Medical implants by using RP and investment casting technologies

The paper deals with the production technology of knee joint replacement by using rapid prototyping technology. The aim of the work is to outline the manufacturing technology intended for prototype production with the use of rapid prototyping and investment casting technology for use in orthopaedics and the surgery of knee joint replacement. The research results should make an effective contribution in the attempts to minimize the invasive surgical procedure, shorten the production of knee joint replacement as well as reduce the cost. At present, the research is focused on the preparation of STL data from CT (Computed Tomography) and verification of the production technology of prototypes made using available RP technology and its evaluation

Antibiotic treatment following a dog bite in an immunocompromized patient in order to prevent Capnocytophaga canimorsus infection: a case report

BACKGROUND: Capnocytophaga canimorsus is a commensal bacterium found in the saliva of dogs and cats. Clinically significant infections in humans after a bite are often associated with the presence of immune deficiency. Early recognition and appropriate treatment are crucial for patient survival. In addition, patients with immune deficiency are susceptible to serious life-threatening nosocomial infections, which may also influence the prognosis of patients with Capnocytophaga canimorsus infection. CASE PRESENTATION: A 62-year-old Caucasian female was admitted with septic shock, acute respiratory distress syndrome, acute renal failure, metabolic acidosis and disseminated intravascular coagulation after suffering two small bites from her dog. She had received a splenectomy during childhood. The patient survived after early empiric treatment with antibiotics and intensive supportive care, including ventilation support, a high dose of noradrenalin, and continuous venovenous hemodialysis applied prior to the definitive diagnosis of Capnocytophaga canimorsus sepsis. She improved within 2 weeks but, despite all efforts to prevent nosocomial infection, her hospital course was complicated by Enterococcus species and Candida albicans pleuropneumonia that prolonged her stay in the intensive care unit, and necessitated ventilation support for 2 months. CONCLUSION: Severe Capnocytophaga canimorsus sepsis may be complicated by life-threatening nosocomial infection in immunocompromized patients. The prophylactic application of antibiotics after a dog bite should be considered in high-risk individuals with immune deficiency in order to prevent both Capnocytophyga canimorsus sepsis and serious nosocomial complications

Experimental investigation of stabilization of flowing water temperature with a water-PCM heat exchanger

Experiments have been carried out in order to investigate the stabilization of water temperature with a water-PCM heat exchanger. The water-PCM heat exchanger was of a rather simple design. It was a round tube, through which the water flowed, surrounded with an annular layer of PCM. The heat exchanger was divided into one meter long segments (modules) and the water temperature was monitored at the outlet of each of the segments. A paraffin-based PCM with the melting temperature of 42 °C was used in the experiments. The experimental set-up consisted of two water reservoirs kept at different temperatures, the water-PCM heat exchanger, PC controlled valves and a data acquisition system. As the first step a response to a step change in the water temperature at the inlet of the heat exchanger was investigated. Subsequently, a series of experiments with a square wave change of temperature at the inlet of the exchanger were carried out. The square wave temperature profile was achieved by periodic switching between the two water reservoirs. Several amplitudes and periods of temperature square wave were used. The results of experiments show that a water-PCM heat exchanger can effectively be used to stabilize the flowing water temperature when the inlet temperature changes are around the melting range of the PCM