30 research outputs found
Electrospun fluorescent nanofibers for explosive detection
Development of an instant on-site visual detection method for 2,4,6 trinitrotoluene (TNT) has become a significant requirement of the hour towards a secured society and a greener environment. Despite momentous advances in the respective field, a portable and reliable method for quick and selective detection of TNT still poses a challenge to many reasons attributing to inappropriate usage in subordinate areas and untrained personnel. The recent effort on the fluorescent based detection represents as one of easy method in terms of fast response time and simple on/off detection. Therefore, this chapter provides a consolidation of information relating to recent advances in fluorescence based TNT detection.Further, the main focus will be towards advances in the nanofibers based TNT detection and their reason to improving thesensitivity. © Springer International Publishing Switzerland 2015
Intraperitoneal drain placement and outcomes after elective colorectal surgery: international matched, prospective, cohort study
Despite current guidelines, intraperitoneal drain placement after elective colorectal surgery remains widespread. Drains were not associated with earlier detection of intraperitoneal collections, but were associated with prolonged hospital stay and increased risk of surgical-site infections.Background Many surgeons routinely place intraperitoneal drains after elective colorectal surgery. However, enhanced recovery after surgery guidelines recommend against their routine use owing to a lack of clear clinical benefit. This study aimed to describe international variation in intraperitoneal drain placement and the safety of this practice. Methods COMPASS (COMPlicAted intra-abdominal collectionS after colorectal Surgery) was a prospective, international, cohort study which enrolled consecutive adults undergoing elective colorectal surgery (February to March 2020). The primary outcome was the rate of intraperitoneal drain placement. Secondary outcomes included: rate and time to diagnosis of postoperative intraperitoneal collections; rate of surgical site infections (SSIs); time to discharge; and 30-day major postoperative complications (Clavien-Dindo grade at least III). After propensity score matching, multivariable logistic regression and Cox proportional hazards regression were used to estimate the independent association of the secondary outcomes with drain placement. Results Overall, 1805 patients from 22 countries were included (798 women, 44.2 per cent; median age 67.0 years). The drain insertion rate was 51.9 per cent (937 patients). After matching, drains were not associated with reduced rates (odds ratio (OR) 1.33, 95 per cent c.i. 0.79 to 2.23; P = 0.287) or earlier detection (hazard ratio (HR) 0.87, 0.33 to 2.31; P = 0.780) of collections. Although not associated with worse major postoperative complications (OR 1.09, 0.68 to 1.75; P = 0.709), drains were associated with delayed hospital discharge (HR 0.58, 0.52 to 0.66; P < 0.001) and an increased risk of SSIs (OR 2.47, 1.50 to 4.05; P < 0.001). Conclusion Intraperitoneal drain placement after elective colorectal surgery is not associated with earlier detection of postoperative collections, but prolongs hospital stay and increases SSI risk
Preoperative Charlson Comorbidity Score Predicts Postoperative Outcomes Among Older Intracranial Meningioma Patients
On determining the optimal shape, speed, and size of metal flywheel rotors with maximum kinetic energy
Classification of Multiple and Single Power Quality Disturbances Using a Decision Tree-Based Approach
The Effect of Age, Gender, Refractive Status and Axial Length on the Measurements of Hertel Exophthalmometry
An assessment of the Accounting Perspective on Intellectual Capital and some results from the European Union
The work reports the use of two financial indicators of intellectual and human capital and their empirical findings from the study of European Union companies. The authors use the VAIC indicator (similar to the earlier chapter) and the impact intellectual and human capital has on firm financial performances. They report that the impact is not consistent among samples and business performance indicators in terms of both significance and sign of coefficients. The second model used is a modification of, and a partial repetition and validation of, the method originally developed by Olhson. The authors report that the indicators of structural capital and human capital are always significant, suggesting that this information is relevant for investors that operate on the European stock markets. This chapter is a worthy example of the use of two quantitative methods when conducting a rigorous financial analysis of intellectual capital and human capital, suggesting to researchers and practitioners that different methods and tools have very different validities for predicting future outcomes