833 research outputs found
Panels illuminated by edge-lighted lens technique
Electroluminescent lamps used to edge-light a specially ground lens provide nonglare, reduced eye strain panel illumination. There is no noticeable falloff in brightness along the lens edge. Light intensity diminishes toward the lens center. A slight halo, observed along the lens edge, has no detrimental effect
3D structures for silicon carbide transistors utilising Al2O3 as a gate dielectric
This paper reports on the first investigation of the characteristics of 3D structures formed in silicon carbide for the realisation of ultra-high performance nanoscale transistors, based on the FINFET topology. Capacitance–voltage characteristics show evidence of a second flatband voltage, located at a higher bias than that seen for purely planar devices. Two distinct peaks in the conductance–voltage characteristics are observed, centred at the flatband voltages, where the amplitude of the high voltage peak correlates with the sidewall area. This suggests that the chemical behaviour of the sidewalls differ from those of the (0001) wafer surface. The breakdown electric field of the dielectric film grown on the 3D structure is in excess of 3 MV cm−1. It is demonstrated that 3D transistors (FINFETs) do not utilise the gate voltage range where the abnormal characteristics exist and so this work reports for the first time the possibility of high performance nanoscale transistors in silicon carbide that can operate at high temperatures
The study of a human head simulant's dynamic response to a blast wave
The prevalence of body armour and helmets in military forces combined with the availability of combat medical support and timely evacuation of injured soldiers has increased the survivability rates of those who have been exposed to blast. Despite this, the incidents of traumatic brain injury (TBI), as a result of primary blast, have been described as the 'ignature injury' of modern warfare. The physical interaction between a blast wave and a human head is not well understood and there is some conjecture as to whether helmets are attenuating or amplifying the blast effects on the human head. The aim of this study was to improve the understanding of the interaction of primary blasts on the human head with different attachments such as a helmet and face shield
Culture and communication in ethically appropriate care
yesThis article considers the difficulties with using Gillon's model for health care ethics in the context of clinical practice. Everyday difficulties can arise when caring for people from different ethnic and cultural backgrounds, especially when they speak little or no English. A case is presented that establishes, owing to language and cultural barriers, that midwives may have difficulty in providing ethically appropriate care to women of Pakistani Muslim origin in the UK. The use of interpreters is discussed; however, there are limitations and counter arguments to their use. Training is identified as needed to prepare service providers and midwives for meeting the needs of a culturally diverse maternity population
Moisture evolution, thermal properties and energy consumption of drying spent grain pellets from a blend of some cereals for small scale bio-energy utilization: Modelling and Experimental study
© 2022 Springer Nature Switzerland AG. This is the accepted manuscript version of an article which has been published in final form at https://doi.org/10.1007/s13399-022-02846-xA fixed bed convective dryer was used to assess the influence of drying temperature and geometry deformation on moisture and thermo-physical property evolution of solid fraction pellets (spent grain) from wet milling of cereal blends for bio-energy generation for small homes. The aim is to study the physical mechanism of drying the pellets that includes temperature and moisture behaviour, transport phenomena, the response rate to varying process conditions, drying time, and energy utilization which can be applied in the development of a fixed bed dryer for drying the pellets at a lower scale. The modified Cranck's diffusion model was used to study moisture loss by introducing shrinkage. The verification of the model gave the mean absolute error (MAE) for moisture content with shrinkage as 0.0366 - 0.1500 while for without shrinkage was 0.0729 - 0.1500 for 60- 80 oC. The effective moisture diffusivity with integrating shrinkage is lower than non- shrinkage though these values varied with drying time. Fitting the moisture ratio with the exponential drying curve equations shows that logarithmic equations were the best model for drying at 60 and 70 oC while Henderson and Pabis's model was better at 80 oC isothermal drying. Thermophysical analysis showed that the average specific heat capacity ranges from 5423.387 to 5198.197J/kgK while the thermal conductivity ranged from 0.115281to 0.136882W/mK at 60-80 oC. The energy and specific energy consumption ranged from 0.41 to 0.494 kWh and 108.39 to 119.29MJ/kg. The shrinkage ratios, effective diffusivity and energy and specific energy consumption were empirically presented as a function of moisture, temperature and or air velocity variations with a high degree of association.Peer reviewe
Letter to the editor. Brain biopsy in children and adults with neurological diseases of unknown etiology: two sides of the same coin? Response
The utility of brain biopsy in pediatric cryptogenic neurological disease
OBJECTIVE:
The authors’ aim was to characterize a single-center experience of brain biopsy in pediatric cryptogenic neurological disease.
METHODS:
The authors performed a retrospective review of consecutive brain biopsies at a tertiary pediatric neurosciences unit between 1997 and 2017. Children < 18 years undergoing biopsy for neurological pathology were included. Those with presumed neoplasms and biopsy performed in the context of epilepsy surgery were excluded.
RESULTS:
Forty-nine biopsies in 47 patients (25 females, mean age ± SD 9.0 ± 5.3 years) were performed during the study period. The most common presenting symptoms were focal neurological deficit (28.6%) and focal seizure (26.5%). Histopathological, microbiological, and genetic analyses of biopsy material were contributory to the diagnosis in 34 cases (69.4%). Children presenting with focal seizures or with diffuse (> 3 lesions) brain involvement on MRI were more likely to yield a diagnosis at biopsy (OR 3.07 and 2.4, respectively). Twelve patients were immunocompromised and were more likely to yield a diagnosis at biopsy (OR 6.7). Surgery was accompanied by severe complications in 1 patient. The most common final diagnoses were infective (16/49, 32.7%), followed by chronic inflammatory processes (10/49, 20.4%) and occult neoplastic disease (9/49, 18.4%). In 38 cases (77.6%), biopsy was considered to have altered clinical management.
CONCLUSIONS:
Brain biopsy for cryptogenic neurological disease in children was contributory to the diagnosis in 69.4% of cases and changed clinical management in 77.6%. Biopsy most commonly revealed underlying infective processes, chronic inflammatory changes, or occult neoplastic disease. Although generally safe, the risk of severe complications may be higher in immunocompromised and myelosuppressed children
Fourth ventricle tumors in children: complications and influence of surgical approach
OBJECTIVES:
The goal of this study was to characterize the complications and morbidity related to the surgical management of pediatric fourth ventricle tumors.
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METHODS:
All patients referred to the authors’ institution with posterior fossa tumors from 2002 to 2018 inclusive were screened to include only true fourth ventricle tumors. Preoperative imaging and clinical notes were reviewed to extract data on presenting symptoms; surgical episodes, techniques, and adjuncts; tumor histology; and postoperative complications.
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RESULTS:
Three hundred fifty-four children with posterior fossa tumors were treated during the study period; of these, 185 tumors were in the fourth ventricle, and 167 fourth ventricle tumors with full data sets were included in this analysis. One hundred patients were male (mean age ± SD, 5.98 ± 4.12 years). The most common presenting symptom was vomiting (63.5%). The most common tumor types, in order, were medulloblastoma (94 cases) > pilocytic astrocytoma (30 cases) > ependymoma (30 cases) > choroid plexus neoplasms (5 cases) > atypical teratoid/rhabdoid tumor (4 cases), with 4 miscellaneous lesions. Of the 67.1% of patients who presented with hydrocephalus, 45.5% had an external ventricular drain inserted (66.7% of these prior to tumor surgery, 56.9% frontal); these patients were more likely to undergo ventriculoperitoneal shunt (VPS) placement at a later date (p = 0.00673). Twenty-two had an endoscopic third ventriculostomy, of whom 8 later underwent VPS placement. Overall, 19.7% of patients had a VPS sited during treatment.
Across the whole series, the transvermian approach was more frequent than the telovelar approach (64.1% vs 33.0%); however, the telovelar approach was significantly more common in the latter half of the series (p < 0.001). Gross-total resection was achieved in 70.7%. The most common postoperative deficit was cerebellar mutism syndrome (CMS; 28.7%), followed by new weakness (24.0%), cranial neuropathy (18.0%), and new gait abnormality/ataxia (12.6%). Use of intraoperative ultrasonography significantly reduced the incidence of CMS (p = 0.0365). There was no significant difference in the rate of CMS between telovelar or transvermian approaches (p = 0.745), and multivariate logistic regression modeling did not reveal any statistically significant relationships between CMS and surgical approach.
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CONCLUSIONS:
Surgical management of pediatric fourth ventricle tumors continues to evolve, and resection is increasingly performed through the telovelar route. CMS is enduringly the major postoperative complication in this patient population
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