Surgical Management of Retraction Pockets: Does Mastoidectomy have a Role?

Abstract Introduction Retraction pocket is a condition in which the eardrum lies deeper within the middle ear. Its management has no consensus in literature. Objective To assess the role of mastoidectomy in the management of retraction pockets added to a tympanoplasty. Methods Prospective study of patients with retraction pocket and referred to surgery. The patients were randomly assigned to two groups: one managed with tympanoplasty and mastoidectomy and the other group with tympanoplasty only. The minimum follow-up considered was 12 months. The outcomes were: integrity of eardrum, recurrence, and hearing status. Results This study included 43 patients. In 24 cases retraction occurred in the posterior half of the eardrum, and in 19 patients there was clinical evidence of ossicular interruption. The two groups of treatment were composed by: 21 patients that underwent tympanoplasty with mastoidectomy and 22 patients had only tympanoplasty. One case of the first group had a recurrence. In 32 cases patients follow up was longer than 48 months. The average air-bone gap changed from 22.1 dB to 5 dB. The percentage of air-bone gap improvement was assessed at 60% in those patients treated with mastoidectomy, and 64.3% in those without it (p > 0.5). Conclusion Tympanoplasty and ossiculoplasty should be considered to treat atelectatic middle ear and ossicular chain interruption. Mastoidectomy as a way to increase air volume in the ear seems to be a paradox; it does not add favorable prognostic factor to management of retraction pockets

Low cost electrical current sensors with automatic measurement range

We present a simple and low cost Smart Current Sensor with wide automatic measurement range. The logic core system of the sensor is the Atmel AT32UC3C2256C AVR 32-bit microcontroller, the wireless core is a Microchip MRF24J40MA IEEE 802.15.4 RF transceiver[3]. The MCU features 11 ADC multiplexed channels, with 12-bit resolution and sample rate up to 2Msps, two of which can be sampled in parallel. The sensing board consists of two hall-effect based current sensors, assembled on different PCBs in order to perform with different sensitivities. Custom primary conductor design allowed us to sense the current flowing in the conductor with two different sensitivities: the sensor mounted inside the two PCBs gets a strong contribution from the traces on both the PCBs, the sensor mounted outside only gets a strong contribution from the traces on the bottom PCB

Bionanocomposite blown films: insights on the theological and mechanical behavior

In this work, bionanocomposites based on two different types of biopolymers belonging to the MaterBi® family and containing two kinds of modified nanoclays were compounded in a twin-screw extruder and then subjected to a film blowing process, aiming at obtaining sustainable films potentially suitable for packaging applications. The preliminary characterization of the extruded bionanocomposites allowed establishing some correlations between the obtained morphology and the material rheological and mechanical behavior. More specifically, the morphological analysis showed that, regardless of the type of biopolymeric matrix, a homogeneous nanofiller dispersion was achieved; furthermore, the established biopolymer/nanofiller interactions caused a restrain of the dynamics of the biopolymer chains, thus inducing a significant modification of the material rheological response, which involves the appearance of an apparent yield stress and the amplification of the elastic feature of the viscoelastic behavior. Besides, the rheological characterization under non-isothermal elongational flow revealed a marginal effect of the embedded nanofillers on the biopolymers behavior, thus indicating their suitability for film blowing processing. Additionally, the processing behavior of the bionanocomposites was evaluated and compared to that of similar systems based on a low-density polyethylene matrix: this way, it was possible to identify the most suitable materials for film blowing operations. Finally, the assessment of the mechanical properties of the produced blown films documented the potential exploitation of the selected materials for packaging applications, also at an industrial level

effect of environmental conditions on the durability of polycarbonate for the protection of cultural heritage sites

Polycarbonate is a good material for covering and protecting cultural heritage sites because of its durability, mechanical properties, and transparency. However, polycarbonate degrades under environmental weathering with a significant decrease of physical and mechanical properties and loss of transparency. In this work, the contemporary presence of ultraviolet irradiation and different temperature and moisture conditions have been taken into account to study the environmental degradation of this polymer with regard to its mechanical and optical properties. The photo-oxidation reactions cause a decrease in the molecular weight and the formation of many oxygenated species. The hydrolytic scission, instead, gives rise to a remarkable reduction in the molecular weight. These two different degradation mechanisms do not seem interconnected because at the lowest degradation temperature and high humidity levels, the reduction of the molecular weight is more pronounced than that observed at the highest temperature but at a lower humidity level. Transparency decreases with the degradative processes, but even after severe degradation the loss of transparency is only about 10%. The yellowness index increases during the first stages of degradation, which has been attributed to the fast formation of carbonyl groups due to photo-oxidation

effect of cold drawing on mechanical properties of biodegradable fibers

The use of biodegradable polymers is increasingly attracting interest over the last years, since they can reduce the environmental effects related to disposal of traditional plastics and, in general, the use of fossil, non-renewable resources. One of the most promising applications is represented by fibers production. However, the orientation and the crystallinity degrees can significantly affect the mechanical properties. Therefore, it is of interest to investigate on the optimum processing conditions, in order to improve the mechanical properties. In particular, while crystallinity can be slightly modified by the processing, orientation can be significantly improved. In this work, the effects of hot stretching on the mechanical and structural properties of fibers made from two different families of biodegradable blends were investigated. The orientation proved to significantly change the mechanical properties, and it was shown that factors such as the different relaxation times, the different crystallization temperatures and the cooling rate can give opposite effects in the three investigated polymer systems with significant consequences on the mechanical behaviour of the fibers. In particular, the behaviour during fiber production in hot stretching, and the orientation mechanisms were studied and explained on the basis of rheological and thermal properties of the polymers

LA METODOLOGIA DELLA LIFE CYCLE ASSESSMENT NELLA RIQUALIFICAZIONE ENERGETICA DEGLI EDIFICI STORICI

Historic buildings are complex systems of cultural, architectural, and identity value, they need particular attention to ensure that they are preserved, used, and managed over time in a sustainable way. This implies a demand for retrofit solutions able to improve indoor thermal conditions while reducing the use of energy sources and preserving the heritage significance. The presented paper proposes a life-cycle approach to assess energy and environmental assessment specifically devoted to historic building energy retrofit. To this purpose, the presented LCA-based method allows to understand whether the achieved energy benefits could be supported in a life cycle perspective or were overcome by the environmental burdens of the actions. This method could be used to support public policies in the preservation of cultural value buildings, allowing for the assessment of the most effective actions to save energy and to minimize environmental impacts along the whole building life-cycle. As main result, the paper aims at supporting decision makers in selecting energy retrofit solutions, tailored to solve the conflict between conservation and energy performance requirement

Major postoperative complications and survival for colon cancer elderly patients

BACKGROUND: Increased life expectancy has led to elevating the mean age of the patients at the time of diagnosis of colon cancer and subsequent treatment. Differences in complication rates and outcome between elderly and younger patients have been investigated. METHODS: We retrospectively analysed a database containing the information of patients who underwent surgery for stage I-III colorectal cancer from January 2004 to January 2012 at our institution and compared demographic, cancer-related, and outcomes data of 235 elderly patients with 211 patients ≤65 years old. RESULTS: Intraoperative complications did not differ between young and old patients whereas some differences have been found in postoperative and late complications: elderly patients suffered more by ileus (P = 0.024), peritonitis or septic shock (P = 0.017), pelvic abscess (P = 0.028), wound infection (P = 0.031), and incisional/port herniation (P = 0.012) compared with younger patients. Moreover, elderly patients suffered by systemic complications such as cardiovascular (4.7% vs. 1.4%, P = 0.049), renal (4.7% vs. 0.5%, P = 0.006), and respiratory (10.6% vs. 5.2%, P = 0.036). The multivariate analysis assessing the odds of having a complication revealed that older age (Odd Ratio [OR] 2.75, 95% Confidential Interval [CI]: 1.67-4.52) and open surgery (OR 1.63, 95% CI: 1.01-2.62) are significantly and independently associated with having a complication. CONCLUSIONS: In our series, elderly patients have presented a slight higher incidence of comorbidities that may affect the incidence rates of postoperative complications. These results have implications in increasing the hospital stay as well as a higher rate of death

Compatibilization of Polypropylene/Polyamide 6 Blend Fibers Using Photo-Oxidized Polypropylene

The use of polyamide/polyolefin blends has gained importance and concern for years, but they also show some issues to be adequately addressed, such as the incompatibility between the two components. This is usually overcome by using suitable compatibilizers, typically based on functionalized polyolefins. However, there is only little information about the use of a degraded polyolefins to induce compatibilization. This is even truer, as far as polyamide 6/polypropylene (PA6/PP) blends are concerned. In this work, compatibilization of PA6/PP blends by using small amounts of photo-oxidized PP was investigated; furthermore, the effects due to the presence of the photo-oxidized PP were studied also in relationship to the spinning operation, where the existence of the non-isothermal elongational flow can lead to significant, further morphological changes. It was found that isotropic samples showed significant enhancements of the tensile properties upon adding the photo-oxidized PP. Under non-isothermal elongational flow conditions, the presence of the photo-oxidized PP was particularly effective in improving the mechanical properties in comparison to the uncompatibilized blend fibers. Furthermore, an important result was found: The elongational-flow processing allowed obtaining anisotropic samples where the improvements of the properties, in comparison to the isotropic samples, were similar to those achieved by using a compatibilizer

Effect of a compatibilizer on the morphology and properties of polypropylene/polyethylentherephthalate spun fibers

Fibers spun by melt spinning of binary and ternary polypropylene/ polyethylenetherephthalate blends have been produced and characterized in order to investigate the effect of a compatibilizer on their morphology and mechanical properties. The compatibilizer was a maleic anhydride-functionalized rubber copolymer. The effect of the compatibilizer was well evident in the isotropic state, as the morphology became very fine, the size of the dispersed particles was very small, and the adhesion was better. The effect of the compatibilizer on the mechanical properties is very relevant, especially in the elongation at break. On the contrary, no relevant effect was observed in the anisotropic oriented fibers. Although the average diameter of the microfibrils of the dispersed phase of the compatibilized blend generated during the hot drawing was much smaller than that of the microfibrils of the same particles of the uncompatibilized blend, the mechanical properties were almost the same. This behavior has been attributed to the length of the smaller microfibrils of the ternary blends, which was lower that of the microfibrils of the binary blend. This has been explained in terms of reduced initial droplet size, and therefore of lesser possibility of stretching the droplets to very long fibrils in these samples

Mechanical, thermomechanical and reprocessing behavior of green composites from biodegradable polymer and wood flour

The rising concerns in terms of environmental protection and the search for more versatile polymer-based materials have led to an increasing interest in the use of polymer composites filled with natural organic fillers (biodegradable and/or coming from renewable resources) as a replacement for traditional mineral inorganic fillers. At the same time, the recycling of polymers is still of fundamental importance in order to optimize the utilization of available resources, reducing the environmental impact related to the life cycle of polymer-based items. Green composites from biopolymer matrix and wood flour were prepared and the investigation focused on several issues, such as the effect of reprocessing on the matrix properties, wood flour loading effects on virgin and reprocessed biopolymer, and wood flour effects on material reprocessability. Tensile, Dynamic-mechanical thermal (DMTA), differential scanning calorimetry (DSC) and creep tests were performed, pointing out that wood flour leads to an improvement of rigidity and creep resistance in comparison to the pristine polymer, without compromising other properties such as the tensile strength. The biopolymer also showed a good resistance to multiple reprocessing; the latter even allowed for improving some properties of the obtained green composites