bloch oscillations in trapped ions.Comment: 5 pages, 4 figures, submitted to Jnl. of Optics

Synthesis of Al and Ag nanoparticles through ultra-sonic dissociation of thermal evaporation deposited thin films for promising clinical applications as polymer nanocomposite

Nanoparticles (NPs) having well-defined shape, size and clean surface serve as ideal model system to investigate surface/interfacial reactions. Ag and Al NPs are receiving great interest due to their wide applications in bio-medical field, aerospace and space technology as combustible additives in propellants and hydrogen generation. Hence, in this study, we have synthesized Ag and Al NPs using an innovative approach of ultra-sonic dissociation of thin films. Phase and particle size distributions of the Ag and Al NPs have been determined by X-ray diffraction (XRD) and transmission electron microscopy (TEM). Thin film dissociation/dissolution mechanism, hence conversion into NPs has been characterized by SEM- scanning electron microscope. EDXA & ICPMS have been performed for chemical analysis of NPs. Optical properties have been characterized by UV-Vis and PL spectroscopy. These NPs have also been investigated for their anti-bacterial activity against Escherichia coli bacteria. To the best of our knowledge, this is the first time when NPs has been synthesized by ultra-sonic dissociation of thin films. As an application, these NPs were used further for synthesis of nanocomposite polymer membranes, which show excellent activity against bio film formation

Oxozirconium(IV) Complexes of Nonamethylimidodiphosphoramide

A series of new complexes of the type ZrOX2(NlPA) (X = Cl, Br, I, N03, NCS, NCSe or BPh4) and ZrO(CI04h\u27 2(NlPA) have been synthesised and characterized through molar conductance, molecular weight, magnetic measurement and in dependence on the nature of anion

Theoretical studies on tone noise from a ducted fan rotor

The method of computing radiated noise from a ducted rotor due to inflow distortion and turbulence are examined. Analytical investigations include an appropriate description of sources, the cut-off conditions imposed on the modal propagation of the pressure waves in the annular duct, and reflections at the upstream end of the duct. Far field sound pressure levels at blade passing frequency due to acoustic radiation from a small scale low speed fan are computed. Theoretical predictions are in reasonable agreement with experimental measurements

Mass-Gaps and Spin Chains for (Super) Membranes

We present a method for computing the non-perturbative mass-gap in the theory of Bosonic membranes in flat background spacetimes with or without background fluxes. The computation of mass-gaps is carried out using a matrix regularization of the membrane Hamiltonians. The mass gap is shown to be naturally organized as an expansion in a 'hidden' parameter, which turns out to be $\frac{1}{d}$: d being the related to the dimensionality of the background space. We then proceed to develop a large $N$ perturbation theory for the membrane/matrix-model Hamiltonians around the quantum/mass corrected effective potential. The same parameter that controls the perturbation theory for the mass gap is also shown to control the Hamiltonian perturbation theory around the effective potential. The large $N$ perturbation theory is then translated into the language of quantum spin chains and the one loop spectra of various Bosonic matrix models are computed by applying the Bethe ansatz to the one-loop effective Hamiltonians for membranes in flat space times. Apart from membranes in flat spacetimes, the recently proposed matrix models (hep-th/0607005) for non-critical membranes in plane wave type spacetimes are also analyzed within the paradigm of quantum spin chains and the Bosonic sectors of all the models proposed in (hep-th/0607005) are diagonalized at the one-loop level.Comment: 36 Page