834 research outputs found
A systematic approach for the reliability of RFID systems
In this paper, we address reliability issues in the 'digitally named world', which is the environment in which RFID (radio frequency identification) tags are attached to any objects in the real world. We propose a systematic approach to maintain the reliability and analyze the effect of our approach, and show that the possibility of identification failure are reduced to O(p2) (0<p<1) from O(p) of the naive approach, where p is the possibility of failure on a single reader, on condition that the first and the final identifications of an object are ensured to be successful.journal articl
A Case of Traumatic Tricuspid Regurgitation Caused by Multiple Papillary Muscle Rupture
Traumatic tricuspid regurgitation is a rare complication of blunt chest trauma. With the increase in the number of automobile accidents, traumatic tricuspid regurgitation has become an important problem after blunt chest trauma. It has been reported more frequently because of better diagnostic procedures and a better understanding of the pathology. The early diagnosis of traumatic tricuspid regurgitation is important because traumatic tricuspid injury could be effectively corrected with reparative techniques, early operation is considered to relieve symptoms and to prevent right ventricular dysfunction. Echocardiography can reveal the cause and severity of regurgitation. We experienced a case of tricuspid regurgitation after blunt chest trauma early diagnosis and valve repair were performed. This case reminds the physicians in the emergency department should be aware of this potential complication following non-penetrating chest trauma and echocardiography is useful and should play an early role
Risk analysis and outcome of mediastinal wound and deep mediastinal wound infections with specific emphasis to omental transposition
<p>Abstract</p> <p>Background</p> <p>To report our experience, with Deep mediastinal wound infections (DMWI). Emphasis was given to the management of deep infections with omental flaps</p> <p>Methods</p> <p>From February 2000 to October 2007, out of 3896 cardiac surgery patients (prospective data collection) 120 pts (3.02%) developed sternal wound infections. There were 104 males & 16 females; (73.7%) CABG, (13.5%) Valves & (9.32%) CABG and Valve.</p> <p>Results</p> <p>Superficial sternal wound infection detected in 68 patients (1.75%) and fifty-two patients (1.34%) developed DMWI. The incremental risk factors for development of DMWI were: Diabetes (OR = 3.62, CI = 1.2-10.98), Pre Op Creatinine > 200 μmol/l (OR = 3.33, CI = 1.14-9.7) and Prolong ventilation (OR = 4.16, CI = 1.73-9.98). Overall mortality for the DMWI was 9.3% and the specific mortality of the omental flap group was 8.3%. 19% of the "DMWI group", developed complications: hematoma 6%, partial flap loss 3.0%, wound dehiscence 5.3%. Mean Hospital Stay: 59 ± 21.5 days.</p> <p>Conclusion</p> <p>Post cardiac surgery sternal wound complications remain challenging. The role of multidisciplinary approach is fundamental, as is the importance of an aggressive early wound exploration especially for deep sternal infections.</p
Secondary omental and pectoralis major double flap reconstruction following aggressive sternectomy for deep sternal wound infections after cardiac surgery
<p>Abstract</p> <p>Background</p> <p>Deep sternal wound infection after cardiac surgery carries high morbidity and mortality. Our strategy for deep sternal wound infection is aggressive strenal debridement followed by vacuum-assisted closure (VAC) therapy and omental-muscle flap reconstrucion. We describe this strategy and examine the outcome and long-term quality of life (QOL) it achieves.</p> <p>Methods</p> <p>We retrospectively examined 16 patients treated for deep sternal wound infection between 2001 and 2007. The most recent nine patients were treated with total sternal resection followed by VAC therapy and secondary closure with omental-muscle flap reconstruction (recent group); whereas the former seven patients were treated with sternal preservation if possible, without VAC therapy, and four of these patients underwent primary closure (former group). We assessed long-term quality of life after DSWI by using the Short Form 36-Item Health Survey, Version 2 (SF36v2).</p> <p>Results</p> <p>One patient died and four required further surgery for recurrence of deep sternal wound infection in the former group. The duration of treatment for deep sternal wound infection in the recent group was significantly shorter than that in previous group (63.4 ± 54.1 days vs. 120.0 ± 31.8 days, respectively; p = 0.039). Despite aggressive sternal resection, the QOL of patients treated for DSWI was only minimally compromised compared with age-, sex-, surgical procedures-matched patients without deep sternal wound infection.</p> <p>Conclusions</p> <p>Aggressive sternal debridement followed by VAC therapy and secondary closure with an omental-muscle flap is effective for deep sternal wound infection. In this series, it resulted in a lower incidence of recurrent infection, shorter hospitalization, and it did not compromise long-term QOL greatly.</p
Modification and characterization of an aptamer-based surface plasmon resonance sensor chip
Recently, aptamer-based surface plasmon resonance (SPR) sensors have become increasingly popular due to their high specificity, high sensitivity, real-time detection capabilities, and label-free features. The core component of an aptamer-based SPR sensor is a chip. This paper presents the modification steps and the characterization results of a sensor chip for the construction of a 2, 4, 6-trinitrotoluene-targeted, aptamer-based, SPR sensor. After cleaning the aptamer-based SPR sensor chip, polyethylene glycol (PEG) with functional thiol groups at one end was added to the chip surface by Au-S covalent bonds to form a self-assembled film. Then, the carboxyl groups at the other end of PEG and the carboxyl groups of trinitrophenyl-glycine (TNP-Gly) were activated and connected via ethylenediamine (EDA). This effectively completed the chip’s modification. During the modification process, relevant experimental conditions were optimized. The chip’s surface elements, as well as their chemical states, were characterized by X-ray photoelectron spectroscopy (XPS). The results, outlined in the following study, demonstrate that this modification of an aptamer-based SPR sensor chip adhered to normative expectations. Thus, the modification process proposed here establishes an important foundation for subsequent study of TNT detection
Redundant Coding and Local Computability in Parallel Computation(Mathematical Foundations of Computer Science and Their Applications)
Hardware Algorithms for Division and Square Rooting Internally Using Redundant Binary Representation(Mathematical Theories on Computing Schemes and Their Applications)
- …
