23 research outputs found

    The Influence of Airway Closure Technique for Right Pneumonectomy on Wall Tension During Positive Pressure Ventilation: An Experimental Study

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    Bronchopleural fistula (BPF) remains a significant source of morbidity and mortality after right pneumonectomy (RPN). Postoperative mechanical ventilation represents a primary risk factor for BPF. We undertook an experiment to determine the influence of airway diameter on suture line tension during mechanical ventilation after RPN. RPN was performed in 6 fresh human adult cadavers. After initial standard bronchial stump closure (BSC), the airway suture lines were subjected to 5 cm H2O incremental increases in airway pressures beginning at 5–40 cm H2O. To minimize airway diameter, a carinal resection was then performed with trachea to left main bronchial anastomosis and the airway suture lines subjected to similar incremental airway pressures. Wall tension (N/m) at the suture lines was measured using piezoresistive sensors at each pressure point. As delivered airway pressure increased, there was a concomitant increase in wall tension after BSC and carinal resection. At every point of incremental positive pressure, wall tension was however significantly lower after carinal resection when compared to BSC (P < 0.05). Additionally the differences in airway tension became even more significant with higher delivered airway pressure (P < 0.001). Airway diverticulum after BSC leads to significantly increased tension on the bronchial closure with positive airway pressure as compared to a closure which minimize airway diameter after RPN. This supports the role of Laplacian Law where small increases in airway diameter result in significant increases on closure site tension. Techniques which reduce airway diameter at the airway closure will more reliably reduce the incidence of BPF following RPN

    Editorial for Special Issue on Flexible Electronics: Fabrication and Ubiquitous Integration

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    Based on the premise &#8220;anything thin is flexible&#8222;, the field of flexible electronics has been fueled from the ever-evolving advances in thin-film materials and devices. [...

    Cross-scale design of energy dissipative composites using self-repairing interfaces based on sacrificial bonds

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    New composites with high energy dissipation and self-healing properties are required for structural materials, textiles, and protective equipment. This paper proposes a cross-scale strategy to design sacrificial bond composites (SBCs) using non-linear adhesive materials, like self-assembled proteins or mechanical adhesives, placed between opposite-facing magnets. Upon external loads, SBCs effectively dissipate deformation energy across their sacrificial bond interfaces following a biomimetic toughening mechanism similar to nacre’s. When the external load breaks the sacrificial bonds of a SBC, the opposite-facing magnets brings together the separated interface, allowing the reforming of its sacrificial bonds and the self-repairing of the composite after sustaining large strains. After mechanical failure at 600% strain, the consensus tetratricopeptide repeat (CTPR) protein films allows protein-based SBCs to recover 70% of their original tensile strength after letting their sacrificial bonds to reassemble for 1 h, at room temperature, in the presence of moisture. Mechanical adhesive-based SBCs, after their mechanical failure at 325% strain, are able to self-repair faster, regaining 85% of their tensile strength in less than 1 s. As a proof of concept, we demonstrate the fabrication of a reusable and lightweight fall arrest system exploiting mechanical adhesive interfaces and a protein-polyester yarn for the creation of high-energy dissipating textiles
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