Subarachnoid haemorrhage secondary to traumatic intracranial aneurysm of the posterior cerebral circulation: case series and literature review

Background To identify the clinical features, rebleed risk, timing and method of diagnosis, complications and outcome for subarachnoid haemorrhage (SAH) from traumatic intracranial aneurysm (TICA) of the posterior circulation. Subjects included 26 patients aged 3–54 (mean 24.8). Methods Case series and literature search to identify all reported cases. Results In our series, two of three cases were fatal as a result of rebleed, and one case had a good outcome with no deficit, following prompt diagnosis and embolisation. Our key findings from the literature review were: 30.7 % of patients were age 16 and under; 88 % had an acute drop in consciousness, 46 % in a delayed manner; the mean time to diagnosis was 7.5 days; initial cerebrovascular imaging was normal in 23 %; the rebleed rate was 23 %; 61 % required emergency diversion of cerebrospinal fluid; 11 % developed vasospasm requiring treatment; 19.2 % had deficits that rendered them unable to live independently. The mortality rate was 27 %. Conclusions SAH from ruptured posterior circulation TICA is associated with significant morbidity and mortality. A high index of suspicion as well as prompt diagnosis, repeat imaging in selected cases, and treatment of any associated TICA can be crucial to a favourable outcome

Growth, photosynthesis and biomass allocation of different kenaf (Hibiscus cannabinus L.,) accessions grown on sandy soil.

Growth, photosynthesis, and biomass allocation of kenaf accessions were investigated. Forty kenaf accessions from tropical and subtropical regions of the world were grown on marginal sandy soil in a field at Kelantan to determine differences in their growth, photosynthesis and biomass allocation. The experiment was arranged using three replicates in a randomized complete block design. Basal diameter, plant height, leaf number, leaf area and photosynthesis were measured, these being the determinants of growth and biomass production. Plant roots, stems and leaves were separated and biomass content determined at harvest. Accession 35 had the highest value for basal diameter (17.44 mm), plant height (251.73 cm), leaf quantity (81.55), leaf area (1455.62 cm2 plant-1) and photosynthesis (16.92 µmol m-2s-1), followed by accession 28. A positive relationship was noticed between plant height, leaf area, photosynthesis, biomass production, root mass and leaf area. Total biomass for the different kenaf accessions ranged from 26.26 to 93.06 g plant-1 (-1 needs to be superscripted). Stems accounted for the greatest proportion of dry mass (67.05%), followed by roots(21.15%). Dry mass accumulation in the stem was highest in accession 35, followed by accession 28. Using cluster analysis, the accessions were divided into two major groups, in which accessions 35 and 28 from the first group had the highest values of all measured parameters. The results of the study will aid in the selection of better accessions for growers to produce kenaf that is best suited to marginal sandy soil

Study of one class boundary method classifiers for application in a video-based fall detection system

In this paper, we introduce a video-based robust fall detection system for monitoring an elderly person in a smart room environment. Video features, namely the centroid and orientation of a voxel person, are extracted. The boundary method, which is an example one class classification technique, is then used to determine whether the incoming features lie in the ‘fall region’ of the feature space, and thereby effectively distinguishing a fall from other activities, such as walking, sitting, standing, crouching or lying. Four different types of boundary methods, k-center, k-th nearest neighbor, one class support vector machine and single class minimax probability machine are assessed on representative test datasets. The comparison is made on the following three aspects: 1). True positive rate, false positive rate and geometric means in detection 2). Robustness to noise in the training dataset 3). The computational time for the test phase. From the comparison results, we show that the single class minimax probability machine achieves the best overall performance. By applying one class classification techniques with 3-d features, we can obtain a more efficient fall detection system with acceptable performance, as shown in the experimental part; besides, it can avoid the drawbacks of other traditional fall detection methods

Investigation of the influence of Ceratophyllum demersum to refine diluted compost latex

Water pollution has always been a major problem in the environment. Polluted water is harming for human health and need to clean water from pollution factors. One of the economic and rapid methods forelements removal is displacement metals by biosorption. The purpose of this study was refining diluted compost latex by Ceratophyllum demersum that was diluted 200 times with distilled water. Diluted compost latex (DCL)accompany with aquatic plant Ceratophyllum demersum was located in bottles which were 6 liter in four replication. The experimental performed at the open air of Khorasgan (Isfahan, Iran) University area for 18 dayswithout aeration. Result of Chemical oxygen demand (COD) indicates that the COD was decreased from 728 mg/L to 189.5 mg/L. Also, this investigation was demonstrated that the amount of ammonium in diluted compost latex was decreased from 60 meq/L to 13.33 meq/L. The amount of nitrate in diluted compost latex has decreased from 90 meq/L to 26.66 meq/L, and the amount of Phosphorous was declined from 1.2 meq/L to 0.21 meq/L. EC of diluted compost latex was reduced from 1.02 ds/m to 0.74 ds/m. All of the consequences which were mentioned indicated that this aquatic plant (Ceratophyllum demersum) is one of the best natural ways to refine Polluted water

Carvedilol Compared With Metoprolol on Left Ventricular Ejection Fraction After Coronary Artery Bypass Graft

A number of elective coronary artery bypass graft (CABG) surgery patients have impaired underlying left ventricular function (poor ejection fraction). This study was performed to compare the effect of postoperative oral carvedilol versus metoprolol on left ventricular ejection fraction (LVEF) after CABG compared with metoprolol. In a double-blind clinical trial, 60 patients with coronary artery disease, aged 35 to 65 years, who had an ejection fraction of 15% to 35% were included. Either carvedilol or metoprolol was administered the day after CABG The patients were evaluated by the same cardiologist 14 days before and 2 and 6 months after elective CABG The results demonstrated better improvements in LVEF in the carvedilol group. No difference regarding postoperative arrhythmias or mortality was detected. The results suggest that carvedilol may exert more of an improved myocardial effect than metoprolol for the low ejection fraction patients undergoing CABG in the early postoperative months

Role of Ceratophyllum demersum in recycling macro elements from wastewater

Water is one of the most stable and abundant complexes on nature that can be polluted with natural and human factors. Therefore, it is necessary to ensure a timely warning for possible accumulation of polluting metal in natural waters in order to protect public health. One of the economic and rapid methods for elements removal is displacement of metals by biosorption. The purpose of this study is to investigate how much Ceratophyllum demersum (C. demersum) enables to remove elements from aquatic environments. Three treatments in four replications for purifying wastewater by C. demersum were designed. The treatmentsincluded raw municipal wastewater (RMW) and treated municipal wastewater (TMW) and diluted compost latex (DCL). The experiment was performed at the open air of Khorasgan University area for 18 days withoutaeration. After this examination, the accumulation of Magnesium in C. demersum indicated that the Magnesium in TMW, RMW and DCL were increased 96.29%, 100% and 73.52% respectively. These results demonstrate that in all of the treatments C. demersum could absorb high Magnesium concentration from the aquatic environment. In addition, this investigation demonstrated that the amount of Calcium, Nitrogen, Phosphorous, Sodium and Potassium accumulated in C. demersum absorbed efficiently from the aquatic environments respectively. Therefore, it was concluded that C. demersum could be used to refine polluting metal from wastewater and could be the best biosorption method for protecting the water pollution in the environment

Simple and strong: twisted silver painted nylon artificial muscle actuated by Joule heating

Highly oriented nylon and polyethylene fibres shrink in length when heated and expand in diameter. By twisting and then coiling monofilaments of these materials to form helical springs, the anisotropic thermal expansion has recently been shown to enable tensile actuation of up to 49% upon heating. Joule heating, by passing a current through a conductive coating on the surface of the filament, is a convenient method of controlling actuation. In previously reported work this has been done using highly flexible carbon nanotube sheets or commercially available silver coated fibres. In this work silver paint is used as the Joule heating element at the surface of the muscle. Up to 29% linear actuation is observed with energy and power densities reaching 840 kJ m[superscript -3] (528 J kg[superscript -1]) and 1.1 kW kg[superscript -1] (operating at 0.1 Hz, 4% strain, 1.4 kg load). This simple coating method is readily accessible and can be applied to any polymer filament. Effective use of this technique relies on uniform coating to avoid temperature gradients

Nanofibers-based piezoelectric energy harvester for self-powered wearable technologies

The demands for wearable technologies continue to grow and novel approaches for powering these devices are being enabled by the advent of new energy materials and novel manufacturing strategies. In addition, decreasing the energy consumption of portable electronic devices has created a huge demand for the development of cost-effective and environment friendly alternate energy sources. Energy harvesting materials including piezoelectric polymer with its special properties make this demand possible. Herein, we develop a flexible and lightweight nanogenerator package based on polyvinyledene fluoride (PVDF)/LiCl electrospun nanofibers. The piezoelectric performance of the developed nanogenator is investigated to evaluate effect of the thickness of the as-spun mat on the output voltage using a vibration and impact test. It is found that the output voltage increases from 1.3 V to 5 V by adding LiCl as additive into the spinning solution compared with pure PVDF. The prepared PVDF/LiCl nanogenerator is able to generate voltage and current output of 3 V and 0.5 µA with a power density output of 0.3 µW cm−2 at the frequency of 200 Hz. It is found also that the developed nanogenerator can be utilized as a sensor to measure temperature changes from 30◦C to 90◦C under static pressure. The developed electrospun temperature sensor showed sensitivity of 0.16%/◦C under 100 Pa pressure and 0.06%/◦C under 220 Pa pressure. The obtained results suggested the developed energy harvesting textiles have promising applications for various wearable self-powered electrical devices and systems

Electric field-modulated non-ohmic behavior of carbon nanotube fibers in polar liquids.

We report a previously unseen non-ohmic effect in which the resistivity of carbon nanotube fibers immersed in polar liquids is modulated by the applied electric field. This behavior depends on the surface energy, dielectric constant, and viscosity of the immersion media. Supported by synchrotron SAXS and impedance spectroscopy, we propose a model in which the gap distance, and thus the conductance, of capacitive interbundle junctions is controlled by the applied field.JT acknowledges generous financial support from: The Cambridge Commonwealth European and International Trust, CONACyT (Mexico), Dyson Ltd, and Pembroke College Cambridge. JJV acknowledges support from MINECO (Spain) and FP7-People-Marie Curie Action-CIG.This is the accepted manuscript. The final version is available from ACS at http://pubs.acs.org/doi/abs/10.1021/nn5030835

Knee joint kinetics in response to multiple three-dimensional printed, customised foot orthoses for the treatment of medial compartment knee osteoarthritis

The knee adduction moment is consistently used as a surrogate measure of medial compartment loading. Foot orthoses are designed to reduce knee adduction moment via lateral wedging. The 'dose' of wedging required to optimally unload the affected compartment is unknown and variable between individuals. This study explores a personalised approach via three-dimensional printed foot orthotics to assess the biomechanical response when two design variables are altered: orthotic length and lateral wedging. Foot orthoses were created for 10 individuals with symptomatic medial knee osteoarthritis and 10 controls. Computer-aided design software was used to design four full and four three-quarter-length foot orthoses per participant each with lateral posting of 0° 'neutral', 5° rearfoot, 10° rearfoot and 5° forefoot/10° rearfoot. Three-dimensional printers were used to manufacture all foot orthoses. Three-dimensional gait analyses were performed and selected knee kinetics were analysed: first peak knee adduction moment, second peak knee adduction moment, first knee flexion moment and knee adduction moment impulse. Full-length foot orthoses provided greater reductions in first peak knee adduction moment (p = 0.038), second peak knee adduction moment (p = 0.018) and knee adduction moment impulse (p = 0.022) compared to three-quarter-length foot orthoses. Dose effect of lateral wedging was found for first peak knee adduction moment (p < 0.001), second peak knee adduction moment (p < 0.001) and knee adduction moment impulse (p < 0.001) indicating greater unloading for higher wedging angles. Significant interaction effects were found for foot orthosis length and participant group in second peak knee adduction moment (p = 0.028) and knee adduction moment impulse (p = 0.036). Significant interaction effects were found between orthotic length and wedging condition for second peak knee adduction moment (p = 0.002). No significant changes in first knee flexion moment were found. Individual heterogeneous responses to foot orthosis conditions were observed for first peak knee adduction moment, second peak knee adduction moment and knee adduction moment impulse. Biomechanical response is highly variable with personalised foot orthoses. Findings indicate that the tailoring of a personalised intervention could provide an additional benefit over standard interventions and that a three-dimensional printing approach to foot orthosis manufacturing is a viable alternative to the standard methods.Full Tex