Improved wear performance of ultra high molecular weight polyethylene coated with hydrogenated diamond like carbon

Hydrogenated diamond like carbon (DLCH) thin films were deposited on medical grade ultra high molecular weight polyethylene (UHMWPE) by radio frequency plasma enhanced chemical vapor deposition. The DLCH coating thicknesses ranged from 250 to 700. nm. The substrates were disks made of UHMWPEs typically used for soft components in artificial joints, namely virgin GUR 1050 and highly crosslinked (gamma irradiated in air to 100. kGy) UHMWPEs. Mechanical and tribological properties under bovine serum lubrication at body temperature were assessed on coated and uncoated polyethylenes by means of nano-hardness and ball-on-disk tests, respectively. Morphological features of the worn surfaces were obtained by confocal microscopy and scanning electron microscopy. This study confirms an increase in surface hardness and good wear resistance for coated materials after 24. h of sliding test compared to uncoated polyethylene. These results point out that to coat UHMWPE with DLCH films could be a potential method to reduce backside wear in total hip and knee arthroplasties.Ministerio de Ciencia y Educación MAT2006-12603- C02-01, CSD2008-0002

Mn valence instability in La2/3Ca1/3MnO3 thin films

A Mn valence instability on La2/3Ca1/3MnO3 thin films, grown on LaAlO3 (001)substrates is observed by x-ray absorption spectroscopy at the Mn L-edge and O K-edge. As-grown samples, in situ annealed at 800 C in oxygen, exhibit a Curie temperature well below that of the bulk material. Upon air exposure a reduction of the saturation magnetization, MS, of the films is detected. Simultaneously a Mn2+ spectral signature develops, in addition to the expected Mn3+ and Mn4+ contributions, which increases with time. The similarity of the spectral results obtained by total electron yield and fluorescence yield spectroscopy indicates that the location of the Mn valence anomalies is not confined to a narrow surface region of the film, but can extend throughout the whole thickness of the sample. High temperature annealing at 1000 C in air, immediately after growth, improves the magnetic and transport properties of such films towards the bulk values and the Mn2+ signature in the spectra does not appear. The Mn valence is then stable even to prolonged air exposure. We propose a mechanism for the Mn2+ ions formation and discuss the importance of these observations with respect to previous findings and production of thin films devices.Comment: Double space, 21 pages, 6 figure

Comparison of effectiveness between a conventional catheter and a manual commercial catheter: randomized trial of simulation of intraosseous access in a biological model

Introduction: In the emergency services an action of paramount importance in critically ill patients is to obtain an early vascular access. When vascular access is not established, an intraosseous route should be obtained; otherwise, the mortality of these critically ill patients is almost 100%. In Colombia, the intraosseous access is not used because of the high costs of the devices and the lack of training of the healthcare staff to conduct the procedure.Objective: To determine the efficacy of a low-cost device to establish intraosseous access.Materials and methods: Quantitative approach, experimental design in a simulated environment with chicken tarsus and metatarsus. An analysis was conducted using frequency tables and central tendency measurements. Likewise, further analyses were done using Fisher's exact test, Chi2, and Mann-Whitney test.Results: A total of 99% of the procedures were successful with both catheters. The average time for intraosseous access was 6.6 seconds with Insyte 14 catheter and 4.7 seconds with Din 1515x Illinois Desch device (P=0.001). There were no significant differences in the number of attempts to secure a successful intraosseous access using any of the 2 devices (P=0.56).Conclusion: There was no significant difference between the Ci 14 and the Si 14 catheter to establish a successful intraosseous access in the chicken tarsus and metatarsus in a simulated environment. © 2019 Sociedad Colombiana de Anestesiología y Reanimación (S.C.A.R.E.)

The consequences of heavy-tailed service time distribution on a basic queuing model and its performance indicators

Recent research showing theoretical generative models for heavy-tailed service time queues and its empirical validation implies the need for a better knowledge of the key performance indicators’ behavior under such assumption. The behavior of the average length of the queue () and the average waiting-time (Wq) were analyzed through simulation, varying system capacity, average service utilization factor ( ρ ) and the number of servers in the systems as parameters. Comparisons were also made with service times based on Poisson processes. The results showed more sensitive variations of Lq and Wq for heavy-tailed service times than for Poisson-based service times. Systems having a capacity of over 1,000 entities might be considered as being systems having infinity capacity and the number of servers has a greater importance in heavy-tailed ruled processes than in Poisson processes. There was a lack of adequacy of Lq and Wq as key performance indicators for heavy-tailed service times, lea- ding to unexpected and unstable results.La reciente aparición de modelos generatrices de líneas de espera con tiempos de atención heavy-tailed y su comprobación empírica implican la necesidad de conocer el comportamiento de las medidas clásicas de desempeño de una línea de espera bajo estas condiciones. El objetivo del estudio fue el de analizar el comportamiento de Lq (longitud promedio de la fila) y Wq (tiempo promedio de espera en fila) variando los parámetros capacidad del sistema, nivel de utilización promedio ( ρ ) y número de servidores para líneas de espera con tiempos de atención heavy-tailed, y contrastar dicho comportamiento con los resultados clásicos basados en procesos de Poisson, usando para ello la simulación de eventos discretos. Los resultados mostraron que la sensibilidad de los modelos con tiempos de atención heavy-tailed a variaciones en los parámetros es mayor que la de los modelos basados en procesos de Poisson. En particular, a partir de capacidades de sistema de 1.000 entidades ciertos procesos heay-tailed pueden considerarse infinitos, y la importancia del número de servidores es mayor en los procesos heavy-tailed analizados que en los procesos de Poisson. Por último, la utilización de Lq y Wq como medidas de desempeño es inadecuada para tiempos de atención heavy-tailed al generar resultados inestables y contraintuitivos

Interrelationship between different loads in resisted sprints, half-squat 1RM, and kinematic variables in trained athletes

Resisted sprint running is a common training method for improving sprint-specific strength. It is well-known that an athlete's time to complete a sled-towing sprint increases linearly with increasing sled load. However, to our knowledge, the relationship between the maximum load in sled-towing sprint and the sprint time is unknown, The main purpose of this research was to analyze the relationship between the maximum load in sled-towing sprint, half-squat maximal dynamic strength and the velocity in the acceleration phase in 20-m sprint. A second aim was to compare sprint performance when athletes ran under different conditions: un-resisted and towing sleds. Twenty-one participants (17.86±2.27 years; 1.77±0.06 m and 69.24±7.20 kg) completed a one repetition maximum test (1 RM) from a half-squat position (159.68±22.61 kg) and a series of sled-towing sprints with loads of 0, 5, 10, 15, 20, 25, 30% body mass (Bm) and the maximum resisted sprint load. No significant correlation (P<0.05) was found between half-squat 1 RM and the sprint time in different loaded conditions. Conversely, significant correlations (P<0.05) were found between maximum load in resisted sprint and sprint time (20-m sprint time, r=−0.71; 5% Bm, r=−0.73; 10% Bm, r=−0.53; 15% Bm, r=−0.55; 20% Bm, r=−0.65; 25% Bm, r=−0.44; 30% Bm, r=−0.63; MaxLoad, r= 0.93). The sprinting velocity significantly decreased by 4–22% with all load increases. Stride length (SL) also decreased (17%) significantly across all resisted conditions. In addition, there were significant differences in stride frequency (SF) with loads over 15% Bm. It could be concluded thatthe knowledge of the individual maximal load in resisted sprint and the effects on the sprinting kinematic with different loads, could be interesting to determinate the optimal load to improve the acceleration phase at sprint running.Actividad Física y Deport

Effects of Sled Towing on Peak Force, the Rate of Force Development and Sprint Performance During the Acceleration Phase

Resisted sprint training is believed to increase strength specific to sprinting. Therefore, the knowledge of force output in these tasks is essential. The aim of this study was to analyze the effect of sled towing (10%, 15% and 20% of body mass (Bm)) on sprint performance and force production during the acceleration phase. Twenty-three young experienced sprinters (17 men and 6 women; men = 17.9 ± 3.3 years, 1.79 ± 0.06 m and 69.4 ± 6.1 kg; women = 17.2 ± 1.7 years, 1.65 ± 0.04 m and 56.6 ± 2.3 kg) performed four 30 m sprints from a crouch start. Sprint times in 20 and 30 m sprint, peak force (Fpeak), a peak rate of force development (RFDpeak) and time to RFD (TRFD) in first step were recorded. Repeated-measures ANOVA showed significant increases (p ≤ 0.001) in sprint times (20 and 30 m sprint) for each resisted condition as compared to the unloaded condition. The RFDpeak increased significantly when a load increased (3129.4 ± 894.6 N·s-1, p ≤ 0.05 and 3892.4 ± 1377.9 N·s-1, p ≤ 0.01). Otherwise, no significant increases were found in Fpeak and TRFD. The RFD determines the force that can be generated in the early phase of muscle contraction, and it has been considered a factor that influences performance of force-velocity tasks. The use of a load up to 20% Bm might provide a training stimulus in young sprinters to improve the RFDpeak during the sprint start, and thus, early acceleration.Actividad Física y Deport

Isokinetic leg strength and power in elite handball players

Isokinetic strength evaluation of the knee flexion and extension in concentric mode of contraction is an important part of the comprehensive evaluation of athletes. The aims of this study were to evaluate the isokinetic knee peak torque in both the extension and flexion movement in the dominant and non-dominant leg, and the relationship with jumping performance. Twelve elite male handball players from the top Spanish handball division voluntary participated in the study (age 27.68 ± 4.12 years; body mass 92.89 ± 12.34 kg; body height 1.90 ± 0.05 m). The knee extensor and flexor muscle peak torque of each leg were concentrically measured at 60º/s and 180º/s with an isokinetic dynamometer. The Squat Jump and Countermovement Jump were performed on a force platform to determine power and vertical jump height. Non-significant differences were observed between legs in the isokinetic knee extension (dominant= 2.91 ± 0.53 Nm/kg vs non-dominant = 2.70 ± 0.47 Nm/kg at 60º/s; dominant = 1.90 ± 0.31 Nm/kg vs non-dominant = 1.83 ± 0.29 Nm/kg at 180º/s) and flexion peak torques (dominant = 1.76 ± 0.29 Nm/kg vs non-dominant = 1.72 ± 0.39 Nm/kg at 60º/s; dominant = 1.30 ± 0.23 Nm/kg vs non-dominant = 1.27 ± 0.35 Nm/kg at 180º/s). Low and non-significant correlation coefficients were found between the isokinetic peak torques and vertical jumping performance (SJ = 31.21 ± 4.32 cm; CMJ = 35.89 ± 4.20 cm). Similar isokinetic strength was observed between the legs; therefore, no relationship was found between the isokinetic knee flexion and extension peak torques as well as vertical jumping performance in elite handball players.Actividad Física y Deport

P67 195. Cirugía del tromboembolismo pulmonar masivo en el enfermo crítico

La extracción de los trombos pulmonares en el tromboembolismo pulmonar masivo antes de 1953 (operación de Trendelenburg) cosechó fracaso tras fracaso. Desde el advenimiento de la circulación extracorpórea (CEC) el porcentaje de éxito de esta operación mejoró notablemente, no habiendo dejado de aumentar hasta la actualidad, existiendo series que reflejan porcentajes de hasta el 94% de supervivencia inmediata, con 86 y 83% de supervivencia actuarial a 1 y 3años.Presentamos un caso de paciente varón de 35años sin enfermedad previa ni antecedentes familiares de enfermedad tromboembólica. Consulta por insuficiencia respiratoria, siendo diagnosticado por tomografía computarizada de tromboembolismo en AP izquierda, la cual ocluye. El ECO-Doppler de MMII descarta trombosis venosa profunda (TVP). Una nueva tomografía computarizada informa de persistencia de la obstrucción de AP izquierda y sus ramas, que parece haber aumentado. En ecocardiografía transtorácica (ETT) dilatación de cavidades derechas con función de ventrículo derecho (VD) normal y presión sistólica de la arteria pulmonar (PSAP) de 70 mmHg. Los estudios para investigar trombofilia fueron negativos.Tras unos días empeora su situación, produciéndose dos paradas cardiorrespiratorias, de las que es reanimado y tratado inmediatamente con TNK. La tomografía computarizada muestra la existencia de nuevo episodio de tromboembolismo pulmonar que afecta a la AP derecha gravemente.Es intervenido quirúrgicamente bajo CEC sin parada circulatoria, extrayéndose molde trombótico de tronco y ambas ramas de la AP. La evolución postoperatoria fue favorable. En tomografía computarizada de control se observan limpios el tronco y las ramas de la AP, con cierto compromiso en ramas subsegmentarias de la AP izquierda.Se muestran imágenes de la intervención y tomografía computarizada pre y posquirúrgicas

Relationship between Serum Concentration of Uric Acid and Insulin Secretion among Adults with Type 2 Diabetes Mellitus

To determine the relationship between serum concentrations of uric acid and insulin secretion with hyperglycaemic clamp technique among adults with type 2 diabetes mellitus (DM2) without hyperuricemia, we carried out a cross-sectional study on 45 patients of both gender. We observed correlation between uric acid with male gender r = 0.710 (P = 0.001). Also correlation between uric acid and total insulin secretion was positive r = 0.295 (P = 0.049). As well as a positive correlation adjusted for body mass index was demonstrated for the first, second, and total phases of insulin secretion, respectively, r = 0.438 (P = 0.022), r = 0.433 (P = 0.022), and r = 0.439 (P = 0.024). Serum concentration of uric acid showed a positive relationship with the total phase of insulin secretion; even in states prior to hyperuricemia, uric acid can play an important role in the function of the beta cell in patients with DM2