A prospective clinical comparison of two intravenous polyurethane cannulae

Publisher's copy made available with the permission of the publisher © 1997 Australian Society of Anaesthetists "Because of a printer's error in the December 1996 issue of Anaesthesia and Intensive Care (Vol. 24, No. 6, p. 708, Figure 4) this paper is reprinted here in its entirety and in its correct form"--cf. p.42Tissue irritation, as evidenced by phlebitis, associated with Optiva™ (Johnson & Johnson Medical) and Insyte™ (Becton Dickinson) polyurethane cannulae was studied. The integrity of the cannulae on removal, the incidence of infection at the cannula site and the factors which influence phlebitis were also examined. One thousand and eight patients had a polyurethane cannula placed for induction of anaesthesia for cardiac surgery. After surgery, the cannula was examined every 24 hours. If evidence of phlebitis occurred, the cannula was removed and sent for culture. All remaining cannulae were removed at 72 hours and the site examined daily for a further three days. There were 503 Optiva™ and 505 Insyte™ cannulae studied. The distributions between the two cannulae with respect to patient characteristics, gauge of cannula, number of attempts and difficulty of insertion, cannula site and anaesthetist inserting were similar. The early removal rate for both groups was 47%. Overall phlebitis rate with Optiva™ was 31% and Insyte™ 33%. This difference is not statistically significant. The cumulative phlebitis rate increased with time but did not differ between the two types of cannulae. Minor tip distortion or shaft kinking of the cannulae occurred in 16.2% of Optiva™ and 23.5% of Insyte™. This difference is statistically significant and may relate to the slightly more acute taper at the Optiva™ cannula tip. Both cannulae were similar in clinical performance.W.J. Russell, S. Micik, S. Gourd, H. Mackay, S. Wrigh

Aging, Emotion, Attention, and Binding in the Taboo Stroop Task: Data and Theories.

How does aging impact relations between emotion, memory, and attention? To address this question, young and older adults named the font colors of taboo and neutral words, some of which recurred in the same font color or screen location throughout two color-naming experiments. The results indicated longer color-naming response times (RTs) for taboo than neutral base-words (taboo Stroop interference); better incidental recognition of colors and locations consistently associated with taboo versus neutral words (taboo context-memory enhancement); and greater speed-up in color-naming RTs with repetition of color-consistent than color-inconsistent taboo words, but no analogous speed-up with repetition of location-consistent or location-inconsistent taboo words (the consistency type by repetition interaction for taboo words). All three phenomena remained constant with aging, consistent with the transmission deficit hypothesis and binding theory, where familiar emotional words trigger age-invariant reactions for prioritizing the binding of contextual features to the source of emotion. Binding theory also accurately predicted the interaction between consistency type and repetition for taboo words. However, one or more aspects of these phenomena failed to support the inhibition deficit hypothesis, resource capacity theory, or socio-emotional selectivity theory. We conclude that binding theory warrants further test in a range of paradigms, and that relations between aging and emotion, memory, and attention may depend on whether the task and stimuli trigger fast-reaction, involuntary binding processes, as in the taboo Stroop paradigm

Energy upgrade as regards quench performance

Since the cross section for W production increases rapidly with energy, we consider the possibility of increasing the collision energy of polarized protons at RHIC. The limits of present hardware are examined with a particular emphasis on the quench training performance of magnets. Ignoring the limits of the DX magnets, the short-sample currents for the main arc (8 cm) dipoles could allow an increase of more than 30%, however we estimate 400 to 500 training quenches for the just 8 cm dipoles to reach this level. We propose that a 10% increase in energy might be achieved with the present hardware configuration. Raising the beam energy to 275 GeV ({radical}s = 550 GeV) should increase the W production rate by almost 50% from the 250 GeV level for the same optics with identical {beta}*'s at the collision points

Process of designing robust, dependable, safe and secure software for medical devices: Point of care testing device as a case study

This article has been made available through the Brunel Open Access Publishing Fund.Copyright © 2013 Sivanesan Tulasidas et al. This paper presents a holistic methodology for the design of medical device software, which encompasses of a new way of eliciting requirements, system design process, security design guideline, cloud architecture design, combinatorial testing process and agile project management. The paper uses point of care diagnostics as a case study where the software and hardware must be robust, reliable to provide accurate diagnosis of diseases. As software and software intensive systems are becoming increasingly complex, the impact of failures can lead to significant property damage, or damage to the environment. Within the medical diagnostic device software domain such failures can result in misdiagnosis leading to clinical complications and in some cases death. Software faults can arise due to the interaction among the software, the hardware, third party software and the operating environment. Unanticipated environmental changes and latent coding errors lead to operation faults despite of the fact that usually a significant effort has been expended in the design, verification and validation of the software system. It is becoming increasingly more apparent that one needs to adopt different approaches, which will guarantee that a complex software system meets all safety, security, and reliability requirements, in addition to complying with standards such as IEC 62304. There are many initiatives taken to develop safety and security critical systems, at different development phases and in different contexts, ranging from infrastructure design to device design. Different approaches are implemented to design error free software for safety critical systems. By adopting the strategies and processes presented in this paper one can overcome the challenges in developing error free software for medical devices (or safety critical systems).Brunel Open Access Publishing Fund

Community Detection as an Inference Problem

We express community detection as an inference problem of determining the most likely arrangement of communities. We then apply belief propagation and mean-field theory to this problem, and show that this leads to fast, accurate algorithms for community detection.Comment: 4 pages, 2 figure

Breathers in the weakly coupled topological discrete sine-Gordon system

Existence of breather (spatially localized, time periodic, oscillatory) solutions of the topological discrete sine-Gordon (TDSG) system, in the regime of weak coupling, is proved. The novelty of this result is that, unlike the systems previously considered in studies of discrete breathers, the TDSG system does not decouple into independent oscillator units in the weak coupling limit. The results of a systematic numerical study of these breathers are presented, including breather initial profiles and a portrait of their domain of existence in the frequency-coupling parameter space. It is found that the breathers are uniformly qualitatively different from those found in conventional spatially discrete systems.Comment: 19 pages, 4 figures. Section 4 (numerical analysis) completely rewritte