Liver transplantation in children: The experience of Queen Mary Hospital, Hong Kong

Seven living-related liver transplants (LRLT) and two reduced-size liver transplants (RSLT) were performed on eight children who suffered from end- stage liver disease, having previously undergone one to three abdominal operations. Their ages at initial transplantation ranged from 8 months to 11 years (mean 35 months, median 12 months). Excluding the two older children aged 7 and 11 years, respectively, the rest of the children weighed 6 to 9.5 kg (mean 7.3 kg) at the time of the initial transplantation. Seven left lateral segments (S2 + 3) and two left lobes (S2 + 3 + 4) were used; of these the smallest graft had a graft-to-recipient body weight ratio of 0.9%. The volunteer living donors were four mothers, two fathers and one sister who were selected after medical and psychiatric evaluations, and their suitability was confirmed by hematological, biochemical, and radiological criteria. During a follow-up period of 3 to 30 months, all eight children are alive and well with normal liver function, one of them having undergone a retransplant LRLT because of hepatitis of undetermined etiology following a RSLT 1.5 years earlier. All seven donors had an uneventful postoperative course and were discharged on day 4 to 7 postoperatively. They have all resumed normal day-to-day activities. There were no complications in the donor group. A variety of complications occurred in the recipients, all of which were overcome. Operating microscope was used to perform all the arterial anastomoses using microvascular techniques. This method has proven to be a major factor in preventing arterial thrombosis even with the smallest of arterial anastomosis where a 1.5-mm diameter recipient artery was anastomosed to a 2.5-mm diameter donor hepatic artery.link_to_subscribed_fulltex

Dielectric properties of epoxy/POSS and PE/POSS systems

In many applications in electronic power, and high-voltage engineering, there is a need to improve the electrical properties of existing insulation systems and/or to develop novel insulation materials with properties more suitable with the changing requirements, particularly in the electrotechnical area. During the last few decades, a considerable attention has been given to the possible use of polymeric nanocomposites systems, usually a nonconductive polymer containing nanometric inorganic fillers, as a replacement to the neat polymers offering better electrical and thermal properties. There is almost, nowadays, a consensus among the scientific community that such property enhancements can only be achieved when the nano-fillers present a reasonably good size dispersion and spatial distribution within the host polymer. However, due to nano-fillers’ strong tendency to agglomerate and their generally poor compatibility with commonly used polymers, to reach optimal dispersions has been found challenging in most cases. In order to improve the polymer/particles’ compatibility and therefore to avoid agglomeration and poor-dispersion problems, polyhedral oligomeric silsesquioxanes (POSS) appear to be a filler of choice since they are by nature nanoscaled molecules bearing built-in functionalities which can be selected according to the chemical nature of the host polymer. This chapter summarizes the investigations that were reported so far on the electrical properties of epoxy/POSS, PE/POSS, and PP/POSS systems. The general conclusion is that in the case of polyolefin/POSS composites, nanoscale dispersion was found to be hard to reach despite the selection alkyl-type POSS and the dielectric properties were not found to be strongly improved while in the case of epoxy/POSS systems, the selection of appropriate POSS compounds and a carefully chosen resin/additive/hardener ratio allow nanoscale dispersion accompanied with noticeable improvements of the dielectric properties

Longitudinal characterization of determinants associated with obesogenic growth patterns in early childhood

10.1093/ije/dyac177INTERNATIONAL JOURNAL OF EPIDEMIOLOG