Efficacy and Safety of Guardcel Nasal Packing After Endoscopic Sinus Surgery: A Prospective, Single-Blind, Randomized Controlled Study

Objectives Nasal packing after endoscopic sinus surgery is frequently used to control postoperative bleeding, enhance the wound healing process, and prevent lateralization of the middle turbinate, which causes insufficient ventilation. Many biodegradable materials have been developed to reduce pain and mucosal damage during packing removal. The purpose of this study was to compare the efficacy of Guardcel (Genewel Co.) middle meatal packing with a traditional nonabsorbable middle meatal packing, Merocel (Medtronic Xomed), on wound healing and patient satisfaction. Methods In this prospective, single-blind, randomized controlled study, we enrolled 32 consecutive patients (64 nostrils) undergoing bilateral endoscopic sinus surgery at Korea University Guro Hospital from February 2015 to August 2015. Guardcel and Merocel were inserted postoperatively into a randomly assigned side. Objective findings about bleeding, hemostasis, adhesion, and infection were evaluated with nasal endoscopy. Patients’ symptoms including pain and nasal obstruction were evaluated with a visual analog scale. Each evaluation was done at 2–3 days, 1 week, 2 weeks, and 4 weeks after surgery. Results At 2–3 days after endoscopic sinus surgery, the Guardcel side had a significantly less hemostasis time than the Merocel side (P=0.001). During this period, the pain during packing removal was significantly lower on the Guardcel-inserted side than the Merocel-inserted side (P=0.002). At two weeks after surgery, the adhesion score on the Guardcel side was significantly lower than that of the Merocel side (P=0.011). Other parameters during the study follow-up periods were not statistically significant. There were no severe adverse reactions. Conclusion Guardcel, a newly developed packing material, appeared to shorten the hemostasis time and reduce pain sensation at 2–3 days after surgery; it also prevented adhesion formation 2 weeks after surgery when compared with the control. Guardcel can be an effective and safe candidate to replace conventional packing materials after endoscopic sinus surgery

Employing outlier and novelty detection for checking the integrity of BIM to IFC entity associations

Although Industry Foundation Classes (IFC) provide standards for exchanging Building Information Modeling (BIM) data, authoring tools still require manual mapping between BIM entities and IFC classes. This leads to errors and omissions, which results in corrupted data exchanges that are unreliable and compromise the interoperability of BIM models. This research explored the use of two machine learning techniques for identifying anomalies, namely outlier and novelty detection to determine the integrity of IFC classes to BIM entity mappings. Both approaches were tested on three BIM models, to test their accuracy in identifying misclassifications. Results showed that outlier detection, which uses Mahalanobis distances, had difficulties when several types of dissimilar elements existed in a single IFC class and conversely was not applicable for IFC classes with insufficient number of elements. Novelty detection, using one-class SVM, was trained a priori on elements with dissimilar geometry. By creating multiple inlier boundaries, novelty detection resolved the limitations encountered in the former approach, and consequently performed better in identifying outliers correctly

Prediction model for myocardial injury after non-cardiac surgery using machine learning

Abstract Myocardial injury after non-cardiac surgery (MINS) is strongly associated with postoperative outcomes. We developed a prediction model for MINS and have provided it online. Between January 2010 and June 2019, a total of 6811 patients underwent non-cardiac surgery with normal preoperative level of cardiac troponin (cTn). We used machine learning techniques with an extreme gradient boosting algorithm to evaluate the effects of variables on MINS development. We generated two prediction models based on the top 12 and 6 variables. MINS was observed in 1499 (22.0%) patients. The top 12 variables in descending order according to the effects on MINS are preoperative cTn level, intraoperative inotropic drug infusion, operation duration, emergency operation, operation type, age, high-risk surgery, body mass index, chronic kidney disease, coronary artery disease, intraoperative red blood cell transfusion, and current alcoholic use. The prediction models are available at https://sjshin.shinyapps.io/mins_occur_prediction/ . The estimated thresholds were 0.47 in 12-variable models and 0.53 in 6-variable models. The areas under the receiver operating characteristic curves are 0.78 (95% confidence interval [CI] 0.77–0.78) and 0.77 (95% CI 0.77–0.78), respectively, with an accuracy of 0.97 for both models. Using machine learning techniques, we demonstrated prediction models for MINS. These models require further verification in other populations

Multicompartment Photonic Microcylinders toward Structural Color Inks

Structural coloration is promising as an alternative to chemical coloration because it has characteristics of their high color brightness, no fading, and low toxicity. Here, we report a pragmatic micromolding technique to create functional photonic microcylinders which are useful as structural color pigments. Photocurable dispersions of silica particles with interparticle repulsion are molded to spontaneously form regular arrays in confined volumes, which are instantly stabilized by photopolymerization. The resulting photonic microcylinders, released from the mold, exhibit pronounced structural colors from the entire visible range. In addition, multiple compartments can be integrated into single microcylinders through volatile-solvent-mediated sequential molding. As each compartment can be independently rendered to be structurally colored, transparent, or magneto-responsive, the multicompartment microcylinders show advanced functionalities, such as color-brightness tunability and switchable color properties. These photonic microcylinders will serve as structural color pigments in a wide range of aesthetic coatings and authentication tags

Multicompartment Photonic Microcylinders toward Structural Color Inks

Structural coloration is promising as an alternative to chemical coloration because it has characteristics of their high color brightness, no fading, and low toxicity. Here, we report a pragmatic micromolding technique to create functional photonic microcylinders which are useful as structural color pigments. Photocurable dispersions of silica particles with interparticle repulsion are molded to spontaneously form regular arrays in confined volumes, which are instantly stabilized by photopolymerization. The resulting photonic microcylinders, released from the mold, exhibit pronounced structural colors from the entire visible range. In addition, multiple compartments can be integrated into single microcylinders through volatile-solvent-mediated sequential molding. As each compartment can be independently rendered to be structurally colored, transparent, or magneto-responsive, the multicompartment microcylinders show advanced functionalities, such as color-brightness tunability and switchable color properties. These photonic microcylinders will serve as structural color pigments in a wide range of aesthetic coatings and authentication tags

Multicompartment Photonic Microcylinders toward Structural Color Inks

Structural coloration is promising as an alternative to chemical coloration because it has characteristics of their high color brightness, no fading, and low toxicity. Here, we report a pragmatic micromolding technique to create functional photonic microcylinders which are useful as structural color pigments. Photocurable dispersions of silica particles with interparticle repulsion are molded to spontaneously form regular arrays in confined volumes, which are instantly stabilized by photopolymerization. The resulting photonic microcylinders, released from the mold, exhibit pronounced structural colors from the entire visible range. In addition, multiple compartments can be integrated into single microcylinders through volatile-solvent-mediated sequential molding. As each compartment can be independently rendered to be structurally colored, transparent, or magneto-responsive, the multicompartment microcylinders show advanced functionalities, such as color-brightness tunability and switchable color properties. These photonic microcylinders will serve as structural color pigments in a wide range of aesthetic coatings and authentication tags